...affect the outcomes of remediation, including the likelihood of recidivism, among nurses who had been the subject of disciplinary action and had been put on probation by a state board of nursing. M ETHODS : Boards of nursing in six states, Arizona, Maryland, Massachusetts, Minnesota, Nebraska, and North Carolina, chose to participate in this exploratory study. A 29-item questionnaire was used to investigate the records of 207 RNs, LPNs, and advanced practice RNs (APRNs) who were disciplined and put on probation by a state nursing board in 2001, as well as to collect data on their employment settings, the boards’ actions, and remediation outcomes (the presence or absence of recidivism); 491 nurses who had not been disciplined served as controls. RESULTS: Among the disciplined nurses studied, 57% were RNs, 36% were LPNs, 3% held both RN and LPN licenses, and 3% were APRNs. Of the disciplined group, 39% recidivated between 2001 and 2005. Three factors were shown to influence the recidivism rate: having a history of criminal conviction, having committed more than one violation before the 2001 probation, and changing employers during the probationary period. Data on history of criminal conviction prior to state board disciplinary action were available for 112 (54%) of the 207 nurses. Among those 112, 35% (n = 39) had a history of criminal conviction, whereas only 3% of the control group reported one. The recidivism rate among those with a history of criminal conviction (56%; 22 of 39 nurses)...
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...Copyright © eContent Management Pty Ltd. Contemporary Nurse (2011) 39(2): 256–272. Registered nurses returning to school for a bachelors degree in nursing: Issues emerging from a meta-analysis of the research TANYA K ALTMANN Division of Nursing, Sacramento State University, Sacramento, CA, USA ABSTRACT This literature review was conducted to determine what is known about nurses’ attitudes and perceptions about returning to school. There are four societal influences making nursing continuing education important: (1) Many nurses are still practicing with an Associate’s degree or diploma and few continue their formal education; (2) Recent studies have indicated that there are improved patient outcomes in hospitals which employ higher educated nurses; (3) A poor economy during a nursing shortage means high demand and less incentive for nurses to return to school for higher education; and (4) The worsening faculty shortage means an increased need for nurses to advance their education. Understanding nurses’ attitudes and perceptions may help identify gaps in our knowledge, determine ways to foster positive attitudes toward education learning among nurses, and allow us to entice nurses to return to school. It may also identify crucial steps to ensure the provision of quality healthcare. Keywords: nursing; attitudes; continuing education; RN-BSN; post-registration education; literature review THE PROBLEM H ealthcare is a fast paced, dynamic environment where providers...
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...National League for Nursing Evaluation and Learning Advisory Committee (ELAC) ANNOTATED BIBLIOGRAPHY ON ASSESSMENT AND EVALUATION ELAC Members: Marilyn H. Oermann (Chair) Karen Saewert (Chair-elect) Pamela Rutar Suzanne Yarbrough Sub-committee Members: Reba Childress Dawne-Marie Dunbar Sally Erdel Barbara Haas Evelyn Hayes Debra Hurd Sheila Kyle Gayle Preheim, Chair Linda Siktberg Gale R. Woolley, Chair A comprehensive literature review was completed, reflecting best practices in assessment, evaluation, and grading in nursing. This annotated bibliography of the literature is organized into four areas: assessment and evaluation in (a) the classroom, (b) the online environment, (c) clinical practice, and (d) learning and simulation laboratories. There is a fifth section that provides references on the assessment of psychomotor learning and performance; that section is not annotated. This work was completed by members of ELAC and its subcommittees as noted above. 1 CLASSROOM ASSESSMENT Ahmad, N. (2002). Evaluation of teaching: Through eyes of students. Plano: Institutional Research Office, Collin County Community College District. This article reviews the student evaluations instruments used to evaluate learning and faculty in the classroom. The purpose of this article was to search for come standardized instruments of student evaluations. Instruments used are: Individual Developmental and Educational Assessment (IDEA), Student Assessment of...
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...Planning and Design Analysis Grid Your Learning Team has been assigned two articles to analyze for assignments in Weeks Three and Four. One article is a qualitative research study, and the other is a quantitative research study. Identify which article is which, and then complete the table where applicable. Write no more than three sentences in each cell of the table. | Qualitative | Quantitative | Articles | Living with unexplained chest pain | Predictors of vascular complications post diagnostic Cardiac Catheterization and Percutaneous Coronary interventions | Research question | How patients experience unexplained chest pain and how it affects their everyday life? | How to identify risk factors associated with cardiac catheterization and percutaneous coronary interventions to prevent complications? | Problem | Often there is no clear explanation for heart disease it makes it difficult to know what nursing interventions to provide for the patient. | There are increased risks for vascular complications found in patients 70 years or older | Purpose | To determine the type of heart disease the patient has so nursing can know what type of signs and symptoms to look out for. | For nurses to identify early signs/symptoms and risk factors to prevent complications. Also to develop safe protocols to care for these type of patients. | Hypothesis | Patients physical and mental status has a direct effect on their perception of chest pain especially if there is no cardiac...
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...Wolters Kluwer Health | Lippincott Williams & Wilkins Missed Nursing Care, Staffing, and Patient Falls Beatrice J. Kalisch, PhD, RN, FAAN; Dana Tschannen, PhD, RN; Kyung Hee Lee, MPH, RN Patient falls in hospitals continue to be a major and costly problem. This study tested the mediating effect of missed nursing care on the relationship of staffing levels (hours per patient day [HPPD]) and patient falls. The sample was 124 patient units in 11 hospitals. The HPPD was negatively associated with patient falls (r = − 0.36, P < .01), and missed nursing care was found to mediate the relationship between HPPD and patient falls. Key words: falls, missed nursing care, staffing P to 12% of hospitalized patients experience at least 1 fall during their hospital stay.1 A fall is defined as any event in which patients are found on the floor (observed or unobserved) or an unplanned lowering of the patient to the floor by staff or visitors.2 In 2008, and 2010, falls were identified as one of the top 10 sentinel event categories by the Joint Commission.3 Fall rates in hospitals range from 4 to 14 falls per 1000 patient days.4 With the adoption of the Centers of Medicare and Medicaid rule, which no longer reimburses hospitals at the higher diagnosis related group for the care and treatment associated with patient falls that occur during hospitalization, a clearer understanding of what factors U Author Affiliations: School of Nursing, University of Michigan, Ann Arbor, Michigan (Drs Kalisch and...
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...Standardization of Nursing Protocol for Cardiac Arterial Bypass Patients Abstract Evidence-Based Practice (EBP) is an important factor in determining medical courses of action. Nurses have long used tradition rather than evidence in making decisions about beside care; to convince them to switch practice, it is useful to draw a comparison between the efficacy of these disparate routes. Our study designed a research question based on the PICOT model for the cardiac floors and designed procedures using the Kotter and Cohen’s Model of Change. In order to study the effect discussed in our PICOT question, a web search was conducted and the quality of each pertinent study reviewed. Introduction In the nursing staff of an adult Cardiac Surgical Care unit, how does the buy-in from the staff for Evidence-Based Practice (EBP) changes in a new Coronary Arterial Bypass Graft (CABG) pathway affect the decreases in infection rate among this patient population when compared to the old way of delivering patient care through nursing tradition in a six month time frame? The formation of a guideline for practice in nursing is not a new occurrence; books and manuals have been a reality for many years. However, in the past these resources lacked the evidence for standards of care, which traditionally have been based on professional consensus and tradition. The Joint Commission has recognized processes that can be measured regarding patient outcomes and care in order to meet standards for Medicare...
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...Planning and Design Analysis Grid Your Learning Team has been assigned two articles to analyze for assignments in Weeks Three and Four. One article is a qualitative research study, and the other is a quantitative research study. Identify which article is which, and then complete the table where applicable. Write no more than three sentences in each cell of the table. | Qualitative | Quantitative | Articles | Living with unexplained chest pain | Predictors of vascular complications post diagnostic Cardiac Catheterization and Percutaneous Coronary interventions | Research question | How patients experience unexplained chest pain and how it affects their everyday life? | How to identify risk factors associated with cardiac catheterization and percutaneous coronary interventions to prevent complications? | Problem | Often there is no clear explanation for heart disease it makes it difficult to know what nursing interventions to provide for the patient. | There are increased risks for vascular complications found in patients 70 years or older | Purpose | To determine the type of heart disease the patient has so nursing can know what type of signs and symptoms to look out for. | For nurses to identify early signs/symptoms and risk factors to prevent complications. Also to develop safe protocols to care for these type of patients. | Hypothesis | Patients physical and mental status has a direct effect on their perception of chest pain especially if there is no cardiac issue...
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...AN INDEPENDENT VOICE FOR NURSING Work Engagement, Moral Distress, Education Level, and Critical Reflective Practice in Intensive Care Nurses nuf_237 256..268 Lisa A. Lawrence, PhD, RN Lisa A. Lawrence, PhD, RN, Instructional Faculty, Nursing Department, Pima Community College, Tucson, AZ Keywords Critical reflective practice, education level, moral distress, registered nurse, work engagement Correspondence Lisa A. Lawrence, PhD, RN, Nursing Department, Pima Community College, Tucson, AZ E-mail: llawrence@pima.edu AIM. The purpose of this study was to examine how nurses’ moral distress, education level, and critical reflective practice (CRP) related to their work engagement. The study is relevant to nursing, given registered nurse (RN) documented experiences of job-related distress and work dissatisfaction, and the nursing shortage crisis. A better understanding of factors that may enhance RN work engagement is needed. METHODS. A non-experimental, descriptive, correlational design was used to examine the relationships among four variables: moral distress, education level, CRP, and work engagement. The sample included 28 intensive care unit RNs from three separate ICUs in a 355-bed Southwest magnet-designated hospital. RESULTS. There was a positive direct relationship between CRP and work engagement, a negative direct relationship between moral distress and work engagement, and CRP and moral distress, together, explained 47% of the variance in work engagement. Additionally...
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...University Hospital Case study Reference no 609-007-1 This case was written by Professor Dr Paul Gemmel and Lieven De Raedt, Vlerick Leuven Gent Management School. It is intended to be used as the basis for class discussion rather than to illustrate either effective or ineffective handling of a management situation. The case was made possible by the co-operation of an organisation that wishes to remain anonymous. © 2009, Vlerick Leuven Gent Management School. No part of this publication may be copied, stored, transmitted, reproduced or distributed in any form or medium whatsoever without the permission of the copyright owner. ecch the case for learning Distributed by ecch, UK and USA www.ecch.com All rights reserved Printed in UK and USA North America t +1 781 239 5884 f +1 781 239 5885 e ecchusa@ecch.com Rest of the world t +44 (0)1234 750903 f +44 (0)1234 751125 e ecch@ecch.com 609-007-1 CASE STUDY VLGMS-0903-C Access blocking at Ghent University Hospital Prof. dr. Paul Gemmel and Lieven De Raedt One sunny morning at the end of September 2006, Dr. Paul De Meester, professor of healthcare management at Ghent University, was invited for a meeting with the CEO and the Chief of Medicine of Ghent University Hospital. Professor Van Dijk, the CEO, and Professor De Clercq, the Chief of Medicine, were concerned about conflicts between the hospital’s emergency department (ED) and some of the internal nursing departments (INDs). They...
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...Journal of Advanced Nursing, 1999, 30(6), 1432±1440 Issues and innovations in nursing education Evaluation of an innovative curriculum: nursing education in the next century 1 Senior Lecturer, Faculty of Welfare and Health Studies, University of Haifa Hasida Ben-Zur PhD Dana Yagil PhD Lecturer, Faculty of Welfare and Health Studies, University of Haifa and Ada Spitzer RN PhD Senior Lecturer and Head of Nursing Department, Faculty of Welfare and Health Studies, University of Haifa, Haifa, Israel Accepted for publication 22 March 1999 BEN-ZUR H., YAGIL D. & SPITZER A. (1999) BEN-ZUR Journal of Advanced Nursing 30(6), 1432±1440 Evaluation of an innovative curriculum: nursing education in the next century The present research focused on an interim evaluation of a new nursing curriculum made by ®rst- and second-year undergraduates. Study 1 examined the assessments made by 90 students of the new, actual programme of their studies, as well as an ideal one, on 21 bipolar criteria re¯ecting the developing changes in health care practices and higher educational processes in western society. The results of study 1 indicated that students perceived the actual programme as compatible with health care changes, but lacking in terms of the learning process. Study 2 investigated the same assessments among 105 registered nurses who evaluated the traditional nursing programme under which they were trained as well as an ideal one. The results of study 2 showed that registered...
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...Nurses are ever-increasingly confronted with complex concerns in their practice. Codes of ethics are fundamental guidance for nursing as many other professions. Although there are authentic international codes of ethics for nurses, the national code would be the additional assistance provided for clinical nurses in their complex roles in care of patients, education, research and management of some parts of health care system in the country. A national code can provide nurses with culturally-adapted guidance and help them to make ethical decisions more closely to the Iranian-Islamic background. Given the general acknowledgement of the need, the National Code of Ethics for Nurses was compiled as a joint project (2009–2011). The Code was approved by the Health Policy Council of the Ministry of Health and Medical Education and communicated to all universities, healthcare centers, hospitals and research centers early in 2011. The focus of this article is on the course of action through which the Code was compiled, amended and approved. The main concepts of the code will be also presented here. No doubt, development of the codes should be considered as an ongoing process. This is an overall responsibility to keep the codes current, updated with the new progresses of science and emerging challenges, and pertinent to the nursing practice. Keywords: Nursing ethics, Ethical code, Healthcare ethics, Professionalism, Patient’s right Introduction Nurses are responsible to provide their...
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...CNE V Continuing Nursing Education Objectives and instructions for completing the evaluation and statements of disclosure can be found on page 224. What Is Normal?' Evaluating Vital Signs Dehra Van Kuiken, Myra Martz Huth ital signs (VS) are indicators of physiological functioning and include temperature, respiratory rate, fieart rate (pulse), and blood pressure (BP). Health care professionals measure VS to assess, monitor, evaluate, and document an individual's physiological status or change in condition (Royal College of Nursing, 2011). Depending on the individual's condition, VS are monitored and recorded routinely by policy, tradition, or expert opinion, whether needed or not (Evans, Hodgkinson, & Berry, 2001; Zeitz & McCutcheon, 2006). Five years ago, pédiatrie nurse leaders and evidencebased practice (EBP) experts from children's hospitals across the country voiced concerns about the frequency of VS at a National Summit for Pédiatrie and Adolescent EvidenceBased Practice (Melnyk et al., 2007). This summit resulted in our team formulating a clinical question, searching for the evidence, critically appraising the evidence, and formulating conclusions on normal parameters. Before the question on the frequency of ys could be addressed, two fundamental questions needed exploration, and thus, became the focus of our work. The questions are: • Among pédiatrie patient ages 1 through 5 years, what are "normal" VS parameters? • Among pédiatrie patient ages 1 through 5 years...
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...Increasing changes in diversity puts a demand on healthcare professionals. Changes in healthcare have popularized empirical and evidence-based research in the field of nursing research (Hung, Chang,Chen, 2010) New roles that are emerging are tele-conferencing, providing nursing care over the phone triage style nurses need to be effective leaders and managers to meet the new challenges, advocate for policies that contribute to the health of populations, to sustainable development, and to the security and just treatment of nurses and health care professionals (NSNA,2011). Health care evolving at a fast rate and as provider’s nurses will need to adapt by meeting the needs and demands of individuals. The elderly are increasing and have been at a steady rate, and we need the professionals to be available to take care of the elder generation. The acuity on my floor are seeing more and more elderly’s coming in with stroke and fractures. Hung, H., Wang, H., Chang, Y., & Chen, C. (2010). [Nursing knowledge: the evolution of scientific philosophies and paradigm trends]. Hu Li Za Zhi The Journal Of Nursing, 57(1), 64-70. Retrieved from EBSCOhost. NSNA (2011) Meeting Today’s Global Health Care Challenges retrieved from http://www.nsna.org/Portals/0/Skins/NSNA/pdf/Imprint_Feb04_Hancock.pdf patterns of health events in populations characterizes health outcomes in terms of what, who, where, when, and why: What is the outcome? Who is affected? Where are they? When do events occur...
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...JAMES F. LAWRENCE, & SUZANNE O. GRESLE Medical University of South Carolina, Charleston, SC, USA Abstract Tube feeding can be an appropriate and effective means of providing nutrition for individuals who are unable to achieve adequate nourishment orally because of various medical problems. However, the delivery of nutrients by tube feeding can cause ethical dilemmas in cases where the effectiveness of tube feeding diminishes and medical complications increase. The decision to tube feed is often influenced by regional and cultural preferences, as well as the high cost of providing mealtime assistance. The effectiveness and appropriateness of tube feeding has been the subject of much debate as it applies to those with severe cognitive impairments and those who are in a persistent vegetative state (PVS). Recent research shows that in these vulnerable populations, tube feeding alone does not necessarily prevent malnutrition and risk of infection or improve functional status and comfort. While advanced directives allow an individual to make decisions about his or her care at the end of life, court cases and religious doctrine examine the individual’s right to autonomous decision making in opposition to preserving the sanctity of life. As long as the outcome of this debate is largely undecided, the process of dying may be prolonged for those who can no longer advocate for themselves. Keywords: Enteral feeding, tube feeding, ethics, persistent vegetative state, dementia...
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...STRESS LEVEL OF THIRD YEAR NURSING STUDENTS IN FAR EASTERN UNIVERSITY IN THE YEAR 2008 In Partial Fulfillment Of The Requirement for Nursing Research By: Agre, John Marco C. Angcao, Marice C. Angeles, Jessica Christy P. Arambulo, Allan Carlo L. Bandillo, Jemilyn V. Bañaga, Charlene May Y. Bañaga, Valerie Jane Y. Barbon, Lorraine Angelica Barquin, Jasmine C. Bartolome, Dexter C. Bautista, Erica Frances A. Burdeos, Adison C. Submitted to: Ms. Melanie Tapnio, Nursing Research Adviser BSN 905 2007-2008 Chapter I The Problem and its Background Introduction Stress has been experienced by people almost everyday. Stress can be associated with major life events, daily hassles and change in life. It has physical and emotional effects on us and can create positive or negative feelings. Stress can make a person anxious and depressed. It is the enemy of clear thinking and if allowed to get out of control, it can compromise a person’s health as well. Sometimes stress can keep people awake at night and make them feel irritable and edgy. Yet, their reactions to stressful events differ widely. Some people faced with a stressful event develop psychological or physical problems, whereas other people faced with the same stressful event develop no problems and may even find the event challenging and interesting. Nursing school is very stressful. Students experience increased tension...
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