1. The nursing service of a 640-bed acute care teaching hospital consistently put standards of care and practice into actual nursing care by implementing a computerized nursing care plan (NCP) system. 2. Staff nurses worked with clinical specialists to write/revise standards for their specialty areas. These facility specific standards of care and practice were incorporated into the computerized NCP system. 3. The result of the computerization was legible NCPs in only a few minutes. These NCPs direct patient care based on generic and specialty nursing practice standards and promote equitable care for all patients. PMID:7932307

Until recently, standards to guide nursing education and practice in Vietnam were nonexistent. This paper describes the development and implementation of a clinical teaching capacity building project piloted in Hanoi, Vietnam. The project was part of a multi-component capacity building program designed to improve nurse education in Vietnam. Objectives of the project were to develop a collaborative clinically-based teaching model that encourages evidence-based, student-centred clinical learning. The model incorporated strategies to promote development of nursing practice to meet national competency standards. Thirty nurse teachers from two organisations in Hanoi participated in the program. These participants attended three workshops, and completed applied assessments, where participants implemented concepts from each workshop. The assessment tasks were planning, implementing and evaluating clinical teaching. On completion of the workshops, twenty participants undertook a study tour in Australia to refine the teaching model and develop an action plan for model implementation in both organisations, with an aim to disseminate the model across Vietnam. Significant changes accredited to this project have been noted on an individual and organisational level. Dissemination of this clinical teaching model has commenced in Ho Chi Minh, with further plans for more in-depth dissemination to occur throughout the country. PMID:22381381

...training and funding for faculty development to teach in...underserved. Division of Nursing (RPB) The Division of...the current and future nursing workforce; (2) addresses nursing workforce shortages through projects...

The nurse faculty shortage and new requirements for teaching have led to thousands of qualified applicants being turned away from prelicensure nursing programs. In response, the Chief Nursing Officer in one organization created nursing faculty consultant positions to collaborate with faculty, teach prelicensure students in clinical practice, ensure the consistency of care by students in the hospital system, and enhance the relationships between schools of nursing and the organization. In the past 4 years the nursing faculty consultants have been employed they have taught over 500 nursing students from six different nursing programs. PMID:22992633

Jones A (2007)Journal of Clinical NursingPutting practice into teaching: an exploratory study of nursing undergraduates' interpersonal skills and the effects of using empirical data as a teaching and learning resource Aim. To understand student nurse-patient interaction better and to assess the effectiveness of a teaching and learning resource consisting of tapes and transcriptions of actual nurse-patient interaction. Design. Applied conversation analysis and analysis of semi-structured lecture evaluation forms. Background. Little research discusses interpersonal skills (IPS) of student-nurses, even though policy initiatives and literature internationally promote patient-centred communication as being an indicator of high-quality healthcare. Literature also suggests that nursing education ...

This article describes the evaluation of a teaching pack designed for nursing students to acquire the knowledge required for safe administration of blood transfusions. The Serious Hazards of Transfusion (SHOT) Committee is a confidential reporting body, which gathers data from the United Kingdom and reports the serious sequelae of blood transfusion. The SHOT reports have repeatedly identified that errors in blood transfusions are wholly avoidable. Nurses, as the health care professionals ultimately responsible for the bedside check, have the final opportunity to prevent a mis-transfusion [Nursing and Midwifery Council, 2004a. The NMC code of professional conduct: standards for conduct, performance and ethics. NMC, London; Serious Hazards of Transfusion, 2002. SHOT Annual Report 2001-2002. SHOT Scheme, Manchester]. The educational strategies implemented will be explained and evidence that applying structured learning programmes in the undergraduate nursing curriculum can improve students' knowledge presented. A structured questionnaire was employed to assess students' knowledge of the process for transfusing blood components pre- and post-teaching and evaluate the effectiveness of the teaching pack. The results will be presented and discussed. PMID:17689448

The aim of this study was to investigate the factors that contribute to the stress reported by nurses and patients. Thirty-four nurses in a London teaching hospital completed the nurse stress index and the Spielberger state trait anxiety inventory, and attitudes towards the ward and nursing care wer...

Over the last 20 years systems for standardizing nursing care have been elaborated and refined. Such systems are widely employed in teaching and research but very little in clinical practice (Kautz D., et al., 2006) ) However, it would be useful to integrate these systems with synthetic descriptions of nursing intervention to improve our knowledge of "offer and demand" in this field (Jungher, 2006). It is no coincidence that these systems are used more in countries where the type of health system makes it necessary to quantify the contribution of each single health operator in the overall care procedure. The aim of the study was to assess the relevance of the different classifications , considering them not only influenced by nursing but also to some degree influential. PMID:20059887

varaei S., Vaismoradi M., Jasper M. & Faghihzadeh S. (2012) Journal of Nursing Management20, 551-560 Iranian nurses self-perception - factors influencing nursing image Aim- The purpose of this study was to describe the perspectives of Iranian nurses regarding factors influencing nursing image. Background- Nursing image is closely tied to the nurse-s role and identity, influencing clinical performance, job satisfaction and quality of care. Images of nursing and nurses are closely linked to the cultural context in which nursing is practised, hence, this study explores how Iranian nurses perceive the factors that influence their own image. Methods- A descriptive study using a survey design was conducted with 220 baccalaureate qualified nurses working in four teaching hospitals in an urban are...

With the present shortage of nursing faculty and the imminent retirement of current faculty, clinical nurses are encouraged to step into academia, bringing their enthusiasm, knowledge, and clinical experience. As nurses enter the world of nursing education, they will face two challenges: the paradigm shift from clinical nursing to learning process, and the vast diversity of students. Turning to the foundations of nursing, a young nurse educator generated teaching-learning strategies through integration of nursing sciences as a guide to becoming an effective educator. PMID:21966716

SummaryCompromising the quality and safety of patient care is the nursing shortage. Patients are and will continue to be placed at risk as long as there is a nursing shortage and not enough faculty to teach RNs. The purpose of this article is to examine the impact of not having enough nurse educators to educate the future generation of nurses and the ramifications of the nursing shortage on patient care.

Abstract Background:- Nurse-physician communication in the healthcare setting is an important subject that requires international attention because of its relationship with nurses' job satisfaction, turnover, patient safety, and above all, the quality of care. The importance of conducting studies on communication in different cultures and contexts in order to increase nurses' knowledge regarding nurse-physician communication cannot be overemphasized. Aim:- The purpose of this study was to explore the perspectives and experiences of Iranian nurses regarding nurse-physician communication. Methods:- A qualitative study, using the content analysis approach, was conducted. Semistructured interviews were held with 22 female nurses with a Bachelor's degree who were working in two teaching hospita...

The shortage of nursing faculty has contributed greatly to the nursing workforce shortage, with many schools turning away qualified applicants because there are not enough faculty to teach. Despite the faculty shortage, schools are required to admit more students to alleviate the nursing shortage. C...

The aim of nursing education is to foster in students the competence of applying integrated knowledge with clinical skills to the application domains. In the traditional approach, in-class knowledge learning and clinical skills training are usually conducted separately, such that the students might not be able to integrate the knowledge and the skills in performing standard nursing procedures. Therefore, it is important to develop an integrated curriculum for teaching standard operating procedures in physical assessment courses. In this study, a context-aware mobile learning system is developed for nursing training courses. During the learning activities, each student is equipped with a mobile device; moreover, sensing devices are used to detect whether the student has conducted the operations on the correct location of the dummy patient's body for assessing the physical status of the specified disease. The learning system not only guides individual students to perform each operation of the physical assessment procedure on dummy patients, but also provides instant feedback and supplementary materials to them if the operations or the operating sequence is incorrect. The experimental results show that the students' learning outcomes are notably improved by utilizing the mobile learning system for nursing training. (Contains 6 tables and 9 figures.)

BACKGROUND.- Presence is widely accepted as a core relational skill within the nursing profession. Nurse educators are challenged to ensure that the humanistic aspects of client care are included in the Bachelor of Science in Nursing (BSN) curriculum. Introducing and teaching presence skills early in the BSN curriculum will ensure the essential value of relational engagement with clients. Nursing literature, however, notes presence is a challenging concept for BSN students. Articulating a mid-range theory of nursing presence will facilitate students' conceptual understanding of presence and guide nurse educators to teach presence skills. AIMS.- To propose a mid-range theory of nursing presence. Within the theoretical model, identify development opportunities to improve student nurse use of...

Under the Idaho state system for curriculum development in vocational education, Technical Committees made up solely of industry personnel are responsible for drawing up task lists for each program. Based on a task list specific to the field, this curriculum guide provides the competencies needed by nursing assistants enrolled in postsecondary, short-term vocational education and high school programs. The suggested total completion time for classroom and laboratory work is 60 hours; the amount of clinical time required has been set at 40 hours. Introductory materials include goals of the program, information on competency-based education, and a detailed list of program standards. The curriculum is divided into 10 units. Each unit has the following parts: terminal performance and enabling objectives, suggested completion time, suggested teacher and learner activities, list of general references, and evaluation criteria. Unit topics are as follows: (1) role and responsibilities of the nursing assistant; (2) communication and interpersonal relationships; (3) safety, universal precautions, and cardiopulmonary resuscitation; (4) admission, transfer, and discharge procedures; (5) personal procedures; (6) exercise and activity; (7) elimination procedures; (8) collection of specimens; (9) procedures for unsterile warm and cold applications; and (10) variations in nursing care--special nursing responses. Other contents include a list of recommended textbooks and addresses and telephone numbers of 66 sources of media, print materials, and special books/pamphlets. Appendixes, amounting to over one-half of the guide, include checklists for demonstrations and teaching tools. An optional advanced teaching module on the nursing assistant as home health aide is attached. Objectives and suggested textbook are provided. (YLB)

Historically, the nursing metaparadigm has been used to describe 4 concepts of nursing knowledge (person, environment, health, and nursing) that reflect beliefs held by the profession about nursing's context and content. The authors offer an assessment of the metaparadigm as it applies to community and public health nursing in urban settings and offer an amendment of the metaparadigm to include the central concept of social justice. Each of the metaparadigm concepts and the central concept of social justice is discussed as it applies to a model of urban health nursing teaching, research, and practice. PMID:17214656

The ability to appropriately care for diverse populations is an expected competency of the graduated Bachelor of Science in Nursing (BSN). To provide effective materials to ensure this competency is met, the American Association of Colleges of Nursing developed the Toolkit of Resources for Cultural Competent Education for Baccalaureate Nurses. The toolkit provides information on cultural competency models and teaching strategies nurse educators can use to facilitate student learning in cultural sensitivity and competency. This article demonstrates how one model in particular, Campinha-Bacote's Model of Cultural Competence, was utilized for 15 weeks in an undergraduate BSN nursing course for a student population in an urban school of nursing to effectively provide students with the skill set needed to give culturally competent care. This article will provide the methods and strategies used to teach cultural competency as based on Campinha-Bactote's Model in an undergraduate nursing course. PMID:22864294

Abstract in english Handwashing compliance was compared at two medical- surgical intensive care units (ICUs) of a teaching and a non-teaching hospital. The mean compliance was 22.2% and 42.6%, respectively. Respiratory therapists at the non-teaching hospital had the best handwashing compliance (52.6%). Nursing assistants at the teaching hospital had the worst compliance (11.5%). Nursing assistant was the only health-care worker category with a significant difference between the two ICUs (odds ratio = 6.0; 95% confidence interval = 3.83-9.43; p

The American Nurses Association has long recognized the need for nursing to participate in the development of national healthcare data sets and standardized terminologies suitable for implementation in computer-based systems. In 1989, the American Nurses Association Steering Committee on Databases to Support Clinical Nursing Practice was established to make policy recommendations related to nursing data needs. A primary function of the committee was the development of criteria for "recognition" of nursing language systems toward the goal of a Unified Nursing Language System. The committee has evolved and, in 1998, was renamed the Committee on Nursing Practice Information Infrastructure. In this article the revisions in the American Nurses Association recognition criteria and the role of professional associations in standards development are discussed. Distinct criteria for nursing data sets, classification systems, and nomenclatures are reflective of the evolution in the healthcare environment toward concept-oriented terminologic systems that facilitate data re-use. PMID:11764715

This article focuses on the teaching?learning strategies for integration of cultural competence in the first clinical core course in Primary Care of the Middle Aged and Older Adult, a required course for graduate students enrolled in the Adult Health Nurse Practitioner Program, Gerontology Nurse Practitioner Program, and the Family Health Nurse Practitioner Program at the University of Pennsylvania School of Nursing. Multiple teaching?learning strategies for the first clinical course consisted of preliminary online self-assessment, clinical case scenarios, critique of multicultural clinical vignettes, and cultural assessment of the clinical agency. In the outcomes of these teaching?learning strategies, it was shown, through the use of reflective diaries of nurse practitioner students and c...

5. FUNDING NUMBERS. Development of a Teaching Tool to Encourage High School Student s to Study Aerospace ...... the mathematician who developed the theory that predicts their existence) ...... "I was going to go to nursing school but ...

battey b.w. (2012) Journal of Nursing Management20, 1012-1020 -Perspectives of spiritual care for nurse managers Aim- The purpose of this article is to explore the current status, perspectives and attitudes of nurse managers, nurses and others toward spiritual care. Background- The nursing profession has not defined what is expected of the nurses and some question the need for teaching it in nursing education. The leadership roles of chief executive officers, nursing leaders, chaplains and others are considered. Gallup polls indicate people consider religion very important in their lives, but studies show patients report receiving none or limited care. Evaluation- While the spiritual dimension of holistic care is considered essential to healing, its practice has yet to be achieved. Key iss...

LIMOGES J. Nursing Inquiry 2010; 17: 57-63An exploration of ruling relations and how they organize and regulate nursing education in the high-fidelity patient simulation laboratory Recently, schools of nursing have adopted the use of high-fidelity human patient simulators in laboratory settings to teach nursing. Although numerous articles document the benefits of teaching undergraduate nursing students in this way, little attention has been paid to the discourses and texts organizing this approach. This institutional ethnography uses the critical feminist sociology of Dorothy E. Smith to examine the literature and interviews with Practical and Bachelor of Science in Nursing students, and their faculty about this experience. The research shows how discourses rationalize and sustain certain ...

This study aims to describe the stated and non-stated information in the comprehension of sensibility on the part of the nursing teacher-nurse being in the teaching of Nursing. The theoretical- philosophical reference was sought in the Phenomenology of Maurice Merleau-Ponty, and the methodological support was based on the hermeneutic phenomenology of Paul Ricoeur. Nineteen nursing teachers-nurses from a Public Institution of Higher Education in the south of Brazil were interviewed during the months of November and December 2006. Data analysis revealed sensibility as the base for the development of doing, thinking, caring and doing research. Without sensibility, the relations and interactions in teaching in Nursing will be only techniques and theories of healthcare. PMID:18982217

The purpose of this study was to identify and describe factors associated with successful university teaching within the cultural norms of a public university in the midwestern United States. An interpretive analysis was conducted using the educational philosophy and goal statements of 35 university professors who received Presidential Teaching Awards from the university. The professors' diverse disciplines included nursing, curriculum and instruction, accountancy, music, and political science. The authors offer nursing educators the opportunity to increase their confidence and effectiveness by "learning" from faculty members who have been recognized as exceptionally successful in teaching. Four main relevant themes associated with successful university teaching were identified: Presence, Promotion of Learning, Teachers as Learners, and Enthusiasm. The narratives of the professors helped define the meaning of successful teaching across disciplines and offer nursing faculty additional perspectives and experiences. PMID:19227750

Background: The use of standardized patients is an established training technique in medical education. However, this problem-based learning approach is relatively new to the field of nursing education. Its benefits to undergraduate nursing education continue to be underinvestigated in the nursing literature. Purpose: The purpose of this study was to examine the effectiveness of using standardized patients in improving health assessment skills among first-year nursing students. Methods: A comparative design was conducted on a convenience sample of 108 first-year undergraduate nursing students. Study participants were recruited from a university and community college collaborative nursing program in southwestern Ontario. Results: Analysis of covariance results showed that after adjusting fo...

AIM: This paper aims to report the design and test the effectiveness of an innovative caring teaching model based on the theoretical framework of caring in the Chinese context. BACKGROUND: Since the 1970's, caring has been a core value in nursing education. In a previous study, a theoretical framework of caring in the Chinese context is explored employing a grounded theory study, considered beneficial for caring education. METHODS: A caring teaching model was designed theoretically and a one group pre- and post-test quasi-experimental study was administered to test its effectiveness. From Oct, 2009 to Jul, 2010, a cohort of grade-2 undergraduate nursing students (n=64) in a Chinese medical school was recruited to participate in the study. Data were gathered through quantitative and qualitative methods to evaluate the effectiveness of the caring teaching model. RESULTS: The caring teaching model created an esthetic situation and experiential learning style for teaching caring that was integrated within the curricula. Quantitative data from the quasi-experimental study showed that the post-test scores of each item were higher than those on the pre-test (pdevelopment of student caring character and the impact that the caring teaching model had on this regard. CONCLUSIONS: The model could be used as an integrated approach to teach caring in nursing curricula. It would also be beneficial for nursing administrators in cultivating caring nurse practitioners. PMID:22948003

Based upon the Self-Efficacy Theory, this study examined the relationship between self-efficacy, self-efficacy-related variables, and postpartum depression teaching behaviors of hospital-based perinatal nurses. Findings revealed that teaching new mothers about postpartum depression is related to a p...

Abstract in portuguese Este artigo tem por objetivo traçar um panorama histórico das principais transformações que estão ocorrendo na enfermagem após a finalização do Projeto Genoma. São apresentadas informações atuais sobre genética, o Projeto Genoma Humano, pesquisa genômica e sua interface com a prática da enfermagem, assim como propostas de vanguarda em várias áreas de pesquisa importantes para os enfermeiros. Descreve o surgimento de nova especialização na área de enferm (more) agem, a enfermagem em genética, e da Sociedade Internacional dos Enfermeiros Geneticistas, que normatiza o exercício da mesma. Traz alguns dados de pesquisas recentemente realizadas, visando a integração da genética e, conseqüentemente, da genômica no ensino, na pesquisa e na assistência de enfermagem. Abstract in spanish Este artículo tiene por objetivo delinear una visión histórica sobre las transformaciones que están sucediendo en la enfermería después del término del Proyecto Genoma. Presenta información actual sobre genética, el Proyecto Genoma Humano, investigación genómica y su interfaz con la práctica de la enfermería, y también propuestas de vanguardia en muchas áreas importantes de la investigación para los enfermeros. Describe el surgimiento de una nueva especial (more) ización para enfermeros, enfermería en genética, y de la Sociedad Internacional de los Enfermeros Genéticos, que normaliza esta práctica. Trae algunos datos actuales de investigación, apuntando integrar la genética y por lo tanto la genómica junto de la enseñanza, de la investigación y del cuidado de enfermería. Abstract in english This article aims to draw a historical view of the main transformations that are happening in nursing after the completion of the Genome Project. We present current information about genetics, the Human Genome Project, genomic research and their interface within nursing practice, as well as vanguard proposals in various important research areas for nurses. Furthermore, we describe the emergence of a new specialization area in nursing, nursing in genetics, and the Internat (more) ional Society for Nurses in Genetics, which standardizes its professional exercise. Finally, we present some recent research data, aimed at integrating genetics and, consequently, genomics in nursing teaching, research and care.

In contemporary nursing academia, it is unthinkable that topics such as research methods, evidence-based practice, and the translation of research into practice would be omitted from nursing curricula at any level. What is surprising, however, is that despite a broad educational emphasis on "teaching research", the rising importance of bibliometrics appears to have been largely neglected. If nursing scholarship and nursing scholars are to prosper in the highly competitive field of modern health research, a sophisticated understanding of citation-based methods is clearly required. Armed with this knowledge, one can more successfully argue why scarce research funding, that might otherwise be channeled elsewhere, ought to be assigned to nursing researchers. We hereby urge readers to reflect on the extent to which bibliometrics is covered within formal nursing curricula at their college or university. It is no longer a case of if a graduate nurse will need this skill set for their future professional development, but when. PMID:22098385

Since January 2001, over 4,500 nurses, representing all 50 U.S. states and the District of Columbia, have attended 1 of 50 national End-of-Life Nursing Education Consortium (ELNEC) train-the-trainer courses. Of the 4,500 nurses who have attended a national ELNEC course, 300 graduate nursing faculty members participated in one of four National Cancer Institute (NCI) grant-funded courses, ELNEC-Graduate, that focused on the needs of faculty teaching graduate nursing students. These nursing faculty members represent every state in the United States and 278 (63%) out of 438 graduate nursing programs. The final NCI-funded ELNEC-Graduate course took place in June 2006. Due to the continued need for this education, additional courses were offered at the 2007 American Association of Colleges of Nu...

ABSTRACT: BACKGROUND: To clarify the current state of communication between clinical nursing educators and nursing faculty members and the perceived difficulties encountered while teaching nursing students in clinical training in Japan. METHODS: We collected data via focus group interviews with 14 clinical nursing educators, two nursing technical college teachers, and five university nursing faculty members. Interview transcripts were coded to express interview content as conclusions for each unit of meaning. Similar compiled content was categorized. RESULTS: Difficulties in providing clinical training mentioned by both clinical educators and faculty members were classified into four categories: "difficulties with directly exchanging opinions," "mismatch between school-required teaching content and clinical teaching content," "difficulties with handling students who demonstrate a low level of readiness for training," and "human and time limitations in teaching." In some categories, the opinions of educators matched those of the faculty members, whereas in others, the problems differed according to position. CONCLUSIONS: The Japanese culture and working conditions may affect communication between clinical educators and faculty members; however, a direct "opinion exchange" between them is crucial for improving the clinical teaching environment in Japan. PMID:23098211

Each nurse educator's pedagogy underpins their understanding of and approach to teaching and learning, regardless of whether this has been reflected upon or articulated. In this paper, we overview factors and issues that should be considered when developing a teaching philosophy of nursing education and set out broad differences between traditional and contemporary pedagogic models and various ways of knowing. As values underpin any teaching framework these are considered in relation to pedagogies, epistemologies and their relevance to nursing practice. Key teacher roles and strategies that are congruent with a contemporary pedagogy for teaching nursing in the classroom or the clinical setting are also outlined. A premise for writing this paper was that clarifying one's own understandings of education and knowledge and the implicit values held within those terms and processes will contribute to greater self-awareness and more effective teaching of nursing. Education approaches underpinned by a sound teaching philosophy and framework can facilitate an educationally sound and positive experience for learners. PMID:22100421

In 1999, most deans of nursing schools that belonged to the American Association of Colleges of Nursing reported that they did not have a faculty shortage. By 2005, however, 75 percent of U.S. nursing schools cited faculty shortages as the major reason for denying admission to qualified students. The average age of nurse educators holding PhDs is almost fifty-four; the average age at which nursing faculty members retire is sixty-two and a half. In addition, the small numbers of graduates from nursing doctoral programs (just over four hundred annually), and the fact that only about three fourths of them say they will seek a faculty position, make it clear that the nation will face a major shortage of nursing faculty for many years. This article asserts the only solution to this dilemma is increasing the number of nurses who complete a doctoral degree to ensure the future of nursing education. To encourage doctorally prepared nurses to choose a career in higher education, they must be provided with salaries equivalent to those paid to nurses in clinical and administrative positions. The article concludes that while teaching future nurses is incredibly satisfying and a privilege, the financial reward for leaving the clinical setting to embrace the academic life must be adequate.

Intra-aortic balloon pump (IABP) is one of the most important treatment strategies for patients with heart failure in the intensive care unit (ICU). To ensure quality of treatment, clinical preceptors must employ effective teaching strategies to acquaint nurses with the proper use of IABPs. Many nurses are hesitant to use IABPs due to lack of knowledge regarding their use. Classroom lectures and instruction manual-style materials are often ineffective strategies for teaching novice nurses to use IABPs properly and have resulted in unsatisfactory patient treatment quality. This study developed a creative, pithy rhyme to help nurses remember the key elements of IABP support as part of their IABP learning process. This innovative tool uses rhymes and mental images to instill critical information related to IABP use and help nurses become fluent IABP users. PMID:22851398

For nurse educators to provide a multiculturally sensitive curriculum for a diverse student population, there needs to be recognition and inclusion of a wide variety of ways of knowing, cultural beliefs, and values. Nurse educators, however, continue to teach from a Western orientation that emphasizes scientific, rational, linear ways of thinking and knowing. Although intuition is a valid and valued way of knowing in nursing practice, it is rarely included in the nursing curricula. This article suggests pedagogical strategies to inculcate intuition as a valued means of knowing in the multicultural curriculum. PMID:12830683

Proper work environments are important for nurses to feel motivated. We examined the associations between work motivation and job satisfaction among Japanese nurses to improve their motivation. In Japan, relatively small and medium-sized private hospitals play a central role in the healthcare industry. In the present study, the subjects were nurses working in 23 small and medium-sized private hospitals that had 65 to 326 beds. We analyzed 1,116 registered and licensed practical female nurses (average age, 38.3 years; standard deviation, 11.3 years). Many nurses with their specialized nursing skills dedicate themselves to patient care. However, many of these nurses may not be interested in contributing to their hospitals. Nurses may have different opinions regarding dedication to patient care and contribution to their hospitals. Therefore, concerning work motivation, we produced these two different items, “Nurses' dedication to patients” and “Nurses' contribution to their hospitals.” We also produced our own original new job satisfaction questionnaire. We found 7 facets of job satisfaction: “Work as specialists,” “Workplace safety,” “Relationships with superiors,” “Work-life balance,” “Relationships among nurses,” “Communications with physicians,” and “Salary.” Multiple linear regression analyses show that both “Nurses' dedication to patients” and “Nurses' contribution to their hospitals” were significantly associated with “Work as specialists.” Nurses feel their jobs of protecting people's lives and health are valuable. They do not feel motivated only by money. They value the intrinsic nature of their jobs. Creating proper work environments is important for nurses to be able to work as specialists.   

There is a nursing faculty shortage in the United States today and projections are that over the next decade nurses will retire at a rate faster than they are being replaced. The projected shortage at a time when the largest part of the population will begin to retire and enter the ranks of the elderly could potentially cause serious problems within the country's health care system. This nursing shortage coupled with a very large and aging baby boomer population makes it imperative that more new nurses are admitted into nursing schools, allowing more nurses to be graduated. Tied to the need to admit more students into nursing schools is a recognized shortage of qualified nursing faculty. Historically, nurses have transitioned into the role of faculty late in their career leaving only a few years of productive teaching. To begin to turn the tide on the projected nursing shortage, health care leaders must come to understand why nurses do not elect to enter the role of nursing faculty much earlier in their career. The purpose of this phenomenological study was to describe, explore, and seek a deeper understanding about the reasons that nurse educators do not transition into the faculty role earlier in their nursing career. This phenomenological study utilized in-depth interviews of faculty from a new College of Nursing in Central Texas. The study attempted to develop an understanding of the perceptions and perspectives of the role of nursing faculty. A description of the essences of participant's experiences was obtained through the process of phenomenological reduction, analysis of themes and statements, and integrations of the textural and structural descriptions of the participant's lived experiences. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://www.proquest.com/en-US/products/dissertations/individuals.shtml.

In the INNSZ there are administering ablative doses of radioactive iodine to patients with problems of the thyroid gland from 40 years ago. Starting from 1992 was initiated the restlessness to inform to the patients verbally and in writing over the measurements of radiological safety that must be followed for the protection of their families. In this work it is commented, the benefits obtained with the patients and the teachings to give to the personnel what attend the patients which receive treatments with iodine-131 and must be hospitalized. It is commented too over the standardization standing of the patients discharged whom received radioactive material and lastly, it was make a dosimetric study of the nurses, radiotherapeutic and control area. (Author)

Abstract in portuguese Objetivou-se caracterizar estratégias de ensino utilizadas na enfermagem para desenvolver habilidades do pensamento crítico. Elaborou-se uma revisão integrativa nas bases de dados Web of Science e Cumulative Index of Nursing and Allied Health Literature (CINAHL), com os descritores critical thinking, nursing e teaching, no período de 1987 a 2008. A amostra constitui-se de 64 artigos e a análise permitiu a identificação de 27 estratégias de ensino do pensamento cr? (more) ?tico aplicadas na enfermagem. Dentre estas, as cinco mais citadas foram: questionamento, estudo de caso, ensino online e aprendizagem interativa, mapa conceitual e aprendizagem baseada em problemas. Diferentes estratégias reveladas neste estudo evidenciam uma gama de possibilidades que poderão ser aplicadas no ensino e na prática clínica. Conclui-se que o desenvolvimento de habilidades do pensamento crítico por meio destas estratégias pode proporcionar a formação de profissionais mais críticos e reflexivos. Abstract in spanish El objetivo es caracterizar estrategias de enseñanza utilizadas en enfermería para desarrollar habilidades del pensamiento crítico. Fue elaborada una revisión integrativa en las bases de datos Web of Science y Cumulative Index of Nursing and Allied Health Literature (CINAHL), con los descriptores critical thinking, nursing y teaching, en el período de 1987 a 2008. La muestra se constituye de 64 artículos cuyo análisis permitió la identificación de 27 estrategias (more) de enseñanza del pensamiento crítico aplicadas a la enfermería. Entre estas, las cinco más citadas fueron: cuestionamiento, estudio de caso, enseñanza online y aprendizaje interactivo, mapa conceptual y aprendizaje con base a problemas. Diferentes estrategias reveladas en este estudio evidencian una gama de posibilidades que podrán ser aplicadas a la enseñanza y a la práctica clínica. Se concluye que el desarrollo de habilidades del pensamiento crítico a través de estas estrategias puede proporcionar la formación de profesionales más críticos y reflexivos. Abstract in english This study aimed characterize the teaching strategies applied to nursing in order to develop critical thinking skills. An integrative review was elaborated on the Web of Science and Cumulative Index of Nursing and Allied Health Literature (CINAHL) data base, with the descriptors critical thinking, nursing and teaching, from 1987 to 2008. The sample comprised 64 articles and the analysis provided the identification of 27 strategies for teaching critical thinking in nursing (more) . Among those, the most referred to were questioning, case study, online teaching and interactive learning, concept map and teaching based on problem solving. Different strategies described in the study revealed a wide range of possibilities which can be applied to teaching and to clinical practice. It was concluded that the development of the critical thinking skills through these teaching strategies can help nursing students to be more critical and reflexive.

Abstract in portuguese Há mais de duas décadas, o Departamento de Enfermagem (DE) do Hospital Universitário da Universidade de São Paulo (HU-USP) implementou o modelo assistencial, denominado Sistema de Assistência de Enfermagem (SAE), que integra três fases: o Histórico, a Evolução e a Prescrição de Enfermagem e que vem sendo desenvolvido pelos enfermeiros do DE como um instrumento norteador da assistência, do ensino e da pesquisa. Tendo em vista a informatização do SAE, os enfer (more) meiros iniciaram discussões acerca da necessidade de mudanças que agilizassem o processo de trabalho com a proposição da implementação do Diagnóstico de Enfermagem, como mais uma etapa do SAE, e com a revisão das condutas/intervenções de enfermagem. Para tanto, tornou-se imprescindível a adoção de um sistema padronizado de linguagem do processo assistencial a fim de que se pudesse realizar a captura, agrupamento e classificação dos dados para análise e transformação em informações. O presente estudo tem como objetivo compartilhar com outros enfermeiros essa experiência no processo de implementação do Diagnóstico de Enfermagem como segunda etapa do SAE. Abstract in spanish Hace más de dos décadas, el Departamento de Enfermería (DE) del Hospital Universitario de la Universidad de São Paulo (HU-USP) implementó el modelo asistencial, denominado Sistema de Asistencia de Enfermería (SAE), que integra tres fases: el Histórico, la Evolución y la Prescripción de Enfermería y que viene siendo desarrollado por los enfermeros del DE como un instrumento orientador de la asistencia, de la enseñanza y de la investigación. Buscando informarse (more) sobre el SAE, los enfermeros iniciaron discusiones acerca de la necesidad de cambios que agilicen el proceso de trabajo con la proposición de la implementación del Diagnóstico de Enfermería, como una etapa más del SAE, y con la revisión de las conductas/intervenciones de enfermería. Para tal efecto, se tornó imprescindible la adopción de un sistema patronizado de lenguaje del proceso asistencial a fin de que se pueda realizar la captura, agrupación y clasificación de los datos para el análisis y transformación en informaciones. El presente estudio tiene como objetivo compartir con otros enfermeros esa experiencia en el proceso de implemen-tación del Diagnóstico de Enfermería como segunda etapa del SAE. Abstract in english More than two decades ago the Nursing Department at the University Hospital of the University of São Paulo implemented the care model called Nursing Care System (NCS), which is comprised of three phases: Background, Evaluation and Nursing Prescription. Since then, it is being developed by the Nursing Department nurses as a guiding instrument for care, teaching and research. Having in mind the automation of the NCS, the nurses began to discuss the need for changes that co (more) uld speed up the work process with the proposal of implementation of the Nursing Diagnosis as another step of the NCS and with the review of nursing action/interventions. In order to do so, the adoption of a standardized system of the care process language became essential so as to make possible data capture, grouping and classification for analysis and their transformation into information. The present study aims at sharing with other nurses this experience on the implementation process of the Nursing Diagnosis as a second step of the NCS.

chou h. y., hecker r. & martin a. (2012) Journal of Nursing Management20, 502-511 Predicting nurses- well-being from job demands and resources: a cross-sectional study of emotional labour Aim- The aim of the present study was to investigate the effects of job demands and resources as well as emotional labour on job satisfaction and emotional exhaustion among nurses. Background- While emotional labour is a construct that has considerable significance in health care as nurses often need to express organizationally desired emotions, little research has investigated the relationships between emotional labour, job demands and resources in the prediction of nurses- well-being. Methods- The questionnaire was distributed to 450 registered nurses (RN) working in a teaching hospital in Taiwan during...

The purpose of this article was to bring to nursing science a theoretical framework and technology that can transport with it new ways of knowing by exploiting microperspectives and macroperspectives, both from "within the map" and globally. Nursing continues to find its voice, but it also must lend its voice to the forming of Geographic Information Systems and Science in a pan-disciplinary partnership with geography, cartography, sociology, public health, and information technology. It is proposed that nursing take advantage of the latest databases that hold "person" information and layer these over geographical maps holding "environment" and "health" information as a new way of seeing and applying the metaparadigms of nursing. By using Geographic Information Systems for understanding spatial, numeric, health, and population relationships as they relate to nursing practice, research, and teaching, nursing science will continue to evolve at a speed needed to be effective in the new millennia. PMID:15206686

Abstract Background: Nurses are often called upon to play the role of first responder when disaster occurs. Yet the lack of accepted competencies and gaps in education make it difficult to recruit nurses prepared to respond to a disaster and provide assistance in an effective manner. Design: Based on the International Council of Nurses (ICN) Framework of Disaster Nursing Competencies and Global Standards for the Initial Education of Professional Nurses and Midwives, a training course titled Introduction to Disaster Nursing was designed and implemented with 150 students. A pre post survey design was used to assess changes in participants self rated disaster nursing competencies. The impact of the training course on participants attitudes toward disaster nursing and their learning experience...

Sports medicine, as a discipline, can be traced back to primitive man. The use of exercise as a prerequisite for conditioning and proper treatment of injuries was first documented in early Greek civilization with the establishment of the Olympics. Today, sports by their very nature invite injury. In 2000, 2.5 million students participated in varsity sports with 750,000 injuries recorded. These numbers do not account for sports activities outside school or leisure activities. Another area of potential injury is physical education class. These classes are large with limited supervision and encompass students of varying age and abilities. Nurses do not have an extensive knowledge of injury prevention or assessment in their basic nursing education. School nurses, as a subspecialty within nursing, are expected to keep up with the requirements of the adolescent and pediatric populations as well basic nursing skills. Due to work schedules and limited resources for continuing education, school nurses are not afforded much time or benefits to attend classes that would teach them skills needed to assess athletic-type injuries. School nurses need printed resources specific to their setting to help fill this void. Recognizing this need, "Sports Medicine Techniques for the School-Based Nurse" is a manual in process that will help fill this void. Being developed specifically for school nurses, the manual will provide information on prevention, evaluation, and management of athletic-type injuries commonly seen in the school nurse's office.

Introduction: Dissonance between the high 'technical' professionalism of nurses and the relatively low level of patient satisfaction with care received is a phenomenon observed in many countries. Many studies show that it occurs in the case of an inadequate interpersonal communication between nurses and patients. Methods: Three basic scopes of communication competences were involved in the research process: a) motivation, b) knowledge, c) skills, and the following three methods were used: 1) documentation analysis (standards, plans and educational programmes); 2) diagnostic survey concerning professional communication competences of nurses in nursing care - a questionnaire form designed by the authors; 3) self-reported communication skills in nursing care - adjective check list. The study group covered a total number of 108 respondents in the following subgroups: 1) professional nurses who, as a rule, were not trained in interpersonal communication (42 respondents); students of nursing covered by a standard educational programme (46 respondents); 3) students of nursing who, in addition to a standard educational programme, attended extra courses in professional interpersonal communications nursing (20 respondents). The data obtained were subjected to statistical analysis with the use of descriptive statistics and hypothesis testing. Results: The results of studies indicate poor efficacy of shaping communication competences of nurses based on education in the area of general psychology and general interpersonal communication. Communication competences acquired during undergraduate nursing education, are subject to regression during occupational activity. Discussion: Methods of evaluating communication competences are useful in constructing group and individual programmes focused on specific communication competences rather than on general communication skills. PMID:23020064

Abstract Purpose: This work responds to the need for maintaining an ethic of care in the face of increased demands for cost effectiveness and efficiency. Findings are presented from a qualitative study describing how nurse practitioner (NP) faculty teach NP students about holistic nursing dimensions of NP practice. Data resources: Data collection consisted of face to face or telephone interviews with 24 experienced NP faculty members teaching in 22 NP programs across the country. Data were analyzed using the interpretive phenomenological approach. Aspects of scientific merit were addressed through reviewing transcripts for accuracy, consensual validation sessions, and member checking. Conclusions: The most common approaches used for teaching holistic nursing dimensions of NP practice were ...

ABSTRACT The Association of Community Health Nursing Educators (ACHNE) has developed a number of documents designed to delineate the scope and function of community/public health nursing (C/PHN) educators, researchers, and practitioners. Consistent with the mission of ACHNE, this position paper entitled Academic Faculty Qualifications for Community/Public Health Nursing has been developed by the Faculty Qualifications Task Force. The shortage of qualified nursing faculty has been well documented. In particular, this shortage has increased the difficulty in having sufficient numbers of faculty who are educationally and experientially qualified to teach in the C/PHN specialty. ACHNE is addressing this concern by setting forth preferred qualifications for faculty to teach C/PHN at both the gr...

There has been considerable impetus in nursing education to identify ways of ensuring that students utilize fully their opportunities for learning and achieve their fullest potential. To this end an avenue of research has evolved which sets out to identify the preferred learning styles of students. Claims are advanced that matching these preferences with teaching styles is important for maximizing learning for nurses. An evaluation of the current research on learning preferences and matching teaching styles is provided using evidence from both nursing and non-nursing areas. What has emerged from this review is that the age of the learner may influence learning preference, and that individual rather than group characteristics must be considered. There are conflicting findings about the importance of matching learning preferences and delivery styles, but multiple approaches to the delivery of materials are generally advocated with both theoretical and clinical materials. PMID:8177180

This study aimed to develop and evaluate the virtual classroom on the Theory of Meaningful learning for undergraduates in nursing. It is applied research, production technology, developed in five phases: design and planning, content development and instructional designer, creation of educational materials, learning portal deployment in Moodle (Modular Object-Oriented Dynamic Learning Environment) and evaluation by judges. The class was developed and was approved, after evaluation by the judges, and adjustments, and will integrate the discipline Methodology of Nursing Teaching I, Degree Course Nursing School of USP. We believe that the purpose of this study favors the formation of the licensing and therefore the future of teaching nursing in a critical and reflective, with the components of a profile of the prospect of seeking and using new knowledge for the development of their professional practice. PMID:22664593

The Center for the Study and Prevention of Violence (CSPV) at the University of Colorado at Boulder identified 11 prevention and intervention programs that met a strict scientific standard of program effectiveness. This bulletin describes the CSPV's selection criteria in choosing model programs (e.g., evidence of deterrent effect when using a strong research design, sustained effects, multiple site replication, analysis of mediating factors, and cost versus benefits). The 11 models are highlighted and include such programs as Prenatal and Infancy Home Visitation by Nurses (which sends nurses to the homes of low-income, first time mothers to teach parenting skills and promote health); Promoting Alternative Thinking Strategies (a school-based intervention that works on self-control, emotional understanding, self-esteem, relationships, and interpersonal problem solving); and the Bullying Prevention Program (which is designed to reduce bullying among elementary and middle school students by reducing opportunities and rewards for bullying behavior). The bulletin discusses program replication, evaluation, planning, and funding and notes lessons learned in such areas as administrative tensions, professional insecurities, and intra-agency and interagency links. It describes such implementation strengths as administrative support, program champions, staff, and technical assistance providers. (SM)

Traditionally, the dorsogluteal site has been the site preferred by nurses for the administration of medication via intramuscular injection. However, there is evidence to support the use of the ventrogluteal site. It was recently advocated as the site of choice in a respected nursing manual. This article discusses the use of the ventrogluteal site, the intramuscular injection technique, and issues associated with teaching it. PMID:15871375

Art therapy facilitates the expression of thoughts and feelings and thus may serve as a self-care strategy. This paper describes the implementation of an expressive art therapy class to teach self-care during a required sophomore level nursing wellness course and the outcomes of the class through the eyes of six students. While students were initially reluctant to engage in the activity, the shared stories revealed feelings of relaxation, empowerment, value clarification, and increased self-awareness. The implication for nursing education is that the integration of art therapy into curricula may serve as an effective strategy to teaching self-care and core professional values. PMID:23007715

INTRODUCTION: The Pediatric Assessment Triangle (PAT) is a rapid evaluation tool that establishes a child's clinical status and his or her category of illness to direct initial management priorities. Recently the PAT has been incorporated widely into the pediatric resuscitation curriculum. Although intuitive, its performance characteristics have yet to be quantified. The purpose of this research is to determine quantitatively its accuracy, reliability, and validity as applied by nurses at triage. METHODS: In this prospective observational study, triage nurses performed the PAT on all patients presenting to the pediatric emergency department of an urban teaching hospital. Researchers performed blinded chart review using the physician's initial assessment and final diagnosis as the criterion standard for comparison. RESULTS: A total of 528 children were included in the analysis. Likelihood ratios (LRs) were found for instability and category of pathophysiology using the PAT. Children deemed stable by initial PAT were almost 10 times more likely to be stable on further assessment (LR 0.12, 95% confidence interval [CI] 0.06-0.25). The PAT further specified categories of pathophysiology: respiratory distress (LR+ 4, 95% CI 3.1-4.8), respiratory failure (LR+ 12, 95% CI 4.0-37), shock (LR+ 4.2, 95% CI 3.1-5.6), central nervous system/metabolic disorder (LR+ 7, 95% CI 4.3-11), and cardiopulmonary failure (LR+ 49, 95% CI 20-120). DISCUSSION: The structured assessment of the initial PAT, as performed by nurses in triage, readily and reliably identifies high-acuity pediatric patients and their category of pathophysiology. The PAT is highly predictive of the child's clinical status on further evaluation. PMID:22831826

Nursing shortages exist worldwide while job stress, dissatisfaction, lack of peer support and limited professional opportunities still contribute to attrition. The aim of this systematic review is to describe and evaluate the quality of the science, report recommendations and lessons learned about implementing and evaluating nurse residency programs (NRPs) designed to improve new graduate transitioning. Databases were searched between 1980 and 2010 using five search terms: nurse, intern, extern, transition and residency programs. Twenty studies reporting programs for new RNs fit the inclusion criteria. Three major discoveries include: 1. Wide variation in content, teaching and learning strategies make comparison across programs difficult; 2. Lack of theory in designing the educational inte...

Abstract For the patient with acute kidney injury, continuous renal replacement therapy (CRRT) is a treatment option that has application for the hemodynamically unstable critically ill patient. The decision to initiate a continuous renal replacement modality depends not only on the physician, either the nephrologist or intensivist, but also on the availability of specially trained nursing resources. This article will explore the nursing collaborative model of care at a large university-based research and teaching Medical Center in Southern California. The focus will be on nursing issues in CRRT including organization of educational programs, manpower assessment, competency evaluation, and quality improvement processes.

Memoirs can be more interesting to read than textbooks and are frequently just as informative. Many people have written excellent memoirs about their own or family member's psychiatric illness. However, psychiatric practitioner memoirs have the advantage of showing how an enthusiastic but novice clinician develops into a skilled practitioner, something students are usually eager to understand. Twenty-nine memoirs by psychiatric practitioners (nurses, advanced practice nurses, psychiatrists, and psychologists) were reviewed and critiqued for clinical accuracy and relevancy, positive role-modeling, advocacy, a promotion of a positive image of nursing, and suitability for use in teaching undergraduate nursing students; of these, 3 are outstanding books written by nurses ( The Comfort Garden: Tales from the Trauma Unit by Barkin and Tales from the page Chronicles and The Pager Chronicles Volume Two by Rancour) and one by psychiatrist(Psychward by Seager). An annotated bibliography of all practitioner memoirs reviewed is provided. PMID:23101115

In 2003, the Gordon and Betty Moore Foundation partnered with a major west coast school of nursing to create an accelerated doctoral program in nursing. The program's chief aim was to address the nursing shortage by increasing the number of nurse faculty by funding 42 doctoral students in five cohorts. Students accepted into the accelerated program receive a generous stipend and commit to earn their doctorate in 3 years and teach for 3 years after graduation at 1 of 17 area nursing programs. Two cohorts have graduated from the accelerated program and are currently in faculty positions. This article describes the accelerated doctoral program and the academic progression and postgraduation employment of the first two cohorts.

Abstract In contemporary nursing academia, it is unthinkable that topics such as research methods, evidence-based practice, and the translation of research into practice would be omitted from nursing curricula at any level. What is surprising, however, is that despite a broad educational emphasis on -teaching research-, the rising importance of bibliometrics appears to have been largely neglected. If nursing scholarship and nursing scholars are to prosper in the highly competitive field of modern health research, a sophisticated understanding of citation-based methods is clearly required. Armed with this knowledge, one can more successfully argue why scarce research funding, that might otherwise be channeled elsewhere, ought to be assigned to nursing researchers. We hereby urge readers to ...

Aim.- The aim was to evaluate the psychometric properties of the Taiwan version of the Revised Individual Workload Perception Scale on staff nurses in southern Taiwan. Background.- Most psychometric measures of the nursing work environment were developed in North America and reflect nursing practice in Western health care environments. As these instruments are used most often in translation, it is important to inquire whether they appropriately capture the characteristics of nursing work in environments outside of the original contexts. Design.- A descriptive, cross-sectional study was conducted between 1 June-30 September 2009, with a convenience sample of 344 nurses providing direct patient care at a regional teaching hospital in southern Taiwan. The Taiwan version of the Revised Individ...

Aim.- This paper explores the leadership style of hospital managers. Background.- Leadership has been widely studied in nursing from the perspective of nurses- psychological strain caused by nursing leadership. There is, however, little contained in the Western and Eastern literatures on the leadership style of hospital managers and certainly no study has explored managers- leadership style in Taiwanese hospitals from the nurses- stance. Design.- Grounded theory. Methods.- A sample of 28 nurses from seven teaching hospitals in Taiwan, Republic of China was selected through theoretical sampling. A multi-step analytic procedure based on the grounded theory approach was used to analyse the qualitative data. Results.- The Chinese culture was found to affect the leadership style of Taiwanese ho...

The main objective of the study is assessing knowledge, opinions and compliance with the procedures of health professionals (physician, nurses, medical and nursing students) about Hand Hygiene (HH). There is a number of research which indicates that physicians respect less than nurses Hand Hygiene, there are a smaller number which investigates the differences in the attitude of the aforementioned subjects during their studies. A questionnaire was administered to a sample of 756 participants (252 doctors, 268 nurses, 117 nursing students and 119 students of medicine) at a large University Hospital in Rome, to determine their knowledge, compliance and procedures with Hand Hygiene. Knowledge of medical students is lower than that of nursing students, as well as they have lower values in adherence to practice. In both HH Beliefs Scale (HBS) and HH Practicies Inventory (HHPI) questionnaires, nursing students have higher scores than nurses, doctors and medical students. The questions on the use of alcohol-based cleaners have been those where there was the lowest number of correct responses, across all professions. Physicians compared to nurses have a lower adherence to Hand Hygiene. Future research should clarify what the differences are in the construction of the study on the practice of washing hands, what are the barriers to health professionals and best methods for teaching habits, namely the effectiveness of hand washing. Professionals should be more involved in the fight against Healthcare-associated infections. PMID:22304723

Background: Examining the quality of nursing care from the patient's perspective is an important element in quality evaluation. The extent to which patients’ expectations are met will influence their perceptions and their satisfaction with the quality of care received. Methods: A cross-sectional survey was conducted among admitted patients at King Khalid Teaching Hospital, Riyadh, Saudi Arabia. Data were collected (from January 2011 to March 2011) from a convenience sample of 448 patients using a 42-items questionnaire assessing six dimensions of the nursing care provided to, during hospitalization. Results: On a four–point scale (4-higly agree,3-agree, 2-disagree, and 1-higly disagree). The individual items of nursing care showing the lowest means were the information received from the nurses about self-help (2.81), the information about the laboratory results (2.76) and the way the nurse shared the patient's feeling (2.72). A strong correlation existed between the overall perception level and the variables of gender (P=0.01), and the types of department (0.004). Conclusion: The findings of this study demonstrate negative experiences of patients with nursing care in dimensions of information, caring behavior, and nurse competency and technical care. Awareness of the importance of these dimensions of nursing care and ongoing support to investigate patients’ perception periodically toward quality of nursing care are critical to success the philosophy of patient centered health care.

This study unit as part of the Continuing Professional Development (CPD) programme aimed at reviving the spiritual dimension in nursing care. This paper discusses the perceived impact of the study unit Spiritual Coping in Illness and Care on qualified nurses. The paucity of literature demonstrates some benefits perceived by the learners namely, clarification of the concepts of spirituality and spiritual care, self-awareness of personal spirituality and their current clinical practice which neglects the spiritual dimension. The ASSET model [Narayanasamy, A., 1999. ASSET: a model for actioning spirituality and spiritual care education and training in nursing. Nurse Education Today 19, 274-285] guided the teaching of this study unit. The nature of this study unit demanded an exploratory method of teaching to encourage the nurses to be active participants. Qualitative data were collected by a self-administered questionnaire from the three cohort groups of qualified nurses who undertook this study unit in 2003-2004 (A: n=33), 2004-2005 (B: n=35) and 2006-2007 (C: n=35). Learners found the study unit as a resource for updating their knowledge on spirituality in care and increased self-awareness of their own spirituality and nursing care. They acknowledged their role as change agents in order to implement holistic care in collaboration with the multidisciplinary team. Recommendations were proposed to integrate the spiritual dimension in education and patient care. PMID:20656557

ABSTRACTThe Department of Emergency Medicine at Queen's University developed, implemented, and evaluated an interprofessional simulation-based competition called the Simulation Olympics with the purpose of encouraging health care providers to practice resuscitation skills and foster strong team-based attitudes. Eleven teams (N ?=? 45) participated in the competition. Teams completed three standardized resuscitation scenarios in a high-fidelity simulation laboratory with teams composed of nurses, respiratory therapists, and undergraduate and postgraduate medical trainees. Trained standardized actors and a dedicated technician were used for all scenarios. Judges evaluated team performance using standardized assessment tools. All participants (100%) completed an anonymous two-page questionnaire prior to the competition assessing baseline characteristics and evaluating participant attitudes, motivation, and barriers to participation. The majority of participants (71%) completed an evaluation form following the event focusing on highlights, barriers to participation, and desired future directions. Evaluations were uniformly positive in short-answer feedback and attitudinal scoring measures. To our knowledge, the Simulation Olympics competition is the first of its kind in Canada to be offered at an academic teaching hospital. PMID:23131483

Abstract Purpose: To define what can be considered to be nursing practice, time that can be calculated as the practice of nursing as well as what is considered to be advanced nursing practice and how all this can be related to the current endorsement process for nurse practitioner (NP) in Australia. Data sources: Current codes and guidelines cited by the Nurse and Midwifery Board of Australia related to nursing practice and NPs, cited competency standards from the Australian Midwifery Accreditation Council, as well as published material of peak nursing bodies from within Australia as well as internationally were used. Information was also obtained through government health and professional organization websites. All information in the literature regarding current and past status and nomenc...

Multidisciplinary management of the acute cardiac patient, for decades, has been driven by best practices, treatment algorithms, and research-based protocols. As nurses continue to develop and implement evidence-based care, they must ensure that the essence of nursing is not lost in the process. In this article, strategies for the development of evidence-based practice guidelines for acute cardiac patients using standardized nursing language are provided. PMID:20160543

The present nursing faculty shortage is real and a continued shortage can be expected. Possible solutions include adding more education courses in graduate programs, obtaining increased funding for graduate education, recruiting from new areas, mentoring, giving more flexible teaching assignments, and changing the way clinical instruction is performed. (JOW)

Context and Background: Nursing students are taught many skills to prepare them for their practical experience in the clinical environment. To date these skills have been taught to students using a demonstration and practice technique. This teaching method has a number of disadvantages: -\tit is ...

The purpose of this study was to examine the effect of a renal nursing professional practice model (PPM) on nurses'perceptions of empowerment, characteristics of practice environments and the impact on nursing care outcomes in a university-based teaching hospital in Canada. Quantitative and qualitative methodologies were used. This paper will focus on the qualitative results. Content analysis was the data analysis method used. The following themes emerged: 1) Attunement, familiarity/knowing the patient, going the distance, 2) Patient outcomes, consistency and continuity of care, autonomy/taking the initiative, 3) Nurse rewards: satisfaction and accountability, empowerment/input, and 4) Facilitating systems: communication, support and assignment. The quantitative results had a significant (p = .005) improvement post-PPM implementation in the nursing foundations for quality of care subscale of the Practice Environment Scale of the Nursing Work Index (NWI-PES) and organizational relationships (p =.016) measured by the Conditions of Work Effectiveness II (CWEQ-II) questionnaires. This study provides evidence for PPMs and primary nursing as effective frameworks to positively impact nursing and patient outcomes in a hemodialysis unit. PMID:17691709

A range of contemporary political and professional literature endorse the principle of compassion in nursing as a core and underpinning philosophy fundamental to the profession. However, despite pledges to ensure that compassion lies at the heart of nursing, the concept has not been clearly defined. It is evident that uncovering the true meaning is complex and challenging owing to its subjective nature. In light of this, several implications must be considered. Effective student nurse recruitment is essential to ensure that the most appropriate individuals are selected. Contemporary marketing campaigns must be implemented, and recruitment strategies developed, which consider specific values and attitudes. Service user involvement in recruitment and selection, curriculum planning and learning and teaching strategies, and post-qualification education, can enhance nurses' understanding of the patient perspective and make headway in embedding compassion as a core nursing value. Additionally, effective role modelling in practice which demonstrates high-quality compassionate nursing care is essential. Nurses must be adequately supported in the clinical environment to facilitate compassionate behaviours and clinical leadership at all levels must uphold political and professional pledges to achieve this. Consideration of these implications for practice is essential to ensure that nurses are able to respond to patients with humanity and kindness, and deliver high-quality, compassionate care to all. PMID:22398938

Simulation is the mainstay of laboratory education in health sciences, yet there is a void of pedagogy-the art and science of teaching. Nursing faculty does not have adequate evidence-based resources related to how students learn through simulation. The research questions that were addressed were as follows: (a) How do students learn using simulation? (b) What is the process of learning with simulations from the students' perspective? (c) What faculty teaching styles promote learning? and (d) How can faculty support students during simulation? Grounded theory methodology was used to explore how senior baccalaureate nursing students learn using simulation. Twenty-six students participated in this research study. Sixteen nursing students who completed two semesters of simulation courses volu...

Educators today need innovative teaching strategies to meet the learning needs of the multigenerational population of perioperative nurses. Emerging technologies, such as YouTube, the world's largest video-sharing web site, can be used as a component of an active learning strategy that can appeal to a broad group of nurses along the novice-to-expert proficiency continuum. Using video clips can be a useful method to engage learners and promote critical thinking, decision making, and creativity. YouTube videos can be used to teach skills or as a platform for discussion. Learners also can create and upload their own videos to educate others. Increased engagement and active learning can lead the perioperative nurse to a deeper understanding of the educational material. PMID:22464620

The anticipated nursing shortage in the United States is well documented and continues to be a topic of discussion. A nationwide solution has been for nursing programs to increase their enrollment of nursing students. This could be difficult for many nursing schools; as many have a shortage of qualified nursing faculty with which to instruct additional students. Research shows that various colleges and universities are using adjunct or part-time faculty to fill the gaps of faculty vacancies. This dissertation seeks to identify useful practices when working with adjunct nursing faculty. The purpose of this narrative phenomenological study was to describe the lived experiences and perceptions of novice clinical adjunct nursing faculty members who have less than two years teaching experience. The participants of the study included novice faculty members who provide direct supervision of pre-licensure nursing students and work in private nursing colleges and universities in the Midwest. This study attempted to describe the lived experiences and perceptions of novice clinical adjunct nursing faculty. Data analysis resulted in identification of five themes expressed in the following terms; (1) eye-opener, (2) excite/unsure, (3) lack of preparation, (4) empowerment, and (5) development of relationships. By using various communication techniques and strategies to "stay in touch" with the novice clinical adjunct nursing faculty, educational institutions will benefit from retention, satisfaction, and loyalty of their adjunct or part-time faculty. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://www.proquest.com/en-US/products/dissertations/individuals.shtml.

Clinical simulation is an innovative, research-based instructional strategy, and many faculty report not being adequately prepared to use this type of teaching strategy. Instructors in both academia and hospital staff development report reluctance to incorporate this new teaching methodology into the curriculum because they have negative attitudes about their own level of competence and confidence in using the simulators with students. Instructors clearly require training to help them understand the pedagogy, educational theory, and effective use of high-fidelity manikins. To promote simulation as a teaching strategy, a partnership was formed between academia (associate degree in nursing/bachelor of science in nursing) and staff development departments to train their instructors in an effi...

Objective: Usability of a new prefilled insulin pen, FlexTouch (FT; Novo Nordisk A/S, Bagsvaerd, Denmark), with no push-button extension and low injection force, was compared with vial and syringe (V&S). Research design and methods: People with diabetes, and healthcare professionals with diabetes management experience conducted test injections and answered questions on preference, ease of use, confidence, ease of learning and teaching. Results: The study involved 30 needle-naive patients (naive to any diabetes injection therapy), 30 V&S-experienced patients, 30 physicians and 30 nurses. In the total population, FT was preferred to V&S for teaching or learning to use (both p < 0.001). Nurses (100 vs. 0%) and physicians (87 vs. 7%) preferred FT to V&S for ease of teaching. V&S-experienced (7...

There is a lack of information on the use of multi-source evaluation to assess trainees? interpersonal and communication skills in Oriental settings. This study is conducted to assess the reliability and applicability of assessing the interpersonal and communication skills of family medicine residents by patients, peer residents, nurses, and teaching staffs and to compare the ratings with the objective structured clinical examination (OSCE). Our results revealed instruments used by staffs, peers, nurses, and self-evaluation have good internal consistency reliability (? > 0.90), except for the behavioral checklist (? = 0.57). Staffs?, peers?, and nurses? evaluations were highly correlated with one another (r = 0.722 for staff- and peer-rating, r = 0.734 for staff- and nurse-rating, r = 0.63...

This paper is a report on a qualitative study which considered the issue of how lecturers feel about teaching and managing the topic of culture and racism within their role as nurse educators. The issue of cultural diversity and the related issue of racism within nursing and society more generally means that the problem cannot be ignored since one of the central tenets of nursing is that care should be delivered in non-discriminatory ways. We interviewed a group of lecturers within a UK university to explore their views on the topic. We produced six themes: Culture; the existence of racism within nursing; challenging racism; political correctness; strategies adopted to address issues in the classroom and the presence of cultural diversity within the curriculum. We identified that the lectu...

Given the shortage of nurse educators, we sought to better understand teaching excellence because it is crucial for developing the next generation of nurses. A grounded theory approach was used. The sample included 17 respondents, thought to be excellent teachers, from universities across the United States. Consenting respondents were asked, ?What do you do to bring nursing to life with your students??? Using line-by-line coding and the constant comparative method, five major themes emerged: (a) engagement, (b) relevance, (c) student centeredness, (d) facilitation of learning, and (e) dynamic process of becoming an excellent nursing educator. We found that the core category, engagement, included the faculty being (a) current and knowledgeable, (b) being clear in communication of objectives...

One strategy for solving the nursing shortage is to increase the enrollment in undergraduate programs in schools of nursing. However, the shortage of full time faculty may prohibit larger enrollments. Employing adjunct faculty is one way to meet the teaching demands of increasing enrollment. Hiring and retaining qualified adjunct faculty is a challenge faced by many schools of nursing. To maintain quality, schools must meet the development needs of this unique group of faculty. Job satisfaction of adjunct faculty influences retention. Limited published research addresses the development needs of adjunct nursing faculty. This article describes the findings from a survey designed to identify the overall needs of our adjunct faculty. Based on the survey's findings, several new initiatives were implemented with the ultimate aim of retaining a cadre of qualified teachers. PMID:20304379

Little is known about the current training and barriers in resuscitation skills among practicing ward nurses. A convenience sample of 459 ward nurses, recruited from 11 academic teaching hospitals in Korea, were surveyed to assess current training and barriers to optimal resuscitation performance on the wards. The Perceived Barriers scale was developed, refined, and its psychometric properties were assessed. Approximately 36% of nurses had received simulation-based resuscitation skills training. Exploratory factor analysis identified four barriers accounting for 58.4% of the variance: insufficient training (37.7%), lack of competence (9.8%), lack of self-confidence (5.9%), and workload and tension (5.1%). Strategic planning and resuscitation skills training should be incorporated into staff development programs to reduce barriers to optimal resuscitation performance and cope with work demands for ward nurses. PMID:23162061

This article presents the 3-D puzzle model of culturally congruent care, defines the levels and constructs employed by this model, presents some assumptions, and lays out some basic propositions as a foundation for further work. There are many extant frameworks and theories of culture and cultural competence in nursing and health care; the model presented here draws heavily from prior work and is an attempt to present a synthesis of concepts and processes in a new way. The ideas presented here build particularly on pioneering work in transcultural nursing by Leininger. Leininger's work specifically focuses on the use of qualitative methods to understand the ways in which culture influences nursing care from an emic, or insider, perspective. The 3-D puzzle model extends Leininger's work to include concrete articulations of constructs relevant to design and implementation of intervention strategies for teaching and measuring competency among nurses and other providers. PMID:17416711

Although teaching is the major focus of academia, research and professional publications frequently determine faculty eligibility for promotion and tenure. In universities where funded research is scarce, faculty need creative means to accomplish research goals. Research is an essential part of baccalaureate nursing education. The goal of research education at the baccalaureate level is to prepare knowledgeable consumers in nursing research. The purpose of this article is to describe an undergraduate nursing research course that provide students with hands-on experience in the conduct of nursing research and provide faculty with assistance in moving their research agenda forward. Faculty members were solicited to work with 5-10 students in a research project that was either in the planning...

Radiation control and safety are major considerations for nursing personnel during the care of patients receiving brachytherapy. Since the theory and practice of radiation applications are not part of the routine curriculum of nursing programs, the education of nurses and other health care professionals in radiation safety procedures is important. Regulatory agencies recommend that an annual safety course be given to all persons frequenting, using, or associated with patients containing radioactive materials. This article presents pertinent aspects of the principles and procedures of radiation safety, the role of personnel dose-monitoring devices, and the value of additional radiation control features, such as a lead cubicle, during interstitial brain implants. One institution's protocol and procedures for the care of high-intensity iridium-192 brain implants are discussed. Preoperative teaching guidelines and nursing interventions included in the protocol focus on radiation control principles.

Curriculum development is often seen as an arduous process by faculty in nursing education. Curriculum revisions need to take place based on profound changes in science, a more complex health care system, technology, and more current models of curriculum design. The American Association of Colleges of Nursing's The Essentials of Baccalaureate Education for Professional Nursing Practice is an organizational framework that can easily be used during a nursing program's curriculum revision process. The redesign of nursing curricula is urgent and needs to reflect the integration of clinical and classroom learning consistent with the language found in the Baccalaureate Essentials, standards of the institutions' accrediting bodies, and the state boards of nursing. An additional consideration to e...

The appraisal and relative performance evaluation of nurses are very important and beneficial for both nurses and employers in an era of clinical governance, increased accountability and high standards of health care services. They enhance and consolidate the knowledge and practical skills of nurses by identification of training and career development plans as well as improvement in health care quality services, increase in job satisfaction and use of cost-effective resources. In this paper, a data envelopment analysis (DEA) model is proposed for the appraisal and relative performance evaluation of nurses. The model is validated on thirty-two nurses working at an Intensive Care Unit (ICU) at one of the most recognized hospitals in Lebanon. The DEA was able to classify nurses into efficient...

Abstract Aims- This project intended to enhance the compliance rate of nurses (registered nurses and enrolled nurses) in a polyclinic to the five moments of hand hygiene. It proposed to conduct a preliminary baseline audit on the standard of hand hygiene practice, educate nurses on the five moments of hand hygiene in the polyclinic and conduct a post-implementation audit to capture the compliance rate of nurses on practising the five moments of hand hygiene. Methods- The team conducted a pre- and post-implementation audit using the Joanna Briggs Institute Practical Application of Clinical Evidence System and Getting Research into Practice programme, from July 2011 through November 2011, over a period of 5-months. The pre-implementation audit, which involved 23 nurses from a polyclinic in S...

BACKGROUND:: With an anticipated increased use of nursing homes to serve an aging population in the United States, questions regarding the quality and cost of nursing home services come to the fore. Such questions are the concern of nursing home residents, their families, private and public payers, policy makers, regulators, and nursing home operators. PURPOSES:: The purpose of this study was to examine the relationship between quality of care and efficiency of nursing homes to determine the characteristics of facilities that achieve high quality and high efficiency. The study sought also to determine the extent to which nursing homes can provide high-quality services and do so with a high level of efficiency. METHODOLOGY/APPROACH:: This was a cross-sectional study of a 10% random sample of U.S. nursing homes, excluding those in hospitals and also those with fewer than 20 beds or more than 360 beds. Data sources were the Online Survey Certification and Reporting, the Area Resource File database, the U.S. Bureau of Labor Statistics, and the U.S. Bureau of Economic Analysis. Data envelopment analysis was employed in the analysis of data. FINDINGS:: The average efficiency of nursing homes was 0.869 (SD = 0.1362), with a statistically significant higher average efficiency for nursing homes in urban areas; in counties with a higher level of competition, higher average income, or higher number of home health agencies; and in not-for-profit and governmental facilities. Quality measures were compared between efficient and inefficient nursing homes, showing mostly favorable quality outcomes for efficient nursing homes. PRACTICE IMPLICATIONS:: Families and residents evaluating or in search of nursing homes can be confident that high-quality, efficient nursing homes exist. Legislators, policy makers, regulators, payers, and administrators can be confident that the setting of standards that encourage striving for both quality and efficiency simultaneously is indeed realistic. PMID:22395294

...skills of professional personnel such as nurses, physical therapists, occupational...conditioned wholly or partly on demonstrated satisfaction of performance standards? The Commission...the service provider to the reasonable satisfaction of the health care provider....

...hereinafter referred to as the medication history standard...could then be used in a medication history response. These...response transaction. Error response transaction...communication of Medicare Part D medication history among sponsors...provider (such as a nursing facility)...

Background: Internet-based distance learning combined with local hands-on skill enhancement can provide high-quality standardized education to in-service healthcare professionals in a wide geographical area. Objective: Primary objective of this study was to evaluate the efficacy of internet-based distance learning in conjunction with local hands-on skill enhancement in improving knowledge and skills of essential newborn care among in-service nursing health professionals. Methods: A total of 98 participants from seven health facilities in India and Maldives were enrolled in the study. Delivery of course material staggered over 5 weeks in the form of two lessons every week was moderated by two to three online tutors at each site. Participants managed actual case scenarios, participated in discussion forums and synchronous chat sessions within a closed group. Skill learning was administered by local tutor at the partnering health facilities. Knowledge and skill enhancement were evaluated by administering online multiple-choice questions (MCQs) test and on-site objective structured clinical evaluation (OSCE) stations before and after completion of the course. Participants' satisfaction was evaluated on a five-point Likert scale. Results: Among 98 participants enrolled in the study, 78 (79%) completed the post-test assessment. There was significant increase in knowledge and skills scores (MCQ test: mean difference: 6.4 (95% CI: 5.6-7.17), OSCE: mean difference: 15.4 (95% CI: 12.7-18.1). All the participants expressed satisfaction with content and delivery of the learning module. Conclusion: To conclude, online training and teaching in essential newborn care is feasible and acceptable for in-service nursing professionals and serves as a useful tool for professional development of their practical skills and knowledge. PMID:22791087

The 120 studies included in this review were grouped in relation to five categories of variables basic to a theory of instruction in patient education. Findings in the studies related to the characteristics of the patient as learner support the following variables as significant for a theory of instruction: demographic characteristics including age, race, duration and type of illness, educational level, and family preparedness. Selected psychological variables are significant as they interact with teaching approaches. Given only two studies in which the characteristics of the nurse as teacher were the main variables, no inferences for a theory of instruction could be drawn. However, the findings from those studies combined with results from studies in which characteristics of the nurse were secondary variables support the importance of this category of variables. The educational preparation, motivation, values, and job description of the nurse implementing patient teaching appear to be significant variables for a theory of instruction. Investigators explored a wide range of teaching strategies in the studies of patient teaching. The setting for teaching, group and individual teaching, and a variety of instructional strategies all prove promising at the operational level. The instructional strategies were too diverse to allow analysis at a level of abstraction beyond the operational. Findings in this review also support characteristics of the health care setting as an important category of variables for a theory of instruction. The organizational structure, a quality assurance framework, and valuing patient teaching appear to be significant variables. Patient education research provides a rich data source for future developments in theory, practice, and research. The effectiveness of patient education as a nursing intervention is clearly established. Furthermore, positive learning outcomes are associated with a broad range of teaching strategies, content areas, and patient populations. Systematic explorations of the characteristics of the patient as learner, the nurse as teacher, and the health care setting as a learning environment are still necessary for developing a theory of instruction for patient education. Future researchers should attend to phenomena unique to patient education rather than to duplicating general educational research. Instead of the investigator-driven research approach that characterizes research to date, replication should be encouraged. Future research should be designed to link theory and research and thereby contribute to the further development of a theory of instruction in patient education. PMID:3291915

Objectives: The first prefilled pen for administration of recombinant human chorionic gonadotropin (r-hCG) has been developed. Usability testing was undertaken to evaluate the risk of dosing errors versus the existing r-hCG prefilled syringe, and assess function and handling of the pen. Methods: Infertile women who were trying to conceive, and specialist nurses, were recruited in Germany. Usability goals were defined and categorized as critical or functional operational goals. Individual, non-interventional, standardized, usability tests (including ease-of-use assessment) were performed with patients and nurses. Cumulative test scores for critical operations were compared. Non-standardized qualitative analyses of nurse-patient training sessions were performed. Results: The cumulative test ...

OBJECTIVES: Patient experience scores are now recognized as a chief indicator of healthcare quality. This report compares outpatient pediatric otolaryngology patient satisfaction in the teaching and non-teaching settings. STUDY DESIGN: Cross-sectional, multi-site, patient-level analysis of satisfaction surveys (Press Ganey™ Medical Practice©) completed by parents of pediatric otolaryngology patients in FY2010. METHODS: Surveys were stratified by teaching/non-teaching affiliation. The survey has 29 Likert-scaled questions which comprise an overall score and subscores in 6 domains: access, visit, nursing, provider, personal issues, and assessment. The item likelihood-to-recommend was measured to indicate practice loyalty. Mean scores were compared by Kruskal-Wallis rank test. Multivariate logistic regression was performed to evaluate the association of teaching status with receipt of highest scores (HI-SCORES). RESULTS: 4704 pediatric surveys were analyzed, with 1984 (42%) from the teaching setting. For the teaching setting, mean scores were lower overall (88.1 vs. 89.0; ppatients evaluated in the teaching setting report lower satisfaction related to access, but similar scores for care providers and practice loyalty. Academic otolaryngology practices might focus on access issues to improve the overall care experience for children and families. PMID:23092787

ABSTRACT: BACKGROUND: Early detection of breast cancer is vital to effective management and outcome of breast cancer. It has been suggested that women given information and instruction about breast self- examination and breast awareness by health care professionals demonstrated higher knowledge and confidence and tend to practice breast self-examination more than those who received information from other sources. Breast Self-Examination (BSE) and Clinical Breast Examination (CBE) have been recommended as Early Detection Measures (EDM) for developing countries. This study evaluated Primary Health Care (PHC) nurses' knowledge, practice and client teaching of EDM of breast cancer. METHODS: A descriptive study that utilized stratified random method to select PHC settings for the study. Data was collected from 120 trained nurses in selected settings. This represented 66.3% of total population of PHC nurses (181) in Ibadan. The instrument for data collection was a structured questionnaire that explored the bio data of participants, knowledge, practice and client teaching of EDMs of breast cancer. Ethical approval was obtained from the Ethical Review Committee of Oyo State Ministry of Health, Nigeria. RESULTS: The mean age of the participants was 44.4+/-7.5 years. About half (52.2%) were double qualified (Registered Nurse and Midwife). Only 23 (20.0%) of the participants considered painless lump as an early sign of breast cancer while 47 (40.9%) considered pain as an early sign. BSE was listed as EDM of breast cancer by 80.9% of the participants while 40% and 30% listed CBE and mammogram respectively. Only eight (7.9%) have had a mammogram. The logistic regression of client teaching on four variables showed that for every increase in knowledge of breast cancer the odds of client teaching significantly increased by 7.5% (95% CI = 1.27 - 1.125). There were also significant relationships between knowledge of EDM, practice of BSE and client teaching. CONCLUSIONS: It is vital that attention should be given to enhance breast cancer EDMs among the PHC nurses to be able to enhance health deviation self-care of the clients. Nurses' knowledge, practice as well as client teaching especially at PHC level, will contribute to early detection of breast cancer. PMID:23106806

ABSTRACT Preceptored community experiences present challenges different from those of preceptored experiences in the acute care setting. Instead of focusing on psychomotor skills, faculty must address population-based skills and assess students' abilities to practice these skills. Faculty and preceptors' lack of knowledge to teach these skills further complicate the experiences, an issue indirectly related to faculty and nursing shortages. Although preceptors guide students, faculty are responsible for evaluating students in community preceptored experiences. The Association of Community Health Nursing Educators (ACHNE) Essentials of Baccalaureate Education (Essentials) offers opportunities for guiding and evaluating community health preceptored clinical experiences. Assignments and activi...

A prospective throughput study of length of stay for patients with foot and ankle injuries using a nurse driven protocol was conducted in an academic teaching facility emergency department. The primary study endpoint was the total length of stay from triage to emergency department discharge. The length of stay data was analyzed for significant differences using T-test. With the implementation of the Ottawa Ankle Rules protocol among nurses within the emergency department, there was a significant decrease in the total emergency department length of stay by 45 minutes (p=0.030) for patients with ankle or foot injuries.

Summary The use of high-fidelity human patient simulators (HPS) have been embraced by nursing education programs in the development of immersive clinical simulations despite the lack of research into a pedagogy or educational philosophy appropriate to guide this technology-based learning tool. In this article, we explore this approach to clinical teaching through a critical examination of the application of behaviorist and constructivist pedagogy to high-fidelity scenario-based simulation sessions. Practical guidelines for developing simulation-based learning sessions that reflect both philosophical paradigms are provided. Consideration is also given to societal trends such as the digital revolution and the incoming millennial generation who represent the aptitude of the modern nursing stu...

Learning and teaching have been conceptualized and executed in many styles, such as self-learning, peer learning, and interaction between the learner and mentor. Today, openness to alternative ideas and embracing innovative approaches in nursing education are encouraged in order to meet students’ learning interests and needs, and to address ever-changing healthcare requests. Problem-based learning has been widely adopted in nursing education, with various positive effects on students’ learning, such as motivated learning, team work, problem-solving skills and critical thinking. Role-plays have been demonstrated as an effective learning strategy that includes an active and experiential feature that facilitates students’ autonomy in their health-related learning. However...

Discussing the teaching of evolution with concerned parents is a challenge to any science teacher. Using the medical education pedagogy of standardized individuals within the field of teacher education, this article addresses how preservice science teachers elected to verbally interact with standardized parents who questioned the teaching of evolution and proposed alternative curricula. Analysis of video recordings of the simulated interactions yielded three primary themes connected to teachers' understandings of what "counts" as science, teachers' justifications for teaching evolution, and teachers' explanations of the impact of teaching evolution. (Contains 1 table and 1 footnote.)

Medical educators have called for new teaching methods and materials that supplement the traditional lecture format, and education in a range of health professions, including medicine, nursing, and pharmacy, is using a game-based approach to teach learners. Here, we describe a novel teaching tool in a case-based debate using the game format. Two teams of first- and second-year nephrology fellows participated in a PowerPoint game-based debate about which tests to order to diagnose transplant-related case. Our pilot study assessed the participant acceptance of case-based debate sessions and rewards system, and participant perceptions of using this approach to teach fellows and residents the importance of each test ordered and its cost-effectiveness in medicine. Each test ordered requires an ...

Aim.? This article presents a discussion on how to maximize nursing students' learning about research for evidence-based practice in undergraduate, preregistration programmes. Background.? Evidence-based practice may use information from many sources, including research. Research utilization concerns the translation of research findings into practice. Thus, while evidence-base practice may not be solely research-based and hence more than research utilization, research remains an important ingredient in ensuring quality and cost-effective care and an academic requirement for nursing students undertaking a science degree-level qualification. Nevertheless, how educators can best support research-related learning and application remains uncertain and requires discussion. Data sources.? MEDLINE, CINAHL, Social Science Citation Index, British Nursing Index, and Intute were searched for papers published 1980-2011 using the following search terms: research, research utilization, evidence-based practice, learning, teaching, education, training, nursing, health, and social care. Discussion.? Nursing students need to be able to value the relevance, authority, and utility of nursing research for patient care through embedding research learning in both academic and practice-based settings. Students can be supported in learning how to access, understand, and appraise the authority of research through weaving these skills into enquiry-based learning. Furthermore, encouraging students to undertake research-based practice change projects can support research utilization and development skills. Conclusion.? Research should be fully embedded throughout nursing curricula beyond the confines of 'research classes', integrating learning in academic and practice-based settings. Although this requires synergistic and integrated support of student learning by nurse educators, managers, clinical practitioners, researchers and policymakers; nurse educators have a pivotal role. PMID:22462462

This is one component of an in-depth, longitudinal case study investigating the deliberate attempt to infuse a science multicultural perspective throughout an elementary teacher education program at a major research university. Intending teachers' perspectives of being inducted into a profession overtly signifying its commitment to multicultural awareness and action were documented during their methods experience, their student teaching experience, and during the first few years of their teaching practice. The focus in this paper is the student teaching component for 40 prospective science teachers. Data sources were individual semi-structured audiotaped interviews. Data were analyzed through standard qualitative techniques to generate insights for science teacher educators. Implications for science teacher education focus on the assertions that intending teachers bring multiple perspectives to their teaching and that these perspectives face a commitment test during the student teaching experience. In addition, intending teachers discovered during student teaching that the schools in which they were placed did not really value science teaching.

The purpose of this article is to discuss the use of music (i.e., two original songs, "Neurotransmitter Twitter" and "Parkinson's Shuffle") to teach aspects of psychopharmacology to students in the course Psychiatric/Mental Health Nursing. Songs were incorporated in both the clinical and classroom settings. This innovative teaching method allowed students the opportunity to revisit the information through multiple exposures of the content for reinforcement and enhancement of student learning in a fun, creative approach. Brain-based research will be discussed, along with the process of development. PMID:22849764

This article describes one rural program's efforts to expose students to gerontology through teaching qualitative research methodology. A collaborative research pilot project was developed with a local nursing home. BSW students worked in two groups to conduct and present qualitative research projects by the course's completion. This article describes the research project and evaluates the project's success from student and instructor viewpoints. Significant differences were found in self-reported student knowledge of key concepts at the project's completion, compared with pre-test knowledge. Student comments revealed value in this teaching approach. Implications for further engaging students in gerontological research are discussed. PMID:18032301

The shortage of nursing faculty has contributed greatly to the nursing workforce shortage, with many schools turning away qualified applicants because there are not enough faculty to teach. Despite the faculty shortage, schools are required to admit more students to alleviate the nursing shortage. Clinical groups in which preceptors are responsible for student learning extend faculty resources. Purpose. To determine the effectiveness of an alternative clinical experience (preceptorship). Methods. quasi-experimental, randomized, longitudinal design. Students were randomized to either the traditional or precepted clinical group. The clinical experience was a total of 12 weeks. Groups were compared according to several variables including second semester exam scores, HESI scores, and quality and timeliness of clinical paperwork. Sample. Over a two-year period, seventy-one undergraduate nursing students in the second semester medical-surgical nursing course participated. 36 were randomized to the experimental group. The preceptors were baccalaureate-prepared nurses who have been practicing for at least one year. Setting. Two hospitals located in the Texas Medical Center. Statistical Analysis. Descriptive statistics and independent t-test. Results. There was no difference between the groups on the variables of interest. Conclusion. Students in the precepted clinical group perform as well as those in a traditional clinical group. PMID:16122679

The critical neurosurgical patient requires specialized nursing care. His satisfactory recovery depend an our nurses's work, since their permanence beside the patient and an appropriate treatment make them indispensable. A descriptive and retrospective study of 68 neurosurgical patients admitted at the Intermediate Therapy Unit of the "Gustavo Alderguia" Clinical ans Surgical Teaching Hospital was conducted to determine within the Nursing Care Process (NCP) the main specific nursing procedures and those variables of interest, such as sex, age, type of operation, NCP, mechanical ventilation, medication, evolution, and the nursing procedures carried out. A computerized system was used to analyze the data and the chi-square test of statistical significance. Of the 68 patients studied, 33 were males (p Patients aged 26-30 were the most affected. 13 patients were operated on, and NCP was performed in 20% of the cases. The most important nursing care activities were the vital signs checking, the measurement of diuresis, and the active surveillance of neurological focalization and phlebitis (p < 0.001). PMID:9934232

Abstract in portuguese O objetivo deste estudo foi buscar evidências sobre o uso de sistemas de classificação de enfermagem na assistência, por meio de revisão integrativa da literatura. Com a busca nas bases LILACS e PubMed, com as palavras-chave classificação, enfermagem, padronizado, sistema, linguagem, selecionaram-se 38 artigos. Encontraram-se cinco sistemas de classificação principais implementados nos serviços: de diagnósticos de enfermagem (da North American Nursing Diagnosis (more) Association International), intervenções de enfermagem (Nursing Interventions Classification), resultados de enfermagem (Nursing Outcomes Classification), a Classificação Internacional para a Prática de Enfermagem e a Classificação Internacional das Práticas de Enfermagem em Saúde Coletiva. Os artigos abordaram aspectos relacionados à implementação, avaliação, educação continuada e validação de termos relacionados aos sistemas de classificação. Há benefícios para a assistência com a implementação desses sistemas, com melhora da assistência, da qualidade das informações e da organização do serviço. Abstract in spanish Este estudio buscó evidencias sobre el uso de sistemas de clasificación de enfermería en la atención, a través de revisión integradora de la literatura. Fueron utilizadas las bases de datos LILACS y PubMed, con las palabras clave clasificación, enfermería, estandarizado, sistema se seleccionaron 38 artículos. Los principales sistemas de clasificación fueron: diagnósticos de enfermería (North American Nursing Diagnosis Association International), intervenciones (more) de enfermería (Nursing Interventions Classification), resultados de enfermería (Nursing Outcomes Classification), Clasificación Internacional para la Práctica de Enfermería y Clasificación Internacional de Prácticas de Enfermería en Salud Pública. Los artículos aproximan aspectos relacionados con la implementación, evaluación, educación continua y validación de los términos relacionados con los sistemas de clasificación. El uso de sistemas de clasificación de enfermería ofrece beneficios, con la mejora de la atención, de la calidad de la información y de la organización de los servicios. Abstract in english This study sought for scientific evidences on the use of nursing classification systems in care through an integrative literature review. The following databases were used: LILACS and PubMed, with the keywords classification, nursing, standardized, language, system, 38 articles were selected. Five major classification systems, implemented in the services, were found: nursing diagnosis (North American Nursing Diagnosis Association International), nursing interventions (Nur (more) sing Interventions Classification), nursing outcomes (Nursing Outcomes Classification), the International Classification for Nursing Practice and the International Classification for Nursing Practice in Colletive Health. The articles covered aspects related to the implementation, assessment, continuing education and validation of terms related to classification systems. The use of nursing classification systems provides benefits for care, improving it, the quality of information and service organization.

Abstract As the primary providers of round-the-clock bedside care, nurses are well positioned to report on hospital quality of care. Researchers have not examined how nurses' reports of quality correspond with standard process or outcomes measures of quality. We assess the validity of evaluating hospital quality by aggregating hospital nurses' responses to a single item that asks them to report on quality of care. We found that a 10% increment in the proportion of nurses reporting excellent quality of care was associated with lower odds of mortality and failure to rescue; greater patient satisfaction; and higher composite process of care scores for acute myocardial infarction, pneumonia, and surgical patients. Nurse reported quality of care is a useful indicator of hospital performance. 20...

Simulated learning in a clinical skills centre has become more popular within undergraduate nursing education and is increasingly used to teach and assess clinical skill acquisition. Current literature suggests that there is some validity in teaching psychomotor skills in a designated simulated clinical skills centre, whilst other sources still question its value in terms of experience. Such contradictions demand further exploration and appraisal of the current literature. The findings show that simulated learning in a clinical skills laboratory is reported to increase student confidence and prepares students for real clinical setting, however, this acquisition of skill is often achieved at different rates by different students. A standardised approach to simulated learning in nursing educ...

EAS 185: Earth Science for Elementary Teachers, is a content course designed for elementary education majors at a large public Midwestern university. The course addresses science concepts using hands-on activities and provides labs that can easily be adapted the elementary classroom and science teaching experience in schools. The purpose of this study was to investigate the impact of the course on self-efficacy and teaching practice, as outlined in the Teaching and Content Standards of the National Science Education Standards (NRC, 1996) of pre-service teachers conducting their student teaching. The study consisted of three participants and one pilot participant who had taken the course who were doing their semester long (16 weeks) student teaching experience. Self-efficacy was measured using the STEBI-B, a self-efficacy instrument for pre-service elementary teachers (Enochs & Riggs, 1990). In addition to observations of the participants' teaching, interviews were conducted to find possible connections between self-reported efficacy, actions, and perceptions. The instrument results, class notes, and transcripts were analyzed for connections to self-efficacy and course content. Based upon the results of this study the participants displayed a positive science self-efficacy and in the case of one participant the Personal Science Teaching Efficacy Beliefs were strongly positive. Previous research indicates that a positive self efficacy is correlated with several positive behaviors. This is supported by the findings of this study. Each of the participants utilized positive teaching traits and addressed the National Science Teaching Standards.

We integrated complementary and alternative medicine (CAM)-related content into selected core courses in our master's-level curriculum. To facilitate students' application of the content, we developed evidence-based online case studies and evaluated their effectiveness by comparing students' pretest and posttest scores on multiple-choice quizzes. Findings suggest that evidence-based online case studies are an effective strategy for teaching graduate nursing students about the clinical issues surrounding patients' use of CAM therapies.

The 2007 U.S. Bureau of Labor Statistics projected a need for more than one million new and replacement nurses by 2016, while higher education continues to be challenged to find methods of producing graduate satisfaction, accompanied by successful transition from college to the workplace. Some nursing programs are meeting the challenge by utilizing a 1970s teaching strategy partnering experiential learning and community service--service learning, allowing students to work side-by-side with practicing medical professionals to meet community needs for nursing practice. Although success of this pedagogy has been documented with increasing frequency by Baccalaureate Nursing programs, Associate Degree (AD) program outcomes have only been described anecdotally, if at all, in research. Furthermore, even anecdotal accounts on any level have involved the reflections of student nurses, faculty and employers. Nowhere in the literature have reflections been documented of AD registered nurses who had experienced service learning as students. Using a qualitative basic interpretive design, this research sought to capture the meaning AD prepared RNs attributed to the service learning experience as it related to transition from the Associate Degree nursing program to the practice setting. This study used focus groups and interviews to explore the perceptions of Associate Degree prepared registered nurses whose nursing program included service learning educational experiences. In response to open-ended questions, fifteen participants shared their perceptions of what transpired as each worked in a community free clinic with nurse practitioners to meet clinical coursework requirements. Six themes were identified from participant responses. Three of the themes were intrinsic to the study: skill development, heightened awareness, and increased civic responsibility. Three additional themes went beyond the transfer of learning themes: professional inspiration, satisfaction, and success.In light of the findings related to participant responses, additional research of both a qualitative and quantitative nature is recommended. Research of this nature is warranted both with graduates of Associate Degree nursing programs where service learning was part of the curriculum and with graduates of Baccalaureate Degree nursing programs where service learning was part of the curriculum. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://www.proquest.com/en-US/products/dissertations/individuals.shtml.

These selected papers from the First Conference on Tertiary Literacy focus on communication across differences of culture and discipline in Australian universities. Many of the papers have resulted from cooperation between applied linguists and specialist lecturers and describe cooperative models of literacy education based on interdisciplinary partnerships. Keynote addresses include "Disciplinary and Cultural Perspectives on Student Literacy" (I.Reid) and "Communicating Within Cultures, Communicating Across Cultures, Communicating Between Cultures" (A.Liddicoat). A colloquium on intercultural variation in academic communication includes papers by Andy Kirkpatrick, Lesley Farrell, Gillian Ferguson, Anthony Liddicoat, and Zosia Golebiowski. Other papers include: (1) "Providing Scaffolding for Theses Preparation in Computer and Mathematical Sciences (P.Cerone and G.Caruso); (2) "Never Say 'I'? The Writer's Voice in Essays in the Humanities" (K.Chanock); (3) "Making Sense: Cross-Cultural Variation in the Organization of Academic Texts by Taiwanese and Australian Undergraduate Students" (J.Couchman); (4) "The Teaching of Academic Discourse" (M.Elliott); (5) "Promoting Language Skills through Collaboration between Content Lecturers and Language Specialists" (R.Hallett); (6) "Between Logic and Rhetoric: Advance and Complication in the Teaching of Reading Comprehension" (D.den Hartog); (7) "Developing Critical Literacy for Nursing and Health Science" (M.Harvie and others); (8) "EAP: Making Risk-taking in Academic Writing Less Risky for International Students" (B.Hird); (9) "Literacy, Culture and Difference: Feedback on Student Writing as Discursive Practice" (M.Keech); (10) "Writing Expository Essays in Chinese. Chinese or Western Influences?" (A.Kirkpatrick); (11) "The Development of Communication Skills in Undergraduate Health Professional Education" (R.Ladyshewsky and E.Gotjamanos); (12) "An Applied Linguist Reads Engineering" (R.L. Davies) and (13) "Language Characteristics of the Examination Essays by Dental Students" (R.L.Davies); (14) "Cross-Disciplinary and Discipline-Specific Discourse Features in Student Academic Writing" (S.Kaldor and others); (15) "You Only Have to Humiliate Yourself: Discursive Practices in a First-Year 'Practical Legal Skills' Course" (R.Maclean); (16) "Learning to Manage? Managing to Learn? Reading Frames in Business Education" (I.Reid and D.Mulligan); (17) "Another Country: Non-Aboriginal Tertiary Students' Perceptions of Aboriginal and Torres Strait Islander Peoples" (J.Ryan); (18) "The Report and the Essay: Are We Muddling Science and Engineering Undergraduates by Asking Them to Write in Two Different Genres?" (H.Silyn-Roberts); (19) "Cultural Differences Within 'Western' and 'Eastern' Education" (M.Spizzica); (20) "Advanced Learners' Literacy in Japanese Literature" (M.Takeuchi and E.Tanaka); (21) "Research Management: Discipline Specific Discourse and Supervisor/Researcher Interactions" (L.Wilkins and F.Symons); (22) "Native Speakers' Attitudes towards Sales Letters and Implications for Teaching Modern Standard Chinese" (Z.Yunxia); and (23) "Literacy Needs for Engineering Numeracy" (K.Yasukawa). (Contains approximately 375 references.) (BF)

A shortage of nursing faculty is imminent. Factors contributing to this looming crisis include the aging professoriate, as well as a host of recruitment and retention issues. Mentoring programs enhance recruitment, promote retention, and create a caring environment that capacitates and enriches the teaching role. The purpose of this research was to complete a mentoring needs assessment of our nursing faculty, with the overall goal of establishing the foundation and validation for a formal mentoring program. We recruited 60% (n = 29) of our full-time faculty to complete the Faculty of Nursing Mentoring Needs Assessment survey/questionnaire. Consistent with previous research, primarily from other disciplines, career function and caring were cited as important roles and responsibilities for m...

SUMMARY: The use of high-fidelity human patient simulators (HPS) have been embraced by nursing education programs in the development of immersive clinical simulations despite the lack of research into a pedagogy or educational philosophy appropriate to guide this technology-based learning tool. In this article, we explore this approach to clinical teaching through a critical examination of the application of behaviorist and constructivist pedagogy to high-fidelity scenario-based simulation sessions. Practical guidelines for developing simulation-based learning sessions that reflect both philosophical paradigms are provided. Consideration is also given to societal trends such as the digital revolution and the incoming millennial generation who represent the aptitude of the modern nursing student to utilize high-fidelity realistic and immersive simulation. Depending on the desired goal of simulator utilization, the nurse educator may want to draw on constructivism or behaviorism or a blend of both educational philosophies to best meet the needs of the adult learner. PMID:19081656

Accessible summary - -Community Learning Disability Nurses were asked to talk about how they felt they had helped people in their care feel better. - -They talked about helping as a positive approach to problems, making the most of existing help, understanding what it means to have a Learning Disability, using time and communication, and teaching and learning. - -This is important because it can help people to understand the needs of people with learning disability and what help Community Learning Disabilities Nurses give. Summary This literature review and primary qualitative research explores therapeutic role from the perspective of Community Learning Disability Nurses. Semi-structured interviews, based on Critical Incident Technique (Psychol Bull, 51, 1954, 327), and descriptive phenome...

Summary Despite the abundance of literature on problem based learning (PBL) [Murray, I., Savin-Baden, M., 2000. Staff development in problem-based learning. Teaching in Higher Education 5 (1), 107-126; Johnson, A.K., Tinning, R.S., 2001. Meeting the challenge of problem-based learning: developing the facilitators. Nurse Education Today 21 (3), 161-169; McCourt, C., Thomas, G., 2001. Evaluation of a problem based curriculum in midwifery. Midwifery 17 (4), 323-331; Cooke, M., Moyle, K., 2002. Students' evaluation of problem-based learning. Nurse Education Today 22, 330-339; Haith-Cooper, M., 2003a. An exploration of tutors' experiences of facilitating problem-based learning. Part 1 - an educational research methodology combining innovation and philosophical tradition. Nurse Education Today 2...

In an ever more burdened healthcare system, there is an urgent need to investigate whether patients benefit from the resources allocated to nurses' communication skills training in terms of improved patient outcomes. This study aimed to evaluate a standardized two 2-day (33 hours) communication skills training program in nursing cancer care. Twenty-four nurses in an oncology outpatient clinic participated and were randomly assigned to the intervention program or a control group. A total of 413 patients treated in the clinic during 2 recruitment periods (before and after the communication skills training) completed a questionnaire package assessing the nurse-patient relationship, psychological well-being, and cancer-related self-efficacy. Nurse group differences in change scores between time points (baseline, 1 week, and 3 months after the communication skills training) on measures related to communication and work-related stress were all nonsignificant. Time-by-group analyses of patient data showed no training effect on patient perception of nurse empathy and attentiveness, and we found no training effect on patients' anxious/depressed, angry, or positive mood, as well as no effect on cancer-related self-efficacy. The results were unable to support the hypotheses that nurse communication skills training would be associated with improved nurse and patient outcomes.

Research on teaching methods in nursing education was categorized into studies on media, CAI, and other nontraditional instructional strategies. While the research differed, some generalizations may be made from the findings. Multimedia, whether it is used for individual or group instruction, is at least as effective as traditional instruction (lecture and lecture-discussion) in promoting cognitive learning, retention of knowledge, and performance. Further study is needed to identify variables that may influence learning and retention. While learner attitudes toward mediated instruction tended to be positive, investigators failed to control for the effect of novelty. Control over intervening variables was lacking in the majority of studies as well. Research indicated that CAI is as effective as other teaching methods in terms of knowledge gain and retention. Attitudes toward CAI tended to be favorable, with similar problems in measurement as those evidenced in studies of media. Chang (1986) also recommends that future research examine the impact of computer-video interactive instruction on students, faculty, and settings. Research is needed on experimental teaching methods, strategies for teaching problem solving and clinical judgment, and ways of improving the traditional lecture and discussion. Limited research in these areas makes generalizations impossible. There is a particular need for research on how to teach students the diagnostic reasoning process and encourage critical thinking, both in terms of appropriate teaching methods and the way in which those strategies should be used. It is interesting that few researchers studied lecture and lecture-discussion except as comparable teaching methods for research on other strategies. Additional research questions may be generated on lecture and discussion in relation to promoting concept learning, an understanding of nursing and other theories, transfer of knowledge, and development of cognitive skills. Few studies attempted to identify variables that may influence learning, particularly characteristics of the learner. Only six investigators addressed learning styles and their interactions with the teaching method and outcomes (Gillies, 1984; Goldsmith, 1984; Kirchhoff & Holzemer, 1979; Kissinger & Munjas, 1981; Norris, 1986; Stein et al., 1972). Research in the future needs to focus on the relationship of different learner characteristics, attributes of the teaching method, and learning outcomes. In addition, initial learning, retention, transfer to practice, and instructional time should be studied. Characteristics of the teacher and setting and relationship to the methodologies used and outcomes of instruction need investigation. Research should attempt to identify optimal conditions for learning and ways in which methods should be used for particular students, subject matter, and points in the nursing curriculum... PMID:1689480

Background: In the assertive community treatment (ACT) model, the psychiatrist's role on the team has been considered a critical one. Recently, some observers have suggested that the psychiatrist role as medication prescriber could be filled with a nurse-practitioner. Methods: Using surveys, interviews, and assessments of program fidelity, we examined the relative effectiveness of nurse-practitioner as prescriber, comparing two ACT teams, one employing a psychiatrist and the other a nurse-practitioner. Findings: At the organizational level, the ACT team with a nurse-practitioner (ACT-NP) had substantially better fidelity to evidence-based medication management standards than did the ACT team with a psychiatrist (ACT-MD) whereas both teams had low fidelity to medication management standards...

The study unit on 'The spiritual dimension in care'had a Judeo-Christian orientation. It was introduced to the Diploma nursing curriculum at the University of Malta in the academic year 2002-2003. The aim was to increase students' awareness about the essence of spirituality in care so as to enable them to implement holistic care. Spirituality may or may not incorporate religiosity. Thus, believers may have spiritual needs which may include religious needs whilst the atheists and agnostics may still have spiritual needs. While considering secularisation, the Christian culture of Malta was addressed in this study unit. This article describes the content structure of the study unit based on the ASSET model (Narayanasamy, A., 1999. ASSET: a model for actioning spirituality and spiritual care education and training in nursing. Nurse Education Today 19, 274-285) and outlines the various teaching methods used. Following feedback from the first and second cohort groups in 2003 and 2004, respectively, the reviewed study unit was delivered to the third cohort group of students (n=65) in Semester 2 in the academic year 2004-2005. Apart from the use of traditional teaching methods, such as lessons and a seminar, other methods were used constantly throughout the study unit, for example, self-reflection exercises, case-studies and small group discussions to enhance learning. Recommendations are proposed to review the content of this study unit and to introduce other teaching methods for effective learning. PMID:17950959

A brilliant research mathematician who has devoted his career to teaching kids reveals math to be creative and beautiful and rejects standard anxiety-producing teaching methods. Witty and accessible, Paul Lockhart's controversial approach will provoke spirited debate among educators and parents alike and it will alter the way we think about math forever.

This teaching module introduces proportional reasoning in the classroom and its place in the Common Core Mathematics Standards, the related teacher resources available at the Scale City website, and what students should know and be able to do to understand proportional reasoning. Module 1 of Using Scale City to Teach Proportional Reasoning.

The aim of this study was to evaluate the effect of a transfer technique education programme (TT) alone or in combination with physical fitness training (TTPT) compared with a control group, who followed their usual routine. Eleven clinical hospital wards were cluster randomised to either intervention (six wards) or to control (five wards). The intervention cluster was individually randomised to TT (55 nurses) and TTPT (50 nurses), control (76 nurses). The transfer technique programme was a 4-d course of train-the-trainers to teach transfer technique to their colleagues. The physical training consisted of supervised physical fitness training 1 h twice per week for 8 weeks. Implementing transfer technique alone or in combination with physical fitness training among a hospital nursing staff did not, when compared to a control group, show any statistical differences according to self-reported low back pain (LBP), pain level, disability and sick leave at a 12-month follow-up. However, the individual randomised intervention subgroup (transfer technique/physical training) significantly improved the LBP-disability (p = 0.001). Although weakened by a high withdrawal rate, teaching transfer technique to nurses in a hospital setting needs to be thoroughly considered. Other priorities such as physical training may be taken into consideration. The current study supports the findings of other studies that introducing transfer technique alone has no effect in targeting LBP. However, physical training seems to have an influence in minimising the LBP consequences and may be important in the discussion of how to prevent LBP or the recurrence of LBP among nursing personnel.

The book provides graduate students in the social sciences with the basic skills that they need to estimate, interpret, present, and publish basic regression models using contemporary standards. Key features of the book include:interweaving the teaching of statistical concepts with examples developed for the course from publicly-available social science data or drawn from the literature. thorough integration of teaching statistical theory with teaching data processing and analysis.teaching of both SAS and Stata "side-by-side" and use of chapter exercises in which students practice programming

This article features science lesson plans to teach elementary students about the sun's energy, the relationship between light and heat, albedo, and the absorption of different surfaces. National standards and literacy integrations are provided for each lesson.

The appraisal and relative performance evaluation of nurses are very important and beneficial for both nurses and employers in an era of clinical governance, increased accountability and high standards of health care services. They enhance and consolidate the knowledge and practical skills of nurses by identification of training and career development plans as well as improvement in health care quality services, increase in job satisfaction and use of cost-effective resources. In this paper, a data envelopment analysis (DEA) model is proposed for the appraisal and relative performance evaluation of nurses. The model is validated on thirty-two nurses working at an Intensive Care Unit (ICU) at one of the most recognized hospitals in Lebanon. The DEA was able to classify nurses into efficient and inefficient ones. The set of efficient nurses was used to establish an internal best practice benchmark to project career development plans for improving the performance of other inefficient nurses. The DEA result confirmed the ranking of some nurses and highlighted injustice in other cases that were produced by the currently practiced appraisal system. Further, the DEA model is shown to be an effective talent management and motivational tool as it can provide clear managerial plans related to promoting, training and development activities from the perspective of nurses, hence increasing their satisfaction, motivation and acceptance of appraisal results. Due to such features, the model is currently being considered for implementation at ICU. Finally, the ratio of the number DEA units to the number of input/output measures is revisited with new suggested values on its upper and lower limits depending on the type of DEA models and the desired number of efficient units from a managerial perspective. PMID:20734223

Mitosis and meiosis are essential for the growth, development, and reproduction of organisms. Because these processes are essential to life, both are emphasized in biology texts, state standards, and the National Science Education Standards. In this article, the authors present their methodology for teaching mitosis by having students produce stop-animation films. They have found that this approach is equally effective for teaching students about meiosis as well. (Contains 3 figures.)

The role of clinical instructors in preparing student nurses for the realities and dynamics of clinical practice cannot be underestimated. Previous literature has identified scaffolding as a diagnostic tool that enables both supervisor and learner to recognize knowledge-in-waiting and knowledge-in-use (Spouse, 1998). The pivotal role of scaffolding in the teaching-learning process cannot be underestimated. However, literature pertaining to its use in nursing is hard to locate (Dickieson, Carter and Walsh, 2008; Spouse, 1998). Hence, this qualitative study was conducted to capture nursing students' views and experiences of the scaffolding moves of their clinical instructors as they learn medication administration. From the thickness and richness of the descriptions of a select group of nursing students (n=31) in a comprehensive university in the Philippines, three interesting and yet intersecting themes surfaced relative to the scaffolding moves employed by clinical instructors, which include: (1) thought-provoking; (2) focus-steering; and (3) action-enabling. The said moves are carried out in a timely fashion to facilitate students' acquisition of knowledge, skills and attitudes pertaining to medication administration. Through the understanding of clinical instructors' scaffolding behaviors, this study provides a platform for more effective clinical instruction aimed at supporting future nurses' role in medication safety. PMID:22818953

Simulation techniques such as virtual patients (VPs) are valuable tools for teaching and learning a range of clinical proficiencies. Compared with other forms of simulation, however, the reported use of VPs within nursing is limited. Descriptions of simple, low cost methods for the development of VP devices could help facilitate their wider implementation and use in nursing education and training. In order to encourage broader use of VP technologies within nursing, this paper aims to expand current knowledge of VP creation by reference to the development of two virtual mental health patients produced for a multilingual e-learning course for European mental health nurses. Focusing on narrative VPs, the paper provides a brief overview of various types and potential uses of VP techniques, along with central elements of good practice in VP development. The five phase development framework used in the creation of the two VPs is presented. Processes detailed include the design and construction of case scenarios and multimedia components, in addition to initial usability and validity testing. VPs like those described here are a relatively inexpensive way of integrating virtual simulation technology into nursing education, particularly within online, blended and/or cross-cultural learning environments. PMID:22056146

The aim of the study unit, delivered in 2004-2005, to a cohort group of nursing students (n=65), who undertook the Diploma in Health Science, was to increase students' awareness about the spiritual dimension in nursing care so as to enable them to implement holistic care. The aim of this paper is to reveal the perceived impact of the study unit on students' life. This was derived from a written self-reflection account, which was submitted on voluntary basis, additional to the written assignment. The majority of students (97%, n=63) performed this written exercise which seems to demonstrate the students' interest in this study unit. Excerpts from students' written personal reflection indicate the personal, academic and professional impact of the study unit on nursing students. The positive feedback from students sheds light on the importance of teaching undergraduate students on the spiritual dimension in care. This implies that such a study unit is to be integrated within the curriculum of nursing education for the benefit of the nurses themselves and to enable delivery of holistic care. PMID:18039550

A study of John Abbott College's nursing graduates was conducted to determine how well prepared for their professional responsibilities the graduates saw themselves just prior to graduation and later after working in the nursing field. A sample of 98 nursing students who graduated between 1986 and 1988 was surveyed, with 93% responding to the pre-graduation survey and 68% responding after working in the field. The pre-graduation questionnaire asked students to assess how well the program achieved its stated goals and objectives for student preparation and to rate each semester of the program in terms of difficulty. Open-ended questions solicited opinions on the program's strengths and weaknesses. The post-graduation questionnaire consisted of questions on demographics; nursing goals; perceptions of preparation to work as a beginning practitioner in pediatrics, obstetrics, psychiatry, medicine, and surgery; rating of tools, roles, and aspects of patient care management; and open-ended questions about program strengths and weaknesses. Questionnaire results identified only five areas for improvement: (1) fostering a desire to continue education in nursing throughout one's professional life; (2) fostering student-teacher collaboration in the learning process; (3) managing time effectively with regard to patient care; (4) meeting the demands of the average patient assignment; and (5) delegating tasks to auxiliary personnel. The main program strengths included nursing laboratory facilities and availability, professors' teaching skills, integration of classroom content and laboratory activities with clinical practice, and individual development. Overall, nursing graduates considered their preparation to be good to excellent in certain areas of the program, both before and after graduation. (WJT)

In this study, the present condition of occupational health nurse's role after performing general health examination was surveyed. Questionnaires were mailed to 41 companies, and returned questionnaires from 24 of them were analyzed. Although general health examination results were reported to all workers individually in 100% of companies, physician's opinion regarding the examination results were obtained in 86% of companies with part-time physicians comparing with 100% of those with full-time physicians. Health care support related to the examination results were performed by 90% of occupational health nurses and 70% of physicians in companies which employed full-time physicians, but by 100% of occupational health nurses and 50% of physicians in those which employed part-time physicians. In companies with part-time physicians, 64% of occupational health nurses played roles in submitting reports to Labor Standard Inspection Office, but only 30% of occupational health nurses did it in those with full-time physicians. These results show that occupational health nurses working in companies with part-time occupational health physicians were more active in providing health care for workers after general health examination than occupational health nurses working in those with full-time occupational health physicians.   

ABSTRACT: BACKGROUND: Quality of work life (QWL) has been found to influence the commitment of health professionals, including nurses. However, reliable information on QWL and turnover intention of primary health care (PHC) nurses is limited. The aim of this study was to examine the relationship between QWL and turnover intention of PHC nurses in Saudi Arabia. METHODS: A cross-sectional survey was used in this study. Data were collected using Brooks survey of Quality of Nursing Work Life (QNWL), the Anticipated Turnover Scale and demographic data questions. A total of 508 PHC nurses in the Jazan Region, Saudi Arabia, completed the questionnaire (RR = 87%). Descriptive statistics, t-test, ANOVA, General Linear Model (GLM) univariate analysis, standard multiple regression (SMR), and hierarchical multiple regression (HMR) were applied for analysis using SPSS v17 for Windows. RESULTS: Findings suggested that the respondents were dissatisfied with their work life, with almost 40% indicating a turnover intention from their current PHC centres. Turnover intention was significantly related to QWL. Using SMR, 26% of the variance in turnover intention was explained by QWL, p nurses is very important to improve their work satisfaction, reduce turnover, enhance productivity and improve nursing care outcomes. PMID:22970764

Abstract in portuguese Estudo descritivo e exploratório que objetivou validar as intervenções de enfermagem propostas pela Nursing Interventions Classification para os diagnósticos de enfermagem: Integridade da pele prejudicada, Conhecimento deficiente e Controle ineficaz do regime terapêutico predominantes em pessoas com diabetes. Participaram 21 enfermeiros especialistas em diabetes mellitus no Brasil, em 2007. As intervenções de enfermagem que obtiveram a maior média ponderada foram (more) cuidado com lesões: drenagem fechada, precauções circulatórias para o diagnóstico de enfermagem Integridade da pele prejudicada, ensino: processo de doença, ensino: medicação prescrita para o Conhecimento deficiente e ensino: processo de doença e ensino: dieta prescrita para Controle ineficaz do regime terapêutico. Dentre as 1005 atividades de enfermagem, 51% foram validadas como muitíssimo características pelos especialistas. Acredita-se que outros estudos devam ser conduzidos para ampliar a validação das intervenções de enfermagem em pessoas com diabetes mellitus no Brasil, buscando evidências científicas para o cuidado dessa clientela. Abstract in spanish Estudio descriptivo exploratorio que objetivó validar las intervenciones de enfermería propuestas por la Nursing Interventions Classification para los diagnósticos de enfermería: Integridad de la piel perjudicada, Conocimiento deficiente y Control ineficaz del régimen terapéutico, predominantes en personas con diabetes. Participaron 21 enfermeros especialistas en diabetes mellitus en Brasil, en 2007. Las intervenciones de enfermería que obtuvieron la mayor media po (more) nderada fueron cuidado con lesiones: drenaje cerrado, precauciones circulatorias para el diagnóstico de enfermería Integridad de la piel perjudicada, enseñanza: proceso de la enfermedad y enseñanza: medicación prescripta para el Conocimiento deficiente, y enseñanza: proceso de la enfermedad y enseñanza: dieta prescripta para Control ineficaz del régimen terapéutico. Entre las 1005 actividades de enfermería, el 51% fueron validadas como muy características por los especialistas. Se cree que deben ser efectuados otros estudios para ampliar la validación de las intervenciones de enfermería a personas con diabetes mellitus en Brasil, buscando evidencias científicas para el cuidado de dichos pacientes. Abstract in english This descriptive, exploratory study aimed to validate nursing interventions proposed by the Nursing Interventions Classification for impaired skin integrity, deficient knowledge, ineffective therapeutic regimen management for predominant nursing diagnoses in people with diabetes. Participants were 21 specialist nurses in diabetes mellitus in Brazil, in 2007. Interventions were analyzed according to Fehring's evaluation model. The nursing interventions with the highest wei (more) ghted average were care to injuries: closed drainage and circulatory precautions for the impaired skin integrity nursing diagnosis, teaching: disease process and teaching: prescribed medication for deficient knowledge and teaching: disease process and teaching: prescribed diet for ineffective therapeutic regimen management. Among the 1005 activities of nursing, 51% were validated as very characteristic by experts. Other studies should be carried out to expand the validation of the nursing interventions to people with diabetes mellitus in Brazil, searching for scientific evidences for care to these clients.

Student nurses are involved in caring for patients who are actively dying or who have been told they have a terminal illness and are faced with the process of dying. Students encounter these patients in hospitals, nursing homes, at home or in hospice care settings. According to Robinson (2004), "nurses are the healthcare providers that are most often with individuals at the end of their lives" (p. 89). Nurses should be knowledgeable about end-of-life care. Studies show that only 0.41% of nurses are certified in palliative care (Means to a better end, 2004). Nursing students often have a difficult time coping with the stress that comes with caring for those who are dying (Johannsson & Lalley, 1990-91). Student nurses need to be prepared to take an active role in caring for patients who are dying or have been told they have a terminal illness. Students are in clinical settings where they may encounter death and dying. These settings include hospitals, nursing homes, and community/home care areas. Understanding students' perceptions of death and dying can help educators prepare students for these situations by using the research available to plan better ways to teach students about the needs of the dying/terminal patient and their family. These needs include physical, spiritual, emotional and social. A qualitative investigation with thirteen junior level nursing students from a large urban university in Northeast Ohio was used in the research. Findings revealed that an emphasis on the domains of thoughts, feelings, communication, multicultural diversity, education and coping mechanisms are essential in nursing education. Participants reported a need for additional education in the area of communication and culturally responsive care. This study suggests that there is a great need to educate students about death and dying, cultural competence, communication skills and coping with emotional stress. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://www.proquest.com/en-US/products/dissertations/individuals.shtml.

Bedside nurses involved in research and evidence-based practice (EBP) have the ability to change policies, patient care, and outcomes. This article describes the journey of a research committee using the Magnet(R) component of new knowledge, innovation, and improvements. Using several tools, the unit-based committee developed skills in meeting management, nursing research methods, and EBP. Focusing to improve family and nurse communication about the plan of care, the committee recommended changes in the existing Plan of Care tool, including family input and recommendations for families to view and add to the sheet and participate in daily rounds, which was not the standard practice. Since this intervention was implemented, patient satisfaction has increased, as well as nurse engagement and...

Aim and objectives. To compare medicine administration by two nurses to a patient with swallowing difficulties and: To assess the safety of medication administration to a patient with dysphagia. To explore possible system changes to ensure safety standards are understood and adhered to. Background. Administering medicines to patients with dysphagia is complex and nurses need to understand the complexities and safety issues of administering polypharmacy. Design. Undisguised observational study. Method. Undisguised observation was used to collect data on two nurses giving medicines to one patient on separate occasions. Root cause analysis was used to compare and contrast the two incidents to gain an understanding of how nurses interpret and administer multiple medicines to a patient with dys...

Purpose: We estimate the independent contribution of crime victimization to nursing home placement in a cohort of older adults who were community dwelling at baseline. Design and Methods: The data come from an observational cohort study of 2,321 community-residing older adults who were members of the New Haven Established Populations for Epidemiological Studies in the Elderly cohort in 1985. Participants had annual evaluations using standardized instruments. We defined the major outcome, custodial nursing home placement, as a stay of at least 30 days; mean length of nursing home stay was 413 days. We determined crime victimization by matching police records in the same catchment area as the cohort for the period 1985-1995. We determined nursing home placement through linkage to the Connecticut Long Term Care Registry. We used growth curve modeling to estimate the risk of placement in victimized and nonvictimized participants, and we used multivariable models to adjust for other factors known to predict nursing home placement. Results: There were 482 members of the cohort (21%) who experienced victimization over the 10-year follow-up; 747 (32%) experienced nursing home placement. Most victimization episodes were nonviolent and noninjurious. However, violent victimization conferred an independent increased risk of nursing home placement (odds ratio = 2.1; 95% confidence interval = 1.0-4.6) that exceeded the increased risk associated with other variables traditionally thought to be predictive of placement (such as functional and cognitive impairment, and social network size). Implications: Violent crime victimization increases the risk of nursing home placement. Future research should be directed at determining the mechanism of this increased risk and developing interventions directed at victimized older adults that might avert nursing home placement in this uniquely vulnerable population.

Abstract in portuguese Este estudo teórico-analítico tem como objetivo discutir os conceitos de competências docentes no ensino de enfermagem no Brasil, partindo do resgate, deste conceito, no mundo do trabalho. O ensino de enfermagem realizado em um ambiente específico, efetiva os fenômenos pedagógicos em meio a relações complexas, que ocorrem entre professor, aluno, paciente e família. Assim, o docente e o enfermeiro-educador vivenciam as atividades de ensino-aprendizagem em enfermag (more) em, nos processos de trabalho educacional, assistencial e gerencial. Para esta nova conformação do processo de ensino-aprendizagem, é necessário que não só os novos enfermeiros, mas também os atuais e futuros enfermeiros-professores, desenvolvam competências que os possibilitem a pensar e agir com ética e ousadia. Abstract in spanish Este estudio teórico-analítico tiene como objetivo discutir los conceptos de competencias docentes en la enseñanza de enfermería en Brasil, partiendo del rescate, desde el concepto, en el mundo del trabajo. La enseñanza de enfermería realizada en un ambiente específico, efectiva los fenómenos pedagógicos por medio de relaciones complejas, que ocurren entre profesor, alumno, paciente y familia. Así, el docente y el enfermero-educador vivencian las actividades de (more) enseñanza-aprendizaje en enfermería, en los procesos de trabajo educacional, asistencial y gerencial. Para esta nueva conformación del proceso de enseñanza-aprendizaje, es necesario que no solo los nuevos enfermeros, pero también los actuales y futuros enfer-meros-profesores, desarrollen competencias que los posibiliten a pensar y actuar con étnica y osadía. Abstract in english This theoretical-analytical study is aimed at discussing the concepts of teaching competences in Nursing courses in Brazil, with the starting point being the transfer of this concept from the professional practice. Nursing education takes place in a specific environment and puts into effect the pedagogical phenomena among the complex relations that occur between instructor, pupil, patient and family. Therefore, instructors and nurse-educators experience the activities of (more) teaching-learning in Nursing in the processes of educational, caring and management work. For such new conformation of the teaching-learning process it is necessary not only that the new nurses, but the current and future nurse-instructors as well, develop abilities that make possible for them to think and act with ethics and boldness.

AIM: This is a report of a study which evaluated simulation-based learning as a teaching strategy for improving participants' ENP reading proficiency in the senior college program of students whose first language is Chinese, not English. BACKGROUND: Simulation-based learning is known to be one of most effective teaching strategies in the healthcare professional curricula, which brings a clinical setting into the classroom. However, developing English reading skills for English written nursing journals through simulation-based learning in the nursing curricula, is largely unknown. METHOD: We used a quasi-experimental approach with nonequivalent control group design to collect the causal connections between intervention and outcomes. 101 students were enrolled in this study (response rate 92.6%) of these 48 students volunteered for the intervention group, and 53 students for the control group. RESULTS: The findings indicated that the intervention group had significantly higher mean scores in ENP reading proficiency with unknown words in the article (p=.004), vocabulary (pnursing journals among nursing students. However, the benefits to the students of this study is still to be determined, and further exploration is needed with well designed research and a universal method of outcome measurement. PMID:22819629

Background:? In July 2008, The General Dental Council implemented mandatory registration for Dental Nurses in the United Kingdom, recognising them as legally responsible for patient care. As dentistry comes to terms with the impact registration has on dental nurses, sustained advances in the teaching of students in other healthcare disciplines demonstrate the way in which the role of pedagogy in dental nurse education has been underdeveloped. In an attempt to see dental nursing stand in line with other progressive healthcare professionals, the authors have implemented Problem-Based Learning (PBL) into a dental nurse program in NHS Education for Scotland, Glasgow. Aim:? The aim of the research is to assess the perceptions of dental nurse students with regard to participation in active learning. Materials and Methods:? The study is facilitated by a short PBL package which offers introductory exposure to this method of learning. A qualitative approach has been taken to gather experiential data using a questionnaire. Thematic analysis took place to reveal emergent themes. Results:? Analysis reveals that the participants found PBL to be an enjoyable experience that could be valuable in the acquisition of deep knowledge and improved patient care. The participants raised concerns with regard to confidence in their own knowledge acquisition in PBL sessions and highlighted a need for improved feedback. Discussion and conclusion:? While the participants enjoyed the self directed nature of PBL, it is important to note that the need for facilitator guidance was considered imperative, especially where the students had little or no experience of PBL, as in this study. PMID:23050503

This longitudinal, quasi-experimental study with 142 junior nursing students focused on measurement of learning outcomes in two areas: acquisition of knowledge and development of critical thinking skills. The variation in clinical teaching strategy (structured versus unstructured health pattern assessment) was the independent variable. Results indicated significant gains in both knowledge and critical thinking performance from the beginning to the end of the semester. The significant gains in critical thinking performance provides support to the assertion that domain-specific measures of critical thinking are needed in nursing education. Additionally, our results suggested that it was the interaction between learning strategy and the characteristics of the learner that was more significant in determining knowledge improvement than the particular strategy. As a result of this study, it is recommended that faculty develop and use an evidence-based model to support their decision making regarding teaching methodologies. This seems especially relevant for large, introductory clinical courses that use team teaching to achieve educational goals related to improvement in critical thinking or knowledge. PMID:10839685

Educators have recently come to consider inquiry based instruction as a more effective method of instruction than didactic instruction. Experience based learning theory suggests that student performance is linked to teaching method. However, research is limited on inquiry teaching and its effectiveness on preparing students to perform well on standardized tests. The purpose of the study to investigate whether one of these two teaching methodologies was more effective in increasing student performance on standardized science tests. The quasi experimental quantitative study was comprised of two stages. Stage 1 used a survey to identify teaching methods of a convenience sample of 57 teacher participants and determined level of inquiry used in instruction to place participants into instructional groups (the independent variable). Stage 2 used analysis of covariance (ANCOVA) to compare posttest scores on a standardized exam by teaching method. Additional analyses were conducted to examine the differences in science achievement by ethnicity, gender, and socioeconomic status by teaching methodology. Results demonstrated a statistically significant gain in test scores when taught using inquiry based instruction. Subpopulation analyses indicated all groups showed improved mean standardized test scores except African American students. The findings benefit teachers and students by presenting data supporting a method of content delivery that increases teacher efficacy and produces students with a greater cognition of science content that meets the school's mission and goals.

To capture the talent of the next generation, novel educational measures are needed and teachers have to become more entrepreneurial in their choices of effective teaching interventions. This presentation presents a framework for altering the mindset of students to unleash their innate enterprising creativity based on the premise that educational environments can cultivate students’ belief in their entrepreneurial potential, but unfortunately often fail to do so1. First, we argue that the standard business planning oriented teaching methods are not applicable across contexts, and that new entrepreneurship teaching paradigms are needed. Second we propose a logic of entrepreneurship teaching that emphasizes the dynamic interplay of identity and opportunity creation. Thirdly, we present a framework of teaching interventions designed to stimulate identity transformation towards an entrepreneurial mindset.

The Nursing, Midwifery Council (NMC) Standards to Support Learning and Assessment in Practice (SLAiP NMC, 2008) were implemented aiming to ensure that all pre-registration nursing students are assessed by mentors in practise who are knowledgeable, up to date and who can ensure that students are safe practitioners at the time of registration. These new standards place the responsibility on the sign off mentor (SOM) for ensuring that the pre-registration students are safe in practise, and 'suitable at point of entry to the register' for their practise, (NMC, 2008). Similarly the universities are responsible for signing off the theoretical aspects of the programme and confirming the students' good health and good character (Nursing and midwifery Council, 2010, 2010). However due to the extens...

Based on a proven instructional model distilled over years of research, this book focuses on five essential pedagogy standards for guiding teaching practice in classrooms with diverse students, including English learners. Providing key indicators for each standard along with the theoretical rationale and "best practice" strategies, the book offers teachers invaluable guidance for enhancing language, literacy, thinking, and content learning across the curricula. It also provides advice on creating classroom groupings for differentiating lessons and activities and includes extensive examples of practices from real-life classrooms. Following a preface and a section about the author, this book is divided into two parts. Part I, Understanding the Standards, presents: (1) Effective Teaching and Pedagogy; and (2) Evidence: Scientific Support for Five Standards. Part II, Implementing the Standards, concludes with: (3) Teacher and Students Producing Together (Standard I); (4) Developing Language and Literacy (Standard II); (5) Connecting Learning to Students' Worlds (Standard III); (6) Challenging Students' Thinking (Standard IV); (7) Using Instructional Conversation (Standard V); and (8) The Five Standards Integrated: How to Teach Effectively. Appended are: (1) Five Standards of Pedagogy with Classroom Indicators; (2) Timing Instructional Frames; (3) Guidelines for Organizing Classroom Activity Settings; (4) Classroom Graphic; (5) Directed Thinking Activity Cycles; (6) Web Sites; (7) Stock Market Math Activity; (8) Stock Market Instructional Frame; (9) Footprint Puzzle; (10) Activity Settings Worksheet; (11)Scheduling and Routing Form; and (12) Instructional Frame: Student Contract and Choice Model. References, name index, and subject index are also included.

Nursing shortages exist worldwide while job stress, dissatisfaction, lack of peer support and limited professional opportunities still contribute to attrition. The aim of this systematic review is to describe and evaluate the quality of the science, report recommendations and lessons learned about implementing and evaluating nurse residency programs (NRPs) designed to improve new graduate transitioning. Databases were searched between 1980 and 2010 using five search terms: nurse, intern, extern, transition and residency programs. Twenty studies reporting programs for new RNs fit the inclusion criteria. Three major discoveries include: 1. Wide variation in content, teaching and learning strategies make comparison across programs difficult; 2. Lack of theory in designing the educational intervention has limited the selection and development of new instruments to measure program effectiveness; and 3. Well designed quasi-experimental studies are needed. As a major nursing education redesign, NRPs could be used to test the principles, concepts and strategies of organizational transformation and experiential-interactive learning theory. By focusing on fiscal outcomes, current administrators of NRPs are missing the opportunity to implement an organizational strategy that could improve workplace environments. Healthcare organizations need to envision NRPs as a demonstration of positive clinical learning environments that can enhance intra- and interprofessional education and practice. PMID:22818190

An increasing body of evidence now suggests that menstrual disorders may influence the development of Low Back Pain (LBP) among women of reproductive age. To investigate this issue in Japan, we conducted a large cross-sectional survey of female nurses from a university teaching hospital during 2008. Nurses reported a wide range of symptoms both prior to and during menstruation, including breast tenderness, stomach pain, light headedness and fatigue. Around three-quarters had experienced at least one episode of LBP in the previous 12-months, with most symptoms lasting one week or less. Increasing body weight was correlated with an increased risk of LBP affecting their daily activities (OR: 12.94, 95%CI: 1.54-116.56). Having three or more children was correlated with a reduced risk of experiencing LBP (OR: 0.13, 95%CI: 0.01-0.97). Nurses who reported breast tenderness prior to menstruation were twice as likely to suffer LBP (OR: 2.09, 95%CI: 1.20-3.73), while those who reported breast tenderness during menstruation were almost twice as likely to suffer LBP that interfered with their daily activities (OR: 1.85, 95%CI: 1.06-3.32). Overall, our study suggests that reproductive symptoms and menstrual disorders may influence the development of LBP among Japanese nurses, although the magnitude of this effect appears to be less than that reported in some previous research.   

Abstract in spanish La adaptación al Espacio Europeo de Formación Superior y la utilización de los lenguajes estandarizados en Enfermería, en el nuevo plan de estudios de la Escuela de Enfermería de la Universidad de Andorra nos ha permitido en cada asignatura actualizar la metodología del proceso enseñanza-aprendizaje, centrándonos en los objetivos de aprendizaje de los estudiantes, las competencias y las capacidades que han de adquirir, así como elaborar planes de cuidados individ (more) ualizados para personas mayores, en el caso de Enfermería Geriátrica, siguiendo la nueva metodología que incluye la aplicación de los tres lenguajes enfermeros, para los diagnósticos NANDA, para los resultados NOC y para las intervenciones NIC. Abstract in english The adaptation of Higher Education towards the European territory and the use of standardised language in Nursing, as part of the new study plan for the School of Nursing at the University of Andorra, has allowed us update the methodology involved in the teaching-learning process for each subject, focusing on the students' learning objectives, the abilities and competencies they must acquire, while also learning how to develop personalised care plans for elderly people, i (more) n the case of Geriatric Nursing, and following the new methodology which includes the application of the three nursing languages, NANDA for diagnostics, NOC for results and NIC for interventions.

Purpose: We explore how nursing home characteristics affect the number of lawsuits filed against the facilities in Florida during the period from 1997 to 2001. Design and Methods: We examined data from 478 nursing homes in 30 Florida counties from 1997 to 2001. We obtained the data from Westlaw's Adverse Filings: Lawsuits database, the Online Survey, Certification, and Reporting system database from the Centers for Medicare and Medicaid Services, and state complaint surveys, and we also used primary data. We used negative binomial regression to explain total lawsuit variance by year. We controlled for acuity and year effects, and our explanatory variables included (a) facility characteristics--including staffing, number of beds, multistate system membership, and for-profit ownership--and (b) quality measures--including total number and type of state licensing survey deficiencies, pressure-sore development, and medication errors per resident. Results: Higher registered nurse and certified nursing assistant staffing levels were associated with Fewer lawsuits. More deficiencies on the licensing survey and larger and for-profit nursing homes were positively related with higher numbers of lawsuits. Implications: This study suggests that nursing homes that meet long-stay staffing standards, meet minimum quality measures, are not for profit, and are smaller will experience fewer lawsuits.

The clinical outcomes of treatments for several medical conditions are better in teaching hospitals than in non-teaching hospitals. However, there is only limited information for comparisons of the clinical outcomes of bleeding peptic ulcers between teaching and non-teaching hospitals. A total of 4,863 patients treated by endoscopic hemostasis on admission for bleeding peptic ulcers were evaluated in 586 hospitals of the Diagnosis Procedure Combination (DPC) system. We collected their data from the database associated with the DPC system to compare the risk-adjusted length of stay (LOS) and in-hospital mortality within 30 days with respect to the hospital characteristics. The hospitals were categorized into two groups: teaching hospitals that were certified by the Japanese Society of Gastroenterology (3,332 patients in 360 hospitals) and non-teaching hospitals (1,531 patients in 226 hospitals). There was no significant difference with regard to the mean LOS and the crude in-hospital mortality within 30 days between groups (p = 0.181 and 0.174, respectively). Multiple linear regression analyses revealed that the hospital characteristics were not associated with the risk-adjusted LOS. The standardized coefficient for non-teaching hospitals was 0.019 (p = 0.172). Multiple logistic regression analyses further showed no significant difference in the in-hospital mortality within 30 days (non-teaching hospitals, odds ratio = 1.35, 95% confidence interval = 0.786 - 2.319, p = 0.277). In conclusion, both teaching and non-teaching hospitals have equivalent qualities in management of bleeding peptic ulcers. These findings suggest that the standardization of medical treatments for bleeding peptic ulcers has become disseminated in Japan.   

The purpose of this article is to present findings from a study which evaluated the effectiveness of a virtual community (an emerging pedagogical application) on student engagement and academic performance. Virtual communities mirror real-life through unfolding patient histories and relationship development over time. Students also become more engaged in learning by creating personally meaningful knowledge of a concept (Rogers & Stone, 2007). Virtual communities offer one teaching strategy to assist students in learning complex, health-related content in a contextualized manner. This quasi-experimental study involved first-semester baccalaureate nursing students enrolled in a course at two campuses of a nursing program at a large university in the Southwest. Three key strategies assessed t...

One of the challenges of contemporary health care is the need for health and social care professionals to work differently to meet the complex needs of patients/clients. However it cannot be assumed that these professionals have been prepared with the skills and confidence to collaborate effectively, outside of traditional professional boundaries. Interprofessional education (IPE) is well established as an effective learning and teaching approach to prepare practitioners for collaborative practice at the point of qualification (DOH 2001; Hale 2003; Morison et al., 2003; Department of Health 2006; Hammick et al., 2007). The phenomenological study reported in this paper sought to follow up a group of newly qualified adult nurses at six months post-qualification. These nurses had undertaken a...

To investigate the interactions between safety climate, psychosocial issues and Needlestick and Sharps Injuries (NSI), a cross-sectional study was undertaken among nurses at a university teaching hospital in Japan (89% response rate). NSI were correlated with various aspects of hospital safety climate including supporting one another at work, the protection of staff against blood-borne diseases being a high management priority, managers doing their part to protect staff from blood-borne disease, having unsafe work practices corrected by supervisors, having the opportunity to use safety equipment to protect against blood-borne disease exposures, having an uncluttered work area, and having minimal conflict within their department. In conclusion, this study has demonstrated the importance of hospital safety climate in Japanese health care practice, particularly its relationship with NSI. Although the provision of safer devices remains critical in preventing injuries, ensuring a positive safety climate will also be essential in meeting these important challenges for nurses' occupational health. PMID:20160412