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  1. Nursing Transition: An Individualized Course To Promote Mobility from the LVN to RN Role. Registered Nurse Shortage Project. Final Report.

    ERIC Educational Resources Information Center

    Irwin, Marcia; Malague, Marianne

    To address a regional shortage of registered nurses (RN's), a special transition course was developed at the North Harris Montgomery Community College District in Houston, Texas, to allow licensed vocational nurses to articulate into the second year of a two-year Associate Degree Nursing (ADN) program. Students completing the ADN program are…

  2. Registered Nurse Education and the Registered Nurse Job Market.

    ERIC Educational Resources Information Center

    Hunt, Howard Allan

    This effort compares the graduates of the three types of Registered Nurse (RN) education programs (three-year Diploma in Nursing, two-year Associate Degree in Nursing (ADN), and four-year Bachelor of Science Degree in Nursing). The basic objective is to determine whether they are perfect substitutes, especially whether ADN graduates can adequately…

  3. Hospital RN job satisfaction and nurse unions.

    PubMed

    Seago, Jean Ann; Spetz, Joanne; Ash, Michael; Herrera, Carolina-Nicole; Keane, Dennis

    2011-03-01

    The objective of the study was to examine whether unionization is associated with job satisfaction among RNs in the United States using nationally representative surveys of RNs. Factors that predict job satisfaction for RNs in healthcare continue to be of great concern to nurse administrators and managers because job satisfaction remains an important aspect of nurse retention. In addition, the notion of having unions for RNs has also gained prominence on the national stage. The relationship between RN job satisfaction and having an RN union has rarely been studied, but in 2 studies, a paradox was found; hospitals with RN unions had higher job dissatisfaction but greater retention. This study will test the relationship between having an RN union and job satisfaction with data that are both more recent and nationally representative. We analyze the public-use data from the 2004 and 2008 National Sample Surveys of Registered Nurses. In both 2004 and 2008, union representation was negatively associated with job satisfaction, although this relationship was not statistically significant in 2008. Some nurse administrators and executives would not be surprised by this finding. However, although union nurses may express more dissatisfaction, they may also be more vocal and less fearful about voicing concerns. If managers can harness this ability of the nurses to be articulate and outspoken, working with unions and union nurses can be productive and satisfying. PMID:21336038

  4. Nursing: Registered Nurses

    MedlinePlus

    ... nurses for jobs in health planning and development, marketing, consulting, policy development, and quality assurance. Some RNs ... workers was $36,200. Recommend this page using: Facebook Twitter LinkedIn tools Areas at a Glance Industries ...

  5. Registered Nurse (Associate Degree).

    ERIC Educational Resources Information Center

    Ohio State Univ., Columbus. Center on Education and Training for Employment.

    This document, which is designed for use in developing a tech prep competency profile for the occupation of registered nurse (with an associate degree), lists technical competencies and competency builders for 19 units pertinent to the health technologies cluster in general and 5 units specific to the occupation of registered nurse. The following…

  6. Motivational Factors in Registered Nurses Completing a Baccalaureate Completion Program

    ERIC Educational Resources Information Center

    Alonzo, Amanda L.

    2009-01-01

    The purpose of this qualitative descriptive study was to investigate what motivates associate degree (AND) and diploma prepared registered nurses (RN) to pursue a baccalaureate degree (BSN) through an RN-to-BSN program. Studies have shown that the educational level of nurses has direct impact on the safety and quality of care provided to patients.…

  7. Effects of leadership characteristics on pediatric registered nurses' job satisfaction.

    PubMed

    Roberts-Turner, Reneé; Hinds, Pamela S; Nelson, John; Pryor, Juanda; Robinson, Nellie C; Wang, Jichuan

    2014-01-01

    Job satisfaction levels among registered nurses (RNs) influence RN recruitment, retention, turnover, and patient outcomes. Researchers examining the relationship between characteristics of nursing leadership and RN job satisfaction have treated RNs as a monolithic group with little research on the satisfaction of hospital-based pediatric RNs. This study assessed the relationship of transformational and transactional nursing leadership characteristics and RN job satisfaction reported by pediatric RNs. This single site study included 935 hospital-based pediatric RNs who completed validated survey items regarding nursing leadership and job satisfaction. A structural equation model (SEM) was applied to assess how autonomy (transformational leadership) and distributive justice (transactional leadership) influence RN job satisfaction, and how RN socio-demographic characteristics influence job satisfaction via autonomy and distributive justice. Findings revealed that both autonomy and distributive justice had significant positive effects on RN job satisfaction but the largest source of influence was autonomy. PMID:25929114

  8. Registered Nurse Staffing Mix and Quality of Care in Nursing Homes: A Longitudinal Analysis

    ERIC Educational Resources Information Center

    Kim, Hongsoo; Harrington, Charlene; Greene, William H.

    2009-01-01

    Purpose: To examine the relationship between registered nurse (RN) staffing mix and quality of nursing home care measured by regulatory violations. Design and Methods: A retrospective panel data study (1999-2003) of 2 groups of California freestanding nursing homes. One group was 201 nursing homes that consistently met the state's minimum standard…

  9. The influence of registered nurse staffing on the quality of nursing home care.

    PubMed

    Munroe, D J

    1990-08-01

    The purpose of this study was to determine the extent to which registered nurse (RN) staffing patterns influenced nursing home quality. Based upon extensive literature review, a model for nursing home quality was developed. Using data from reports of 455 Medicare-certified skilled nursing facilities, structural, process, and outcome factors thought to influence quality were entered into the model and analyzed using ordinary least squares regression. A small, though statistically significant, proportion of the variance in quality nursing home care was explained by the equation. A positive, significant relationship existed between nursing home quality and the ratio of RN hours to licensed vocational nurse (LVN) hours per resident day. PMID:2374834

  10. Predictors for Success on the NCLEX-RN for Associate Degree Nursing Graduates

    ERIC Educational Resources Information Center

    Swain, Katrina C.

    2012-01-01

    The nursing shortage is a national issue that has ignited an increasing demand to address the importance of preparing students to be successful on the initial National Council of Licensure Examination for Registered Nursing (NCLEX-RN). Nursing programs are charged by the Board of Nursing to prepare graduates to be successful on the initial…

  11. Upgrading Licensed Practical Nurse to Registered Nurse Program, September 1971 - June 1973. Report.

    ERIC Educational Resources Information Center

    Holloway, Sally

    Twenty Licensed Practical Nurses (LPN) became Registered Nurses (RN) in a pilot program giving partial academic credit for their LPN training and building on their existing skills. The program revolved around three needs: (1) trained nurses; (2) eliminating the notion that jobs were dead-end; and (3) achieving upward mobility for hospital staff.…

  12. Advanced practice registered nurse certification.

    PubMed

    Alleman, Kim; Houle, Katherine

    2013-01-01

    Advanced practice registered nurses (APRNs) in nephrology began to be certified through the Nephrology Nursing Certification Commission (NNCC) in 2006. Since that time, the APRN Consensus Model has been developed, which addresses licensure, accreditation, certification, and education and which strongly recommends specialty certification for advanced practice nurses. This article discusses NNCC certification for advanced practice in nephrology nursing and describes the major components of the APRN Consensus Model. PMID:23923801

  13. Predictors of Retention and Passing National Council Licensure Examination for Registered Nurses

    ERIC Educational Resources Information Center

    Elkins, Nancy

    2013-01-01

    The current nursing shortage has challenged colleges to educate nurses at a faster pace than in previous times. Successful completion of the nursing programs and passing the National Council Licensure Examination for Registered Nurses (NCLEX-RN) exam is important for the students, faculty, and nursing programs. The purpose of this retrospective…

  14. Promoting Trust in the Registered Nurse-Patient Relationship.

    PubMed

    Leslie, Jamie Lynn; Lonneman, William

    2016-01-01

    The establishment of trust in the registered nurse (RN)-patient relationship promotes patient engagement and improves the likelihood that the patient will be an active member of the patient care team. The purpose of this article is to examine nursing literature to identify the antecedents, attributes, and outcomes of trusting relationships between RNs and patients in home healthcare. Antecedents of trust for the RN-patient relationship included 1) meeting a need, 2) respect, 3) attention to time, 4) continuity of care, and 5) the initial visit. Attributes of trust between RN and patient in the home healthcare setting were identified as communication, connection, and reciprocity. For the RN and patient who established mutual trust, patients demonstrated better adaptation and collaboration for improvement of health, expressed a sense of security, and indicated a willingness to engage in additional trusting relationships. Barriers to a trusting relationship included a lack of respect and incompetent and/or unethical care. PMID:26645843

  15. Transitioning from military medics to registered nurses.

    PubMed

    Keita, Mohamed D; Diaz, Valerie J; Miller, Audrey P; Olenick, Maria; Simon, Sharon R

    2015-01-01

    The nursing shortage in the USA is expected to reach 260,000 registered nurses (RNs) by 2025. The most profound shortages are expected in California and Florida, translating into 109,779 and 128,364 RN jobs, respectively. Despite a foreseen growth in nursing career opportunities nationwide, the supply of nurses will be insufficient to meet the corresponding demand. Capitalizing on prior education, experience, and skills of military clinical personnel to fill these jobs could significantly reduce the projected nursing shortage. Florida International University's Nicole Wertheim College of Nursing and Health Sciences is circumventing barriers to recruit, retain, and graduate transitioning veteran medics and corpsmen as Bachelor of Science in Nursing prepared RNs who reintegrate into the civilian workforce. The Veteran Bachelor of Science in Nursing (VBSN) program is in the form of a cooperative agreement between Florida International University and the US Health Resources and Services Administration. The VBSN program's main objective is to build upon the unique leadership skills, clinical education, and training of military medics and corpsmen to ensure successful completion of the Bachelor of Science in Nursing curriculum. VBSN students, as veterans themselves, have unique knowledge and exposure to the specific health issues and needs of the veteran population overall. They are poised and best prepared to effectively care for the US population, particularly the current 22 million US veterans and 1.6 million Florida veterans. Additionally, the VBSN program will alleviate the challenges, such as the lack of recognition of military skills, unemployment, the substandard income, and homelessness that many former service members face after separation from the military. PMID:26648733

  16. Transitioning from military medics to registered nurses

    PubMed Central

    Keita, Mohamed D; Diaz, Valerie J; Miller, Audrey P; Olenick, Maria; Simon, Sharon R

    2015-01-01

    The nursing shortage in the USA is expected to reach 260,000 registered nurses (RNs) by 2025. The most profound shortages are expected in California and Florida, translating into 109,779 and 128,364 RN jobs, respectively. Despite a foreseen growth in nursing career opportunities nationwide, the supply of nurses will be insufficient to meet the corresponding demand. Capitalizing on prior education, experience, and skills of military clinical personnel to fill these jobs could significantly reduce the projected nursing shortage. Florida International University’s Nicole Wertheim College of Nursing and Health Sciences is circumventing barriers to recruit, retain, and graduate transitioning veteran medics and corpsmen as Bachelor of Science in Nursing prepared RNs who reintegrate into the civilian workforce. The Veteran Bachelor of Science in Nursing (VBSN) program is in the form of a cooperative agreement between Florida International University and the US Health Resources and Services Administration. The VBSN program’s main objective is to build upon the unique leadership skills, clinical education, and training of military medics and corpsmen to ensure successful completion of the Bachelor of Science in Nursing curriculum. VBSN students, as veterans themselves, have unique knowledge and exposure to the specific health issues and needs of the veteran population overall. They are poised and best prepared to effectively care for the US population, particularly the current 22 million US veterans and 1.6 million Florida veterans. Additionally, the VBSN program will alleviate the challenges, such as the lack of recognition of military skills, unemployment, the substandard income, and homelessness that many former service members face after separation from the military. PMID:26648733

  17. Effect of Prior Health-Related Employment on the Registered Nurse Workforce Supply.

    PubMed

    Yoo, Byung-kwan; Lin, Tzu-chun; Kim, Minchul; Sasaki, Tomoko; Spetz, Joanne

    2016-01-01

    Registered nurses (RN) who held prior health-related employment in occupations other than licensed practical or vocational nursing (LPN/LVN) are reported to have increased rapidly in the past decades. Researchers examined whether prior health-related employment affects RN workforce supply. A cross-sectional bivariate probit model using the 2008 National Sample Survey of Registered Nurses was esti- mated. Prior health-related employment in relatively lower-wage occupations, such as allied health, clerk, or nursing aide, was positively associated with working s an RN. ~>Prior health-related employ- ment in relatively higher-wage categories, such as a health care manager or LPN/LVN, was positively associated with working full-time as an RN. Policy implications are to promote an expanded career ladder program and a nursing school admission policy that targets non-RN health care workers with an interest in becoming RNs. PMID:27055308

  18. The Influence of Nursing Unit Characteristics on RN Vacancies in Specialized Hospice and Palliative Care.

    PubMed

    Lindley, Lisa C; Mixer, Sandra J; Cozad, Melanie J

    2016-07-01

    The nursing shortage is projected to intensify in the United States. Organizations providing specialized hospice and palliative care will be particularly hard hit. The purpose of our study was to examine the influence of the nursing unit on registered nurse (RN) vacancies and test the moderating role of recruitment strategies in perinatal hospices. We estimated the association between the nursing unit and RN vacancies and tested the interaction effects of recruitment strategies (signing bonus and recruitment bonus). Our findings showed that increasing RN unit size and nursing leadership directly affected vacancies and that recruitment bonuses had stronger influence on reducing vacancies than signing bonuses. The findings offer critical insights for hospice administrators in attracting nurses among specialized hospice and palliative care providers. PMID:25747671

  19. Historical data indicates a wage premium for black registered nurses.

    PubMed

    Coomer, Nicole M

    2013-01-01

    The average observed wage of Black registered nurses (RNs) is higher than that of White RNs in the National Sample Survey of Registered Nurses over 2 decades from 1984 to 2004. In this study, wages of Black and White RNs were analyzed controlling for factors likely to affect wages in addition to race. Results indicate racial inequality in wages of RNs: Black RN wages exceeded White RNs wages over 2 decades from 1984-2004. This significant difference remained after controlling for factors likely to affect wages in addition to race such as experience, education, employer type, and specialty among other factors. PMID:24294652

  20. Nursing career fulfillment: statistics and statements from registered nurses.

    PubMed

    Reineck, Carol; Furino, Antonio

    2005-01-01

    A state-level survey of registered nurses confirmed national findings and raised new issues. Findings revealed that while nurses love the intrinsic reward of nursing, they report workplace, relationship, and stress issues which contribute to frustration and exhaustion. These issues may prevent registered nurses from giving the nursing care they desire to deliver, hastening preventable retirement and costly turnover decisions. PMID:15768781

  1. An investigation of predictors of NCLEX-RN outcomes among nursing content standardized tests.

    PubMed

    Yeom, Yei-Jin

    2013-12-01

    In order to meet increased demands for qualified registered nurses and prevent negative effects from graduates' failure on the National Council Licensure Examination-Registered Nurse, it is important to promote students' success in the exam. The purpose of this study was to investigate effective predictors of NCLEX-RN outcomes on the first attempt among nursing content standardized tests (adult medical-surgical, fundamentals for nursing, pharmacology, maternal-newborn, nursing care of children, mental health, community health, and leadership and management) conducted throughout the nursing program. NCLEX-RN outcomes and individual adjusted scores on the standardized tests of 151 graduates from the traditional baccalaureate nursing program of a public university located in the Midwest from May 2010 to December 2011 were analyzed by a t-test and logistic regression. The participants included 118 graduates who passed and 33 graduates who failed the NCLEX-RN on the first attempt. Significant statistical differences were found between the two groups with NCLEX-RN success and failure in the individual adjusted scores on all of the standardized tests except the fundamental for nursing (p=.62) and nursing care of children (p=.759) standardized tests. In addition, logistic regression indicated that the overall regression models were significant in predicting both NCLEX-RN success and failure. Adult medical-surgical, pharmacology, and community health standardized tests were central to the prediction of both NCLEX-RN success and failure; however, a much lower percentage of NCLEX-RN failure than success was classified. It can be concluded that the adult medical-surgical, pharmacology, and community health standardized tests were effective in predicting NCLEX-RN success and not effective in predicting NCLEX-RN failure on the first attempt. The NCLEX-RN success predictors can be utilized to identify students at risk and provide early remediation. After early remediation is

  2. Gender-Based Barriers Experienced by Male Students in an Online RN-to-BSN Nursing Program

    ERIC Educational Resources Information Center

    Kirk, John R.

    2012-01-01

    This quantitative survey-based research study examined the experiences of 49 men through a comparative analysis of their traditional classroom-based Diploma or Associate Degree in Nursing program and their subsequent experiences in the University of Phoenix online Registered Nurse to Bachelor of Science in Nursing (RN-to-BSN) degree completion…

  3. The Efficacy of ATI Predictive Testing and Remediation on National Certification and Licensure Examination-Registered Nurse Pass Rates

    ERIC Educational Resources Information Center

    Winter, Alexandra Selman

    2013-01-01

    This project study sought to evaluate the effects of implementing quarterly predictive testing and remediation on National Certification and Licensure Examination-Registered Nurse (NCLEX-RN) pass rates of an associate's degree nursing program at a small Midwestern community college. The college's pass rate on the NCLEX-RN has been below both the…

  4. Professional Nursing in State Service: Needs and Recommendations. A Skills Inventory of Registered Nurses Employed by the Commonwealth of Massachusetts.

    ERIC Educational Resources Information Center

    Woods, Barbara

    This study analyzed factors in attracting and recruiting professional nurses into Massachusetts state service. Although Massachusetts had relatively many registered nurses (RN), 45% were inactive. Resulting shortages were great, especially in state hospitals. All agencies had high turnover, with impending staffing crises in some agencies because…

  5. Concurrent and Lagged Effects of Registered Nurse Turnover and Staffing on Unit-Acquired Pressure Ulcers

    PubMed Central

    Park, Shin Hye; Boyle, Diane K; Bergquist-Beringer, Sandra; Staggs, Vincent S; Dunton, Nancy E

    2014-01-01

    Objective We examined the concurrent and lagged effects of registered nurse (RN) turnover on unit-acquired pressure ulcer rates and whether RN staffing mediated the effects. Data Sources/Setting Quarterly unit-level data were obtained from the National Database of Nursing Quality Indicators for 2008 to 2010. A total of 10,935 unit-quarter observations (2,294 units, 465 hospitals) were analyzed. Methods This longitudinal study used multilevel regressions and tested time-lagged effects of study variables on outcomes. Findings The lagged effect of RN turnover on unit-acquired pressure ulcers was significant, while there was no concurrent effect. For every 10 percentage-point increase in RN turnover in a quarter, the odds of a patient having a pressure ulcer increased by 4 percent in the next quarter. Higher RN turnover in a quarter was associated with lower RN staffing in the current and subsequent quarters. Higher RN staffing was associated with lower pressure ulcer rates, but it did not mediate the relationship between turnover and pressure ulcers. Conclusions We suggest that RN turnover is an important factor that affects pressure ulcer rates and RN staffing needed for high-quality patient care. Given the high RN turnover rates, hospital and nursing administrators should prepare for its negative effect on patient outcomes. PMID:24476194

  6. Registered Nurse Persistence in Baccalaureate Education

    ERIC Educational Resources Information Center

    Krov, Kathleen Nadler

    2010-01-01

    There is a need to increase the number of baccalaureate prepared registered nurses to safely meet the complex healthcare needs of citizens of the United States. Since there is no research on the characteristics of registered nurse students persisting in baccalaureate education, this quantitative descriptive case study was designed to identify the…

  7. Monitoring entry-level practice: keeping the national council licensure examination for registered nurses current.

    PubMed

    Wendt, Anne; Kenny, Lorraine

    2007-01-01

    The National Council Licensure Examination for Registered Nurses assesses whether a candidate has the ability to provide safe and effective nursing care upon entry into practice. It is essential that this assessment be current and relevant to nursing practice. The authors discuss methods that are used to provide evidence to support the 2007 NCLEX-RN Test Plan and to maintain the currency of the examination. PMID:17496823

  8. Longitudinal Association of Registered Nurse National Nursing Specialty Certification and Patient Falls in Acute Care Hospitals

    PubMed Central

    Boyle, Diane K.; Cramer, Emily; Potter, Catima; Staggs, Vincent S.

    2015-01-01

    Background Researchers have studied inpatient falls in relation to aspects of nurse staffing, focusing primarily on staffing levels and proportion of nursing care hours provided by registered nurses (RNs). Less attention has been paid to other nursing characteristics, such as RN national nursing specialty certification. Objective The aim of the study was to examine the relationship over time between changes in RN national nursing specialty certification rates and changes in total patient fall rates at the patient care unit level. Methods We used longitudinal data with standardized variable definitions across sites from the National Database of Nursing Quality Indicators. The sample consisted of 7,583 units in 903 hospitals. Relationships over time were examined using multilevel (units nested in hospitals) latent growth curve modeling. Results The model indices indicated a good fit of the data to the model. At the unit level, there was a small statistically significant inverse relationship (r = −.08, p = .04) between RN national nursing specialty certification rates and total fall rates; increases in specialty certification rates over time tended to be associated with improvements in total fall rates over time. Discussion Our findings may be supportive of promoting national nursing specialty certification as a means of improving patient safety. Future study recommendations are (a) modeling organizational leadership, culture, and climate as mediating variables between national specialty certification rates and patient outcomes and (b) investigating the association of patient safety and specific national nursing specialty certifications which test plans include patient safety, quality improvement, and diffusion of innovation methods in their certifying examinations. PMID:26049719

  9. Relationship of Academic Variables to National Council for Licensure Examination for Registered Nurse Performance of Graduates in a Selected Associate Degree Nursing Program.

    ERIC Educational Resources Information Center

    Naron, Rosarica G.; Widlak, Frederic

    This report addresses the unstable and unsatisfactory performance of Chicago, Illinois' Olive-Harvey College's (OHC) associate degree nursing (ADN) graduates on the National Council Licensure Examination for Registered Nurses (NCLEX-RN). An ex post facto correlation study was designed to determine the worthiness of pre-nursing admission course…

  10. Nursing Practice Environment and Registered Nurses’ Job Satisfaction in Nursing Homes

    PubMed Central

    Choi, JiSun; Flynn, Linda; Aiken, Linda H.

    2012-01-01

    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 nursing practice environment and job satisfaction among RNs in nursing homes. Design and Methods: The sample included 863 RNs working as staff RNs in 282 skilled nursing facilities in New Jersey. Two-level hierarchical linear modeling was used to account for the RNs nested by nursing homes. Results: Controlling for individual and nursing home characteristics, staff RNs’ participation in facility affairs, supportive manager, and resource adequacy were positively associated with RNs’ job satisfaction. Ownership status was significantly related to job satisfaction; RNs working in for-profit nursing homes were less satisfied. Implications: A supportive practice environment is significantly associated with higher job satisfaction among RNs working in nursing homes. Unlike other nursing home characteristics, specific dimensions of the nursing practice environment can be modified through administrative actions to enhance RN job satisfaction. PMID:21908803

  11. Generational differences in registered nurse turnover.

    PubMed

    LeVasseur, Sandra A; Wang, Chen-Yen; Mathews, Barbara; Boland, Mary

    2009-08-01

    The chronic nature of the nursing workforce shortage in the United States is a continuing concern. As the nationwide gap between supply and demand grows, it remains unknown what impact turnover will have on nursing, access to care, and efforts to improve quality and safety of health care. It also remains unclear whether the recent turnover trends among new graduate registered nurses differ from past generational cohorts of new nurses. The aims of this study were to identify the reasons why registered nurses turnover by generational cohort (Veterans, Baby Boomers, and GenXMs) and to compare the length of time nurses were employed in their first five nursing positions by generational cohort. The findings suggest the three generational cohorts displayed similar reasons for leaving nursing positions with relocation, career advancement, and personal/family reasons reported most frequently. Except for the first nursing position, significant generational effects were found in the length of time Veterans, Baby Boomer, and GenXMs stayed employed in their nursing positions. It remains unknown why the GenXMs displayed a significantly shorter length of employment time in their second, third, fourth, and fifth nursing positions. The decline in length of employment time displayed in both the Baby Boomers and GenXMs may be an issue of concern requiring future research. PMID:20026454

  12. Registered nurses' job satisfaction in Navy hospitals.

    PubMed

    Zangaro, George A; Johantgen, Meg

    2009-01-01

    Because of the increasing use of civilian registered nurses to supplement the nursing staff at U.S. Navy hospitals, it is imperative to understand the factors that influence satisfaction in both Navy and civilian nurses in military hospitals. This study sought to expand knowledge of satisfaction in hospital-based active duty Navy registered nurses and federal civilian nurses. Respondents completed a survey with a response rate of 42% (N=496). The survey was designed using well-known satisfaction models and included measures of work attitudes, work setting, and demographic characteristics. Linear regression models explained 51% of the variance in job satisfaction for Navy nurses and 55% for civilian nurses. Routinization had the strongest significant negative association with job satisfaction for Navy and civilian nurses. Supervisor support was significantly associated with satisfaction for Navy nurses although coworker support was a significant factor for civilians. These findings have implications for nurse administrators and health care executives who desire to retain nurse employees. PMID:19216301

  13. Preparing the future nurses for nursing research: a creative teaching strategy for RN-to-BSN students.

    PubMed

    Tsai, Hsiu-Min; Cheng, Ching-Yu; Chang, Chia-Hao; Liou, Shwu-Ru

    2014-02-01

    Developing effective teaching strategies to stimulate students' interest and enthusiasm are urgently needed in current research courses. The purposes of the study were to implement the Cookie Experiments teaching strategy in research course and examine the effects of the strategy on students' attitudes towards nursing research. The study was a pretest-post-test design with 95 students at a Registered Nurses to Bachelor of Science in Nursing (RN-to-BSN) program enrolled in the nursing research course. Results indicated that there was a significant effect of the Cookie Experiments teaching strategy on students' attitudes towards research. Although students perceived a median high score of pressure from the research course, they regarded that the pressure is conducive to their learning of research. Students highly suggested to continuously applying this teaching strategy in the future nursing research courses. Developing and using various teaching strategies with attractive and hands-on methods to motivate nurse students, learning research is strongly recommended. PMID:24580972

  14. Predictors of Success on the National Council Licensure Examination for Registered Nurses among Transfer BSN Students

    ERIC Educational Resources Information Center

    Fortier, Mary E.

    2010-01-01

    This quantitative research study (N=175) examined predictors of first time success on the National Council Licensure Examination for Registered Nurses (NCLEX-RN) among transfer students in a baccalaureate degree program (BSN). The predictors were chosen after an extensive literature review yielded few studies related to this population. Benner's…

  15. The Initiative to Move Toward a More Highly Educated Nursing Workforce: Findings from the Kansas Registered Nurse Workforce Survey.

    PubMed

    Shen, Qiuhua; Peltzer, Jill; Teel, Cynthia; Pierce, Janet

    2015-01-01

    The Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health, recommends increasing the proportion of registered nurses (RNs) with a baccalaureate in nursing (BSN) to 80% by 2020. Kansas lacks a central mechanism to collect current data on the RN workforce; therefore, detailed information about the RN workforce, including current educational level, is unknown. The purposes of the survey were to (a) describe the Kansas RN workforce, (b) examine the relationship between nursing education and employment, (c) compare and contrast the workforce to other states and national data and (d) discuss implications of strategic planning and policy making for nursing education. The on-line Kansas RN Workforce Survey link was sent to 44,568 RNs by e-mail, and the response rate was 15.6% (n = 6,948). The survey consisted of 34 questions on demographics, education, licensing, and employment. Kansas RNs were predominately women (92%) and Caucasian with an average age of 47.7 years. Approximately 46.3% of RNs obtained a BSN as their initial education. Analysis of highest level of nursing education showed that 60.5% of Kansas RNs were at least baccalaureate prepared, with 14.9% obtaining a master's degree or higher. More than 50% of RNs worked in hospitals as staff nurses. RNs with advanced education were more likely to be employed, tended to work in academic settings or ambulatory clinics, and were more likely to be faculty or in management/leadership positions. Overall, the Kansas RN workforce is closer to reaching the 80% baccalaureate-prepared goal recommended by the Future of Nursing report than has been reported. Educational level was closely related to RNs' choices of work settings and positions. Additional work such as promoting academic progression needs to continue to build a more highly educated RN workforce. PMID:26653039

  16. Nursing Home Registered Nurses' and Licensed Practical Nurses' Knowledge of Causes of Falls.

    PubMed

    Gray-Miceli, Deanna; de Cordova, Pamela B; Crane, Giles L; Quigley, Patricia; Ratcliffe, Sarah J

    2016-01-01

    Reducing falls in nursing homes requires a knowledgeable nursing workforce. To test knowledge, 8 validated vignettes representing multifactorial fall causes were administered to 47 nurses from 3 nursing homes. Although licensed practical nurses scored higher than registered nurses in individual categories of falls, when we computed the average score of all 8 categories between groups of registered nurses and licensed practical nurses, registered nurses scored higher (F = 4.106; P < .05) in identifying 8 causal reasons for older adults to fall. PMID:26421775

  17. RN-BSN completion programs: equipping nurses for the future.

    PubMed

    Conner, Norma E; Thielemann, Patricia A

    2013-01-01

    The Institute of Medicine has outlined important components needed in nursing education to prepare the nursing workforce of the future. Previously published work on RN to BSN education has focused mainly on mode of delivery. The purpose of this paper is to examine RN to BSN program components for the facilitation of academic progression, innovative mechanisms of student engagement, and the curricular components that prepare graduates to meet future nursing challenges. Academic progression factors discussed include those relevant to recruiting RNs to BSN completion programs and factors important to retaining them through graduation. Recommendations for student engagement include the creation of honors programs, ethics teams, and practicum and service learning experiences. Suggestions for curriculum possibilities specifically address meeting the call of the Institute of Medicine report including content in community/public health, informatics, evidence-based practice, ethics, and health policy. PMID:23618550

  18. Generational differences among newly licensed registered nurses.

    PubMed

    Keepnews, David M; Brewer, Carol S; Kovner, Christine T; Shin, Juh Hyun

    2010-01-01

    Responses of 2369 newly licensed registered nurses from 3 generational cohorts-Baby Boomers, Generation X, and Generation Y-were studied to identify differences in their characteristics, work-related experiences, and attitudes. These responses revealed significant differences among generations in: job satisfaction, organizational commitment, work motivation, work-to-family conflict, family-to-work conflict, distributive justice, promotional opportunities, supervisory support, mentor support, procedural justice, and perceptions of local job opportunities. Health organizations and their leaders need to anticipate intergenerational differences among newly licensed nurses and should provide for supportive working environments that recognize those differences. Orientation and residency programs for newly licensed nurses should be tailored to the varying needs of different generations. Future research should focus on evaluating the effectiveness of orientation and residency programs with regard to different generations so that these programs can be tailored to meet the varying needs of newly licensed nurses at the start of their careers. PMID:20494691

  19. Application of Guided Imagery to Facilitate the Transition of New Graduate Registered Nurses

    PubMed Central

    Boehm, Laura B.; Tse, Alice M.

    2016-01-01

    Traditionally, the new graduate registered nurse (RN) transition has included a didactic and skills-based orientation accompanied by a period of preceptored practice. However, these methods do not ensure that new RNs are in a state of reduced anxiety to fully interact with their new environment. Transition to practice may cause anxiety, and the new graduate RN may perceive moderate to severe stress. One method of stress reduction is the use of guided imagery, which has shown strong potential with a variety of populations undergoing stressful events. Today, new graduate RNs expect institutions to facilitate orientation to their new employment settings and assist in the transition to their role as a professional nurse. This article proposes a model that incorporates guided imagery for refining the new graduate RN transition process. The model can be adapted for use in the context of orienting other adult learners to unfamiliar practice situations. PMID:23330588

  20. Gradually Guiding Nursing Students through Their Capstone Course: Registered Nurse Preceptors Share Their Experiences

    PubMed Central

    Martin, David L.; Brewer, M. Kathleen; Barr, Nancy

    2011-01-01

    Professional precepted immersion courses (capstone) have become the standard as a means to prepare senior nursing students to enter the workforce. Preceptors have a significant role in developing the student nurse, yet exactly how to prepare preceptors for this role has been an ongoing discussion. This qualitative inquiry explored the educational needs of clinical registered nurse (RN) preceptors who work directly with senior nursing students in a professional precepted immersion (capstone) course. A descriptive qualitative design was used to examine preceptors responses to a prepared set of questions about their educational needs. Results showed that preceptors have three distinct sets of learning needs: the need to know the expectations of their role, wanting to know how best to role model for the student, and knowing how to socialize the student into the profession of nursing. Overall, preceptors communicated their desire and commitment to doing the best job possible. They also clearly stated their expectation of faculty to have a physical presence on the nursing unit that included being proactive in resolving mismatches and exposing the student to the roles of provider of care, leader and manager of care, and member of profession. PMID:21994836

  1. A collective community approach to preparing nursing students for the NCLEX RN examination.

    PubMed

    McQueen, Laura; Shelton, Patricia; Zimmerman, Lynn

    2004-01-01

    This paper examines the challenges that nursing faculty at one historically black college and university (HBCU) embark upon when preparing students for first time passage on the NCLEX RN examination. In response to these challenges, the nursing faculty advocate a collective community approach which focuses on nurse educators working together to share ideas and strategies to ensure NCLEX-RN success for nursing graduates and subsequently, their nursing programs. PMID:15307364

  2. Nursing Practice Environment and Registered Nurses' Job Satisfaction in Nursing Homes

    ERIC Educational Resources Information Center

    Choi, JiSun; Flynn, Linda; Aiken, Linda H.

    2012-01-01

    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 nursing practice environment and job satisfaction among RNs…

  3. Multistate Approach to Preparing Registered Nurses: How 3 Nurse Executives Shaped a New Nursing Education Model.

    PubMed

    Jones-Schenk, Jan; Burnes Bolton, Linda; Swanson, Jane; Hassmiller, Susan; Chow, Marilyn

    2015-09-01

    A new model for educating baccalaureate nurses emerged from the needs of employers and came to fruition through a unique partnership resulting in the development of the 1st competency-based, asynchronous single-curriculum prelicensure program in the United States. Three nurse executives championed the design and implementation of the multistate approach to preparing RNs (MAP RN) program. The nationally accredited program has been initiated in 5 states. PMID:26301553

  4. The Registered Nurse Population, March 2000. Findings from the National Sample Survey of Registered Nurses.

    ERIC Educational Resources Information Center

    Spratley, Ernell; Johnson, Ayah; Sochalski, Julie; Fritz, Marshall; Spencer, William

    The characteristics, education, employment patterns, salaries, job satisfaction, and other characteristics of registered nurses (RNs) across the United States were examined in a national survey. Of the initial sample of approximately 54,000 of the nation's more than 3,066,000 licensed RNs, 35,579 RNs (72%) submitted usable responses. From 1980 to…

  5. Primary care clinical placements: The views of Australian registered nurse mentors and pre-registration nursing students (part 2).

    PubMed

    McInnes, Susan; Peters, Kath; Hardy, Jennifer; Halcomb, Elizabeth

    2015-11-01

    An increased burden of chronic and complex conditions treated in the community and an aging population have exacerbated the primary care workload. Predicted nursing shortages will place further stressors on this workforce. High quality clinical placements may provide a strategic pathway to introduce and recruit new nurses to this speciality. This paper is Part 2 of a two part series reporting the findings of a mixed methods project. Part 1 reported on the qualitative study and Part 2 reports on the quantitative study. Forty-five pre-registration nursing students from a single Australian tertiary institution and 22 primary care Registered Nurse (RN) mentors who supervised student learning completed an online survey. Students largely regarded their primary care placement positively and felt this to be an appropriate learning opportunity. Most RNs were satisfied with mentoring pre-registration nursing students in their setting. Furthermore, the RNs desire to mentor students and the support of general practitioners (GPs) and consumers were seen as key enablers of pre-registration nursing placements. Findings from this study provide a preliminary impression of primary care clinical placements from the perspective of pre-registration nursing students and registered nurse mentors. Further research should examine whether a broader scope of non-traditional health settings such as non-government organisations, charities, pharmacies, welfare and social services can also provide appropriate learning environments for pre-registration nursing students. PMID:25960063

  6. Pressure ulcer knowledge of registered nurses, assistant nurses and student nurses: a descriptive, comparative multicentre study in Sweden.

    PubMed

    Gunningberg, Lena; Mårtensson, Gunilla; Mamhidir, Anna-Greta; Florin, Jan; Muntlin Athlin, Åsa; Bååth, Carina

    2015-08-01

    The aim of this study was to describe and compare the knowledge of registered nurses (RNs), assistant nurses (ANs) and student nurses (SNs) about preventing pressure ulcers (PUs). PU prevention behaviours in the clinical practice of RNs and ANs were also explored. A descriptive, comparative multicentre study was performed. Hospital wards and universities from four Swedish county councils participated. In total, 415 participants (RN, AN and SN) completed the Pressure Ulcer Knowledge Assessment Tool. The mean knowledge score for the sample was 58·9%. The highest scores were found in the themes 'nutrition' (83·1%) and 'risk assessment' (75·7%). The lowest scores were found in the themes 'reduction in the amount of pressure and shear' (47·5%) and 'classification and observation' (55·5%). RNs and SNs had higher scores than ANs on 'aetiology and causes'. SNs had higher scores than RNs and ANs on 'nutrition'. It has been concluded that there is a knowledge deficit in PU prevention among nursing staff in Sweden. A major educational campaign needs to be undertaken both in hospital settings and in nursing education. PMID:23919728

  7. Organizational determinants of work outcomes and quality care ratings among Army Medical Department registered nurses.

    PubMed

    Patrician, Patricia A; Shang, Jingjing; Lake, Eileen T

    2010-04-01

    The Practice Environment Scale of the Nursing Work Index, the Maslach Burnout Inventory, and several single-item measures were administered to registered nurses (RNs) working within 23 U.S.-based Army Medical Department (AMEDD) hospitals. Data were analyzed with logistic regression for nested data. Unfavorable nursing practice environments had a substantial association with job dissatisfaction (OR 13.75, p < .01), emotional exhaustion (OR 12.70, p < .01), intent to leave (OR 3.03, p < .01), and fair to poor quality of care (OR 10.66, p < .01). This study provides the first system-wide analyses of nursing practice environments in AMEDD hospitals in the U.S. Similar to findings in civilian samples, poor quality work environments are associated with less favorable RN work outcomes and quality of care ratings. PMID:20151409

  8. Homophobia in Registered Nurses: Impact on LGB Youth

    ERIC Educational Resources Information Center

    Blackwell, Christopher W.; Kiehl, Ermalynn M.

    2008-01-01

    This study examined registered nurses' overall attitudes and homophobia towards gays and lesbians in the workplace. Homophobia scores, represented by the Attitudes Toward Lesbians and Gay Men (ATLG) Scale, was the dependent variable. Overall homophobia scores were assessed among a randomized stratified sample of registered nurses licensed in the…

  9. Supply and Demand for Registered Nurses in the South, 1985.

    ERIC Educational Resources Information Center

    Galambos, Eva C.

    Projections of supply and demand for registered nurses (RNs) through the 1980's are presented with specific reference to the 14 southern states. The importance of manpower projections and studies for registered nurses is emphasized in light of figures that show the number of graduates from entry-level programs in the southern states has doubled…

  10. Taking Part: Registered Nurses and the Labour Market in 1997.

    ERIC Educational Resources Information Center

    Seccombe, I.; Smith, G.

    The labor market participation, pay, job satisfaction, employment patterns, and turnover of registered nurses in the United Kingdom were examined through an analysis of data from the 1997 Royal College of Nursing (RCN) Survey. Of the random sample of 5,984 nurses from the RCN membership records surveyed, 4,288 (72%) returned usable questionnaires.…

  11. State funding for higher education and RN replacement rates by state: a case for nursing by the numbers in state legislatures.

    PubMed

    Bargagliotti, L Antoinette

    2009-01-01

    Amid an enduring nursing shortage and state budget shortfalls, discerning how the percentage of state funding to higher education and other registered nurse (RN) workforce variables may be related to the RN replacement rates (RNRR) in states has important policy implications. Regionally, the age of RNs was inversely related to RNRR. State funding in 2000 significantly predicted the 2004 RNRR, with the percentage of LPNs in 2004 adding to the model. The stability of the model using 2000 and 2004 funding data suggests that state funding creates a climate for RNRR. PMID:19789005

  12. Forecasting Nursing Student Success and Failure on the NCLEX-RN Using Predictor Tests

    ERIC Educational Resources Information Center

    Santiago, Lawrence A.

    2013-01-01

    A severe and worsening nursing shortage exists in the United States. Increasing numbers of new graduate nurses are necessary to meet this demand. To address the concerns of increased nursing demand, leaders of nursing schools must ensure larger numbers of nursing students graduate. Prior to practicing as registered nurses in the United States,…

  13. Essential factors for a healthy RN educational mobility program.

    PubMed

    Messmer, P R; Miller, E; Spruck, M

    1994-01-01

    There is little research concerning which factors registered nurse (RN) students perceive as constituting a healthy educational mobility program. Because of this, a study was undertaken to identify the factors that RN students perceive as contributing to a healthy educational mobility RN/BSN/MSN program. Findings indicated that the RN students value flexibility, ease in planning, and convenience of course offerings as most important to their program selection. Registered nurse students emphasized the critical factors of faculty sensitivity to students' diverse opinions, faculty respect for students, and faculty expertise as important. These findings highlight the importance of sensitizing faculty members and nurse administrators to the needs of RN students. PMID:7854637

  14. Work-Related Variables and Turnover Intention among Registered Nurses.

    ERIC Educational Resources Information Center

    Pooyan, Abdullah; And Others

    1990-01-01

    Health institutions have become more interested in the causes of job turnover among registered nurses. Proper management of job turnover can improve the financial health and long-term survival of health care institutions. (Author)

  15. Nursing 2000: Collaboration to Promote Careers in Registered Nursing.

    ERIC Educational Resources Information Center

    Wilson, Connie S.; Mitchell, Barbara S.

    1999-01-01

    The effectiveness of the collaborative Nursing 2000 model in promoting nursing careers was evaluated through a survey of 1,598 nursing students (637 responses). Most effective techniques were the "shadow a nurse" program, publications, classroom and community presentations, and career-counseling telephone calls. (SK)

  16. Increasing Registered Nurse Retention Using Mentors in Critical Care Services.

    PubMed

    Schroyer, Coreena C; Zellers, Rebecca; Abraham, Sam

    2016-01-01

    Recruiting and training 1 newly hired registered nurse can cost thousands of dollars. With a high percentage of these newly hired nurses leaving their first place of employment within their first year, the financial implications may be enormous. It is imperative that health care facilities invest in recruiting and retention programs that retain high-quality nurses. Mentorship programs in retaining and easing the transition to practice for new graduate nurses, re-entry nurses, and nurses new to a specialty area are critical in nurse retention. Discussion in this study includes the effect of implementing a mentor program into the critical care services area of a 325-bed not-for-profit community hospital in northern Indiana. Based on this study, nurses with a mentor were retained at a 25% higher rate than those not mentored. Implementation of a mentor program reduced the training cost to the facility and increased retention and morale. PMID:27455367

  17. A Survey of Former Nursing (RN and LVN) Students. Summary Findings of Respondents District-Wide.

    ERIC Educational Resources Information Center

    Glyer, Culver-Betty

    In fall 2001 staff of the Los Rios Community College District Office of Institutional Research collaborated with occupational deans, academic deans, and faculty to develop and administer a survey of former nursing (RN and LVN) students. The survey was designed to determine how well courses had met the needs of former nursing students who earned…

  18. Critical Thinking Skill Acquisition in Accelerated LVN to RN Nursing Programs: An Evaluative Case Study

    ERIC Educational Resources Information Center

    Hutchison, Billy Eugene

    2013-01-01

    Accelerated transitional nursing programs (ATNPs) designed specifically for licensed vocational nurses (LVNs) to transition to become registered nurses (RNs) are graduating novice nurses who need critical thinking skills to solve patient problems. The health care industry and patient outcomes depend on graduate nurses to be proficient with quality…

  19. Why does A&E attract newly qualified registered nurses?

    PubMed

    Cronin, Gerard; Cronin, Camille

    2006-04-01

    Workforce planning is a particular buzzword that nurse managers must grapple with and now must understand. They must develop strategies to ensure the life and growth of a department while incorporating numerous government targets to ensure the service reaches quality, achieves and meets predetermined goals. To do all this that manager needs a workforce. The recruitment of nursing staff to a specialist area such as Accident & Emergency (A&E) requires a level of creativity and sustained effort. Newly qualified registered nurse working in A&E have, in the past, been considered to be an unusual group of staff to apply to work in A&E. However, many health service managers receive applications from staff in this category and are often encouraged to recruit newly qualified registered nurse's rather than pay for agency workers. Using a qualitative approach this paper explores the key reasons why newly qualified registered nurses choose to work in an Accident & Emergency environment. Data was collected from a sample of 25 newly qualified registered nurses and analysed thematically. Five themes are presented: challenge, teamwork, diversity, support, and learning. These themes have implications for Accident and Emergency units and human resource and workforce planning departments. PMID:16464593

  20. Predictors of registered nurses' willingness to remain in nursing.

    PubMed

    Kirschling, Jane Marie; Colgan, Charles; Andrews, Bruce

    2011-01-01

    A major question about the adequacy of the future supply of nurses is how many will stay in the profession. The relationship between scheduling and propensity to stay or leave the nursing profession was examined in this study. This analysis suggests there are definite characteristics of the work schedules that can influence a nurse's inclination to stay or leave the profession. This is not simply a question of "overwork," but of matching work schedules and hours as closely as possible to employee expectations. This suggests management needs to find a way to pay attention when nurses request changes in hours. The mere fact of changing schedules will not solve the nursing shortage, but it is one action within the management control of any organization employing nurses that could have a positive effect on retention. PMID:21736174

  1. Predictors of NCLEX-RN Success of Associate Degree Graduates: A Correlational Study

    ERIC Educational Resources Information Center

    Kehm, Bonny J.

    2013-01-01

    The outcome of Associate Degree Nursing (ADN) students not passing the initial National Council of Licensure Examination for Registered Nursing (NCLEX-RN) can adversely affect schools of nursing. This failure also adversely affects the national nursing shortage. The declining national pass rates on the NCLEX-RN for ADN graduates and the increasing…

  2. The Storied Experiences of Registered Nurses' Transition from Paper to Electronic Nursing Documentation

    ERIC Educational Resources Information Center

    Smith, Jeff S.

    2010-01-01

    This narrative inquiry was designed to bring to life the storied experiences of registered nurses who have transitioned from paper to electronic nursing documentation and to provide a foundation for others who may be preparing to implement electronic documentation and wish to consider the significance of these nurses' stories of change in their…

  3. Attitudes toward Older People among Nursing Students and Registered Nurses in Sweden.

    ERIC Educational Resources Information Center

    Soderhamn, Olle; Lindencrona, Catharina; Gustavsson, Siw Merit

    2001-01-01

    A survey of 151 undergraduate nursing students and 41 registered nurses in Sweden found that those who were under 25, male, or had limited prior experience caring for older people had less favorable attitudes toward the elderly. First-year students were more negative than third-year students. No differences among nurses in different practice…

  4. Registered nurses in Israel - workforce employment characteristics and projected supply

    PubMed Central

    2012-01-01

    Background Surveys of nursing supplies around the world have furnished a better understanding of the structure of the workforce, helped identify shortages, and plan professional training. This study aimed to examine the employment and workforce characteristics of registered nurses and the projected supply in Israel as a tool for planning. Methods 1. A survey of a national sample of 10% of the RNs of working age (3,200 nurses). 2. Analysis of administrative data from the Ministry of Health' Nursing Division and the Central Bureau of Statistics. Results Most registered nurses are employed (89%) - 67% work full time. The workforce is mature (45% are above 45), trained (55% qualified beyond the basic course, 48% hold a BA, 18% hold an MA or PhD), and stable: few quit the profession altogether. The likelihood of "survival" in the profession after 10 years is 93%; after 20 years - 88%. 23% have made some transition in the last 10 years (most - a single transition). Most of the transitions are from hospital to community work. Supply projections show a decrease in the total number of RNs in the nursing workforce from 28,500 in 2008 to 21,201 in 2028 - i.e., of 25% by the end of the period. As for the ratio per 1,000 population, the drop is from 4 registered nurses/1,000 in 2008 to 2/1,000 in 2028. Conclusions The study findings provide more rigorous projections of supply than in the past on the declining rates of the nursing workforce in the coming decades, and contribute to decision making about the scope of training and recruitment. The study also points to the implications for policy decisions regarding the findings that the young nursing workforce is less stable, that there are advantages to recruiting a more mature workforce, and that post-basic education is connected with workforce stability. PMID:22913612

  5. Organisation turnover among registered nurses: an exploratory model.

    PubMed

    Bloom, J R; Alexander, J A; Flatt, S

    1988-11-01

    In light of current concerns over nursing shortages and productivity, turnover among hospital nurses has assumed renewed importance as a managerial issue. This study examines the thesis that organisation of hospital work is a determinant of voluntary turnover among registered nurses. This perspective differs from previous work in this area in that both turnover and its determinants are conceptualised at the organisational rather than individual level, thus opening the way for administrative intervention to reduce turnover. The conceptual model is tested using multiple regression techniques on a sample of 310 community hospitals. Results suggest the importance of administrative work structures and the professionalisation of the workforce as contributors to higher turnover. PMID:10296903

  6. Registered nurses and unlicensed assistive personnel: an uneasy alliance.

    PubMed

    Kleinman, Carol S; Saccomano, Scott J

    2006-01-01

    To meet challenges of continuing change in the health care industry and maintain organizational viability in increasingly competitive markets, the use of the registered nurse--unlicensed assistive personnel model is an undeniable reality that fills the void created by the current shortage of nurses and decreases the costs of providing patient care. Although much has been published about the need for nurses to delegate and supervise patient care-related activities, little has been written about the skills needed to do this effectively or how these skills may be learned. Academic and clinical educators must find ways to facilitate the development of delegation and supervision abilities as nurses increasingly work with nonprofessional staff. Continuing education is an effective way for nurses to learn the skills required by changing models of patient care delivery and evolving professional roles. PMID:16892667

  7. Opening new doors: RN to BSN students' experiences in a holistic nursing course.

    PubMed

    Delaney, Colleen

    2009-01-01

    A phenomenological study was conducted to investigate RN to BSN students' experiences in a holistic nursing course. A purposive sample of 19 RN to BSN graduates participated. Five theme clusters emerged when the formulated meanings were organized into categories: (1) uncertain beginnings, (2) shifting perspectives and power, (3) ripples of caring, (4) seeing the body, mind, spirit connection, and (5) from everyday practice to caring praxis. Findings provide evidence of the power of holistic nursing education to facilitate personal development and enhance professional practice. PMID:19104274

  8. Barriers to Research Utilization by Certified Registered Nurse Anesthetists

    ERIC Educational Resources Information Center

    Palmer, Timothy J.

    2013-01-01

    At present, no documentation pertaining to the factors influencing utilization of research into clinical practice by Certified Registered Nurse Anesthetists (CRNAs) exists. An investigation was undertaken to determine perceptions of CRNAs regarding factors within the context of the work setting, which may serve to influence their utilization of…

  9. Assistants-at-surgery: recognition of the role of the registered nurse.

    PubMed

    Bocchino, C A

    1992-01-01

    In the Omnibus Budget Reconciliation Act of 1989 (OBRA '89), Congress directed the Physician Payment Review Commission (PPRC or "the Commission") to make recommendations on payment policies for assistants-at-surgery, including physicians, physician assistants (PAs) and registered nurses (RNs). The National Association of Orthopaedic Nurses (NAON), via the Government Relations Committee and Executive Board, participated in the public hearing on this issue and submitted testimony on the role of the RN first assistant during orthopaedic surgery. In its 1991 report to Congress, the Commission recommended that inappropriate utilization of assistants-at-surgery could be reduced by implementing "profiling"--a variety of techniques to examine the use of assistants. PPRC failed to comment on policies related to non-physician providers, determining that this was a coverage issue, not a payment issue and thus outside the scope of their jurisdiction. However, as global surgical payment policy is further defined by the Health Care Financing Administration (HCFA) and Congress, consideration will again be given to incorporating payment for assistants-at-surgery into a comprehensive fee schedule. Recognition of the registered nurse as an assistant-at-surgery will continue to be a primary goal of NAON. PMID:1352636

  10. Compassion fatigue among registered nurses: connecting theory and research.

    PubMed

    Sheppard, Kate

    2015-02-01

    Unresolved compassion fatigue often causes physical and emotional exhaustion, and can significantly impair job performance. It is also known to cause increased absenteeism and even turnover among health care providers such as registered nurses. Often those experiencing compassion fatigue attempt to self-medicate in order to numb the intense emotions, and distance themselves from patients, colleagues, friends, and even family. This article describes the challenges of applying one widely used conceptual model to research among nurses who are at risk for experiencing this important and debilitating phenomenon. Through two qualitative studies that explored compassion fatigue among registered nurses, symptoms were identified that fit within the conceptual model. Several additional elements were not adequately captured by the conceptual model, and the term was perceived as being stigmatizing. PMID:25434861

  11. In the Balance: Registered Nurse Supply and Demand, 1996. IES Report 315.

    ERIC Educational Resources Information Center

    Seccombe, I.; Smith, G.

    A survey of 6,000 registered nurses in membership in the Royal College of Nursing across the United Kingdom examined some key factors that determined the supply of nurses. A study of the UK nursing labor market indicated that the number of registered nurses has remained more or less static since the late 1980s. Rising demand appeared to be met by…

  12. Working postures and physical activity among registered nurses.

    PubMed

    Schall, Mark C; Fethke, Nathan B; Chen, Howard

    2016-05-01

    Nurses report a high prevalence of musculoskeletal discomfort, particularly of the low back and neck/shoulder. This study characterized the full-shift upper arm and trunk postures and movement velocities of registered nurses using inertial measurement units (IMUs). Intensity of occupational physical activity (PA) was also ascertained using a waist-worn PA monitor and using the raw acceleration data from each IMU. Results indicated that nurses spent a relatively small proportion of their work time with the arms or trunk in extreme postures, but had few opportunities for rest and recovery in comparison to several other occupational groups. Comparisons between nurses in different PA groups suggested that using a combination of accelerometers secured to several body locations may provide more representative estimates of physical demands than a single, waist-worn PA monitor. The findings indicate a need for continued field-based research with larger sample sizes to facilitate the development of maximally effective intervention strategies. PMID:26851483

  13. A patient safety focused registered nurse transition to practice program.

    PubMed

    Mellor, Peter; Greenhill, Jennene

    2013-12-21

    Abstract As undergraduate rural nursing students approach completion of their degree and become eligible for registration as a nurse they anticipate becoming part of a transition to practice program. Promises of clinical support, guidance and being welcomed into the profession are provided. Unfortunately the reality for new graduate registered nurses is often quite different. Promised clinical support does not eventuate and patient safety is often compromised. Graduate nurse transition programs need to have the physical and human resources to deliver the clinical support that was promised in their prospectus. This paper describes the nature of professional support experienced by participants of transition to practice programs. Three core elements are recommended to ensure patient safety. PMID:24359268

  14. RN education: beyond the baccalaureate degree.

    PubMed

    Hagemaster, J N

    1990-01-01

    With an emphasis on post-baccalaureate education, the University of Kansas School of Nursing has restructured its program for registered nurse students. The resultant RN-MS track allows completion of both the baccalaureate and master's degrees in nursing in a 2-year time frame. Computer competencies, individualization of instruction, and substitution of classes are integrated into a streamlined curriculum. PMID:2216070

  15. The Feasibility of an Evening LPN to RN Transition Program.

    ERIC Educational Resources Information Center

    Donsky, Aaron P.; Cox, Samuel C.

    In an attempt to handle the shortage of registered nurses (RN's), many institutions have designed articulation programs to move licensed practical nurses (LPN's) into RN programs. Research describes LPN's as nontraditional adult learners with family responsibilities who must work full-time while in school. Many are anxious about returning to the…

  16. They Are Called Nursing Homes for a Reason: RN Staffing in Long-Term Care Facilities.

    PubMed

    Harden, J Taylor; Burger, Sarah Greene

    2015-12-01

    According to the Centers for Medicare and Medicaid Services (CMS), the Consolidated Medicare and Medicaid regulations have not been systematically reviewed and updated since 1991. Existing regulations require that, with certain exceptions, an RN provide services in a facility for 8 consecutive hours per day, 7 days per week; licensed practical nurses (LPNs) 24 hours per day; and sufficient staff to meet residents' needs. The requirements to determine "sufficient" staff remain undefined by CMS. Several national organizations support RN staffing 24 hours per day each day of the week (24/7). These organizations provided evidence refuting CMS' position that it does not have sufficient information at this time to require a specific number of staff or hours of nursing care per resident. Consideration should be given to the Institute of Medicine recommendation affrming the need for and requiring the presence of at least one RN within every nursing home facility at all times. Currently, there is a bill in the House of Representatives that supports 24/7 RN coverage in nursing homes, which must become both bipartisan and bicameral to be passed. PMID:26594951

  17. Registered nurses' and student nurses' assessment of pain and distress related to specific patient and nurse characteristics.

    PubMed

    Hall-Lord, Marie Louise; Larsson, Bodil Wilde

    2006-07-01

    Previous studies examining the influence of patient and nurse characteristics on assessments of pain and distress are not consistent in their results. Few studies have focused on the influence of nurses' personality factors on the assessment of pain and distress. The aims of this study were to compare registered nurses' and student nurses' assessments of patients' pain and distress and to identify if the assessment relate to specific patient and nurse characteristics. Seventy-one registered nurses and 184 student nurses assessed pain and distress in three hypothetical cases and responded to personality factors scales. The assessments of pain and distress regarding the patients showed significant differences. The respondents were divided into two groups, respectively, for each patient according to whether the patient's experiences of pain and distress were assessed as more or less intense. Both the groups of registered nurses and student nurses showed significantly differences on personality factors. The groups of student nurses also differed on nursing experience. Patients' age, and type and stage of illness, personality factors, and nursing experience influenced the respondents' assessments. These findings can be used to help educators in nursing to develop strategies to improve skills and knowledge in the assessment at pain and distress. PMID:16412537

  18. How New Mexico licensed registered nurses gained cultural self-efficacy and their stories.

    PubMed

    Hagman, Lynda Wilson

    2007-01-01

    The cultural self-efficacy of licensed registered nurses in New Mexico has been reported by this author in two previous articles (Hagman, 2004 & 2006). The Cultural Self-Efficacy Scale (CSES) developed by Bernal and Froman (1987) was used to quantify New Mexico RN's knowledge of cultural concepts, skills and life patterns of five ethnic groups (White-non Hispanic, Hispanic, African American, Asian American and Native American). Methods used included quantitative survey results and written responses to two open-ended questions yielding both quantitative and qualitative data. This article provides details of the qualitative data which revealed how the RNs in that study gained their reported level of self-efficacy and the stories they shared. Data analysis revealed four major themes; experience, education, travel, and military service. Examples are provided for each theme. Participants also shared cultural stories/anecdotes PMID:19172984

  19. Factors Associated with Musculoskeletal Disorders among Registered Nurses: Evidence from the Thai Nurse Cohort Study.

    PubMed

    Thinkhamrop, W; Laohasiriwong, W

    2015-01-01

    Background Health, safety, and well being have been known to be influenced by occupational characteristics. Nurses constantly encounter musculoskeletal disorders (MSDs) from work demands worldwide. Nevertheless, there is insufficient of knowledge regarding causes of musculoskeletal disorders among nurses in Thailand. Objective To investigate factors associated with musculoskeletal disorder among registered nurses in Thailand. Method This study is part of the 2009 Thai Nurse Cohort Study which consisted of 18,756 nationally representative sample of registered nurses. Data collection was performed via postal self-administered questionnaires. Manifesting musculoskeletal disorders was self-reported by registered nurses, 1,070 nurses were excluded since they were unemployed during previous 12 months. Multiple logistic regression was used for data analysis. Result Of 17,686 registered nurses, the overall 12 months prevalence of musculoskeletal disorders was 47.8%. It was found that workplace violence was the strongest factor which statistically significant associated with musculoskeletal disorders (adjusted odds ratio, OR, 2.01; 95% confidence interval, 95% CI, 1.42 to 2.83; P < 0.001), anxiety/depression (OR = 1.96: 95% CI: 1.78 to 2.15; P < 0.001), perceiving job required a lot of physical effort (OR = 1.69; 95% CI: 1.52 to 1.87; P < 0.001), every 10 years increased of age (OR = 1.40; 95% CI: 1.22 to 1.62; P < 0.001), overweight (OR = 1.39; 95% CI: 1.01 to 1.52; P = 0.015). Conclusion Registered nurses were most vulnerable of musculoskeletal disorders especially those who experienced workplace violence, anxiety/depression, strenuous work, older age, and overweight. Consequently, recommending safety practices to nurses should be considered for musculoskeletal disorders (MSDs) prevention by ergonomics and workplace design. PMID:27180371

  20. Predictors of work engagement among medical-surgical registered nurses.

    PubMed

    Simpson, Michelle R

    2009-02-01

    This descriptive, cross-sectional study examines the relationship of job satisfaction, turnover cognitions, job search behavior, and nurse demographics to work engagement among a sample of 167 registered nurses employed on medical and/or surgical units within six hospitals. Professional status, interaction, and thinking of quitting together explain 46%, F(3,160) = 47.546, p < .001, of the variance in work engagement. Additionally, the job satisfaction components of professional status and interaction are shown to significantly moderate the relationship between thinking of quitting and work engagement (t = 1.96, p < .05). Results suggest improvements in work environment processes that are consistent with professional status and interaction at work, such as integration of a professional nursing practice model and development and positioning of transformational leaders at every level of the organization, are needed. PMID:18612088

  1. Population-focused nursing: advocacy for vulnerable populations in an RN-BSN program.

    PubMed

    Jones, Melissa; Smith, Paul

    2014-01-01

    The purpose of this article is to describe an innovative learning activity for online RN-BSN students designed to foster advocacy for vulnerable populations. The Vulnerable Population Advocacy Assignment, included as a component of the online Population-Focused Nursing class, provides students with the opportunity to identify and develop an awareness of issues impacting vulnerable populations and to advocate for policy changes that will influence the health of individuals, families, and populations. RN-BSN students build on previous knowledge and skills in professional communication and advocacy as they develop a policy statement designed to address health disparities impacting local, national, and global populations. PMID:24611961

  2. Career Motivation in Newly Licensed Registered Nurses: What Makes Them Remain

    ERIC Educational Resources Information Center

    Banks, Zarata Mann; Bailey, Jessica H.

    2010-01-01

    Despite vast research on newly licensed registered nurses (RNs), we don't know why some newly licensed registered nurses remain in their current jobs and others leave the nursing profession early in their career. Job satisfaction, the most significant factor emerging from the literature, plays a significant role in nurses' decisions to remain in…

  3. Electronic Personal Health Record Use among Registered Nurses

    PubMed Central

    Gartrell, Kyungsook; Storr, Carla L.; Trinkoff, Alison M.; Wilson, Marisa L.; Gurses, Ayse P.

    2015-01-01

    Background Nurses promote self-care and active participation of individuals in managing their healthcare, yet little is known about their own use of electronic personal health records (ePHRs). Purpose To examine factors associated with ePHR use by nurses for their own health management. Method A total of 664 registered nurses working in 12 hospitals in the Maryland and Washington D.C. area participated in an online survey from December 2013 to January 2014. Multiple logistic regression models identified factors associated with ePHR use. Results More than a third (41%, 95% CI=0.37-0.44) of the respondents were ePHR users. There was no variation between ePHR users and nonusers by demographic or job related information. ePHR users were, however, more likely to be active health care consumers (i.e., have a chronic medical condition and taking prescribed medications, OR=1.64, 95% CI=1.06-2.53) and have health care providers that used electronic health records (EHRs) for care (OR=3.62, 95% CI=2.45-5.36). Conclusions Nurses were proactive in managing their chronic medical conditions and prescribed medication use with ePHRs. ePHR use by nurses can be facilitated by increasing use of EHRs. PMID:25982768

  4. Role of the registered nurse in primary health care: meeting health care needs in the 21st century.

    PubMed

    Smolowitz, Janice; Speakman, Elizabeth; Wojnar, Danuta; Whelan, Ellen-Marie; Ulrich, Suzan; Hayes, Carolyn; Wood, Laura

    2015-01-01

    There is widespread interest in the redesign of primary health care practice models to increase access to quality health care. Registered nurses (RNs) are well positioned to assume direct care and leadership roles based on their understanding of patient, family, and system priorities. This project identified 16 exemplar primary health care practices that used RNs to the full extent of their scope of practice in team-based care. Interviews were conducted with practice representatives. RN activities were performed within three general contexts: episodic and preventive care, chronic disease management, and practice operations. RNs performed nine general functions in these contexts including telephone triage, assessment and documentation of health status, chronic illness case management, hospital transition management, delegated care for episodic illness, health coaching, medication reconciliation, staff supervision, and quality improvement leadership. These functions improved quality and efficiency and decreased cost. Implications for policy, practice, and RN education are considered. PMID:25261382

  5. 42 CFR 410.69 - Services of a certified registered nurse anesthetist or an anesthesiologist's assistant: Basic...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... nurse anesthetist means a registered nurse who: (1) Is licensed as a registered professional nurse by... 42 Public Health 2 2010-10-01 2010-10-01 false Services of a certified registered nurse... certified registered nurse anesthetist or an anesthesiologist's assistant: Basic rule and definitions....

  6. Registered nurse, healthcare support worker, medical staffing levels and mortality in English hospital trusts: a cross-sectional study

    PubMed Central

    Griffiths, Peter; Ball, Jane; Murrells, Trevor; Jones, Simon; Rafferty, Anne Marie

    2016-01-01

    Objectives To examine associations between mortality and registered nurse (RN) staffing in English hospital trusts taking account of medical and healthcare support worker (HCSW) staffing. Setting Secondary care provided in acute hospital National Health Service (NHS) trusts in England. Participants Two data sets are examined: Administrative data from 137 NHS acute hospital trusts (staffing measured as beds per staff member). A cross-sectional survey of 2917 registered nurses in a subsample of 31 trusts (measured patients per ward nurse). Outcome measure Risk-adjusted mortality rates for adult patients (administrative data). Results For medical admissions, higher mortality was associated with more occupied beds per RN (RR 1.22, 95% CI 1.04 to 1.43, p=0.02) and per doctor (RR 1.10, 95% CI 1.05 to 1.15, p <0.01) employed by the trust whereas, lower HCSW staffing was associated with lower mortality (RR 0.95, 95% CI 0.91 to 1.00, p=0.04). In multivariable models the relationship was statistically significant for doctors (RR 1.08, 95% CI 1.02 to 1.15, p=0.02) and HCSWs (RR 0.93, 95% CI 0.89 to 0.98, p<01) but not RNs (RR 1.14, 95% CI 0.95 to 1.38, p=0.17). Trusts with an average of ≤6 patients per RN in medical wards had a 20% lower mortality rate compared to trusts with >10 patients per nurse (RR 0.80, 95% CI 0.76 to 0.85, p<0.01). The relationship remained significant in the multivariable model (RR 0.89, 95% CI 0.83 to 0.95, p<0.01). Results for surgical wards/admissions followed a similar pattern but with fewer significant results. Conclusions Ward-based RN staffing is significantly associated with reduced mortality for medical patients. There is little evidence for beneficial associations with HCSW staffing. Higher doctor staffing levels is associated with reduced mortality. The estimated association between RN staffing and mortality changes when medical and HCSW staffing is considered and depending on whether ward or trust wide staffing levels are considered. PMID

  7. Grade Point Average as a Predictor of Timely Graduation from Associate Degree Registered Nursing Programs

    ERIC Educational Resources Information Center

    Jackson, Delores J.

    2010-01-01

    The purpose of this study was to determine if admission selection strategies that utilize cumulative and/or pre-requisite GPA are predictive of timely graduation for associate degree nursing (RN-AD) students. Data were obtained from de-identified records of 437 associate degree nursing students enrolled in three Midwest community colleges from…

  8. Components of US Associate Degree Nursing Programs and Their Relationship to the National Council Licensure Examination for Registered Nurses Graduate Pass Rates

    ERIC Educational Resources Information Center

    Popescu, Caroline A.

    2011-01-01

    The nursing shortage has accelerated the need for nursing programs to discover program components related to success on the NCLEX-RN. As the demand for nurses is growing, nursing programs have been called upon to help find solutions to the problem. This study attempted to contribute to the resolution of the shortage and provide nursing educators…

  9. Registered nurse-administered sedation for gastrointestinal endoscopic procedure

    PubMed Central

    Amornyotin, Somchai

    2015-01-01

    The rising use of nonanesthesiologist-administered sedation for gastrointestinal endoscopy has clinical significances. Most endoscopic patients require some forms of sedation and/or anesthesia. The goals of this sedation are to guard the patient’s safety, minimize physical discomfort, to control behavior and to diminish psychological responses. Generally, moderate sedation for these procedures has been offered by the non-anesthesiologist by using benzodiazepines and/or opioids. Anesthesiologists and non-anesthesiologist personnel will need to work together for these challenges and for safety of the patients. The sedation training courses including clinical skills and knowledge are necessary for the registered nurses to facilitate the patient safety and the successful procedure. However, appropriate patient selection and preparation, adequate monitoring and regular training will ensure that the use of nurse-administered sedation is a feasible and safe technique for gastrointestinal endoscopic procedures. PMID:26191341

  10. Newly licensed registered nurse job turnover and turnover intent.

    PubMed

    Unruh, Lynn Y; Zhang, Ning Jackie

    2014-01-01

    Through survey data, this study examines job leaving behaviors of newly licensed registered nurses and identifies educational and managerial issues that need to be addressed to retain them. Within 1.5-2.5 years of graduating, one third of all respondents had left their first job, most for work-related reasons. Predictors of job leaving or intentions to leave included not having had a good orientation, information issues, having difficulties doing a good job, not being rewarded fairly, and low job satisfaction. PMID:25237913

  11. Nurse forecasting in Europe (RN4CAST): Rationale, design and methodology

    PubMed Central

    2011-01-01

    Background Current human resources planning models in nursing are unreliable and ineffective as they consider volumes, but ignore effects on quality in patient care. The project RN4CAST aims innovative forecasting methods by addressing not only volumes, but quality of nursing staff as well as quality of patient care. Methods/Design A multi-country, multilevel cross-sectional design is used to obtain important unmeasured factors in forecasting models including how features of hospital work environments impact on nurse recruitment, retention and patient outcomes. In each of the 12 participating European countries, at least 30 general acute hospitals were sampled. Data are gathered via four data sources (nurse, patient and organizational surveys and via routinely collected hospital discharge data). All staff nurses of a random selection of medical and surgical units (at least 2 per hospital) were surveyed. The nurse survey has the purpose to measure the experiences of nurses on their job (e.g. job satisfaction, burnout) as well as to allow the creation of aggregated hospital level measures of staffing and working conditions. The patient survey is organized in a sub-sample of countries and hospitals using a one-day census approach to measure the patient experiences with medical and nursing care. In addition to conducting a patient survey, hospital discharge abstract datasets will be used to calculate additional patient outcomes like in-hospital mortality and failure-to-rescue. Via the organizational survey, information about the organizational profile (e.g. bed size, types of technology available, teaching status) is collected to control the analyses for institutional differences. This information will be linked via common identifiers and the relationships between different aspects of the nursing work environment and patient and nurse outcomes will be studied by using multilevel regression type analyses. These results will be used to simulate the impact of changing

  12. Perceptions of Community of Associate Degree Nurse Learners in an RN-to-BSN Online Program

    ERIC Educational Resources Information Center

    Rebar, Cherie R.

    2010-01-01

    Registered Nurses (RNs), when educated in an Associate Degree (AD) program, learn in a face-to-face environment. Today's preferred standard of education for RNs is to achieve a minimum of a Bachelor's degree. For convenience while they continue working, numerous AD-prepared nurses seek online education to complete their Bachelor of Science in…

  13. 42 CFR 57.313 - Loan cancellation for full-time employment as a registered nurse.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... registered nurse. 57.313 Section 57.313 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN... nurse. (a) For loans made after November 18, 1971, and before September 29, 1979. A person who: (1... in full-time employment as a registered nurse (including teaching in any of the fields of...

  14. Projections of the long-term growth of the registered nurse workforce: a regional analysis.

    PubMed

    Buerhaus, Peter I; Auerbach, David I; Staiger, Douglas O; Muench, Ulrike

    2013-01-01

    Providing regional projections of the RN workforce will allow underlying differences in the age structure of the RN workforce to become more visible. By providing regional-level projections, it will also be possible to identify those regions whose RN workforce is expected to grow at a slower rate relative to other regions. States in the South and Midwest have a greater supply of younger-aged RNs available to replace fewer numbers of older-age RNs compared to other regions. In contrast, the Northeast and West have fewer younger RNs currently in their workforce yet a relatively larger number of older age RNs to replace. These differences in age structure may be partly due to differences in nursing school enrollment and expansion in nursing education capacity across regions. This information can help guide national and state health workforce planners, employers, educators, and others in developing policies and initiatives that may impact nursing supply in their states. PMID:23505738

  15. Understanding the factors that determine registered nurses' turnover intentions.

    PubMed

    Osuji, Joseph; Uzoka, Faith-Michael; Aladi, Flora; El-Hussein, Mohammed

    2014-01-01

    Turnover among registered nurses (RNs) produces a negative impact on the health outcomes of any health care organization. It is also recognized universally as a problem in the nursing profession. Little is known about the turnover intentions and career orientations of RNs working in Calgary, Alberta, Canada. The aim of this study is to contribute to the knowledge of and to advance the discussion on the turnover of nursing professionals. The study population consisted of RNs employed in the five major hospitals in Calgary. There were 193 surveys returned, representing a response rate of 77.2%. The results show that age and education have a negative effect on turnover intention. Education was found to have a significant negative effect on career satisfaction but not on job satisfaction and organizational commitment. Length of service has a significant negative effect on turnover intention. Role ambiguity has significant highly negative effect on career satisfaction. Growth opportunity and supervisor support have a very significant positive effect on job satisfaction, career satisfaction, and organizational commitment. External career opportunities and organizational commitment do not seem to have a significant effect on turnover intention. Career satisfaction, on the other hand, had negative significant effects on turnover intention. PMID:25087326

  16. Educators' expectations of roles, employability and career pathways of registered and enrolled nurses in Australia.

    PubMed

    Jacob, Elisabeth R; McKenna, Lisa; D'Amore, Angelo

    2016-01-01

    In Australia, like other countries, two levels of nurse are registered for entry to practice. Educational changes for second level nurses in Australia have led to questions regarding roles and career options. This paper reports on interviews with nursing course coordinators to examine educator expectations of roles and career pathways of registered and enrolled nurses. Coordinators of eight degree (registered) and diploma (enrolled) nursing programs were interviewed to determine their opinions on roles and careers that students were prepared for. Transcripts were thematically analysed. Educators reported similar graduate roles, although high acuity care was primarily the role of registered nurses. Career expectations differed with enrolled nurses having limited advancement opportunity, and registered nurses greater career options. Health organisations were unprepared to accommodate increased practice scope of enrolled nurses and limited work practice through policies stipulating who could perform procedures. Organisational health policies need to accommodate increased enrolled nurse skill base. Education of practising nurses is necessary regarding increased scope of enrolled nurse practice to ensure they are used to their full potential. Increasing patient acuity requires more registered nurses, as enrolled nurses are unprepared to care for complex or deteriorating patients. PMID:26143108

  17. Predictors of Success and Failure for ADN Students on the NCLEX-RN

    ERIC Educational Resources Information Center

    Benefiel, Diane

    2011-01-01

    The purpose of this study was to: 1) analyze the relationship of preprogram and nursing program variables on National Council Licensure Examination for Registered Nurses (NCLEX-RN) success and failure, and 2) develop a model to predict success and failure on the NCLEX-RN. The convenience sample was comprised of 245 spring, summer, and fall midterm…

  18. Integrating evidence-based practice into RN-to-BSN clinical nursing education.

    PubMed

    Oh, Eui Geum; Kim, Sunah; Kim, So Sun; Kim, Sue; Cho, Eun Yong; Yoo, Ji-Soo; Kim, Hee Soon; Lee, Ju Hee; You, Mi Ae; Lee, Hyejung

    2010-07-01

    This study examines the effects of integrating evidence-based practice (EBP) into clinical practicum on EBP efficacy and barriers to research utilization among Korean RN-to-BSN students. A one-group pretest-posttest design was used. Eighty-one students were recruited from a school of nursing in Korea. Evidence-based practice clinical practicum was composed of two consecutive programs during one semester. Lectures, individual mentoring on EBP practicum, small group, and wrap-up conferences were provided. Outcomes of EBP efficacy and barriers to research utilization were analyzed using paired t tests for 74 final participants. Evidence-based practice efficacy scores increased significantly (p < 0.05), and the barriers to research utilization scores decreased significantly after the EBP clinical practicum. The results highlight the effectiveness of EBP education among RN-to-BSN students. These results may help health educators develop effective educational strategies to integrate EBP concepts into a clinical practicum. PMID:20411864

  19. Nursing dependency in registered nursing homes and long term care geriatric wards in Edinburgh.

    PubMed Central

    Capewell, A E; Primrose, W R; MacIntyre, C

    1986-01-01

    There has been growing interest and public investment in registered nursing homes, apparently based on the assumption that these homes are the private equivalent of hospital long term care. We have tested this hypothesis in a survey comparing 400 patients in 18 registered nursing homes with 217 patients in 11 geriatric long term care wards in Edinburgh. The nursing home patients formed a distinct and separate group: 362 (92%) were women, 392 (98%) were single or widowed, and 358 (90%) were self financing, whereas in the geriatric long term care group 148 (68%) were women and 35 (16%) were still married. Patients in nursing homes were also far less dependent than those in geriatric long term care wards (p less than 0.005). This study suggests that there may be large differences between the patients in these two types of institution, particularly with regard to nursing dependency. This finding has important implications in the future planning of long term places for the dependent elderly. PMID:3089370

  20. Registered nurses' perceptions of new nursing graduates' clinical competence: A systematic integrative review.

    PubMed

    Missen, Karen; McKenna, Lisa; Beauchamp, Alison

    2016-06-01

    Over the past decade, many questions have been raised about graduates' clinical competence and fitness for practice upon completion of their undergraduate education. Despite the significance of this issue, the perspectives of registered nurses have rarely been examined. This systematic review explores the perceptions of experienced registered nurses regarding the clinical competence of new nursing graduates. Original research studies published between 2004-2014 were identified using electronic databases, reference lists, and by searching "grey literature." Papers were critically reviewed and relevant data extracted and synthesized using an approach based on Preferred Reporting Items for Systematic Reviews and Meta-Analysis. From 153 studies initially identified, 15 original research papers were included. Four main research themes were identified: clinical/technical skills, critical thinking, interaction/communication, and overall readiness for practice. Areas of concern in relation to the clinical competence of new nursing graduates specifically related to two themes: critical thinking and clinical/technical skills. Further research is required on strategies identified within the literature with the ultimate aim of ensuring new nursing graduates are safe and competent practitioners. PMID:26592371

  1. Stories of Exemplary Hospital Registered Nurses: A Narrative Analysis

    ERIC Educational Resources Information Center

    Snelson, Donna Ayers

    2010-01-01

    Today the multidimensional global shortage of nurses is negatively impacting the work environment of hospital nurses and causing, in a cyclical fashion, decreasing work satisfaction, increasing nurse turnover, and decreasing patient outcomes. While strategies aimed at causation of the nursing shortage must be addressed, to support nursing until…

  2. Comparing Perceptions of the Nursing Profession among Associate and Baccalaureate Nursing Students and Registered Nurses

    ERIC Educational Resources Information Center

    Lovan, Sherry R.

    2009-01-01

    The inconsistencies between the perception of the profession of nursing and the reality of practice can lead to problems in student attrition or result in disillusionment with a career in nursing after a new graduate enters practice. With the nursing shortage reaching critical levels, it is important to examine possible discrepancies that exist…

  3. Characteristics of Registered Nurses in Rural versus Urban Areas: Implications for Strategies to Alleviate Nursing Shortages in the United States

    ERIC Educational Resources Information Center

    Skillman, Susan M.; Palazzo, Lorella; Keepnews, David; Hart, L. Gary

    2006-01-01

    Methods: This study compares characteristics of rural and urban registered nurses (RNs) in the United States using data from the 2000 National Sample Survey of Registered Nurses. RNs in 3 types of rural areas are examined using the rural-urban commuting area taxonomy. Findings: Rural and urban RNs are similar in age and sex; nonwhites and…

  4. Educational Experiences and the Professional Reintegration of Registered Nurses Returning for Baccalaureate Degrees

    ERIC Educational Resources Information Center

    Einhellig, Katrina

    2012-01-01

    The purpose of this phenomenological research study was to understand the experiences of RN to BSN graduates within their educational experience and their subsequent reintegration into professional practice. The goal of the study was to elucidate the experiences of nurses as they returned for a baccalaureate degree in order to more fully…

  5. A Statewide and Regional Analysis of New York State Nurses using the 2000 National Sample Survey of Registered Nurses.

    ERIC Educational Resources Information Center

    Brewer, Carol S.; Feeley, Thomas Hugh; Servoss, Timothy J.

    2003-01-01

    Data from the National Sample Survey of Registered Nurses for 1,928 nurses in New York State showed they were predominantly white females in their 40s. Minority nurses were underrepresented. Fewer were working than in 1996, especially in hospitals; 65% were satisfied with their jobs, somewhat less than national samples. (Contains 37 references.)…

  6. Obesity as a Possible Risk Factor for Lost-time Injury in Registered Nurses: A Literature Review

    PubMed Central

    Jordan, Gillian; Nowrouzi-Kia, Behnam; Gohar, Basem; Nowrouzi, Behdin

    2015-01-01

    Time-loss injuries are still a major occurrence in Canada, injuring thousands of Canadian workers each year. With obesity rates on the rise across the country, as well as around the world, it is important that the possible effects of obesity in the workplace be fully understood, especially those effects linked to lost-time injuries. The aim of this paper was to evaluate predictors of workplace lost-time injuries and how they may be related to obesity or high body mass index by examining factors associated with lost-time injuries in the health care sector, a well-studied industry with the highest number of reported time loss injuries in Canada. A literature review focusing on lost-time injuries in Registered Nurses (RNs) was conducted using the keywords and terms: lost time injury, workers' compensation, occupational injury, workplace injury, injury, injuries, work, workplace, occupational, nurse, registered nurse, RN, health care, predictors, risk factors, risk, risks, cause, causes, obese, obesity, and body mass index. Data on predictors or factors associated with lost-time injuries in RNs were gathered and organized using Loisel's Work Disability Prevention Management Model and extrapolated upon using existing literature surrounding obesity in the Canadian workplace. PMID:25830063

  7. Projected Supply, Demand, and Shortages of Registered Nurses, 2000-2020.

    ERIC Educational Resources Information Center

    Health Resources and Services Administration (DHHS/PHS), Rockville, MD. National Center for Health Workforce Analysis.

    The supply, demand, and shortages of registered nurses (RNs) were projected and analyzed for 2000-2020. According to the analysis, the national supply of full-time-equivalent registered nurses in 2000 was estimated at 1.89 million versus an estimated demand of 2 million, leaving a shortage of 110,000 (6%). The shortage is expected to grow…

  8. 20 CFR 655.1116 - Element VI-What notification must facilities provide to registered nurses?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 3 2011-04-01 2011-04-01 false Element VI-What notification must facilities provide to registered nurses? 655.1116 Section 655.1116 Employees' Benefits EMPLOYMENT AND TRAINING... VI—What notification must facilities provide to registered nurses? (a) The sixth attestation...

  9. 20 CFR 655.1116 - Element VI-What notification must facilities provide to registered nurses?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 20 Employees' Benefits 3 2012-04-01 2012-04-01 false Element VI-What notification must facilities provide to registered nurses? 655.1116 Section 655.1116 Employees' Benefits EMPLOYMENT AND TRAINING... VI—What notification must facilities provide to registered nurses? (a) The sixth attestation...

  10. 20 CFR 655.1116 - Element VI-What notification must facilities provide to registered nurses?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 20 Employees' Benefits 3 2014-04-01 2014-04-01 false Element VI-What notification must facilities provide to registered nurses? 655.1116 Section 655.1116 Employees' Benefits EMPLOYMENT AND TRAINING... VI—What notification must facilities provide to registered nurses? (a) The sixth attestation...

  11. 20 CFR 655.1116 - Element VI-What notification must facilities provide to registered nurses?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 20 Employees' Benefits 3 2013-04-01 2013-04-01 false Element VI-What notification must facilities provide to registered nurses? 655.1116 Section 655.1116 Employees' Benefits EMPLOYMENT AND TRAINING... VI—What notification must facilities provide to registered nurses? (a) The sixth attestation...

  12. Student Registered Nurse Anesthetists' Atittudes toward and Perceptions of Teamwork in the Operating Room

    ERIC Educational Resources Information Center

    Heiner, Jeremy S.

    2013-01-01

    Student registered nurse anesthetists are an important part of an operating room team, yet little research has investigated how they perceive teamwork or approach team related issues specific to the operating room. This mixed methods study evaluated junior and senior student registered nurse anesthetists' attitudes toward and perceptions of…

  13. Exploring Preferences of Mentoring Activities among Generational Groups of Registered Nurses in Florida

    ERIC Educational Resources Information Center

    Posey-Goodwin, Patricia Ann

    2013-01-01

    The purpose of this study was to explore differences in perceptions of mentoring activities from four generations of registered nurses in Florida, using the Alleman Mentoring Activities Questionnaire ® (AMAQ ®). Statistical procedures of analysis of variance (ANOVA) were employed to explore differences among 65 registered nurses in Florida from…

  14. The validity of ACT-PEP test scores for predicting academic performance of registered nurses in BSN programs.

    PubMed

    Yang, J C; Noble, J

    1990-01-01

    This study investigated the validity of three American College Testing-Proficiency Examination Program (ACT-PEP) tests (Maternal and Child Nursing, Psychiatric/Mental Health Nursing, Adult Nursing) for predicting the academic performance of registered nurses (RNs) enrolled in bachelor's degree BSN programs nationwide. This study also examined RN students' performance on the ACT-PEP tests by their demographic characteristics: student's age, sex, race, student status (full- or part-time), and employment status (full- or part-time). The total sample for the three tests comprised 2,600 students from eight institutions nationwide. The median correlation coefficients between the three ACT-PEP tests and the semester grade point averages ranged from .36 to .56. Median correlation coefficients increased over time, supporting the stability of ACT-PEP test scores for predicting academic performance over time. The relative importance of selected independent variables for predicting academic performance was also examined; the most important variable for predicting academic performance was typically the ACT-PEP test score. Across the institutions, student demographic characteristics did not contribute significantly to explaining academic performance, over and above ACT-PEP scores. PMID:2254527

  15. A Learning Partnership: Exploring Preceptorship through Interviews with Registered and Novice Nurses

    ERIC Educational Resources Information Center

    Ockerby, Cherene M.; Newton, Jennifer M.; Cross, Wendy M.; Jolly, Brian C.

    2009-01-01

    Novice nurses encounter numerous factors that impact on their learning in the complex healthcare workplace. Registered nurses often work one-on-one with novices as preceptors to facilitate the development of novices' clinical skills and socialisation into the profession. This paper explores the concept of preceptorship from novice nurses' and…

  16. A Refresher Course for Registered Nurses: A Guide for Instructors and Students.

    ERIC Educational Resources Information Center

    Health Resources Administration (DHEW/PHS), Bethesda, MD. Div. of Nursing.

    Designed to help the inactive registered nurse, the Federally funded refresher course, developed by the Arizona State Nurses' Association, focuses on the review and updating of nursing knowledge and skills. The course uses a self-instructional, individualized learning process that can be applicable to as few as one or two students. The curriculum…

  17. Changing Times: A Survey of Registered Nurses in 1998. IES Report 351.

    ERIC Educational Resources Information Center

    Smith, G.; Seccombe, I.

    A national survey of registered nurses and analysis of official statistics provided an overview of the dimensions and dynamics of the labor market for nurses in the United Kingdom. Findings indicated the following: enrollment in preregistration nurse training courses decreased by 27 percent over the 1990s; initial entries to the UK Central Council…

  18. Nursing Faculty Roles in Teaching Racially and Ethnically Diverse Nursing Students in a Registered Nurse Program

    ERIC Educational Resources Information Center

    Beard, Kenya V.

    2009-01-01

    Racial and ethnic health care disparities continue to plague the United States, placing a tremendous personal and societal burden on individuals. A culturally diverse nursing work force can help eliminate these disparities and improve the quality of health care that is delivered. However, the nursing profession does not reflect the nation's…

  19. Implementing a collaborative framework for academic support for registered nurses.

    PubMed

    Elliott, Debra; Ugboma, Debra; Knight, Jessica

    2013-12-01

    This paper describes the collaboration between a national health service acute hospital trust and a higher education institution, to implement a framework for academic support for registered nurses undertaking learning beyond registration. A small percentage of the educational budget was utilised to fund two academic staff (0.6 whole time equivalent) to work within the trusts' own learning and development department. The initial aim of the project was to maximise the utilisation of the funding available for learning beyond registration study. The focus of the project was at both a strategic level and with individual staff. Embedding within the culture of the trust was important for the academic staff to understand and gain the service/user perspective to some of the barriers or issues concerning learning beyond registration. Following a scoping exercise, the multiplicity of issues that required action led to the creation of an academic support framework. This framework identified potential for intervention in 4 phases: planning for study, application and access to learning, during study and outcome of study. Interventions were identified that were complimentary and adjuncts to the academic support provided by the higher education institution. New resources and services were also developed such as pathway planning support and study skill workshops. One important resource was a dedicated point of contact for staff. A "live" database also proved useful in tracking and following-up students. PMID:23337574

  20. Online Faculty Mentoring and Transition Balance in Family Nurse Practitioner Students

    ERIC Educational Resources Information Center

    Poronsky, Cathlin B.

    2011-01-01

    The purpose of this study was to examine the effect of online faculty mentoring on Registered Nurse (RN) to Family Nurse Practitioner (FNP) role transition balance during graduate education. Making the transition from RN to an FNP can seem daunting and there is limited information in the literature about RN to FNP role transition during graduate…

  1. United States registered nurses' self-report of access to the Web.

    PubMed

    Kleib, Manal; Sales, Anne E; Andrea Baylon, Melba; Beaith, Amy; Lima, Isac

    2011-05-01

    The aim of this study was to identify the proportion and characteristics of Registered Nurses who reported having had an access to the Web in the year 2000 National Sample Survey of Registered Nurses. We conducted a secondary data analysis using more than 25 000 respondents to the year 2000 National Sample Survey of Registered Nurses. Using bivariate and logistic regression, we examined the association of reporting access to the Web with demographic, educational, and other characteristics of Registered Nurse respondents to the survey. We found that several factors were associated with the increased likelihood of Registered Nurses' reporting having had an access to the Web in the year 2000. These included race/ethnicity, marital and family status, highest level of nursing education, current enrollment in a nursing education program, annual household income, and continuing education in informatics. The likelihood of reporting having had access decreased with sex, age, experience since first nursing degree, and primary job responsibility. The results of this study indicate that having access to the Web enhances Registered Nurses' participation in professional development and continuing education opportunities. PMID:21048496

  2. Transitioning the RN to Ambulatory Care: An Investment in Orientation.

    PubMed

    Allen, Juliet Walshe

    2016-01-01

    Registered nurses (RNs) struggle when transitioning from the inpatient setting to the outpatient clinical environment because it results in a diverse skill-set shift. The RN, considered an outpatient revenue source, experiences a decrease in peer-to-peer relationships, changes in leadership responsibilities, and changes in workgroup dynamics (supervision of unlicensed clinical personnel who function under the direction of the physician, not the RN). Ambulatory organizations find themselves implementing clinical orientation programs that may not delineate the attributes of the RN. This diminishes their value while emphasizing the unlicensed technical skill set. Creating a core RN orientation program template is paramount for the transition of the RN to the ambulatory setting. The literature reveals several areas where improving the value of the RN will ultimately enhance recruitment and retention, patient care outcomes, and leverage the RN role within any organization. Eleven 30-minute in-depth telephone interviews were conducted in addition to 4 nurse observations to explore the lived experience of the RN in ambulatory care. The findings disclosed an overarching theme of nurse isolation and offered insightful underpinnings for the nurse leader as ambulatory growth continues and nurse leaders further endorse the RN presence in the ambulatory setting. PMID:26938183

  3. RN internship: outcomes of a one-year pilot program.

    PubMed

    Beecroft, P C; Kunzman, L; Krozek, C

    2001-12-01

    Faced with a threatened shortage of highly skilled, acute care pediatric nurses, an RN Internship in Pediatrics program for new graduates was brought from vision to reality. Goals of the program were to: 1) facilitate transition of the new graduate nurse to professional registered nurse (RN); 2) prepare a beginning level staff nurse who is confident and who provides competent and safe patient care; and 3) increase the commitment and retention of new graduate nurses within the organization. A 1-year pilot program evaluation demonstrated that the interns who had an average of 8 months of RN experience were comparable or better on all measures than were control group participants who obtained up to 2 years of RN experience. A return on investment of 67.3% was established. PMID:11771462

  4. Re-entry into the registered nursing work force: we did it!

    PubMed

    Davidhizar, Ruth E; Bartlett, Doris

    2006-01-01

    Because the enrollment in nursing programs dropped in the late 1990s and healthcare agencies and education programs were seeking ways to increase the numbers of nurses, Bethel College in Mishawaka, Indiana, and Memorial Hospital in South Bend, Indiana, designed a plan to encourage nurses who had been out of nursing to re-enter the work force. This article details the steps used in this partnership and demonstrates a process for helping registered nurses to return to nursing. In the 6-credit, 8-week course, nurses were prepared to function on a medical-surgical unit by reviewing important concepts related to nursing practice, physical assessment, nursing process, nursing skills, pharmacology, and clinical nursing update. It was anticipated that receiving college credit for the course would be a motivator for returning to study at the registered nurse to bachelor of science in nursing level. With 2 full clinical days each week, the students could experience a normal work shift and the routine of a busy clinical unit. PMID:16892670

  5. Transitioning experienced registered nurses into an obstetrics specialty.

    PubMed

    Bell, Renee; Bossier-Bearden, Mary; Henry, Armilla A G; Kirksey, Kenn M

    2015-04-01

    Ensuring patient safety and enhancing nurse satisfaction both rank high on most hospitals' list of priorities. One of the concerns at a large, comprehensive, county health care system in the southwestern United States has been the shortage of experienced obstetrics (OB) nurses to provide patient care. To address this concern, a nursing fellowship was implemented to facilitate successful transition and retention of experienced RNs into the specialty area of obstetrics. The program provided a gateway for non-OB nurses to participate in relevant, evidence-based didactic and preceptor-facilitated clinical experiences to ensure adequate knowledge, skills, and competencies to care for patients in labor, delivery, and recovery suites. PMID:25856454

  6. Evaluation of a Six Week Professional Education Curriculum Designed To Retrain Registered Psychiatric Nurses into the Field of Psychiatric Nursing.

    ERIC Educational Resources Information Center

    Safian-Rush, Donna

    During the past few years, there has been a drastic shortage of registered nurses in the field of psychiatric mental health. An evaluation conducted on an internship curriculum designed to facilitate effective nursing care in the treatment of clients who exhibit emotional problems is presented with details on a study to attract and retain nurses…

  7. Review of occupational health nurse data from recent national sample surveys of registered nurses-part I.

    PubMed

    Thompson, Margaret C

    2010-01-01

    The U.S. Department of Health and Human Services obtains information about U.S. registered nurses through the periodic National Sample Survey of Registered Nurses (NSSRN). Occupational health nurses comprise less than 1% of the U.S. nursing population and published NSSRN reports usually include only estimates of the total occupational health nurse population and minimal information about occupational health nurses' characteristics. The objectives of this study were to develop a knowledge base of occupational health nurses' characteristics; examine characteristics that may influence entry and retention in occupational health nursing practice; and explore indications of demand for occupational health nurses. Descriptive and inferential statistics were used in a secondary analysis of data from recent (1992 to 2004) NSSRN. The findings are reported in two parts. This article, Part I, provides descriptive data about occupational health nurses based on responses to the 1992 through 2004 NSSRN questionnaires. Part II will provide findings from analysis of 2004 responses indicative of occupational health nurses' entry, retention, and demand characteristics. PMID:20102120

  8. Reaching for the stars: career advancement and the registered nurse.

    PubMed

    Walker, Kim

    2005-08-01

    Clinical nursing has long struggled to secure the place of primacy it deserves in the profession's hierarchy of importance and worth. It is ironic that, even at the beginning of the 21st century, a clinical nurse is generally not as well-recognized, rewarded or remunerated as a colleague working in nursing management, education or research. Until the profession recognizes and takes serious action to remedy this situation, the crisis of recruitment and retention in nursing currently ravaging the globe is likely to continue. In this paper, I present a discursive account of an exciting initiative by a leading private, acute-care hospital which addresses this very problem. A new ladder for clinical nurse specialists (CNSs) introduces a rigorous and systematic approach to the appointment of three classifications of CNS, each requiring evidence of successively higher levels of competency, and which are accompanied by fiscal reward and stronger peer recognition. PMID:15985097

  9. Attending registered nurse: an innovative role to manage between spaces.

    PubMed

    Erickson, Jeanette Ives; Ditomassi, Marianne; Adams, Jeffrey M

    2012-01-01

    Massachusetts General Hospital embarked on the implementation of a new model that redesigned the role of selected staff nurses, advanced standardized processes, improved workflow, and introduced technology to enhance communication. These efforts included selecting 12 inpatient units to function as "Innovation Units". These units were specifically designated to support rapid change and test initiatives that would reduce costs and improve quality. The work of the Innovation Units allows nurse leaders to understand if the goals for improvement could be adopted by all inpatient units and beyond the walls of the hospital. The high-leverage intervention of introducing the role of the "Attending Nurse" in coordinating the work of the interdisciplinary team in addressing overuse, underuse, and misuse of services has been a significant staffing innovation. The Attending Nurse, while just one strategy, has placed the nurse at the center of the care team. PMID:23198611

  10. Registered nurses' constructed meaning of concepts of solution and their use in clinical practice

    NASA Astrophysics Data System (ADS)

    Wilkes, Lesley M.; Batts, Judith E.

    1991-12-01

    Since the introduction of nursing into tertiary institutions in Australia in 1975, there has been increasing interest in the teaching of physical science to nurses. Various courses in physical science for nurse students have been developed. They vary in length and content but there is agreement that concepts taught should be closely related to nursing applications. The choice of relevant concepts tends to be made by individual curriculum developers. This paper reports an examination of the use of physical science concepts and their relevance from the perspective of registered nurses practising in general ward areas. Inherent in this study is the premise that for registered nurses to have ideas of the physical science underlying their practice they must have constructed meaning first for these concepts. Specific chemical concepts related to solutions are discussed in these terms.

  11. From their own voices: the lived experience of African American registered nurses.

    PubMed

    Wilson, Deborah W

    2007-04-01

    This phenomenological study described the lived experience of African American registered nurses providing nursing care to individuals, families, and communities in southeast Louisiana. Data were collected from 13 African American registered nurses using semistructured interviews and a focus group. Analysis of the phenomenological data revealed two essential themes, (a) connecting with the patient and (b) proving yourself; and four incidental themes, (a) a fulfilling dream, (b) being invisible and voiceless, (c) surviving and persevering, and (d) mentoring and role modeling. The findings revealed that the general perception among participants was that they were not fully accepted as equal professionals by their Caucasian nurse colleagues, other health care providers, and sometimes patients. The findings of the study indicate the immediate need to address and resolve the issues of diversity within the nursing profession. Nursing will also have to reform its system and practices to embrace and support diversity. PMID:17416716

  12. A Comparative Analysis of Demographic and Academic Characteristics and NCLEX-RN Passing among Urban and Rural Campus Students in a Midwest Associate Degree Nursing Program

    ERIC Educational Resources Information Center

    Nacos-Burds, Kathleen J.

    2010-01-01

    A retrospective study was initiated to determine: (1) the predictive relationship between demographic and academic variables and NCLEX-RN success; and (2) if there were significant differences between urban and rural nursing students that could account for an increased percentage of rural NCLEX-RN failures. A convenience sample was comprised of…

  13. An Analysis of Barriers to Online Learning as Perceived by Registered Nurses

    ERIC Educational Resources Information Center

    Thomas, Eddie D.

    2010-01-01

    The United States faces a substantial nursing shortage that is expected to increase over the next decade and beyond. Understaffing and erratic work schedules result in minimal opportunities to participate in continuing education courses, which are required for registered nurses (RNs) to maintaining proficiency and licensure. Online learning is…

  14. 42 CFR 57.313 - Loan cancellation for full-time employment as a registered nurse.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 1 2012-10-01 2012-10-01 false Loan cancellation for full-time employment as a registered nurse. 57.313 Section 57.313 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GRANTS GRANTS FOR CONSTRUCTION OF TEACHING FACILITIES, EDUCATIONAL IMPROVEMENTS, SCHOLARSHIPS AND STUDENT LOANS Nursing Student Loans...

  15. Identifying Students at Risk for Failure on the Licensing Examination for Registered Nurses.

    ERIC Educational Resources Information Center

    Henderson, Susan J.; Orr, Scott P.

    A method was developed for identifying students who may be at high risk for failing the State Board Licensing Examination (SBE) for registered nurses. The subjects used in developing prediction equations included 50 students who graduated from the nursing program at Saint Joseph's College (SJC) in North Windham (Maine) during the years 1983-84.…

  16. Designing a program for ophthalmic registered nurse first assistants.

    PubMed

    Karger, E A

    1995-10-01

    Insurance companies eliminated payment for physician first assistants in cataract surgery. Community hospitals are responding to this situation by utilizing perioperative nurses and certified surgical technicians. The credentialing process is largely relegated to each hospital. The ophthalmic nurse is now quite pivotal in writing the policies and procedures. Also inherent in this expanded role is the development of preceptor training, job description and performance appraisals. This serves as a primer to specifically address these problems in a community hospital operating room. PMID:7594911

  17. Creating tomorrow's leaders and innovators through an RN-to-bachelor of science in nursing consortium curricular model.

    PubMed

    Hendricks, Susan M; Phillips, Janet M; Narwold, Lynda; Laux, Marcia; Rouse, Susan; Dulemba, Ladonna; Makielski, Marta; Halstead, Judith A

    2012-01-01

    The critical need to increase the number of baccalaureate-prepared RNs to improve the safety and quality of patient care in today's complex health care system is a pressing issue in health care. One part of the solution lies in the attainment of higher education of RNs prepared at the associate and diploma levels who make up the majority of the nursing workforce in the United States today. The Indiana University Schools of Nursing located throughout the state of Indiana collaborated to create a statewide RN-to-bachelor of science in nursing curriculum that is flexible, innovative, and meaningful. The plan focuses on the strengths and unique learning needs of returning RN students. Specifically, this curriculum offers year-round online courses in 7-week terms, which allows students to enter and exit the program within 1 year, and a curriculum with more choices and fewer constraints than is typical for baccalaureate nursing degrees. This learner-centered plan fully incorporates the American Association of Colleges of Nursing Essentials for Baccalaureate Education (2009) throughout the curriculum. It is conveniently delivered online, takes into account and gives credit for students' previous learning and work experience, and allows the students to pursue nursing specialty knowledge for college credit. Working together as a consortium to achieve these goals across an entire state with 8 regional campuses required focused attention on the concerns and strengths of all the stakeholders and successful implementation of effective communication strategies. PMID:22640948

  18. Voices That Care: Licensed Practical Nurses and the Emotional Labour Underpinning Their Collaborative Interactions with Registered Nurses

    PubMed Central

    Huynh, Truc; Alderson, Marie; Nadon, Michelle; Kershaw-Rousseau, Sylvia

    2011-01-01

    Recognizing the emotional labour underlying interprofessional collaborations (IPCs) could be considered a crucial step towards building a cohesive nursing team. Although IPCs between registered nurses (RNs) and licensed practical nurses (LPNs) have been linked to quality nursing care, little is known about the emotions experienced by LPNs during their interactions with RNs or those factors that influence IPCs. A questionnaire administered to 309 LPNs found that (1) the professional identity of LPNs has evolved into a that of a unique social group; (2) LPNs define IPC as an interpersonal process of exploring similar or dissimilar assessments of a patient's status with RNs and, together, establishing a course of nursing actions; (3) the primary organizational factor facilitating IPCs is inclusive nursing leadership; (4) the interpersonal factor promoting IPCs is the level of trust RNs extend to LPNs; and (5) an LPN's emotional labour (i.e., internal emotional regulation) is most tangible during uncollaborative interactions with RNs. PMID:22135732

  19. Debriefing as a Supportive Component for Registered Nurses in Transition.

    PubMed

    Shinners, Jean; Africa, Larissa; Hawkes, Beth

    2016-01-01

    Debriefing is considered a positive approach used to evaluate learning, support communication, and explore emotions following simulation or a clinical experience. This article discusses the use of debriefing as an evolving strategy for new graduate nurses and focuses on the importance of structured clinical debriefing as a component to relieve stress while providing periods of reflection and cohesion. PMID:27434321

  20. A Follow-up Study: The Registered Nurses Program, 1977.

    ERIC Educational Resources Information Center

    Kondwros, Jerry M.

    Twenty-seven (77.1%) of the thirty-five 1977 graduates of the South Georgia Colleges' Division of Nursing responded to a follow-up survey, producing the following information: (1) 17 were employed full-time, two were employed part-time, and eight were unemployed; (2) 88.9% agreed they were prepared adequately for the state board examination; (3)…

  1. Attestations by facilities using nonimmigrant aliens as registered nurses--DOL. Final rule.

    PubMed

    1994-01-01

    The Employment and Training Administration (ETA) and the Wage and Hour Division of the Employment Standards Administration (ESA) of the Department of Labor (DOL or Department) are publishing final regulations governing the filing and enforcement of attestations by facilities seeking to use nonimmigrant aliens as registered nurses under H-1A visas. The attestations, required under the Immigration and Nationality Act, pertain to substantial disruption in the delivery of health care services, absence of adverse effect on wages and working conditions of similarly employed registered nurses, payment of wages to nonimmigrant alien nurses employed by the facility at wage rates paid to other registered nurses similarly employed by the facility, taking timely and significant steps designed to recruit and retain U.S. nurses in order to reduce dependence on nonimmigrant alien nurses, absence of a strike or lockout, and giving appropriate notice of filing. Facilities are required to submit these attestations to DOL as a condition for being able to petition the Immigration and Naturalization Service (INS) for H-1A nurses. The attestation process is administered by ETA, while complaints and investigations regarding the attestations are handled by ESA. PMID:10133075

  2. Experiences of final year nursing students in their preparedness to become registered nurses.

    PubMed

    Carlson, S; Kotzé, W J; van Rooyen, D

    2005-11-01

    The objectives of this study were: firstly, to explore and describe the experiences of final year nursing students relating to how they experience their preparedness to fulfil the role of professional nurse; secondly, to explore and describe the experiences of novice professional nurses in the role of professional nurse; finally, to generate a model which will assist the final year nursing student to become a professional nurse. A theory-generative, qualitative, explorative, descriptive and contextual research design was utilized to reach the objectives of the study. Results indicated that final year nursing students experience a lack of confidence to take on the responsibilities of professional nursing. The results are displayed in table form and discussed in the article. This abstract forms part of a bigger study that addresses the professional maturity of the novice professional nurse for the practice of nursing. PMID:16450561

  3. Experiences of Incivility and Ageism in Currently Enrolled RN to BS Nursing Students and Their Intent to Quit

    ERIC Educational Resources Information Center

    Balko, Kimberly A.

    2013-01-01

    Student registered nurses face barriers to successful completion of a bachelor's of science degree program when faced with memories of incivility within their basic nursing program and their current experiences of incivility and ageism in the classroom, as well as in the workplace. This incivility, along with generational differences, adds to the…

  4. Curriculum Development for Part-Time Programs for Certified Nurse Assistant to Licensed Vocational Nurse; and Licensed Vocational Nurse to Associate Degree Nurse Program (CNA-VN-RN).

    ERIC Educational Resources Information Center

    Saxe, Ellen; And Others

    This report describes the Imperial Valley College nursing program, a program developed to provide for the nursing needs of Imperial County, California. The program provides part-time education to help train nursing assistants and to allow nursing assistants to upgrade their skills to vocational nurse level and vocational nurses to become…

  5. The Relationship between Post Reach Exit Exam (E[superscript 2]) Failure Remediation and NCLEX-RN Success of Graduates of Baccalaureate Nursing Programs

    ERIC Educational Resources Information Center

    Allen, Patricia Gale

    2009-01-01

    An ex post facto study was conducted to determine whether any relationship exists between remediation post Reach Exit Exam (E[superscript 2]) failure and NCLEX-RN success of graduates of baccalaureate nursing programs. Data was gathered from responses to the seventh annual validity study (V7S) offered to deans and directors of nursing programs by…

  6. The Canadian Organ Replacement Register: Nursing's important contribution.

    PubMed

    Kim, S Joseph; Thomas, Alison

    2015-01-01

    You are a charge nurse in a large hemodialysis unit in Ontario.One of the clerical staff has approached you today to assist withan update to her statistics on new and existing patients in yourunit. You are asked to clarify the cause of death for one patientand to clarify the date of transfer to the home dialysis programfor peritoneal dialysis on another patient. Finally, you are asked toremind the nurse practitioner (NP) to complete a registration formfor another patient who has just started chronic hemodialysis inyour unit. While you know the collection of data is important, thereare lots of patients to look after and you feel frustrated by havingto take time away from planning urgent hemodialysis requests--which are your priority--to source out information to complete aform. You reflect on this need for statistical data and wonder wherethe information on this form ends up and how it helps your patientswho are living with end stage kidney disease (ESKD). PMID:26964422

  7. Applicants to B.Sc.N., R.N., and R.P.N. nursing programs: differences and predictors.

    PubMed

    Myers, A M; Keat, N E; Pelkman, C; French, S E

    1997-01-01

    We surveyed 205 applicants to three types of nursing programs (B.Sc.N., diploma-R.N., and diploma-R.N.A.) offered in Toronto, Ontario. Applicants were predominately white, unmarried women living within commuting distance of the institutions to which they applied. Applicants to practical nursing programs tended to be older than applicants to B.Sc.N. and diploma-R.N. programs, be married, have at least one dependant, come from blue-collar families, be out of school longer, and submit fewer applications. Applicants with dependants were 11 times more likely to choose R.P.N. over R.N. programs. Recency of graduation and high school average were predictive of choosing B.Sc.N. over R.N. programs. While this 1992 cohort had some appreciation for the challenges facing the nursing profession, most applicants still expected to secure full-time employment in acute care post-graduation. The data provide an important benchmark for comparing current and future cohorts of applicants with respect to socio-demographic characteristics and expectations of nursing as a career choice. PMID:9697439

  8. Development of the Differentiation of Self and Role Inventory for Nurses (DSRI-RN): a tool to measure internal dimensions of workplace stress.

    PubMed

    Beebe, Ronald; Frisch, Noreen

    2009-01-01

    This article presents the use of Bowen's theory of differentiation as a framework for understanding one aspect of vocational burnout. The theory suggests that persons with low levels of differentiation are at higher risk for emotional exhaustion than those at higher levels. The authors describe the development and pilot-testing of a tool, the Differentiation of Self and Role Inventory for Nurses (DSRI-RN) as a means to assess internal aspects of workplace stress by measuring factors suggested by the theory. Initial use of the DSRI-RN indicates that the tool is reliable and valid and that nurses with higher levels of differentiation expressed lower levels of burnout and greater enthusiasm for nursing. These findings suggest that the DSRI-RN may be used in further studies and opens the possibility of using Bowen's framework in developing interventions assisting nurses to understand and cope with the internal aspects of workplace stress. PMID:19789001

  9. The NCLex Examination: preparing for future nursing practice.

    PubMed

    Wendt, A; Brown, P

    2000-01-01

    One nursing organization that closely tracks the direction of healthcare and nursing practice is the National Council of State Boards of Nursing, Inc. As the developer of the National Council Licensure Examination for Registered Nurses (NCLEX-RN examination), maintaining currency of the examination is of primary importance to the National Council. The authors discuss recent trends in the NCLEX-RN Test Plan. PMID:16646187

  10. Critical incidents, crucial issues: insights into the working lives of registered nurses.

    PubMed

    Perry, L

    1997-03-01

    The critical incident technique has been used in nursing in a number of ways: in developing understanding of the nursing role, as a quality assurance strategy, as an assessment and evaluation tool, and as an aid in the fostering of reflective practice. This article describes how the technique, used as a theoretical course assessment for a group of students studying long ENB courses, could be used to shed light upon issues regarded as crucial in the daily working lives of this group of registered nurses, and upon the reflective skills which they were able to employ. PMID:9188351

  11. An exploratory study of selected female registered nurses: meaning and expression of nurturance.

    PubMed

    Geissler, E M

    1990-05-01

    The words 'nurse' and 'nursing' originate in the word 'nurture' which dates back to the 14th century. 'Nurturance' appeared for the first time in the 1976 Supplement to the Oxford English Dictionary and in a United States dictionary in 1983. Etymologically and semantically bound to nursing, little is known about the term nurturance. An exploratory design using phenomenological analysis was applied to understand the female registered nurses' experience of nurturing patients throughout the life-span and to uncover behaviours commonly believed nurturant. Interviews with 14 RNs practising in diverse settings revealed 39 nurturant behaviours that were intuited into four themes describing the subjects' perceived structure of nurturance as: (1) enabling maximum potential; (2) providing physical and emotional protection; (3) engaging in a supportive interaction; and (4) conveying shared humanity. Data were formulated into an exhaustive description of the phenomenon nurturance. Additionally, the results support Greenberg-Edelstein's theoretical model of the positive reciprocity of nurturance between nurse and patient. PMID:2358570

  12. An Investigation of the Lived Experiences of Registered Nurses Facilitating Supernumerary Nursing Students.

    ERIC Educational Resources Information Center

    O'Callaghan, Nora; Slevin, Eamonn

    2003-01-01

    Interviews with 10 Irish nurses supervising student nurses in clinical placements revealed different interpretations of students' status in clinical settings. They viewed their role as facilitative. Although the experience was rewarding, they felt ill prepared for it. They approved the move to higher education for nurses, although most had not…

  13. Pain Management: Knowledge and Attitudes of Senior Nursing Students and Practicing Registered Nurses

    ERIC Educational Resources Information Center

    Messmer, Sherry

    2009-01-01

    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 nursing practice. Nurses play a critical role in the relief of…

  14. Development of an Intravenous Therapy Module for Second Year Registered Nursing Students.

    ERIC Educational Resources Information Center

    Balint, Marilyn

    A study aimed at developing an intravenous therapy module for second-year registered nursing students is described in this practicum report. The report's five chapters define the underlying problem and purpose of the study; discuss the history of intravenous therapy and the significance of the module to the host institution; review the relevant…

  15. An Exploration of Registered Nurses' Intentions to Leave the Profession: A Qualitative Study

    ERIC Educational Resources Information Center

    Lutter, Stacy Lynn

    2011-01-01

    The purpose of this qualitative study was to explore the perceptions of female registered nurses who have intentions to leave the profession with particular attention to the influence of gender. The theoretical framework of feminist poststructuralism informed this study, which emphasizes the role of discourse and power relations in the…

  16. The Learning Styles of Registered Nurse Baccalaureate Students Based on the Myers-Briggs Type Indicator: Implications for Teaching.

    ERIC Educational Resources Information Center

    Wahl, Sharon C.

    This descriptive study proposed to use the Myers Briggs Type Indicator (MBTI) to identify the learning styles of registered nurses who have returned to school, and to recommend teaching strategies based on commonalities of their learning styles. The MBTI was administered to 240 registered nurses who were enrolled in either a leadership course in…

  17. Evidence-based use of electronic clinical tracking systems in advanced practice registered nurse education: an integrative review.

    PubMed

    Branstetter, M Laurie; Smith, Lynette S; Brooks, Andrea F

    2014-07-01

    Over the past decade, the federal government has mandated healthcare providers to incorporate electronic health records into practice by 2015. This technological update in healthcare documentation has generated a need for advanced practice RN programs to incorporate information technology into education. The National Organization of Nurse Practitioner Faculties created core competencies to guide program standards for advanced practice RN education. One core competency is Technology and Information Literacy. Educational programs are moving toward the utilization of electronic clinical tracking systems to capture students' clinical encounter data. The purpose of this integrative review was to evaluate current research on advanced practice RN students' documentation of clinical encounters utilizing electronic clinical tracking systems to meet advanced practice RN curriculum outcome goals in information technology as defined by the National Organization of Nurse Practitioner Faculties. The state of the science depicts student' and faculty attitudes, preferences, opinions, and data collections of students' clinical encounters. Although electronic clinical tracking systems were utilized to track students' clinical encounters, these systems have not been evaluated for meeting information technology core competency standards. Educational programs are utilizing electronic clinical tracking systems with limited evidence-based literature evaluating the ability of these systems to meet the core competencies in advanced practice RN programs. PMID:24814999

  18. Does increasing education increase the probability of promotion? The case of registered nurses in Canada.

    PubMed

    Buhr, Karen J

    2010-03-01

    Little research has examined the effect of education on promotional opportunities for nurses. This article adds to the literature by addressing this question. This study uses data from the confidential master files from the 2001 Canadian Census on Individuals. The results of this study show that there is an increased probability of promotion to supervisory positions for registered nurses with a bachelor's degree. For both the male and female samples it was found that having a bachelor of nursing certification yields a 4% higher probability of promotion to a supervisory position compared with other educational credentials. Existing studies found that increases in education yield higher earnings, and this study also shows that increases in education can result in higher probabilities of promotion to supervisory positions. This can be viewed as another benefit of increased educational credentials for individuals in the nursing profession. PMID:20229963

  19. Veteran satisfaction with RN voice-mail greeting.

    PubMed

    Mancuso, Josephine M; Manchester, Eva; Zamborini, Lynette; Knippel, Barbara; Hart, Gina; Radtke, Sandra; Haberman, Vicki

    2012-01-01

    Voice-mail communication is often used to convey information between the registered nurse (RN) and the Veteran. Using a pretest-posttest design, this study examined whether implementation of a standardized voice-mail greeting had an impact on Veteran satisfaction and the number of messages left on the RN voice-mail. Veterans were more satisfied and there was a significant decrease in RN voice-mail messages post-implementation. This study highlights effects of the voice-mail greeting and has implications for other health care settings. PMID:22573208

  20. Perceptions of registered nurses in four state health insititutions on continuing formal education.

    PubMed

    Richards, L; Potgieter, E

    2010-06-01

    This study investigated registered nurses in four selected state health institutions' perceptions with regard to continuing formal education. The relevance of continuing formal education is being emphasised globally by the increasing quest for quality assurance and quality management systems within an ethos of continuous improvement. According to Tlholoe (2006:5), it is important to be committed to continual learning, as people's knowledge become less relevant because skills gained early in a career are insufficient to avoid costly mistakes made through ignorance. Continuing formal education in nursing is a key element to the maintenance of quality in health care delivery. The study described: registered nurses' views on continuing formal education. Registered nurses' perceived barriers to continuing formal education. A quantitative descriptive survey design was chosen using a questionnaire for data collection. The sample consisted of 40 registered nurses working at four state health institutions in the Western Cape Province, South Africa. Convenience sampling was selected to include registered nurses who were on duty on the days during which the researcher visited the health institutions to distribute the questionnaires. The questionnaire contained mainly closed-ended and a few open-ended questions. Content validity of the instrument was ensured by doing a thorough literature review before construction of items and a pretest. Reliability was established by the pretest and providing the same information to all respondents before completion of the questionnaires. The ethical considerations of informed consent, anonymity and confidentiality were adhered to and consent to conduct the study was obtained from relevant authorities. Descriptive statistics, based on calculations using the Microsoft (MS) Excel (for Windows 2000) programme, were used to summarise and describe the research results. The research results indicated that most registered nurses perceive continuing

  1. Preparing registered nurses depends on "us and us and all of us".

    PubMed

    Spence, Deborah; Valiant, Sharon; Roud, Di; Aspinall, Cathleen

    2012-07-01

    The primary goal of undergraduate nursing education is the preparation of graduates able to function as competent beginning clinicians. Avariety of academic-service partnerships are being used to support the clinical preparation of undergraduate nurses but, in today's demanding and fiscally challenged health and education environments, debate continues about how bestto provide students with quality learning in the clinical setting. This article reports the qualitative findings of a collaborative study undertaken to monitor implementation of a new model of clinical education for undergraduate nursing students. Three partners: a District Health Board (DHB) and two universities have developed, and are refining, a clinical education model based on the inclusion of student nurses in team nursing. In response to the question "How well is the student integration model working?" the qualitative findings, from a DHB and university staff perspective, suggest that students are better integrated within the nursing team. Registered nurses from academic and clinical backgrounds are sharing reponsibility for students' learning but there is a clear need to further develop relationships, skills and processes in order to maximise the student development. The survey results, which include the student perspective, have and are being reported separately. PMID:23029783

  2. A Case Study of Connecticut Community Colleges Nursing Programs to Describe Gerontological Content Inclusion in Associate Degree Registered Nursing Programs Using an Educational Curriculum Framework

    ERIC Educational Resources Information Center

    Harris, Leslie J.

    2013-01-01

    The population of adults over age 65 must have competently prepared registered nurses to meet their current and future health care needs. There is a societal component in nursing to ensure that all nurses have the content, skills, and strategies, which includes a focus on basic gerontology preparation. Therefore, the purpose of this descriptive…

  3. Social presence, satisfaction, and perceived learning of RN-to-BSN students in Web-based nursing courses.

    PubMed

    Cobb, Susan C

    2011-01-01

    The purpose of this study was to assess social presence in online nursing courses and its relationship to student satisfaction and perceived learning. The Social Presence scale and the Satisfaction scale were administered via an Internet survey to students (n = 128) in an online RN-BSN program. Results indicated a strong relationship among satisfaction, social presence, and instructor performance. All subdomains of social presence correlated highly with the satisfaction subdomains, except the communication factor. A strong relationship was found between perceived learning and social presence and comfort with the online course. Overall social presence, instructor performance, and the subdomains of social presence predicted a significant amount of total variance in overall satisfaction and perceived learning. No significant relationships were found between the demographic factors and overall social presence or perceived learning. Results of this study can assist nurse educators in providing optimal online educational experiences for students. PMID:21667794

  4. Do Associate Degree Registered Nurses Fare Differently in the Nurse Labor Market Compared to Baccalaureate-Prepared RNs?

    PubMed

    Auerbach, David I; Buerhaus, Peter I; Staiger, Douglas O

    2015-01-01

    Roughly 40% of the nearly 3 million registered nurses (RNs) in the United States have an associate's degree (ADN) as their highest level of nursing education. Yet even before the recent Institute of Medicine report on The Future of Nursing, employers of RNs have increasingly preferred baccalaureate-prepared RNs (BSNs), at least anecdotally. Data from the American Community Survey (2003-2013) were analyzed with respect to employment setting, earnings, and employment outcomes of ADN and BSN-prepared RNs. The data reveal a divergence in employment setting: the percentage of ADN-prepared RNs employed in hospitals dropped from 65% to 60% while the percentage of BSN-prepared RNs employed in hospitals grew from 67% to 72% over this period. Many ADNs who would have otherwise been employed in hospitals seem to have shifted to long-term care settings. PMID:26214932

  5. Impact of new regulatory standards on advanced practice registered nursing: the APRN Consensus Model and LACE.

    PubMed

    Stanley, Joan M

    2012-06-01

    Advanced practice registered nurses (APRNs) represent a crucial resource to meeting growing health care needs. Such resources must be used to the full extent and in the most effective way possible. Through the development of the Consensus Model for APRN Regulation: Licensure, Accreditation, Certification and Education (LACE), nursing is assuming a leadership role within the health care system and participating as an equal partner in redesigning health care. When fully implemented, the Consensus Model will allow APRNs to practice to the full scope of their education and more easily move from one state to another, increasing access to quality health care for all populations. PMID:22579059

  6. Disaster nursing: Self-reported competence of nursing students and registered nurses, with focus on their readiness to manage violence, serious events and disasters.

    PubMed

    Nilsson, Jan; Johansson, Eva; Carlsson, Marianne; Florin, Jan; Leksell, Janeth; Lepp, Margret; Lindholm, Christina; Nordström, Gun; Theander, Kersti; Wilde-Larsson, Bodil; Gardulf, Ann

    2016-03-01

    The World Health Organization and the International Council of Nurses recognises the importance of nurses' involvement in disaster preparedness and response. The aim of this study was to describe and compare self-reported disaster nursing competence (DNC) among nursing students (NSs) and among registered nurses (RNs) with professional experience. Further to investigate possible associations between self-reported DNC and background factors. A cross-sectional study was conducted of 569 NSs and 227 RNs. All respondents completed the 88-item Nurse Professional Competence Scale, including three items assessing DNC. Significant differences were found among the NSs depending on which University/University College they had attended. RNs reported significantly higher overall DNC and better ability to handle situations involving violence, and to apply principles of disaster medicine during serious events. RNs working in emergency care reported significantly better DNC ability, compared with RNs working in other areas of healthcare. Multiple linear regression analysis showed that working night shift and working in emergency care were positively associated with high self-reported overall DNC. The results indicate that workplace experience of serious events increase the readiness of registered nurses to handle violence, to act in accordance with safety regulations, and to apply principles of disaster medicine during serious events. PMID:26776502

  7. Developing entry-to-practice nursing informatics competencies for registered nurses.

    PubMed

    Nagle, Lynn M; Crosby, Kristine; Frisch, Noreen; Borycki, Elizabeth; Donelle, Lorie; Hannah, Kathryn; Harris, Alexandra; Jetté, Sylvie; Shaben, Tracy

    2014-01-01

    Information and communication technologies (ICT) have brought about significant changes to the processes of health care delivery and changed how nurses perform in clinical, administrative, academic, and research settings. Because the potential benefits of ICT are significant, it is critical that new nurses have the knowledge and skills in informatics to provide safe and effective care. Despite the prevalence of technology in our day to day lives, and the potential significant benefits to patients, new nurses may not be prepared to work in this evolving reality. An important step in addressing this need for ICT preparation is to ensure that new graduates are entering the work force ready for technology-enabled care environments. In this paper, we describe the process and outcomes of developing informatics entry-to-practice competencies for adoption by Canadian Schools of Nursing. PMID:24943567

  8. The uniqueness of elderly care: registered nurses' experience as preceptors during clinical practice in nursing homes and home-based care.

    PubMed

    Carlson, Elisabeth; Bengtsson, Mariette

    2014-04-01

    The expected shortage of registered nurses with an advanced degree as specialists in geriatric care or gerontology is imminent. Previous studies report that clinical practice where student nurses are supervised by registered nurses has a direct impact on how students perceive nursing as a profession and future career choice. Considering the anticipated need for well-educated and specialised nurses it is therefore, relevant as well as necessary to describe clinical learning with a focus on preceptorship in geriatric nursing care. This paper is a report of a study describing registered nurses' experience of precepting undergraduate student nurses during clinical practice in nursing homes and home-based care. A qualitative design, based on seven focus group interviews, was employed with 30 registered nurses with preceptor experience from nursing homes and home-based care for the elderly. Our findings present three precepting strategies that are unique to elderly care: preparing students for end of life care, facilitating a respectful approach to the older person and promoting creativity and independent work. The findings are discussed using a socio-cultural perspective and illustrate how communities of elderly practice can be valuable learning environments. PMID:23954003

  9. The learner-centredness of two registered general nursing and two registered mental nursing courses as perceived by third-year nursing students.

    PubMed

    Sweeney, J F

    1990-10-01

    Using the conceptual framework of the Nottingham Andragogy Group, two first-level British courses in general nursing and two in psychiatric nursing were studied to investigate their degree of perceived learner-centredness. Boydell's Scale for Measuring the Learner-Centredness of a Course was administered to a non-random sample of all 172 third-year students at three schools of nursing. Preference for learner-centred nursing education was investigated using Boydell's Preferred Teaching Style Rating Scale with the student sample and by 31 nurse teachers. Results indicated that first-level nursing courses were perceived to be highly teacher-centred in terms of planning, direction, sequence, pace and evaluation of learning. The climate of learning proved to be moderately learner-centred though teacher-student relationships were perceived as formal. Variety of learning approach was seen as limited with a tendency towards positivism rather than relativism of knowledge. Both students and teachers of nursing expressed a slight preference for teacher-centred courses despite the former's dissatisfaction with lack of participation in determining learning objectives. Significantly greater perceived learner-centredness of a psychiatric course was attributed to variations in the philosophy of learning within a particular school rather than to the course per se. PMID:2258529

  10. Human Papillomavirus and Vaccination Of Males: Knowledge and Attitudes Of Registered Nurses.

    PubMed

    White, Leah; Waldrop, Julee; Waldrop, Cabe

    2016-01-01

    The American Academy of Pediatrics recommends the human papillomavirus (HPV) vaccine for all 11 to 12-year olds as part of the adolescent immunization platform. However, this vaccine has not been universally accepted by health care providers, parents, or the public, and has lower vaccination coverage rates than other recommended vaccines for the same age group. The purpose of this study was to determine registered nurses' knowledge and attitudes about HPV and associated HPV vaccine for males. One hundred eleven (111) RNs participated in a descriptive exploratory study using a survey method. Nurses were knowledgeable about specific HPV information but were less knowledgeable about the extent of HPV infection seen in males or the availability or indications of HPV vaccine for males. This study demonstrates that nurses need more education about HPV and HPV vaccine. PMID:27019938

  11. Develop a Framework of Creative Thinking Teaching Mode for RN-BSN Students on the Basis of the Creative Process of Clinical Nurses in Taiwan

    ERIC Educational Resources Information Center

    Ku, Ya-Lie; Kuo, Chien-Lin

    2016-01-01

    The purpose of this study was to develop a framework of creative thinking teaching mode for RN-BSN students on the basis of the creative process of clinical nurses in Taiwan. Purposive samples have earned creativity awards recruited from the medical, surgical, maternity, paediatric, community and psychiatric departments in Taiwan. Semi-structured…

  12. The Effect of Classroom and Clinical Learning Approaches on Academic Achievement in Associate Degree Nursing Students

    ERIC Educational Resources Information Center

    Carrick, Jo Anne

    2010-01-01

    While many students compete aggressively to enter into nursing schools, those who succeed have no guarantee they will be successful in their nursing studies, graduating, and passing the National Council Licensing Exam for Registered Nurses (NCLEX-RN[R]). This study's objective was to gain a better understanding of how nursing students approach…

  13. Nursing 286: Preparing for the California State Boards--A Review Course for Registered Nurse Graduates.

    ERIC Educational Resources Information Center

    Lane, Cheryl

    A description is provided of a two-year college course designed to prepare graduates from accredited nursing programs to take the California State Board Examinations. A course rationale, information on the curricular placement of the course and the targeted student population, and a glossary of terms are presented first. A description of the…

  14. Belief in the "free choice" model of homosexuality: a correlate of homophobia in registered nurses.

    PubMed

    Blackwell, Christopher W

    2007-01-01

    A great amount of social science research has supported the positive correlation between heterosexuals' belief in the free choice model of homosexuality and homophobia. Heterosexuals who believe gay, lesbian, bisexual, and transgender (GLBT) persons consciously choose their sexual orientation and practice a lifestyle conducive to that choice are much more likely to possess discriminatory, homophobic, homonegative, and heterosexist beliefs. In addition, these individuals are less likely to support gay rights initiatives such as nondiscrimination policies or same-sex partner benefits in the workplace or hate crime enhancement legislation inclusive of GLBT persons. Although researchers have demonstrated this phenomenon in the general population, none have specifically assessed it in the nursing workforce. The purpose of this study was to examine registered nurses' overall levels of homophobia and attitudes toward a workplace policy protective of gays and lesbians. These variables were then correlated with belief in the free choice model of homosexuality. Results indicated that belief in the free choice model of homosexuality was the strongest predictor of homophobia in nurses. Implications for nursing leadership and management, nursing education, and future research are discussed. PMID:19042903

  15. Using problem-based learning in staff development: strategies for teaching registered nurses and new graduate nurses.

    PubMed

    Chunta, Kristy S; Katrancha, Elizabeth D

    2010-12-01

    Problem-based learning, described as an active teaching strategy, provides a framework for the development of self-directed learning, self-evaluation, interpersonal communication, critical thinking, and access and retrieval of information. This teaching method can be modified to fit almost any situation. Problem-based learning provides an opportunity to actively engage staff members in learning situations, making it a great asset for teaching in staff development. This article describes the use of problem-based learning for teaching registered nurses and new graduate nurses. It provides a scenario and facilitator guide pertaining to a real patient situation on an inpatient telemetry unit and offers general tips for implementing problem-based learning in staff education. PMID:21218522

  16. Effect of Staff Turnover on Staffing: A Closer Look at Registered Nurses, Licensed Vocational Nurses, and Certified Nursing Assistants

    ERIC Educational Resources Information Center

    Kash, Bita A.; Castle, Nicholas G.; Naufal, George S.; Hawes, Catherine

    2006-01-01

    Purpose: We examined the effects of facility and market-level characteristics on staffing levels and turnover rates for direct care staff, and we examined the effect of staff turnover on staffing levels. Design and Methods: We analyzed cross-sectional data from 1,014 Texas nursing homes. Data were from the 2002 Texas Nursing Facility Medicaid Cost…

  17. Barriers to and Facilitators of Research Utilization: A Survey of Registered Nurses in China

    PubMed Central

    Wang, Li-Ping; Jiang, Xiao-Lian; Wang, Lei; Wang, Guo-Rong; Bai, Yang-Jing

    2013-01-01

    Aims This survey aims to describe the perception of barriers to and facilitators of research utilization by registered nurses in Sichuan province, China, and to explore the factors influencing the perceptions of the barriers to and facilitators of research utilization. Methods A cross sectional survey design and a double cluster sampling method were adopted. A total of 590 registered nurses from 3 tertiary level hospitals in Sichuan province, China, were recruited in a period from September 2006 to January 2007. A modified BARRUERS Scale and a Facilitators Scale were used. Data were analyzed with descriptive statistics, rank transformation test, and multiple linear regression. Results Barriers related to the setting subscale were more influential than barriers related to other subscales. The lack of authority was ranked as the top greatest barrier (15.7%), followed by the lack of time (13.4%) and language barrier (15.0%). Additional barriers identified were the reluctance of patients to research utilization, the lack of funding, and the lack of legal protection. The top three greatest facilitators were enhancing managerial support (36.9%), advancing education to increase knowledge base (21.1%), and increasing time for reviewing and implementing (17.5%), while cooperation of patients to research utilization, establishing a panel to evaluate researches, and funding were listed as additional facilitators. Hospital, educational background, research experience, and knowledge on evidence-based nursing were the factors influencing perceptions of the barriers and facilitators. Conclusions Nurses in China are facing a number of significant barriers in research utilization. Enhancing managerial support might be the most promising facilitator, given Chinese traditional culture and existing health care system. Hospital, educational background, research experience and knowledge on evidence-based nursing should be taken into account to promote research utilization. The BARRIERS

  18. The Impact of Health System Changes on the Nation's Requirements for Registered Nurses in 1985. Health Manpower References.

    ERIC Educational Resources Information Center

    Doyle, Timothy C.; And Others

    A study was conducted to assess the impact of three anticipated changes in the health care system on the future requirements for registered nurses. The changes investigated were the introduction of national health insurance (NHI), the increased enrollment in health maintenance organizations (HMOs), and the reformulation of nursing roles. Following…

  19. Advancing Your Career: Concepts of Professional Nursing. Second Edition.

    ERIC Educational Resources Information Center

    Kearney, Rose

    This textbook, intended for registered nurses (RN's) returning to school, is designed to provide practicing RN's with professional concepts to advance their careers. The book contains 22 chapters organized in five sections. Each chapter includes chapter objectives, key terms, key points, chapter exercises, references, and a bibliography. Section I…

  20. Non-Work-Related Use of Personal Mobile Phones by Hospital Registered Nurses

    PubMed Central

    2015-01-01

    Background Personal mobile phones and other personal communication devices (smartphones and tablet computers) provide users with an ever-increasing number and diversity of non-work-related activities while at work. In hospitals, where the vigilance of health care workers is essential for patient care, the potential distraction of these devices could be hazardous to patients. Objective The objective of this study was to determine the frequency of non-work-related use of personal mobile phones and other personal communication devices among hospital registered nurses. Methods In March 2014, a previously validated 30-question survey was emailed to the 10,978 members of the Academy of Medical Surgical Nurses. There were 825 respondents who met the inclusion criteria. Results The use of a personal mobile phone or other personal communication device while working (excluding meal times and breaks) was reported by 78.1% (644/825) of respondents. Nurses reported regularly (sometimes, often, or always) sending personal emails and text messages (38.6%, 318/825), reading news (25.7%, 212/825), checking/posting on social networking sites (20.8%, 172/825), shopping (9.6%, 79/825), and playing games (6.5%, 54/825) while working. Conclusions This study found that hospital nurses frequently use their personal mobile phones or other personal communication devices for non-work-related activities at work. The primary activity reported was to send personal emails and text messages to family and friends. PMID:25586982

  1. Making the Grade through the Front Door: Evaluation and Innovation in a Registered Practical Nurse to Bachelor of Science in Nursing Program

    ERIC Educational Resources Information Center

    Coffey, Sue; Lindsay, Gail M.; Cochrane, Marianne; Cummings, Katherine; Macdonald, Karen; Mairs, Sandra; Sproul, Susan; Bouchard, Shelley; Lulat, Zainab; Salamat, Nadia; Bell, Ronald

    2016-01-01

    Background: Education of nurses from a diploma to a degree is a global phenomenon. However, bridging is often seen as a "backdoor" route to becoming a Registered Nurse and very little evaluation data exists to challenge this notion. Objectives: This research project was undertaken to explore student characteristics, academic performance,…

  2. The Effects upon Advanced Placement Licensed Vocational Nursing Students When Integrated with Generic Students in the Second Year of a Registered Nursing Program.

    ERIC Educational Resources Information Center

    Balint, Marilyn

    A study was conducted to evaluate the effect of integrating advanced placement licensed vocational nursing (APLVN) students with generic students in the second year of the registered nursing program at Long Beach City College. It was hypothesized that the academic achievement of the APLVN students who were taught as a separate group for the first…

  3. Experiences of mentoring influences on the personal and professional growth of Hispanic registered nurses.

    PubMed

    Egues, Aida L

    2013-01-01

    The purpose of this qualitative descriptive study was to explore the meaning of the experiences of mentoring influences on the personal and professional growth of Hispanic registered nurses (RNs). Focus group methodology was employed in the New York City metropolitan area with monolingual English or bilingual English/Spanish RNs (N = 20) who perceived themselves to be at all levels of practice. The findings offer a summary of the experiences of mentoring for the 20 Hispanic RNs that includes little advancement support; hesitancy to being mentored; dependency on the self for personal and professional growth; and educational, practice, and socioeconomic barriers. This study suggests that mentoring of Hispanic nurses needs to be reexamined to improve and sustain a culture of mentoring that may enhance the education, recruitment, and retention of Hispanic RNs. PMID:24831071

  4. Stress: perceptions, manifestations, and coping mechanisms of student registered nurse anesthetists.

    PubMed

    Chipas, Anthony; Cordrey, Dan; Floyd, David; Grubbs, Lindsey; Miller, Sarah; Tyre, Brooks

    2012-08-01

    Stress is a response to change from the norm. Stress affects all individuals to varying degrees and can be positive, such as eustress, or negative, such as distress. The purpose of this qualitative, cross-sectional study was to investigate the stressors of the typical student registered nurse anesthetist (SRNA), with the objective of identifying trends in the perceptions, manifestations, and coping mechanisms of stress. An online (SurveyMonkey) questionnaire composed of 54 study-specific questions was developed to assess stress in the SRNA population. The questionnaire was sent to members of the American Association of Nurse Anesthetists via email invitation. The study yielded a sample of 1,282 SRNA participants. Analysis revealed statistically significant relationships between self-reported stress and negative outcomes, such as increased sick days, decreased health and wellness, and depression. The study demonstrated that SRNAs perceive their stress as above average, and it remains a central concern for them. PMID:23248831

  5. Immersion scenarios bridge the education-practice gap for new graduate registered nurses.

    PubMed

    Mowry, Marianne J; Crump, Mark D

    2013-07-01

    An education gap exists for new graduate registered nurses in mental health because of insufficient clinical experience. In an effort to bridge this gap, defined competencies and assessments provided the framework and direction for educational immersion scenarios with standardized patients. Kirkpatrick's (1995) model directed the evaluation of the learning achieved through the immersion scenarios. A qualitative evaluation provided themes of realism, safety, and opportunity. Formative and summative competencies were met effectively and efficiently. This educational method can be used to actively achieve competency and enhance the transition to clinical practice. PMID:23713438

  6. The Hospital Work Environment And Job Satisfaction of Newly Licensed Registered Nurses.

    PubMed

    Unruh, Lynn; Zhang, Ning Jackie

    2014-01-01

    In prior studies, newly licensed registered nurses (NLRNs) described their job as being stressful. Little is known about how the hospital work environment affects their job satisfaction. A random sample of NLRNs were surveyed to assess the influence of hospital work environment on job satisfaction. Perceptions of greater job difficulty, job demands, and patient load were significantly related to lower job satisfaction. In contrast, being White, working 12-hour shifts, working more hours, and having more job control, greater professional tenure, and a perception of a better initial orientation were significantly related to higher job satisfaction. PMID:26267960

  7. An Incentive Pay Plan for Advanced Practice Registered Nurses: Impact On Provider and Organizational Outcomes.

    PubMed

    Rhodes, Catherine A; Bechtle, Mavis; McNett, Molly

    2015-01-01

    Advanced practice registered nurses (APRNs) are integral to the provision of quality, cost-effective health care throughout the continuum of care. To promote job satisfaction and ultimately decrease turnover, an APRN incentive plan based on productivity and quality was formulated. Clinical productivity in the incentive plan was measured by national benchmarks for work relative value units for nonphysician providers. After the first year of implementation, APRNs were paid more for additional productivity and quality and the institution had an increase in patient visits and charges. The incentive plan is a win-win for hospitals that employ APRNs. PMID:26259336

  8. Predictors for Associate Degree Nursing Students' First Attempt on NCLEX-RN

    ERIC Educational Resources Information Center

    Smith, Barbara A.

    2011-01-01

    Nursing program administrators need to identify significant predictors for associate degree nursing (ADN) students to determine characteristics of those who will most likely pass the NCLEX-RN® on the first attempt. The purpose of the quantitative study with a correlation prediction design was to determine if a relationship existed between the…

  9. Barriers to Research Utilization among Registered Nurses in Traditional Chinese Medicine Hospitals: A Cross-Sectional Survey in China

    PubMed Central

    Zhou, Fen; Maier, Manfred; Hao, Yufang; Tang, Ling; Guo, Hong; Liu, Hongxia; Liu, Yu

    2015-01-01

    Background. As there might be relevant differences with regard to research utilization in the general hospitals, we aimed to study research utilization among registered nurses working in traditional Chinese medicine hospitals. Methods. A total of 648 registered nurses from 4 tertiary-level hospitals in China were recruited for participation. A modified BARRIERS Scale and self-designed questionnaires were used for data collection. Data were analyzed with descriptive statistics, t-tests, and one-way ANOVAs and Spearman correlation analysis. Results. Overall, items which belong to the subscale “Research” were identified as the most important barriers. Among the individual items, the lack of time on the job was ranked as the top barrier, followed by the lack of knowledgeable colleagues and by overwhelming research publications. Clinical experience, working pressure, job satisfaction, and research experience could be identified as associated factors for barriers to research utilization. Conclusions. Registered nurses in traditional Chinese medicine hospitals felt high barriers to research utilization. Reducing registered nurses' working pressure, promoting their positive attitude to nursing, and improving research training might be helpful for increasing research utilization. Close cooperation between clinical and nursing schools or academic research centres might facilitate the necessary change in nursing education and routine. PMID:26649060

  10. Barriers to Research Utilization among Registered Nurses in Traditional Chinese Medicine Hospitals: A Cross-Sectional Survey in China.

    PubMed

    Zhou, Fen; Maier, Manfred; Hao, Yufang; Tang, Ling; Guo, Hong; Liu, Hongxia; Liu, Yu

    2015-01-01

    Background. As there might be relevant differences with regard to research utilization in the general hospitals, we aimed to study research utilization among registered nurses working in traditional Chinese medicine hospitals. Methods. A total of 648 registered nurses from 4 tertiary-level hospitals in China were recruited for participation. A modified BARRIERS Scale and self-designed questionnaires were used for data collection. Data were analyzed with descriptive statistics, t-tests, and one-way ANOVAs and Spearman correlation analysis. Results. Overall, items which belong to the subscale "Research" were identified as the most important barriers. Among the individual items, the lack of time on the job was ranked as the top barrier, followed by the lack of knowledgeable colleagues and by overwhelming research publications. Clinical experience, working pressure, job satisfaction, and research experience could be identified as associated factors for barriers to research utilization. Conclusions. Registered nurses in traditional Chinese medicine hospitals felt high barriers to research utilization. Reducing registered nurses' working pressure, promoting their positive attitude to nursing, and improving research training might be helpful for increasing research utilization. Close cooperation between clinical and nursing schools or academic research centres might facilitate the necessary change in nursing education and routine. PMID:26649060

  11. Software-assisted spine registered nurse care coordination and patient triage--one organization's approach.

    PubMed

    Crossley, Leslie; Mueller, Lori; Horstman, Patricia

    2009-08-01

    Back disorders encompass a spectrum of conditions, from those of acute onset and short duration to lifelong disorders. The use of a traditional spine center model of patient flow, in which the patient is scheduled the first available appointment without an initial assessment of spine-related symptoms at West Virginia University Spine Center, Morgantown, West Virginia, resulted in frustration and delays for the spine patient and referring physician dissatisfaction. Today, the use of a software-assisted spine patient triage and registered nurse care coordinator patient navigation system in this multidiscipline, multimodality comprehensive spine program provides quick and efficient patient triage to the appropriate level of spine care (surgeon vs. nonsurgeon). The model consists of five major steps, which are explored in this article: medical history intake; films or studies retrieval; rapid review of the patient's medical condition and diagnostics by a spine specialist preappointment and subsequent triage to the appropriate level of spine care; registered nurse care coordinator patient education and guided navigation through the patient's preferred treatment plan; and last, diagnostic study, pain injection, and provider scheduling. Patient satisfaction scores, referring physician satisfaction scores, and resultant impact on referral volumes, ancillary utilization, workload productivity, and surgical yield demonstrate that this new approach to patient triage has made significant improvements in efficiency, productivity, and service. PMID:19678508

  12. Positioning advanced practice registered nurses for health care reform: consensus on APRN regulation.

    PubMed

    Stanley, Joan M; Werner, Kathryn E; Apple, Kathy

    2009-01-01

    Advanced practice registered nurses (APRNs) have positioned themselves to serve an integral role in national health care reform. This article addresses both the policy and the process to develop this policy that has placed them in a strategic position. A successful transformation of the nation's health system will require utilization of all clinicians, particularly primary care providers, to the full extent of their education and scope of practice. APRNs are highly qualified clinicians who provide cost-effective, accessible, patient-centered care and have the education to provide the range of services at the heart of the reform movement, including care coordination, chronic care management, and wellness and preventive care. The APRN community faces many challenges amidst the opportunities of health reform. However, the APRN community's triumph in reaching consensus on APRN regulation signifies a cohesive approach to overcoming the obstacles. The consensus model for APRN regulation, endorsed by 44 national nursing organizations, will serve as a beacon for nursing, as well as a guidepost for consumers and policymakers, on titling, education, certification, accreditation, and licensing for all four APRN roles. PMID:19942200

  13. Pediatric Sedation: Using Secondary Data to Describe Registered Nurse Practice in Radiology

    PubMed Central

    Crego, Nancy

    2014-01-01

    Children, often require sedation for procedures due to their developmental level and difficulty complying with positioning. There are few studies that describe nurse sedation practices or adverse events. Studies of pediatric sedation care have small sample sizes that are inadequate to detect adverse events. This study reports practices and outcomes of sedation delivered to children from infancy up to 14 years of age, that were monitored only by registered nurses (RNs) during diagnostic radiology procedures drawn from a sample of 12,584 cases from the Pediatric Sedation Research Consortium (PSRC) database. There were 727 adverse events (5.78%). However, no deaths, cardiac arrests, intubations or aspirations were reported in this sample. The most common adverse event was inadequate sedation/agitation/delirium 196 (155.8/10,000) and desaturation below baseline for greater than 30 seconds 173 (138/10,000). Further research comparing sedation practices and outcomes by type of providers, including nurses, are necessary to improve practice. PMID:25530734

  14. The role of the registered nurse in the marketing of primary healthcare services, as part of health promotion.

    PubMed

    Rall, M; Meyer, S M

    2006-03-01

    Existing literature on the marketing of primary healthcare services was reviewed to determine the role of registered nurses in this regard. The systematic review included five searches and ensured wide coverage of the results of available primary research studies on the topic. The results were summarised and the role of registered nurses in the marketing of primary healthcare services was identified. Primary research sources on the topic included textbooks on marketing by experts in the field and relevant journal articles by authorities on healthcare marketing. The data were analysed and four main categories identified. To ensure the trustworthiness of the research, Lincoln and Guba's (1981: 215-216) criteria, as explained by Krefting (1991: 217), were applied. Because the population consisted of only literature, ethical considerations concerning human subjects were irrelevant. Results indicated that the basic commercial marketing principles (the so-called 4Ps--product, price, place, and promotion) could be adapted for the health sector. The conclusion was that registered nurses could contribute to the marketing of primary healthcare services by communicating with the community (promotion) and by ensuring effective service (product) delivery at the right price and place. Registered nurses could influence the community's perceptions of health care and facilitate behaviour changes, thereby promote health. The implementation of the findings and recommendations of this research could create a new awareness among registered nurses of their role in the marketing of primary healthcare services in South Africa and improve their skills in this regard. PMID:16817488

  15. Predictors of Successful Nursing Education Outcomes: A Study of the North Carolina Central University's Nursing Program

    ERIC Educational Resources Information Center

    Ukpabi, Chinasa Victor

    2008-01-01

    The primary purpose of this study was to specify the variables that would play the greatest role in predicting success of North Carolina Central University (NCCU) nursing graduates in the National Certification Licensure Examination for Registered Nurses (NCLEX-RN). Participants for this study include a convenience sample of 39 students who…

  16. Young registered nurses' intention to leave the profession and professional turnover in early career: a qualitative case study.

    PubMed

    Flinkman, Mervi; Isopahkala-Bouret, Ulpukka; Salanterä, Sanna

    2013-01-01

    In a time of global nursing shortages an alarming number of young registered nurses have expressed a willingness to leave the profession. In this qualitative case study we investigate in depth why young nurses leave nursing profession and reeducate themselves for a new career. The study is based on longitudinal interviews of three young registered nurses in Finland. These nurses were first interviewed between December 2006 and May 2007, when they were 29-32 years old and having an intention to leave the profession. The second interview took place four years later, from January 2011 to March 2011 when all of them had made the transition to a new career. Data were analyzed in two stages. In the first stage, comprehensive career story narratives were formed on the basis of the interviews. In the second stage, emerging themes in these stories were compared, contrasted, and interpreted in the context of the overall career histories. Nursing as a second career choice and demanding work content as well as poor practice environment and the inability to identify with the stereotypical images of nurses were main themes that emerged from these career stories. The results of this interpretative qualitative study reflect a shift toward insights into understanding professional turnover as a complex and long-lasting process. PMID:24027640

  17. Young Registered Nurses' Intention to Leave the Profession and Professional Turnover in Early Career: A Qualitative Case Study

    PubMed Central

    Salanterä, Sanna

    2013-01-01

    In a time of global nursing shortages an alarming number of young registered nurses have expressed a willingness to leave the profession. In this qualitative case study we investigate in depth why young nurses leave nursing profession and reeducate themselves for a new career. The study is based on longitudinal interviews of three young registered nurses in Finland. These nurses were first interviewed between December 2006 and May 2007, when they were 29–32 years old and having an intention to leave the profession. The second interview took place four years later, from January 2011 to March 2011 when all of them had made the transition to a new career. Data were analyzed in two stages. In the first stage, comprehensive career story narratives were formed on the basis of the interviews. In the second stage, emerging themes in these stories were compared, contrasted, and interpreted in the context of the overall career histories. Nursing as a second career choice and demanding work content as well as poor practice environment and the inability to identify with the stereotypical images of nurses were main themes that emerged from these career stories. The results of this interpretative qualitative study reflect a shift toward insights into understanding professional turnover as a complex and long-lasting process. PMID:24027640

  18. Preadmission Academic Achievement Criteria as Predictors of Nursing Program Completion and NCLEX-RN Success

    ERIC Educational Resources Information Center

    Rogers, Tanya L.

    2009-01-01

    Admission policies and practices in higher education, including those in nursing programs, are diverse; yet administrators have traditionally relied upon preadmission academic achievement for selection of qualified students. Higher education administrators have the responsibility to serve the institution and all of its constituents, ensuring that…

  19. Nursing Education Follow-Up Study--1982 R.N.'s.

    ERIC Educational Resources Information Center

    Scott, David C.

    In 1982, a follow-up study of nursing graduates of the Bakersfield College Registered Nursing (RN) program was conducted to obtain information that would lead to improvement in program quality and to a better match between supply and demand in the local nursing labor market. In addition, the study compared results with similar studies conducted…

  20. Opioid therapy for chronic low back pain: prescribing considerations for advanced practice registered nurses.

    PubMed

    Lall, Maureen Patricia

    2014-12-01

    Chronic low back pain is a common, disabling, and costly condition, and advanced practice registered nurses (APRNs) must carefully evaluate patients before considering long-term opioid therapy as a management strategy. APRNs should refer patients suspected of having a serious condition, or identifiable etiology, for specialist evaluation, as many patients improve with physical therapy, interventional pain management procedures, or surgical intervention. For patients unresponsive to nonopioid treatment, APRNs with an understanding of opioids, and the experience to assess and manage the risks of opioid misuse, abuse, and diversion, may consider long-term opioid therapy as part of a multimodal management plan. Such prescribing necessitates careful patient selection; informed consent; prudent opioid dosing and titration; and monitoring for response to treatment, adverse effects, and aberrant drug-taking behavior. Treatment and regulatory guidelines can assist APRNs in providing safe and effective care to patients with chronic low back pain. PMID:25365050

  1. Registered Nurses' Knowledge about Adverse Effects of Analgesics when Treating Postoperative Pain in Patients with Dementia.

    PubMed

    Rantala, Maija; Hartikainen, Sirpa; Kvist, Tarja; Kankkunen, Päivi

    2015-08-01

    Registered nurses (RNs) play a pivotal role in treating pain and preventing and recognizing the adverse effects (AEs) of analgesics in patients with dementia. The purpose of this study was to determine RNs' knowledge of potentially clinically relevant AEs of analgesics. A descriptive, cross-sectional study design was used. In all, 267 RNs treating orthopedic patients, including patients with dementia, in 7 university hospitals and 10 central hospitals in Finland, completed a questionnaire. Analgesics were defined according to the Anatomic Therapeutic Classification as strong opioids, weak opioids, nonsteroidal anti-inflammatory analgesics (NSAIDs), and paracetamol. Definitions of AEs were based on the literature. Logistic regression analysis was applied to analyze which variables predicted nurses' knowledge. The RNs had a clear understanding of the AEs of paracetamol and strong opioids. However, the AEs of NSAIDs, especially renal and cardiovascular AEs, were less well known. The median percentage of correct answers was 87% when asked about strong opioids, 73% for weak opioids, and 60% for NSAIDs. Younger RNs had better knowledge of opioid-related AEs (odds ratio [OR] per 1-year increase, 0.97; 95% confidence interval [CI], 0.94-1.00) and weak opioids (OR, 0.96; 95% CI, 0.93-0.99). This study provides evidence of a deficiency in RNs' knowledge, especially regarding the adverse renal and cardiovascular effects of NSAIDs. Such lack of knowledge indicates that hospitals may need to update the knowledge of older RNs, especially those who treat vulnerable patients with dementia. PMID:26047589

  2. Training rotations at hospitals as a recruitment tool for Certified Registered Nurse Anesthetists.

    PubMed

    Wachtel, Ruth E; Dexter, Franklin

    2012-08-01

    Recruiting newly graduating Certified Registered Nurse Anesthetists (CRNAs) is expensive. Recruitment into rural areas is especially challenging. We analyzed the first jobs of all 95 graduates of the University of Iowa's CRNA training program, from the initial graduating class of 1997 through the class of 2009. We compared the location of the student's first job to where the student lived at the time of application to the program. Hospitals enhanced recruitment of CRNAs by having student rotations (P = .001). Most students who joined a practice offering an outside rotation were not from the county or contiguous counties of the hospital they joined (P < .001). In years that hospitals with rotations hired more than the median number of students, significantly more students had rotated through the hospital (P = .02). Offering a CRNA training program did not facilitate the university's retention of nurses already living in its county or contiguous counties (P = 0.58). Consequently, rural hospitals can view sponsoring rotations as a recruitment tool for graduating CRNAs. The university sponsoring the training program did not retain an advantage, however, in hiring its own graduates. Because this case study provided valuable insights, other programs should consider performing similar analyses. PMID:23248830

  3. Integrating interprofessional collaboration skills into the advanced practice registered nurse socialization process.

    PubMed

    Farrell, Kathleen; Payne, Camille; Heye, Mary

    2015-01-01

    The emergence of interprofessional collaboration and practice as a means to provide patient-centered care and to decrease the current fragmentation of health care services in the 21st century provides a clear and unique opportunity for the advanced practice registered nurse (APRN) to assume a key role. For APRNs and other health care providers, to participate effectively as team members requires an interprofessional mindset. Development of interprofessional skills and knowledge for the APRN has been hindered by a silo approach to APRN role socialization. The Institute of Medicine Report (IOM; 2010) states that current health care systems should focus on team collaboration to deliver accessible, high-quality, patient-centered health care that addresses wellness and prevention of illness and adverse events, management of chronic illness, and increased capacity of all providers on the team. The purpose of this article is to demonstrate the need to incorporate interprofessional education (IPE) into the socialization models used in advanced practice nursing programs. IPE requires moving beyond profession-specific educational efforts to engage students of different health care professions in interactive learning. Being able to work effectively as member of a clinical team while a student is a fundamental part of that learning (Interprofessional Education Collaborative Expert Panel, 2011). The objective of IPE curriculum models in graduate nursing programs is to educate APRNs in the development of an interprofessional mindset. Interprofessional collaboration and coordination are needed to achieve seamless transitions for patients between providers, specialties, and health care settings (IOM, 2010). Achieving the vision requires the continuous development of interprofessional competencies by APRNs as part of the learning process, so that upon entering the workforce, APRNs are ready to practice effective teamwork and team-based care. Socialization of the professional APRN

  4. Interview with Julie Viveros, RN, Director of Nursing, Charlotte Rescue Mission, Rebound men's program. Interview by Joan Kub.

    PubMed

    Viveros, Julie; Kub, Joan

    2014-01-01

    The Charlotte Rescue Mission is a 90-day residential program that serves approximately 530 men and 365 women experiencing the disease of addiction annually. It has a long rich history and has been serving the Charlotte community for over 75 years for men and almost 25 years for women. "The men's program provides a five-fold, client-centered treatment approach addressing spiritual, mental, physical, social, and vocational needs to battle addiction. The objective is to help individuals fighting addiction and homelessness to accomplish spiritual, mental, physical, social, and vocational goals and be free of addiction." "Dove's Nest, Charlotte Rescue Mission's women's recovery program, opened its doors in 1992. The program provides a structured, yet loving and stable living environment, with a dedicated staff aimed at helping women understand and deal with the core issues of addiction as a disease". (Web site: http:// charlotterescuemission.org/). I had the privilege of interviewing Julie Viveros, RN, the Director of Nursing for the Rebound men's program, about her unique role at the Rescue Mission. PMID:25514693

  5. Examination of the Perceptions of Registered Nurses Regarding the Use of Healing Touch in the Acute Care Setting.

    PubMed

    Anderson, Joel G; Ann Friesen, Mary; Fabian, Jennifer; Swengros, Diane; Herbst, Anna; Mangione, Lucrezia

    2016-06-01

    Given the current transformation of traditional health care to provide more integrative and complementary modalities, health systems are implementing new programs and services to meet consumer and provider needs. One such integrative modality, Healing Touch, with a foundation in holistic nursing, is a gentle therapy that uses touch to promote health and well-being by balancing the human energy system. This article describes the perceptions of registered nurses regarding the implementation of a Healing Touch training program at a multihospital health system. Five themes were identified: benefit to the patient, benefit to the nurse, holism beyond task orientation, integrating Healing Touch into acute care, and barriers and challenges. Nurses recognize the importance of creating caring-healing relationships and a holistic approach to care. Training in Healing Touch provides one avenue for nurses and health care providers to provide compassionate care. PMID:26130464

  6. 42 CFR 410.69 - Services of a certified registered nurse anesthetist or an anesthesiologist's assistant: Basic...

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ...) Basic rule. Medicare Part B pays for anesthesia services and related care furnished by a certified...— Anesthesia and related care means those services that a certified registered nurse anesthetist is legally... approximately two years of specialized basic science and clinical education in anesthesia at a level that...

  7. 42 CFR 410.69 - Services of a certified registered nurse anesthetist or an anesthesiologist's assistant: Basic...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ...) Basic rule. Medicare Part B pays for anesthesia services and related care furnished by a certified...— Anesthesia and related care means those services that a certified registered nurse anesthetist is legally... approximately two years of specialized basic science and clinical education in anesthesia at a level that...

  8. Unlicensed Assistive Personnel: A Solution to Dwindling Health Care Resources or the Precursor to the Apocalypse of Registered Nursing?

    ERIC Educational Resources Information Center

    Huston, Carol L.

    1996-01-01

    Discusses the increased use of unlicensed assistive personnel (UAP) in direct patient care delivery as a result of rising health care costs. Looks at advantages and disadvantages of having registered nurses supervise UAP and suggests that the model is not necessarily cost-effective. (JOW)

  9. The Designing and Development of a Program to Prepare Inactive Registered Nurses for Reentry into Practice. Curriculum Development.

    ERIC Educational Resources Information Center

    Belock, Shirley

    The planning and design of a course for the inactive registered nurse desiring to return to active practice is reported in this practicum paper. Current literature was reviewed with emphasis on the needs in rural states, such as Vermont, and characteristics of the target group. The first three modules of the course were developed, entitled: The…

  10. The Nursing Shortage and the Role of Community Colleges in Nurse Education. Executive Summary. AACC Research Brief.

    ERIC Educational Resources Information Center

    Viterito, Arthur; Teich, Carolyn

    This is a report by the American Association of Community Colleges (AACC) on a the shortage of registered nurses (RN) in the United States and the role of community colleges in nurse education. Reasons for the shortage include: (1) inadequate wages; (2) heavy workloads; (3) undesirable work schedules; (4) increased administrative duties; (5) low…

  11. Nurses’ Perceptions of Critical Issues Requiring Consideration in the Development of Guidelines for Professional Registered Nurse Staffing for Perinatal Units

    PubMed Central

    Simpson, Kathleen Rice; Lyndon, Audrey; Wilson, Jane; Ruhl, Catherine

    2012-01-01

    Objective To solicit input from registered nurse members of the Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) on critical considerations for review and revision of existing nurse staffing guidelines. Design Thematic analysis of responses to a cross-sectional on-line survey question: “Please give the staffing task force your input on what they should consider in the development of recommendations for staffing of perinatal units.” Participants N = 884 AWHONN members. Main Outcome Measure Descriptions of staffing concerns that should be considered when evaluating and revising existing perinatal nurse staffing guidelines. Results Consistent themes identified included the need for revision of nurse staffing guidelines due to requirements for safe care, increases in patient acuity and complexity, invisibility of the fetus and newborn as separate and distinct patients, difficulties in providing comprehensive care during labor and for mother-baby couplets under current conditions, challenges in staffing small volume units, and the negative effect of inadequate staffing on nurse satisfaction and retention. Conclusion Participants overwhelmingly indicated current nurse staffing guidelines were inadequate to meet the needs of contemporary perinatal clinical practice and required revision based on significant changes that had occurred since 1983 when the original staffing guidelines were published. PMID:22690743

  12. AACJC/Metropolitan Life Foundation Registered Nurse Shortage Project: Status Report.

    ERIC Educational Resources Information Center

    McKenney, James F.

    The American Association of Community and Junior Colleges's Nurse Shortage Project was designed to alleviate the nurse shortage by helping community colleges improve recruitment, retention, and graduation in nursing programs through direct mini-grants, with a special emphasis on Tech Prep/Associate Degree initiatives between secondary schools and…

  13. Factors That Impact Registered Nurses' Decisions to Continue Providing Care to Older Adults

    ERIC Educational Resources Information Center

    Bosfield, Saundra

    2013-01-01

    The purpose of this study was to investigate if there is a significant difference in the following: (a) nurses' likelihood to remain in geriatrics between age groups (those over 40 years of age and those under 40 years of age); (b) nurses' likelihood to remain in geriatrics and personality traits; (c) nurses' likelihood to remain in geriatrics…

  14. Transformation of Care: Integrating the Registered Nurse Care Coordinator into the Patient-Centered Medical Home.

    PubMed

    Biernacki, Pamela J; Champagne, Mary T; Peng, Shane; Maizel, David R; Turner, Barbara S

    2015-10-01

    The purpose of this quality improvement project was to implement and evaluate a care delivery model integrating the registered nurse care coordinator (RNCC) into a family practice that is certified as a patient-centered medical home (PCMH) by the National Committee for Quality Assurance. The initial target population was the 937 patients with diabetes in the family practice. A pre-post design was used to assess changes in patients' diabetic quality indicators after integrating the role of RNCC using existing staff. This 6-month project compared the following diabetic quality indicators: blood pressure < 140/90 mm Hg, hemoglobin A1c ≤ 7, low-density lipoprotein cholesterol < 100 mg/dL, documentation of smoking cessation counseling, and aspirin prescription if existing vascular disease. Yearly documentation of microalbuminurea level, and filament foot and retinal examination was assessed. Patient and health care team satisfaction also was measured. Care coordination interventions included: telehealth, group visits, standardized individual patient education, as well as creative uses of the electronic medical record for workflow changes, daily huddles, and monthly meetings. The results were positive, statistically significant differences in the pre and post scores for A1c (P = .001, n = 790), foot exam (P = .001, n = 850), and microalbumin (P = .01, n = 850). Post intervention, patient and health care team satisfaction with the RNCC role was high (mean scores ≥3 on a 5-point Likert scale). Integrating the RNCC within a multidisciplinary team in the PCMH had a significant positive impact on diabetic quality indicators. Patient and health care team satisfaction with the RNCC role was high. PMID:25632926

  15. Standard instruction versus simulation: Educating registered nurses in the early recognition of patient deterioration in paediatric critical care.

    PubMed

    O'Leary, Jessica; Nash, Robyn; Lewis, Peter

    2016-01-01

    Identifying and stabilising deterioration in a child with significant clinical compromise is both a challenging and necessary role of the paediatric critical care nurse. Within adult critical care research, high fidelity patient simulation (HFPS) has been shown to positively impact learner outcomes regarding identification and management of a deteriorating patient; however, there is a paucity of evidence examining the use of HFPS in paediatric nursing education. The aim of this study was to investigate the effect of HFPS on nurses' self-efficacy and knowledge for recognising and managing paediatric deterioration. Further, participants' perceptions of the learning experiences specific to the identification and management of a deteriorating child were also explored. Registered nurses working in a tertiary-referral paediatric critical care unit were recruited for this quasi-experimental study. Using a pre-test/post-test control-group design, participants were assigned to one of two learning experiences: HFPS or standard instruction. Following the learning experience, nurses were also invited to participate in semi-structured interviews. 30 nurses participated in the study (control n=15, experiment n=15). Participants in the HFPS intervention were most likely to demonstrate an increase in both perceived self-efficacy (p=<0.01) and knowledge (p=<0.01). No statistically significant change was observed in control group scores. The mean difference in self-efficacy gain score between the two groups was 5.67 score units higher for the experiment group compared to the control. HFPS also yielded higher follow-up knowledge scores (p=0.01) compared to standard instruction. Ten nurses participated in semi-structured interviews. Thematic analysis of the interview data identified four themes: self-awareness, hands-on learning, teamwork, and maximising learning. The results of this study suggest that HFPS can positively influence nurses' self-efficacy and knowledge test scores

  16. Effect of a Nontechnical Skills Intervention on First-Year Student Registered Nurse Anesthetists' Skills During Crisis Simulation.

    PubMed

    Wunder, Linda L

    2016-02-01

    Simulation-based education provides a safe place for student registered nurse anesthetists to practice non-technical skills before entering the clinical arena. An anesthetist's lack of nontechnical skills contributes to adverse patient outcomes. The purpose of this study was to determine whether an educational intervention on nontechnical skills could improve the performance of nontechnical skills during anesthesia crisis simulation with a group of first-year student registered nurse anesthetists. Thirty-two first-year students volunteered for this quasi-experimental study. Each subject was videotaped and rated as he or she performed 6 simulated crisis scenarios: 3 scenarios before the intervention and 3 after the intervention. Findings revealed that the nontechnical skills mean posttest score was greater than pretest scores: t (df = 31) = 1.99, P = .028. The mean gain in scores for standardized nontechnical skills were significantly greater than those for standardized technical skills: t (df = 30) = 1.81, P = .04. In conclusion, a 3-hour educational intervention on nontechnical skills resulted in significant improvement. Nontechnical skills therefore are not acquired through experience, but rather through instruction. An educational intervention using the Anaesthetists' Non-Technical Skills system is a valuable tool in the measurement of nontechnical skills assessment of first-year student registered nurse anesthetists. PMID:26939388

  17. Spirit at Work (SAW): fostering a healthy RN workplace.

    PubMed

    Wagner, Joan I J; Gregory, David M

    2015-02-01

    A cross-sectional mixed-method survey explored and measured relationships between spirit at work (SAW) concepts, experience, education, practice context, job satisfaction, and organizational commitment using LISREL 8.80 and 2012 survey data from a random sample of 217 surgical and 158 home care registered nurses (RNs) in western Canada. Qualitative data underwent content analysis using a priori coding categories based on established theory. Final model indices fit the observed data. SAW concepts of engaging work and mystical experience accounted for moderate to large amounts of model variance for both home care and surgical nurses, while significant positive relationships between SAW concepts, job satisfaction, and organizational commitment were also reported. Researchers concluded that SAW contributes to improved job satisfaction and organizational commitment while being sensitive to RN experiences across clinical contexts. As an holistic measure of RN workplace perceptions, SAW contributes essential information directed at creating optimal environments for both health care providers and recipients. PMID:24510970

  18. UNDERGRADUATE NURSING EDUCATION TO ADDRESS PATIENTS’ CONCERNS ABOUT SEXUAL HEALTH: THE PERCEIVED LEARNING NEEDS OF SENIOR TRADITIONAL FOUR-YEAR AND TWO-YEAR RECURRENT EDUCATION (RN-BSN) UNDERGRADUATE NURSING STUDENTS IN TAIWAN

    PubMed Central

    TSAI, LI-YA; HUANG, CHENG-YI; SHIH, FEN-FEN; LI, CHI-RONG; LAI, TE-JEN

    2014-01-01

    ABSTRACT The aims of this study were to identify learning needs among traditional four-year and two-year recurrent education (RN-BSN) undergraduate nursing students in Taiwan with regard to patients’ concerns about sexual health. A 24-item instrument (Learning Needs for Addressing Patients’ Sexual Health Concerns) was used to collect data. Compared to RN-BSN undergraduate nursing students, traditional four-year undergraduate nursing students had more learning needs in the aspects of sexuality in health and illness (2.19 ± 0.66 vs. 1.80 ± 0.89, P = 0.005) and approaches to sexual health care (2.03 ± 0.72 vs. 1.76 ± 0.86, P = 0.033). After adjustment for other variables by the backward selection approach, those with experience in assessing patient’s sexual functioning had fewer learning needs in sexuality in health and illness (β = –0.375, P = 0.001), communication about patient’s intimate relationships (β = –0.242, P = 0.031), and approaches to sexual health care (β = –0.288, P = 0.013); those who agreed that sexual health care was a nursing role also expressed greater needs to learn about these 3 aspects (all P < 0.01). Content related to sexuality in health and illness and approaches to sexual health care should be strengthened in the traditional undergraduate nursing curriculum in order to support sexual health related competence, build a positive attitude regarding sexual health care as a nursing role, and strengthen the experience of assessing patient’s sexual functioning. A different, simplified program may be more suitable for those with clinical experience. PMID:25741036

  19. The Relationship between Curriculum Change and Student Outcomes in a Registered Nursing Program

    ERIC Educational Resources Information Center

    King, Jim

    2013-01-01

    Nursing schools face the challenge of improving student academic performance and completion rates. The current supply of newly graduated nurses fails to meet the increasing demands of society. In 2009, Cochise College responded by implementing a major change in their curriculum to improve student retention and academic performance. The problem…

  20. Perceptions of Writing Confidence, Critical Thinking, and Writing Competence among Registered Nurse-Learners Studying Online

    ERIC Educational Resources Information Center

    Carter, Lorraine

    2008-01-01

    Historically, nursing education has recognized that writing enhances critical thinking, the basis of the clinical reasoning process. The online learning recently adopted by Nursing involves considerable writing, which may enhance critical thinking more than face-to-face courses. In the study reported here, the critical thinking and writing…

  1. The prevalence of horizontal violence in New York State registered nurses.

    PubMed

    Sellers, Kathleen; Millenbach, Linda; Kovach, Nancy; Yingling, Jennifer Klimek

    The purpose of this descriptive study was to examine the knowledge of nursing administrators about horizontal violence (HV) among New York Organization of Nurse Executive members and to ascertain if they used evidence-based leadership in their roles. In this paper the authors describe the research conducted and examine evidence-based leadership with regard to HV The authors discuss what HV is, the theories that explain HV, and the impact of HV on the nurse, the nursing profession, and patient care. Research findings were consistent with the theoretical literature, which suggests that HV is so ingrained in nursing's organizational culture that it is not recognized. Until a phenomenon is recognized and named little can be done to alter it. PMID:20415270

  2. Baccalaureate Courses for Nurses Online and on Campus: A Comparison of Learning Outcomes

    ERIC Educational Resources Information Center

    Kummerow, Andreas; Miller, Marcia; Reed, Rhonda

    2012-01-01

    A comparison of student learning outcomes between distance education and campus-based nursing students in a mental health course working toward registered nurse (RN) licensure in a baccalaureate (BS) degree program is presented. Learning outcomes were evaluated using results from a commercially developed content mastery test taken by students who…

  3. Barriers in implementing research findings in cancer care: the Greek registered nurses perceptions.

    PubMed

    Patiraki, Elisabeth; Karlou, Chrysoula; Papadopoulou, Despina; Spyridou, Ageliki; Kouloukoura, Chrysoula; Bare, Elpida; Merkouris, Anastasios

    2004-09-01

    This study explored Greek nurses' perceptions of the barriers to research utilization faced in every day practice. The barriers between nurses working in cancer and general hospitals, as well as between those employed at central and provincial hospitals were compared. The study used a cross-sectional design and data were collected using the "Barriers Scale" (Funk et al., 1991a, Applied Nursing Research, 4, 39-45). A convenience sample of 301 nurses was randomly selected from 12 hospitals in Greece. The two key barriers identified were related to the 'availability of research findings'. English language was perceived to range between moderate and major barrier for the vast majority of participants (n = 231, 78%). Nurses surveyed indicated the presentation of research findings as the greatest barrier while the characteristics of nurses themselves were perceived as the least important one. No significant differences were found between types of hospitals (cancer/general) and geographical areas (central/provincial). Some differences, however, were observed in relation to specific items of the scale such as feeling isolated from 'research-knowledgeable' colleagues and having insufficient time to implement new ideas. The observations reported here appear to agree with the findings in mainstream literature. The results suggest that more emphasis should be given in research methodology, statistics and critical appraisal skills at all levels of nursing education, and that efforts should be made towards increasing research availability and creating supportive environments for implementation of research findings. PMID:15304232

  4. Associations between Stroke Mortality and Weekend Working by Stroke Specialist Physicians and Registered Nurses: Prospective Multicentre Cohort Study

    PubMed Central

    Bray, Benjamin D.; Ayis, Salma; Campbell, James; Cloud, Geoffrey C.; James, Martin; Hoffman, Alex; Tyrrell, Pippa J.; Wolfe, Charles D. A.; Rudd, Anthony G.

    2014-01-01

    Background Observational studies have reported higher mortality for patients admitted on weekends. It is not known whether this “weekend effect” is modified by clinical staffing levels on weekends. We aimed to test the hypotheses that rounds by stroke specialist physicians 7 d per week and the ratio of registered nurses to beds on weekends are associated with mortality after stroke. Methods and Findings We conducted a prospective cohort study of 103 stroke units (SUs) in England. Data of 56,666 patients with stroke admitted between 1 June 2011 and 1 December 2012 were extracted from a national register of stroke care in England. SU characteristics and staffing levels were derived from cross-sectional survey. Cox proportional hazards models were used to estimate hazard ratios (HRs) of 30-d post-admission mortality, adjusting for case mix, organisational, staffing, and care quality variables. After adjusting for confounders, there was no significant difference in mortality risk for patients admitted to a stroke service with stroke specialist physician rounds fewer than 7 d per week (adjusted HR [aHR] 1.04, 95% CI 0.91–1.18) compared to patients admitted to a service with rounds 7 d per week. There was a dose–response relationship between weekend nurse/bed ratios and mortality risk, with the highest risk of death observed in stroke services with the lowest nurse/bed ratios. In multivariable analysis, patients admitted on a weekend to a SU with 1.5 nurses/ten beds had an estimated adjusted 30-d mortality risk of 15.2% (aHR 1.18, 95% CI 1.07–1.29) compared to 11.2% for patients admitted to a unit with 3.0 nurses/ten beds (aHR 0.85, 95% CI 0.77–0.93), equivalent to one excess death per 25 admissions. The main limitation is the risk of confounding from unmeasured characteristics of stroke services. Conclusions Mortality outcomes after stroke are associated with the intensity of weekend staffing by registered nurses but not 7-d/wk ward rounds by stroke

  5. The Effect of Hardiness Education on Hardiness and Burnout on Registered Nurses.

    PubMed

    Henderson, Jaye

    2015-01-01

    Nurse leaders need to be aware of the costly implications of staff retention, unit finances, and patient satisfaction caused by unmanaged stress and burnout as well as staff disengagement. It is vital to the organizational behavior of the health care facility for nurse managers to promote, educate, and screen for hardiness in their staff. Hardiness education can lessen the effects of stress and burnout. Nurse managers and executives can give their staff valuable tools and resources to enhance hardiness and coping abilities through hardiness education. PMID:26477118

  6. The labor supply of registered nurses in Finland: the effect of wages and working conditions.

    PubMed

    Kankaanranta, T; Rissanen, P

    2009-05-01

    Many countries report, to varying degrees, of suffering from a shortage of nurses. We examined both pecuniary and non-pecuniary factors that may be associated with nurses' labor supply. We approximated a classical labor supply model and calculated the wage elasticities of hours of work and participation. Even though the wage elasticity was quite small, the effect on the hours supplied was significant. However, wages alone may not sufficiently increase the labor supply from the current stock of nurses; other elements, such as contractual conditions, seem to play an important role as well. PMID:18615259

  7. A Core Course on Veterans' Health in an Online RN to BSN Program: Preparing Nurses to Work with Veterans

    ERIC Educational Resources Information Center

    Keavney, Elaine C.

    2015-01-01

    The Joining Forces Initiative challenges nursing programs throughout the country to develop curriculum that addresses the unique healthcare issues facing veterans. It is imperative that Bachelor of Science in Nursing (BSN) students acquire the knowledge that will help them to care for veterans in all areas of nursing practice. This article…

  8. Impact of residency programs on professional socialization of newly licensed registered nurses.

    PubMed

    Kramer, Marlene; Maguire, Patrica; Halfer, Diana; Brewer, Barbara; Schmalenberg, Claudia

    2013-04-01

    Do Nurse Residency Programs (NRPs) reflect the professional socialization process? Residency facilitators in 34 Magnet hospitals completed Residency Program Questionnaires constructed to reflect the goals, themes, components, and strategies of the professional socialization process described in the literature. NRPs in 4 hospitals exemplified the complete two-stage (role transition and role/community integration) process. In 14 hospitals, NRPs were of sufficient length and contained components that reflected the professional socialization process. In 16 hospitals, NRPs exemplified the "becoming" role transition stage. What components are most effective in the professional socialization of new graduate nurses? A total of 907 new and experienced nurses, nurse managers, and educators working on clinical units with confirmed healthy work environments in 20 Magnet hospitals with additional "excellence designations" were interviewed. Components identified as most instrumental were precepted experience, reflective seminars, skill acquisition, reflective practice sessions, evidence-based management projects, and clinical coaching-mentoring sessions. Suggestions for improvement of NRPs are offered. PMID:21816962

  9. 20 CFR 655.1116 - Element VI-What notification must facilities provide to registered nurses?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... notices and Occupational Safety and Health Act occupational safety and health notices. In the alternative..., such as a nursing contractor. (e) Where RNs lack practical computer access, a hard copy must be...

  10. Comparison of Online and Traditional Basic Life Support Renewal Training Methods for Registered Professional Nurses.

    PubMed

    Serwetnyk, Tara M; Filmore, Kristi; VonBacho, Stephanie; Cole, Robert; Miterko, Cindy; Smith, Caitlin; Smith, Charlene M

    2015-01-01

    Basic Life Support certification for nursing staff is achieved through various training methods. This study compared three American Heart Association training methods for nurses seeking Basic Life Support renewal: a traditional classroom approach and two online options. Findings indicate that online methods for Basic Life Support renewal deliver cost and time savings, while maintaining positive learning outcomes, satisfaction, and confidence level of participants. PMID:26580468

  11. A survey of threats and violent behaviour by patients against registered nurses in their first year of practice.

    PubMed

    McKenna, Brian G; Poole, Suzette J; Smith, Naumai A; Coverdale, John H; Gale, Chris K

    2003-03-01

    The purpose of the present study was to determine the prevalence of aggressive behaviours by patients against nurses in the first year of practice, and to determine the psychological impact of this behaviour. An anonymous survey was sent to registered nurses in their first year of practice. From the 1169 survey instruments that were distributed, 551 were returned completed (a response rate of 47%). The most common inappropriate behaviour by patients involved verbal threats (n = 192, 35%), verbal sexual harassment (n = 167, 30%) and physical intimidation (n = 161, 29%). There were 22 incidents of assault requiring medical intervention and 21 incidents of participants being stalked by patients. Male graduates and younger nurses were especially vulnerable. Mental health was the service area most at risk. A most distressing incident was described by 123 (22%) of respondents. The level of distress caused by the incident was rated by 68 of the 123 respondents (55%) as moderate or severe. Only half of those who described a most distressing event indicated they had some undergraduate training in protecting against assault or in managing potentially violent incidents (n = 63 of 123; 51%). After registration, 45 (37%) indicated they had had such training. The findings of this study indicate priorities for effective prevention programmes. The issues highlighted need to be addressed in undergraduate nursing curricula and in the development of orientation programmes supporting new graduates. PMID:14685960

  12. Current Assessments of Quality and Safety Competencies in Registered Professional Nurses: An Examination of Nurse Leader Perceptions

    ERIC Educational Resources Information Center

    Smith, Elaine Lois

    2012-01-01

    Quality and safety in healthcare is a national concern. It has been proposed that nurses and other clinicians need to develop a new set of competencies in order to make significant improvements in the quality and safety of patient care. These new competencies include: patient-centered care; teamwork and collaboration; evidence-based practice;…

  13. Insights into Registered Nurses' professional values through the eyes of graduating students.

    PubMed

    Lyneham, Joy; Levett-Jones, Tracy

    2016-03-01

    Professional values are integrated into undergraduate nursing curricula and taught in various ways. A significant influence on students' developing values and their definition of a 'good nurse' are the nurses they interact with in practice. The aim of this paper is to present the findings from a study that explored the professional values that graduating students viewed as important and how these values were illustrated in the behaviours of the nurses whose clinical practice they admired and wished to emulate. Fourteen students from one Australian university were interviewed on the last day of their final clinical placement. An interpretive qualitative design employing semi-structured interviews framed the study. Data were audio recorded, transcribed and thematically analysed. The participants' descriptions illustrated a range of professional values and behaviours. Four main professional values were identified, these included: being person-centred; kindness and caring; being in control; and commitment to learning. Findings demonstrated that the participants understood the meaning and relevance of professional nursing values, from a theoretical, moral and practical stance. Their responses also illustrated an appreciation of how these values influence patient care and the organisational culture as a whole. PMID:26682771

  14. Mortality among female registered nurses and school teachers in British Columbia.

    PubMed

    King, A S; Threlfall, W J; Band, P R; Gallagher, R P

    1994-07-01

    The mortality profile of female nurses and teachers in British Columbia (BC) was examined using age-standardized proportional mortality ratios (PMRs) calculated for the period 1950-1984. Lowered overall mortality among nurses was seen for degenerative heart disease and for cerebrovascular accidents. Significantly elevated PMR values were observed for cancer of the breast and ovary in nurses of age 20-65 years. PMRs were significantly elevated for cancer of the pancreas and leukemia among those age 20 years and older. Elevated values were also observed for motor vehicle accidents and suicide among nurses in both age groups. Lower than expected mortality from degenerative heart disease and cerebrovascular accidents was seen in working age teachers (age 20-65 years). However, elevated PMRs were detected for carcinoma of the colon, breast, endometrium, brain, and melanoma. Among those 20 years and over, significantly elevated PMRs were also observed for cancers of the ovary and other digestive organs. Elevated PMRs were found for motor vehicle and aircraft accidents. Mortality from cirrhosis of the liver was lower than anticipated in both teachers and nurses. A number of significant PMRs declined when deaths of "homemakers" were withdrawn from the comparison group used to generate PMR values, suggesting that risk of death from various causes among women working outside the home differ from those seen in women who are predominantly in the home. PMID:8074120

  15. The fundamentals of integrating service in a post-licensure RN to BSN program.

    PubMed

    Washington-Brown, Linda; Ritchie, Arlene

    2014-01-01

    Integrating service in a post-licensure registered nurse to bachelor of science in nursing (RN to BSN) program provides licensed registered nurse (RN) students the opportunity to learn, develop, and experience different cultures while serving the community and populations in need (McKinnon & Fitzpatrick, 2012). Service to the community, integrated with academic learning can be applied in a wide variety of settings, including schools, universities, and community faith-based organizations. Academic service-learning (ASL) can involve a group of students, a classroom, or an entire school. In the RN to BSN program, the authors use a student-directed service learning approach that integrates service-learning throughout the curriculum. RN students are introduced to service-learning at program orientation prior to the start of classes and receive reinforcement and active engagement throughout the curriculum. The students and volunteer agencies receive and give benefits from the services provided and the life lessons gained through mentorship, education, and hands-on experiences. PMID:24855805

  16. Registered nurses as permanent members of medical evacuation crews: the critical link.

    PubMed

    Wissemann, Michael W; Vanfosson, Christopher A

    2012-01-01

    Medical evacuation has changed form the experiences of the past decade of combat operations. Much of the focus of the medical support in the combat zone is now critical care during evacuation, which is, and will continue to be, a very successful, life-saving asset. The assignment of Army critical care or trauma nurses to medical evacuation units is consistent with the recognition that the medical evacuation system is a truly vital asset in the success of today's American military. Our NATO allies, and our sister services, rely heavily on the availability, reliability, and especially continuity of care of the Arm medical evacuation system. It is time to upgrade the system of evacuation and provide our Warriors with the greatest possibilities of survival. Army nurses trained in critical care and trauma nursing are best suited to provide that continuity of care. PMID:23007941

  17. Work-Family Conflict Among Newly Licensed Registered Nurses: A Structural Equation Model of Antecedents and Outcomes.

    PubMed

    Unruh, Lynn Y; Raffenaud, Amanda; Fottler, Myron

    2016-01-01

    Conflict between work and family is a human resource management issue that is particularly relevant for nurses. Nursing is a demanding profession, and a high proportion of nurses are women, who tend to have greater family responsibilities than men. Little is known regarding work-family conflict among nurses, and even less is known about how this affects newly licensed registered nurses (NLRNs), who can be stressed from their new jobs and careers. This study empirically tests a model of antecedents and outcomes of work-family and family-work conflict among a sample of NLRNs. We developed a model of the relationships between personal and work environment characteristics, work-family and family-work conflicts, job satisfaction, and intent to leave the job and profession. We used structural equation modeling (Amos, IBM SPSS) to test the model with data from.a survey of NLRNs. We examined a number of latent variables, as well as direct and mediating relationships. The measurement models for all latent variables were validated. The final model indicated that age, health, and family responsibilities are antecedents of family-work conflict; job demands lead to work-family conflict; family-work conflict contributes to job difficulties, which lowers job satisfaction, which, in turn, increases the intent to leave the job and profession; and work-family conflict increases the intent to leave the job and profession (but does not directly affect job satisfaction). Policies to help NLRNs with family responsibilities could reduce family-work conflict, which might reduce job difficulties and improve satisfaction and retention. In addition, policies to reduce job demands could reduce work-family conflict and improve retention. PMID:27111932

  18. Association between registered nurse staffing and management outcomes of patients with type 2 diabetes within primary care: a cross-sectional linkage study

    PubMed Central

    Lukewich, Julia; Edge, Dana S.; VanDenKerkhof, Elizabeth; Williamson, Tyler; Tranmer, Joan

    2016-01-01

    Background: As the organization of primary care continues to evolve toward more interdisciplinary team structures, demonstrating effectiveness of care delivery is becoming important, particularly for nonphysician providers. Nurses are the most common nonphysician provider within primary care. The purpose of this study was to examine the relation between primary care delivery models that incorporate registered nurses and clinical outcomes of patients with type 2 diabetes. Methods: Patient data from the Canadian Primary Care Sentinel Surveillance Network were matched with survey data from 15 Family Health Team practices in southeastern Ontario. Included patients were adults with type 2 diabetes mellitus who had at least 1 primary care encounter at a Family Health Team practice that completed the organizational survey between Apr. 1, 2013, and Mar. 31, 2014. The clinical outcomes explored included hemoglobin A1c, fasting plasma glucose, blood pressure, low-density lipoprotein cholesterol and urine albumin:creatinine ratio. Results: Of the 15 practices, 13 (86.7%) had at least 1 registered nurse. The presence of 1 or more registered nurses in the practice was associated with increased odds of patients' having their hemoglobin A1c, fasting plasma glucose, blood pressure and low-density lipoprotein cholesterol values meet recommended targets. Practices with the lowest ratios of patients with diabetes to registered nurse had a significantly greater proportion of patients with hemoglobin A1c and fasting plasma glucose values on target than did practices with the highest ratios of patients to registered nurse (p < 0.01 and p = 0.03, respectively). Interpretation: The findings suggest that registered nurse staffing within primary care practice teams contributes to better diabetic care, as measured by diabetes management indicators. This study sets the groundwork for further exploration of nursing and organizational contributions to patient care in the primary care setting

  19. The Influence of Organizational Culture on Affinity for Knowledge Management Practices of Registered Nurses

    ERIC Educational Resources Information Center

    Allen, Gregory

    2013-01-01

    This study addressed the problems of hospitals' duplicated effort and ad hoc knowledge management (KM) practices. The purpose of this quantitative study was to examine the focus and type of organizational culture in order to describe and predict the relationship between organizational culture and the affinity for KM of nurses working in health…

  20. The Relationship between Barcode Medication Administration Satisfaction and the Use of Workarounds among Registered Nurses

    ERIC Educational Resources Information Center

    Bennett, Sally F.

    2012-01-01

    Adverse drug events, resulting in preventable patient harm or death, are of great concern. To keep patients safe, hospitals have implemented barcode medication administration (BCMA) technology for RNs who have accepted this technology with varying levels of satisfaction. When nurses are dissatisfied with a BCMA system, they may find alternative…

  1. Meeting the Needs of the Health System: A Refresher Course for Registered Nurses.

    ERIC Educational Resources Information Center

    Griffiths, Margaret J.; Czekanski, Kathleen

    2003-01-01

    A refresher course to facilitate the return of inactive nurses to the work force included a weighted admission system, didactic content, simulated laboratory experiences, and precepted clinical experiences. Recommendations for future course implementation included a systematic evaluation of each participant's knowledge base at the beginning of the…

  2. AACJC/Metropolitan Life Foundation Registered Nurse Shortage Project: Final Report.

    ERIC Educational Resources Information Center

    Hawaii Univ., Lihue. Kauai Community Coll.

    In an effort to increase the number of graduating Kauai High School (KHS) seniors prepared to enter the Kauai Community College (KCC) Career Ladder Nursing Program, a special 2 + 2 program was initiated involving college/high school curriculum articulation, academic and career counseling, and early admission to KCC. At the outset of the project,…

  3. Advanced Practice Registered Nurses and Physician Assistants in Sleep Centers and Clinics: A Survey of Current Roles and Educational Background

    PubMed Central

    Colvin, Loretta; Cartwright, Ann; Collop, Nancy; Freedman, Neil; McLeod, Don; Weaver, Terri E.; Rogers, Ann E.

    2014-01-01

    Study Objectives: To survey Advanced Practice Registered Nurse (APRN) and Physician Assistant (PA) utilization, roles and educational background within the field of sleep medicine. Methods: Electronic surveys distributed to American Academy of Sleep Medicine (AASM) member centers and APRNs and PAs working within sleep centers and clinics. Results: Approximately 40% of responding AASM sleep centers reported utilizing APRNs or PAs in predominantly clinical roles. Of the APRNs and PAs surveyed, 95% reported responsibilities in sleep disordered breathing and more than 50% in insomnia and movement disorders. Most APRNs and PAs were prepared at the graduate level (89%), with sleep-specific education primarily through “on the job” training (86%). All APRNs surveyed were Nurse Practitioners (NPs), with approximately double the number of NPs compared to PAs. Conclusions: APRNs and PAs were reported in sleep centers at proportions similar to national estimates of NPs and PAs in physicians' offices. They report predominantly clinical roles, involving common sleep disorders. Given current predictions that the outpatient healthcare structure will change and the number of APRNs and PAs will increase, understanding the role and utilization of these professionals is necessary to plan for the future care of patients with sleep disorders. Surveyed APRNs and PAs reported a significant deficiency in formal and standardized sleep-specific education. Efforts to provide formal and standardized educational opportunities for APRNs and PAs that focus on their clinical roles within sleep centers could help fill a current educational gap. Citation: Colvin L, Cartwright Ann, Collop N, Freedman N, McLeod D, Weaver TE, Rogers AE. Advanced practice registered nurses and physician assistants in sleep centers and clinics: a survey of current roles and educational background. J Clin Sleep Med 2014;10(5):581-587. PMID:24812545

  4. State and territorial boards of nursing approaches to the use of unlicensed assistive personnel.

    PubMed

    Thomas, S A; Barter, M; McLaughlin, F E

    2000-03-01

    This study examined U.S. state and territorial boards of nursing approaches to the regulation of the use of: unlicensed assistive personnel (UAP) in acute care hospitals; state and jurisdictional authority, oversight and disciplinary action related to registered nurse (RN) delegation, supervision and assignment; educational preparation requirements for UAP; and future projections for their use. A survey was administered to 53 state and territorial boards of nursing officials in 1998. A majority of the states reported that they had regulations/guidelines for RN's who supervised UAP and regulations that protected the use of the RN title. Few states used the American Nurses Association or National Council of State Boards of Nursing definitions for delegation, supervision, or assignment. The majority have formulated their own definitions. The majority of states reported no standardized curriculum in place for UAP employed in acute care hospitals. More than half of the states reported that no plans existed for developing a curriculum. PMID:10824013

  5. Fostering RN-to-BSN students' confidence in searching online for scholarly information on evidence-based practice.

    PubMed

    McCulley, Carol; Jones, Melissa

    2014-01-01

    Graduates of bachelor of science in nursing (BSN) programs are increasingly expected to take an active role in assessing and improving nursing practice, and nurse educators are expected to prepare BSN students for this expanding role. Information literacy, the ability to search for, find, get, and use scholarly information to inform nursing practice, should be a critical component of nursing education. This article focuses on five strategies for teaching information literacy to registered nurse (RN)-to-BSN students in an online continuing education environment. These strategies include the addition of an embedded librarian to the online courses, collaboration between the librarian and nursing faculty, a subject guide with access to resources and tutorials at the point of need, student-centered learning with authentic assignments, and reflection on the learning process. Student reflections suggest that these strategies result in increased confidence in searching for and finding the evidence-based scholarship that they need. PMID:24369752

  6. Health Care System Changes and Reported Musculoskeletal Disorders Among Registered Nurses

    PubMed Central

    Lipscomb, Jane; Trinkoff, Alison; Brady, Barbara; Geiger-Brown, Jeanne

    2004-01-01

    Objectives. We evaluated the impact of health care system changes on nurses’ health, and we studied reported musculoskeletal disorders associated with these changes. Methods. This cross-sectional study (n = 1163) defined a musculoskeletal disorder case as moderate pain that lasted at least 1 week or occurred monthly during the past year. Nurses were asked about changes in the health care system in the past year, and responses to 12 changes were summed and were categorized as low, moderate, or high changes. Results. When the changes were summed, the adjusted odds ratios for musculoskeletal disorders for more than 6 versus 0 to 1 changes were (1) neck: 4.45 (95% confidence interval [CI] = 1.97, 10.08), (2) shoulder: 2.63 (95% CI = 1.17, 5.91), and (3) back: 3.42 (95% CI = 1.61, 7.27). Conclusions. The adverse impact on health caused by the changing health care system must be addressed to prevent further injuries among nurses. PMID:15284055

  7. Occupational injuries for consecutive and cumulative shifts among hospital registered nurses and patient care associates: a case-control study.

    PubMed

    Hopcia, Karen; Dennerlein, Jack Tigh; Hashimoto, Dean; Orechia, Terry; Sorensen, Glorian

    2012-10-01

    Nontraditional work shifts for hospital registered nurses and patient care associates and associated injuries were examined through a case-control study. Inpatient care requires that many staff work nontraditional shifts, including nights and 12-hour shifts, but some characteristics remain unexplored, especially consecutive shifts. A total of 502 cases (injured workers) were matched to single controls based on their hospital, unit type, job type, gender, and age (± 5 years). Conditional logistic regression was used for the analysis, controlling for weekly hours scheduled. For both, consecutive shifts of 2 or more days and some various cumulative shifts over a week and month period, especially night shifts, were associated with increased odds of injury. More investigations on the phenomenon of consecutive shifts are recommended. Additionally, the assessment of shift policy and subsequent injury outcomes is necessary before implementing intervention strategies. PMID:22998692

  8. An applied simulation model for estimating the supply of and requirements for registered nurses based on population health needs.

    PubMed

    Tomblin Murphy, Gail; MacKenzie, Adrian; Alder, Robert; Birch, Stephen; Kephart, George; O'Brien-Pallas, Linda

    2009-11-01

    Aging populations, limited budgets, changing public expectations, new technologies, and the emergence of new diseases create challenges for health care systems as ways to meet needs and protect, promote, and restore health are considered. Traditional planning methods for the professionals required to provide these services have given little consideration to changes in the needs of the populations they serve or to changes in the amount/types of services offered and the way they are delivered. In the absence of dynamic planning models that simulate alternative policies and test policy mixes for their relative effectiveness, planners have tended to rely on projecting prevailing or arbitrarily determined target provider-population ratios. A simulation model has been developed that addresses each of these shortcomings by simultaneously estimating the supply of and requirements for registered nurses based on the identification and interaction of the determinants. The model's use is illustrated using data for Nova Scotia, Canada. PMID:20164064

  9. Hearing new voices: registered nurses and health technicians experience caring for chronic pain patients in primary care clinics.

    PubMed

    Pellico, Linda H; Gilliam, Wesley P; Lee, Allison W; Kerns, Robert D

    2014-01-01

    Recent national estimates from the U.S. reveal that as many as one-third of all Americans experience chronic pain resulting in high prevalence rates of visits to primary care clinics (PCC). Indeed, chronic pain appears to be an emerging global health problem. Research has largely ignored the perspective of PCC staff other than physicians in providing care for patients with chronic pain. We wanted to gain insights from the experiences of Registered Nurses (RNs) and Health Technicians (HTs) who care for this patient population. Krippendorff's method for content analysis was used to analyze comments written in an open-ended survey from fifty-seven primary care clinic staff (RNs-N=27 and HTs-N=30) respondents. This represented an overall response rate of 75%. Five themes emerged related to the experience of RNs and HTs caring for patients with chronic pain: 1) Primacy of Medications and Accompanying Clinical Quandaries; 2) System Barriers; 3) Dealing with Failure; 4) Primacy of Patient Centered Care; and 5) Importance of Team Based Care. This study demonstrates that nursing staff provide patient-centered care, recognize the importance of their role within an interdisciplinary team and can offer valuable insight about the care of patients with chronic pain. This study provides insight into strategies that can mitigate barriers to chronic pain management while sustaining those aspects that RNs and HTs view as essential for improving patient care for this vulnerable population in PCCs. PMID:25246996

  10. Hearing New Voices: Registered Nurses and Health Technicians Experience Caring for Chronic Pain Patients in Primary Care Clinics

    PubMed Central

    Pellico, Linda H.; Gilliam, Wesley P.; Lee, Allison W.; Kerns, Robert D.

    2014-01-01

    Recent national estimates from the U.S. reveal that as many as one-third of all Americans experience chronic pain resulting in high prevalence rates of visits to primary care clinics (PCC). Indeed, chronic pain appears to be an emerging global health problem. Research has largely ignored the perspective of PCC staff other than physicians in providing care for patients with chronic pain. We wanted to gain insights from the experiences of Registered Nurses (RNs) and Health Technicians (HTs) who care for this patient population. Krippendorff’s method for content analysis was used to analyze comments written in an open-ended survey from fifty-seven primary care clinic staff (RNs-N=27 and HTs-N=30) respondents. This represented an overall response rate of 75%. Five themes emerged related to the experience of RNs and HTs caring for patients with chronic pain: 1) Primacy of Medications and Accompanying Clinical Quandaries; 2) System Barriers; 3) Dealing with Failure; 4) Primacy of Patient Centered Care; and 5) Importance of Team Based Care. This study demonstrates that nursing staff provide patient-centered care, recognize the importance of their role within an interdisciplinary team and can offer valuable insight about the care of patients with chronic pain. This study provides insight into strategies that can mitigate barriers to chronic pain management while sustaining those aspects that RNs and HTs view as essential for improving patient care for this vulnerable population in PCCs. PMID:25246996

  11. Strengths and weaknesses of Problem Based Learning from the professional perspective of registered nurses 1

    PubMed Central

    Cónsul-Giribet, María; Medina-Moya, José Luis

    2014-01-01

    OBJECTIVE: to identify competency strengths and weaknesses as perceived by nursing professionals who graduated with a integrated curriculum and competency-based through Problem Based Learning in small groups. METHOD: an intrinsic case study method was used, which analyzes this innovation through former students (from the first class) with three years of professional experience. The data were collected through a questionnaire and discussion groups. RESULTS: the results show that their competency level is valued in a very satisfactory manner. This level paradoxically contrasts with the lack of theoretical knowledge they perceived at the end of their education, when they started working in clinical practice. CONCLUSIONS: the teaching strategy was key to motivate an in-depth study and arouse the desire to know. In addition, Problem Based Learning favors and reinforces the decision to learn, which is that necessary in the course of professional life. PMID:25493666

  12. Exploring the Factors that Influence Nurse Practitioner Role Transition

    PubMed Central

    Barnes, Hilary

    2014-01-01

    The transition from registered nurse (RN) to nurse practitioner (NP) is often a stressful career change. Data are lacking on the factors affecting NP role transition. This study examined the relationships between NP role transition, prior RN experience, and a formal orientation. From a sample of 352 NPs, only a formal orientation contributed significantly to the regression model indicating a positive relationship with NP role transition (b = 6.24, p < .001). Knowledge of the factors that explain NP role transition is important to inform the discipline how best to support NPs during entry into practice. PMID:25685113

  13. Meeting The Future of Nursing Report Recommendations: A Successful Practice-Academic Partnership.

    PubMed

    Stout, Cindy; Short Nancy; Aldrich, Kelly; Cintron, R Jacob; Provencio-Vasquez, Elias

    2015-01-01

    In collaboration with the University of Texas at El Paso, nurse leadership at Del Sol Medical Center implemented an internship program for nursing students in the final semester of a bachelor of science in nursing (BSN) program. The medical center experienced an increase in the proportion of BSN-prepared nurses, decreased orientation full-time equivalents (FTE), and lowered operating costs. The university experienced highly satisfied and competent new graduate nurses. The nurse interns averaged a 91.9% in-hospital registered nurse (RN) competency completion rate during the internship. All interns accepted a RN position at the medical center. Total savings for salaries, benefits, and recruitment fees at the medical center were $599,040 with a total FTE savings of 23.4 FTEs per week, over 10 weeks. PMID:26259340

  14. A study of clinical decision making by certified registered nurse anesthetists.

    PubMed

    Kremer, Michael J; Faut-Callahan, Margaret; Hicks, Frank D

    2002-10-01

    Anesthesia outcomes and related risk factors have been studied for more than 100 years. Varying sample sizes and research methods have been used, with research findings that were open to multiple interpretations. Research with closed malpractice claims demonstrates that American Society of Anesthesiologists physical status II patients undergoing elective procedures are most likely to experience damaging events intraoperatively with resultant postoperative adverse outcomes. The process of care, including clinical decision making, contributes to adverse outcomes. Clinical decision making can be difficult to assess and measure. In this study, the cognitive psychology framework of information-processing theory and literature pertaining to the use of heuristics, or rules of thumb, and clinical biases, were used to analyze cases from the AANA Foundation closed malpractice claims database. This database contains more than 300 files involving St Paul Fire and Marine Insurance Company-covered CRNAs from across the United States. These files were analyzed by 10 CRNA investigators on the AANA Closed Claims research team. Variables such as inadequate preinduction activities, e.g., incomplete preanesthetic assessments, and use of cognitive biases and inaccurate probability estimation were associated with adverse outcomes in this research sample. Teaching of decision science in basic and continuing nurse anesthesia education is advocated. PMID:12425129

  15. Texas Nurse Staffing Trends Before and After Mandated Nurse Staffing Committees.

    PubMed

    Jones, Terry; Heui Bae, Sung; Murry, Nicole; Hamilton, Patti

    2015-08-01

    This article describes the evolution of mandated nurse staffing committees in Texas from 2002 to 2009 and presents a study that analyzed nurse staffing trends in Texas using a secondary analysis of hospital staffing data (N = 313 hospitals) from 2000 to 2012 obtained from the American Hospital Association Annual Survey. Nurse staffing patterns based on three staffing variables for registered nurses (RNs), licensed vocational nurses (LVNs), and total licensed nurses were identified: full-time equivalents per 1,000 adjusted patient days, productive hours per adjusted patient day, and RN skill mix. Similar to national trends between 2000 and 2012, most Texas hospitals experienced an increase in RN and total nurse staffing, decrease in LVN staffing, and an increase in RN skill mix. The magnitude of total nurse staffing changes in Texas (5% increase) was smaller than national trends (13.6% increase). Texas's small, rural, government hospitals and those with the highest preregulation staffing levels experienced the least change in staffing between 2000 and 2012: median change of 0 to .13 full-time equivalents per 1,000 adjusted patient days and median change in productive hours per patient day of 0 to .23. The varying effects of staffing committees in different organizational contexts should be considered in future staffing legislative proposals and other policy initiatives. PMID:26667354

  16. RN-BSN Students' Perceptions of the Differences in Practice of the ADN- and BSN-Prepared RN.

    PubMed

    Matthias, April D; Kim-Godwin, Yeoun Soo

    2016-01-01

    This study explored RN-BSN students' perceptions of practice differences between nurses prepared with an ADN and BSN. Five themes were identified in 20 students' discussion posts: "a nurse is a nurse" at the bedside, beyond the bedside, BSN wanted, digging deeper, and appraisal. Results illustrate the need for educators to assist nurses in translating the differentiated educational competencies to the practice role of the bedside RN. PMID:26862685

  17. Advanced Practice Registered Nurses: Gateway to Screening for Bipolar Disorder in Primary Care

    PubMed Central

    Kriebel-Gasparro, Ann Marie

    2016-01-01

    Objective: The goal of this mixed methods descriptive study was to explore Advanced Practice Registered Nurses’ (APRNs’) knowledge of bipolar disorder (BPD) and their perceptions of facilitators and barriers to screening patients with known depression for BPD. Methods: A mixed method study design using surveys on BPD knowledge and screening practices as well as focus group data collection method for facilitators and barriers to screening. Results: 89 APRNs completed the survey and 12 APRNs participated in the focus groups. APRNs in any practice setting had low knowledge scores of BPD. No significant differences in screening for BPD for primary and non primary care APRNs. Qualitative findings revealed screening relates to tool availability; time, unsure of when to screen, fear of sigma, symptoms knowledge of BPD, accessible referral system, personal experiences with BPD, and therapeutic relationships with patients. Conclusion: Misdiagnosis of BPD as unipolar depression is common in primary care settings, leading to a long lag time to optimal diagnosis and treatment. The wait time to diagnosis and treatment could be reduced if APRNs in primary care settings screen patients with a diagnosis of depression by using validated screening tools. These results can inform APRN practice and further research on the effectiveness of screening for reducing the morbidity and mortality of BPDs in primary care settings; underscores the need for integration of mental health care into primary care as well as the need for more APRN education on the diagnosis and management of bipolar disorders. PMID:27347256

  18. Hassles, uplifts, and anxiety reported by Post-RN students in a BScN programme.

    PubMed

    Viverais-Dresler, G; Rukholm, E; Koren, I

    1991-12-01

    This study examined the daily hassles, uplifts and anxiety of registered nurse students (Post-RN) during a Community Health Nursing challenge examination in a baccalaureate nursing programme. The objectives of the first phase of this study were 1) to identify the daily hassles, uplifts and anxiety experienced by distance education and on-campus students and 2) to examine relationships among these variables and selected sociodemographic factors. Spielberger's (1983) State and Trait Anxiety Inventory (STAI) and Folkman and Lazarus' (1989) Hassles and Uplifts questionnaire were utilised. State anxiety levels were found to be higher than those of female working adults (Spielberger 1983). As well, on-campus students had higher state anxiety levels than distance education students. Trait anxiety differed significantly by age. Except for employment status, sociodemographic factors had no impact on hassles or uplifts. Unemployed subjects experienced significantly greater intensity of uplifts than subjects employed in a hospital setting. Hassles contributed significantly to the anxiety expressed by registered nurse students. As anticipated for women fulfilling multiple family, work and student roles, time pressure emerged as the most important hassle factor. Future research is planned to further explore hassles, uplifts and anxiety as Post-RN students progress through a baccalaureate nursing programme. PMID:1775119

  19. Taking action: An exploration of the actions of exemplary oncology nurses when there is a sense of hopelessness and futility perceived by registered nurses at diagnosis, during treatment, and in palliative situations.

    PubMed

    Janzen, Katherine J; Perry, Beth

    2015-01-01

    "There is nothing more that can be done" is a phrase that may occasionally cross the minds of oncology nurses. This paper reports on the actions of exemplary oncology nurses who were faced with such situations where their colleagues gave up or turned away. The research question, "What actions do exemplary clinical oncology nurses (RNs) undertake in patient-care situations where further nursing interventions seem futile?" prefaced data collection via a secure website where 14 Canadian clinical oncology registered nurses (RNs) provided narratives documenting their actions. Thematic analysis utilized QRS NVivo 10 software and hand coding. Four themes were generated from data analysis: advocacy, not giving up, genuine presence, and moral courage. Implications for practice and future research are provided. PMID:26638286

  20. The impact of state certification of community health workers on team climate among registered nurses in the United States.

    PubMed

    Siemon, Mark; Shuster, Geoff; Boursaw, Blake

    2015-04-01

    A number of states have adopted certification programs for community health workers (CHWs) to improve recognition of CHWs as members of health care teams, increase oversight, and to provide sustainable funding. There has been little research into the impact of state CHW certification on the diffusion and adoption of CHWs into existing health care systems. This study examined the impact of state CHW certification on the perceptions of team climate among registered nurses (RNs) who work with CHWs in states with and without CHW certification programs. The study recruited RNs using a purposeful sampling method and used an online survey, which included the Team Climate Inventory (TCI), and compared the perceptions of team climate between the two groups. The study found no significant differences in the overall mean TCI score or TCI subscale scores between RNs who work in states with CHW certification programs (n = 81) and those who work in states without CHW certification programs (n = 115). There was a statistically significant difference on one survey question regarding whether RNs believe state certification of CHWs improved the ability of their health care team to deliver quality care. More research is needed to assess impact of state certification of CHWs and other factors that influence the diffusion and adoption of CHWs into the current health care system. PMID:25060232

  1. Does Moral Distress Differ Between California Certified Registered Nurse Anesthetists in Independent Versus Medically Supervised Practice: An Exploratory Study.

    PubMed

    Dumouchel, Michael; Boytim, Michael; Gorman, Nicholas; Weismuller, Penny

    2015-06-01

    The purpose of this exploratory, descriptive study was to determine if moral distress levels differed between certified registered nurse anesthetists (CRNAs) working in medically supervised versus independent practice in California. A 63-question survey was administered to 1,190 California CRNAs. Moral distress was measured by the included Ethics Stress Scale. The response rate was 14.7%, yielding demographic and Ethics Stress scores for 175 respondents. Sixty-five participants answered an open-ended question about moral distress yielding qualitative data. Medically supervised CRNAs had a lower mean moral distress scores (176.8) versus independent practice CRNAs (187.8) (p = .002). Lower scores on the ESS indicate higher moral distress. Qualitative data demonstrated that CRNAs experienced moral distress in the following situations: when pressured to give anesthesia to unoptimized patients, when differences of opinion regarding anesthetic plans occurred, in dealing with end-of-life issues, when working with incompetent providers, and during interprofessional struggles between CRNAs and anesthesiologists. In order to reduce moral distress among CRNAs, implications for practice include increased administrative support, increased communication and reciprocated collegial respect between anesthesiologists and CRNAs, and CRNA representation on ethics committees. PMID:26137763

  2. Use of Standardized Mastery Content Assessments Given during the First Year of a Baccalaureate Nursing Program for Predicting NCLEX-RN Outcomes

    ERIC Educational Resources Information Center

    Emory, DeAnna Jan

    2012-01-01

    The purpose of this study was to evaluate the relationship between standardized content specific mastery assessments and NCLEX-RN outcomes. Three content-specific standardized assessments testing Fundamentals, Pharmacology and Mental Health concepts were used to explain the dichotomous NCLEX-RN outcome of pass or fail. The three assessments were…

  3. Nurse Workforce Characteristics and Infection Risk in VA Community Living Centers: A Longitudinal Analysis

    PubMed Central

    Uchida-Nakakoji, Mayuko; Stone, Patricia W.; Schmitt, Susan K.; Phibbs, Ciaran S.

    2015-01-01

    Objective To examine effects of workforce characteristics on resident infections in Veterans Affairs (VA) Community Living Centers (CLCs). Data Sources A six-year panel of monthly, unit-specific data included workforce characteristics (from the VA Decision Support System and Payroll data) and characteristics of residents and outcome measures (from the Minimum Data Set). Study Design A resident infection composite was the dependent variable. Workforce characteristics of registered nurses (RN), licensed practical nurses (LPN), nurse aides (NA), and contract nurses included: staffing levels, skill mix and tenure. Descriptive statistics and unit-level fixed effects regressions were conducted. Robustness checks varying workforce and outcome parameters were examined. Principal Findings Average nursing hours per resident day was 4.59 hours (sd = 1.21). RN tenure averaged 4.7 years (sd = 1.64) and 4.2 years for both LPN (sd= 1.84) and NA (sd= 1.72). In multivariate analyses RN and LPN tenure were associated with decreased infections by 3.8% (IRR= 0.962 p<0.01) and 2% (IRR=0.98 p<0.01) respectively. Robustness checks consistently found RN and LPN tenure to be associated with decreased infections. Conclusions Increasing RN and LPN tenure are likely to reduce CLC resident infections. Administrators and policymakers need to focus on recruiting and retaining a skilled nursing workforce. PMID:25634087

  4. Community College Nursing Student Success on Professional Qualifying Examinations from Admission to Licensure

    ERIC Educational Resources Information Center

    Yates, Lenora; Sandiford, Janice

    2013-01-01

    The purpose of this study was threefold: (1) to investigate variables associated with learning and performance as measured by the National Council Licensure Examination for Registered Nurses (NCLEX-RN), (2) to validate the predictive value of the Assessment Technologies Institute (ATI) achievement exit exam, and (3) to provide a model that could…

  5. RN Diabetes Virtual Case Management: A New Model for Providing Chronic Care Management.

    PubMed

    Brown, Nancy N; Carrara, Barbara E; Watts, Sharon A; Lucatorto, Michelle A

    2016-01-01

    The U.S. chronic disease health care system has substantial gaps in delivery of services. New models of care change traditional delivery of care and explore new settings for care. This article describes a new model of diabetes chronic care delivery: nurse-delivered care that includes protocol-based insulin titration and patient education delivered solely in a virtual environment. In phase 1, the clinical outcome of time to achievement of glycated hemoglobin (A(1C)) goals (P < .001; 95% confidence interval, 1.68-2.24) was significantly improved by registered nurse (RN) standing order intervention (n = 24) as compared with historical controls (n = 28). In phase 2, patients who were referred to an RN-managed insulin titration protocol with individualized A(1C) goals had a significant (P < .001; 95% confidence interval, 1.680-2.242) reduction in results from a mean of 9.6% at baseline to 7.7% at completion. Average patient age was 66 years, with a mean duration of 11 years diagnosed with diabetes. Safety was demonstrated by the absence of hypoglycemia related to RN protocol adjustment. There were no admissions or emergency room (ER) visits for hypoglycemia. This study demonstrates safety and efficacy of RN virtual chronic disease management for an older population of patients with long-standing diabetes. PMID:26636235

  6. The Statistical Predictability of the Academic Performance of Registered Nursing Students at Macomb. Project No. 0141-77.

    ERIC Educational Resources Information Center

    Stankovich, Mary Jo

    A study was conducted at Macomb County Community College to determine whether there was a significant relationship between grades earned in individual nursing courses and the scores earned on corresponding subsets of the state board exam for nursing graduates and also whether a nursing student's success could be predicted from admissions…

  7. NCLEX-RN success: evidence-based strategies.

    PubMed

    Thomas, Marie H; Baker, Susan Scott

    2011-01-01

    Evidence-based nursing requires that students think reflectively and use clinical inquiry to develop clinical reasoning and decision-making skills. Likewise, nursing students need a strategy to be successful in passing the NCLEX-RN. The authors identify strategies based on nursing research to facilitate student success. While learning the evidence-based nursing process, the student must begin to think like a nurse while answering clinical practice questions. Using the skills taught for evidence-based nursing can be a powerful tool to approach the NCLEX-RN and succeed. PMID:22024676

  8. Is provider type associated with cancer screening and prevention: advanced practice registered nurses, physician assistants, and physicians

    PubMed Central

    2014-01-01

    Background Physician recommendations for cancer screening and prevention are associated with patient compliance. However, time constraints may limit physicians’ ability to provide all recommended preventive services, especially with increasing demand from the Affordable Care Act in the United States. Team-based practice that includes advanced practice registered nurses and physician assistants (APRN/PA) may help meet this demand. This study investigates the relationship between an APRN/PA visit and receipt of guideline-consistent cancer screening and prevention recommendations. Methods Data from the 2010 National Health Interview Survey were analyzed with multivariate logistic regression to assess provider type seen and receipt of guideline-consistent cancer screening and prevention recommendations (n = 26,716). Results In adjusted analyses, women who saw a primary care physician (PCP) and an APRN/PA or a PCP without an APRN/PA in the past 12 months were more likely to be compliant with cervical and breast cancer screening guidelines than women who did not see a PCP or APRN/PA (all p < 0.0001 for provider type). Women and men who saw a PCP and an APRN/PA or a PCP without an APRN/PA were also more likely to receive guideline consistent colorectal cancer screening and advice to quit smoking and participate in physical activity than women and men who did not see a PCP or APRN/PA (all p < 0.01 for provider type). Conclusions Seeing a PCP alone, or in conjunction with an APRN/PA is associated with patient receipt of guideline-consistent cancer prevention and screening recommendations. Integrating APRN/PA into primary care may assist with the delivery of cancer prevention and screening services. More intervention research efforts are needed to explore how APRN/PA will be best able to increase cancer screening, HPV vaccination, and receipt of behavioral counseling, especially during this era of healthcare reform. PMID:24685149

  9. Ethical reasoning concerning the feeding of terminally ill cancer patients. Interviews with registered nurses experienced in the care of cancer patients.

    PubMed

    Jansson, L; Norberg, A

    1989-12-01

    In the terminal phase of life, some cancer patients have problems eating. Caregivers then have to decide whether or not to provide the patients with food by artificial means. Taped interviews concerning the treatment of terminally ill, mentally alert, old cancer patients who refuse food were conducted with 20 registered nurses who were regarded as "experienced and good nurses." Not one of these nurses considered using force or violence against the patients. It seemed that the question about whether to feed the patient was not as urgent as the question of whether to accept active euthanasia. The interviewees seemed quite certain about how they would treat the patient in different circumstances, but found it difficult to justify their judgements. Several stressed the importance of their personal experience with dying persons, and thought that one should act according to the Golden Rule. PMID:2512007

  10. Exploring direct and indirect influences of physical work environment on job satisfaction for early-career registered nurses employed in hospitals.

    PubMed

    Djukic, Maja; Kovner, Christine T; Brewer, Carol S; Fatehi, Farida; Greene, William H

    2014-08-01

    We explored direct and indirect influences of physical work environment on job satisfaction in a nationally representative sample of 1,141 early-career registered nurses. In the fully specified model, physical work environment had a non-significant direct effect on job satisfaction. The path analysis used to test multiple indirect effects showed that physical work environment had a positive indirect effect (p < .05) on job satisfaction through ten variables: negative affectivity, variety, workgroup cohesion, nurse-physician relations, quantitative workload, organizational constraints, distributive justice, promotional opportunity, local and non-local job opportunities. The findings make important contributions to the understanding of the relationship between physical work environment and job satisfaction. The results can inform health care leaders' insight about how physical work environment influences nurses' job satisfaction. PMID:24985551

  11. A community college model to support nursing workforce diversity.

    PubMed

    Colville, Janet; Cottom, Sherry; Robinette, Teresa; Wald, Holly; Waters, Tomi

    2015-02-01

    Community College of Allegheny County (CCAC), Allegheny Campus, is situated on the North Side of Pittsburgh. The neighborhood is 60% African American. At the time of the Health Resources and Services Administration (HRSA) application, approximately one third of the students admitted to the program were African American, less than one third of whom successfully completed it. With the aid of HRSA funding, CCAC developed a model that significantly improved the success rate of disadvantaged students. Through the formation of a viable cohort, the nursing faculty nurtured success among the most at-risk students. The cohort was supported by a social worker, case managers who were nursing faculty, and tutors. Students formed study groups, actively participated in community activities, and developed leadership skills through participation in the Student Nurse Association of Pennsylvania. This article provides the rationale for the Registered Nurse (RN) Achievement Model, describes the components of RN Achievement, and discusses the outcomes of the initiative. PMID:25802900

  12. Efficacy of integrating information literacy education into a women's health course on information literacy for RN-BSN students.

    PubMed

    Ku, Ya-Lie; Sheu, Sheila; Kuo, Shih-Ming

    2007-03-01

    Information literacy, essential to evidences-based nursing, can promote nurses' capability for life-long learning. Nursing education should strive to employ information literacy education in nursing curricula to improve information literacy abilities among nursing students. This study explored the effectiveness of information literacy education by comparing information literacy skills among a group of RN-BSN (Registered Nurse to Bachelors of Science in Nursing) students who received information literacy education with a group that did not. This quasi-experimental study was conducted during a women's health issues course taught between March and June 2004. Content was presented to the 32 RN-BSN students enrolled in this course, which also taught skills on searching and screening, integrating, analyzing, applying, and presenting information. At the beginning and end of the program, 75 RN-BSN student self-evaluated on a 10 point Likert scale their attained skills in searching and screening, integrating, analyzing, applying, and presenting information. Results identified no significant differences between the experimental (n = 32) and control groups (n = 43) in terms of age, marital status, job title, work unit, years of work experience, and information literacy skills as measured at the beginning of the semester. At the end of the semester during which content was taught, the information literacy of the experimental group in all categories, with the exception of information presentation, was significantly improved as compared to that of the control group. Results were especially significant in terms of integrating, analyzing, and applying skill categories. It is hoped that in the future nursing students will apply enhanced information literacy to address and resolve patients' health problems in clinical settings. PMID:17370234

  13. Guidance Counselors' Ratings of Important Attributes for Registered Nurses and Prospective Nursing Students: A Comparison of Hispanic and Non-Hispanic Career Counselors

    ERIC Educational Resources Information Center

    Robbins, Leslie K.; Hoke, Mary M.

    2010-01-01

    Perceptions of counselors from Hispanic serving high schools regarding professional nursing as a career have received limited study. A cross-sectional descriptive study of a convenience sample of 55 guidance counselors from Hispanic serving institutions identified the number of requests/referrals to nursing programs and perceptions of prospective…

  14. School Nursing Certification Review

    ERIC Educational Resources Information Center

    Selekman, Janice; Wolfe, Linda C.

    2010-01-01

    The 2010 update to the resource you have been waiting for to help you prepare to take the National School Nurse Certification Exam. Dr. Janice Selekman DNSc, RN, NCSN, a recognized expert in pediatric nursing, and NASN Past President Linda C. Wolfe MEd, BSN, RN, NCSN, FNASN are the authors. This text was created in response to many years of…

  15. Towards a values-based person specification for recruitment of compassionate nursing and midwifery candidates: a study of registered and student nurses' and midwives' perceptions of prerequisite attributes and key skills.

    PubMed

    Waugh, Anne; Smith, Dave; Horsburgh, Dorothy; Gray, Morag

    2014-09-01

    Selection and retention of preregistration nursing and midwifery students are issues that exercise educators, universities and commissioning bodies both nationally and internationally. It has recently become an expectation that a values-based approach is used within recruitment and selection activities in the UK. The desirability of a person specification to support transparent recruitment and selection is well recognised. An online survey of registered and student nurses and midwives found consensus around the desirability of several personal attributes and key skills. There was consensus in the top seven ranked attributes which were honesty and trustworthiness, communication skills, being a good listener, patience and tactfulness, sensitivity and compassion, the ability to seek and act on guidance and being a good team worker; this was between registered and unregistered nurses and midwives and also between participants representing all fields of nursing and midwifery practice. Some of the responses from Practice Education Facilitators (PEFs) (n=5) and senior managers (n=15) differed from those of other registrants surveyed. The attribute 'Able to draw on knowledge and experience' was considered more important by PEFs and 'Observant and able to act on your own initiative within your level of responsibility' and 'Able to draw on knowledge and experience' were ranked more highly by senior managers. PMID:24485713

  16. Development and Validation of a Web-Based Survey on the Use of Personal Communication Devices by Hospital Registered Nurses: Pilot Study

    PubMed Central

    LeVasseur, Sandra A; Li, Dongmei

    2013-01-01

    Background The use of personal communication devices (such as basic cell phones, enhanced cell phones or smartphones, and tablet computers) in hospital units has risen dramatically in recent years. The use of these devices for personal and professional activities can be beneficial, but also has the potential to negatively affect patient care, as clinicians may become distracted by these devices. Objective No validated questionnaire examining the impact of the use of these devices on patient care exists; thus, we aim to develop and validate an online questionnaire for surveying the views of registered nurses with experience of working in hospitals regarding the impact of the use of personal communication devices on hospital units. Methods A 50-item, four-domain questionnaire on the views of registered nursing staff regarding the impact of personal communication devices on hospital units was developed based on a literature review and interviews with such nurses. A repeated measures pilot study was conducted to examine the psychometrics of a survey questionnaire and the feasibility of conducting a larger study. Psychometric testing of the questionnaire included examining internal consistency reliability and test-retest reliability in a sample of 50 registered nurses. Results The response rate for the repeated measures was 30%. Cronbach coefficient alpha was used to examine the internal consistency and reliability, and in three of the four question groups (utilization, impact, and opinions), the correlation was observed to be very high. This suggests that the questions were measuring a single underlying theme. The Cronbach alpha value for the questions in the performance group, describing the use of personal communication devices while working, was lower than those for the other question groups. These values may be an indication that the assumptions underlying the Cronbach alpha calculation may have been violated for this group of questions. A Spearman rho correlation

  17. Nursing education at Western Governors University: a modern, disruptive approach.

    PubMed

    Jones-Schenk, Jan

    2014-01-01

    Over 1 million working registered nurses (RNs) currently do not have a bachelor's degree in nursing and comprise the critical group needing to return to school in order to achieve the Institute of Medicine's goal of 80% bachelors of science in nursing (BSNs) by 2020. Western Governors University (WGU) has developed a transformative educational model, incorporating 4 operational pillars (competency-based learning, technology, disaggregated faculty roles, and a student-centric management system), to revolutionize RN-BSN education. This article describes a successful contemporary model, disrupting most all of the traditional aspects of university education for professional nursing practice. The program design is of particular value to working adults and addresses the flexibility they need to accommodate academic advancement. The WGU nursing program currently serves over 5,000 students seeking BSN and Master of Science in Nursing degrees in all 50 states. PMID:24720946

  18. Nurses' working tasks and MSDs back symptoms: results from a national survey.

    PubMed

    Serranheira, Florentino; Cotrim, Teresa; Rodrigues, Victor; Nunes, Carla; Sousa-Uva, António

    2012-01-01

    Healthcare workers, namely registered nurses (RN), are frequently exposed to work-related musculoskeletal disorders (WRMSDs) risk factors. Identifying the symptoms of these disorders is one of the first epidemiological steps to managing them. This study aims to identify WRMSDs prevalence symptoms in Portuguese RN. During 8 months (2010-2011) the National Public Health School and the Portuguese Registered Nurses Board made a call to all RN to answer an online WRMSDs questionnaire. Respondents (n=2140) are mostly females (77.4%) and work mainly in hospitals (n=1396) and in primary healthcare centers (n=421). Results show high symptoms prevalence (last 12 months) in the lower back (60.6%), the upper back (44.5%), and the neck (48.6%). Nurses' activity, especially patient hygiene in bed, is a strong contributor (p>0.05) to pain in the upper back (OR=1.39 [1.09-1.80]) and lower back (OR=1.4 [1.08-1.84]). Patient holdup without mechanical support has the highest relationship (p>0.05) between work tasks and symptoms in the last 12 months in the upper back (OR=1.50 [1.19-1.90]). Prevalence rates of WRMSDs symptoms in Portuguese nurses are no different from other studies with Swedish, Italian and Greek nurses. Maybe changes in healthcare systems didn't change the way care is delivered and we must rethink how to prevent nurses WRMSDs. PMID:22317085

  19. 42 CFR 410.69 - Services of a certified registered nurse anesthetist or an anesthesiologist's assistant: Basic...

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ...) Basic rule. Medicare Part B pays for anesthesia services and related care furnished by a certified... anesthesia at a level that builds on a premedical undergraduate science background. Anesthetist includes both... respect to non-physician anesthetists; (3) Has graduated from a nurse anesthesia educational program...

  20. 42 CFR 410.69 - Services of a certified registered nurse anesthetist or an anesthesiologist's assistant: Basic...

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ...) Basic rule. Medicare Part B pays for anesthesia services and related care furnished by a certified... anesthesia at a level that builds on a premedical undergraduate science background. Anesthetist includes both... respect to non-physician anesthetists; (3) Has graduated from a nurse anesthesia educational program...

  1. Is a Baccalaureate in Nursing Worth It? The Return to Education, 2000–2008

    PubMed Central

    Spetz, Joanne; Bates, Timothy

    2013-01-01

    Objective. A registered nurse (RN) license can be obtained by completing a baccalaureate degree (BSN), an associate degree (AD), or a diploma program. The aim of this article is to examine the return to baccalaureate education from the perspective of the nurse. Data Sources. National Sample Survey of Registered Nurses, 2000, 2004, and 2008. Study Design. The effect of education on RN wages is estimated using multivariate regression, both for initial education and for completing a second degree. The coefficients are used to calculate lifetime expected earnings. Multinomial logistic regression is used to examine the relationship between education and job title. Principal Findings. Lifetime earnings for nurses whose initial education is the BSN are higher than those of AD nurses only if the AD program requires 3 years and the discount rate is 2 percent. For individuals who enter nursing with an AD, lifetime earnings are higher if they complete a BSN. The BSN is associated with higher likelihood of being an advanced practice registered nurse, having an academic title, and having a management title. Conclusions. Because baccalaureate education confers benefits both for RNs and their patients, policies to encourage the pursuit of BSN degrees need to be supported. PMID:24102422

  2. The continued success of registered nurse care coordination in a state evaluation of aging in place in senior housing.

    PubMed

    Rantz, Marilyn; Popejoy, Lori L; Galambos, Colleen; Phillips, Lorraine J; Lane, Kari R; Marek, Karen Dorman; Hicks, Lanis; Musterman, Katy; Back, Jessica; Miller, Steven J; Ge, Bin

    2014-01-01

    Older adults prefer to age in place, remaining in their home as their health care needs intensify. In a state evaluation of aging in place (AIP), the University of Missouri Sinclair School of Nursing and Americare System Inc, Sikeston, MO, developed an elder housing facility to be an ideal housing environment for older adults to test the AIP care delivery model. An evaluation of the first 4 years (2005-2008) of the AIP program at TigerPlace (n = 66) revealed that the program was effective in restoring health and maintaining independence while being cost-effective. Similar results evaluating the subsequent 4 years (2009-2012) of the program (N = 128) revealed positive health outcomes (fall risk, gait velocity, Functional Ambulation Profile, handgrips, Short-Form 12 Physical Health, Short-Form 12 Mental Health, and Geriatric Depression Scale); slightly negative activities of daily living, independent activities of daily living, and Mini-Mental State Examination; and positive cost-effectiveness results. Combined care and housing costs for any resident who was receiving additional care services and qualified for nursing home care (n = 44) was about $20,000 less per year per person than nursing home care. Importantly, residents continued to live in private apartments and were encouraged to be as independent as possible through the end of life. PMID:24731918

  3. The Role of Organizational Culture in Retaining Nursing Workforce

    PubMed Central

    Banaszak-Holl, Jane; Castle, Nicholas G.; Lin, Michael K.; Shrivastwa, Nijika; Spreitzer, Gretchen

    2015-01-01

    Purpose of the Study: We examined how organizational culture in nursing homes affects staff turnover, because culture is a first step to creating satisfactory work environments. Design and Methods: Nursing home administrators were asked in 2009 to report on facility culture and staff turnover. We received responses from 419 of 1,056 administrators contacted. Respondents reported the strength of cultural values using scales from a Competing Values Framework and percent of staff leaving annually for Registered Nurse (RN), Licensed Practice Nurse (LPN), and nursing aide (NA) staff. We estimated negative binomial models predicting turnover.  Results: Turnover rates are lower than found in past but remain significantly higher among NAs than among RNs or LPNs. Facilities with stronger market values had increased turnover among RNs and LPNs, and among NAs when turnover was adjusted for facilities with few staff. Facilities emphasizing hierarchical internal processes had lower RN turnover. Group and developmental values focusing on staff and innovation only lowered LPN turnover. Finally, effects on NA turnover become insignificant when turnover was adjusted if voluntary turnover was reported. Implications: Organizational culture had differential effects on the turnover of RN, LPN, and NA staff that should be addressed in developing culture-change strategies. More flexible organizational culture values were important for LPN staff only, whereas unexpectedly, greater emphasis on rigid internal rules helped facilities retain RNs. Facilities with a stronger focus on customer needs had higher turnover among all staff. PMID:24218146

  4. Junior nursing students' experiences of vertical violence during clinical rotations.

    PubMed

    Thomas, Sandra P; Burk, Renee

    2009-01-01

    Horizontal violence is a form of workplace violence, a phenomenon that is prevalent in the nursing profession. Research has revealed a variety of negative peer-to-peer behaviors that lower morale and lead to turnover. However, little research has been conducted on "eating our young" (violence occurring between individuals with unequal power, such as staff nurse and student). We propose "vertical violence" as the appropriate term when abusive registered nurse (RN) behavior is directed towards students. We report a content analysis of stories written by junior nursing students about incidents of injustice perpetrated by staff RNs during their clinical experiences. Four levels of injustice were described. Nursing leadership, both in hospitals and educational institutions, must become engaged in efforts to eradicate vertical violence towards students. PMID:19631065

  5. Meaningful Use of Data in Care Coordination by the Advanced Practice Registered Nurse: The TeleFamilies Project

    PubMed Central

    Looman, Wendy S.; Erickson, Mary M.; Garwick, Ann W.; Cady, Rhonda G.; Kelly, Anne; Pettey, Carrie; Finkelstein, Stanley M.

    2012-01-01

    Meaningful use of electronic health records to coordinate care requires skillful synthesis and integration of subjective and objective data by practitioners to provide context for information. This is particularly relevant in the coordination of care for children with complex special health care needs. The purpose of this paper is to present a conceptual framework and example of meaningful use within an innovative telenursing intervention to coordinate care for children with complex special health care needs. The TeleFamilies intervention engages an advanced practice nurse in a full-time care coordinator role within an existing hospital-based medical home for children with complex special health care needs. Care coordination is facilitated by the synthesis and integration of internal and external data using an enhanced electronic health record and telehealth encounters via telephone and videoconferencing between the advanced practice nurse and the family at home. The advanced practice nurse’s ability to maintain an updated plan of care that is shared across providers and systems and build a relationship over time with the patient and family supports meaningful use of these data. PMID:22948406

  6. The global quest for nursing excellence.

    PubMed

    Ferguson, Stephanie L

    2013-11-01

    In this month's column, Stephanie Ferguson, PhD, RN, FAAN, Director, International Council of Nurses' (ICN) Leadership for Change Programme; Facilitator, ICN Global Nursing Leadership Institute; ICN Consultant for Nursing and Health Policy; and World Health Organization Consultant, provides a perspective on the importance of global nursing excellence and highlights the American Nurses Credentialing Center's strategic global quest for nursing excellence. PMID:24153194

  7. Influence of stress resiliency on RN job satisfaction and intent to stay.

    PubMed

    Larrabee, June H; Wu, Ying; Persily, Cynthia A; Simoni, Patricia S; Johnston, Patricia A; Marcischak, Terri L; Mott, Christine L; Gladden, Stephanie D

    2010-02-01

    Registered nurse (RN) job satisfaction is a major predictor of intent to stay and job turnover, serious concerns to health care leaders. Predictors of job satisfaction include autonomy, control over daily practice, nurse-physician collaboration, transformational leadership, group cohesion, job stress, structural empowerment, and psychological empowerment. In the model of psychological empowerment, stress resiliency is the product of persons' interpretive styles and influences psychological empowerment. This study has evaluated the influence of stress resiliency on job stress, psychological empowerment, job satisfaction, and intent to stay using causal modeling. Participants are 464 RNs employed in five acute care hospitals in West Virginia. The final model has provided a very good fit to the data. Stress resiliency is a predictor of psychological empowerment, situational stress, and job satisfaction. This study provides the first evidence of the influence of stress resiliency on job stress, psychological empowerment, job satisfaction, and intent to stay in a sample of RNs. PMID:19915204

  8. Transformational leadership and the hospice R.N. case manager: a new critical pathway.

    PubMed

    Lafferty, C L

    1998-01-01

    This article asserts that in light of changing conditions in the healthcare environment, transformational leadership is the most appropriate leadership style for the hospice registered nurse case manager. The author defines transformational leadership and, tracing from early leadership theories, demonstrates how the transformational-transactional leadership paradigm emerged from preceding leadership theories. The components of transformational leadership--transformational behavior and transformational characteristics--are linked to hospice theory and hospice-specific nursing practices. The expanding role of the hospice R.N. case manager is addressed in light of transformational leadership and culture building. Specific actions are proposed in the arenas of research, education, and community, corporate, and legislative involvement. PMID:9677956

  9. Interprofessional Obstetric Ultrasound Education: Successful Development of Online Learning Modules; Case-Based Seminars; and Skills Labs for Registered and Advanced Practice Nurses, Midwives, Physicians, and Trainees.

    PubMed

    Shaw-Battista, Jenna; Young-Lin, Nichole; Bearman, Sage; Dau, Kim; Vargas, Juan

    2015-01-01

    Ultrasound is an important aid in the clinical diagnosis and management of normal and complicated pregnancy and childbirth. The technology is widely applied to maternity care in the United States, where comprehensive standard ultrasound examinations are routine. Targeted scans are common and used for an increasing number of clinical indications due to emerging research and a greater availability of equipment with better image resolution at lower cost. These factors contribute to an increased demand for obstetric ultrasound education among students and providers of maternity care, despite a paucity of data to inform education program design and evaluation. To meet this demand, from 2012 to 2015 the University of California, San Francisco nurse-midwifery education program developed and implemented an interprofessional obstetric ultrasound course focused on clinical applications commonly managed by maternity care providers from different professions and disciplines. The course included matriculating students in nursing and medicine, as well as licensed practitioners such as registered and advanced practice nurses, midwives, and physicians and residents in obstetrics and gynecology and family medicine. After completing 10 online modules with a pre- and posttest of knowledge and interprofessional competencies related to teamwork and communication, trainees attended a case-based seminar and hands-on skills practicum with pregnant volunteers. The course aimed to establish a foundation for further supervised clinical training prior to independent practice of obstetric ultrasound. Course development was informed by professional guidelines and clinical and education research literature. This article describes the foundations, with a review of the challenges and solutions encountered in obstetric ultrasound education development and implementation. Our experience will inform educators who wish to facilitate obstetric ultrasound competency development among new and experienced

  10. The intention of advanced practice registered nurses to remain in positions at family planning clinics serving low-income women.

    PubMed

    Cheng, An-Lin; Kelly, Patricia J; Carlson, Kimberly; Witt, Jacki

    2014-01-01

    Federally funded Title X Family Planning Clinics are critical safety nets for reproductive health services in which advanced practice nurses (APRNs) provide the majority of care. The goal of this study was to identify factors affecting APRN's intention to remain in positions at these clinics. An Internet-administered survey was completed by 406 APRNs working in Title X clinics. The survey, based on a causal model of retention adapted for APRN practice, included 10 factors. Factor significance and model selection criteria were used to determine model fit. Intention to remain in current positions was associated with greater family responsibilities and lower levels of involvement in professional associations. Less routinization, more integration, and a greater sense of distributive justice were significant causal paths to job satisfaction (a significant mediator for intention to remain). Results provide Title X administrators information that can guide them in policy development to maximize APRN retention. PMID:24503318

  11. Surgical rotations: a must for nursing education.

    PubMed

    Marta, M R

    1987-03-01

    Although more documentation is needed, the belief exists among educators that an all-RN staff in the operating room results in more productivity and quality of care. The professional nurse is seen as invaluable in the OR because of his or her flexibility in meeting the varied requirements of scrubbing and circulating. Registered nurses bring with them a broader range of skills, a lessening of costly supervision, and a decrease in ideologic conflicts about care of the surgical patient. It has been suggested that the RN, despite receiving a higher salary, is far more cost-effective than an aide or technician when compared with such factors as percentage of time ancillary staff actually work (estimated at 65%), the amount of supervision they require, and subsequent overtime frequently asked of RNs in understaffed environments. Professional nursing education should include the opportunity to learn perioperative nursing. I believe professional nurses should staff the surgical suite in both scrub and circulating positions in order to promote cost-effective operating room management and maintain quality patient care. PMID:3646004

  12. Applying the Advancing Excellence in America's Nursing Homes Circle of Success to improving and sustaining quality.

    PubMed

    Bakerjian, Debra; Zisberg, Anna

    2013-01-01

    Looking forward to the Quality Assurance Performance Improvement (QAPI) program to be implemented and required in 2014, and as nursing home staff provide care for residents with increasingly complex health issues, knowledge of how to implement quality improvement (QI) is imperative. The nursing home administrator and director of nursing (DON) provide overall leadership, but it is the primary responsibility of the DON and other registered nurse staff to implement and manage the day to day QI process. This article describes potential roles of nursing leaders and key components of a QI project using a pressure ulcer case study exemplar to illustrate a quality improvement process. The authors suggest specific methods that RN leaders can employ using the Advancing Excellence Campaign Circle of Success as an organizing framework along with evidence-based resources. Nursing home leaders could use this article as a guideline for implementing any clinical quality improvement process. PMID:23870372

  13. An investigation of the role nurses play in Norwegian home care.

    PubMed

    Johansen, Edda; Fagerström, Lisbeth

    2010-10-01

    Registered nurses' (RNs') role in Norwegian home care services exists in a state of flux owing to the early discharge of patients from hospitals, more time-consuming and complex care for young patients, and a growing number of older care recipients. The aim of this study was to investigate the RN role through an integrative research review, with a focus on nursing activities and competence. This study found that RNs and assistant nurses often perform the same tasks, providing assistance with personal hygiene, medication and wound management. The change towards more medicalized and complex home care entails that requirements pertaining to RNs' competence, the allocation of RNs' time and skills to those in most need of nursing care, and the assignment of assistant nurses to lower care levels activities must be delineated. Norwegian home care must examine how care activities can be better allocated between RNs, social educators, assistant nurses, and informal care-givers. PMID:20966846

  14. 'We did the best we could'--the United States Army nurses of Ie Shima.

    PubMed

    Bernier, Francie

    2013-01-01

    During World War II, Army Nurses of the 156th Army Evacuation Hospital delivered care while under attack, demonstrated incredible bravery, endured extreme hardships, and unknowingly defined advanced nursing practice as we know it today. First Lieutenant Edythe (Goldstein) Pallin, BS, RN, was a 23-year old registered nurse who served in the Pacific and was stationed near the front lines on the remote island of Ie Shima in the Ryukyu Island Chain near Okinawa. This article, as told to Edythe's daughter, draws heavily on her memories and her military photo album stored in the attic of her home for over 50 years. Edythe only acknowledges her military experience by saying, "We did the best we could." Yes, these nurses not only did the best they could, they also changed nursing from a subservient position to an independent practice long before nurses even understood their professional possibilities. Edythe passed away October 26, 2012. PMID:23734553

  15. Attitude, Knowledge, and Practice on Evidence-Based Nursing among Registered Nurses in Traditional Chinese Medicine Hospitals: A Multiple Center Cross-Sectional Survey in China

    PubMed Central

    Hao, Yufang; Guo, Hong

    2016-01-01

    Objective. This study was to describe RNs' attitude, knowledge, and practice on evidence-based practice (EBP) in traditional Chinese nursing field and to estimate the related sociodemographic and professional factors. Methods. A multiple institutional cross-sectional survey design with self-reported EBP Questionnaire (EBPQ) and self-designed questionnaires were used. Results. The average scores of the total EBPQ were with a mean of 4.24 (SD = 0.79). The score of attitude was the highest one, followed by the knowledge score, and the lowest one is practice. RNs with longer experience reported stronger EBP knowledge (H = 6.64, P < 0.05). And RNs under higher working pressure reported less positive attitudes (ρ = 0.17, P < 0.001), whereas RNs holding negative professional attitude reported lower scores (Spearman's ρ: 0.12 to 0.15, P < 0.001). Significant statistics were found between RNs with research experience and without in attitude (t = −2.40, P < 0.05) and knowledge (t = −2.43, P < 0.05). Conclusions. Respondents generally viewed EBP positively and their attitudes towards EBP tended to be more positive than knowledge and practice of EBP. Data also showed that longer working experience, having administrative position, research experience, lighter working load, and better professional attitude might facilitate EBP. PMID:27528882

  16. Attitude, Knowledge, and Practice on Evidence-Based Nursing among Registered Nurses in Traditional Chinese Medicine Hospitals: A Multiple Center Cross-Sectional Survey in China.

    PubMed

    Zhou, Fen; Hao, Yufang; Guo, Hong; Liu, Hongxia

    2016-01-01

    Objective. This study was to describe RNs' attitude, knowledge, and practice on evidence-based practice (EBP) in traditional Chinese nursing field and to estimate the related sociodemographic and professional factors. Methods. A multiple institutional cross-sectional survey design with self-reported EBP Questionnaire (EBPQ) and self-designed questionnaires were used. Results. The average scores of the total EBPQ were with a mean of 4.24 (SD = 0.79). The score of attitude was the highest one, followed by the knowledge score, and the lowest one is practice. RNs with longer experience reported stronger EBP knowledge (H = 6.64, P < 0.05). And RNs under higher working pressure reported less positive attitudes (ρ = 0.17, P < 0.001), whereas RNs holding negative professional attitude reported lower scores (Spearman's ρ: 0.12 to 0.15, P < 0.001). Significant statistics were found between RNs with research experience and without in attitude (t = -2.40, P < 0.05) and knowledge (t = -2.43, P < 0.05). Conclusions. Respondents generally viewed EBP positively and their attitudes towards EBP tended to be more positive than knowledge and practice of EBP. Data also showed that longer working experience, having administrative position, research experience, lighter working load, and better professional attitude might facilitate EBP. PMID:27528882

  17. A Panel Data Analysis of the Relationships of Nursing Home Staffing Levels and Standards to Regulatory Deficiencies

    PubMed Central

    Kovner, Christine; Harrington, Charlene; Greene, William; Mezey, Mathy

    2009-01-01

    Objective To examine the relationships between nursing staffing levels and nursing home deficiencies. Methods This panel data analysis employed random-effect models that adjusted for unobserved, nursing home–specific heterogeneity over time. Data were obtained from California's long-term care annual cost report data and the Automated Certification and Licensing Administrative Information and Management Systems data from 1999 to 2003, linked with other secondary data sources. Results Both total nursing staffing and registered nurse (RN) staffing levels were negatively related to total deficiencies, quality of care deficiencies, and serious deficiencies that may cause harm or jeopardy to nursing home residents. Nursing homes that met the state staffing standard received fewer total deficiencies and quality of care deficiencies than nursing homes that failed to meet the standard. Meeting the state staffing standard was not related to receiving serious deficiencies. Conclusions Total nursing staffing and RN staffing levels were predictors of nursing home quality. Further research is needed on the effectiveness of state minimum staffing standards. PMID:19181692

  18. Registered Nurses’ Perceptions about the Situation of Family Caregivers to Patients with Heart Failure - A Focus Group Interview Study

    PubMed Central

    2016-01-01

    Introduction Heart failure is a growing public health problem associated with poor quality of life and significant morbidity and mortality. The majority of heart failure care is provided by family caregivers, and is associated with caregiver burden and reduced quality of life. Research emphasizes that future nursing interventions should recognize the importance of involving family caregivers to achieve optimal outcomes. Aims The aims of this study are to explore registered nurses’ perceptions about the situation of family caregivers to patients with heart failure, and registered nurses’ interventions, in order to improve family caregivers’ situation. Methods The study has a qualitative design with an inductive approach. Six focus group interviews were held with 23 registered nurses in three hospitals and three primary health care centres. Data were analysed using qualitative content analysis. Results Two content areas were identified by the a priori study aims. Four categories and nine sub-categories emerged in the analysis process. The content area “Family caregivers' situation” includes two categories: “To be unburdened” and “To comprehend the heart failure condition and its consequences”. The content area “Interventions to improve family caregivers' situation” includes two categories: “Individualized support and information” and “Bridging contact”. Conclusions Registered nurses perceive family caregivers' situation as burdensome, characterized by worry and uncertainty. In the PHCCs, the continuity and security of an RN as a permanent health care contact was considered an important and sustainable intervention to better care for family caregivers' worry and uncertainty. In the nurse-led heart failure clinics in hospitals, registered nurses can provide family caregivers with the opportunity of involvement in their relative's health care and address congruence and relationship quality within the family through the use of "Shared care

  19. Recommendations From the International Consortium on Professional Nursing Practice in Long-Term Care Homes.

    PubMed

    McGilton, Katherine S; Bowers, Barbara J; Heath, Hazel; Shannon, Kay; Dellefield, Mary Ellen; Prentice, Dawn; Siegel, Elena O; Meyer, Julienne; Chu, Charlene H; Ploeg, Jenny; Boscart, Veronique M; Corazzini, Kirsten N; Anderson, Ruth A; Mueller, Christine A

    2016-02-01

    In response to the International Association of Gerontology and Geriatrics' global agenda for clinical research and quality of care in long-term care homes (LTCHs), the International Consortium on Professional Nursing Practice in Long Term Care Homes (the Consortium) was formed to develop nursing leadership capacity and address the concerns regarding the current state of professional nursing practice in LTCHs. At its invitational, 2-day inaugural meeting, the Consortium brought together international nurse experts to explore the potential of registered nurses (RNs) who work as supervisors or charge nurses within the LTCHs and the value of their contribution in nursing homes, consider what RN competencies might be needed, discuss effective educational (curriculum and practice) experiences, health care policy, and human resources planning requirements, and to identify what sustainable nurse leadership strategies and models might enhance the effectiveness of RNs in improving resident, family, and staff outcomes. The Consortium made recommendations about the following priority issues for action: (1) define the competencies of RNs required to care for older adults in LTCHs; (2) create an LTCH environment in which the RN role is differentiated from other team members and RNs can practice to their full scope; and (3) prepare RN leaders to operate effectively in person-centered care LTCH environments. In addition to clear recommendations for practice, the Consortium identified several areas in which further research is needed. The Consortium advocated for a research agenda that emphasizes an international coordination of research efforts to explore similar issues, the pursuit of examining the impact of nursing and organizational models, and the showcasing of excellence in nursing practice in care homes, so that others might learn from what works. Several studies already under way are also described. PMID:26712302

  20. RN preceptor learning needs assessment.

    PubMed

    Foy, Denise; Carlson, Marny; White, Amy

    2013-01-01

    One institution's registered nurse preceptor training curriculum was revised to include preceptors' input to ensure their learning needs were being met. A descriptive study design was used to answer the following research questions: (a) what knowledge, skills, and attitudes do nurses believe they need to have to be a preceptor; (b) when, in the course of their development, do preceptors believe they need this information; and (c) in what manner(s) do preceptors prefer to learn this information? Thirteen topics that preceptors believed were important were identified. The results of this study were used to successfully revise the preceptor training curriculum. PMID:23515091

  1. International Transplant Nurses Society

    MedlinePlus

    ... Register for the 25th Annual ITNS Symposium The International Transplant Nurses Society (ITNS) cordially invites transplant nurses ... Barriers (PDF) This pocket guide, developed by the International Transplant Nurses Society (ITNS), provides an overview of ...

  2. Influence of perceptions on school nurse practices to prevent childhood obesity.

    PubMed

    Quelly, Susan B

    2014-08-01

    Comprehensive childhood obesity prevention (COP) strategies should include increasing school nurse involvement. This study was conducted to determine the influence of key school nurse perceptions (self-efficacy, perceived benefits, and perceived barriers) on participation in COP practices at the individual child and school level. Florida registered nurse (RN) school nurses (n = 171) anonymously completed online or paper questionnaires. Linear regression analyses identified a model of self-efficacy with perceived benefits and barriers that explained 12% and 9.1% (p < .001) of variance in child-level and school-level COP practices, respectively. Self-efficacy explained the most variance in both models (p < .001). Mediation testing identified perceived barriers as a partial mediator of the influence of self-efficacy on child-level practices. These findings support interventions and policy changes to increase self-efficacy and reduce perceived barriers to promote school nurse involvement in preventing childhood obesity. PMID:24128859

  3. Nursing Handbook.

    ERIC Educational Resources Information Center

    New York State Education Dept., Albany. Office of the Professions.

    A handbook with laws, rules, and regulations of the State Education Department of New York governing nursing practice is presented. It describes licensure requirements and includes complete application forms and instructions for obtaining license and first registration as a licensed practical nurse and professional registered nurse. Applicants are…

  4. Using linear programming to minimize the cost of nurse personnel.

    PubMed

    Matthews, Charles H

    2005-01-01

    Nursing personnel costs make up a major portion of most hospital budgets. This report evaluates and optimizes the utility of the nurse personnel at the Internal Medicine Outpatient Clinic of Wake Forest University Baptist Medical Center. Linear programming (LP) was employed to determine the effective combination of nurses that would allow for all weekly clinic tasks to be covered while providing the lowest possible cost to the department. Linear programming is a standard application of standard spreadsheet software that allows the operator to establish the variables to be optimized and then requires the operator to enter a series of constraints that will each have an impact on the ultimate outcome. The application is therefore able to quantify and stratify the nurses necessary to execute the tasks. With the report, a specific sensitivity analysis can be performed to assess just how sensitive the outcome is to the stress of adding or deleting a nurse to or from the payroll. The nurse employee cost structure in this study consisted of five certified nurse assistants (CNA), three licensed practicing nurses (LPN), and five registered nurses (RN). The LP revealed that the outpatient clinic should staff four RNs, three LPNs, and four CNAs with 95 percent confidence of covering nurse demand on the floor. This combination of nurses would enable the clinic to: 1. Reduce annual staffing costs by 16 percent; 2. Force each level of nurse to be optimally productive by focusing on tasks specific to their expertise; 3. Assign accountability more efficiently as the nurses adhere to their specific duties; and 4. Ultimately provide a competitive advantage to the clinic as it relates to nurse employee and patient satisfaction. Linear programming can be used to solve capacity problems for just about any staffing situation, provided the model is indeed linear. PMID:18972976

  5. American Nurses Association Nursing World

    MedlinePlus

    ... Annual Conference Join » Care Coordination: Capitalizing on the Nursing Role in Population Health --Register Now ! For more ... ANA » My ANA » Shop » ANA Nursing Knowledge Center Nursing Insider News 9/15/16 Update Your MyANA ...

  6. Nutrition for Nurses: Nursing 245.

    ERIC Educational Resources Information Center

    Palermo, Karen R.

    A description is presented of "Nutrition for Nurses," a prerequisite course for students anticipating entrance into the junior level of a state university registered nursing program. Introductory material highlights the course focus (i.e., the basics of good nutrition; nutrition through the life cycle; nursing process in nutritional care; and…

  7. Nurse delegation of medication administration for older adults in assisted living.

    PubMed

    Reinhard, Susan C; Young, Heather M; Kane, Rosalie A; Quinn, Winifred V

    2006-01-01

    Assisted living (AL) is a relatively new form of long-term care that offers residents personal care services and more independence in a home-like environment. Introduced to the United States in the 1980s, AL is changing the conventional thinking about how to care for frail older adults. One important issue to explore is registered nurse (RN) delegation to unlicensed assistive personnel (UAP), particularly for medication administration. This study provides a national perspective on medication delivery in AL settings from the perspectives of state Board of Nursing (BON) executives. Qualitative interviews using semi-structured interview guides were conducted with BON executives to validate a legal summary of AL regulations and nurse practice acts, and to identify nursing issues pertaining to medication management in AL across the United States. In this study, there was considerable variation across states regarding medication administration and the role of both the RN and the UAP. BON executives displayed a range of knowledge about nursing practice issues in AL, with many reporting low familiarity with this setting. Mechanisms for systematic review of quality of delegation were not in place. Medication administration and nurse delegation were dynamic issues, with practice and policy evolving concurrently. This study highlights the limited articulation of policies between agencies and across states in the important and growing setting of assisted living. Nurses have the opportunity to shape this evolving practice arena and to enhance awareness of the professional and clinical issues inherent in working with UAP in medication delivery. PMID:16597525

  8. Work environment issues and intention-to-leave in Portuguese nurses: A cross-sectional study.

    PubMed

    Leone, Claudia; Bruyneel, Luk; Anderson, Janet E; Murrells, Trevor; Dussault, Gilles; Henriques de Jesus, Élvio; Sermeus, Walter; Aiken, Linda; Rafferty, Anne Marie

    2015-12-01

    This study extends the Registered Nurses Forecasting (RN4CAST) study evidence base with newly collected data from Portuguese nurses working in acute care hospitals, in which the measurement of the quality of work environment, workload and its association with intention-to-leave emerge as of key importance. Data included surveys of 2235 nurses in 144 nursing units in 31 hospitals via stratified random sampling. Multilevel multivariate regression analysis shows that intention-to-leave is higher among nurses with a specialty degree, nurses aged 35-39, and in nursing units where nurses are less satisfied with opportunities for career advancement, staffing levels and participation in hospital affairs. Analysis with moderation effects showed the observed effect of age and of having a specialty degree on intention-to-leave during the regression analysis is reduced in nursing units where nurses are more satisfied with opportunities for career advancement. The most important finding from the study suggests that promoting retention strategies that increase satisfaction with opportunities for career advancement among Portuguese nurses has the potential to override individual characteristics associated with increased turnover intentions. PMID:26474746

  9. Nurses' knowledge of universal health coverage for inclusive and sustainable elderly care services

    PubMed Central

    Tung, Fabian Ling Ngai; Yan, Vincent Chun Man; Tai, Winnie Ling Yin; Chen, Jing Han; Chung, Joanne Wai-yee; Wong, Thomas Kwok Shing

    2016-01-01

    Objectives: to explore nurses' knowledge of universal health coverage (UHC) for inclusive and sustainable development of elderly care services. Method: this was a cross-sectional survey. A convenience sample of 326 currently practicing enrolled nurses (EN) or registered nurses (RN) was recruited. Respondents completed a questionnaire which was based on the implementation strategies advocated by the WHO Global Forum for Governmental Chief Nursing Officers and Midwives (GCNOMs). Questions covered the government initiative, healthcare financing policy, human resources policy, and the respondents' perception of importance and contribution of nurses in achieving UHC in elderly care services. Results: the knowledge of nurses about UHC in elderly care services was fairly satisfactory. Nurses in both clinical practice and management perceived themselves as having more contribution and importance than those in education. They were relatively indifferent to healthcare policy and politics. Conclusion: the survey uncovered a considerable knowledge gap in nurses' knowledge of UHC in elderly care services, and shed light on the need for nurses to be more attuned to healthcare policy. The educational curriculum for nurses should be strengthened to include studies in public policy and advocacy. Nurses can make a difference through their participation in the development and implementation of UHC in healthcare services. PMID:26959330

  10. Continuing Education for Mentors and a Mentoring Program for RN-to-BSN Students.

    PubMed

    Cheek, Rita E; Walsh Dotson, Jo Ann; Ogilvie, LeAnn A

    2016-06-01

    Mentoring programs have been used effectively with graduate and undergraduate nursing students and newly licensed nurses. There are few publications about mentoring for the RN enrolled in a bachelor of science in nursing (RN-to-BSN) program. To address low graduation rates in the public RN-to-BSN nursing programs, the Montana Center to Advance Health Through Nursing designed a mentoring program to help these nurses achieve their BSN. This voluntary program was initiated at an RN-to-BSN program in a 4-year college with six RN students who were paired with a mentor. An interactive, continuing education workshop on mentoring also was developed to prepare experienced nurses for their role as a mentor. This workshop was held nine times across Montana, with a total of 156 attendees. Workshop evaluations were consistently positive. Participants identified time and personality issues as barriers to successful mentoring and recommended expansion of the workshop to a distance-learning format so more nurses could attend. J Contin Educ Nurs. 2016;47(6):272-277. PMID:27232226

  11. Implementing a writing course in an online RN-BSN program.

    PubMed

    Stevens, Carol J; D'Angelo, Barbara; Rennell, Nathalie; Muzyka, Diann; Pannabecker, Virginia; Maid, Barry

    2014-01-01

    Scholarly writing is an essential skill for nurses to communicate new research and evidence. Written communication directly relates to patient safety and quality of care. However, few online RN-BSN programs integrate writing instruction into their curricula. Nurses traditionally learn how to write from instructor feedback and often not until midway into their baccalaureate education. Innovative strategies are needed to help nurses apply critical thinking skills to writing. The authors discuss a collaborative project between nursing faculty and technical communication faculty to develop and implement a writing course that is 1 of the 1st courses the students take in the online RN-BSN program. PMID:24300253

  12. A data-driven approach to work redesign in nursing units.

    PubMed

    Pedersen, A

    1997-04-01

    Our medical center leaders targeted a $30 million savings over 3 years. To achieve this goal a data driven work redesign approach was adopted and a series of time motion studies were performed. For each of 3 years, every hospital worker recorded and summarized their activity in blocks of time during 1 week. By 1995, nursing results were radically different from the previous 2 years. Bathing, turning patients, and gathering intake and output disappeared from the top 10 registered nurse (RN) activities, While professional judgement, patient education and data assessment entered the top 10. Initiatives involving skills mix and care delivery changes resulted in more focused and activity-appropriate use of RN time. PMID:9107199

  13. The impact of restructuring and work design on nursing practice and patient care.

    PubMed

    Shindul-Rothschild, J; Duffy, M

    1996-01-01

    The purpose of this study was to examine if registered nurses' (RNs) reports of the structure, work processes and performance of Massachusetts hospitals have changed over a five year period. Responses of 928 randomly selected RNs surveyed in 1989 and 858 randomly selected RNs in 1994 to the RN Quality of Worklife Survey (RNQOWS) were compared. Data analysis was performed with a between-subjects multivariate analysis of covariance, controlling for number of years as an RN and as a member of a collective bargaining unit. Significant differences were found in the variables that measure human resources, administrative motivating conditions, task effectiveness, and efficiency (p < 0.001). The implications of the findings for nursing practice in hospitals is discussed and recommendations are made for further research. PMID:9192592

  14. Nursing Alumni Surveys: 2002 Graduates.

    ERIC Educational Resources Information Center

    College of the Canyons, Santa Clarita, CA.

    This document reports on outcomes of the College of the Canyons, California, 2002 survey of nursing alumni. Surveys of RN, LVN, and LVN-RN graduates and their employers aimed to assess graduates' satisfaction with the preparation and training they received. Surveys also collected information intended to assess the current position in which the…

  15. Identification of Anticipated Job Stressors of Registered Nurse Refresher Students as They Prepare to Reenter the Work Force Following a Career Break

    ERIC Educational Resources Information Center

    Peterson, Carol A.

    2013-01-01

    Multifactorial reasons have produced a growing nursing shortage. One possible group that could reverse this shortage is inactive nurses. Many stakeholders wonder about allocating scarce resources to identify, locate, educate, and redeploy this group into active practice. The purpose of this one-phase embedded validating quantitative mixed…

  16. A Comparison of Single-Purpose and Non-Single-Purpose Clinical Education on the Retention Rates of Registered Nursing Graduates

    ERIC Educational Resources Information Center

    Bush, Dana I.

    2012-01-01

    There are 26 single-purpose nursing programs in the United States. They are nursing programs operated by hospitals with the single purpose of supplying the hospitals with well-prepared health care staff. Using a quantitative methodology and an ex post facto design, this study compared employment retention rates between single-purpose and…

  17. The effectiveness of Tai Chi, yoga, meditation, and Reiki healing sessions in promoting health and enhancing problem solving abilities of registered nurses.

    PubMed

    Raingruber, Bonnie; Robinson, Carol

    2007-10-01

    Given the current necessity of retaining qualified nurses, a self-care program consisting of Yoga, Tai Chi, Meditation classes, and Reiki healing sessions was designed for a university-based hospital. The effectiveness of these interventions was evaluated using self-care journals and analyzed using a Heideggerian phenomenological approach. Outcomes of the self-care classes described by nurses included: (a) noticing sensations of warmth, tingling, and pulsation which were relaxing, (b) becoming aware of an enhanced problem solving ability, and (c) noticing an increased ability to focus on patient needs. Hospitals willing to invest in self-care options for nurses can anticipate patient and work related benefits. PMID:17957554

  18. Das sprachliche Register (Speech Registers)

    ERIC Educational Resources Information Center

    Hess-Luttich, Ernest W. B.

    1974-01-01

    The linguistic behavior of a given individual varies; he will on different occasions speak (or write) differently according to what may be roughly described as different social situations: he will use a number of different registers. The application of such registers both in the field of text analysis and in the preparation of teaching materials…

  19. Precursory Subsurface 222Rn and 220Rn Degassing Signatures of the 2004 Seismic Crisis at Tenerife, Canary Islands

    NASA Astrophysics Data System (ADS)

    Pérez, Nemesio M.; Hernández, Pedro A.; Padrón, Eleazar; Melián, Gladys; Marrero, Rayco; Padilla, Germán; Barrancos, José; Nolasco, Dácil

    2007-12-01

    Precursory geochemical signatures of radon degassing in the subsurface of the Tenerife Island were observed several months prior to the recent 2004 seismic-volcanic crisis. These premonitory signatures were detected by means of a continuous monitoring of 222Rn and 220Rn activity from a bubbling CO2-rich gas spot located at 2.850 m depth inside a horizontal gallery for groundwater exploitation at Tenerife. Multivariate Regression Analysis (MRA) on time series of the radon activity was applied to eliminate the radon activity fluctuation due to external variables such as barometric pressure, temperature and relative humidity as well as power supply. Material Failure Forecast Method (FFM) was successfully applied to forecast the anomalous seismicity registered in Tenerife Island in 2004. The changes in the 222Rn/220Rn ratio observed after the period of anomalous seismicity might suggest a higher gas flow rate and/or changes in the vertical permeability induced by seismic activity.

  20. Early Identification of At-Risk LPN-to-RN Students

    ERIC Educational Resources Information Center

    Hawthorne, Lisa K.

    2013-01-01

    Nurse education programs are implementing standardized assessments without evaluating their effectiveness. Graduates of associate degree nursing programs continue to be unsuccessful with licensure examinations, despite standardized testing and stronger admission criteria. This problem is also prevalent for LPN-to-RN education programs due to a…

  1. Motivators and barriers to returning to school: RN to BSN.

    PubMed

    Romp, Celeste R; Kiehl, Ermalynn M; Bickett, Anette; Bledsoe, Sarah F; Brown, Debbie S; Eitel, Stephanie B; Wall, Mary Patricia

    2014-01-01

    With national emphasis on increasing baccalaureate-prepared nurses, the role of the staff development educator of promoting lifelong learning is ideal for advising and mentoring non-bachelor's-prepared nurses to return to school. However, an understanding of the motivators and barriers for nurses to return to school is essential for success. A descriptive correlational research study was completed to determine the motivators and barriers of returning to school for registered nurses without a bachelor's degree. PMID:24658040

  2. The nurse practitioner in family planning services: law and practice.

    PubMed

    Roemer, R

    1977-06-01

    Before 1971, when Idaho became the 1st state to authorize expanded scope of functions for registered nurses, nearly all states made it illegal for any nurse to perform diagnosis or prescribe treatment, creating an ambiguity as more and more nurses were equipped by education and technology to perform new tasks. Today 30 states have liberalized the scope of nursing functions, making it possible for nurses and nurse-midwives to assume, among other tasks, family planning functions. A table gives the status of legislation and regulations governing nurse practitioners and nurse-midwives in each state. The area of greatest controversy is the prescription of oral contraceptives. In some states it is allowed under doctor's supervision or in rural areas or in areas where clear need exists for a nurse to dispense such medication. Usually this dispensing is limited to a single course of treatment. Nurse-midwives are rapidly being accepted as extensions of scarce medical facilities. Generally nurse-midwives are authorized to provide prenatal and postpartum care, to handle normal deliveries, and do family planning work including fitting diaphragms and inserting and removing IUDs. An innovation is the family planning nurse practitioner. Several courses for such practitioners have been set up across the U.S. Graduates may, with medical direction, perform bimanual pelvic examinations and breast examinations, take blood pressure, prescribe contraception, fit diaphragms, insert IUDs, examine vaginal secretions microscopically, and refer patients with problems to physicians. In a California program both registered and nonregistered nurses are being trained as women's health specialists who may make routine examinations in both pregnant and nonpregnant women and give family planning advice. Non-RN family planning specialists being trained include licensed vocational nurses, baccalaureate degree holders in nonnursing fields, and qualified persons with less formal education. The 24-week

  3. Follow-up Study of Graduates from the 1975 Los Angeles City College Registered Nurse Program. Research Study 76-8.

    ERIC Educational Resources Information Center

    Padilla, Bennie J.

    A follow-up study of 1975 Los Angeles City College nursing program graduates was conducted to determine the degree of success achieved by the graduates on the State Board Test Pool Examination, to compare the achievement of 1975 graduates to that of 1974 and 1973 graduates, to assess their degree of success in obtaining employment, to determine…

  4. Program and Student Characteristics Related to the Performance of New York State Associate Degree Graduates on the Registered Nurse Licensing Examination. Research Publication No. 75-1.

    ERIC Educational Resources Information Center

    Muncrief, Martha

    Characteristics of Associate Degree Nursing (ADN) programs in New York State which relate to the achievement of their graduates on the State Board Test Pool Examination (SBTPE) were identified. A questionnaire was designed and mailed to all two-year colleges in the states offering the ADN. A total of 32 questionnaires were returned (91 percent).…

  5. The Mediating Effects of Basic Psychological Needs at Work on the Relationship between the Dimensions of the Learning Organization and Organizational Commitment in Registered Nurses

    ERIC Educational Resources Information Center

    Baird, Bonni Lynn

    2012-01-01

    The purpose of this study was to determine the mediating effects of the Basic Psychological Needs at Work, comprised of competence, autonomy and relatedness, on the relationship between the Dimensions of the Learning Organization and affective and normative organizational commitment in the United States nursing population. The study incorporated…

  6. Preceptor and Self-Evaluation Competencies Among New RN Graduates.

    PubMed

    Prion, Susan; Berman, Audrey; Karshmer, Judith; Van, Paulina; Wallace, Jonalyn; West, Nikki

    2015-07-01

    Four transition-to-practice programs for new RN graduates who had not yet found employment in nursing were based on the Quality and Safety Education for Nurses (QSEN) competencies of knowledge, skills, and attitudes (KSAs). To support consistent evaluation of participants by preceptors, a 35-item tool was developed that used a 4-point scale to assess selected behaviors. This article describes the initial reliability and validity testing of the tool, which had good internal consistency, with a Cronbach's alpha of 0.92 for preceptor evaluation of participants and 0.82 when used as a self-evaluation tool. Six content experts evaluated the tool's face validity; it successfully discriminated between junior-level baccalaureate nursing students and nursing faculty. Although the tool does not exhaustively reflect the QSEN KSAs, it provides a way to assess competencies among new nurse graduates. PMID:26154671

  7. Student nurse socialisation in compassionate practice: a Grounded Theory study.

    PubMed

    Curtis, Katherine; Horton, Khim; Smith, Pam

    2012-10-01

    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

  8. [Improvement of oral health care in geriatric care by training of nurses and nursing assistants for the elderly].

    PubMed

    Jordan, R; Sirsch, E; Gesch, D; Zimmer, S; Bartholomeyczik, S

    2012-04-01

    Because oral health among residents of German nursing homes is inadequate, this intervention study evaluated the effects of dental training for nurses and nursing assistants (RN and RA) in homes for the elderly on their assessment of oral health in residents and, as a consequence, on the status of residents' oral health. 53 residents and the RNs and RAs from three homes for the elderly participated in this study. The nursing staff received training in dental health care. As primary outcome, the competence in performing the Brief Oral Health Examination (BOHSE) was measured at baseline date and four months after training. Additional outcome measures were dental and denture hygiene in residents, functional status of dentures, and treatment needs. Dental training was shown to improve the nursing staff's competences in oral health assessment in tendency. Residents' oral hygiene improved significantly, whereas no relevant effects on hygiene and functional status of dentures were registered. The need for dental treatment turned out to be considerable at both measurements. Modifications in test tools with identification of dental treatment needs seem to be indicated in order to improve cooperation between nursing staff and dentists in homes for the elderly. PMID:22473733

  9. Do progression and remediation policies improve NCLEX-RN pass rates?

    PubMed

    Morrison, Susan; Free, Kathleen Walsh; Newman, Mary

    2006-01-01

    Administrators at 5 schools of nursing who implemented a progression policy based on HESI Exit Exam scores were interviewed regarding their NCLEX-RN pass rates before and after initiating the policy and methods used for remediation. Even though the methods used for remediation were quite different among the participating schools, data obtained from these interviews indicated that the schools' NCLEX-RN pass rates improved 9-41% within 2 years after implementing the progression policies. PMID:16913565

  10. Nurse Reinvestment Act. Public Law.

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC.

    This document contains the text of the Nurse Reinvestment Act, which amends the Public Health Service Act to address the increasing shortage of registered nurses by instituting a series of policies to improve nurse recruitment and nurse retention. Title I details two initiatives to boost recruitment of nurses. The first initiative includes the…

  11. RN students' ratings and opinions related to the importance of certain clinical teacher behaviors.

    PubMed

    Viverais-Dresler, G; Kutschke, M

    2001-01-01

    Clinical teachers make a necessary and valuable contribution to clinical nursing courses with non-RN learners. This contribution is often not considered necessary in degree nursing programs with an RN student population. This study describes the perceptions of RN students and the importance they attach to certain clinical teacher behaviors. Fifty-six participants in a distance education baccalaureate nursing program completed a questionnaire, including a rating scale and open-ended questions. Based on the mean values, items were ranked in importance. Sample quotes were provided to elaborate on the highest and lowest-ranked items. Participants rated the four categories in descending order of importance: Evaluation, Professional Competence, Interpersonal Relationships, and Teaching Ability. The top items gave the profile of a teacher who is approachable, fair, open, honest, and who creates mutual respect. The findings support a clinical teacher for RN learners. The data also reflect similarities and differences with findings of studies with non-RN student participants. The findings of this study provide information, not available in the literature, regarding clinical teacher behaviors of significance to RN students. PMID:11868719

  12. Becoming Socialized into a New Professional Role: LPN to BN Student Nurses' Experiences with Legitimation

    PubMed Central

    Melrose, Sherri; Miller, Jean; Gordon, Kathryn; Janzen, Katherine J.

    2012-01-01

    This paper presents findings from a qualitative descriptive study that explored the professional socialization experiences of Licensed Practical Nurses (LPNs) who attended an online university to earn a Baccalaureate degree in nursing (BN), a prerequisite to writing the Canadian Registered Nurse (RN) qualifying exam. The project was framed from a constructivist worldview and Haas and Shaffir's theory of legitimation. Participants were 27 nurses in a Post-LPN to BN program who came from across Canada to complete required practicums. Data was collected from digital recordings of four focus groups held in different cities. Transcripts were analyzed for themes and confirmed with participants through member checking. Two overarching themes were identified and are presented to explain how these unique adult learners sought to legitimize their emerging identity as Registered Nurses (RNs). First, Post-LPN to BN students need little, if any, further legitimation to affirm their identities as “nurse.” Second, practicum interactions with instructors and new clinical experiences are key socializing agents. PMID:22548165

  13. Nurse versus community health worker identification of psychosocial risks in pregnancy through a structured interview.

    PubMed

    Godecker, Amy L; Harrison, Patricia A; Sidebottom, Abbey C

    2013-11-01

    A structured psychosocial risk screening interview, the Prenatal Risk Overview, was administered to 733 women in prenatal care. Either a community health worker (CHW) or a registered nurse (RN) conducted the interview based on day of the week. A comparison of identified risk factors found no significant differences between study samples for six of 13 domains. For CHW interviews, significantly more participants were classified as Moderate/ High Risk for Depression, Lack of Telephone Access, Food Insecurity, and Housing Instability, and as High Risk for Lack of Social Support, Lack of Transportation Access, and Housing Instability. For RN interviews, significantly more participants were classified as High Risk for Alcohol Use. Community health workers successfully conducted psychosocial screening and elicited more self-reported risk than RNs, especially lack of basic needs. Comparing the hourly salary/ wage, the cost for CHWs was 56% lower than for RNs. Preliminary findings support use of paraprofessionals for structured screening interviews. PMID:24185153

  14. A writing intensive introductory course for RN to BSN students.

    PubMed

    Tesh, Anita S; Hyde, Yolanda M; Kautz, Donald D

    2014-01-01

    This article describes learning strategies used with RN to BSN students in their 1st nursing course to successfully learn how to write formal papers using the American Psychological Association (APA) format. This 1st nursing course, a writing intensive, requires 4 short papers with self, peer, and teacher critiques and opportunities to rewrite. Students learn the style of professional nursing discourse, mastery of APA format, and development of additional skills in following directions and in critiquing their own work. An additional benefit is to enhance learning about professional nursing topics. By mastering writing skills in this initial course, students are able to successfully complete writing assignments in future courses and, in some cases, move on to publication. PMID:24300250

  15. Attitudes towards collaboration and servant leadership among nurses, physicians and residents.

    PubMed

    Garber, Jeannie Scruggs; Madigan, Elizabeth A; Click, Elizabeth R; Fitzpatrick, Joyce J

    2009-07-01

    A descriptive, comparative study was conducted to examine the attitudes of nurses, physicians and residents towards collaboration and to assess their self-perception of servant leadership characteristics. The Jefferson Scale of Attitudes toward Physician-Nurse Collaboration and the Barbuto-Wheeler Servant Leadership Questionnaire were utilized for data collection. Registered nurses (RNs) (n = 2,660), physicians (n = 447) and residents (n = 171) in a Southeastern United States health system were surveyed via the intranet; there were 497 responses for analysis. The response rate should be considered and generalizations made with caution regarding the study results. RN scores were higher for both total scores and subscales as compared to physician/resident groups for collaboration and servant leadership. There was a weak positive correlation between collaboration and servant leadership in the RN group and no significant correlation between the variables in the physician/resident group. Findings from this study have implications for nursing and physician education and practice and may serve as a framework for future studies. Representative samples are needed to gain further insight and to guide future research. PMID:19517285

  16. Meanings Over Time of Working as a Nurse in Elderly Care

    PubMed Central

    Blomberg, Karin; James, Inger; Kihlgren, Annica

    2013-01-01

    Background: Although registered nurses (RNs) play a central role in the care of older persons, their work in elderly care has historically been described as “low status” in nursing. This is especially problematic due to the global issue of RN turnover, but there is still little evidence of how to change this trend. Better understanding is needed of the reasons why RNs work in elderly care, as well as knowledge of whether these reasons have changed over time. Aim: The aim was to explore the meaning of working in elderly care, over time, from the perspective of RNs. Method: We interviewed thirteen RNs working in nursing homes, six of them in 2000 and the remaining seven in 2012, and analysed the resulting data using Interpretive Description. Results: The results show similarities and differences over time in the RNs’ reasoning about the meaning of their work with older persons, from a focus on obstacles to a view of opportunities. Conclusion: An RN’s intention to continue working in elderly care might be based on their beliefs; their view of older people, and their experiences of being able to influence the care. Managing this knowledge could be an essential factor in reversing the historical trend of RN work in elderly care being seen as low status, and the increasing turnover in such nurses. Our results could stimulate reflection on daily care and beliefs about caring for older persons. PMID:24044032

  17. Worker productivity and ventilation rate in a call center: Analyses of time-series data for a group of registered nurses

    SciTech Connect

    Fisk, William J.; Price, Phillip; Faulkner, David; Sullivan, Douglas; Dibartolomeo, Dennis

    2003-08-01

    We investigated the relationship of ventilation rates with the performance of advice nurses working in a call center. Ventilation rates were manipulated; temperatures, humidities, and CO{sub 2} concentrations were monitored; and worker performance data, with 30-minute resolution, were collected. Multivariate linear regression was used to investigate the association of worker performance with indoor minus outdoor CO{sub 2} concentration (which increases with decreasing ventilation rate per worker) and with building ventilation rate. Results suggest that the effect of ventilation rate on worker performance in this call center was very small (probably less than 1%) or nil, over most of the range of ventilation rate (roughly 12 L s{sup -1} to 48 L s{sup -1} per person). However, there is some evidence of worker performance improvements of 2% or more when the indoor CO{sub 2} concentration exceeded the outdoor concentration by less than 75 ppm.

  18. Joint Venture Arrangement for RN to BSN: A Model of Synergy between Academia and Service.

    ERIC Educational Resources Information Center

    Bargagliotti, L. Antoinette; And Others

    1991-01-01

    Joint venture among educational and practice institutions is well on its way toward becoming the norm in nursing education and practice. Kaiser Permanente and the University of San Francisco School of Nursing offer a venture that allows registered nurses to pursue a bachelor of science in nursing degree. (JOW)

  19. Developing a Successful Online RN to BSN Program.

    ERIC Educational Resources Information Center

    Stotts, Cheryl; Smith, Richard; Edwards-Schafer, Patricia; Schmidt, Cheryl; Smith, Jo Ann

    In 1999, the University of Arkansas for Medical Sciences College of Nursing received a 5-year grant from the U.S. Health Resources and Service Administration to provide online baccalaureate completion courses for RNs (Registered Nurses). At the completion of the first year, all six theory courses were offered online. Clinical courses are offered…

  20. A Multi-Method Study of the Geriatric Learning Needs of Acute Care Hospital Nurses in Ontario, Canada.

    PubMed

    Fox, Mary T; Butler, Jeffrey I; Persaud, Malini; Tregunno, Deborah; Sidani, Souraya; McCague, Hugh

    2016-02-01

    Older people are at risk of experiencing functional decline and related complications during hospitalization. In countries with projected increases in age demographics, preventing these adverse consequences is a priority. Because most Canadian nurses have received little geriatrics content in their basic education, understanding their learning needs is fundamental to preparing them to respond to this priority. This two-phased multi-method study identified the geriatrics learning needs and strategies to address the learning needs of acute care registered nurses (RNs) and registered practical nurses (RPNs) in the province of Ontario, Canada. In Phase I, a survey that included a geriatric nursing knowledge scale was completed by a random sample of 2005 Ontario RNs and RPNs. Average scores on the geriatric nursing knowledge scale were in the "neither good nor bad" range, with RNs demonstrating slightly higher scores than RPNs. In Phase II, 33 RN and 24 RPN survey respondents participated in 13 focus group interviews to help confirm and expand survey findings. In thematic analysis, three major themes were identified that were the same in RNs and RPNs: (a) geriatric nursing is generally regarded as simple and custodial, (b) older people's care is more complex than is generally appreciated, and (c) in the current context, older people's care is best learned experientially and in brief on-site educational sessions. Healthcare providers, policy-makers, and educators can use the findings to develop educational initiatives to prepare RNs and RPNs to respond to the needs of an aging hospital population. PMID:26471253

  1. Nursing in Crisis

    ERIC Educational Resources Information Center

    Fulcher, Roxanne

    2007-01-01

    Both the nation's health-care and nursing education systems are in crisis. While the care provided by registered nurses (RNs) is essential to patients' recovery from acute illness and to the effective management of their chronic conditions, the United States is experiencing a nursing shortage that is anticipated to increase as baby boomers age and…

  2. Research Issues: Nursing & Professionalization.

    ERIC Educational Resources Information Center

    Rosenfeld, Peri

    Nursing has always been viewed as a "women's profession" as evidenced by the fact that 97 percent of the 1.9 million registered nurses in the United States are female. The values of helping others, altruism, compassion, and sacrifice are associated with women and with nursing. However, because many young people today do not view these values as…

  3. Enrolled nurse medication administration.

    PubMed

    Kimberley, Anne; Myers, Helen; Davis, Sue; Keogh, Penny; Twigg, Di

    2004-01-01

    This paper describes an initiative undertaken at Sir Charles Gairdner Hospital in Perth, Western Australia to enhance the professional development of enrolled nurses to allow them to administer medications without the direct supervision of a registered nurse. This practice change proved to be a positive step for the hospital and for enrolled nurses. Benefits for patients were identified as greater continuity of care and increased timeliness of medication admiuistrqtion. The benefits for enrolled nurses were increased job satisfaction, improved morale and self esteem while the main benefit for registered nurses was decreased stres and workload. PMID:17929736

  4. Increasing RN-BSN enrollments: facilitating articulation through curriculum reform.

    PubMed

    Spencer, Janine

    2008-07-01

    Increasing enrollments in nursing programs is one method to deal with the shortage of nurses. However, the majority of these new graduates will be educated at the associate degree in nursing (ADN) level. The need to increase the number of nurses educated at the baccalaureate (BSN) level is significant. Research has shown that patient outcomes can be attributed to higher levels of nursing education. A viable way to increase the volume of BSN graduates is to promote statewide and mandated articulation agreements and create an environment where academic progression is facilitated. The initial step in the process of implementing articulation agreements is to bring together nursing educators at the BSN and ADN level to assess prerequisites, transfer credits, and evaluate overall curriculum. This article reviews the current trends in registered nurse-BSN curriculum at 13 public 4-year universities in California and discusses the potential opportunities to reform curriculum and facilitate articulation. PMID:18649806

  5. Best practices in NCLEX-RN readiness preparation for baccalaureate student success.

    PubMed

    Frith, Karen H; Sewell, Jeanne P; Clark, Deborah J

    2006-01-01

    Success for first-time takers of the NCLEX-RN has implications for the students, faculty, and nursing programs. As the passing standard for the NCLEX-RN has risen, some programs have experienced a corresponding decrease in their graduates' first-time pass rates. This article describes one baccalaureate program's journey from low first-time NCLEX-RN pass rates in 2001 to greater student and program success using a data-based, analytical approach. Although passing an exit exam was a program requirement for 20 years, the change to computerized testing and more in-depth test preparation has enhanced opportunities for success for students and reduced stress.among faculty. The resulting best practices for preparing students for NCLEX-RN success are described. PMID:16913564

  6. Reconceptualizing the Baccalaureate Nursing Curriculum.

    ERIC Educational Resources Information Center

    Mengel, Andrea

    A survey of nursing leaders was conducted to identify values, opinions and ideas about the baccalaureate nursing curriculum, and the views identified were analyzed from the perspective of curriculum theory. The population consisted of 488 registered nurses listed in the 1985 Directory of Fellows of the American Academy of Nursing. Data were…

  7. Using Adobe Connect to Deliver Online Library Instruction to the RN to BSN Program

    ERIC Educational Resources Information Center

    Carlson, Kathleen

    2011-01-01

    This paper takes a look at how one academic health sciences librarian brought mediated literature searching to the distance RN to BSN nursing students. It takes a look at why Adobe Connect was the webinar software that was selected to deliver online instruction to the students. The article explains how students participated in a pre-class survey…

  8. NCLEX-RN Examination Performance by BSN Graduates of Four Historically Black Colleges and Universities

    ERIC Educational Resources Information Center

    Chesney, Anita M.

    2010-01-01

    This qualitative multiple-case study research explored and described differences as well as NCLEX-RN preparation strategies used by Historically Black College and University (HBCU) baccalaureate nursing programs with consistent NCLEX pass rates versus those with inconsistent pass rates. Two of the four selected programs had a history of consistent…

  9. Nurse staffing. Finding the right number and mix.

    PubMed

    Sanford, Kathleen D

    2010-09-01

    Dissatisfaction with staffing is the main reason nurses leave hospitals. Hospital-acquired conditions are higher in hospitals with lower RN hours per patient day. Finance and nursing need to collaborate to determine appropriate nurse staffing so units are not overstaffed or understaffed. PMID:20830993

  10. Work Values Evolution in a Baccalaureate Student Nurse Population

    ERIC Educational Resources Information Center

    Dietrich, Marie C.

    1977-01-01

    Differences related to degree aspiration, desired nursing career specialty, and other nursing-related biographical variables were found among the four classes of a sample of 408 full-time non-RN female subjects in a baccalaureate nursing program. These differences were associated with shifts in the work values patterns of the subjects. (Author)

  11. The Rural Clinical Nurse Placement Center.

    ERIC Educational Resources Information Center

    Stuart-Siddall, Sandra; And Others

    The Rural Clinical Nurse Placement Center (RCNP) was begun in Chico, California, in 1975 to develop, implement, evaluate, and disseminate a model of a rural internship program in an effort to attract nurses to rural communities. Run by a director, clinical coordinator, full-time secretary, and half-time typist, the program places BS/RN degree…

  12. Spectroscopy of 215Rn86

    SciTech Connect

    Debray, M. E.; Davidson, M.; Davidson, J.; Hojman, D.; Kreiner, A. J.; Cardona, M. A.; Lenzi, S.; Napoli, D.

    2007-02-12

    The yrast level structure of 215,216Rn has been studied using in beam spectroscopy {alpha} - {gamma} - {gamma} coincidence techniques mainly through the 207Pb(18O, 2{alpha}2n) and 208Pb(18O, 2{alpha}2n) reactions in the 91-93 MeV energy range, using the 8{pi} GASP-ISIS spectrometer at Legnaro. The obtained low lying level scheme of 215Rn does not exhibit the alternating parity structure observed in their heavier known isotones 216Fr, 217Ra and 218Ac. The level scheme of 216Rn resulting from this study shows >From this result, the lightest nucleus showing evidence for reflection asymmetry is 216Fr defining one lowest-mass corner for this kind of phenomenon as N{>=}129 and Z{>=}87.

  13. Charting the course for nurses' achievement of higher education levels.

    PubMed

    Kovner, Christine T; Brewer, Carol; Katigbak, Carina; Djukic, Maja; Fatehi, Farida

    2012-01-01

    To improve patient outcomes and meet the challenges of the U.S. health care system, the Institute of Medicine recommends higher educational attainment for the nursing workforce. Characteristics of registered nurses (RNs) who pursue additional education are poorly understood, and this information is critical to planning long-term strategies for U.S. nursing education. To identify factors predicting enrollment and completion of an additional degree among those with an associate or bachelor's as their pre-RN licensure degree, we performed logistic regression analysis on data from an ongoing nationally representative panel study following the career trajectories of newly licensed RNs. For associate degree RNs, predictors of obtaining a bachelor's degree are the following: being Black, living in a rural area, nonnursing work experience, higher positive affectivity, higher work motivation, working in the intensive care unit, and working the day shift. For bachelor's RNs, predictors of completing a master's degree are the following: being Black, nonnursing work experience, holding more than one job, working the day shift, working voluntary overtime, lower intent to stay at current employer, and higher work motivation. Mobilizing the nurse workforce toward higher education requires integrated efforts from policy makers, philanthropists, employers, and educators to mitigate the barriers to continuing education. PMID:23158196

  14. School Nurse Intention to Pursue Higher Education

    ERIC Educational Resources Information Center

    Broussard, Lisa; White, Debra

    2014-01-01

    In 2011, the Institute of Medicine recommended that 80% of the nurses possess a minimum of a bachelor of science in nursing by 2020 and double the number of doctorally prepared nurses. This has prompted a significant number of registered nurses to advance their educational level. School nurses in Louisiana are not required to have a…

  15. Standardized Nursing Languages. Position Statement. Revised

    ERIC Educational Resources Information Center

    Duff, Carolyn; Endsley, Patricia; Chau, Elizabeth; Morgitan, Judith

    2012-01-01

    It is the position of the National Association of School Nurses (NASN) that standardized nursing languages (SNL) are essential communication tools for registered professional school nurses (hereinafter, school nurses) to assist in planning, delivery, and evaluation of quality nursing care. SNL help identify, clarify and document the nature and…

  16. What nurses want: the nurse incentives project.

    PubMed

    Wieck, K Lynn; Dols, Jean; Northam, Sally

    2009-01-01

    Today's nurse executives are struggling with leadership challenges of managing the multigenerational workforce, financial imperatives to deliver better care for lower costs, and competition to provide the optimal work environment to retain nurses. The purpose of the Nurse Incentives Project was to determine satisfaction with current employment incentives and potential managerial actions which might decrease or delay turnover by registered nurses. This study spawned recommendations regarding the role of incentives in designing an environment where benefits and perks will be seen as incentives to stay and thrive in the current nursing workplace. The results show that nurses know what they want. Attention to generational priorities and flexible benefits programs may help to create the cohesive work environment that nurses seek. Investment into creating delivery arenas where satisfied nurses are caring for satisfied patients is a worthwhile goal. PMID:19558077

  17. Men in Nursing: Their Influence in a Female Dominated Career

    ERIC Educational Resources Information Center

    Barrett-Landau, Susan; Henle, Sharon

    2014-01-01

    An analysis performed by Staiger, Auerback, and Buerhaus (2012) on the RN workforce model suggests that between 2010 and 2015 there will be a decrease in the RN's employment as the economy improves and the baby boomer population retires. This article centers on the road blocks men face in nursing education, clinical experiences, job preferences in…

  18. Nursing around the world: Australia.

    PubMed

    Stein-Parbury, J

    2000-01-01

    Early nursing in Australia was influenced strongly by the British nursing tradition, characterized by an apprenticeship style of nurse education. However, this influence has been replaced by the transfer of all registered nursing education into the higher education sector. This article will discuss the development of the discipline of nursing in Australia as well as the Australian health care system and nursing work force. Nursing educational programs, registration, organizations, and research will be will be described. Finally current issues in Australian nursing and health care will be presented. PMID:11453843

  19. 21st century challenges faced by nursing faculty in educating for compassionate practice: embodied interpretation of phenomenological data.

    PubMed

    Curtis, Katherine

    2013-07-01

    Nursing faculty are facing challenges in facilitating student learning of complex concepts such as compassionate practice. Compassion is a stated expectation of Registered Nurse (RN) and student nurse practice, and yet how it is enabled and learned within the challenging environments of university and health service provider organisations are not yet understood. There is currently an international concern that student nurses are not being adequately prepared for compassion to flourish and for compassionate practice to be sustained upon professional qualification. In order to investigate the experiences of nursing faculty in their preparation of student nurses for compassionate practice, an exploratory aesthetic phenomenological research study was undertaken using in depth interviews with five nurse teachers in the North of England. Findings from this study were analysed and presented using embodied interpretation, and indicate that nurse teachers recognise the importance of the professional ideal of compassionate practice alongside specific challenges this expectation presents. They have concerns about how the economically constrained and target driven practice reality faced by RNs promotes compassionate practice, and that students are left feeling vulnerable to dissonance between learned professional ideals and the RNs' practice reality they witness. Nurse teachers also experience dissonance within the university setting, between the pressures of managing large student groups and the time and opportunity required for small group discussion with students that enables compassion to develop in a meaningful and emotionally sustainable way. Teachers also express discomfort due to a perceived promotion of an 'unachievable utopia' within practice, identifying how the constraints within practice could be better managed to support professional ideals. The nurse teachers within this exploratory study identify the need for strong nurse leadership in practice to challenge

  20. Musculoskeletal outcomes in multiple body regions and work effects among nurses: the effects of stressful and stimulating working conditions.

    PubMed

    Daraiseh, N; Genaidy, A M; Karwowski, W; Davis, L S; Stambough, J; Huston, R I

    2003-10-10

    This study investigated the various stressors encountered by the nursing profession. In particular, the following hypotheses were tested: (1) working conditions of nurses significantly affect perceived risk of injury and illness, work dissatisfaction, work satisfaction, energy state at the end of workday, the effort exerted by the registered nurse (RN), psychosomatic outcomes, and musculoskeletal symptoms (in multiple body regions); (2) both intermediate work effects (i.e., effort, perceived risk of injury/illness, work satisfaction/dissatisfaction, energy state at end of workday) and psychosomatic outcomes significantly affect musculoskeletal outcomes (in multiple body regions); (3) both working conditions and effects significantly affect musculoskeletal outcomes. In a preliminary study conducted on 34 registered nurses, results show that: (1) stressful working conditions affect musculoskeletal outcomes in multiple body regions, and (2) physical maladies such as lower back problems are not only associated with physical factors but also with a complex interaction of working conditions. Further research is warranted to obtain a better understanding of the complex interaction and the synergistic effects of the various nursing working conditions. PMID:12933079

  1. Nursing and health care reform: implications for curriculum development.

    PubMed

    Bowen, M; Lyons, K J; Young, B E

    2000-01-01

    The health care system is undergoing profound changes. Cost containment efforts and restructuring have resulted in cutbacks in registered nurse (RN) positions. These changes are often related to the increased market penetration by managed care companies. To determine how RN graduates perceive these changes and their impact on the delivery of patient care, Healthcare Environment Surveys were mailed to graduates of the classes of 1986 and 1991. Using the Survey's 5-point Likert Scale, we measured the graduates' satisfaction with their salary, quality of supervision they received, opportunities for advancement, recognition for their job, working conditions, the overall job and the changes in their careers over the previous five year period. Our study suggests that the changes in the health care system are having an impact on how health care is being delivered and the way nurses view their jobs. Respondents reported that insurance companies are exerting increased control over patient care and perceive that the quality of patient care is declining. Increased workloads and an increase in the amount of paperwork were reported. Participants perceived that there were fewer jobs available and that job security was decreasing. The percentage of nurses who see job satisfaction as remaining the same or increasing are a majority. However, the relatively high percent of nurses who see job satisfaction as declining should provide a note of warning. The major implications of this study are that the professional nursing curriculum must be modified to include content on communication, organization, legislative/policy skills, and leadership. The nation's health care system is undergoing profound changes. There are numerous forces at work that are effecting the delivery of care and, consequently, the work of health professionals. These forces include significant efforts at cost containment, restructuring and downsizing of hospitals, and the movement of health care delivery out of acute

  2. A Regional Collaboration for Educational and Career Mobility: The Nursing Education Mobility Action Group.

    ERIC Educational Resources Information Center

    Rolince, Patricia; Giesser, Nancy; Greig, Judith; Knittel, Kathleen; Mahowald, Jane F.; McAloney-Madden, Lisa; Schloss, Robert A.

    2001-01-01

    A collaborative group of 25 Northeast Ohio nursing deans/directors has developed an access model to provide new education and career mobility pathways into nursing. Model components describe the routes of licensed practical nurse to registered nurse and registered nurse to bachelor of science in nursing. Cost effectiveness and equity are…

  3. From healthcare support worker to registered nurse.

    PubMed

    Driffield, Amanda

    2016-09-01

    Workforce planning, education and training are essential for achieving an appropriate mix of skilled and motivated staff, but the NHS's financial challenges mean new ways of providing safe staffing levels and balancing the books are required. This article describes the development of an education programme for band 1 to band 4 unregistered support workers that led to the introduction of an assistant practitioner (AP) role. It also explains how the programme evolved from a one-year certificate in higher education to a foundation degree in health care, and has since produced over 100 APs in a range of clinical areas who deliver high quality, competent and patient-centred care in a cost-effective, sustainable way. PMID:27581913

  4. 42 CFR 405.2416 - Visiting nurse services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Visiting nurse services. 405.2416 Section 405.2416... Health Center Services § 405.2416 Visiting nurse services. (a) Visiting nurse services are covered if: (1... are furnished by a registered nurse, licensed practical nurse, or licensed vocational nurse who...

  5. 42 CFR 440.165 - Nurse-midwife service.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... provider agreements for nurse-midwives.) (b) “Nurse-midwife” means a registered professional nurse who... professional nurse. (2) Is legally authorized under State law or regulations to practice as a nurse-midwife. (3... 42 Public Health 4 2010-10-01 2010-10-01 false Nurse-midwife service. 440.165 Section...

  6. Nursing Educator Retention: The Relationship between Job Embeddedness and Intent to Stay among Nursing Educators

    ERIC Educational Resources Information Center

    Hamlin, Amy S.

    2013-01-01

    The United States is in the midst of an increasingly worsening shortage of registered nurses, due, in part, to the nursing educator shortage. Further, nursing programs nationwide are turning away qualified applicants because of a lack of nursing educators. Unfortunately, the nursing educator shortage is not a problem that will be easily fixed. As…

  7. 222Rn+220Rn monitoring by alpha spectrometry.

    PubMed

    Buompane, R; Roca, V; Sabbarese, C; Pugliese, M; Quarto, M; Mattone, C

    2014-07-01

    Controlled 222Rn+220Rn mixed atmospheres have been realised introducing calibrated sources in a stainless steel chamber. An electrostatic alpha monitor internal to the chamber has been used for an accurate discrimination of alpha peaks due to the products of the two isotopes. In the chamber, different specific activities are achieved in order to test the response of the internal reference instrument and to evaluate the possible interferences due to contemporary presence of both radon isotopes. Results show that: (i) the atmospheres are very stable, (ii) the monitor is adequate for their control because the various alpha lines are well evaluated and (iii) using Tyvek® filter, the efficiency of monitor is stable and constant vs. activity. PMID:24723194

  8. KATTS: a framework for maximizing NCLEX-RN performance.

    PubMed

    McDowell, Betsy M

    2008-04-01

    A key indicator of the quality of a nursing education program is the performance of its graduates as first-time takers of the NCLEX-RN. As a result, nursing schools are open to strategies that strengthen the performance of their graduates on the examination. The Knowledge base, Anxiety control, Test-Taking Skills (KATTS) framework focuses on the three components of achieving a maximum score on an examination. In KATTS, all three components must be present and in proper balance to maximize a test taker's score. By strengthening not just one but all of these components, graduates can improve their overall test scores significantly. Suggested strategies for strengthening each component of KATTS are provided. This framework has been used successfully in designing remedial tutoring programs and in assisting first-time NCLEX test takers in preparing for the licensing examination. PMID:18468296

  9. Soil radon ( 222 Rn) monitoring at Furnas Volcano (São Miguel, Azores): Applications and challenges

    NASA Astrophysics Data System (ADS)

    Silva, C.; Ferreira, T.; Viveiros, F.; Allard, P.

    2015-05-01

    A soil 222Rn continuous monitoring test was performed in three sampling points inside Furnas Volcano caldera and 222Rn concentration varied between 0 and 153000 Bq/m3. Multivariate regression and spectral analyses were applied to the time series registered in order to understand and filter the influence of external factors on soil 222Rn concentration and to recognise anomalies correlated with deep processes. The regression models show that barometric pressure, soil water content, soil temperature, soil CO2 flux, air temperature, relative air humidity and wind speed are the statistical meaningful variables explaining between 15.8% and 73.6% of 222Rn variations. Spectral analysis allowed to identify seasonal variations and daily variations associated with one cycle per day on winter months only in one of the monitored sites. This diurnal variation is correlated with air temperature, relative air humidity and wind speed cycles. The change in the location of the sampling points was caused by both artificial and natural constrains. On the three monitoring sites, after a period of continuous register, a sudden drop on the 222Rn concentration values was observed and the cause is still under debate. The work performed can be applied for seismovolcanic monitoring and for public health risk assessment.

  10. Development of an integrated sampler based on direct 222Rn/ 220Rn progeny sensors in flow-mode for estimating unattached/attached progeny concentration

    NASA Astrophysics Data System (ADS)

    Mishra, Rosaline; Sapra, B. K.; Mayya, Y. S.

    2009-11-01

    A flow-mode integrated sampler consisting of a wire-mesh and filter-paper array along with passive solid state nuclear track detectors has been developed for estimating unattached and attached fraction of 222Rn/ 220Rn progeny concentration. The essential element of this sampler is the direct 222Rn/ 220Rn progeny sensor (DRPS/DTPS), which is an absorber-mounted-LR115 type nuclear track detector that selectively registers the alpha particles emitted from the progeny deposited on its surface. During sampling at a specified flow-rate, the unattached progeny is captured on the wire-mesh; while the attached progeny gets transmitted and is captured on the filter-paper. The alpha particles emitted by the deposited progeny atoms are registered on the sensors placed at a specified distance facing the wire-mesh and the filter-paper, respectively. The various steps involved in the development of this flow-mode direct progeny sampler such as the optimization of the sampling rate and the distance between the sensor and the deposition substrate are discussed. The sensitivity factor of the DTPS-loaded sampler for 220Rn progeny deposited on the wire-mesh and filter-paper is found to be 23.77 ± 0.64 (track cm -2 h -1) (Bq m -3) -1 and 22.30 ± 0.18 (track cm -2 h -1) (Bq m -3) -1, respectively; while that of DRPS-loaded sampler for 222Rn progeny deposition, is 3.03 ± 0.14 (track cm -2 h -1) (Bq m -3) -1 and 2.08 ± 0.07 (track cm -2 h -1) (Bq m -3) -1, respectively. The highlight of this flow-mode sampler is its high sensitivity and that it utilizes the passive technique for estimating the unattached and attached progeny concentration, thus doing away with the alpha counting procedures.

  11. Retirement Financial Planning and the RN: An Integrative Literature Review.

    PubMed

    Keele, Shanna; Alpert, Patricia T

    2015-10-01

    This integrative literature review examined the current research on RN retirement. The review identified 3 critical gaps in knowledge: (a) minimal knowledge regarding the economic impact on RN retirement, (b) incomplete information regarding the demographics of RN retirement, and (c) a scarcity of prospective longitudinal RN workforce studies. Future research must address these gaps to better address RN workforce sustainability. PMID:26426132

  12. A concept analysis of competence and its transition in nursing.

    PubMed

    Garside, Joanne R; Nhemachena, Jean Z Z

    2013-05-01

    Competence is one of the most commonly used words in nursing internationally, yet is a nebulous concept defined in diverse ways by different healthcare practitioners. The slippery nature of the concept often exists purely in the eye of the beholder however, the universal principles are deeply rooted in the measurement of the Registered Nurse's (RN) ability to perform effectively. Competence is a simpler thing to define when recognising where it does not exist in the form of incompetence. The aim of this paper is to present finding from a concept analysis that explored various facets of competence, particularly how it has been interpreted, applied and transformed over the years within nurse education in the United Kingdom. The analysis utilised a systematic review of contemporary evidence base based on theory construction by Walker and Avant (2005), a primary concern being to understand the underpinning conceptual principles that define the concept of competence and competency development and how these may be used to inform our understandings. The analysis identified how influential academics and professional bodies have attempted to provide definitions and concluded that it may be the existence of so many of these definitions, which has compounded the conundrum of what competence really is. PMID:22257583

  13. Transforming Associate Degree Nursing Education with Internet Technology

    ERIC Educational Resources Information Center

    Tremel, Maureen D.

    2004-01-01

    In light of today's dynamic health care delivery system, nursing education cannot be passive and still produce competent and effective registered nurses. Registered nurses must be able to communicate confidently in order to advocate for their patients and themselves. The nursing faculty at Seminole Community College have accepted the challenge to…

  14. 42 CFR 440.166 - Nurse practitioner services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... are furnished by a registered professional nurse who meets a State's advanced educational and clinical... registered professional nurse who meets the requirements specified in either paragraphs (b)(1) or (b)(2) of... practitioner must— (i) Be currently licensed to practice in the State as a registered professional nurse;...

  15. MENTAL NURSING. LESSON PLANS PREPARED BY PRACTICAL NURSING INSTRUCTORS FOLLOWING JOINT CONFERENCE HELD AT THE UNIVERSITY OF TENNESSEE, KNOXVILLE.

    ERIC Educational Resources Information Center

    Tennessee State Board for Vocational Education, Murfreesboro. Vocational Curriculum Lab.

    THE LESSON PLANS FOR A UNIT ON MENTAL NURSING IN THE PRACTICAL NURSE EDUCATION PROGRAM WERE DEVELOPED BY A GROUP OF REGISTERED NURSES HOLDING TENNESSEE TEACHING CERTIFICATES. STUDENTS SELECTED FOR THE PROGRAM SHOULD BE HIGH SCHOOL GRADUATES OR EQUIVALENT. THE LESSONS DESIGNED FOR USE BY A REGISTERED NURSE CERTIFIED FOR TEACHING GIVE OBJECTIVES,…

  16. Nurses' Resolutions of Six Ethical Dilemmas.

    ERIC Educational Resources Information Center

    Lawrence, Jeanette A.; Crisham, Patricia

    Six ethical dilemmas related to nursing practice were developed and presented to registered and trainee nurses for their resolution. A non-nurse group of university students also gave decisions about what a nurse should do in each ethically-loaded situation. A dilemma was classified as recurrent if its core problem was spontaneously mentioned by…

  17. Nursing Students’ Self-Graded Motivation to Complete their Programme of Study

    PubMed Central

    Stomberg, Margareta Warrén; Nilsson, Kerstin

    2010-01-01

    The aim of this study was to explore variation in nursing students’ motivation to complete their programme of study, as well as factors relating to low versus high motivation and students’ opinions of what would increase their motivation to complete their programme of study. A study was carried out between April 2006 and December 2007. A total of 872 students registered in a 3-year nursing programme randomly participated in self-rating their motivation score once each semester. Descriptive statistics, statistical calculations and content analysis regarding open-ended questions were performed. Most of the students, 73%, rated their motivation as ≥6 on a 0-10 Likert scale; and 16% gave a rating of ≤4. The desire to become a registered nurse (RN) and having a positive attitude towards the studies were the main factors influencing high motivation to complete the programme of study. Having a negative attitude towards the studies was an explanation of decreased motivation. There was a significant decrease (p=0.001) in the motivation score with respect to number of semesters, and motivation increased with the student’s age (p=0.0119). Suggestions for increasing motivation given by those who rated their motivation as ≤4 mainly focused on improvements in didactics and study organisation. PMID:21347211

  18. Nurses' self-relation--becoming theoretically competent: the SAUC model for confirming nursing.

    PubMed

    Gustafsson, Barbro; Willman, Ania M

    2003-07-01

    The purpose of this study was to acquire an understanding of how nurses' self-relation (view of themselves as nurses) was influenced in connection with implementation of a nursing theory, the sympathy-acceptance-understanding-competence model for confirming nursing. This model was developed by Gustafsson and Pörn. Twenty-two nurses' written statements evaluating mentoring during the six-month implementation process in elder care, were analyzed hermeneutically with the hypothetic-deductive method. An action-theoretic and confirmatory approach was used for facilitating theoretically specified hypotheses. The nurses increased their ability to describe nursing theoretically and gained a foundation of common nursing values. The results provided an understanding of how nurses' self-relation was strengthened by becoming theoretically competent. PMID:12876885

  19. New graduate nurses, new graduate nurse transition programs, and clinical leadership skill: a systematic review.

    PubMed

    Chappell, Kathy B; Richards, Kathy C

    2015-01-01

    This systematic review evaluated the relationship between new graduate nurses and clinical leadership skill, and between new graduate nurse transition programs and clinical leadership skill. New graduate nurse transition programs have been cited as one strategy to improve clinical leadership skill, but to our knowledge, no one has synthesized the evidence on new graduate nurse transition programs and clinical leadership skill. Results of this review showed that new graduate nurse transition programs that were at least 24 weeks in length had a positive impact on clinical leadership skill. New graduate nurse transition programs using the University HealthSystem Consortium/American Association of Colleges of Nursing Nurse Residency curriculum had the greatest impact, followed by curriculum developed by the Versant New Graduate RN Residency, an important finding for nursing professional development specialists. PMID:25993451

  20. Nurse Anesthetists: Certified Registered Nurse Anesthetists at a Glance

    MedlinePlus

    ... governors to opt out of this facility reimbursement requirement (which applies to hospitals and ambulatory surgical centers) ... states have opted out of the federal supervision requirement, most recently Kentucky (April 2012). Additional states do ...

  1. 25 CFR 36.85 - Is a nurse required to be available in the evenings?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false Is a nurse required to be available in the evenings? 36... SITUATIONS Homeliving Programs Staffing § 36.85 Is a nurse required to be available in the evenings? No, a program is not required to make a nurse (LPN or RN) available in the evenings. However, this is...

  2. 78 FR 54255 - HRSA's Bureau of Health Professions Advanced Education Nursing Traineeship Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-03

    ... Education Nursing Traineeship Program AGENCY: Health Resources and Services Administration (HRSA), HHS... Education Nursing Traineeship (AENT) program. Effective fiscal year (FY) 2014, AENT support for part-time... practitioners and nurse midwives. FOR FURTHER INFORMATION CONTACT: Joan Wasserman, DrPH, RN, Advanced...

  3. Measurements of 220Rn emanation from rocks.

    PubMed

    Howard, A J; Simsarian, J E; Strange, W P

    1995-12-01

    Alpha-particle and gamma-ray measurements are employed to determine the individual emanation and production rates associated with the thorium radioactive series for thirty-seven rock specimens of approximately 200 cm3 individual volume representing igneous, sedimentary, and metamorphic types. These results are combined to establish 220Rn emanating powers for each of these specimens, and a wide range of values is observed. The generally large 220Rn emanation observed for these specimens strongly indicates that non-tortuous diffusion paths are commonly present in the associated structures, which gives more evidence for the existence of well-connected pore networks at the nanometer level in many of the specimens studied. While the results are qualitatively explainable, they are not predictable in terms of the current macroscopic observables. Since 220Rn and 222Rn emanation rates from rock specimens have previously been found to be comparable in magnitude, the relatively fast determination of 220Rn emanation rates described herein (measurements involving 1-h duration) is in reasonable probability indicative of a comparable 222Rn emanation rate: The employment of 220Rn as a convenient screening tool for potentially high 222Rn emanation sources is indicated. PMID:7493809

  4. Development and calibration of a portable radon sampling system for groundwater 222Rn activity concentration measurements.

    PubMed

    Lucas, Fabio de Oliveira; de Oliveira, Igor José Chaves; Ribeiro, Fernando Brenha

    2009-10-01

    The assembling of a system for field sampling and activity concentration measurement of radon dissolved in groundwater is described. Special attention is given in presenting the calibration procedure to obtain the radon activity concentration in groundwater from the raw counting rate registered in a portable scintillation detector and in establishing the precision of the activity concentration measurements. A field procedure was established and the system tested during one year of monthly observations of (222)Rn activity concentration in groundwater drawn from two wells drilled on metamorphic rocks exposed at Eastern São Paulo State, Brazil. The observed mean (222)Rn activity concentrations are 374Bq/dm(3) in one well and about 1275Bq/dm(3) in the other one. In both wells the (222)Rn activity concentrations showed a seasonal variation similar to variations previously reported in the literature for the same region. PMID:19608307

  5. Nursing Students' Empowerment in Distance Education: Testing Kanter's Theory

    ERIC Educational Resources Information Center

    Ledwell, Elizabeth; Andrusyszyn, Mary-Anne; Iwasiw, Carroll

    2006-01-01

    This qualitative, explanatory study examined Post-RN baccalaureate nursing students' experiences of empowerment with distance education and computer conferencing (CC) for fit with the constructs of Kanter's (1977, 1993) Theory of Structural Power in Organizations. Seven post-RNs from Canadian distance education nursing programs were interviewed.…

  6. A Revised Admissions Standard for One Community College Nursing Program

    ERIC Educational Resources Information Center

    Lown, Maris A.

    2010-01-01

    Predicting success on the NCLEX-RN is of paramount importance to nursing programs as they are held accountable for this outcome by accrediting agencies and by boards of nursing. This action research study examined the relationship between the NET admission test, anatomy and physiology grades, grade point average (GPA) on admission to the program…

  7. Assessment of professional nursing students' knowledge and attitudes about patients of diverse cultures.

    PubMed

    Bond, M L; Kardong-Edgren, S; Jones, M E

    2001-01-01

    This study examined personal attitudes of 152 Bachelors of Science in Nursing (BSN), registered nurse (RN) to BSN, and master's students enrolled in a school of nursing in the southwestern United States toward culturally diverse patients and their perceived knowledge of specific cultural practices and culture-specific skills. Three instruments were used to collect data: the Ethnic Attitude Scale-Part I, the Transcultural Questionnaire, and a demographic survey. Findings reveal that students in all three programs had a relatively low knowledge base about specific cultural groups. The only statistically significant difference found in attitudes, perceived knowledge of cultural patterns, or perceived cultural skills by program was the slightly higher perceived ability of generic BSN students to distinguish between concepts such as ethnocentrism and discrimination, intra- and intercultural diversity, and ethnicity and culture. Similar to other studies of measurement of provider attitudes and perceived cultural knowledge, the results of this study reinforce the struggle experienced by educators and the challenges faced by health care administrators grappling with teaching and delivering culturally competent care. The findings imply that nurse educators need to examine alternate models and teaching strategies to move students along the continuum of cultural learning. PMID:11712116

  8. Credentials, Curriculum, and Access: The Debate Over Nurse Preparation.

    ERIC Educational Resources Information Center

    Karp, Melinda Mechur; Jacobs, James; Hughes, Katherine L.

    The question of how to best prepare nurses for practice continues to be debated extensively. The crux of the debate is whether a bachelor of science in nursing (BSN) should be required of all registered nurses in the United States or whether an associate degree in nursing (ADN) and diploma programs adequately prepare novice nurses for practice.…

  9. A Report on Nursing Programs in Illinois Community Colleges.

    ERIC Educational Resources Information Center

    Illinois Community Coll. Board, Springfield.

    As part of a fiscal year 1995 annual review of programs, the Illinois community colleges reviewed four nursing programs to assess how effectively they met the economic, social, and technological needs of the community. The nursing programs reviewed included registered nursing, practical nursing, nurse aide, and home health aide. Although the costs…

  10. Too Many, Too Few, or Just Right? Making Sense Of Conflicting RN Supply and Demand Forecasts.

    PubMed

    Spetz, Joanne

    2015-01-01

    Forecasts of future supply and demand of health professionals are tools to guide policy, not a final statement about how the world will be in the future. Recent forecasts of RN supply and demand vary widely and are incredibly confusing for nurse leaders, nurse educators, and policymakers. To effectively incorporate forecasts into policy and planning, one must understand the structure of the forecasts and underlying assumptions. One should treat all forecasts cautiously, and use them as guides to policy rather than definitive future outcomes. PMID:26259342

  11. Nurse Educators' Lived Experiences with Values Changes in Baccalaureate Nursing Education

    ERIC Educational Resources Information Center

    Wenda, Skip

    2012-01-01

    Values education in nursing can be a highly emotional topic. Values in nursing education can be linked to general societal values at any given point in time. Values are transmitted by nursing educators and institutions not only consciously in the nursing curriculum, but also unconsciously in the hidden curriculum. Each year many registered nurses…

  12. Nurse Supply, Distribution and Requirements. 3rd Report to the Congress. Nurse Training Act of 1975.

    ERIC Educational Resources Information Center

    Health Resources Administration (DHHS/PHS), Hyattsville, MD. Div. of Nursing.

    This report focuses on the supply, distribution of, and requirements for nursing. The first chapter describes the supply of registered and licensed practical nurses. Characteristics of the overall nursing supply are discussed in terms of marital status, age, and employment patterns. Data are also provided on nurses newly licensed to practice,…

  13. Second Year Associate Degree Nursing Students and Nursing Faculty Attitudes towards Clinical Educational Experiences

    ERIC Educational Resources Information Center

    LaFauci, Frances F.

    2009-01-01

    Professional registered nursing is an essential part of the health care system and student nurses need experimental learning with actual patients to learn to practice as a nurse. The health care system has changed dramatically and nursing schools have decreasing access to the health care agencies. The clinical educational experience develops…

  14. D 1 , 2 (RN) versus C (RN) local minimizer and a Hopf-type maximum principle

    NASA Astrophysics Data System (ADS)

    Carl, Siegfried; Costa, David G.; Tehrani, Hossein

    2016-08-01

    We consider functionals of the form Φ (u) =1/2∫RN | ∇u|2 -∫RN b (x) G (u) on D 1 , 2 (RN), N ≥ 3, whose critical points are the weak solutions of a corresponding elliptic equation in the whole RN. We present a Brezis-Nirenberg type result and a Hopf-type maximum principle in the context of the space D 1 , 2 (RN). More precisely, we prove that a local minimizer of Φ in the topology of the subspace V must be a local minimizer of Φ in the D 1 , 2 (RN)-topology, where V is given by V : = { v ∈D 1 , 2 (RN) : v ∈ C (RN)withsupx∈RN ⁡ (1 + | x| N - 2) | v (x) | < ∞ }. It is well-known that the Brezis-Nirenberg result has been proved a strong tool in the study of multiple solutions for elliptic boundary value problems in bounded domains. We believe that the result obtained in this paper may play a similar role for elliptic problems in RN.

  15. California's minimum-nurse-staffing legislation and nurses' wages.

    PubMed

    Mark, Barbara; Harless, David W; Spetz, Joanne

    2009-01-01

    In 2004, California became the first state to implement minimum-nurse-staffing ratios in acute care hospitals. We examined the wages of registered nurses (RNs) before and after the legislation was enacted. Using four data sets-the National Sample Survey of Registered Nurses, the Current Population Survey, the National Compensation Survey, and the Occupational Employment Statistics Survey-we found that from 2000 through 2006, RNs in California metropolitan areas experienced real wage growth as much as twelve percentage points higher than the growth in the wages of nurses employed in metropolitan areas outside of California. PMID:19208658

  16. Mobile applications in nursing education and practice.

    PubMed

    Airth-Kindree, Norah; Vandenbark, R Todd

    2014-01-01

    Students in an RN-BSN completion program capstone course investigated and critically evaluated mobile medical applications using an information literacy conceptual framework. Students also analyzed their potential usefulness as a resource in nursing practice. Student evaluations focused on usability and applicability when recommending the use of mobile applications as a point-of-care reference tools. This pilot assignment offers an innovative teaching strategy for integrating 1 aspect of informatics instruction into the nursing curriculum. PMID:24937293

  17. Re-evaluating the NCLEX-RN passing standard.

    PubMed

    O'Neill, Thomas R; Marks, Casey M; Reynolds, Michelle

    2005-01-01

    Setting passing standards is a critical component of the NCLEX examination process. This research was conducted to provide sufficient information to the National Council of State Boards of Nursing's (NCSBN) Board of Directors to,make a decision regarding the passing standard of the NCLEX-RN. This article illustrates the standard setting process that NCSBN uses. Surveys of educators and employers, a modified Angoff procedure, the Beuk compromise, and global assessments by content experts were methods used. The Rasch model and a presumed ability distribution were used as the framework to integrate these diverse perspectives regarding minimal competence. The revised passing standard was -0.28 logits. For many of the minimal competence estimates, the author did not have authorization to release the information. In those instances, estimates and results were fabricated to be similar to the actual results, yet different enough as to not disclose confidential information. The fabricated results are clearly marked. In conclusion, a variety of approaches, sources, and perspectives are necessary for the establishment of fair and appropriate standards on the NCLEX-RN. PMID:16401044

  18. Improving the Credibility of Child Sexual Assault Victims in Court: The Impact of a Sexual Assault Nurse Examiner.

    PubMed

    Golding, Jonathan M; Wasarhaley, Nesa E; Lynch, Kellie R; Lippert, Anne; Magyarics, Casey L

    2015-08-01

    The present study investigated the influence of a sexual assault nurse examiner's (SANE's) testimony on mock juror perceptions of a child or adolescent victim of child sexual assault. Community members (N = 252, 156 females) read a fictional criminal trial summary of a child sexual assault case in which the victim was 6 or 15 years old and the prosecution presented medical testimony from a SANE or a traditional registered nurse (RN), or did not present medical testimony. Mock jurors were more likely to render guilty verdicts when a SANE testified compared with the other two testimony conditions. In addition, pro-victim judgments (e.g., sympathy toward the victim) and negative defendant judgments (e.g., anger toward the defendant) mediated this relation. Finally, cognitive network representations of the case demonstrated that the RN and no-medical-testimony groups were similar and the SANE group was distinct from the other two conditions. We discuss these results in terms of the implications of SANE testimony in child sexual assault court cases. PMID:26294384

  19. Community Health Workers Versus Nurses as Counselors or Case Managers in a Self-Help Diabetes Management Program

    PubMed Central

    Kim, Kim B.; Kim, Miyong T.; Lee, Hochang B.; Nguyen, Tam; Bone, Lee R.; Levine, David

    2016-01-01

    Objectives To confirm the effectiveness of community health workers’ involvement as counselors or case managers in a self-help diabetes management program in 2009 to 2014. Methods Our open-label, randomized controlled trial determined the effectiveness of a self-help intervention among Korean Americans aged 35 to 80 years in the Baltimore-Washington metropolitan area with uncontrolled type 2 diabetes. We measured and analyzed physiological and psychobehavioral health outcomes of the community health worker–counseled (n = 54) and registered nurse (RN)–counseled (n = 51) intervention groups in comparison with the control group (n = 104). Results The community health workers’ performance was comparable to that of the RNs for both psychobehavioral outcomes (e.g., self-efficacy, quality of life) and physiological outcomes. The community health worker–counseled group showed hemoglobin A1C reductions from baseline (−1.2%, −1.5%, −1.3%, and −1.6%, at months 3, 6, 9, and 12, respectively), all of which were greater than reductions in the RN-counseled (−0.7%, −0.9%, −0.9%, and −1.0%) or the control (−0.5%, −0.5%, −0.6%, and −0.7%) groups. Conclusions Community health workers performed as well as or better than nurses as counselors or case managers in a self-help diabetes management program in a Korean American community. PMID:26985607

  20. Enjoyment in Online Learning: What Instructional Delivery Methods Contribute to Online RN-BSN Student Satisfaction?

    ERIC Educational Resources Information Center

    Price, Jill M.

    2013-01-01

    The purpose of this quantitative study was to determine the relationship between six instructional delivery methods defined by Walker and Fraser (2005) in the Distance Education Learning Environments Survey (DELES) and the satisfaction levels of registered nurses enrolled in online bachelor of science in nursing (BSN) degree completion programs.…

  1. On Vocal Registers.

    ERIC Educational Resources Information Center

    Hollien, Harry

    A vocal register is a series or range of consecutive frequencies that can be produced with nearly identical voice quality. On the basis of research three fundamental registers can be defined and described: pulse, a low range of phonation; modal, a middle or "normal" range; and loft, a high range, described by some as falsetto. These three…

  2. Nursing Delegation to Unlicensed Assistive Personnel in the School Setting. Position Statement. Revised

    ERIC Educational Resources Information Center

    Cagginello, Joan; Blackborow, Mary; Porter, Jessica; Disney, Jody; Andresen, Kathleen; Tuck, Christine

    2014-01-01

    It is the position of the National Association of School Nurses (NASN) that the delegation of nursing tasks in the school setting can be a valuable tool for the registered professional school nurse (hereinafter referred to as school nurse), when based on the nursing definition of delegation (American Nurses Association [ANA], 2012) and in…

  3. Motivating Nursing Faculty to Use Active Learning Strategies: A Qualitative Multiple Case Study

    ERIC Educational Resources Information Center

    Hardell, Traci Lee

    2011-01-01

    The nursing shortage remains of great concern to the nursing profession and to nursing educators. With the projected need for Registered Nurses high and the attrition rate in nursing programs remaining high, a focus on retention of qualified nursing students may be needed. One way to contribute to enhanced retention is using active learning…

  4. Relationships between Self-Regulating Behaviors and Predictor Exam Scores for Senior Nursing Students

    ERIC Educational Resources Information Center

    Gillespie, Maria

    2012-01-01

    Low pass rates on the National Council Licensure Exam for Registered Nurses have directed nursing faculty to examine how to predict the readiness of the nursing student. Exit exam testing that predicts readiness has become one way to assess the nursing student's readiness. Nursing students at the research site's school of nursing are…

  5. A Study To Determine the Attainment of the Goals and Objectives of an Innovative Baccalaureate Nursing Program.

    ERIC Educational Resources Information Center

    Duncan, Marjorie

    The effectiveness of the Registered Nurse Pathway Program at the Hunter-Bellevue School of Nursing at Hunter College was evaluated. The program was designed to provide an innovative approach to the acquisition of professional nurse behaviors for employed registered technical nurses who desire a baccalaureate degree in nursing. A total of 68…

  6. AWHONN Position Statement. The Role of Unlicensed Assistive Personnel (Nursing Assistive Personnel) in the Care of Women and Newborns.

    PubMed

    2016-01-01

    The Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) recognizes that unlicensed assistive personnel (UAP) also known as nursing assistive personnel (NAP) can function as supportive members of the health care team under the direction of the professional registered nurse (AWHONN, 2010). The professional registered nurse is ultimately responsible for the coordination and delivery of nursing care to women and newborns. PMID:26815808

  7. The Optimizing Patient Transfers, Impacting Medical Quality, andImproving Symptoms:Transforming Institutional Care approach: preliminary data from the implementation of a Centers for Medicare and Medicaid Services nursing facility demonstration project.

    PubMed

    Unroe, Kathleen T; Nazir, Arif; Holtz, Laura R; Maurer, Helen; Miller, Ellen; Hickman, Susan E; La Mantia, Michael A; Bennett, Merih; Arling, Greg; Sachs, Greg A

    2015-01-01

    The Optimizing Patient Transfers, Impacting Medical Quality, and Improving Symptoms: Transforming Institutional Care (OPTIMISTIC) project aims to reduce avoidable hospitalizations of long-stay residents enrolled in 19 central Indiana nursing facilities. This clinical demonstration project, funded by the Centers for Medicare and Medicaid Services Innovations Center, places a registered nurse in each nursing facility to implement an evidence-based quality improvement program with clinical support from nurse practitioners. A description of the model is presented, and early implementation experiences during the first year of the project are reported. Important elements include better medical care through implementation of Interventions to Reduce Acute Care Transfers tools and chronic care management, enhanced transitional care, and better palliative care with a focus on systematic advance care planning. There were 4,035 long-stay residents in 19 facilities enrolled in OPTIMISTIC between February 2013 and January 2014. Root-cause analyses were performed for all 910 acute transfers of these long stay residents. Of these transfers, the project RN evaluated 29% as avoidable (57% were not avoidable and 15% were missing), and opportunities for quality improvement were identified in 54% of transfers. Lessons learned in early implementation included defining new clinical roles, integrating into nursing facility culture, managing competing facility priorities, communicating with multiple stakeholders, and developing a system for collecting and managing data. The success of the overall initiative will be measured primarily according to reduction in avoidable hospitalizations of long-stay nursing facility residents. PMID:25537789

  8. Molecular Electronic Shift Registers

    NASA Technical Reports Server (NTRS)

    Beratan, David N.; Onuchic, Jose N.

    1990-01-01

    Molecular-scale shift registers eventually constructed as parts of high-density integrated memory circuits. In principle, variety of organic molecules makes possible large number of different configurations and modes of operation for such shift-register devices. Several classes of devices and implementations in some specific types of molecules proposed. All based on transfer of electrons or holes along chains of repeating molecular units.

  9. Adult student satisfaction in an accelerated RN-to-BSN program: a follow-up study.

    PubMed

    Boylston, Mary T; Jackson, Christina

    2008-01-01

    This mixed-method study revealed accelerated RN-to-BSN (bachelor of science in nursing) students' levels of satisfaction with a wide range of college services in a small university. Building on seminal research on the topic [Boylston, M. T., Peters, M. A., & Lacey, M. (2004). Adult student satisfaction in traditional and accelerated RN-to-BSN programs. Journal of Professional Nursing, 20, 23-32.], the Noel-Levitz Adult Student Priorities Survey (ASPS) and qualitative interview data revealed primary factors involved in nontraditional (adult) accelerated RN-to-BSN student satisfaction. The ASPS assesses both satisfaction with and importance of the following factors: academic advising effectiveness, academic services, admissions and financial aid effectiveness, campus climate, instructional effectiveness, registration effectiveness, safety and security, and service excellence. Of these factors, participants considered instructional effectiveness and academic advising effectiveness as most important and concomitantly gave high satisfaction ratings to each. In contrast, convenience of the bookstore, counseling services, vending machines, and computer laboratories were given low importance ratings. The participants cited convenience as a strong marketing factor. Loss of financial aid or family crisis was given as a reason for withdrawal and, for most students, would be the only reason for not completing the BSN program. Outcomes of this investigation may guide faculty, staff, and administrators in proactively creating an educational environment in which a nontraditional student can succeed. PMID:18804082

  10. Janet Quinn, RN, PhD. Therapeutic touch and a healing way. Interview by Bonnie Horrigan.

    PubMed

    Quinn, J

    1996-07-01

    Janet Quinn, RN, PhD, is an associate professor and senior scholar at the Center for Human Caring at the School of Nursing, University of Colorado Health Sciences Center, in Denver, Colo. In addition to teaching she conducts research, lectures, writes, and maintains a private practice in Boulder, Colo. She received her PhD in nursing research and theory development from New York University in 1982. Quinn is a member of Sigma Theta Tau, and is active in a diverse group of professional organizations including the American Nurses Association, American Holistic Nurses Association, Association for Holotropic Breathwork International, Association for Transpersonal Psychology, International Society for the Study of Subtle Energy and Energy Medicine, Hakomi Therapy Association, and the Institute of Noetic Sciences. During her career she has received many awards including the Healers Award from the Nurse Healers and Professional Associates (1995); the Edgar S Wilson, MD, Fellowship Award from the International Society for the Study of Subtle Energies and Energy Medicine (1994); and the Holistic Nurse of the Year award from the American Holistic Nurses Association. Alternative Therapies interviewed Dr Quinn at her office in Boulder, Colo. PMID:8795925

  11. Fluid rare earth element anlayses from wells RN-12 and RN-19, Reykjanes, Iceland

    DOE Data Explorer

    Andrew Fowler

    2015-07-24

    Results for fluid rare earth elment analyses from Reykjanes wells RN-12 and RN-19. The data have not been corrected for flashing. Samples preconcetrated using chelating resin with IDA functional group (InertSep ME-1). Analyzed using and Element magnetic sctor ICP-MS.

  12. At Least 1 Full-Time Nurse Per School, Pediatric Group Recommends

    MedlinePlus

    ... At Least 1 Full-Time Nurse Per School, Pediatric Group Recommends Children's health needs are increasingly complex, ... time registered nurse, a new American Academy of Pediatrics (AAP) policy statement says. "School nursing is one ...

  13. Predicting Success in Nursing Programs

    ERIC Educational Resources Information Center

    Herrera, Cheryl; Blair, Jennifer

    2015-01-01

    As the U.S. population ages and policy changes emerge, such as the Patient Protection and Affordable Care Act of 2010, the U.S. will experience a significant shortage of Registered Nurses (RNs). Many colleges and universities are attempting to increase the size of nursing cohorts to respond to this imminent shortage. Notwithstanding a 2.6%…

  14. Building Interest in Nursing Careers

    ERIC Educational Resources Information Center

    Reese, Susan

    2005-01-01

    In February 2004, when the U.S. Bureau of Labor Statistics released its list of the 10 occupations with the largest projected job growth in the years 2002-2012, registered nurses (RNs) were at the top of the list. American Nurses Association President Barbara A. Blakeney noted at the time that it was not surprising given our aging population and…

  15. FcRn-mediated intestinal absorption of IgG anti-IgE/IgE immune complexes in mice

    PubMed Central

    Paveglio, Sara; Puddington, Lynn; Rafti, Ektor; Matson, Adam P.

    2012-01-01

    Background The mechanism(s) responsible for the acquisition of maternal antibody isotypes other than IgG are not fully understood. Objective To define the ability of the neonatal Fc receptor for IgG uptake (FcRn) to mediate intestinal absorption of IgG1 anti-IgE/IgE immune complexes. Methods C57BL/6 allergic ovalbumin (OVA)-immune foster mothers were generated to nurse naïve FcRn+/− or FcRn−/− progeny. At the time of weaning, serum levels of OVA-specific antibodies and IgG1 anti-IgE/IgE immune complexes were determined in allergic foster mothers and FcRn+/+, FcRn+/−, or FcRn−/− breastfed offspring. In separate experiments, FcRn+/− or FcRn−/− neonatal mice were gavage fed TNP-specific IgE as IgG1 anti-IgE/IgE immune complexes, IgG1 isotype control and IgE, or IgE alone. Mice were sacrificed 2 hours after feeding to determine serum levels and biologic activity of absorbed TNP-specific IgE. Results As expected, the absorption of maternal OVA-specific IgG1 in FcRn−/− offspring was at levels 103–104 less than observed in FcRn+/+ or FcRn+/− offspring. Surprisingly, FcRn expression also influenced the absorption of maternal IgE. OVA-specific IgE was detected in FcRn+/+ and FcRn+/− offspring, but not in FcRn−/− offspring. IgG1 anti-IgE/IgE immune complexes were detected in allergic foster mothers and correlated strongly with levels in FcRn+/+ and FcRn+/− offspring (rho=0.88, P <0.0001). Furthermore, FcRn expression was required for neonatal mice to absorb TNP-specific IgE when fed as IgG1 anti-IgE/IgE immune complexes. When immune complexes were generated with IgG1 anti-IgE directed against the Cε4 domain, the absorbed IgE was able to function in antigen-dependent basophil degranulation. Conclusions and Clinical Relevance These data demonstrate a novel mechanism by which FcRn may facilitate absorption of maternal antibodies other than IgG. These findings are clinically relevant because FcRn mediates the transplacental passage of maternal

  16. A comparison of predictors of success on NCLEX-RN for African American, foreign-born, and white baccalaureate graduates.

    PubMed

    Endres, D

    1997-10-01

    This retrospective study was concerned with identifying the strongest predictors of success for African American and foreign-born baccalaureate graduates on the NCLEX-RN from the following nine variables--the admission grade point average, medical-surgical nursing grade point average, nursing grade point average, cumulative grade point average, percentile rank on the Mosby Assess Test, age at the time of the licensing examination, number of semesters needed to complete the nursing curriculum, licensed vocational nurse status, and the number of Ds and Fs received in nursing courses--and comparing these with predictors of success for white baccalaureate graduates. Three random samples of 50 African American, foreign-born, and white graduates from four baccalaureate schools from May 1987 through May 1992 were selected from a total population of 1,205. Chi-square, Fisher's exact test, two-way analysis of variance, and discriminant analysis were used to analyze the data. Students in all three ethnic groups with a Mosby Assess Test percentile rank below 21 and a D or F in a nursing course were more likely to fail the NCLEX-RN than those with a higher percentile rank and no Ds or Fs. PMID:9348478

  17. sup 222 Rn, sup 222 Rn progeny and sup 220 Rn progeny as atmospheric tracers of air masses at the Mauno Loa Observatory

    SciTech Connect

    Hutter, A.R.; George, A.C.; Maiello, M.L.; Fisenne, I.M.; Larsen, R.J.; Beck, H.L.; Wilson, F.C.

    1990-03-01

    {sup 222}Rn, {sup 222}Rn progeny and {sup 220}Rn progeny concentrations in air were measured at the Mauna Loa Observatory (MLO) in Hawaii during March 1989 in order to investigate the feasibility of using them as atmospheric tracers to help determine local air mass flow patterns. Charcoal traps, cooled to dry ice temperatures, were used to collect {sup 222}Rn, which was subsequently measured in pulse ionization chambers at the Environmental Measurements Laboratory (EML). {sup 222}Rn progeny and {sup 220}Rn progeny for 37 samples were measured at the Observatory by sampling high volumes of air through filters, which were counted for up to 11 h in alpha scintillation counters. Individual progeny concentrations were calculated using both least squares and maximum likelihood techniques. In general, {sup 222}Rn progeny and {sup 220}Rn progeny concentrations were low when free tropospheric air was present (downslope and tradewind conditions), and consistently higher when surface air from the island broke through the trade wind inversion layer (upslope conditions). The data suggest that {sup 222}Rn, {sup 222}Rn progeny, or {sup 220}Rn progeny monitoring may provide new and useful information to help indicate the different air flow patterns present at MLO. 17 refs., 5 figs., 2 tabs.

  18. 42 CFR 440.166 - Nurse practitioner services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... registered nurses. (b) Requirements for certified pediatric nurse practitioner. The practitioner must be a... this section. (1) If the State specifies qualifications for pediatric nurse practitioners, the... (ii) Meet the State requirements for qualification of pediatric nurse practitioners in the State...

  19. 42 CFR 440.166 - Nurse practitioner services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... registered nurses. (b) Requirements for certified pediatric nurse practitioner. The practitioner must be a... this section. (1) If the State specifies qualifications for pediatric nurse practitioners, the... (ii) Meet the State requirements for qualification of pediatric nurse practitioners in the State...

  20. 42 CFR 440.166 - Nurse practitioner services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... registered nurses. (b) Requirements for certified pediatric nurse practitioner. The practitioner must be a... this section. (1) If the State specifies qualifications for pediatric nurse practitioners, the... (ii) Meet the State requirements for qualification of pediatric nurse practitioners in the State...

  1. 42 CFR 440.166 - Nurse practitioner services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... registered nurses. (b) Requirements for certified pediatric nurse practitioner. The practitioner must be a... this section. (1) If the State specifies qualifications for pediatric nurse practitioners, the... (ii) Meet the State requirements for qualification of pediatric nurse practitioners in the State...

  2. Concussions--The Role of the School Nurse. Position Statement

    ERIC Educational Resources Information Center

    Diaz, Anne L.; Wyckoff, Leah J.

    2012-01-01

    It is the position of the National Association of School Nurses that the registered professional school nurse (hereinafter referred to as school nurse) is an essential member of the team addressing concussions. As the school-based clinical professional on the team, the school nurse has the knowledge and skills to provide concussion prevention…

  3. Chronic Health Conditions Managed by School Nurses. Position Statement. Revised

    ERIC Educational Resources Information Center

    Morgitan, Judith; Bushmiaer, Margo; DeSisto, Marie C.; Duff, Carolyn; Lambert, C. Patrice; Murphy, M. Kathleen; Roland, Sharon; Selser, Kendra; Wyckoff, Leah; White, Kelly

    2012-01-01

    It is the position of the National Association of School Nurses that students with chronic health conditions have access to a full-time registered professional school nurse (hereinafter referred to as school nurse). School districts should include school nurse positions in their full-time instructional support personnel to provide health services…

  4. A Nurse Prescribing Programme Incorporating e-Learning

    ERIC Educational Resources Information Center

    Burgess, Joan

    2007-01-01

    In order to become a UK Nurse Prescriber, a First Level Registered Nurse must undergo an approved University based educational programme, which consists of theory, and a period of practice supervised by doctors. The Nursing and Midwifery Council (NMC) requires nurses undertaking this programme to have some formal university attendance and to be…

  5. Organizational Characteristics Associated with Staff Turnover in Nursing Homes

    ERIC Educational Resources Information Center

    Castle, Nicholas G.; Engberg, John

    2006-01-01

    Purpose: The association between certified nurse aide, licensed practical nurse, and registered nurse turnover and the organizational characteristics of nursing homes are examined. Design and Methods: Hypotheses for eight organizational characteristics are examined (staffing levels, top management turnover, resident case mix, facility quality,…

  6. Facilitating the career transition of second-career students into professional nursing.

    PubMed

    Dela Cruz, Felicitas A; Farr, Shirley; Klakovich, Marilyn D; Esslinger, Phyllis

    2013-01-01

    This article describes the approaches used by the Second Careers and Nursing (SCAN) program to socialize second-career students into professional nursing. The pre-licensure phase of the program is guided by Schlossberg's transition theory of moving in, moving through, and moving out. Moving in involves setting expectations, from the admission interview to the two-day intensive orientation. Moving through entails imparting and instilling nursing's cultural content and values through the program's formal and informal curriculum. Moving out strengthens students' feelings of pride and their commitment to becoming professional nurses during a concentrated internship, NCLEX-RN preparation, and coaching for their first RN position. The article also reports on the socialization outcomes and lessons learned during the pre-licensure phase. Outcomes provide evidence that the SCAN program has successfully transitioned non-nursing college graduates into professional nursing by socializing them into the profession's knowledge, skills, and behaviors while they internalize nursing's values and goals. PMID:23586199

  7. Improving Cancer Care Through Nursing Research.

    PubMed

    Mayer, Deborah K

    2015-09-01

    Nursing research and nurse researchers have been an integral and significant part of the Oncology Nursing Society's (ONS's) history, as evidenced by the development of the Nursing Research Committee within a few years of ONS's establishment. Ruth McCorkle, PhD, RN, FAAN, was the committee's first chairperson in 1979. This was followed by the creation of the Advanced Nursing Research Special Interest Group in 1989 under the leadership of Jean Brown, PhD, RN, FAAN. ONS also began to recognize nurse researchers in 1994 by creating the annual ONS Distinguished Researcher Award to recognize the contributions of a member who has conducted or promoted research that has enhanced the science and practice of oncology nursing. The list of recipients and of their work is impressive and reflects the wide range of our practice areas (see http://bit.ly/1MTC5cp for the recipient list). In addition, the ONS Foundation began funding research in 1981 and has distributed more than $24 million in research grants, research fellowships, and other scholarships, lectures, public education projects, and career development awards (ONS Foundation, 2015). And, in 2006, the Putting Evidence Into Practice resource was unveiled, which provides evidence-based intervention reviews for the 20 most common problems experienced by patients with cancer and their caregivers (www.ons
.org/practice-resources/pep)
. PMID:26302272

  8. INDUSTRIAL TRAINING RESEARCH REGISTER.

    ERIC Educational Resources Information Center

    Ministry of Labour, London (England).

    IN THIS CLASSIFIED REGISTER OF CURRENT AND RECENTLY COMPLETED STUDIES OF INDUSTRIAL TRAINING IN GREAT BRITAIN, INDIVIDUAL PROJECTS ARE ARRANGED BY THE ITEM NUMBER JUDGED MOST IMPORTANT, AND THE NUMBERS OF OTHER RELEVANT INDUSTRIAL RESEARCH PROJECTS ARE INSERTED AT THE END OF EACH SECTION TO PROVIDE CROSS REFERENCES. DESCRIPTIONS INCLUDE THE TITLE…

  9. Hello! Are You Registered?

    ERIC Educational Resources Information Center

    Institute for Political/Legal Education, Sewell, NJ.

    Organizational procedures and appropriate forms for high school students to conduct a community survey of non-registered voters are provided. Duties for student coordinator, field staff, and clerical staff are described and a flow chart depicts the relationship of personnel to one another and to the community. Students are instructed to notify…

  10. Nursing Supplies

    MedlinePlus

    ... Stages Listen Español Text Size Email Print Share Nursing Supplies Page Content Article Body Throughout most of ... budget. (Nursing equipment also makes wonderful baby gifts.) Nursing Bras A well-made nursing bra that comfortably ...

  11. Educating nurses for leadership roles.

    PubMed

    Heller, Barbara R; Drenkard, Karen; Esposito-Herr, Mary Beth; Romano, Carol; Tom, Sally; Valentine, Nancy

    2004-01-01

    As a result of the growing shortage of nurses and the dramatically changing role of the front-line nurse manager, leadership education for nurses is of critical importance. The purpose of the project described in this article was to design, implement, and evaluate an innovative model of nursing leadership development for students enrolled in registered nurse to bachelor of science in nursing or registered nurse to master of science in nursing programs. A guided "action-learning" course was designed that focused on both core knowledge and experiential learning. The course was developed with the assistance of an advisory panel of prominent nurse leaders with expertise in administration, health policy, informatics, and nursing education. The prototype course was offered for the first time as an elective in Spring 2003. Evaluation data indicated that the course was considered valuable by students and with modifications suggested by students, faculty, and advisory panel members, the course would be offered regularly as part of the curriculum. Recommendations also included adapting course content to a continuing education format. PMID:15481400

  12. Register file soft error recovery

    DOEpatents

    Fleischer, Bruce M.; Fox, Thomas W.; Wait, Charles D.; Muff, Adam J.; Watson, III, Alfred T.

    2013-10-15

    Register file soft error recovery including a system that includes a first register file and a second register file that mirrors the first register file. The system also includes an arithmetic pipeline for receiving data read from the first register file, and error detection circuitry to detect whether the data read from the first register file includes corrupted data. The system further includes error recovery circuitry to insert an error recovery instruction into the arithmetic pipeline in response to detecting the corrupted data. The inserted error recovery instruction replaces the corrupted data in the first register file with a copy of the data from the second register file.

  13. Indoor concentrations of 220Rn and its decay products.

    PubMed

    Katase, A; Matsumoto, Y; Sakae, T; Ishibashi, K

    1988-03-01

    The distribution of 220Rn atoms in a room was derived from the diffusion equation. The activity concentrations of 212Pb and 212Bi were obtained in relation to 220Rn exhalation rate from a concrete wall. Near the surface of the concrete wall, the radiation exposure due to inhalation of 220Rn decay products may be significant in some cases. PMID:3346158

  14. Nursing: What's a Nurse Practitioner?

    MedlinePlus

    ... nurses, or APNs) have a master's degree in nursing (MS or MSN) and board certification in their ... Nurse Practitioners (NAPNAP) and through local hospitals or nursing schools. In addition, many doctors share office space ...

  15. The Influence of Emerging Nursing Strategy and Policy Leaders: An Interview With Dr Suzanne Miyamoto.

    PubMed

    Miyamoto, Suzanne; Adams, Jeffrey M

    2015-09-01

    This department highlights emerging nursing leaders who have demonstrated great potential in advancing innovation and patient care leadership in practice, policy, research, education, and theory. This interview profiles Suzanne Miyamoto, PhD, RN, Senior Director of Government Affairs and Health Policy at the American Association of Colleges of Nursing. PMID:26301549

  16. Factors Associated with Nurses' Intention to Report Child Abuse: A National Survey of Taiwanese Nurses

    ERIC Educational Resources Information Center

    Feng, J.Y.; Levine, M.

    2005-01-01

    Objective:The objectives were to determine the experiences of Taiwanese nurses with a new child abuse reporting law and to assess attitudinal correlates of nurses' intention to report. Method: A stratified quota sampling technique was used to select registered nurses working in pediatric, psychiatric and emergency care units in Taiwan. A total of…

  17. Economic aspects of community-based academic-practice transition programs for unemployed new nursing graduates.

    PubMed

    Wallace, Jonalyn; Berman, Audrey; Karshmer, Judith; Prion, Susan; Van, Paulina; West, Nikki

    2014-01-01

    Four partnerships between schools of nursing and practice sites provided grant-funded 12- to 16-week transition programs to increase confidence, competence, and employability among new RN graduates who had not yet found employment in nursing. Per capita program costs were $2,721. Eighty-four percent of participants completing a postprogram employment survey became employed within 3 months; 55% of participants became employed at their program practice site. Staff development educators may find this model a useful adjunct to in-house nurse residency programs for new RN graduates. PMID:25237915

  18. A partnership to enhance community health education for RN to BSN students.

    PubMed

    Abell, Cathy H; Alexander, Lori Jaggers; Bragg-Underwood, Tonya

    2014-01-01

    This article shares a unique model of collaboration between a school of nursing and a community business to offer an on-site occupational health clinical experience for RN to BSN students. This activity could be easily replicated by others to provide a learning opportunity for nursing students. Hospitals remain the primary site of employment for nurses. However, with health care reform nurses are exploring many new opportunities including many settings in the community (Black, 2014). Incorporating community health into nursing curriculum is a necessity; however, providing meaningful clinical experiences can be a challenge for faculty. To meet students' learning needs, faculty must be open to developing innovative clinical opportunities (Ellenbecker, 2002). This article describes a unique partnership between faculty in a RN to BSN completion program and employees of a local UPS. The partnership provided an opportunity for students to have a real on-site experience in health education for community members in a nontraditional clinical site. Faculty and employees of the UPS center's health and safety committee worked together to plan a health fair for employees that took place at the workplace setting. One of the goals in the 2014-2018 strategic plan of the U.S. Department of Health and Human Services (HHS) is to "Advance the Health, Safety, and Well-Being of the American People" (HHS, n.d. p. 3). Strategies to promote prevention and wellness across the lifespan include educating individuals to adopt healthy lifestyles (HHS, n.d). This activity is just one example of how this can be accomplished. PMID:25362757

  19. Experiential learning: using virtual simulation in an online RN-to-BSN program.

    PubMed

    Breen, Henny; Jones, Melissa

    2015-01-01

    This article highlights the innovative experiential learning used by an online RN-to-BSN program through the use of simulation that takes place in an online classroom. Three experiential learning activities using a virtual community are described. These learning activities engage the students in thinking about social justice and health policy, as well as teaching concepts that include community, leadership, influence, advocacy, networking, collaboration, and vulnerable populations. These concepts are critical to the learning needs of diploma and associate degree-prepared nurses who wish to continue their education to be better prepared to meet the complex needs of today's health care environment. PMID:25401340

  20. On the Agenda: Changing Nurses' Careers in 1999. IES Report 360.

    ERIC Educational Resources Information Center

    Robinson, Dilys; Buchan, James; Hayday, Sue

    A survey of a random sample of 6,000 registered nurses who were members of the Royal College of Nursing explored views on issues related to working as a nurse and having a career in nursing. Recent policy documents highlighted the high value the government placed on the role of nurses. Results indicated there were clear gender differences with…

  1. Nurses in independent care homes: issues, challenges and potential.

    PubMed

    Morris-Thompson, Trish; Marks-Maran, Diane

    Many registered nurses in the UK work in the social care sector in independent care homes and nursing homes. This article explores the challenges related to providing nursing care for adults in care homes, issues arising for nurses and nursing in the social care sector, and providing a career pathway for nurses in the social care sector. Steps need to be taken to ensure that cooperation, collaboration and leadership in nursing in the social care sector is recognised and that appropriate representation of nurses in social care takes place at national level. PMID:26203504

  2. A Method for Concurrent and Continuous Measurement of Rn-222 and Rn-220 Using Scintillation Cells

    SciTech Connect

    Coleman, R.L.

    2002-01-31

    A method is described for the continuous and simultaneous measurement of both {sup 220}Rn and {sup 222}Rn in air. Two scintillation flasks are arranged in a serial configuration and the concentrations of {sup 222}Rn and {sup 220}Rn are determined by making use of the difference between the half-lives of the two radon isotopes. The method was developed for directly measuring {sup 220}Rn in occupied areas where fuel materials containing {sup 228}Th were being used, but could also be useful for other applications. Since {sup 222}Rn is usually present from either naturally occurring materials or due to the presence of process material, the method was designed to allow measurement of the two isotopes at coincident times. The method is discussed for counting equipment using scintillation cells, but the approach would also be directly applicable for any type of pulse-counting radon monitoring equipment such as pulse-ion chambers. Although intermittent measurements with decay correction could be performed using a single detector, the use of two cells allows continuous monitoring and a higher degree of detection sensitivity. The approach makes use of isotope-independent calibration factors and could therefore easily be modified for use with a single detector when only one of the radon isotopes is expected to be present.

  3. Conscientious objection: a call to nursing leadership.

    PubMed

    Ford, Natalie J; Fraser, Kimberly D; Marck, Patricia B

    2010-09-01

    In this paper we argue that nurse leaders need to work actively to create morally supportive environments for nurses in Canada that provide adequate room to exercise conscientious objection. Morally supportive environments engender a safe atmosphere to engage in open dialogue and action regarding conflict of conscience. The CNA's 2008 Code of Ethics for Registered Nurses has recognized the importance of conscientious objection in nursing and has created key guidelines for the registered nurse to follow when a conflict in conscience is being considered or declared. Nurse leaders need to further develop the understanding of conflicts of conscience through education, well-written guidelines for conscientious objection in workplaces and engagement in research to uncover underlying barriers to the enactment of conscientious objections. With advancements in technology, changing healthcare policies and increasing scope of practice, both reflection and dialogue on conscientious objection are critical for the continuing moral development of nurses in Canada. PMID:24947301

  4. Financial literacy as an essential element in nursing management practice.

    PubMed

    Talley, Linda B; Thorgrimson, Diane H; Robinson, Nellie C

    2013-01-01

    Grooming nurses at all levels of the organization to master health care executive skills is critical to the organization's success and the individual's growth. Selecting and executing next steps for nursing leadership team development is critical to success. Leaders must make it their responsibility to provide nurses with increased exposure to quality, safety, and financial data, thereby allowing nurses to translate data while achieving and sustaining successful outcomes. The work of the CNO Dashboard to measure, report, trend, and translate clinical and non-clinical outcomes must be integrated throughout all levels of nursing staff so that nursing practice is positioned to continually strive for best practice. The education and evolution of nurses as business managers is critical to building a strong RN workforce. PMID:23691748

  5. Nurses' experiences working with nursing students in a hospital: a phenomenological enquiry

    PubMed Central

    Lapeña-Moñux, Yolanda Raquel; Cibanal-Juan, Luis; Orts-Cortés, Mª Isabel; Maciá-Soler, Mª Loreto; Palacios-Ceña, Domingo

    2016-01-01

    Abstract Objective: this paper explores the experiences of registered nurses working with Spanish nursing students within the hospital. Methods: a qualitative phenomenological approach was followed. Purposeful sampling was employed. Twenty-one registered nurses, from a public hospital located in Spain, were included in the study. Data were collected by means of unstructured and semi-structured interviews and were analysed using Giorgi's proposal. The Consolidated Criteria for Reporting Qualitative Research were followed. Results: three main themes described the experience of registered nurses: "The nurse's relationship with nursing students"; most nurses emphasized the importance of the first contact with students and they considered students' attitude to be key. "Defining the role of the student in clinical practice"; it is necessary to unify the nurse's role and interventions to avoid misleading students and establish priorities in clinical practice. "Building bridges between clinical settings and the University"; the need to establish a common ground and connection between the university and hospital clinical settings was emphasized. Nurses felt that the training program should also be designed by the clinical settings themselves. Conclusions: understanding the meaning of nursing students with registered nurses might gain a deeper insight into their expectations. PMID:27463112

  6. NIH's National Institute of Nursing Research Is Changing Lives

    MedlinePlus

    ... evolve, it is clear that nurses at every level are playing a vital part in many traditional and emerging health care venues. This comes at a very important time for the American public, notes NINR Director Patricia A. Grady, Ph.D., RN, FAAN. "Our health care system will ...

  7. Attached, unattached fraction of progeny concentrations and equilibrium factor for dose assessments from (222)Rn and (220)Rn.

    PubMed

    Singh, Parminder; Saini, Komal; Mishra, Rosaline; Sahoo, Bijay Kumar; Bajwa, Bikramjit Singh

    2016-08-01

    In this study, measurements of indoor radon ((222)Rn), thoron ((220)Rn) and their equilibrium equivalent concentration (EEC) were carried out in 96 dwellings from 22 different villages situated in Hamirpur district, Himachal Pradesh, India, by using LR-115 type II-based pinhole twin cup dosimeters and deposition-based progeny sensors (DRPS/DTPS). The annual average indoor (222)Rn and (220)Rn concentrations observed in these dwellings were 63.82 and 89.59 Bq/m(3), respectively, while the average EEC (attached + unattached) for (222)Rn and (220)Rn was 29.28 and 2.74 Bq/m(3). For (222)Rn (f Rn) and (220)Rn (f Tn), the average values of unattached fraction were 0.11 and 0.09, respectively. The equilibrium factors for radon (F Rn) and thoron (F Tn) varied from 0.12 to 0.77 with an average of 0.50, and from 0.01 to 0.34 with an average of 0.05, respectively. The annual inhalation dose due to mouth and nasal breathing was calculated using dose conversion factors and unattached fractions. The indoor annual effective doses for (222)Rn (AEDR) and (220)Rn (AEDT) were found to be 1.92 and 0.83 mSv a(-1), respectively. The values of (222)Rn/(220)Rn concentrations and annual effective doses obtained in the present study are within the safe limits as recommended by the International Commission on Radiological Protection for indoor dwelling exposure conditions. PMID:27289385

  8. NAQ's 40th Birthday Nursing: Predictions From the Past; Predictions for the Future, Parts I & II.

    PubMed

    McClure, Margaret L; Batcheller, Joyce

    2016-01-01

    The following two articles relate to Nursing's past and future, described through a series of predictions made by one of Nursing's great leaders Margaret L. McClure (Maggie McClure). It is reprinted from NAQ Fall 2000, Volume 25, Issue 1. The second article, by another great leader, Joyce Batcheller, DNP, RN, NEA-BC, FAAN, is a follow up on those predictions, reflecting on Nursing today and tommorow. PMID:27584886

  9. NFκB induces overexpression of bovine FcRn

    PubMed Central

    Cervenak, Judit; Doleschall, Márton; Bender, Balázs; Mayer, Balázs; Schneider, Zita; Doleschall, Zoltán; Zhao, Yaofeng; Bősze, Zsuzsanna; Hammarström, Lennart; Oster, Wolfgang; Kacskovics, Imre

    2013-01-01

    Among the many functions of the neonatal Fc receptor (FcRn) for IgG, it binds to IgG-opsonized antigen complexes and propagates their traffic into lysosomes where antigen processing occurs. We previously reported that transgenic (Tg) mice and rabbits that carry multiple copies and overexpress FcRn have augmented humoral immune responses. Nuclear factor-kappa B (NFκB) is a critical molecule in the signaling cascade in the immune response. NFκB induces human FcRn expression and our previous in silico analysis suggested NFκB binding sites in the promoter region of the bovine (b) FcRn α-chain gene (FCGRT). Here, we report the identification of three NFκB transcription binding sites in the promoter region of this gene using luciferase reporter gene technology, electromobility shift assay and supershift analysis. Stimulation of primary bovine endothelial cells with the Toll-like receptor-4 ligand lipopolysaccharide (LPS), which mediates its effect via NFκB, resulted in rapid upregulation of the bFcRn expression and a control gene, bovine E-selectin. This rapid bFcRn gene induction was also observed in the spleen of bFcRn Tg mice treated with intraperitoneally injected LPS, analyzed by northern blot analysis. Finally, NFκB-mediated bFcRn upregulation was confirmed at the protein level in macrophages isolated from the bFcRn Tg mice using flow cytometry with a newly developed FcRn specific monoclonal antibody that does not cross-react with the mouse FcRn. We conclude that NFκB regulates bFcRn expression and thus optimizes its functions, e.g., in the professional antigen presenting cells, and contributes to the much augmented humoral immune response in the bFcRn Tg mice. PMID:24492342

  10. Clinical nurse leader and clinical nurse specialist role delineation in the acute care setting.

    PubMed

    Thompson, Patricia; Lulham, Kevin

    2007-10-01

    More than 90 members of the American Association of Colleges of Nursing and 190 practice sites have partnered to develop the clinical nurse leader (CNL) role. The partnership has created synergy between education and practice and nurtured innovation and diffusion of learning on a national basis. In this ongoing department, the editor, Jolene Tornabeni, MA, RN, FAAN, FACHE, showcases a variety of nurse leaders who discuss their new patient care delivery models in preparation for the CNL role and CNLs who highlight partnerships with their clinical colleagues to improve patient care. In this article, the authors explore differences and similarities between the CNL and the clinical nurse specialist roles, describing the working strategies between a CNL and clinical nurse specialist, and role delineations that have resulted from their cooperation, collaboration, and planning. PMID:17914287

  11. Nursing, Nursing Education, and Anxiety.

    ERIC Educational Resources Information Center

    Biggers, Thompson; And Others

    In response to the current crisis in the field of nursing, a study examined nursing students' perceived work-related stress and differences among associate degree, diploma, and baccalaureate nursing programs in their preparation of nursing students. The 171 subjects, representing the three different nursing programs, completed a questionnaire…

  12. 222Rn variations in Mystery Cave, Minnesota

    USGS Publications Warehouse

    Lively, R.S.; Krafthefer, B.C.

    1995-01-01

    222Rn concentrations and meteorological parameters were measured at 4- h intervals over a 2-y period in Mystery Cave, southeastern Minnesota. Continuous radon monitors and meteorological sensors connected to data loggers were installed at several locations along commercial tour routes. 222Rn concentrations ranged as high as 25 kBq m-3 in summer and 20 kBq m-3 in winter. Average winter concentrations were lower than summer by at least a factor of two. Seasonal radon variations were correlative with outside air temperatures. During the winter, radon concentrations were observed to fluctuate periodically by factors of 20 or more in under 24 h. Both the long- and short-term variations are correlative with temperature- induced mixing of cave air with surface air.

  13. Building patient relationships: a smartphone application supporting communication between teenagers with asthma and the RN care coordinator.

    PubMed

    Haze, Kimberly A; Lynaugh, Jillian

    2013-06-01

    Smartphone applications used in healthcare are emerging as an adjunct therapy to assist patients in self-management. Often, smartphone technology is not integrated into healthcare delivery and does not build the nurse-patient relationship, an essential mechanism to guide the patient toward health. In a pilot study using smartphones with teenagers with asthma, the application provided a method not only to share health information at the point-of-living, including health assessments, personalized health plans, and disease information, but also to allow text messaging communication between the teenager and his/her RN care coordinator. Twenty-five teenagers piloted the smartphone application and provided feedback about its use. Eighty-five percent of the teenagers responding to the end-of-pilot, semistructured interview indicated a positive change in the nurse-patient relationship. Teenagers perceived that they could ask more questions along with having improved access and quicker response times. The RN care coordinators perceived improved ability to contact teenagers and improved accuracy of assessment data. Although the pilot had several limitations, it demonstrates that smartphone technology and text messaging can further the nurse-patient relationship. For this to occur, nurses need to become involved in the development and integration of technology to focus applications on innovative ways to enhance communication in patient care. PMID:23728445

  14. Nursing Homes

    MedlinePlus

    ... our e-newsletter! Aging & Health A to Z Nursing Homes Basic Facts & Information Nursing homes have changed ... physical health and/or mental disabilities. Is a Nursing Home Right for You? Almost half of all ...

  15. Nursing Positions

    MedlinePlus

    ... Story" 5 Things to Know About Zika & Pregnancy Nursing Positions KidsHealth > For Parents > Nursing Positions Print A ... and actually needs to feed. Getting Comfortable With Breastfeeding Nursing can be one of the most challenging ...

  16. The Effect of CO2 on the Measurement of 220Rn and 222Rn with Instruments Utilising Electrostatic Precipitation

    DOE PAGESBeta

    Lane-Smith, Derek; Sims, Kenneth

    2013-06-09

    In some volcanic systems, thoron and radon activity and CO2 flux, in soil and fumaroles, show a relationship between (220Rn/222Rn) and CO2 efflux. It is theorized that deep, magmatic sources of gas are characterized by high 222Rn activity and high CO2 efflux, whereas shallow sources are indicated by high 220Rn activity and relatively low CO2 efflux. In this paper we evaluate whether the observed inverse relationship is a true geochemical signal, or potentially an analytical artifact of high CO2 concentrations. We report results from a laboratory experiment using the RAD7 radon detector, known 222Rn (radon) and 220Rn (thorn), and amore » controllable percentage of CO2 in the carrier gas. Our results show that for every percentage of CO2, the 220Rn reading should be multiplied by 1.019, the 222Rn radon should be multiplied by 1.003 and the 220Rn/222Rn ratio should be multiplied by 1.016 to correct for the presence of the CO2.« less

  17. Relationship between nurse staffing levels and nurse outcomes in community hospitals, Thailand.

    PubMed

    Nantsupawat, Apiradee; Nantsupawat, Raymoul; Kulnaviktikul, Wipada; McHugh, Matthew D

    2014-04-01

    A growing body of research has shown an association between nurse staffing levels and a range of nurse outcomes. There is little empirical research evaluating this relationship in Thailand. This study evaluated the influence of nurse staffing levels on outcomes among nurses. A cross-sectional survey design was conducted at 92 community hospitals using a stratified random sampling design across Thailand during May and July 2012. Questionnaires included items focusing on nurse staffing levels; job dissatisfaction and emotional exhaustion, both related to nurse retention; and needlestick and sharps injuries. The study sample comprised 1412 registered nurses who provided direct patient care. The findings showed that each additional patient per nurse was associated with an additional 5% of nurses reporting dissatisfaction in their job; 8% of nurses reporting high emotional exhaustion, and 4% of nurses reporting needlestick and sharps injuries. This study provides evidence of how nurse staffing levels result in nurse outcomes. Nurses are significant healthcare providers that directly affect quality of care and patient safety in hospitals. Improvement of nurse staffing levels holds promise for improving nurse outcomes in Thailand. PMID:24698300

  18. Factors influencing evidence-based practice for community nurses.

    PubMed

    Baird, Lisa M Garland; Miller, Tess

    2015-05-01

    Factors influencing the development of evidence-based nursing practice (EBNP) were examined in Prince Edward Island, Canada. An adapted electronic questionnaire was distributed to practicing registered nurses and nurse practitioners (n=68). An analysis of variance revealed a significant difference between nurses' clinical practice setting and the EBNP scale. Significant differences were also found between age and education level when compared with the EBNP subscales where novice nurses were less likely to rely on experience and intuition, and expert nurses with a higher level of education reported being more skilful at synthesising and applying information from research findings into their nursing practice. PMID:25993372

  19. The Danish vaccination register.

    PubMed

    Grove Krause, T; Jakobsen, S; Haarh, M; Mølbak, K

    2012-01-01

    Immunisation information systems (IIS) are valuable tools for monitoring vaccination coverage and for estimating vaccine effectiveness and safety. Since 2009, an advanced IIS has been developed in Denmark and will be implemented during 2012–14. This IIS is based on a database existing since 2000. The reporting of all administered vaccinations including vaccinations outside the national programme will become mandatory. Citizens will get access to data about their own vaccinations and healthcare personnel will get access to information on the vaccinations of their patients. A national concept of identification, a national solution combining a personal code and a card with codes, ensures easy and secure access to the register. From the outset, the IIS will include data on childhood vaccinations administered from 1996 and onwards. All Danish citizens have a unique identifier, a so called civil registration number, which allows the linking of information on vaccinations coming from different electronic data sources. The main challenge will be to integrate the IIS with the different electronic patient record systems currently existing at general practitioner, vaccination clinic and hospital level thereby avoiding double-entry. A need has been identified for an updated international classification of vaccine products on the market. Such a classification would also be useful for the future exchange of data on immunisations from IIS between countries. PMID:22551494

  20. An Innovative Continuing Nursing Education Program Targeting Key Geriatric Conditions for Hospitalized Older People in China

    ERIC Educational Resources Information Center

    Xiao, Lily Dongxia; Shen, Jun; Wu, Haifeng; Ding, Fu; He, Xizhen; Zhu, Yueping

    2013-01-01

    A lack of knowledge in registered nurses about geriatric conditions is one of the major factors that contribute to these conditions being overlooked in hospitalized older people. In China, an innovative geriatric continuing nursing education program aimed at developing registered nurses' understanding of the complex care needs of hospitalized…

  1. "Why can't I pass these exams?": providing individualized feedback for nursing students.

    PubMed

    Wiles, Lynn L

    2015-03-01

    The nursing literature on examination remediation and testing feedback strategies focuses primarily on NCLEX-RN success and remediation, rather than on the course examinations taken by students throughout program curricula. Students deemed at risk for NCLEX-RN failure likely have displayed poor performance on examinations long before graduation and licensure testing. Individualized examination feedback that identifies students' specific weaknesses is superior to correct answer feedback. The feedback grid described in this article demonstrates one method of providing structured, individualized feedback using the nursing process, Bloom's taxonomy, and NCLEX-RN blueprints. The feedback grid helped students to identify patterns in knowledge gaps, determine the correct answers to missed examination questions, and improve test scores in a critical care nursing course. PMID:25688544

  2. Summertime elevation of sup 222 Rn levels in Huntsville, Alabama

    SciTech Connect

    Wilson, D.L.; Gammage, R.B.; Dudney, C.S.; Saultz, R.J. )

    1991-02-01

    Indoor Rn concentrations and Rn in adjacent karst terrains were studied at four houses with crawlspaces in Huntsville, AL. In warm summertime weather, Rn-rich air may vent through limestone solution cavities exposed as holes at the surface of the properties. A probable interrelated-finding is that the indoor levels of {sup 222}Rn are distinctly higher in the summer than winter. The karst underlying the homes is structurally faulted and, in all probability, facilitates Rn transport from the solution cavities to the crawlspaces. Abrupt day-to-day changes in indoor Rn concentrations were recorded in addition to large seasonal changes. If the owners or residents of these particular homes had attempted to make, and interpret, short-term screening measurements for Rn during the fall season, problems, including false negatives, could have arisen because of order-of-magnitude changes in Rn concentration occurring over a few days. The best time of year to make screening measurements would be during the summer when indoor Rn concentrations are more likely to reach their maximum values.

  3. A direct correlation among indoor Rn, soil gas Rn and geology in the Reading Prong near Boyertown, Pennsylvania

    USGS Publications Warehouse

    Reimer, G.M.; Gundersen, L.C.S.

    1989-01-01

    We feel that this study suggests a relationship among geology, soil gas Rn and the potential for indoor Rn accumulation in this portion of the Reading Prong. There are deviations from a perfect correlation but these are related to inhomogeneities in the geologic environment and perhaps variations in construction techniques of homes in the area. This study also demonstrates that several analyses in a small area may be necessary to adequately determine the Rn distribution for a particular geologic unit. That scale would be determined by the complexity of the local geology. Where no discrete source of elevated Rn supply is found for dwellings having a significant Rn accumulation, the implication is that overall gross permeability may be sufficient to supply Rn from a larger volume of soil and rock.

  4. RN Students' Ratings and Opinions Related to the Importance of Certain Clinical Teacher Behaviors.

    ERIC Educational Resources Information Center

    Viverais-Dresler, Gloria; Kutschke, Myrtle

    2001-01-01

    Registered nurses in a bachelor's degree program (n=56) rated the following as important clinical teacher behaviors: evaluation, professional competence, interpersonal relationship, and teaching ability. They valued teachers who were approachable, fair, open, and honest and who fostered mutual respect. (Contains 25 references.) (SK)

  5. Learner Support Experienced by RNs in a Collaborative Distance RN-to-BSN Program.

    ERIC Educational Resources Information Center

    Oehlkers, Robert A.; Gibson, Chere C.

    2001-01-01

    Interviews with 16 registered nurses in a distance learning baccalaureate degree program identified institutional supports for learning: orientation, technical assistance, mentors, library resources, and instructor feedback. Informal sources of support included family, friends, peers, the workplace, and students themselves as reflective learners.…

  6. Use of Learning Contracts in a RN-to-BSN Leadership Course.

    ERIC Educational Resources Information Center

    Waddell, Donna L.; Stephens, Stephanie

    2000-01-01

    The challenge of leadership training for registered nurses returning to school for bachelor's degrees may be addressed by using (1) learning contracts, which support adult responsibility for learning and (2) nominal group process, a means of identifying individual learning needs and preferences so that teaching can be tailored to individuals. (SK)

  7. Recruitment and Retention of Hispanic Nursing Students: Through the Lens of Associate Degree Nursing Program Administrators and Hispanic Nursing Students

    ERIC Educational Resources Information Center

    Handlos DeVoe, Debra Jean

    2016-01-01

    The Hispanic population in the United States is changing and will constitute 30% of the population in 2050; however, the Hispanic registered nurse population is less than 3%. Cultural differences between patients and nurses may cause harm and a mistrust that can affect patient outcomes. A mixed methods convergent research study was done by an…

  8. Portable shift register

    SciTech Connect

    Halbig, J.K.; Bourret, S.C.; Hansen, W.J.; Hicks, D.V.; Klosterbuer, S.F.; Krick, M.S.

    1994-01-01

    An electronics package for a small, battery-operated, self-contained, neutron coincidence counter based on a portable shift-register (PSR) has been developed. The counter was developed for applications not adequately addressed by commercial packages, including in-plant measurements to demonstrate compliance with regulations (domestic and international), in-plant process control, and in-field measurements (environmental monitoring or safeguards). Our package's features, which address these applications, include the following: Small size for portability and ease of installation;battery or mains operation; a built-in battery to power the unit and a typical detector such as a small sample counter, for over 6 h if power lines are bad or noisy, if there is a temporary absence of power, or if portability is desired; complete support, including bias, for standard neutron detectors; a powerful communications package to easily facilitate robust external control over a serial port; and a C-library to simplify creating external control programs in computers or other controllers. Whereas the PSR specifically addresses the applications mentioned above, it also performs all the measurements made by previous electronics packages for neutron coincidence counters developed at Los Alamos and commercialized. The PSR electronics package, exclusive of carrying handle, is 8 by 10 by 20 cm; it contains the circuit boards, battery, and bias supply and weighs less than 2 kg. This instrument package is the second in an emerging family of portable measurement instruments being developed; the first was the Miniature and Modular Multichannel Analyzer (M[sup 3]CA). The PSR makes extensive use of hardware and software developed for the M[sup 3]CA; like the M[sup 3]CA, it is intended primarily for use with an external controller interfaced over a serial channel.

  9. Errors in measurements of 222Rn in methane and carbon dioxide using scintillation cells calibrated for 222Rn in air.

    PubMed

    Jenkins, Phillip H; Burkhart, James F; Camley, Robert E

    2014-03-01

    Scintillation cells are used typically for measuring the concentration of (222)Rn in air and are calibrated for that purpose. However, scintillation cells are sometimes used for measuring (222)Rn in natural gas or carbon dioxide. The counting efficiencies of scintillation cells for measurements of (222)Rn in these gases should be different from those for measuring (222)Rn in air because the ranges of alpha particles emitted by (222)Rn and its progeny are greater in methane and smaller in carbon dioxide than in air. If these effects are not taken into consideration, measurements of (222)Rn in natural gas will be biased high and in carbon dioxide will be biased low. The authors previously investigated the effects of barometric pressure on measurements of (222)Rn in air using scintillation cells. A modeling technique was used in a previous study to calculate theoretical errors that would result if atmospheric pressure were not considered. In the current study, the same modeling technique was used to calculate theoretical errors that would be made for measurements of (222)Rn in methane and carbon dioxide if the calibration for (222)Rn in air were used. Results are presented for four types of scintillation cells of varying geometries and for barometric pressures representative of four elevations ranging from sea level to 1,963 m (6,440 feet). These results indicate that the errors introduced by the ranges of the alpha particles in gases different from air can be significant. Depending on the type of cell and the local pressure, a measurement of (222)Rn in methane may be biased high by 2-7%, while a measurement of (222)Rn in CO2 may be biased low by 15-20% if the calibration for (222)Rn in air is used. PMID:25208015

  10. Choosing a Research Higher Degree Supervisor: A Framework for Nurses

    ERIC Educational Resources Information Center

    Abigail, Wendy; Hill, Pauline

    2015-01-01

    Nursing is a relatively new discipline in research with a small number of registered nurses holding a research higher degree (RHD). Entry into RHD study for nurses is often via a less direct route than the traditional bachelor's degree through honours to PhD pathway. The supervisor-candidate relationship is an important factor in RHD completions…

  11. School Nurse Workload: Staffing for Safe Care. Position Statement

    ERIC Educational Resources Information Center

    Dolatowski, Rosemary; Endsley, Patricia; Hiltz, Cynthia; Johansen, Annette; Maughan, Erin; Minchella, Lindsey; Trefry, Sharonlee

    2015-01-01

    It is the position of the National Association of School Nurses (NASN) that daily access to a registered professional school nurse (hereinafter referred to as a school nurse) can significantly improve students' health, safety, and abilities to learn. To meet the health and safety needs of students, families, and school communities, school nurse…

  12. School Nurse Role in Electronic School Health Records. Position Statement

    ERIC Educational Resources Information Center

    Hiltz, Cynthia; Johnson, Katie; Lechtenberg, Julia Rae; Maughan, Erin; Trefry, Sharonlee

    2014-01-01

    It is the position of the National Association of School Nurses (NASN) that Electronic Health Records (EHRs) are essential for the registered professional school nurse (hereinafter referred to as school nurse) to provide efficient and effective care in the school and monitor the health of the entire student population. It is also the position of…

  13. A Study of Work Histories of Married Nurses.

    ERIC Educational Resources Information Center

    Willis, Lucy Dorothea

    This study dealt with married women as past, present, and future members of the nursing force. Respondents were 53 married women, aged 22 to 68, in the Moose Jaw, Saskatchewan, Health Region who had been registered nurses. Data were gathered on personal, family, and work history, motives for entering the nursing profession, and satisfactions and…

  14. Nurse Refresher Students Get a Hand from Handhelds

    ERIC Educational Resources Information Center

    Colevins, Helen; Bond, Diana; Clark, Kathy

    2006-01-01

    Returning registered nurses face an uphill challenge when re-entering their field. To help ease the technology shock for nurses who have been out of the field for more than 5 years, info pros in one medical library collaborated with administrators of a nursing education program to purchase Personal Digital Assistants (PDAs) and load them with…

  15. Nurse responses to patient expressions of spiritual distress.

    PubMed

    Taylor, Elizabeth Johnston; Mamier, Iris

    2013-01-01

    This secondary analysis of data from 200 practicing registered nurses' and student nurses' responses to 3 vignettes depicting patient spiritual distress were evaluated qualitatively and quantitatively (using the Empathic Response Scale). Findings showed wide variation in these nurses' ability to respond empathically; while some responses would be healing, others were potentially hurtful. PMID:23774721

  16. GUIDES FOR DEVELOPING CURRICULA FOR THE EDUCATION OF PRACTICAL NURSES.

    ERIC Educational Resources Information Center

    OREM, DOROTHEA E.

    THE RELATIVELY UNCHANGING FACTORS UNDERLYING NURSING AND ITS PRACTICE ARE PRESENTED AND APPLIED IN THE DEVELOPMENT OF CURRICULUMS FOR THE EDUCATION OF PRACTICAL NURSES. 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…

  17. Determinants of Attitudinal Militancy Among Nurses and Teachers

    ERIC Educational Resources Information Center

    Alutto, Joseph A.; Belasco, James A.

    1974-01-01

    A questionnaire survey was made of 414 teachers and 482 registered nurses from three hospitals in western New York. The purpose of the survey was to investigate variation between teachers and nurses, the reasons for their attitudinal militancy, and why teachers are more militant than nurses. (DS)

  18. Clinical Decision Making of Rural Novice Nurses

    ERIC Educational Resources Information Center

    Seright, Teresa J.

    2010-01-01

    The purpose of this study was to develop substantive theory regarding decision making by the novice nurse in a rural hospital setting. Interviews were guided by the following research questions: What cues were used by novice rural registered nurses in order to make clinical decisions? What were the sources of feedback which influenced subsequent…

  19. Pediatric nurses' grief experience, burnout and job satisfaction.

    PubMed

    Adwan, Jehad Z

    2014-01-01

    Correlations among grief, burnout, and job satisfaction among highly satisfied pediatric nurses were examined using the Revised Grief Experience Inventory (RGEI), Maslach Burnout Inventory (MBI), and Index of Work Satisfaction (IWS). Results showed that grief had significant correlations; positive with burnout, negative with job satisfaction. RN's reported significantly higher emotional exhaustion if their primary patients died and higher guilt if patients died younger. Conclusions suggest a dynamic statistical interaction among nurses' grief, burnout, and job satisfaction representing a pathway to intention to leave their unit, organization, or nursing. Recommendations include implementation and evaluation of grief intervention and education programs. PMID:24582646

  20. Peterson's Guide to Nursing Programs. Baccalaureate and Graduate Nursing Education in the U.S. and Canada. Second Edition.

    ERIC Educational Resources Information Center

    American Association of Colleges of Nursing, Washington, DC.

    This revised and updated directory of nursing programs in the United States, U.S. Territories, and Canada includes details on over 2,000 undergraduate and graduate programs at over 625 colleges. Information is also listed for continuing education programs, fast-track options for Registered Nurses and Licensed Practical Nurses, clinical nurse…

  1. [Accidents in nursing homes].

    PubMed

    Mediås, I B; Fiskerud, R

    1991-08-20

    169 "injury situations" involving 61 patients were registered in a nursing home during one year. Four patients were sent to hospital. A few patients had several falls. Men were more prone to injury than women. Age itself seemed to be of no importance. Patients on shortterm admittance were at high risk. In general patients with dementia were not at higher risk but suffered the more serious injuries and were also involved in various episodes of patient violence. The risk of injuries is generally high in nursing homes. A certain risk must be accepted, but it is important to introduce prophylactic measures. A larger nursing staff might have prevented some of the situations. PMID:1926073

  2. Endotracheal suctioning practices of nurses and respiratory therapists: How well do they align with clinical practice guidelines?

    PubMed Central

    Leddy, Rosanne; Wilkinson, Jenny M

    2015-01-01

    BACKGROUND: A common procedure within intensive care units (ICUs) is the suctioning of respiratory secretions in patients who have been intubated or who have undergone tracheostomy. Previous studies have shown a wide variation in suctioning practices, and although current evidence does not support the routine practice of normal saline instillation (NSI), anecdotally, this is believed to be a common practice. OBJECTIVE: To examine the suctioning practices of registered nurses (RNs) and registered respiratory therapists (RRTs) in six hospital ICUs in Ontario, with special attention devoted to the use of NSI. METHODS: A 24-question, self-administered survey was distributed to 180 participants (90 RNs and 90 RRTs) working in the ICU of six hospitals in Ontario. The survey addressed individual suctioning practices within the ICU. RESULTS: The survey response rate was 96%. There were many similarities between the RRT and RN groups, with both reporting high use of NSI. Both groups observed side effects following NSI with suctioning including decreased oxygen saturation, patient agitation and increased volume of secretions. A significant number of participants from both the RN and RRT groups were unaware of the existence of suctioning and/or NSI protocols in the ICU. Some respondents reported that they routinely suctioned mechanically ventilated patients rather than as required. CONCLUSION: RNs and RRTs continue to practice NSI despite evidence-based practice guidelines suggesting that this therapy may be detrimental to patients. Increased awareness of best practices with respect to endotracheal tube suction generally, and NSI specifically, should be the focus of professional education in both groups of ICU staff. PMID:26283870

  3. High school students' perceptions of nursing as a career choice.

    PubMed

    Kohler, P A; Edwards, T A

    1990-01-01

    Declining enrollments in nursing programs, coupled with the current shortage of practicing registered nurses, prompted this investigation of 306 high school students' beliefs about nurses and nursing. The study also identifies potential numbers of future nursing students from high school populations and their primary source of information about nursing. Using an investigator questionnaire, subjects responded to statements about educational requirements for registered nurses along with their working conditions, earning power, and social status. Findings reveal a projected continuing shortage of nurses based on the very small percentage of subjects even considering nursing as a career. Additional findings show that whereas some perceptions about nursing seem congruent with those of nurses themselves, other beliefs held by high school students are not consistent with the realities of professional nursing today. Results of this study can be used by nurse recruiters to correct misconceptions about nursing and to help high school students perceive the profession in a more positive way. Expanding the informational sources about nursing can facilitate the recruitment process. PMID:2153778

  4. An Investigation of Nurses' Interaction Styles with Physicians and Suggested Patient Care Interventions.

    ERIC Educational Resources Information Center

    Redland, Alice R.

    The purpose of this study was to identify relations between nurses' interaction styles and patient care interventions (PCI) that occurred after nurse-doctor interactions. A nonparticipant observer recorded interactions of 48 female registered nurses with physicians. Transcripts were coded and assigned to one of five theoretical nurse interaction…

  5. Individualized Healthcare Plans: The Role of the School Nurse. Position Statement. Revised

    ERIC Educational Resources Information Center

    McDowell, Bernadette Moran; Buswell, Sue A.; Mattern, Cheryl; Westendorf, Georgene; Clark, Sandra

    2015-01-01

    It is the position of the National Association of School Nurses (NASN) that the registered professional school nurse (hereinafter referred to as school nurse), in collaboration with the student, family and healthcare providers, shall meet nursing regulatory requirements and professional standards by developing an Individualized Healthcare Plan…

  6. The Complementary Roles of the School Nurse and School Based Health Centers. Position Statement

    ERIC Educational Resources Information Center

    Ondeck, Lynnette; Combe, Laurie; Baszler, Rita; Wright, Janet

    2015-01-01

    It is the position of the National Association of School Nurses (NASN) that the unique combination of school nursing services and school-based health centers (SBHCs) facilitate positive health outcomes for students. The registered professional school nurse (hereinafter referred to as school nurse) is responsible for management of the daily health…

  7. E-Mentoring: Confidence Intervention for Senior Nursing Students Preparing for Readiness to Practice

    ERIC Educational Resources Information Center

    LaRose, Patrick S., Sr.

    2013-01-01

    The role of the registered nurse has evolved over the years as technology has changed and the practice of nursing has advanced. There are many factors that influence how a new nurse enters practice; however, confidence appears to play a large role in the way nursing students see themselves and how this self perception regulates transition to…

  8. NLN Competencies for the Associate Degree Nurse: Are the New Graduates Meeting Them?

    ERIC Educational Resources Information Center

    Deering-Flory, Rebecca; Neighbors, Marianne

    1991-01-01

    Discusses a study of directors of nursing in six southern states to determine whether associate degree nurses (ADNs) meet the National League for Nursing competencies after six months of practice as a registered nurse. Responses indicated that the competencies were realistic and that newly practicing ADNs are barely meeting them. (JOW)

  9. 42 CFR 488.56 - Temporary waivers applicable to skilled nursing facilities.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Temporary waivers applicable to skilled nursing... PROCEDURES Special Requirements § 488.56 Temporary waivers applicable to skilled nursing facilities. (a... skilled nursing facility to engage the services of a registered nurse more than 40 hours a week,...

  10. 42 CFR 488.56 - Temporary waivers applicable to skilled nursing facilities.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 5 2011-10-01 2011-10-01 false Temporary waivers applicable to skilled nursing... PROCEDURES Special Requirements § 488.56 Temporary waivers applicable to skilled nursing facilities. (a... skilled nursing facility to engage the services of a registered nurse more than 40 hours a week,...

  11. 42 CFR 488.56 - Temporary waivers applicable to skilled nursing facilities.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 5 2013-10-01 2013-10-01 false Temporary waivers applicable to skilled nursing... PROCEDURES Special Requirements § 488.56 Temporary waivers applicable to skilled nursing facilities. (a... skilled nursing facility to engage the services of a registered nurse more than 40 hours a week,...

  12. 42 CFR 488.56 - Temporary waivers applicable to skilled nursing facilities.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 5 2012-10-01 2012-10-01 false Temporary waivers applicable to skilled nursing... PROCEDURES Special Requirements § 488.56 Temporary waivers applicable to skilled nursing facilities. (a... skilled nursing facility to engage the services of a registered nurse more than 40 hours a week,...

  13. 42 CFR 488.56 - Temporary waivers applicable to skilled nursing facilities.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 5 2014-10-01 2014-10-01 false Temporary waivers applicable to skilled nursing... PROCEDURES Special Requirements § 488.56 Temporary waivers applicable to skilled nursing facilities. (a... skilled nursing facility to engage the services of a registered nurse more than 40 hours a week,...

  14. Equalizing Access to Nursing Services: The Geographic Dimension. Health Manpower References.

    ERIC Educational Resources Information Center

    Sloan, Frank A.; And Others

    As the second phase of a four-year research project on the geographic distribution of professional nurses, a study investigated what incentive or incentives motivate nurses in their choice of employment location. Data was analyzed from four sources: a survey of hospital directors of nursing, a survey of registered nurses, 1960 and 1970 U.S. Census…

  15. Cultural Characteristics of a Nursing Education Center of Excellence: A Naturalistic Inquiry Case Study

    ERIC Educational Resources Information Center

    Leiker, Tona L.

    2011-01-01

    Nursing education is at a crossroad today. Stressors in nursing programs include expanding enrollments to meet growing workforce demands for more registered nurses, demanding workloads with low average nursing faculty salaries compared to practice peers, and growing numbers of faculty retirements. The purpose of this study was to identify the…

  16. Extremal RN/CFT in both hands revisited

    NASA Astrophysics Data System (ADS)

    Kuo, En-Jui; Yang, Yi

    2016-04-01

    We study RN/CFT correspondence for four dimensional extremal Reissner-Nordstrom black hole. We uplift the 4d RN black hole to a 5d rotating black hole and make a geometric regularization of the 5d space-time. Both hands central charges are obtained correctly at the same time by Brown-Henneaux technique.

  17. At Least 1 Full-Time Nurse Per School, Pediatric Group Recommends

    MedlinePlus

    ... gov/medlineplus/news/fullstory_158986.html At Least 1 Full-Time Nurse Per School, Pediatric Group Recommends ... HealthDay News) -- Every school should have at least one full-time registered nurse, a new American Academy ...

  18. 75 FR 45207 - Proposed Information Collection (Regulation on Reduction of Nursing Shortages in State Homes...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-02

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF VETERANS AFFAIRS Proposed Information Collection (Regulation on Reduction of Nursing Shortages in State Homes...: Regulation on Reduction of Nursing Shortages in State Homes; Application for Assistance for Hiring...

  19. 78 FR 55778 - Proposed Information Collection (Regulation on Reduction of Nursing Shortages in State Homes...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-11

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF VETERANS AFFAIRS Proposed Information Collection (Regulation on Reduction of Nursing Shortages in State Homes...: Regulation on Reduction of Nursing Shortages in State Homes; Application for Assistance for Hiring...

  20. 75 FR 62185 - Proposed Information Collection (Regulation on Reduction of Nursing Shortages in State Homes...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-07

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF VETERANS AFFAIRS Proposed Information Collection (Regulation on Reduction of Nursing Shortages in State Homes...: Regulation on Reduction of Nursing Shortages in State Homes; Application for Assistance for Hiring...