Sample records for clinical nursing research

  1. Factors influencing nurses' participation in clinical research. (United States)

    Jacobson, Ann F; Warner, Andrea M; Fleming, Eileen; Schmidt, Bruce


    Clinical research is necessary for developing nursing's body of knowledge and improving the quality of gastroenterology nursing care. The support and participation of nursing staff are crucial to conducting interventional research. Identification of characteristics of nurses and their work settings that facilitate or impede participation in research is needed. The purpose of this descriptive correlational study was to examine the effect of personal and professional characteristics and attitudes about nursing research on staff nurses' participation in a clinical nursing research project. A questionnaire measuring nurses' attitudes, perceptions of availability of support, and research use was distributed to staff nurses working on an endoscopy lab and two same-day surgery units where a nursing research study had recently been conducted. Investigator-developed items measured nurses' attitudes about the utility and feasibility of the interventions tested in the original study. A total of 36 usable questionnaires comprised the sample. Factor analysis of the two questionnaires resulted in three-factor (Importance of Research, Interest in Research, and Environment Support of Research) and two-factor (Value of Cognitive-Behavioral Interventions [CBIs] and Participation in Study) solutions, respectively. There were no statistically significant differences in mean scores for the five factors between nurses who did (n = 19) and those who did not (n = 17) participate in the original study. The Participation in Research Factor was significantly negatively correlated with years in nursing (r = -.336, p body of knowledge about factors that facilitate or impede staff nurses' involvement in research. This knowledge will be useful for nurse researchers planning intervention studies to forecast and foster staff nurse involvement in their projects. Findings may also be useful to nurse managers, nurse educators, and staff development personnel in assessing and promoting staff nurses

  2. Role perceptions of nurse clinical research coordinators

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    Jones CT


    Full Text Available Carolynn Thomas Jones, Lynda L Wilson School of Nursing, University of Alabama at Birmingham, Birmingham, AL, USA Abstract: Nursing roles in clinical research have evolved in the last 3 decades and include diverse responsibilities and job titles. Nurse clinical research coordinators’ (NCRCs roles include study planning, implementation, participant recruitment and retention, assessment of participants’ responses to clinical protocols, data management, and evaluation. The purpose of this study was to examine NCRCs’ perceptions of 59 specific clinical research activities that have been proposed as a taxonomy of NCRC activities. Participants were asked to check whether each of the 59 activities is being performed, and whether those activities should be performed, by NCRCs. The sample included 61 NCRCs who were attending the annual meeting of the International Association of Clinical Research Nurses. The percentage of respondents who indicated that the 59 activities are being performed by NCRCs at their sites ranged from 55%–98.4%. The percentage of respondents who indicated that the 59 activities should be performed by NCRCs ranged from 61.7%–88.5%. There were eight activities that fewer than 70% of the respondents reported should be performed by NCRCs. Chi-square analyses were conducted to determine whether there was a difference in the distribution of responses to the “are performed” versus “should be performed” responses for each of the 59 activities. There were significant differences in the distributions for 49 of the activities. The percentage of nurses responding “are performed” was higher than the percentage of responses to the “should be performed” items for 41 of these 49 activities. Findings suggest that further research is needed to validate the extent to which the taxonomy of clinical research nurse (CRN roles is a valid reflection of the actual practice of NCRCs, and also to explore reasons for the

  3. Nursing students learning to utilize nursing research in clinical practice. (United States)

    Mattila, Lea-Riitta; Eriksson, Elina


    The purpose of the study was to examine the significance of a learning assignment in relation to research skills and learning of nursing students in clinical practice. The learning assignment included an oral presentation of a nursing research article, which the students gave to their fellow students and ward nurses. The students also chaired the discussion after the presentation. The target group for the study was nursing students of a Finnish polytechnic who had been studying for 2-2 1/2 years and had accomplished a minimum of 120 ECTS credits of the total of 210 ECTS credits. When participating in the study, the students were completing a six-week clinical practice of optional studies. The data were collected with a questionnaire designed for the study. It consisted of six open-ended questions. Three of the questions were related to learning of research skills. Two questions were concerned with learning during the ongoing clinical practice. The final question inquired the students' views on the development of the learning assignment. The students received the questionnaire before the commencement of their clinical practice, and they returned it to the other researcher after their clinical practice. The questionnaire was given to 80 students, of which 50 returned it; the response rate was 63%. The data were analysed by content analysis question by question. According to the results, the learning assignment advanced the understanding of research concepts for the majority of the students. In particular, the students reported that the oral presentation clarified the research concepts, and the structure of a scientific article was also elucidated. The students stated that the assignment generated ideas concerning the development of nursing care. In relation to the ongoing clinical practice, the assignment advanced patient encounters and interaction, and bearing responsibility the most. Proposals for the further development of the learning assignment were expressed by

  4. 'Nursing research culture' in the context of clinical nursing practice

    DEFF Research Database (Denmark)

    Berthelsen, Connie Bøttcher; Hølge-Hazelton, Bibi


    for efficiency, nurses' barriers to research use and the lack of definition of the concept of nursing research culture make it difficult to establish. DESIGN: Concept analysis. DATA SOURCES: Data were collected through a literature review in PubMed, CINAHL and PsycINFO during March 2016. METHODS: Walker...

  5. Integrating nurse researchers in clinical practice – a challenging, but necessary task for nurse leaders

    DEFF Research Database (Denmark)

    Hølge-Hazelton, Bibi; Kjerholt, Mette; Berthelsen, Connie Bøttcher


    nursing, including integrating nurse researchers in ANP positions. Methods A collective case study including three ANPs took place at a large regional hospital in Denmark. The cases were first analysed by focusing on the generic features, functions and skills of ANPs, and second by focusing...... on the approaches to evidence-based practice seen in the cases. Results Regardless of same position, formal level of research expertise and overall responsibility, different approaches related to each ANPs professional profile, interest, academic ambitions and personality were seen. Conclusion Nurse leaders must......Aim To create awareness among nurse leaders, of what they may need to consider, when integrating nurse researchers as advanced nurse practitioners (ANP) at PhD-level among their staff. Background In a time of transition nurse leaders may be challenged by the change towards evidence-based clinical...

  6. Continuing Education in Research Ethics for the Clinical Nurse. (United States)

    Jeffers, Brenda Recchia


    Review of professional nursing statements, federal policy, and recommendations for protection of human research subjects resulted in a topic and content outline for research ethics training for nurses. Suggestions for continuing education programs on research ethics were formulated. (SK)

  7. Closing the Gap between Research Evidence and Clinical Practice: Jordanian Nurses' Perceived Barriers to Research Utilisation (United States)

    Al Khalaileh, Murad; Al Qadire, Mohammad; Musa, Ahmad S.; Al-Khawaldeh, Omar A.; Al Qudah, Hani; Alhabahbeh, Atalla


    Background: The nursing profession is a combination of theory and practical skill, and nurses are required to generate and develop knowledge through implementing research into clinical practice. Considerable number of barriers could hind implementing research findings into practice. Barriers to research utilisation are not identified in the…

  8. Nurses’ Research Behavior and Barriers to Research Utilization Into Clinical Nursing Practice: a Closer Look

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    Efstratios Athanasakis


    Full Text Available Background: It is widely accepted that utilization of the best-known research evidence in nursing practice entails improvement of nursing care received by patients and strengthening of nursing profession.Aim: The aim of this paper was the review of nurses’ research behavior and the barriers that nurses meet in order to utilize research evidence into clinical nursing practice.Methodology: There has been conducted a literature search in Pubmed and Science Direct libraries, using specific search terms. An important inclusion criterion for the studies was the use of barriers to research utilization scale (BRUS, along or combined with another instrument.Results: A total of 37 original papers included in the present article. A table of the top five barriers to research utilization scale has been conducted. Data from the table indicate that the existence of barriers to incorporation of evidence into practice comes mainly from clinical settings characteristics. In addition, issues about nursing education, nurses’ research and reading habits, facilitators of research utilization and their relevance for nursing staff and clinical practice are also discussed.Conclusions: Since the barriers to research utilization are well identified in the nursing literature and there is a wealth of information on this subject, the next step is to find ways to overcome them and value the impact of the relevant interventions towards research utilization behavior.

  9. The role of the nurse research facilitator in building research capacity in the clinical setting. (United States)

    Jamerson, Patricia A; Vermeersch, Patricia


    With little guidance in the literature regarding best practices, clinical institutions have used different organizational models to meet the challenges of building research capacity. This article provides recommendations regarding the most productive models based on review of historical clinical research facilitation models and the results of a survey regarding extant models conducted among research facilitators who were members of the Midwest Nursing Research Society.

  10. Information and research needs of acute-care clinical nurses. (United States)

    Spath, M; Buttlar, L


    The majority of nurses surveyed used the library on a regular but limited basis to obtain information needed in caring for or making decisions about their patients. A minority indicated that the libraries in their own institutions totally met their information needs. In fact, only 4% depended on the library to stay abreast of new information and developments in the field. Many of the nurses had their own journal subscriptions, which could account in part for the limited use of libraries and the popularity of the professional journal as the key information source. This finding correlates with the research of Binger and Huntsman, who found that 95% of staff development educators relied on professional journal literature to keep up with current information in the field, and only 45% regularly monitored indexing-and-abstracting services. The present study also revealed that nurses seek information from colleagues more than from any other source, supporting the findings of Corcoran-Perry and Graves. Further research is necessary to clarify why nurses use libraries on a limited basis. It appears, as Bunyan and Lutz contend, that a more aggressive approach to marketing the library to nurses is needed. Further research should include an assessment of how the library can meet the information needs of nurses for both research and patient care. Options to be considered include offering library orientation sessions for new staff nurses, providing current-awareness services by circulating photocopied table-of-contents pages, sending out reviews of new monographs, inviting nurses to submit search requests on a topic, scheduling seminars and workshops that teach CD-ROM and online search strategies, and providing information about electronic databases covering topics related to nursing. Information on databases may be particularly important in light of the present study's finding that databases available in CD-ROM format are consulted very little. Nursing education programs should

  11. How many research nurses for how many clinical trials in an oncology setting? Definition of the Nursing Time Required by Clinical Trial-Assessment Tool (NTRCT-AT). (United States)

    Milani, Alessandra; Mazzocco, Ketti; Stucchi, Sara; Magon, Giorgio; Pravettoni, Gabriella; Passoni, Claudia; Ciccarelli, Chiara; Tonali, Alessandra; Profeta, Teresa; Saiani, Luisa


    Few resources are available to quantify clinical trial-associated workload, needed to guide staffing and budgetary planning. The aim of the study is to describe a tool to measure clinical trials nurses' workload expressed in time spent to complete core activities. Clinical trials nurses drew up a list of nursing core activities, integrating results from literature searches with personal experience. The final 30 core activities were timed for each research nurse by an outside observer during daily practice in May and June 2014. Average times spent by nurses for each activity were calculated. The "Nursing Time Required by Clinical Trial-Assessment Tool" was created as an electronic sheet that combines the average times per specified activities and mathematic functions to return the total estimated time required by a research nurse for each specific trial. The tool was tested retrospectively on 141 clinical trials. The increasing complexity of clinical research requires structured approaches to determine workforce requirements. This study provides a tool to describe the activities of a clinical trials nurse and to estimate the associated time required to deliver individual trials. The application of the proposed tool in clinical research practice could provide a consistent structure for clinical trials nursing workload estimation internationally.

  12. Engaging Nurses in Research for a Randomized Clinical Trial of a Behavioral Health Intervention

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    Lona Roll


    Full Text Available Nurse involvement in research is essential to the expansion of nursing science and improved care for patients. The research participation challenges encountered by nurses providing direct care (direct care nurses include balancing patient care demands with research, adjusting to fluctuating staff and patient volumes, working with interdisciplinary personnel, and feeling comfortable with their knowledge of the research process. The purpose of this paper is to describe efforts to engage nurses in research for the Stories and Music for Adolescent/Young Adult Resilience during Transplant (SMART study. SMART was an NIH-funded, multisite, randomized, behavioral clinical trial of a music therapy intervention for adolescents/young adults (AYA undergoing stem cell transplant for an oncology condition. The study was conducted at 8 sites by a large multidisciplinary team that included direct care nurses, advanced practice nurses, and nurse researchers, as well as board-certified music therapists, clinical research coordinators, and physicians. Efforts to include direct care nurses in the conduct of this study fostered mutual respect across disciplines in both academic and clinical settings.

  13. Developing and Evaluating Clinical Written Assignment in Clinical Teaching for the Senior B.S. Nursing Students: An action research

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    Leila Valizadeh


    Full Text Available Introduction: In a four-year undergraduate level , the nursing students have to get prepared in the patients education, designing care plans, applying nursing processes and exercise the clinical decisions, in addition to learning practical skills. Therefore, multiple clinical teaching strategies in nursing must be applied. In this study the sheets for the mentioned fields were designed and used. Methods: In this action research in Tabriz University of Medical Sciences, 64 nursing senior students and related instructors participated. Clinical written assignment included the patient’s health condition sheet, tables showing the used medicines and the precautions, the clinical and paraclinical tests and the results, identifying the patient problems, designing and implementing care plan and writing nursing reports with SOAPIE method. The instructors’ viewpoints were achieved through the group discussions and their notes taken. The perceived competency of the students was obtained through a questionnaire. The qualitative data was analyzed by the content analysis and quantitative using SPSS. Results: Both the students and the instructors agreed with the clinical written assignment. The desired care competency of the students before and after assignment was statistically significant (p<0.05. According to the instructors, intervention was useful for the senior students who have passed the courses needed for completing and using the different parts of these forms. Conclusion: Since a need is always felt in the trends of the nursing clinical teaching, the researchers recommend the clinical written assignment and their application along with other strategies for senior nursing students in clinical teaching.

  14. To what extent do nurses use research in clinical practice? A systematic review

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    O'Rourke Hannah M


    Full Text Available Abstract Background In the past forty years, many gains have been made in our understanding of the concept of research utilization. While numerous studies exist on professional nurses' use of research in practice, no attempt has been made to systematically evaluate and synthesize this body of literature with respect to the extent to which nurses use research in their clinical practice. The objective of this study was to systematically identify and analyze the available evidence related to the extent to which nurses use research findings in practice. Methods This study was a systematic review of published and grey literature. The search strategy included 13 online bibliographic databases: Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, MEDLINE, CINAHL, EMBASE, HAPI, Web of Science, SCOPUS, OCLC Papers First, OCLC WorldCat, ABI Inform, Sociological Abstracts, and Dissertation Abstracts. The inclusion criteria consisted of primary research reports that assess professional nurses' use of research in practice, written in the English or Scandinavian languages. Extent of research use was determined by assigning research use scores reported in each article to one of four quartiles: low, moderate-low, moderate-high, or high. Results Following removal of duplicate citations, a total of 12,418 titles were identified through database searches, of which 133 articles were retrieved. Of the articles retrieved, 55 satisfied the inclusion criteria. The 55 final reports included cross-sectional/survey (n = 51 and quasi-experimental (n = 4 designs. A sensitivity analysis, comparing findings from all reports with those rated moderate (moderate-weak and moderate-strong and strong quality, did not show significant differences. In a majority of the articles identified (n = 38, 69%, nurses reported moderate-high research use. Conclusions According to this review, nurses' reported use of research is moderate-high and has remained

  15. Developing a Culture to Facilitate Research Capacity Building for Clinical Nurse Consultants in Generalist Paediatric Practice

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    Lesley Wilkes


    Full Text Available This paper reports a research capacity building exercise with a group of CNCs practicing in the speciality of paediatrics in New South Wales (NSW, Australia. It explores the first step in building a research culture, through identifying the research priorities of members of the NSW Child Health Networks Paediatric Clinical Nurse Consultant group, and this forms the major focus of this paper. A nominal group technique (NGT was utilised with sixteen members to identify research topics for investigation which were considered a priority for improving children's health care. The group reviewed and prioritised 43 research topics in children's health which were identified in the literature. As a result of conducting this research prioritisation exercise, the group chose two research topics to investigate: reasons for children representing to the Emergency Department and a comparison of the use of high-flow and low-flow nasal prongs in children with bronchiolitis. The research team will continue to mentor the nurses throughout their research projects which resulted from the NGT. One bridge to leadership development in enhancing patient care is translating knowledge to practice and policy development. This study leads the way for a group of CNCs in paediatric nursing to combine their research capacity and influence clinical knowledge.

  16. [The Usage of Auricular Acupressure in Clinical Nursing and Evidence-Based Research]. (United States)

    Cheng, Jui-Fen; Lo, Chyi; Tzeng, Ya-Ling


    Auricular acupressure is a non-invasive physiotherapy that was developed based on the traditional Chinese meridian theory. Because it is non-invasive, simple to implement, and easy to learn, and because it presents minimal side effects and may be executed independently, this therapy may be used as an alternative or auxiliary approach to symptom management as well as to self-care. The increasing support for auricular acupressure from evidence-based research in Taiwan and elsewhere offers the opportunity to include auricular acupressure as a treatment option in evidence-based nursing interventions. Because nursing education in Taiwan is guided by Western medical concepts and principles, most nurses are not familiar with auricular acupressure, which is derived from traditional Chinese medicine. Therefore, this article not only systemically introduces the definition and theoretical basis of auricular acupressure but also includes the principles and application-related knowledge. Furthermore, this article analyzes the common problems encountered in auricular acupressure research in order to improve the familiarity of nurses with this therapy, to provide references for clinical application, and to provide a basis for designing new evidence-based nursing research efforts.

  17. Introducing ADN students to nursing research. (United States)

    Thorpe, R; Smutko, P W


    Every nurse, regardless of educational preparation, should be involved in and benefit from nursing research. The research process needs to become an integral part of nursing practice. In this article, the authors emphasize the importance of nursing research in the associate degree nursing curriculum, emphasizing strategies that enable the ADN graduate to appreciate research reports and use the knowledge in the clinical practice setting.

  18. Clinical nurse educators' perceptions of research utilization: barriers and facilitators to change. (United States)

    Strickland, Rosemary J; O'Leary-Kelley, Colleen


    Translation of research to practice remains a challenge. The educator, as a role model and change agent, is strategically placed to facilitate staff development and organizational change, thereby helping to close the gap from research to practice. Understanding barriers to research utilization may facilitate the application of evidence-based practice. [corrected] In this study, the BARRIERS scale was used to assess perceptions of research utilization in a convenience sample of 122 clinical nurse educators in California. Greatest barriers were organizational and nurse characteristics, including lack of authority to change, insufficient time, and limited research knowledge and awareness. Educators from Magnet hospitals and educators with advanced degrees perceived the organization as less of a barrier. Strategies to facilitate and implement change are discussed.

  19. Use of photovoice to integrate a community-engaged scholarship model of research into an undergraduate clinical nursing course. (United States)

    Kronk, Rebecca; Weideman, Yvonne


    For undergraduate nursing students to appreciate the underpinnings of research, it is essential to bring research to real-life clinical practice. This article reports on an innovative educational experience integrating qualitative research into the sophomore-level clinical setting. The elements of this pedagogical approach within the context of faculty-mentored and student-led community-based participatory research are described.

  20. The power of clinical nursing research: engage clinicians, improve patients' lives, and forge a professional legacy. (United States)

    Gawlinski, Anna


    Sparked by the Institute of Medicine's report titled Crossing the Quality Chasm, research-based decision making has been emphasized for improving care. Patients should receive care that is based on the best available scientific knowledge, and care should not vary from clinician to clinician or from place to place. Implementing research-based practices at the bedside is a complex endeavor. It is all too easy to discover that clinically important research findings are either not known by practitioners or not being used in actual practice. Efforts to instill and sustain research-based practices improve significantly when staff nurses are involved with the research from the start. Institutions that are effective in involving clinicians have built a foundation of infrastructures that enable processes for engaging clinicians to take place. What distinguishes effective from ineffective hospital nursing research and evidence-based practice programs is the presence of structures whereby processes can occur that (1) unleash the creativity of staff by securing their involvement early, (2) educate staff by involving them, (3) create internal expertise for research and evidence-based practice, and (4) ensure that patients experience principled implementation of research-based practices to improve their lives. This article describes infrastructures that can ensure and sustain research-based practices while unleashing the talent and creativity of clinicians as they question practice and ponder the merits of current research. Fostering participation in such clinical inquiry will summon professional growth, influence the lives of patients, and help each nurse develop a unique personal professional legacy.

  1. Clinical Nursing Records Study (United States)


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  2. Concept maps: linking nursing theory to clinical nursing practice. (United States)

    Daley, B J


    The purpose of this article is to offer a different methodology for teaching and learning in continuing nursing education and staff development. This article describes a qualitative research study that analyzed how linkages are made between theoretical material and clinical nursing practice. Findings indicate that nursing students did not link the elements of nursing process together, that clinical preparation was not linked to theoretical material, that the meaning students made of the information was different than the instructors' and that concepts from the basic sciences were not incorporated into student meaning structures. Implications for the use of concept maps as an educational strategy in continuing nursing education are drawn.

  3. Investigation and analysis of clinical trial research nurse to perform standard operating procedures

    Institute of Scientific and Technical Information of China (English)

    Yan Lin; Yan-Yun Wu; Mei-Hua Wu; Xiu-Yu Yang; Ming Zhou


    Objective: The aim of this study was to investigate the situations and factors that cause nurses not to follow standard operating procedures (SOPs) during the clinical trial process. Methods: Five cases involving patients enrolled in a clinical trial were divided into two groups, pre-SOP training and post-SOP training, to compare and observe the process problems and whether nurses fol-lowed SOPs in clinical trials. The causes of problems were analyzed and corrective measures were proposed. Results: Our results indicate significant improvement in compliance with SOPs after training. There were three occurrences of irregular behavior after training compared with 21 occurrences of irregular behavior before training. Conclusions: The quality of clinical trials can be improved if nurses strictly follow SOPs.

  4. International Association of Gerontology and Geriatrics: a global agenda for clinical research and quality of care in nursing homes. (United States)

    Tolson, Debbie; Rolland, Yves; Andrieu, Sandrine; Aquino, Jean-Pierre; Beard, John; Benetos, Athanase; Berrut, Gilles; Coll-Planas, Laura; Dong, Birong; Forette, Françoise; Franco, Alain; Franzoni, Simone; Salvà, Antoni; Swagerty, Daniel; Trabucchi, Marco; Vellas, Bruno; Volicer, Ladislav; Morley, John E


    A workshop charged with identifying the main clinical concerns and quality of care issues within nursing homes was convened by the International Association of Gerontology and Geriatrics, with input from the World Health Organization. The workshop met in Toulouse, France, during June 2010. Drawing on the latest evidence and mindful of the international development agenda and specific regional challenges, consensus was sought on priority actions and future research. The impetus for this work was the known variation in the quality of nursing home care experiences of older people around the world. The resulting Task Force recommendations include instigation of sustainable strategies designed to enhance confidence among older people and their relatives that the care provided within nursing homes is safe, mindful of their preferences, clinically appropriate, and delivered with respect and compassion by appropriately prepared expert doctors, registered nurses, administrators, and other staff. The proposals extend across 4 domains (Reputational Enhancement and Leadership, Clinical Essentials and Care Quality Indicators, Practitioner Education, and Research) that, in concert, will enhance the reputation and status of nursing home careers among practitioners, promote effective evidence-informed quality improvements, and develop practice leadership and research capabilities.

  5. Nurses' experiences of participation in a research and development programme

    DEFF Research Database (Denmark)

    Jensen, Kirsten Pryds; Bäck-Pettersson, Siv; Kýlén, Sven


    To describe clinical nurses' experience of participating in a Research and Development (R&D) programme and its influence on their research interest and ability to conduct and apply nursing research......To describe clinical nurses' experience of participating in a Research and Development (R&D) programme and its influence on their research interest and ability to conduct and apply nursing research...

  6. Globalisation as we enter the 21st century: reflections and directions for nursing education, science, research and clinical practice. (United States)

    Davidson, Patricia M; Meleis, Afaf; Daly, John; Douglas, Marilyn Marty


    The events of September 11th, 2001 in the United States and the Bali bombings of October 2002 are chastening examples of the entangled web of the religious, political, health, cultural and economic forces we experience living in a global community. To view these forces as independent, singular, linearly deterministic entities of globalisation is irrational and illogical. Understanding the concept of globalisation has significant implications not only for world health and international politics, but also the health of individuals. Depending on an individual's political stance and world-view, globalisation may be perceived as an emancipatory force, having the potential to bridge the chasm between rich and poor or, in stark contrast, the very essence of the divide. It is important that nurses appreciate that globalisation does not pertain solely to the realms of economic theory and world politics, but also that it impacts on our daily nursing practice and the welfare of our patients. Globalisation and the closer interactions of human activity that result, have implications for international governance, policy and theory development as well as nursing education, research and clinical practice. Nurses, individually and collectively, have the political power and social consciousness to influence the forces of globalisation to improve health for all. This paper defines and discusses globalisation in today's world and its implications for contemporary nursing education, science, research and clinical practice.

  7. An agenda for clinical decision making and judgement in nursing research and education. (United States)

    Thompson, Carl; Aitken, Leanne; Doran, Diane; Dowding, Dawn


    Nurses' judgements and decisions have the potential to help healthcare systems allocate resources efficiently, promote health gain and patient benefit and prevent harm. Evidence from healthcare systems throughout the world suggests that judgements and decisions made by clinicians could be improved: around half of all adverse events have some kind of error at their core. For nursing to contribute to raising quality though improved judgements and decisions within health systems we need to know more about the decisions and judgements themselves, the interventions likely to improve judgement and decision processes and outcomes, and where best to target finite intellectual and educational resources. There is a rich heritage of research into decision making and judgement, both from within the discipline of nursing and from other perspectives, but which focus on nurses. Much of this evidence plays only a minor role in the development of educational and technological efforts at decision improvement. This paper presents nine unanswered questions that researchers and educators might like to consider as a potential agenda for the future of research into this important area of nursing practice, training and development.

  8. Iranian nurses' constraint for research utilization

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    Mehrdad Neda


    Full Text Available Abstract Background This paper identifies the views of Iranian clinical nurses regarding the utilization of nursing research in practice. There is a need to understand what restricts Iranian clinical nurses to use research findings. The aim of this study was to identify practicing nurses' view of aspects which they perceived constrain them from research utilization that summarizes and uses research findings to address a nursing practice problem. Methods Data were collected during 6 months by means of face-to face interviews follow by one focus group. Analysis was undertaken using a qualitative content analysis. Results Findings disclosed some key themes perceived by nurses to restrict them to use research findings: level of support require to be research active, to be research minded, the extent of nurses knowledge and skills about research and research utilization, level of educational preparation relating to using research, administration and executive challenges in clinical setting, and theory-practice gap. Conclusion This study identifies constraints that require to be overcome for clinical nurses to actively get involved in research utilization. In this study nurses were generally interested to use research findings. However they felt restricted because of lack of time, lack of peer and manager support and limited knowledge and skills of the research process. This study also confirms that research utilization and the change to research nursing practice are complex issues which require both organizational and educational efforts.

  9. Developments in the Nursing Research



    Technological and social changes as well as changes in health and demographic developments have modified considerably the role of nursing and made nursing research more and more essential. Nursing research aims at developing knowledge that guides and supports the whole field of nursing practice in order to improve the quality of nursing care and thereby improves the status of the profession. Like nursing itself, nursing research began with Florence Nightingale in her hospital reforms first in...

  10. Handbook of clinical nursing practice

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    Asheervath, J.; Blevins, D.R.


    Written in outline format, this reference will help nurses further their understanding of advanced nursing procedures. Information is provided on the physiological, psychological, environmental, and safety considerations of nursing activities associated with diagnostic and therapeutic procedures. Special consideration is given to the areas of pediatric nursing, nursing assessment, and selected radiologic and nuclear medicine procedures for each system. Contents: Clinical Introduction. Clinical Nursing Practice: Focus on Basics. Focus on Cardiovascular Function. Focus on Respiratory Function. Focus on Gastrointestinal Function. Focus on Renal and Genito-Urological Function. Focus on Neuro-Skeletal and Muscular Function. Appendices.

  11. Research progress in nursing subspecialization

    Institute of Scientific and Technical Information of China (English)

    Fang Wang; Li Yuan; Zhen-Zhen Xiong; Rao Li


    With the rapid development of medical departments in recent years, nursing subspecialization has increased in prominence and performance. This highly subspecialized division of labor system not only improves the quality of nursing care but also promotes the development of nursing science. Today, developing nursing subspecialization has become the direction and strategy for the development of clinical nursing practice in many countries.

  12. [Ethnography and nursing research]. (United States)

    Chuang, Yeu-Hui; Abbey, Jennifer


    Ethnography, a qualitative research method developed within the field of anthropology, has been increasingly applied to a variety of fields, including sociology, education, and nursing. Ethnography works to understand the behavior and views of a particular cultural group from that group's own perspective. Traditionally, ethnography has been differentiated into classic ethnography, systematic ethnography, interpretive ethnography, and critical ethnography. A recently developed focused ethnography studies specific issues within a single culture or social situation among a limited number of people within a specific period of time. Focused ethnography is particularly relevant to the field of health sciences and holds significant potential to contribute to nursing knowledge and to help improve nursing practice. A search of Medline, CINAHL, Eric, PsycINFO, and the Index to Chinese Periodical Literature database found that ethnography has seldom been applied or discussed in the nursing literature in Taiwan. Therefore, the aim of this article is focused on introducing ethnography and understanding the applications of ethnography in nursing research. Relevant nursing literature published between 2000 and 2005 is summarized and the authors hope that this paper will give Taiwanese nursing professionals a better appreciation of this methodology and encourage its wider application in nursing research.

  13. Clinical Decision Making of Rural Novice Nurses (United States)

    Seright, Teresa J.


    The purpose of this study was to develop substantive theory regarding decision making by the novice nurse in a rural hospital setting. Interviews were guided by the following research questions: What cues were used by novice rural registered nurses in order to make clinical decisions? What were the sources of feedback which influenced subsequent…

  14. Research in Nursing and Nutrition: Is Randomized Clinical Trial the Actual Gold Standard? (United States)

    Baldi, Ileana; Soriani, Nicola; Lorenzoni, Giulia; Azzolina, Danila; Dal Lago, Elisa; De Bardi, Sara; Verduci, Elvira; Zanotti, Renzo; Gregori, Dario

    The aim of this study was to assess the quality of reporting of nurse-driven randomized controlled trials involving a direct nutritional intervention. A bibliometric search for randomized controlled trials involving a direct nutritional intervention from 1991 to 2011 in nursing research was conducted. Both quality of the study and design aspects were evaluated. The prevalent randomized controlled trial design used is 2-arm parallel, individual, and randomized with a continuous primary endpoint. Global numbers of randomized controlled trials and the proportion of good-quality randomized controlled trials began a steady and marked rise, more than doubling, from the 1990s to about 2001 and increased slowly thereafter. Studies are overall sufficiently well designed, although there is still room for quality improvement. Additionally, implementation of new randomized controlled trial designs exists and should be advocated.

  15. Nursing students’ perspectives on clinical education

    Directory of Open Access Journals (Sweden)



    Full Text Available Introduction: The importance of optimal clinical nursing education in professional skills development is undeniable. In clinical education, nursing students are often faced with problems. Recognizing nursing students’ perception on clinical education is the first step to remove the barriers of this challenge. Methods: This descriptive cross-sectional study was conducted to determine the nursing students’ perspectives on clinical education. 150 nursing students were selected randomly from nursing and midwifery schools (Tehran. Data collection instrument was a researcher made questionnaire consisting of five domains: objective and curricula, instructor, feedback to student in clinical field, clinical environment, supervision and evaluation. Mean and standard deviation were calculated for each item, using SPSS, ver. 14. Chi-square test was used to compare the nursing students’ perspectives on clinical education based on age, sex and the work experience. The significance level was considered 0.05. Results: Mean age of the students was 21.58±26.97 students (66% were male. 44 students (30.1% had work experience (3.58±6.48 month. Male and female students had different perceptions in domains of clinical education (p<0.05. Nursing student had different perceptions as to objectives and curricula (p=0.039, how to deal with students in the clinical environment (p=0.032, supervision, and evaluation (p<0.001 with respect to their work experience duration. The most positive responses were in clinical instructor (81.5% and the most negative ones were the clinical environment (33.66%, respectively. Conclusion: Providing an optimal clinical environment and improving the supervision and evaluation of student practice should prioritized in schools of nursing and midwifery.

  16. Ethnographic nexus analysis in clinical nursing education

    DEFF Research Database (Denmark)

    Kjær, Malene


    Purpose/aim(s): Internationally, student nurses' attrition after clinical practice is an increasing problem (Hamshire, Willgoss, & Wibberley, 2012; Pilegård Jensen, 2006). A better understanding of 'becoming a nurse' as situated practice in the hospital wards might help avoid pitfalls...... in the clinical practice. Thus a thorough insight into the field is necessary in order to change it. The purpose of this paper is to show and discuss how it is possible methodologically to do ethnographic research in clinical education and how the field of clinical nursing education in the hospital wards might...... be improved after insights obtained through ethnographic research. Methods: Using nexus analysis (Scollon & Scollon, 2004, 2007) as an ethnographic framework in four Danish hospital wards, a study of the development of a professional identity among student nurses in Denmark was conducted. Scollon and Scollon...

  17. 'Difference' and nursing research. (United States)

    Horsfall, J


    In recent decades groups of non-mainstream people have named their/our strengths and used the concept of 'difference' to support this position. The pitfalls of radical individualism and of group essentialism which are likely to ensue from this focus on difference are problematic in nursing research. This paper argues that class, ethnicity and gender structure societies in which research takes place; and that common understandings of difference may unwittingly perpetuate and obscure power inequalities. Nursing researchers need to be conscious of these inequalities and ensure that research is oriented towards constructive change for the benefit of health service consumers.

  18. Survey design research: a tool for answering nursing research questions. (United States)

    Siedlecki, Sandra L; Butler, Robert S; Burchill, Christian N


    The clinical nurse specialist is in a unique position to identify and study clinical problems in need of answers, but lack of time and resources may discourage nurses from conducting research. However, some research methods can be used by the clinical nurse specialist that are not time-intensive or cost prohibitive. The purpose of this article is to explain the utility of survey methodology for answering a number of nursing research questions. The article covers survey content, reliability and validity issues, sample size considerations, and methods of survey delivery.

  19. Systematic implementation of evidence-based practice in a clinical nursing setting : a participatory action research project

    NARCIS (Netherlands)

    Friesen-Storms, Jolanda; Moser, Albine; Loo, Sandra van der; Beurskens, Anna; Bours, Gerrie


    Aims and objectives: To describe the process of implementing evidence-based practice (EBP) in a clinical nursing setting. Background: EBP has become a major issue in nursing, it is insufficiently integrated in daily practice and its implementation is complex. Design: Participatory action researc

  20. Core ethical issues of clinical nursing supervision. (United States)

    Berggren, Ingela; Barbosa da Silva, António; Severinsson, Elisabeth


    Clinical nursing supervision enables supervisees to reflect on ethically difficult caring situations, thereby strengthening their professional identity, integrating nursing theory and practice, and leading to the development of ethical competence. The aim of this study was to develop an understanding of the core ethical issues of clinical nursing supervision, using previous research as well as philosophical analysis of the theories of three moral philosophers: Harald Ofstad, Richard Hare and Carol Gilligan. The ultimate aim of this study was to develop a general model for ethical decision-making and to establish its relevance for clinical nursing supervision. The findings highlight four important values for the development of a basis for ethical decision-making. These values are caring, dignity, responsibility and virtue.

  1. [Swiss research agenda for gerontological nursing]. (United States)

    Imhof, Lorenz; Naef, Rahel; Mahrer-Imhof, Romy


    In Switzerland life expectancy is currently 84 years in women and 79 years in men. By 2030 the number of people over 80 will increase by 83% to 625 000. The need of nursing care in this population is expected to double. In order to ensure high quality care, scientific knowledge generated by nursing research is, therefore, pivotal. Within the framework of a national project, a nursing research agenda has been formulated based on a literature review, expert panels, a national survey, and a consensus conference; seven priorities for clinical nursing research for the years 2007-2017 have been developed. In the field of gerontological nursing twenty-one research priorities have been identified. They include among others interventions to support independent living and autonomy at home or the impact of new technology on nursing care of the elderly. Support for caregivers and the health of caregivers of patients with dementia have to be addressed as well as interventions for specific challenges in the elderly such as fall prevention, delirium, malnutrition, and depression. Pivotal questions in nursing research are concerned with the continuity of nursing care that exceeds institutional and professional boundaries. Moreover, it is recommended that research projects address the impact of political decisions on nursing care and provide knowledge to improve quality in nursing homes and community health care. With this article the first research agenda for gerontological nursing is presented, that is based on the seven priorities of the Swiss Research Agenda for Nursing-SRAN and in turn can be used as a basis for strategic discussion, action plans, and research projects.

  2. Nursing students’ perspectives on clinical education




    Introduction: The importance of optimal clinical nursing education in professional skills development is undeniable. In clinical education, nursing students are often faced with problems. Recognizing nursing students’ perception on clinical education is the first step to remove the barriers of this challenge. Methods: This descriptive cross-sectional study was conducted to determine the nursing students’ perspectives on clinical education. 150 nursing students were select...

  3. 77 FR 59199 - National Institute of Nursing Research; Notice of Closed Meetings (United States)


    ... HUMAN SERVICES National Institutes of Health National Institute of Nursing Research; Notice of Closed... of Committee: National Institute of Nursing Research Special Emphasis Panel; Clinical Trial Review... of Review, National Institute of Nursing Research, National Institutes of Health, 6701 Democracy...

  4. 78 FR 52938 - National Institute of Nursing Research; Notice of Closed Meeting (United States)


    ... HUMAN SERVICES National Institutes of Health National Institute of Nursing Research; Notice of Closed... of Committee: National Institute of Nursing Research Special Emphasis Panel; Multi-Site Clinical... Review, Division of Extramural Activities, National Institute of Nursing Research, National Institutes...

  5. Bullying in undergraduate clinical nursing education. (United States)

    Clarke, Colette M; Kane, Deborah J; Rajacich, Dale L; Lafreniere, Kathryn D


    Although a limited number of studies have focused on bullying in nursing education to date, all of those studies demonstrate the existence of bullying in clinical settings, where nursing students undertake a significant amount of their nursing education. The purpose of this study was to examine the state of bullying in clinical nursing education among Canadian undergraduate nursing students (N = 674) in all 4 years of their nursing program. Results suggest that nursing students experience and witness bullying behaviors at various frequencies, most notably by clinical instructors and staff nurses. Third-year and fourth-year students experience more bullying behaviors than first-year and second-year students. Implications for practice include ensuring that clinical instructors are well prepared for their role as educators. Policies must be developed that address the issue of bullying within nursing programs and within health care facilities where nursing students undertake their clinical nursing education.

  6. Designing Clinical Examples To Promote Pattern Recognition: Nursing Education-Based Research and Practical Applications. (United States)

    Welk, Dorette Sugg


    Sophomore nursing students (n=162) examined scenarios depicting typical and atypical signs of heart attack. Examples were structured to include essential and nonessential symptoms, enabling pattern recognition and improved performance. The method provides a way to prepare students to anticipate and recognize life-threatening situations. (Contains…

  7. A survey on the current research status of 761 clinical nurses%761名临床护士科研现状调查分析

    Institute of Scientific and Technical Information of China (English)

    于荣辉; 丁炎明; 朱赛楠


    Objective: To examine the current research status of clinical nurse and perceived barriers and training needs and provide the evidence for promoting nursing research development. Methods: A cross-sectional survey was completed by a self-designed questionnaire with a convenience sample of 761 clinical nurses in a general hospital in Beijing. The questionnaire included the current status of nursing research, the barriers faced when doing research, training needs about nursing research. Results: Totally 13.9% of the clinical nurses have published papers in the last five years. The age, education, years in nursing and title of the nursing staff were significantly related to their published papers (P<0.01). There were many factors influencing clinical nurses to participate research, which included working too busy, lack of research skill and knowledge, lack of guidance and lack of financial support. The main training needs included topic selection, paper writing, research design, data analyses and literature retrieval. Conclusion: The present situation of research among clinical nurses should be improved. We should build nursing research management system according to our medical system to increase the research level of clinical nurses.%目的:了解临床护士发表论文的现状及从事护理科研的困难和培训需求,为进一步采取有效措施提高临床护士科研能力提供科学依据.方法:采用便利抽样法选取北京市某“三甲”医院761名临床护士进行问卷调查.结果:临床护士近5年内发表论文比例较低,仅占13.9%,不同年龄、学历、职称及工作年限的临床护士发表论文的比例差异具有统计学意义(P<0.01).临床护士从事护理科研的主要困难为工作太忙(85.3%)、缺乏科研知识和能力(71.7%)、没有科研指导者和带头人(62.7%)及缺乏经费支持(61.0%).培训需求主要是科研选题(81.2%),其次包括论文写作(71.9%)、资料收集(68.7

  8. Undergraduate nursing students' experiences when examining nursing skills in clinical simulation laboratories with high-fidelity patient simulators: A phenomenological research study. (United States)

    Sundler, Annelie J; Pettersson, Annika; Berglund, Mia


    Simulation has become a widely used and established pedagogy for teaching clinical nursing skills. Nevertheless, the evidence in favour of this pedagogical approach is weak, and more knowledge is needed in support of its use. The aim of this study was (a) to explore the experiences of undergraduate nursing students when examining knowledge, skills and competences in clinical simulation laboratories with high-fidelity patient simulators and (b) to analyse these students' learning experiences during the examination. A phenomenological approach was used, and qualitative interviews were conducted among 23 second-year undergraduate nursing students-17 women and 6 men. The findings revealed that, irrespective of whether they passed or failed the examination, it was experienced as a valuable assessment of the students' knowledge and skills. Even if the students felt that the examination was challenging, they described it as a learning opportunity. In the examination, the students were able to integrate theory with practice, and earlier established knowledge was scrutinised when reflecting on the scenarios. The examination added aspects to the students' learning that prepared them for the real world of nursing in a safe environment without risking patient safety. The study findings suggest that examinations in clinical simulation laboratories can be a useful teaching strategy in nursing education. The use of high-fidelity patient simulators made the examination authentic. The reflections and feedback on the scenario were described as significant for the students' learning. Undergraduate nursing students can improve their knowledge, understanding, competence and skills when such examinations are performed in the manner used in this study.

  9. Investigating the productivity model for clinical nurses. (United States)

    Dehghan Nayeri, Nahid; Hooshmand Bahabadi, Abbas; Kazemnejad, Anoshirvan


    One of the main objectives of quantitative researches is assessment of models developed by qualitative studies. Models validation through their testing implies that the designed model is representative of the existed facts. Hence, this study was conducted to assess the clinical nurses' productivity model presented for Iranian nurses' productivity. The sample of the study consisted of 360 nurses of Tehran University of Medical Sciences. The research tool was a questionnaire for measuring the components of clinical nurses' productivity. After completing all steps of instrument psychometric and getting answers from the participants, the factors introduced in the questionnaire were named and then Lisrel Path Analysis tests were performed to analyze the components of the model. The results of the model test revealed there is an internal relationship among different components of the model. Regression Analysis showed that each increasing unit in components of the model was to be added to central variable of productivity model -human resource. Model components altogether explained 20 % of clinical nurses' productivity variance. This study found that the important component of productivity is human resources that are reciprocally related to other components of the model. Therefore, it can be stated that the managers can promote the productivity by using efficient strategies to correct human resource patterns.

  10. Mental health nursing research: the contemporary context. (United States)

    Crowe, Marie; Carlyle, Dave


    While the need to develop and conduct research has been prominent in mental health nursing for some time, the current funding climate in tertiary institutions has created even more pressure for research outputs. The Research Assessment Exercise is well ingrained in UK institutions, New Zealand is about to enter the second round of the Performance-based Research Funding model, and Australia is committed to a Research Quality Framework. There is much to learn from nursing departments in those countries that have already been part of the process. This paper will present a content analysis of what mental health nursing research is currently being published in nursing journals and discuss the implications of the research assessment exercises on its future. Those mental health nursing articles sampled in the study revealed a shift beginning towards more consumer-focused research was occurring but that there was a need for more research into the effectiveness of specific mental health nursing interventions. Most of the articles also reported on small-scale research. It concludes that research needs to be more clinically orientated and less profession-orientated. It also suggests a need to focus on larger-scale studies possibly situated within a collaborative research programme. These programmes need to be more collaborative both cross-institutional and cross-disciplinary.

  11. Enhancing Patient Safety Using Clinical Nursing Data: A Pilot Study. (United States)

    Choi, Jeeyae; Choi, Jeungok E


    To enhance patient safety from falls, many hospital information systems have been implemented to collect clinical data from the bedside and have used the information to improve fall prevention care. However, most of them use administrative data not clinical nursing data. This necessitated the development of a web-based Nursing Practice and Research Information Management System (NPRIMS) that processes clinical nursing data to measure nurses' delivery of fall prevention care and its impact on patient outcomes. This pilot study developed computer algorithms based on a falls prevention protocol and programmed the prototype NPRIMS. It successfully measured the performance of nursing care delivered and its impact on patient outcomes using clinical nursing data from the study site. Results of the study revealed that NPRIMS has the potential to pinpoint components of nursing processes that are in need of improvement for preventing patient from falls.

  12. Clinical Research

    DEFF Research Database (Denmark)

    Christensen, Irene


    This paper is about the logic of problem solving and the production of scientific knowledge through the utilisation of clinical research perspective. Ramp-up effectiveness, productivity, efficiency and organizational excellence are topics that continue to engage research and will continue doing s...... for years to come. This paper seeks to provide insights into ramp-up management studies through providing an agenda for conducting collaborative clinical research and extend this area by proposing how clinical research could be designed and executed in the Ramp- up management setting....

  13. Recognizing and defining clinical nurse leaders. (United States)

    Stanley, David

    This article addresses the issue of clinical leadership and how it is defined. The concepts and definitions of clinical leadership are considered as well as the results of new research that suggests that clinical leaders can be seen as experts in their field, and because they are approachable and are effective communicators, are empowered to act as a role model, motivating others by matching their values and beliefs about nursing and care to their practice. This is supported by a new leadership theory, congruent leadership, proposed as the most appropriate leadership theory to support an understanding of clinical leadership. Congruent leaders (clinical nurse leaders) are followed because there is a match between the leader's values and beliefs and their actions.

  14. Role modeling excellence in clinical nursing practice. (United States)

    Perry, R N Beth


    Role modeling excellence in clinical nursing practice is the focus of this paper. The phenomenological research study reported involved a group of 8 nurses identified by their colleagues as exemplary. The major theme revealed in this study was that these exemplary nurses were also excellent role models in the clinical setting. This paper details approaches used by these nurses that made them excellent role models. Specifically, the themes of attending to the little things, making connections, maintaining a light-hearted attitude, modeling, and affirming others are presented. These themes are discussed within the framework of Watson [Watson, J., 1989. Human caring and suffering: a subjective model for health services. In: Watson, J., Taylor, R. (Eds.), They Shall Not Hurt: Human Suffering and Human Caring. Colorado University, Boulder, CO] "transpersonal caring" and [Bandura, A., 1997. Social Learning Theory. Prentice Hall, Englewood Cliffs, NJ] "Social Learning Theory." Particular emphasis in the discussion is on how positive role modeling by exemplary practitioners can contribute to the education of clinical nurses in the practice setting.

  15. The usefulness of nursing languages to communicate a clinical event. (United States)

    Carrington, Jane M


    The purpose of this study was to explore nurses' perceptions of the strengths and limitations of standardized nursing languages in the electronic health record to communicate a clinical event. Limited examples of research exist exploring the effectiveness of the electronic health record with embedded standardized nursing languages as a communication system. Therefore, their effect of standardized nursing languages on nurse-to-nurse communication remains largely unknown. Data from a larger study were analyzed using qualitative content analysis. Fifty-seven thematic units represented nurses' perceptions of the electronic health record with NANDA, NIC, and NOC for documenting and retrieving patient information associated with a clinical event. These thematic units were further analyzed, and three categories emerged: language comprehension, inexactness of the languages, and language usefulness. Standardized nursing languages were perceived to support planning care but also posed semantic challenges and fostered inaccuracies in patient information. Standardized nursing languages may constrain nurse-to-nurse communication related to a clinical event. For languages to support nurse-to-nurse communication and avoid potential safety issues, facilities must deal with inaccuracies and semantic misunderstandings to provide safe patient care.

  16. Evaluation of Educational Goals Achievement in Fundamental Nursing Clinical Skills: Application OSCE among Senior Nursing Students in ICU


    Leila Dadvar; Ali Dadgari; Malihe Mirzaee; Maryam Rezaee


    Introduction: Clinical education is an essential component and the heart of nursing education. Nursing is a practice-based discipline and the evaluation of educational goal achievement of nursing competency is essential. The objective of this study was to identify the achievement of clinical educational goals in fundamental skills among senior nursing students in ICU. Methods: This descriptive-analytical research was conducted on 56 senior nursing students. Subjects of this study were purp...

  17. The nurse teacher's clinical role now and in the future. (United States)

    Ioannides, A P


    The role of the nurse teacher in relation to the clinical setting has been debated for 20 years, yet it has been the subject of relatively few large studies. Recent studies led to inconclusive results, hence the nurse lecturer's clinical role remains an area of long-standing dispute. Changes in nurse education United Kingdom Central Council (UKCC) and the amalgamation of nurse education into higher education as part of the Strategy for Nursing, as well as the expansion of supernumerary status for student nurses, gave impetus to the search for a new clinical role for nurse lecturers. Research suggests that nurse teachers wish to maintain clinical contact, but the nature of this contact is vigorously debated at present. Lee, in reviewing the literature, concluded that this topic is highly contentious in terms of its nature, extent and purpose. She goes as far as to suggest that there is a need for empirical research to address the question as to whether there is a role for nurse lecturers in the clinical area. This paper examines some of the factors which influence the development of the clinical aspect of the role of nurse lecturers, explains how the author performed this role and the perceived benefits to students, mentors and the lecturer. It proposes a clinical role model based on the literature and the author's own personal experience as a 'clinical liaison lecturer' since the integration of nursing education into higher education. Key points The clinical role of the nurse teacher remains an area of long standing dispute Nurse lecturers wish to maintain clinical contact and maintain clinical competence, but in reality no consensus exists as to its meaning The mentor's role can be complemented by a clinically competent nurse lecturer who arguably should be able to teach in the classroom and the practice settings Using a triangular approach to reviewing student's experience, lecturers can update their clinical knowledge, demonstrate credibility, promote education

  18. Research Issues: Nursing & Professionalization. (United States)

    Rosenfeld, Peri

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

  19. District nurse clinics: accountability and practice. (United States)

    Griffith, Richard; Tengnah, Cassam


    The numbers of district nurse clinics are continuing to grow in primary care and they provide timely and more cost effective intervention for patients. The clinics provide exciting opportunities for district nurses but also carry an increased risk of exposure to liability. This article discusses some of the key areas of accountability underpinning the duty of care of district nurses working in nurse-led clinics.

  20. Working experience of nurses using fetal irritability clinical nursing pathway: a qualitative research%护士应用胎动不安临床护理路径工作感受的质性研究

    Institute of Scientific and Technical Information of China (English)

    穆欣; 王东梅; 马丽平; 陶莎; 刘玉玲; 张春宇; 任蓁; 祝海波


    Objective To evaluate the feeling of gynecological nurses when performing the fetal irritability clinical nursing pathway(CNP).Methods 11 nurses were interviewed about working experience of nurses using fetal irritability clinical nursing pathway by applying phenomenological research method of the qualitative research.The interview results underwent analysis.Results The feeling of impatience of patients affected nurses' enthusiasm,younger nurses lacked knowledge reserve,performing CNP increased the workload of nurses,and nurses could not continue the pathway when the illness condition changed.Conclusions Some questions appear such as lacking communication and knowledge reserve,staffing shortages and prognosis of disease are not coordinated with the pathway when implementing the CNP,so training young nurses,improving communication skills,enhancing knowledge reserve and modifying the existing pathway should be implemented in order to make it fully suitable for clinical work.%目的 探讨妇科护士应用胎动不安临床护理路径的工作感受.方法 应用质性研究中的现象学研究法,针对应用胎动不安临床路径的工作感受深入访谈1 1名护士,并对访谈结果进行分析.结果 患者的不耐烦情绪会影响护士工作积极性;年轻护士知识储备欠缺;工作繁忙时,增加护士工作负担;病情发生变化时无法按照路径继续进行.结论 胎动不安临床护理路径在实施过程中出现沟通欠缺、知识储备不足、人员配备不足和疾病转归与路径不协调等情况;建议对年轻护士加强培训,提高沟通能力及专业知识储备,同时对现有路径加以修改,从而全面适合临床工作.

  1. Clinical Nursing Instructor Perception of the Influence of Engagement in Bedside Nursing Practice on Clinical Teaching (United States)

    Berndt, Jodi L.


    Clinical experiences are an integral component of nursing education. Because the amount of time that a student spends in clinical experiences can be as many as twelve to sixteen hours per week, the clinical instructor plays a significant role in the nursing student's development of nursing knowledge. Many nurse educators attempt to balance dual…

  2. Qualitative research of effective teaching behaviors in clinical nursing teachers%临床护理教师有效教学行为的质性研究

    Institute of Scientific and Technical Information of China (English)

    赵杰刚; 陈士芳; 李转珍


    The researchers collected feedback of 364 nursing interns. Based on the written material of internship description, qualitative inductive analysis was applied to the collected data with reference to Grounded Theory Method. The results revealed that the effective teaching behavior in clinical nursing teachers was composed of three categories and thirteen conceptions, which were establishment of trust relationship (four conceptions), impartment of knowledge and skills (four conceptions) and presentation of nursing behavior (five conceptions). We believed effective teaching behaviors of clinical nursing teachers could render nursing interns a high quality internship environment, and lay solid foundation for nursing interns' knowledge learning, nursing skills acquirement and occupational enthusiasm cultivation.%收集364名实习护生的实习感想,以其实习感想中的描述为文字资料,参考扎根理论方法对收集的资料进行质性归纳式分析.荻取临床护理教师有效教学行为有信赖关系的建立(4个种概念)、知识技能的传授(4个种概念)、护理行为的展示(5个种概念)3个类概念和13个种概念.提出临床护理教师的有效教学行为可为护生提供一个高品质的实习环境,为护生学习护理知识、掌握护理技能、培养职业情感奠定基础.

  3. Nursing research of cupping therapy on clinical application%拔罐疗法在临床应用中的护理研究

    Institute of Scientific and Technical Information of China (English)



    Cupping therapy is more and more popular in medical applications. Literatures of cupping therapy are summarized from the perspective of nursing in this paper. Common clinical application of cupping therapy and common nursing interventions are overviewed. Based on the research, there is an overall understanding to the application of cupping therapy on nursing.%拔罐疗法在医学上的应用越来越广泛,文章从护理的角度对拔罐疗法的文献进行归纳,概述了拔罐疗法常见的临床应用以及常用的护理措施,以对拔罐疗法在护理中的应用有整体的认识。

  4. Rheumatology outpatient nurse clinics: a valuable addition?

    NARCIS (Netherlands)

    Temmink, D.; Hutten, J.B.F.; Francke, A.L.; Rasker, J.J.; Huijer Abu-Saad, H.; Zee, J. van der


    Objectives: "Transmural rheumatology nurse clinics," where nursing care is provided under the joint responsibility of a home care organization and a hospital, were recently introduced into Dutch health care. This article gives insight into outcomes of the transmural rheumatology nurse clinics. Metho

  5. Teaching Nursing Leadership: Comparison of Simulation versus Traditional Inpatient Clinical. (United States)

    Gore, Teresa N; Johnson, Tanya Looney; Wang, Chih-hsuan


    Nurse educators claim accountability to ensure their students are prepared to assume leadership responsibilities upon graduation. Although front-line nurse leaders and nurse executives feel new graduates are not adequately prepared to take on basic leadership roles, professional nursing organizations such as the American Nurses Association (ANA) and the Association of Colleges of Nursing (AACN) deem leadership skills are core competencies of new graduate nurses. This study includes comparison of a leadership-focused multi-patient simulation and the traditional leadership clinical experiences in a baccalaureate nursing leadership course. The results of this research show both environments contribute to student learning. There was no statistical difference in the overall score. Students perceived a statistically significant difference in communication with patients in the traditional inpatient environment. However, the students perceived a statistical significant difference in teaching-learning dyad toward simulation.

  6. Emergence of Nordic Nursing Research

    DEFF Research Database (Denmark)

    Larsen, Kristian


    . With use of a sociological approach the aim was to explore whether nursing science has constituted itself as an autonomous nursing research field in Bourdieu's terms. In-depth interviews were undertaken with a purposive sample of 10 professors drawn from seven universities in the Nordic countries...

  7. Measurement of Clinical Performance of Nurses: A Literature Review. (United States)

    Robb, Yvonne; Fleming, Valerie; Dietert, Christine


    A research review (n=12) yielded a number of tools for assessing nurses' clinical competence but none that is universally accepted. The review did identify methods that could be used to develop a useful instrument. (Contains 23 references.) (SK)

  8. 参与性行动研究在临床护士分层级继续教育培训中的应用%Application of participatory action research in hierarchical continuing nursing education for clinical nurses

    Institute of Scientific and Technical Information of China (English)

    赵书敏; 辛霞; 侯荣丹; 辛华; 李晓梅; 李源


    目的 探讨参与性行动研究在临床护士分层级培训中的应用及其效果.方法 采用目的 整群抽样的方法选取符合入选标准的50个病房832名临床护士及参与本研究的5名继续教育教师作为研究参与者.采用参与性行动研究方法实施分层级继续教育培训,研究组成员与参与者一起预先找出存在及要解决的问题,发现可能的原因和可行的干预措施,从而达成对问题和原因的新共识,对变革过程进行计划,通过参与促发有效的变革而改善临床护士参与继续教育培训的积极性及效果.结果 实施分层级继续教育培训后,培训覆盖率由92.5%上升到100%,认为自己有必要接受培训的护士由67.3%上升到88.9%,对培训的满意率由48.5%上升到62.4%,认为接受培训时有压力由70.5%降至41.7%,临床护士的理论及操作考核合格率逐年提高(均P<0.01).结论 参与性行动研究能够有效改善临床护士参加培训的主动性及对培训的满意度,明显提高培训效果.%Objective To investigate the effect of participatory action research used in hierarchical continuing nursing education for clinical nurses. Methods A purposeful and cluster sampling method was used to choose 832 nurses from 50 wards, and 5 full-time teachers were designated to give continuing nursing education. Participatory action research method was implemented in hierarchical continuing nursing education. During the study, nurses and teachers cooperated to find out problems in education program, explored reasons and feasible intervention measures, reached a consensus on the problems and reasons, made plans for innovation,participated and boosted effective innovation to improve nurses'enthusiasm for continuing nursing education. Results After implementation of participatory action research in continuing nursing education, the training coverage was increased from 92.5% to 100 %; the percentage of nurses who convinced that they

  9. Differentiating between a consultant nurse and a clinical nurse specialist. (United States)

    Maylor, Miles

    With the introduction of nurse consultants, and regulation of the use of the designation 'specialist nurse', experienced practitioners such as clinical nurse specialists have seen their position eroded. Nurse consultants are a new NHS-employment category, and are expected to be at the top rank of the profession both in status and in salary. However, this article argues that nurses at various levels have the same core functions, and that these do not differ for nurse consultants. Distinguishing between practitioners that might have the same job description could be better done by measuring outcomes. More care needs to be taken over the use of words such as 'expert', which is used differently in different contexts, and it is suggested that competencies be developed by which to measure the effects of expertise. Although nurse consultant appointments are often driven by various political directives and they are employed to meet local and national priorities, difficult issues need to be faced. First, if nurse consultant jobs are the top of the clinical career ladder, will clinical nurse specialists (CNSs) need to accept a lower rung on it? Further, perhaps the title CNS should become obsolete or be regulated? Can CNSs claim parity of pay using the 'Agenda for Change' framework?

  10. Statistics used in current nursing research. (United States)

    Zellner, Kathleen; Boerst, Connie J; Tabb, Wil


    Undergraduate nursing research courses should emphasize the statistics most commonly used in the nursing literature to strengthen students' and beginning researchers' understanding of them. To determine the most commonly used statistics, we reviewed all quantitative research articles published in 13 nursing journals in 2000. The findings supported Beitz's categorization of kinds of statistics. Ten primary statistics used in 80% of nursing research published in 2000 were identified. We recommend that the appropriate use of those top 10 statistics be emphasized in undergraduate nursing education and that the nursing profession continue to advocate for the use of methods (e.g., power analysis, odds ratio) that may contribute to the advancement of nursing research.

  11. Using narrative in nursing research


    Joyce, Maria


    Narrative is a term used in everyday life and whilst it can relate to the narration, the telling of a story, it is also an increasingly popular research method. This article explores where narrative can be located within nursing research and practice, and goes on to evaluate the use of narrative as a research method.

  12. [Nursing research and positivism]. (United States)

    de Almeida, A M; de Oliveira, E R; Garcia, T R


    The authors discuss positivism foundations; the most remarkable influences to comtian's philosophy structuration; how Comte's ideas, as doctrine in so far as method, dominate society's thoughts, passing beyond XIX century and reaching XX century; and how the positivist doctrine and empirical method influenced Nursing conceptions about science and about human being/environment/disease.

  13. 临床护理和护理科研中Meta分析法应用现状的文献分析%Current application of meta-analysis in clinical nursing and nursing scientific research in China

    Institute of Scientific and Technical Information of China (English)

    常婷; 赵婷; 陶学梅; 潘凌蕴


    目的 对近10年Meta分析法在国内护理临床和科研中的应用现状进行研究.方法 采用计算机检索和手工检索相结合的方法,检索2003年1月至2013年1月万方数据资源系统、中国知网(CNKI)、中文科技期刊数据库(VIP)、中文生物医学期刊数据库(CMCC)收录的国内所有涉及护理临床和科研应用的Meta分析文章,2位评估者独立提取数据,应用OQAQ量表进行质量评价.结果 纳入21篇合格文献,其中专科护理实践16篇,护理教育5篇.纳入文献中,资料检索和缺乏研究真实性评价是主要缺陷.结论 应用Meta分析可以汇总同类护理研究的不同研究结果,目前许多护理领域Meta分析的应用仍是空白,护理工作可以应用这种分析方法提高护理学科研水平.%Objective To understand current application of meta-analysis in clinical nursing and nursing scientific research in China in recent ten years.Methods The literature which concerned application of meta-analysis in clinical nursing and nursing scientific research in China in recent ten years,and was published in January 2003 through January 2013,were retrieved from Wanfang Database,CNKI,VIP,CMCC manually or through computer aided methods.Two researchers extracted data independently and assessed the quality of the included literature with the Oxman-Guyatt Overview Quality Assessment Questionnaire (OQAQ).Results Twenty-one papers met the inclusion and exclusion criteria,with 16 papers concerning specialized advanced nursing practice,the others concerning nursing education.The major defects of the included literature dwelled in inadequate literature searches and absence of validity assessment of studies.Conclusion Meta-analysis could gather different findings from the same kind of nursing research.At present,the application of meta-analysis in many nursing areas is still blank in China.Nursing staff could make use of this analytical method to improve the level of nurse research.

  14. Integrative reviews of nursing research. (United States)

    Ganong, L H


    Integrative reviews of research are a valuable part of the process of creating and organizing a body of literature. It has been argued that integrative reviews should be held to the same standards of clarity, rigor, and replication as primary research. In this paper methods for conducting an integrative review are discussed. Seventeen reviews from nursing journals were examined and compared with a proposed set of criteria for reviews. The results indicated that the majority of integrative reviews in nursing fell short of primary research standards. Guidelines for conducting more rigorous reviews are presented.

  15. Competence of novice nurses: role of clinical work during studying. (United States)

    Manoochehri, H; Imani, E; Atashzadeh-Shoorideh, F; Alavi-Majd, A


    Aim: Clinical competence is to carry out the tasks with excellent results in a different of adjustments. According to various studies, one of the factors influencing clinical competence is work experience. This experience affects the integrity of students' learning experience and their practical skills. Many nursing students practice clinical work during their full-time studying. The aim of this qualitative research was to clarify the role of clinical work during studying in novice nurses' clinical competence. Methods: This qualitative content analysis performed with the conventional approach. All teaching hospitals of Hormozgan University of Medical Sciences selected as the research environment. To collect data, deep and semi-structured interviews, presence in the scene and manuscripts used. To provide feedback for the next release and the capacity of the data, interviews were transcribed verbatim immediately. Results: 45 newly-graduated nurses and head nurses between 23 and 40 with 1 to 18 years of experience participated in the study. After coding all interviews, 1250 original codes were derived. The themes extracted included: task rearing, personality rearing, knowledge rearing, and profession rearing roles of clinical work during studying. Conclusion: Working during studying can affect performance, personality, knowledge, and professional perspectives of novice nurses. Given the differences that may exist in clinical competencies of novice nurses with and without clinical work experience, it is important to pay more attention to this issue and emphasize on their learning in this period.

  16. Orthopaedic nurses' perception of research utilization - A cross sectional survey

    DEFF Research Database (Denmark)

    Berthelsen, Connie Bøttcher; Hølge-Hazelton, Bibi


    The call for evidence-based knowledge in clinical nursing practice has increased during recent decades and research in orthopaedic nursing is needed to improve patients' conditions, care and treatment. A descriptive cross-sectional survey was conducted to determine the self-perceived theoretical...... knowledge and practical research competencies among orthopaedic nurses and their interest and motivation to increase these in everyday practice. A newly developed questionnaire was given to a convenience sample of 87 orthopaedic nurses. Forty three orthopaedic nurses (49.4%) completed the questionnaire....... The results indicated that despite the majority of orthopaedic nurses having low self-perceived theoretical knowledge and practical research competencies, their interest and motivation to improve these were high, especially their inner motivation. However, the nurses' inner motivation was inhibited by a lack...

  17. Investigation and research on the training demand among new clinical nurses%临床新护士培训需求调查

    Institute of Scientific and Technical Information of China (English)

    赵丽萍; 罗碧华


    (77.1%),communication skills (74,6%),nursing etiquette and ethics (58.5%).There were 7 items in professional quality training that were most highly accepted:specialist knowledge of diseases (88.1%),specialized English (85.6%),the operation and maintenance of medical apparatus (82.2%),dealing of medical conflicts (78.8%),nursing paper writing (76.3%),specialist care operation (76.3%),nursing procedure and nursing management (74.6%).New clinical nurses of different standards of culture had statistically significant differences in their requirement of comprehensive training in clinical adaptation ability,information and knowledge obtain (Z =-4.484,-2.724,respectively; P < 0.01).New clinical nurses of different standards of culture had statistically significant differences in their requirement of professional training in professional quality,nursing paper writing,clinical teaching skills,lecture skills,nursing scientific research and nursing management (Z =-2.236,-2.166,-2.406,-2.295,-3.676,-2.871,respectively ; P < 0.05).Conclusions Training for new nurses should set up reasonable courses according to their requirement for knowledge,in order to improve their nursing skills from all aspects.

  18. Using narrative in nursing research. (United States)

    Joyce, Maria


    Narrative is a term used in everyday life. While it refers to a spoken or written account or story, it is also an increasingly popular research method. This article explores the role of narrative in nursing research and practice, and evaluates the use of narrative as a research method. Narrative is the study of how humans experience the world and how they interpret this experience. It can be an excellent research method to expand understanding of healthcare provision and individual patient experience.

  19. [Clinical nursing manpower: development and future prospects]. (United States)

    Lin, Chiou-Fen; Kao, Ching-Chiu


    The significant changes in nursing manpower utilization in Taiwan over the past two decades are due in large part to the implementation of the National Health Insurance program and the rising need for long-term care. The changes have impacted clinical nursing manpower utilization in two important ways. Firstly, there has been a substantial increase in overall demand for nursing manpower. In particular, the need for clinical nurses has nearly quadrupled during this time period. Secondly, the level of difficulty involved in patient care has risen dramatically, with factors including increased disease severity and increased care quality expectations, among others. These changes, coupled with demands on nursing manpower imposed from other sectors, underpin and further exacerbate the problem of nursing manpower shortages throughout the healthcare system. To raise the quality of the nursing work environment, the Ministry of Health and Welfare (MOHW) brought together Taiwan's key professional nursing organizations to promote 10 care-reform strategies, establish the nursing-aid manpower system, and create the nursing classification system as an approach to effectively attract nurses to take positions in the medical system.

  20. Clinical Research and Clinical Trials (United States)

    ... NICHD Publications Data Sharing and Other Resources Research Clinical Trials & Clinical Research Skip sharing on social media links ... health care providers, and researchers. Find NICHD-Supported Clinical Trials Use this link to find a list of ...

  1. Nursing students' views of clinical competence assessment. (United States)

    Bradshaw, Carmel; O'Connor, Maureen; Egan, Geraldine; Tierney, Katie; Butler, Mary Pat; Fahy, Anne; Tuohy, Dympna; Cassidy, Irene; Quillinan, Bernie; McNamara, Mary C

    This paper reports on some outcomes of a research study evaluating a new assessment framework of clinical competence used in undergraduate nursing programmes in the Mid West Region of Ireland. First, this paper presents both the strengths and weaknesses of the present model, as articulated by student nurses. Second, it generates a broader critical debate around the concept of competency assessment. The model of competence in question was developed by the Irish Nursing Board then elaborated on by the University of Limerick in partnership with local health service providers in 2002. Methodology involved a triangulated approach, comprising a series of focus group interviews with students (n=13) and preceptors (n=16) followed by a survey of students (n=232) and preceptors (n=837). Findings from the student focus groups are reported here. Themes identified using Burnard's (1991) framework for analysis are preparation for competency assessment, competency documentation, supporting assessment in practice, organisational and resource factors and the competency assessment structure and process. Results from this research have implications for refinement and revision of the present competency assessment framework, for student and staff preparation and for collaboration between stakeholders.

  2. Benefits of nurse teachers returning to clinical practice. (United States)

    Glossop, D; Hoyles, A; Lees, S; Pollard, C

    This article outlines an action research study developed to facilitate nurse teachers returning to clinical practice. The article explores how the teachers established partnerships with clinicians through which they were able to share the experience of returning to an area of nursing that they had previously only visited. It discusses four categories: expectations of self and others; entering someone else's world; more awareness of student needs; and teaching theory and practising nursing. These categories emerged following the analysis of journals, focus group interviews and individual interviews and led to a number of recommendations concerning the implications for other teachers wishing to return to clinical practice.

  3. Clinical judgement within the South African clinical nursing environment: A concept analysis

    Directory of Open Access Journals (Sweden)

    Anna C. van Graan


    The findings emphasized clinical judgement as skill within the clinical nursing environment, thereby improving autonomous and accountable nursing care. These findings will assist nurse leaders and clinical nurse educators in developing a teaching-learning strategy to promote clinical judgement in undergraduate nursing students, thereby contributing to the quality of nursing care.

  4. Preferred information sources for clinical practice by nurses

    Directory of Open Access Journals (Sweden)

    Figen Çalışkan


    Full Text Available The aim of this study was to determine the knowledge sources that nurses working in inpatient treatment institutions use in their practices. It is inevitable for nurses to base their nursing practices on evidence from knowledge sources in order to improve the quality of nursing care. In this context, it is necessary for the nurses to gain skill in using knowledge sources effectively during their basic education and to further develop this skill after graduation in order provide qualified and safe care. This study utilised descriptive design. The study sample consisted of 296 nurses who work in general training and research hospitals that serve in all regions of Istanbul and are subsidiary to the Ministry of Health. A demographic questionnaire and a Knowledge Source Scale for nurses were used for data collection. Data were analysed with Cruncher Statistical System (NCSS 2007&2008 Statistical Software (Utah USA package programme. The following figures are from the demographic questionnaires: mean age of study participants, 31.69±6.03 years; females, 91.6%; married, 65.2%; bachelor’s degree, 39.9%; worked in surgical units, 56.8%; and worked as clinic nurse, 74.7%. One of the main knowledge sources used in nursing practice is the knowledge acquired in nursing school. Basic nursing education plays an ongoing role as a source of practice knowledge. These knowledge sources should be renewed and updated with continuing education courses or short-term training programs. This research can be used to guide development of continuing education programs and underscores the sources of knowledge about general nursing practice. This study can serve as an impetus to further study the use and highlight education needs of practicing nurses.

  5. Clinical Trials and the Role of the Oncology Clinical Trials Nurse. (United States)

    Ness, Elizabeth A; Royce, Cheryl


    Clinical trials are paramount to improving human health. New trial designs and informed consent issues are emerging as a result of genomic profiling and the development of molecularly targeted agents. Many groups and individuals are responsible for ensuring the protection of research participants and the quality of the data produced. The specialty role of the clinical trials nurse (CTN) is critical to clinical trials. Oncology CTNs have competencies that can help guide their practice; however, not all oncology clinical trials are supervised by a nurse. Using the process of engagement, one organization has restructured oncology CTNs under a nurse-supervised model.

  6. Responsive Assessment: Assessing Student Nurses' Clinical Competence. (United States)

    Neary, Mary


    A study involving 300 nursing students, 155 nurse practitioners, and 80 assessors tested a model of responsive assessment that includes identification of learning needs and potential, assignment to suitable placements, continuous assessment of clinical practice and patient care, and alignment of teaching and assessment with patient needs and…

  7. Using Video Ethnography in Clinical Nurse Education

    DEFF Research Database (Denmark)

    Kjær, Malene; Sørensen, Erik Elgaard; Raudaskoski, Pirkko Liisa


    Training to become a nurse involves education in the clinical practice in hospital wards. It is a multifaceted and complex arena in which the student nurses not only have to learn about medical encounters but also how to interact with colleagues as well as patients and their families. By using...

  8. Mixed-Method Nursing Research: "A Public and Its Problems?" A Commentary on French Nursing Research. (United States)

    Dupin, Cécile Marie; Debout, Christophe; Rothan-Tondeur, Monique


    Nursing in France is undergoing a transition. In 2009, the preregistration nursing education program was reformed in line with the European Bologna Process, bringing nursing education to the universities. In 2010, the French Programme Hospitalier de Recherche Infirmière, the first national French nursing research funding program, was launched by the French Health Ministry. Of the 149 French research proposals submitted by registered nurses in 2010 and 2011, 13 were mixed-method proposals. The registered nurse principal investigator argued for a complementary use of qualitative and quantitative methods. These trends highlight major issues regarding mixed-method and nursing research. We can reasonably assume that mixed-method research has a broad appeal for nurse scholars, particularly for the exploration of complex phenomena related to nursing. Moreover, the recent movement in the domain of nursing education and research experienced in France highlights the need for dedicated research education in the development of nursing research capacity.

  9. A conceptual framework of clinical nursing care in intensive care

    Directory of Open Access Journals (Sweden)

    Rafael Celestino da Silva


    Full Text Available Objective: to propose a conceptual framework for clinical nursing care in intensive care.Method: descriptive and qualitative field research, carried out with 21 nurses from an intensive care unit of a federal public hospital. We conducted semi-structured interviews and thematic and lexical content analysis, supported by Alceste software.Results: the characteristics of clinical intensive care emerge from the specialized knowledge of the interaction, the work context, types of patients and nurses characteristic of the intensive care and care frameworks.Conclusion: the conceptual framework of the clinic's intensive care articulates elements characteristic of the dynamics of this scenario: objective elements regarding technology and attention to equipment and subjective elements related to human interaction, specific of nursing care, countering criticism based on dehumanization.

  10. Professional nurses as reflective clinical learning facilitators

    Directory of Open Access Journals (Sweden)

    M. Chabell


    Full Text Available With the rapid changes taking place in the country, including the education system in general and nursing education in particular, the role of professional nurses as reflective clinical learning facilitators need to be re-visited in order to meet the changing health needs of the communtiy and to facilitate outcome- based nursing education and evidence-based quality nursing care. The purpose of this paper is to explore and describe the perceptions of professional nurses as reflective clinical learning facilitators in the clinical learning units, within the context of a specific health-care service in Gauteng. A phenomenological method using descriptive naïve sketches was used to collect data from twenty professional nurses complying with certain inclusion criteria. A content analysis was performed and eight categories (main concepts were identified in order of priority as follows: communication/collaboration; role-modelling; continuous assessment and evaluation; up-to-date knowledge; scientific approach; clinical teaching; management and professionalism. After a literature control was conducted, these main concepts were confirmed. It is recommended that a model to facilitate reflective thinking in clinical nursing education be developed, using these concepts as basis for the provisional conceptual framework.

  11. Registered nurses' perceptions of new nursing graduates' clinical competence: A systematic integrative review. (United States)

    Missen, Karen; McKenna, Lisa; Beauchamp, Alison


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

  12. Clinical update on nursing home medicine: 2013. (United States)

    Messinger-Rapport, Barbara J; Gammack, Julie K; Thomas, David R; Morley, John E


    This is the seventh article in the series of Clinical Updates on Nursing Home Care. The topics covered are antiresorptive drugs, hip fracture, hypertension, orthostatic hypotension, depression, undernutrition, anorexia, cachexia, sarcopenia, exercise, pain, and behavioral and psychological symptoms of dementia.

  13. Clinical research 6: writing and research. (United States)

    Endacott, Ruth


    This six-part research series is aimed at clinicians who wish to develop research skills, or who have a particular clinical problem that they think could be addressed through research. The series aims to provide insight into the decisions that researchers make in the course of their work, and to also provide a foundation for decisions that nurses may make in applying the findings of a study to practice in their own Unit or Department. The series emphasises the practical issues encountered when undertaking research in critical care settings; readers are encouraged to source research methodology textbooks for more detailed guidance on specific aspects of the research practice.

  14. Sampling Challenges in Nursing Home Research (United States)

    Tilden, Virginia P.; Thompson, Sarah A.; Gajewski, Byron J.; Buescher, Colleen M.; Bott, Marjorie J.


    Background Research on end-of-life care in nursing homes is hampered by challenges in retaining facilities in samples through study completion. Large-scale longitudinal studies in which data are collected on-site can be particularly challenging. Objectives To compare characteristics of nursing homes that dropped from study to those that completed the study. Methods 102 nursing homes in a large geographic 2-state area were enrolled in a prospective study of end-of-life care of residents who died in the facility. The focus of the study was the relationship of staff communication, teamwork, and palliative/end-of-life care practices to symptom distress and other care outcomes as perceived by family members. Data were collected from public data bases of nursing homes, clinical staff on site at each facility at two points in time, and from decedents’ family members in a telephone interview. Results 17 of the 102 nursing homes dropped from the study before completion. These non-completer facilities had significantly more deficiencies and a higher rate of turnover of key personnel compared to completer facilities. A few facilities with a profile typical of non-completers actually did complete the study after an extraordinary investment of retention effort by the research team. Discussion Nursing homes with a high rate of deficiencies and turnover have much to contribute to the goal of improving end-of-life care, and their loss to study is a significant sampling challenge. Investigators should be prepared to invest extra resources to maximize retention. PMID:23041332

  15. Status research on stressors of clinical dual-qualification nursing teachers%临床护理双师型教师压力源现状分析

    Institute of Scientific and Technical Information of China (English)

    吴友凤; 沈军


    目的 调查临床护理双师型教师主要压力源及压力程度,为采取减压措施提供依据.方法 采用自制问卷,对452名护理双师进行调查.结果 与工作负荷相关的压力源最为严重;排序前5位的压力源为要搞科研、提职称;没有时间为教学做准备;临床护理工作压力大、责任重;教学要求高、变化快;担心工作中出现差错事故.不同年龄、护龄、技术职称、行政职务及婚姻状况对压力的影响有显著差异(P<0.01);护理双师中工作高度疲倦感的人占42.7%.结论 护理双师的压力不容忽视,护理管理者应关注其主要压力源,根据护理双师的个体特征,采取针对性减压措施,减少主要压力源事件的发生.%Objective To understand the stress of clinical dual-qualification nursing teachers, and provide the basis of relief measures for the relevant departments and dual-qualification nursing teachers. Methods 452 teachers were investigated by self-made questionnaire. Results Stress related to workload was the most serious. The higher average in stress was followed by making scientific researches and professional title, no time to prepare for teaching, high pressure and responsibility of clinical work, rigid demands on teaching and rapid changes in this field, worrying about an accident at work. There were significant differences in different age groups, length of service as a nurse,technical job titles, administrative duties and marital status ( P < 0. 01 ). The such teachers of height job burnout accounted for 42. 7%. Conclusions The pressure of clinical dual-qualification nursing teachers can not be ignored. The relevant departments should pay attention to the major stressors, take targeted decompression measures according to the individual characteristics.

  16. Curriculum Revolution: Reconceptualizing Clinical Nursing Education. (United States)

    Lindeman, Carol A.


    While the clinical competence of the nurse is taking on greater importance, the clinical laboratory settings are changing in ways that detract from their suitability for use in entry-level programs. Initial consideration of the health care setting reveals several paradoxes that must be resolved if clinical education is to be affected. (JOW)

  17. Transforming a conservative clinical setting: ICU nurses' strategies to improve care for patients' relatives through a participatory action research. (United States)

    Zaforteza, Concha; Gastaldo, Denise; Moreno, Cristina; Bover, Andreu; Miró, Rosa; Miró, Margalida


    This study focuses on change strategies generated through a dialogical-reflexive-participatory process designed to improve the care of families of critically ill patients in an intensive care unit (ICU) using a participatory action research in a tertiary hospital in the Balearic Islands (Spain). Eleven professionals (representatives) participated in 11 discussion groups and five in-depth interviews. They represented the opinions of 49 colleagues (participants). Four main change strategies were created: (i) Institutionally supported practices were confronted to make a shift from professional-centered work to a more inclusive, patient-centered approach; (ii) traditional power relations were challenged to decrease the hierarchical power differences between physicians and nurses; (iii) consensus was built about the need to move from an individual to a collective position in relation to change; and (iv) consensus was built about the need to develop a critical attitude toward the conservative nature of the unit. The strategies proposed were both transgressive and conservative; however, when compared with the initial situation, they enhanced the care offered to patients' relatives and patient safety. Transforming conservative settings requires capacity to negotiate positions and potential outcomes. However, when individual critical capacities are articulated with a new approach to micropolitics, transformative proposals can be implemented and sustained.

  18. Philosophic analysis of a theory of clinical nursing. (United States)

    Schafer, P J


    Knowledge in nursing requires development of theories that address both the science and art of the professional practice discipline. "A Theory of Clinical Nursing" was analyzed to explicate the epistemologic dimensions within an historic perspective. Epistemologic dimensions defined by the philosophy of science--approaches to theory development, sources of knowledge, and methodology--were characterized from two perspectives, scientific inquiry and historicism. The major perspectives in the scientific mode, namely, mechanism, empiricism, logical positivism, and logical empiricism, were analyzed along the three dimensions of theory development, sources of knowledge, and methodology. Trends in theoretical developments in nursing were related to the scientific and historic perspectives and to the epistemologic dimensions. Juxtaposing the diversity of knowledge required for nursing science and practice, and the values systems of the practitioners, revealed the inadequacy of the scientific model. Nursing knowledge explication required several modes of inquiry to articulate the scientific basis of the discipline and the art of delivery of the practice. The historicist approach framed scientific work with the prevailing World View. The Rubin theory was located within the matrix of approaches to inquiry and perspectives in nursing science. Labeled by the theorist as both a nursing research and a nursing care model, "A Theory of Clinical Nursing" represented a transition model of nursing, undergirded by the major conceptualizations and methodologies of field, psychoanalytic, and social behaviorist traditions, but implicitly coalescing the art with the science of nursing. The theory addressed core concepts of person, situation, and nursing care, as well as major process themes of change and interaction. Nursing theories of a more narrow range, such as maternal role attainment and maternal identity, nested within the theory, while subsequent theoretical clarifications and

  19. Creative classroom strategies for teaching nursing research. (United States)

    Phillips, Regina Miecznikoski


    Faculty are constantly challenged to find interesting classroom activities to teach nursing content and engage students in learning. Nursing students and graduates need to use research skills and evidence-based practice as part of their professional care. Finding creative and engaging ways to teach this material in undergraduate nursing programs are essential. This article outlines several successful strategies to engage nursing students in research content in the time and space constraints of the classroom.

  20. [Domains in the clinical practice of Clinical Nursing Experts in Germany and their correspondence with the internationally described "Advanced Nursing Practice"]. (United States)

    Mendel, Simon; Feuchtinger, Johanna


    In spite of a growing trend toward academic education and increasing numbers of "nursing experts" functioning as change agents in Germany, actual nursing experts as in the internationally described Advanced Nursing Practice (ANP) are scarce. Drawing from a ten-year experience in implementing the international concept, the University Hospital Freiburg (UKF), Germany, constitutes a notable exception, as it presently employs ten clinically practicing nursing experts. Based on this background of educating nursing experts, this presentation aims at describing the implementation of the nursing expert's role and its fit and conformance with the international ANP. A 3-stage Delphi design was used for interviewing all the nursing experts at the hospital (n = 10) about their expert opinions; in addition, all nursing managers (n = 7) as well as unit and team leaders (n = 49) were asked about their opinion to relevant functions and domains of nursing experts. The following clinical practice domains of nursing experts were identified: Direct patient care, patient education, support and supervision of nurses, maintenance and expansion of professional skills and knowledge of the nursing staff, counselling of managers, quality assurance and organizational development, theory to practice transfer, nursing research, maintenance of own professional skills and knowledge and continuing education, and publicity work. Additionally, a three-year nursing education, a longer lasting professional experience, a degree in nursing science or nursing education, and specialist skills in the respective area of expertise were identified as credentials for nursing expert practice. The nursing expert concept at UKF shows elements of the international ANP with similarities to the role of a Clinical Nurse Specialist.

  1. Course strategies for clinical nurse leader development. (United States)

    Gerard, Sally; Grossman, Sheila; Godfrey, Marjorie


    The scope of the clinical nurse leader (CNL) is evolving in practice across the country. The preparation of this pivotal role in a complex healthcare environment has prompted the collaboration of nurse academics, nurse administrators, and clinicians to design unique educational experiences to maximize best practice. Knowledge attained regarding healthcare improvement and patient safety must not only be theoretical, but personal and application focused. Utilizing the American Association of Colleges of Nursing's CNL white paper and published resources faculty developed a clinical leadership course focused on active learning and reflection. Students explore concepts of improvement and quality related to business models of high functioning organizations including healthcare. Three key components of the course are described in detail; "quality is personal", executive interviews and the "5P" clinical microsystems assessment. Evaluation outcomes are discussed. Course content and innovative teaching/learning strategies for CNL are shared which may support the growth of CNL program development nationally.

  2. Developing a center for nursing research: an influence on nursing education and research through mentorship. (United States)

    Krause-Parello, Cheryl A; Sarcone, Annaruth; Samms, Kimika; Boyd, Zakiya N


    Nursing research, education, and mentoring are effective strategies to enhance and generate nursing knowledge. In order to explore new opportunities using an international and interdisciplinary approach, a Center for Nursing Research (CNR) was developed at Kean University a public institution for higher education in the United States. At the CNR, nursing professionals and students collaborate in all aspects of nursing education and the research process from a global perspective and across disciplines. The advancement of knowledge and understanding is of absolute importance to the field of nursing and other collaborative fields. The CNR functions to educate nursing faculty and students through scholarly activities with an ongoing commitment to nursing education and research. Mentorship in nursing education and research fosters professional, scholarly, and personal growth for both the mentor and mentee. The CNR serves as a model vehicle of applied, functional mentoring strategies and provides the venue to allow the mentor and mentee to collaborate in all aspects of nursing education and research.

  3. Effect of Clinical Teaching Associate Model on Nursing Students' Clinical Skills and Nurses' Satisfaction. (United States)

    Rahnavard, Zahra; Eybpoosh, Sana; Alianmoghaddam, Narges


    Abstract Background and Objectives: The credit of the practice nurses in developing countries, due to gap between theory and practice in nursing education and health care delivery has been questioned by nursing professionals. Therefore, the aims of this study were to investigate the effectiveness of the application of the CTA model in nursing students' clinical skills and to assess the participants' (faculty members, staff nurses, and nursing students) level of satisfaction with the CTA model and with achieving the educational goals in Iran, as a developing country. Methods and Materials: In this experimental study, random sampling was used to assess 104 nursing students' clinical skills, and assess 6 faculty members and 6 staff nurses. After obtaining informed consent, the level of satisfaction was evaluated by a questionnaire and clinical skills were evaluated by standard checklists. Data were assessed and analyzed with SPSS version 15. Results: The results showed that the mean scores of all clinical skills of the students were significantly higher after intervention (pskills in nursing students in Iran as a developing country. Therefore, application of the method is recommended in clinical nursing education systems of such counties.

  4. Nurse educators’ perceptions of OSCE as a clinical evaluation method

    Directory of Open Access Journals (Sweden)

    MM Chabeli


    Full Text Available The South African Qualifications Authority, and the South African Nursing Council are in pursuit of quality nursing education to enable the learners to practise as independent and autonomous practitioners. The educational programme should focus on the facilitation of critical and reflective thinking skills that will help the learner to make rational decisions and solve problems. A way of achieving this level of functioning is the use of assessment and evaluation methods that measure the learners’ clinical competence holistically. This article is focused on the perceptions of twenty nurse educators, purposively selected from three Nursing Colleges affiliated to a university in Gauteng, regarding the use of OSCE (Objective Structured Clinical Examination as a clinical evaluation method within a qualitative and descriptive research strategy. Three focus group interviews were conducted in different sessions. A descriptive content analysis was used. Trustworthiness was ensured by using Lincoln and Guba’s model (1985. The results revealed both positive and negative aspects of OSCE as a clinical evaluation method with regard to: administrative aspects; evaluators; learners; procedures/instruments and evaluation. The conclusion drawn from the related findings is that OSCE does not measure the learners’ clinical competence holistically. It is therefore recommended that the identified negative perception be taken as challenges faced by nurse educators and that the positive aspects be strengthened. One way of meeting these recommendations is the use of varied alternative methods for clinical assessment and evaluation that focus on the holistic measurement of the learners’ clinical competence.

  5. Clinical misconduct among South Korean nursing students. (United States)

    Park, Eun-Jun; Park, Seungmi; Jang, In-Sun


    This study examines the extent and predictors of unethical clinical behaviors among nursing students in South Korea. From survey data of 345 undergraduate nursing students, unethical clinical behaviors were examined with respect to 11 individual characteristics, frequency and perceived seriousness of classroom cheating, two factors of individual attitude, and four contextual factors. Qualitative data from two focus group interviews were analyzed to explore reasons for and contexts of unethical clinical behaviors. About sixty-six percent of the participants engaged in one or more unethical clinical behaviors over a one-semester period. The prevalence of such behaviors varied widely from 1.7% to 40.9% and was related to the type of nursing program, the number of clinical practicum semesters completed, ethical attitudes toward cheating behaviors, the frequency of cheating on assignments, the frequency of cheating on exams, the perceived prevalence of cheating by peers, and prior knowledge of academic integrity. According to the regression analysis, the last four variables explained 29.4% of the variance in the prevalence of unethical clinical behaviors. In addition, multiple reasons and possible interventions for clinical misconduct were reported during the focus group interviews. Unlike cheating in the classroom, clinical misconduct was strongly induced by clinical nurses and poor clinical practice environments. In sum, unethical clinical behaviors were widespread among the participants and need to be corrected.

  6. The role of a clinical nurse consultant in an Australian Health District: a quantitative survey


    Wilkes, Lesley; Luck, Lauretta; O’Baugh, Jennifer


    Background This study replicates previous research undertaken in 2013 that explored the role of the Clinical Nurse Consultant in a metropolitan health district in Sydney, Australia. Methods A descriptive survey, using Likert scales, was used to collect data from Clinical Nurse Consultants. Results Clinical Nurse Consultants are well informed about the domains and functions of their role, as stipulated in the relevant award. They identified clinical service and consultancy as the area in which...

  7. 77 FR 76054 - National Institute of Nursing Research; Notice of Closed Meeting (United States)


    ... HUMAN SERVICES National Institutes of Health National Institute of Nursing Research; Notice of Closed... of Committee: National Institute of Nursing Research Special Emphasis Panel; Multi-Site Clinical... Assistance Program Nos. 93.361, Nursing Research, National Institutes of Health, HHS) Dated: December...

  8. 75 FR 55808 - National Institute of Nursing Research; Notice of Closed Meeting (United States)


    ... HUMAN SERVICES National Institutes of Health National Institute of Nursing Research; Notice of Closed... of Committee: National Institute of Nursing Research Special Emphasis Panel, Clinical Trial Review... Program Nos. 93.361, Nursing Research, National Institutes of Health, HHS) Dated: September 8,...

  9. 78 FR 73867 - National Institute of Nursing Research; Notice of Closed Meeting (United States)


    ... HUMAN SERVICES National Institutes of Health National Institute of Nursing Research; Notice of Closed... of Committee: National Institute of Nursing Research Special Emphasis Panel; Multi-Site Clinical... Nursing Research, National Institutes of Health, Bethesda, MD 20892, 301-402-5807,...

  10. 78 FR 17420 - National Institute of Nursing Research; Notice of Closed Meeting (United States)


    ... HUMAN SERVICES National Institutes of Health National Institute of Nursing Research; Notice of Closed... of Committee: National Institute of Nursing Research Special Emphasis Panel; Multi-site Clinical... Officer, National Institute of Nursing Research, National Institutes of Health, Bethesda, MD 20892,...

  11. Market Research: An Area in Need of Nurse Researchers. (United States)

    Froberg, Debra G.; And Others


    The application of marketing principles to nursing education and the need for research into the applicant market are discussed for nursing education programs, effective recruiting techniques, prediction of student success in nursing education, program quality, and the current and future nursing market. (Author/MSE)

  12. Nursing students in Iran identify the clinical environment stressors. (United States)

    Najafi Doulatabad, Shahla; Mohamadhosaini, Sima; Ghafarian Shirazi, Hamid Reza; Mohebbi, Zinat


    Stress at clinical environment is one of the cases that could affect the education quality among nursing students. The study aims to investigate Iranian nursing students' perceptions on the stressors in clinical environment in the South Western part of Iran. A cross-sectional descriptive study was conducted in 2010 to include 300 nursing students after their completion of second clinical nursing course in a hospital environment. Data were collected using a researcher-made questionnaire, with focus on the clinical environment stressors from personal, educational and training viewpoints. Data analysis was performed using SPSS software (IBM Corporation, Armonk, NY, USA) and descriptive statistics tests. Among the various stressors, the highest scores were given to the faculty (71 ± 19.77), followed by the students' personal characteristics (43.15 ± 21.79). Given that faculty-related factors provoked more stress in nursing students, nursing administration should diligently evaluate and improve communication skills among faculty to reduce student stress and enhance learning.

  13. Action research in nursing homes

    DEFF Research Database (Denmark)

    Andersen, John; Bilfeldt, Annette


    This article concerns the experiences gained from the action research project, Quality in Elder Care, involving social dimensions of quality in public elder care. The aim of the project was to improve the professional skills and engagement of the care workers and to improve the life quality...... quality in a joint effort between care workers, residents at the nursing home, and researchers. It concludes that the project led to empowerment of the residents and staff and played an important role in the development of democratic knowledge building about better quality and ethics in elder care....

  14. [Job satisfaction of nurses in the clinical management units]. (United States)

    Martínez Lara, Concepción; Praena Fernández, Juan Manuel; Gil García, Eugenia


    Clinical Management Unit (CMU) is currently set in the Andalusian health institutions as the model reference management. This management model aims to make all healthcare professionals a powerful idea: the best performance of health resources is performed to drive clinical practice using the least number of diagnostic and therapeutic resources. The CMU not only aims at saving money, in the Clinical Management Agreement [1] are measured all the dimensions that make up the UGC: research, training, clinical process, the portfolio of services, objectives, financial management and indicators to control and security. The CMU is to transfer more responsibilities to Health Care Professionals, involving them in the management of the Unit. The CMU sets new approaches that directly affect health professionals and presents advantages and disadvantages for the Doctors and the Nurses, involved in achieving excellence in care work. Nurse Practitioners shows expectant before the changes are generated in health institutions and appears a discussion of skills derived from the CMU. Some Nurses believe that the bur, den of care to which they are subjected in public institutions has increased since the onset of the CMU and yet others believe that they are motivated and rewarded for the results obtained with this model of management. In health institutions, some professionals are more motivated than others and this is found in the outcome of health care activity [2]. Given the positive and negative perceptions that arise in the CMU Professional Nurses, it is considered appropriate to focus the objective of this work in the search for factors that influence job satisfaction of nurses in the CMU. There are few studies about the CMU [3] but are absent when linked with nursing, so the pursuit of scientific knowledge related to nursing management model based on Clinical and Quality Care can lead to establish new concepts around the nursing profession, a profession in which major changes are

  15. Research in Nursing Practice, Education, and Administration: Collaborative, Methodological, and Ethical Implications. Proceedings of the Research Conference of the Southern Council on Collegiate Education for Nursing (3rd, Baltimore, Maryland, December 2-3, 1983). (United States)

    Strickland, Ora L., Ed.; Damrosch, Shirley P., Ed.

    Collaborative research in nursing is discussed in five papers from the 1983 conference of the Southern Council on Collegiate Education for Nursing. Also included are 32 abstracts of nursing research, focusing on clinical practice, as well as nursing education and research models. Paper titles and authors are as follows: "Building a Climate…

  16. Best practice in clinical facilitation of undergraduate nursing students. (United States)

    Needham, Judith; McMurray, Anne; Shaban, Ramon Z


    Clinical facilitation is critical to successful student clinical experience. The research reported in this paper used an interpretive case study to explore perspectives of clinical facilitators on what constitutes best practice in clinical facilitation of undergraduate nursing students. Eleven clinical facilitators from South East Queensland, Australia, participated in focus groups, interviews and a concept mapping exercise to gather their perspectives on best practice. The data gathered information regarding their prior and current experiences as registered nurses and facilitators, considering reasons they became clinical facilitators, their educational background and self-perceived adequacy of their knowledge for clinical facilitation. Analysis was through constant comparison. Findings of the study provided in-depth insight into the role of clinical facilitators, with best practice conceptualised via three main themes; 'assessing', 'learning to facilitate' and 'facilitating effectively'. While they felt there was some autonomy in the role, the clinical facilitators sought a closer liaison with academic staff and feedback about their performance, in particular their assessment of the students. Key strategies identified for improving best practice included educational support for the clinical facilitators, networking, and mentoring from more experienced clinical facilitators. When implemented, these strategies will help develop the clinical facilitators' skills and ensure quality clinical experiences for undergraduate nursing students.

  17. Positivism and qualitative nursing research. (United States)

    Paley, J


    Despite the hostility to positivism shown by qualitative methodologists in nursing, as in other disciplines, the epistemological and ontological instincts of qualitative researchers seem to coincide with those of the positivists, especially Bayesian positivists. This article suggests that positivists and qualitative researchers alike are pro-observation, proinduction, pro-plausibility and pro-subjectivity. They are also anti-cause, anti-realist, anti-explanation, anti-correspondence, anti-truth. In only one respect is there a significant difference between positivist and qualitative methodologists: most positivists have believed that, methodologically, the natural sciences and the social sciences are the same; most qualitative researchers are adamant that they are not. However, if positivism fails as a philosophy of the natural sciences (which it probably does), it might well succeed as a philosophy of the social sciences, just because there is a methodological watershed between the two. Reflex antagonism to positivism might therefore be a major obstacle to understanding the real reasons why qualitative research and the natural sciences are methodologically divergent; and less hostility on the part of qualitative nurse researchers might bring certain advantages in its wake.

  18. Surveys and questionnaires in nursing research. (United States)

    Timmins, Fiona


    Surveys and questionnaires are often used in nursing research to elicit the views of large groups of people to develop the nursing knowledge base. This article provides an overview of survey and questionnaire use in nursing research, clarifies the place of the questionnaire as a data collection tool in quantitative research design and provides information and advice about best practice in the development of quantitative surveys and questionnaires.

  19. Perceptions of Clinical Stress in Baccalaureate Nursing Students. (United States)

    Wallace, Linda; Bourke, Mary P; Tormoehlen, Lucy J; Poe-Greskamp, Marlene V


    The Nursing Students' Clinical Stress Scale, a Likert-type survey by Whang (2002), translated from Korean into English, was used to identify perceptions of stress in baccalaureate nursing students. Data was collected from a convenience sample of baccalaureate nursing students at a Midwestern university. Students ranked their perceived stress level from clinical situations. One open-ended item asked students to describe their most stressful clinical experience. Rasch Model analysis/diagnostics were used to check the instrument for validity and reliability. Quantitative data were analyzed for descriptive statistics (means). Information from open-ended question was analyzed for themes. Qualitative themes were consistent with results from quantitative analysis and well-aligned with the literature. Students were stressed by incivility by healthcare staff and instructors, inconsistencies and time constraints. Research shows that stress can interfere with learning. It is imperative to determine causes of stress so educators can help decrease stress and improve student learning.

  20. Study of the Relationship Between Nurse Self-Concept and Clinical Performance Among Nursing Students


    Badiyepeymaie Jahromi; Kargar; Ramezanli


    Background Scholars believe that if nursing students appreciate the value of their services, their sense of professionalism will increase and performance will improve. Nevertheless, little is known about the relationship between nursing students’ professional self-concept and clinical performance. Objectives This study examines the relationship between nurse self-concept and clinical performance among nursing students. ...

  1. 42 CFR 414.56 - Payment for nurse practitioners' and clinical nurse specialists' services. (United States)


    ... 42 Public Health 3 2010-10-01 2010-10-01 false Payment for nurse practitioners' and clinical nurse... HEALTH SERVICES Physicians and Other Practitioners § 414.56 Payment for nurse practitioners' and clinical nurse specialists' services. (a) Rural areas. For services furnished beginning January 1, 1992...

  2. Current status of clinical nursing specialists and the demands of osteoporosis specialized nurses in Mainland China

    Directory of Open Access Journals (Sweden)

    Xu Tian


    Full Text Available The clinical nursing specialist (CNS is an expert who applies an expanded range of practical, theoretical, and research-based competencies to the care of patients within in a specialty clinical area within the larger discipline of nursing. A large number of studies consistently conclude that the CNS is a valuable healthcare resource that provides high-quality clinical and evidence-based nursing practice and improves patient outcome. The CNS has been involved in healthcare practices for many years, with an increasingly diverse role. However, the training for the CNS in China is only in a preliminary developmental stage. The aim of this article is to review the history and development of the CNS role. Furthermore, the epidemiologic status of osteoporosis, as well as the feasibility and necessity of developing training programs in China for the osteoporosis CNS, will be discussed.

  3. Understanding Qualitative Research: A School Nurse Perspective (United States)

    Broussard, Lisa


    More school nurses are engaging in the generation of research, and their studies increasingly are using qualitative methods to describe various areas of practice. This article provides an overview of 4 major qualitative methods: ethnography, phenomenology, grounded theory, and historical research. Examples of school nursing research studies that…

  4. Nursing students’ valuation on their clinical clerkship

    Directory of Open Access Journals (Sweden)

    Ana R. Rodríguez Gonzalo


    Full Text Available Objectives: To know how the nursing students evaluate the clinical-practical knowledge appraised at their clinical clerkship, measured through the satisfaction with the nursing staff Teaching Skills, the Perceived Support and their Global Satisfaction. Methodology: Cross-section, descriptive study carried out at the Ramon y Cajal Hospital. The target population were the 2008/09 nursing students at their clinical clerkship in the hospital, with a total number of 459 shifts. Questionnaire was self-designed and self-administered. Analyzed variables were the student academic year, the hospital ward and their relation with: 1. Teaching Skills, 2. Perceived Support, 3. General Satisfaction.Results: 314 questionnaires were filled out and returned, which is 69,41% of the total number of questionnaires. Students at the Operating Rooms and at the Paediatric Wards gave statistically significant lower qualifications (p=0,005 and p=0,003 than the Emergencies students to the nursing staff Teaching Skills. Regarding the Perceived Support, statistically significant higher scores were given to the Paediatrics (p=0,002 and the Surgical Wards (0,001 compared to the Operating Rooms staff. Finally, in General Satisfaction the lowest, but non statistically significant, scores were given also to the Operating Rooms (p>0,05.Conclusions: Nursing staff from the Operating Rooms and the Paediatric Wards should ameliorate their teaching skills, and those at the Operating Rooms, also the support given during the students clinical clerkship. The proposed improvement actions suggest that meetings between supervisors, nursing staff and professors in order to discuss the teaching objectives are necessary, as well as informational sessions between students and nursing staff at the wards.

  5. Integrating clinical guidelines into nursing education. (United States)

    Higuchi, Kathryn A S; Cragg, C E; Diem, Elizabeth; Molnar, Jeanne; O'Donohue, Mary S


    A project planning group consisting of college and university representatives from a collaborative undergraduate nursing program developed an inclusive, process-oriented faculty development initiative to enhance the integration of clinical guidelines in clinical courses. In the first phase, results of a needs assessment were used to inform the development of a six-hour workshop for the third year clinical faculty in acute care, mental health, and community health. Pre-post surveys were conducted with students and clinical faculty during the first phase. Results from the workshop and surveys were used to develop a four-hour workshop for clinical faculty in all years of the program. The relatively short workshop process shows promise for initiating integration of clinical guidelines in undergraduate nursing education.

  6. Optimizing clinical environments for knowledge translation: strategies for nursing leaders. (United States)

    Scott, Shannon D; VandenBeld, Brenda; Cummings, Greta G


    Using findings from our recent study that found that a context of uncertainty in the work environment hindered nurses' research utilization, we suggest strategies for nurse managers and leaders to optimize clinical environments and support efforts to put research into clinical practice (knowledge translation). Two important sources of uncertainty were the complexity of teamwork and inconsistency in management and leadership styles. To reduce the uncertainty arising from teamwork, we propose (a) clarifying nurses' scopes of practice, (b) increasing knowledge sharing through supporting journal clubs and enhanced computer access and (c) creating safe venues for multidisciplinary dialogue. To reduce uncertainty arising from variations in management and leadership, we propose (a) developing policies that enhance the consistency of leadership and clarify the strategic direction of the management team, (b) clearly communicating those policies to nurses and (c) providing explicit rationales for treatment changes. Small, incremental steps can be taken to realize substantive changes in clinical environments in order to optimize nursing work environments for knowledge translation.

  7. Annual Research in Nursing Education Conference Proceedings and Abstracts (5th, San Francisco, California, January 14-16, 1987). (United States)

    National League for Nursing, New York, NY.

    These proceedings include approximately 100 abstracts of papers dealing with the following aspects of research in nursing education: clinical judgment, faculty roles and expectations, learning, clinical experience, ethics and moral development, implications for the nursing curriculum of clinical nursing knowledge research, professional…

  8. Teaching qualitative research as a means of socialization to nursing. (United States)

    Arieli, Daniella; Tamir, Batya; Man, Michal


    The aim of the present article is to present a model for teaching qualitative research as part of nursing education. The uniqueness of the course model is that it seeks to combine two objectives: (1) initial familiarization of the students with the clinical-nursing environment and the role of the nurse; and (2) understanding the qualitative research approach and inculcation of basic qualitative research skills. The article describes how teaching two central genres in qualitative research - ethnographic and narrative research - constitutes a way of teaching the important skills, concepts, and values of the nursing profession. The article presents the model's structure, details its principal stages, and explains the rationale of each stage. It also presents the central findings of an evaluation of the model's implementation in eight groups over a two-year period. In this way the article seeks to contribute to nursing education literature in general, and to those engaged in clinical training and teaching qualitative research in nursing education in particular.

  9. The 2014 National Nursing Research Roundtable: The science of caregiving (United States)

    Grady, Patricia A.; Gullatte, Mary


    The National Nursing Research Roundtable (NNRR) meets annually to provide an opportunity for the leaders of nursing organizations with a research mission to discuss and disseminate research findings to improve health outcomes. In 2014, the NNRR addressed the science of caregiving, a topic of increasing importance given that more people are living with chronic conditions and that managing chronic illness is shifting from providers to individuals, their families, and the communities where they live. The NNRR consisted of scientific presentations in which leading researchers discussed the latest advances in caregiving science across the life span and breakout sessions where specific questions were discussed. The questions focused on the policy and practice implications of caregiving science and provided an opportunity for nursing leaders to discuss ways to advance caregiving science. The nursing community is ideally positioned to design and test caregiver health interventions and to implement these interventions in clinical and community settings. PMID:25015405

  10. 临床护理人员对同理心认知和应用现状的质性研究%Qualitative research on present situation on cognition and application of empathy for clinical nursing staff

    Institute of Scientific and Technical Information of China (English)

    叶丽花; 姚小群


    Objective To study the present situation on cognition and application of empathy for clinical nursing staff. Method 20 clinical nursing staff receive depth interview. Analyze and arrange the information and conclude the theme by phenomenological research. Result It is generally considered among nursing staff that application of empathy in nursing care is very important But they don't have comprehensive cognition and application ability on empathy and lack normal training and education on empathy. Conclusion Cognition and application of empathy for clinical nursing staff are not enough and need to be improved.%目的 了解临床护理人员对同理心的认知和应用现状.方法 采用现象学研究法,对20名临床护理人员进行深入访谈,将获得的资料分析、整理,提炼出主题.结果 护理人员普遍认为护理工作中同理心的应用很重要,但对同理心缺乏全面的认知和应用能力,缺乏正规的同理心知识培训和教育.结论 临床护理人员对同理心的认知和应用不足,急待提高.

  11. Clinical update on nursing home medicine: 2012. (United States)

    Messinger-Rapport, Barbara J; Cruz-Oliver, Dulce M; Thomas, David R; Morley, John E


    This article is the sixth in the series of clinical updates on nursing home care. The topics covered are management of hypertension, antidepressant medications in people with dementia, peripheral arterial disease, probiotics in prevention, and treatment of Clostridium difficile-associated diarrhea, frailty, and falls.

  12. The effect of nursing staff on student learning in the clinical setting. (United States)

    Webster, Alanna; Bowron, Caitlin; Matthew-Maich, Nancy; Patterson, Priscilla


    Aim To explore baccalaureate nursing students' perspectives of the influence of nursing staff on their learning and experience in the clinical setting. Method A qualitative description approach was used. Thirty nursing students were interviewed individually or in focus groups. Data were analysed using content analysis. Four researchers analysed the data separately and agreed on the themes. Findings Nursing staff had positive (enabling) and negative (hindering) effects on students' clinical learning and socialisation to nursing. Nursing staff may encourage and excite students when they behave as positive mentors, facilitators and motivators. However, their actions may also have a negative effect on students, decreasing their confidence, learning and desire to continue in the profession. Conclusion Nursing staff influence student learning. Their actions, attitude and willingness to teach are influential factors. The findings have implications for patient safety, nurse retention and recruitment, and preparing students for professional practice.

  13. Interdisciplinarity and nursing research: opportunities and challenges. (United States)

    Carnevale, Franco A


    Interdisciplinary collaboration is widely recognized and considered essential for optimizing the development of knowledge and practice. However, interdisciplinarity is commonly accepted as an unquestioned good; rarely examined as both a source of benefit as well as difficulty for nursing and other disciplines. The aim of this article is to critically examine the opportunities and challenges that interdisciplinarity can provide for research in nursing and other disciplines. Based on a North American perspective, I describe the emergence of uni-disciplinary nursing research and the knowledge exchanges that occurred between nursing and other disciplines. I discuss the rise of interdisciplinary research, outline several examples of nursing participation in interdisciplinarity, and highlight the prominent benefits and difficulties associated with interdisciplinary research. I argue that authentic collaboration is required to conduct meaningful interdisciplinary research and describe how this can be promoted.

  14. Interdisciplinarity and nursing research: opportunities and challenges

    Directory of Open Access Journals (Sweden)

    Franco A. Carnevale


    Full Text Available Interdisciplinary collaboration is widely recognized and considered essential for optimizing the development of knowledge and practice. However, interdisciplinarity is commonly accepted as an unquestioned good; rarely examined as both a source of benefit as well as difficulty for nursing and other disciplines. The aim of this article is to critically examine the opportunities and challenges that interdisciplinarity can provide for research in nursing and other disciplines. Based on a North American perspective, I describe the emergence of uni-disciplinary nursing research and the knowledge exchanges that occurred between nursing and other disciplines. I discuss the rise of interdisciplinary research, outline several examples of nursing participation in interdisciplinarity, and highlight the prominent benefits and difficulties associated with interdisciplinary research. I argue that authentic collaboration is required to conduct meaningful interdisciplinary research and describe how this can be promoted.

  15. Qualitative research on experience of life nursing among clinical nurses%临床护士对承担生活护理体验的质性研究

    Institute of Scientific and Technical Information of China (English)

    庄利梅; 陈明松; 刘玲


    Objective To study she psychological experience of life nursing among clinical nurses.Methods 12 female mines were interviewed comprehensively with semi-structured questionnaire.The data gained from the interviews were analyzed by classification method.Result Three factors were explored,including the viewpoints about nurses' taking up patients' life nursing,the negative and positive feelings shout nurses' taking up patients' life nursing.Conclusions The nursing administrators should ensure abundant nursing personnel,attach importance to the feelings of clinical nurses,instruct them to change their nursing concepts and reasonably distribute the nurses so that they can make quality service.%目的 了解临床护士承担生活护理的心理体验,为护理管理者制订护士有效落实生活护理的措施提供理论依据.方法 采用质性研究中现象学研究法,以半结构性的深入访谈方式对12名女性护士进行深入访谈,应用类属分析法分析资料.结果 提炼出3个主题:①对病人生活护理由护士承担的看法(护士没时间承担病人全部生活护理,病人生活护理没必要全部由护士来承担);②护士承担生活护理的负性感受(被迫、无奈、价值感丢失、自卑);③护士承担生活护理的正性感受(护患关系拉近了,病人认可).结论 护理管理者应保障护士的人力资源、重视临床护士的感受,引导护士转变观念,做好护士的分层使用,从而为病人提供优质护理服务.

  16. Mixed methods research in mental health nursing. (United States)

    Kettles, A M; Creswell, J W; Zhang, W


    Mixed methods research is becoming more widely used in order to answer research questions and to investigate research problems in mental health and psychiatric nursing. However, two separate literature searches, one in Scotland and one in the USA, revealed that few mental health nursing studies identified mixed methods research in their titles. Many studies used the term 'embedded' but few studies identified in the literature were mixed methods embedded studies. The history, philosophical underpinnings, definition, types of mixed methods research and associated pragmatism are discussed, as well as the need for mixed methods research. Examples of mental health nursing mixed methods research are used to illustrate the different types of mixed methods: convergent parallel, embedded, explanatory and exploratory in their sequential and concurrent combinations. Implementing mixed methods research is also discussed briefly and the problem of identifying mixed methods research in mental and psychiatric nursing are discussed with some possible solutions to the problem proposed.

  17. Studies on nursing risks and measures of clinical medication. (United States)

    Li, Min; Bai, Jie; Huang, Jie


    To investigate the cause analysis of clinical medication nursing risks and propose relevant nursing measures, so as to control and reduce the clinical nursing risks and reach the physical and mental safety of patients and nurses. Clinical nursing risk events with 30 cases in TCM Hospital of Zhengzhou City from June 2010 to April 2012 were underwent statistical analyses. The risk of medication error ranked the first in the direct reasons of nursing risks, accounting for a higher ratio. Moreover, the reasons of nursing risks were also involved in nonstandard operation, disease observation and other relative factors. Nurses must fully understand the relative factors of medication nursing risks, regarding the patients as their own family and always permeating the consciousness of nursing risks into the working process.

  18. Improving Cancer Care Through Nursing Research. (United States)

    Mayer, Deborah K


    Nursing research and nurse researchers have been an integral and significant part of the Oncology Nursing Society's (ONS's) history, as evidenced by the development of the Nursing Research Committee within a few years of ONS's establishment. Ruth McCorkle, PhD, RN, FAAN, was the committee's first chairperson in 1979. This was followed by the creation of the Advanced Nursing Research Special Interest Group in 1989 under the leadership of Jean Brown, PhD, RN, FAAN. ONS also began to recognize nurse researchers in 1994 by creating the annual ONS Distinguished Researcher Award to recognize the contributions of a member who has conducted or promoted research that has enhanced the science and practice of oncology nursing. The list of recipients and of their work is impressive and reflects the wide range of our practice areas (see for the recipient list). In addition, the ONS Foundation began funding research in 1981 and has distributed more than $24 million in research grants, research fellowships, and other scholarships, lectures, public education projects, and career development awards (ONS Foundation, 2015). And, in 2006, the Putting Evidence Into Practice resource was unveiled, which provides evidence-based intervention reviews for the 20 most common problems experienced by patients with cancer and their caregivers (www.ons

  19. Investing in nursing research in practice settings: a blueprint for building capacity. (United States)

    Jeffs, Lianne; Smith, Orla; Beswick, Susan; Maoine, Maria; Ferris, Ella


    Engaging clinical nurses in practice-based research is a cornerstone of professional nursing practice and a critical element in the delivery of high-quality patient care. Practising staff nurses are well suited to identify the phenomena and issues that are clinically relevant and appropriate for research. In response to the need to invest in and build capacity in nursing research, hospitals have developed creative approaches to spark interest in nursing research and to equip clinical nurses with research competencies. This paper outlines a Canadian hospital's efforts to build research capacity as a key strategy to foster efficacious, safe and cost-effective patient care practices. Within a multi-pronged framework, several strategies are described that collectively resulted in enhanced research and knowledge translation productivity aimed at improving the delivery of safe and high-quality patient care.

  20. 临床外科老年患者的护理研究%Nursing Research in Clinical Surgery in Elderly Patients

    Institute of Scientific and Technical Information of China (English)



    Objective Through the analysis of the clinical surgery related comprehensive nursing process and methods of the elderly patients effectively, rationalization of the safety of the nursing process, realize the clinical effective of elderly patients with care.Methods Before and after surgery in elderly patients pay attention to the problem, the effects of the nursing process.Results Through reasonable control of elderly patients with surgical clinical comprehensive treatment process, to ensure a reasonable guide process control for the treatment of mentality.ConclusionThe reasonable nursing methods can improve clinical nursing of elderly patients with surgical treatment.%目的:通过分析临床外科的老年患者的相关综合性的护理过程和方法实现有效化的、合理化的安全护理过程,实现有效的老年患者护理。方法对老年患者手术前后注意的问题处理,实现护理过程的有效提升。结果通过合理的控制老年患者的综合性外科临床治疗过程,保证合理的治疗心态的引导过程控制。结论采用合理的护理方法可以提升外科老年患者的治疗效果。

  1. Patients' views on a nurse-led prostate clinic. (United States)

    Townsend, Alison

    Nurse-led clinics are being established in a number of specialties including urology. Men attending a nurse-led clinic for suspected prostate cancer were surveyed to investigate their perception of and satisfaction with a nurse-led clinic and to establish whether this model of care met expectations. The results showed that patients were satisfied with the service. This adds to the growing body of evidence supporting nurse-led services.

  2. A Black feminist approach to nursing research. (United States)

    Barbee, E L


    Despite the presence of a body of Black feminist literature, the growing body of nursing literature on feminism and the feminist approach to research remains narrowly focused on White feminist concerns. By essentially ignoring the realities of Black women, nursing has reproduced the errors of previous White feminists. This article demonstrates the relevance of the Black feminist approach to nursing by applying it in combination with general feminist research principles and anthropological theory in research concerned with low-income Black women's experiences with dysphoria and depression. The findings of the research suggest that a combination approach more clearly illuminates how context effects dysphoria in poor Black women.

  3. Use of Action Research in Nursing Education (United States)

    Pehler, Shelley-Rae; Stombaugh, Angela


    Purpose. The purpose of this article is to describe action research in nursing education and to propose a definition of action research for providing guidelines for research proposals and criteria for assessing potential publications for nursing higher education. Methods. The first part of this project involved a search of the literature on action research in nursing higher education from 1994 to 2013. Searches were conducted in the CINAHL and MEDLINE databases. Applying the criteria identified, 80 publications were reviewed. The second part of the project involved a literature review of action research methodology from several disciplines to assist in assessing articles in this review. Results. This article summarizes the nursing higher education literature reviewed and provides processes and content related to four topic areas in nursing higher education. The descriptions assist researchers in learning more about the complexity of both the action research process and the varied outcomes. The literature review of action research in many disciplines along with the review of action research in higher education provided a framework for developing a nursing-education-centric definition of action research. Conclusions. Although guidelines for developing action research and criteria for publication are suggested, continued development of methods for synthesizing action research is recommended. PMID:28078138

  4. Nursing students’ experiences of clinical education setting

    Directory of Open Access Journals (Sweden)

    Rahnama M


    Full Text Available Background and Objective: Appropriate clinical environment has an important role in preparing students to use learned knowledge in practice through providing learning opportunities. Since the students’ experiences in the clinical setting affect on quality of their learning, the current study aimed to explain the experiences of nursing students concerning clinical education setting. Materials and Method: The current study was conducted based on conventional content analysis. Sampling was done purposively and the participants were 13 last year nursing students in Zabol Nursing and Midwifery School in 2013-2014. Data collection was done through in-depth semi-structured interviews. Data analysis was conducted through qualitative content analysis approach. Results: Based on the results, five major categories including threats, vision, dual forces, mindset and students’ action to clinical education and also10 subcategorie were identified. Conclusion: Since the formation of students’ experiences in these environments is one of the predictive factors in achieving their learning and in facilitating the professionalization process, thus the attention of managers in clinical settings is very important for decreasing the threats and concerns for students. In this way, the marred prospects of profession can be recovered through the meeting students’ expectations, attractiveness of the profession can be increased and the positive belief, actions and feelings can be created in students.

  5. The research potential of practice nurses. (United States)

    Davies, Jacqueline; Heyman, Bob; Bryar, Rosamund; Graffy, Jonathan; Gunnell, Caroline; Lamb, Bryony; Morris, Lana


    Little is known about the research aspirations and experiences of practice nurses. The study discussed in the present paper had three main aims: (1) to assess the level of research interest among practice nurses working in Essex and East London, UK; (2) to identify practice nurses' research priorities; and (3) to explore factors which facilitate and impede the development of practice nursing research. All practice nurses (n = 1,054) in the above areas were sent a questionnaire, and a total of 40% (n = 426) responded after two follow-up letters. Fifty-five respondents who volunteered for further participation were interviewed, either individually or in focus groups. About half (n = 207) of the survey respondents expressed an interest in undertaking research. One-third (n = 145) reported previous participation in research, and 20% (n = 85) had initiated their own research. Logistic regression showed that practice nurses educated to graduate level, and those working in practices with nurse training or participation in external research, were most likely to want to undertake research. Working in a medical training practice was found to be a negative predictor of research interest. Respondents prioritised research into long-term health problems with a high prevalence in the local population; for example, diabetes. Their reasons for wishing to engage in research included improving the service, career development, making work more interesting and reducing isolation. The main barriers identified were lack of time, lack of support from some general practitioners and poor access to higher education resources outside formal courses. The development of practice nurse research would provide a distinctive perspective on health need and service provision. It would contribute to the achievement of the national strategic objective of improving the quality of primary care, enhance the status of the profession, utilise the enthusiasm of individuals, increase job satisfaction and

  6. Invisible nursing research: thoughts about mixed methods research and nursing practice. (United States)

    Fawcett, Jacqueline


    In this this essay, the author addresses the close connection between mixed methods research and nursing practice. If the assertion that research and practice are parallel processes is accepted, then nursing practice may be considered "invisible mixed methods research," in that almost every encounter between a nurse and a patient involves collection and integration of qualitative (word) and quantitative (number) information that actually is single-case mixed methods research.

  7. Nursing research and bibliographic citation models


    Angordans,Jordi Piqué; Puig,Ramón Camaño; Noguera,Carmen Piqué


    This research focuses on the analysis of how nursing journals publish their papers. Basically, two models are analyzed, Vancouver, by the International Committee of Medical Journal Editors, and APA by the American Psychological Association. Their advantages and disadvantages are discussed. In view of how research papers are currently published and how research is judged, the authors propose that nursing journals adopt their own model, irrespective of how medical professionals publish.

  8. The importance of communication for clinical leaders in mental health nursing: the perspective of nurses working in mental health. (United States)

    Ennis, Gary; Happell, Brenda; Broadbent, Marc; Reid-Searl, Kerry


    Communication has been identified as an important attribute of clinical leadership in nursing. However, there is a paucity of research on its relevance in mental health nursing. This article presents the findings of a grounded theory informed study exploring the attributes and characteristics required for effective clinical leadership in mental health nursing, specifically the views of nurses working in mental health about the importance of effective communication in day to day clinical leadership. In-depth interviews were conducted to gain insight into the participants' experiences and views on clinical leadership in mental health nursing. The data that emerged from these interviews were constantly compared and reviewed, ensuring that any themes that emerged were based on the participants' own experiences and views. Participants recognized that effective communication was one of the attributes of effective clinical leadership and they considered communication as essential for successful working relationships and improved learning experiences for junior staff and students in mental health nursing. Four main themes emerged: choice of language; relationships; nonverbal communication, and listening and relevance. Participants identified that clinical leadership in mental health nursing requires effective communication skills, which enables the development of effective working relationships with others that allows them to contribute to the retention of staff, improved outcomes for clients, and the development of the profession.


    Directory of Open Access Journals (Sweden)

    Suneel. I. Majagi


    , monitor and supervise the clinical trials or the research projects. Ethical decision is taken without coercion, influence, inducement and intimidation. Dr.S.S.Torgal (JNMC spoke on “Introduction to clinical trials”. A systematic study of a new drug in human subjects to generate data for discovering and/or verifying the clinical, pharmacological (pharmacodynamic / pharmacokinetic and/or adverse effects with the objective of determining safety and/or efficacy of the new drug is known as clinical trial (Phase I, II, III and IV. There are many types of trials viz., Prevention trials, Screening trials, Diagnostic trials, Treatment trials, Quality of life trials and Compassionate use trials. The Clinical Trials Registry-India (CTRI is an online register of clinical trials being conducted in India.In the second scientific session, Dr.A.Shrivastav (KLE Hospital talked on “Conducting clinical trials-Investigators perspective”. He explained about good clinical practice, role of primary investigator, CROs, DCGI, site management office (SMO, regulatory requirements and data management. Essential trial documents include protocol, informed consent form, investigators brochure etc. Study team at site consists of investigator, co/sub-investigator, clinical research/study coordinator, research nurse, pharmacist, unblinded personnel etc. Dr.S.I.Majagi (JNMC gave a lecture on “Pharmacovigilance” which is a science of activities relating to the detection, assessment, understanding and prevention of adverse drug reactions (ADR or any other medicine related problem. He explained about history, need, objectives, applications, methods (spontaneous reports etc, organizations involved (WHO, National pharmacovigilance center etc in pharmacovigilance, Risk assessment, Risk management (RM, goals of RM, Risk minimization action plan(Risk MAP, tools of RM process and Signal: detection, sources, data, data interpretation, selection or rejection, strengthening (by assessment criteria

  10. 临床护理科研中的伦理学问题分析及对策%Analysis and countermeasures of ethics problems in clinical nursing scientific research

    Institute of Scientific and Technical Information of China (English)



    It expounded the ethical problems involved in the clinical nursing scientific research, including patients' interest first principle, informed consent principle, favorable without injury principle, fair and justice principle.And it put forward the solutions:to establish and perfect the ethical inspect committee,to strengthen clinical nursing scientific research staff training about medical ethics knowledge so as to protect the rights and interests of patients better.%阐述了临床护理科研中涉及的伦理学问题,包括病人利益第一原则、知情同意原则、有利无害原则、公平公正原则.并提出要建立健全相关的伦理审查委员会,加强临床护理科研人员医学伦理学知识培训,更好地保护病人的权益.

  11. Assessing registered nurses' clinical skills in orthopaedics. (United States)

    Clarke, Sonya; McDonald, Sinead; Rainey, Debbie

    The aim of this article is to explore the views of registered nurses undertaking the new Objective Structured Clinical Examination (OSCE), incorporating an integrated preparatory skills workshop. The workshop and the OSCE were audited with particular regard to the student experience. This article describes the audit process and the results of three questionnaires: one carried out before the OSCE assessment, a second immediately after the workshop and a third four days after the assessment. The results provide an insight into the student experience.

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

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


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

  13. Empowering natural clinical trial advocates: nurses and outreach workers. (United States)

    Mitschke, Diane B; Cassel, Kevin; Higuchi, Paula


    Cancer clinical trials are essential to advancing the prevention and treatment of cancer, yet adult participation rates in clinical trials remain abysmal. Despite the essential contributions of clinical trials to science and medicine, adult participation in clinical trials remains exceedingly low, with only 2%-4% of all adult patients with cancer in the U.S. participating in clinical trials. Clinical trials accrual rates in Hawai'i follow this national trend of less than 3% of eligible patients participating in trials. Recognizing the need to increase awareness about clinical trials, the National Cancer Institute's Cancer Information Service-Pacific Region, through the Hawai'i Clinical Trials Education Coalition, has employed strategic dissemination plans to train and educate key target audiences, including registered nurses, nursing students, and community outreach workers about the availability of over 90 cancer clinical trials in Hawai'i. Previous research suggests that nurses often play a vital role in increasing a patient's understanding of clinical trials and may also act as a patient advocate in regards to participation in a clinical trial. A train-the-trainer model curriculum was developed using the Clinical Trials Education Series (CTES), a collection of multi-level resources designed by the National Cancer Institute, to educate various constituents about clinical trials. The training curriculum and workshop format is adapted based on both formal and informal needs assessments conducted with audiences prior to the planned training, yet key elements remain central to the training model. In addition, an interactive, internet-based case study was developed using local place names and cultural cues to allow training participants to engage in realistic and practical methods for locating and sharing information about clinical trials with patients and the public. This training model has been implemented in a variety of settings including three statewide nursing

  14. Teaching Nursing Research Using Large Data Sets. (United States)

    Brosnan, Christine A.; Eriksen, Lillian R.; Lin, Yu-Feng


    Describes a process for teaching nursing research via secondary analysis of data sets from the National Center for Health Statistics. Addresses advantages, potential problems and limitations, guidelines for students, and evaluation methods. (Contains 32 references.) (SK)

  15. 基于文献计量学分析的临床护理趋势和热点研究%Research on trend and focus of clinical nursing based on bibliometric analysis

    Institute of Scientific and Technical Information of China (English)

    秦婷婷; 韩世范


    ⑩脑卒中疾病护理。2010年—2012年国内临床护理主要研究内容是:①糖尿病的护理;②肿瘤疾病护理;③老年疾病的护理;④护理干预后生活质量的研究;⑤并发症的护理;⑥高血压疾病护理;⑦预防护理;⑧围术期的护理;⑨疼痛的护理;⑩护理干预后依从性问题的研究。2013年—2015年国内临床护理主要研究内容是:①糖尿病的护理;②并发症的护理;③肿瘤护理;④护理干预后生活质量的研究;⑤脑卒中疾病护理;⑥老年护理;⑦护理干预后依从性问题的研究;⑧高血压的护理;⑨便秘护理;⑩预防的护理。[结论]国内临床护理处于普莱斯规律快速发展阶段,文献发文量总体增长比较快、文献增长速度比较大。国外临床护理处于稳定发展阶段,即成熟期,文献发文量总体发展比较固定、发展速度比较平稳。%Objective:To know about the development trend and research focus of clinical nursing at home and a-broad,so as to provide guidance evidence for clinical nursing practice and research.Methods:The data were re-trieved included in the WanFang database and PubMed database in addition to the clinical nursing literatures on psychological care and traditional Chinese medicine care from 2007 to 2015.And the bibliometric analysis was carried out including the document circulation,the document j ournal,the document high frequency subj ect words clustering and the key words co occurrence and so on.Results:A total of 10 374 articles were retrieved from the PubMed database,and the literatures were in an increasing trend.The distribution of journals Pub-lished in clinical nursing literatures was basically consistent with the description of Brad Ford’s law.The main research contents of clinical nursing in abroad from 2007 to 2009 on the method of midwifery and the role of midwives in natural childbirth;2.the study on first aid nursing method; on dementia

  16. Critical discourse analysis for nursing research. (United States)

    Smith, Jennifer L


    Critical discourse analysis is a useful and productive qualitative methodology but has been underutilized within nursing research. In order to redress this deficiency the research presented in this article represents an exploration of the way in which critical discourse analysis may be applied to the analysis of public debates around policy for nursing practice. In this article the author discusses the history of the application of critical discourse analysis and provides an example of its application to the debate around the use of nurse practitioners within the Australian healthcare system.

  17. Do calculation errors by nurses cause medication errors in clinical practice? A literature review. (United States)

    Wright, Kerri


    This review aims to examine the literature available to ascertain whether medication errors in clinical practice are the result of nurses' miscalculating drug dosages. The research studies highlighting poor calculation skills of nurses and student nurses have been tested using written drug calculation tests in formal classroom settings [Kapborg, I., 1994. Calculation and administration of drug dosage by Swedish nurses, student nurses and physicians. International Journal for Quality in Health Care 6(4): 389 -395; Hutton, M., 1998. Nursing Mathematics: the importance of application Nursing Standard 13(11): 35-38; Weeks, K., Lynne, P., Torrance, C., 2000. Written drug dosage errors made by students: the threat to clinical effectiveness and the need for a new approach. Clinical Effectiveness in Nursing 4, 20-29]; Wright, K., 2004. Investigation to find strategies to improve student nurses' maths skills. British Journal Nursing 13(21) 1280-1287; Wright, K., 2005. An exploration into the most effective way to teach drug calculation skills to nursing students. Nurse Education Today 25, 430-436], but there have been no reviews of the literature on medication errors in practice that specifically look to see whether the medication errors are caused by nurses' poor calculation skills. The databases Medline, CINAHL, British Nursing Index (BNI), Journal of American Medical Association (JAMA) and Archives and Cochrane reviews were searched for research studies or systematic reviews which reported on the incidence or causes of drug errors in clinical practice. In total 33 articles met the criteria for this review. There were no studies that examined nurses' drug calculation errors in practice. As a result studies and systematic reviews that investigated the types and causes of drug errors were examined to establish whether miscalculations by nurses were the causes of errors. The review found insufficient evidence to suggest that medication errors are caused by nurses' poor

  18. Nursing students' perceptions about clinical learning environment in Turkey. (United States)

    Serçekuş, Pınar; Başkale, Hatice


    Clinical education has a vital role in nursing curriculum. Clinical education environment can be enhanced by feedbacks provided by students. The purpose of this research was to search factors that affect the clinical learning environment. A qualitative approach was used. 36 nursing students were recruited from school of nursing in Turkey. It was found that students are negatively affected by communication errors and feedbacks given in the presence of patients by instructors. The constant presence of instructors may be the source of stress for some students. Besides peer support and favourable communication with peers have a positive impact on student learning. Communication with hospital staff and instructors are important. The study revealed that student learning is affected by the level of confidence and support displayed by patients. In order to ensure the most favourable learning environment for students, it is essential that cooperation should be increased between school staff and clinical staff, instructor skills should be developed, and students should be supported in the clinical environment.

  19. Loss of clinical nursing expertise: a discussion paper. (United States)

    Cioffi, Jane Marie


    There is evidence to suggest that there is a general decline in clinical expertise in nursing as a result of experienced clinicians leaving the profession. The expertise of clinical nursing practice is an important resource and needs to be captured and made available to others as loss of this knowledge and expertise has implications for clinical outcomes. This paper aims to discuss the current nursing workforce, loss of clinical expertise, the nature of expertise and the way it can be captured. Clarification and articulation of clinical knowledge of nursing experts provides the means for knowledge to be transferred to a less experienced workforce and be available in an accessible form in the workplace. Leverage of nursing expertise in this manner has the potential to benefit less experienced staff, hold clinical nursing expertise in the workplace and improve clinical outcomes and satisfaction with performance.

  20. Metacognition: state-of-the-art learning theory implications for clinical nursing education. (United States)

    Beitz, J M


    Clinical nursing education represents one of the most challenging aspects of the faculty role because nursing educators are being required to teach crucial aspects of comprehensive clinical practice to students in limited time periods and in increasingly demanding, high-acuity affiliation sites. State-of-the-art research in metacognition provides a stimulating array of instructional strategies that can assist in this process and provide an impetus for further cognitive inquiry in nursing. The article analyzes metacognition, explores its historical roots, delineates its relationship to memory theory, and describes a range of metacognitive strategies that are useful to faculty and students in nursing.

  1. Mobile technology and its use in clinical nursing education: a literature review. (United States)

    O'Connor, Siobhan; Andrews, Tom


    Nursing students face a variety of challenges to learning in clinical practice, from the theory-practice gap, to a lack of clinical supervision and the ad hoc nature of learning in clinical environments. Mobile technology is proposed as one way to address these challenges. This article comprehensively summarizes and critically reviews the available literature on mobile technology used in undergraduate clinical nursing education. It identifies the lack of clear definitions and theory in the current body of evidence; the variety of mobile devices and applications used; the benefits of mobile platforms in nursing education; and the complexity of sociotechnical factors, such as the cost, usability, portability, and quality of mobile tools, that affect their use in undergraduate clinical nursing education. Implications for nursing education and practice are outlined, and recommendations for future research are discussed.

  2. 临床护理路径用于舌癌围术期护理效果研究%Clinical Nursing Path for Tongue Cancer Perioperative Nursing Effect Research

    Institute of Scientific and Technical Information of China (English)



    Objective To study the analysis of the clinical nursing pathway of the clinical effect of tongue cancer perioperative interventions. Methods Wil pick during 2012.02 ~ 2014.02 in our hospital in patients with surgical treatment of 30 cases of tongue cancer, its random divided into control group (by traditional nursing intervention) and observation group (intervention through clinical nursing path), patients with 15 cases in each group. Results The observation group of patients to nursing, chewing function, language of satisfaction were significantly higher than that in control group, the differences P<0.05 was statistical y significant. Conclusion The development of clinical nursing path, to facilitate the recovery of patients' masticatory function, language function, significantly improve the patient's quality of life, is more suitable for application in the perioperative treatment, nursing work.%目的:研究分析临床护理路径对舌癌围术期干预的临床效果。方法择取2012年2月~2014年2月期间在我院接受手术治疗的30例舌癌患者,将其随机性分成对照组(通过传统护理进行干预)与观察组(通过临床护理路径进行干预),每组患者各有15例。结果观察组患者对护理、咀嚼功能、语言等方面的满意度均明显高于对照组,差异P<0.05有统计学意义。结论临床护理路径的开展,以利于患者咀嚼功能、语言功能的恢复,明显改善了患者的生活质量,更适合应用于围术期的治疗、护理工作中。

  3. [The historical background and present development of evidence-based healthcare and clinical nursing]. (United States)

    Tsai, Jung-Mei


    Evidence-based healthcare (EBHC) emphasizes the integration of the best research evidence with patient values, specialist suggestions, and clinical circumstances during the process of clinical decision-making. EBHC is a recognized core competency in modern healthcare. Nursing is a professional discipline of empirical science that thrives in an environment marked by advances in knowledge and technology in medicine as well as in nursing. Clinical nurses must elevate their skills and professional qualifications, provide efficient and quality health services, and promote their proficiency in EBHC. The Institute of Medicine in the United States indicates that evidence-based research results often fail to disseminate efficiently to clinical decision makers. This problem highlights the importance of better promoting the evidence-based healthcare fundamentals and competencies to frontline clinical nurses. This article describes the historical background and present development of evidence-based healthcare from the perspective of modern clinical nursing in light of the importance of evidence-based healthcare in clinical nursing; describes the factors associated with evidence-based healthcare promotion; and suggests strategies and policies that may improve the promotion and application of EBHC in clinical settings. The authors hope that this paper provides a reference for efforts to improve clinical nursing in the realms of EBHC training, promotion, and application.

  4. Clinical instructors' knowledge and perceptions about nursing care of older people: a pilot study. (United States)

    Baumbusch, Jennifer; Dahlke, Sherry; Phinney, Alison


    With an aging population, the majority of nurses will spend their careers working with older people. Currently, there is scant research about clinical instructors' knowledge and perceptions about nursing care of older people despite their instrumental role in preparing nurses for practice. The purpose of this study was to explore clinical instructors' knowledge and perceptions about nursing care of older people. A mixed methods approach was used. Fifteen clinical instructors and 15 nurse educators employed on specialized units for older people completed questionnaires. Independent t-tests were administered. Five of the clinical instructors also participated in semi-structured interviews, which were analyzed using thematic analysis. Findings indicated that clinical instructors had significantly lower scores on knowledge and perceptions about nursing care of older people than practice-based nurse educators. Further, clinical instructors found it difficult to integrate specialized knowledge about nursing care of older people along with other aspects of their teaching. They also reported that it was challenging to support learning about best practices for older people within the current clinical context, which was complex and fast-paced. This study reinforces the need for professional development opportunities for clinical instructors to support their instrumental role in preparing students for practice with older people.

  5. Clinical reasoning of nursing students on clinical placement: Clinical educators' perceptions. (United States)

    Hunter, Sharyn; Arthur, Carol


    Graduate nurses may have knowledge and adequate clinical psychomotor skills however they have been identified as lacking the clinical reasoning skills to deliver safe, effective care suggesting contemporary educational approaches do not always facilitate the development of nursing students' clinical reasoning. While nursing literature explicates the concept of clinical reasoning and develops models that demonstrate clinical reasoning, there is very little published about nursing students and clinical reasoning during clinical placements. Semi-structured interviews were conducted with ten clinical educators to gain an understanding of how they recognised, developed and appraised nursing students' clinical reasoning while on clinical placement. This study found variability in the clinical educators' conceptualisation, recognition, and facilitation of students' clinical reasoning. Although most of the clinical educators conceptualised clinical reasoning as a process those who did not demonstrated the greatest variability in the recognition and facilitation of students' clinical reasoning. The clinical educators in this study also described being unable to adequately appraise a student's clinical reasoning during clinical placement with the use of the current performance assessment tool.

  6. [Planning nursing teaching: educational purposes and clinical competence]. (United States)

    Dell'Acqua, Magda Cristina Queiroz; Miyadahira, Ana Maria Kazue; Ide, Cilene Aparecida Costardi


    Thinking about nursing education implies articulating this issue with the expressions of theoretical frameworks, from the perspective of a pedagogical aspect that includes both constructivism and competencies. The objective was to characterize, from a longitudinal view, the construction of care competencies that exist in the teaching plans of nursing undergraduate programs. This exploratory-descriptive study used a qualitative approach. Documentary analysis was performed on the nine teaching plans of undergraduate care subjects. The ethical-legal aspects were guaranteed, so that data was collected only after the study had been approved by the Research Ethics Committee. The data evidenced a curriculum organization centered on subjects, maintaining internal rationales that seem to resist summative organizations. Signs emerge of hardly substantial links between any previous knowledge and the strengthening of critical judgment and clinical reasoning. As proposed, the study contributed with reconsiderations for the teaching-learning process and showed the influence of constructivism on the proposal of clinical competencies.

  7. Clinical Scholar Model: providing excellence in clinical supervision of nursing students. (United States)

    Preheim, Gayle; Casey, Kathy; Krugman, Mary


    The Clinical Scholar Model (CSM) is a practice-education partnership focused on improving the outcomes of clinical nursing education by bridging the academic and service settings. An expert clinical nurse serves as a clinical scholar (CS) to coordinate, supervise, and evaluate the clinical education of nursing students in collaboration with school of nursing faculty. This article describes the model's evolution, how the model is differentiated from traditional clinical instruction roles and responsibilities, and the benefits to the collaborating clinical agency and school of nursing.

  8. Italian clinical guides' perceptions of their role in student nurses' clinical practicum. (United States)

    Quattrin, Rosanna; Zanini, Antonietta; Bulfone, Giampiera; Medves, Antonella; Panariti, Mateo; Brusaferro, Silvio


    The focus of this article is an examination of the clinical guides' views and their role in student nurses' learning. The descriptive survey was conducted in July-September 2006. The sample was composed of 120 clinical guides who answered a questionnaire regarding the last student nurses' clinical practice experience during 2006. Clinical guides are nurses working in the wards who are available to supervise the clinical practice of nursing students, similar to preceptors in the United States. Clinical guides used different teaching strategies to stimulate students in various activities. The study revealed that the role of clinical guide is very important for the students as they develop into professional nurses.

  9. Structural empowerment and professional nursing practice behaviors of baccalaureate nursing students in clinical learning environments. (United States)

    Livsey, Kae R


    This study examines the associations between professional behaviors of baccalaureate nursing students and student perceptions of select factors within the clinical learning environment, including the role of clinical faculty leadership. Participants (n=243) were recruited from a randomly selected list of 1000 members of the National Student Nurses Association (NSNA) among sixteen states within the Southern region of the United States. Results revealed a direct relationship exists between student perceptions of structural empowerment in their clinical learning environment and professional nursing practice behaviors among students. Also found was that relationships between variables in the model are significantly strengthened by student perceptions of strong leadership behaviors of clinical faculty. Findings from this study may assist nurse educators by contributing knowledge relevant to support/facilitate the transition of individuals from student nurses to professional registered nurses and, thus enhance the impact of professional nurses' contributions in healthcare delivery.

  10. Strengthening Preceptors' Competency in Thai Clinical Nursing (United States)

    Mingpun, Renu; Srisa-ard, Boonchom; Jumpamool, Apinya


    The problem of lack of nurses can be solved by employing student nurses. Obviously, nurse instructors and preceptors have to work extremely hard to train student nurses to meet the standard of nursing. The preceptorship model is yet to be explored as to what it means to have an effective program or the requisite skills to be an effective…

  11. Quality management systems and clinical outcomes in Dutch nursing homes.

    NARCIS (Netherlands)

    Wagner, C.; Klein Ikkink, K.; Wal, G. van der; Spreeuwenberg, P.; Bakker, D.H. de; Groenewegen, P.P.


    The objective of the article is to explore the impact quality management systems and quality assurance activities in nursing homes have on clinical outcomes. The results are based on a cross-sectional study in 65 Dutch nursing homes. The management of the nursing homes as well as the residents (N =

  12. Quality management systems and clinical outcomes in Dutch nursing homes

    NARCIS (Netherlands)

    Wagner, Cordula; Klein Ikkink, Karen; Wal, Gerrit van der; Spreeuwenberg, Peter; Bakker, Dinny Herman de; Groenewegen, Peter Paulus


    The objective of the article is to explore the impact quality management systems and quality assurance activities in nursing homes have on clinical outcomes. The results are based on a cross-sectional study in 65 Dutch nursing homes. The management of the nursing homes as well as the residents (N= 1

  13. Nursing students’ perceived stress and influences in clinical performance


    Laila Akhu-Zaheya; Insaf Shaban; Wejdan Khater


    Background: It is known that stress related to clinical training among nursing students could contribute to many physical and mental problems. However, little empirical evidence about the influence of stress in nurse students’ clinical performance Objective: The objective of this study was to assess the association between perceived stresses, stress related factors, and students’ clinical performance. Method: Using the perceived stress scale, 539 Jordanian nursing students from 2 publ...

  14. The meaning of hope in nursing research

    DEFF Research Database (Denmark)

    Hammer, Kristianna; Mogensen, Ole; Hall, Elisabeth O C


    . Data were 15 qualitative studies published in nursing or allied health journals and conducted in USA, Great Britain, Canada, Australia, Norway, Sweden and Finland. The meta-synthesis resulted in six metaphors that illustrate dimensions of hope. These metaphors permeated the experiences of hope......Scand J Caring Sci; 2009 The meaning of hope in nursing research: a meta-synthesisThe aim of this study was to develop a meta-synthesis of nursing research about hope as perceived by people during sickness and by healthy people. A meta-synthesis does not intend to cover all studies about hope...... as weathering a storm. Knowing the multidimensionality of hope and what hope means from the patient's perspective might help nurses and other healthcare professionals to inspire hope as Florence Nightingale did when she walked with the lamp through the dark corridors and spread hope and light to the patients...

  15. 42 CFR 405.520 - Payment for a physician assistant's, nurse practitioner's, and clinical nurse specialists... (United States)


    ... 42 Public Health 2 2010-10-01 2010-10-01 false Payment for a physician assistant's, nurse practitioner's, and clinical nurse specialists' services and services furnished incident to their professional... for Determining Reasonable Charges § 405.520 Payment for a physician assistant's, nurse...

  16. Clinical Trials in Vision Research (United States)

    ... Eye Health Information > Clinical Trials in Vision Research Clinical Trials in Vision Research Clinical studies depend on people ... vision research in the United States. Basics of Clinical Trials What is a clinical trial? Clinical trials are ...

  17. A study of clinical performance of nurses who recently completed the comprehensive basic nursing course

    Directory of Open Access Journals (Sweden)

    B. B. Ntombela


    Full Text Available A study was conducted to assess clinical performance of registered nurses who had recently completed the new comprehensive basic nursing course. This regional project was undertaken because of controversy surrounding clinical competence of the graduates/diplomates of the new regulation course. Senior qualified nurses gave their views according to Likert Scale statements and open-ended questions. Findings were that the sample was of the opinion that clinical performance of the new graduates/diplomates falls short of expectations.

  18. An Investigation of Factors Influencing Nurses' Clinical Decision-Making Skills. (United States)

    Wu, Min; Yang, Jinqiu; Liu, Lingying; Ye, Benlan


    This study aims to investigate the influencing factors on nurses' clinical decision-making (CDM) skills. A cross-sectional nonexperimental research design was conducted in the medical, surgical, and emergency departments of two university hospitals, between May and June 2014. We used a quantile regression method to identify the influencing factors across different quantiles of the CDM skills distribution and compared the results with the corresponding ordinary least squares (OLS) estimates. Our findings revealed that nurses were best at the skills of managing oneself. Educational level, experience, and the total structural empowerment had significant positive impacts on nurses' CDM skills, while the nurse-patient relationship, patient care and interaction, formal empowerment, and information empowerment were negatively correlated with nurses' CDM skills. These variables explained no more than 30% of the variance in nurses' CDM skills and mainly explained the lower quantiles of nurses' CDM skills distribution.

  19. Challenging clinical learning environments: experiences of undergraduate nursing students. (United States)

    O'Mara, Linda; McDonald, Jane; Gillespie, Mary; Brown, Helen; Miles, Lynn


    Clinical learning is an essential component of becoming a nurse. However at times, students report experiencing challenging clinical learning environments (CCLE), raising questions regarding the nature of a challenging clinical learning environment, its impact on students' learning and how students might respond within a CCLE. Using an Interpretive Descriptive study design, researchers held focus groups with 54 students from two Canadian sites, who self-identified as having experienced a CCLE. Students defined a CCLE as affected by relationships in the clinical area and by the context of their learning experiences. CCLE decreased students' learning opportunities and impacted on them as persons. As students determined which relationships were challenging, they tapped other resources and they used strategies to rebuilt, reframe, redirect and/or retreat relative to the specific challenge. Relationships also acted as buffers to unsupportive practice cultures. Implications for practice and research are addressed.

  20. Study of the Relationship Between Nurse Self-Concept and Clinical Performance Among Nursing Students

    Directory of Open Access Journals (Sweden)

    Badiyepeymaie Jahromi


    Full Text Available Background Scholars believe that if nursing students appreciate the value of their services, their sense of professionalism will increase and performance will improve. Nevertheless, little is known about the relationship between nursing students’ professional self-concept and clinical performance. Objectives This study examines the relationship between nurse self-concept and clinical performance among nursing students. Patients and Methods This cross-sectional analytical study employed the census method. The sample comprised 86 senior and junior nursing students at Jahrom university of medical sciences. Nurse self-concept and clinical performance were measured by using the nurses’ self-concept questionnaire (NSCQ, and the 6-dimension scale of nurse performance (6-DSNP, respectively. Results The mean and standard deviation of nurse self-concept and clinical performance scores were 5.46 ± 1.11 and 2.94 ± 1.45, respectively. Nurse self-concept was related to clinical performance (r = 0.24, P = 0.02. Total NSCQ scores were significantly related to four of the 6-DSNP dimensions: planning and evaluation, interpersonal relations and communication, critical care, and leadership. Conclusions Attempts should be made to enhance students’ nurse self-concept during their education. Counseling, improving public respect for nurses, and implementing measures to enhance students’ professional self-concept are essential for improving their performance.

  1. Nurse prescribing as an aspect of future role expansion: the views of Irish clinical nurse specialists.

    LENUS (Irish Health Repository)

    Lockwood, Emily B


    AIM: Nurses and midwives are expanding the scope of their professional practice, assuming additional responsibilities including the management and prescribing of medications. The aim of the study was to discover the attitudes of clinical nurse specialists (CNSs) in Ireland to nurse prescribing and to examine perceived barriers to engaging in this aspect of future role expansion. BACKGROUND: The expansion of the nursing role in relation to nurse prescribing is an ongoing process and is subject to incremental iterations of legislation and professional policy. Nurse prescribing as an expanded role function has become a reality in many countries. Ireland has addressed the matter in a formal and systematic way through legislation. METHOD: A questionnaire was administered to a sample of 283 CNSs practising in a variety of care settings in Ireland. Attitudes were measured using Likert-type attitudinal scales, designed specifically for the study. RESULTS AND CONCLUSIONS: Findings indicate that the majority of clinical nurse specialists were positively disposed toward nurse prescribing as a future role expansion. The fear of litigation was identified as the most significant barrier to nurse prescribing. The majority of respondents equated nurse prescribing with increased autonomy and holistic care. The findings indicate that there is a need for further examination of the educational requirements of the CNS in relation to nurse prescribing. The legislative implications for nurse prescribing and fear of legal consequences need to be considered prior to any implementation of nurse prescribing. IMPLICATIONS FOR NURSING MANAGEMENT: While senior clinicians are willing to embrace future role expansion in the area of nurse prescribing, their Nurse Managers should recognize that facilitation of nurse prescribing needs to address the legal and educational requirements for such activity. Failure to address these requirements can represent a barrier to role expansion. This paper offers

  2. Evaluation of Educational Goals Achievement in Fundamental Nursing Clinical Skills: Application OSCE among Senior Nursing Students in ICU

    Directory of Open Access Journals (Sweden)

    Leila Dadvar


    Full Text Available Introduction: Clinical education is an essential component and the heart of nursing education. Nursing is a practice-based discipline and the evaluation of educational goal achievement of nursing competency is essential. The objective of this study was to identify the achievement of clinical educational goals in fundamental skills among senior nursing students in ICU. Methods: This descriptive-analytical research was conducted on 56 senior nursing students. Subjects of this study were purposefully selected, and were directly observed in OSCE stations. Collected data were analyzed with SPSS-19 software. In each skill, the students' skills were categorised into five levels from unacceptable to excellent. Results: Subjects of this study demonstrated excellent competency in insertion of IV catheter; however, they showed neither good nor excellent competence in some fundamental procedures such as dressing, insertion of urinary catheter and feeding tube. The only variable with significant relationship to skill was students’ opportunities to repeat a procedure during clinical education (P= 0.01. Conclusion: The finding of this study revealed that senior nursing students had significant deficits in their clinical skills. Given the importance of fostering students' fundamental skills, offering additional learning opportunities for students to practice basic clinical skills is recommended.

  3. Role-player expectations regarding the education of nursing research

    Directory of Open Access Journals (Sweden)

    SCD Zeelie


    Full Text Available This article reports on role player expectations regarding the education of nursing research. The importance of the role player expectations are two-fold: firstly as a factor in the external environment influencing and guiding the formulation phase of the development of standards and secondly, due to the clear indications of problems regarding nursing research in the nursing profession in literature. The role player expectations were elicited using a qualitative, exploratory and contextual design. The role player population included nurse educators, nurses in managerial, clinical and research positions, students and the medical profession. The data was gathered using the naïve sketches and qualitative data analysis was done using Morse & Field’s approach (1996:103-107 in combination with Tesch’s data analysis approach as cited by Creswell (1994:154-156. Sixty initial categories were narrowed down to six final categories, which are the research learning programme, personnel, students, departmental policies, funding and support systems.

  4. Patient advocacy from the clinical nurses' viewpoint: a qualitative study (United States)

    Davoodvand, Shirmohammad; Abbaszadeh, Abbas; Ahmadi, Fazlollah


    One of the advanced nursing care procedures emphasized by nursing organizations around the world is patient or nursing advocacy. In addition to illustrating the professional power of nursing, it helps to provide effective nursing care. The aim of the present study was to explain the concept of patient advocacy from the perspective of Iranian clinical nurses. This was a qualitative study that examined the viewpoint and experiences of 15 clinical nurses regarding patient advocacy in nursing. The nurses worked in intensive care units (ICUs), coronary care units (CCUs), and emergency units. The study participants were selected via purposeful sampling. The data was collected through semi-structured interviews and analyzed using content analysis. Data analysis showed that patient advocacy consisted of the two themes of empathy with the patient (including understanding, being sympathetic with, and feeling close to the patient) and protecting the patients (including patient care, prioritization of patients’ health, commitment to the completion of the care process, and protection of patients' rights). The results of this study suggest that nurses must be empathetic toward and protective of their patients. The results of the present study can be used in health care delivery, nursing education, and nursing management and planning systems to help nurses accomplish their important role as patient advocates. It is necessary to further study the connections between patient advocacy and empathy. PMID:27471588

  5. Patient advocacy from the clinical nurses' viewpoint: a qualitative study. (United States)

    Davoodvand, Shirmohammad; Abbaszadeh, Abbas; Ahmadi, Fazlollah


    One of the advanced nursing care procedures emphasized by nursing organizations around the world is patient or nursing advocacy. In addition to illustrating the professional power of nursing, it helps to provide effective nursing care. The aim of the present study was to explain the concept of patient advocacy from the perspective of Iranian clinical nurses. This was a qualitative study that examined the viewpoint and experiences of 15 clinical nurses regarding patient advocacy in nursing. The nurses worked in intensive care units (ICUs), coronary care units (CCUs), and emergency units. The study participants were selected via purposeful sampling. The data was collected through semi-structured interviews and analyzed using content analysis. Data analysis showed that patient advocacy consisted of the two themes of empathy with the patient (including understanding, being sympathetic with, and feeling close to the patient) and protecting the patients (including patient care, prioritization of patients' health, commitment to the completion of the care process, and protection of patients' rights). The results of this study suggest that nurses must be empathetic toward and protective of their patients. The results of the present study can be used in health care delivery, nursing education, and nursing management and planning systems to help nurses accomplish their important role as patient advocates. It is necessary to further study the connections between patient advocacy and empathy.

  6. Research Areas - Clinical Trials (United States)

    Information about NCI programs and initiatives that sponsor, conduct, develop, or support clinical trials, including NCI’s Clinical Trial Network (NCTN) and NCI Community Oncology Research Program (NCORP) initiatives.

  7. [Reflections on phenomenological research in nursing]. (United States)

    Schoppmann, S; Pohlmann, M


    This essay is concerned with the question which philosophical traditions underpin the phenomenological perspective in nursing research. The word phenomenology is often used synonymously on the level of the theory of science as well as on the level of research methods. Besides the similarity in the designation of phenomenology as a philosophical tradition and as a research method, there are to be found a number of terms in the nursing literature, such as hermeneutic, interpretive or interpretative phenomenology. Therefore it is hard to differentiate between the various accounts and to use them for a concrete inquiry in nursing. The differences and the resulting consequences for phenomenological research methods shall be described whereby the ideas of Edmund Husserl and Martin Heidegger are taken into account.

  8. Nursing researchers' modifications of Ricoeur's hermeneutic phenomenology. (United States)

    Singsuriya, Pagorn


    Paul Ricoeur's hermeneutic phenomenology has proved to be very helpful in guiding nursing researchers' qualitative analysis of interview transcripts. Modifying Ricoeur's philosophy, a number of nursing researchers have developed their own interpretive methods and shared them, along with their experience, with research community. Major contributors who published papers directly presenting their modifications of Ricoeur's theory include Rene Geanellos (2000), Lena Wiklund, Lisbet Lindholm and Unni Å. Lindström (2002), Anders Lindseth and Astrid Norberg (2004) and Pia Sander Dreyer and Birthe D Pedersen (2009). The aim of this article was to delineate differences among these methods. Descriptive presentation of each method side by side makes clear the differences among them. In addition, Ricoeur's hermeneutic theory is portrayed and compared with the modifications. It is believed that differences that are found can stimulate further thoughts on how to apply Ricoeur's theory in qualitative research in nursing.

  9. Aesthetic Leadership: Its Place in the Clinical Nursing World. (United States)

    Mannix, Judy; Wilkes, Lesley; Daly, John


    Clinical leadership has been identified as crucial to positive patient/client outcomes, across all clinical settings. In the new millennium, transformational leadership has been the dominant leadership style and in more recent times, congruent leadership theory has emerged to explain clinical leadership in nursing. This article discusses these two leadership models and identifies some of the shortcomings of them as models for clinical leadership in nursing. As a way of overcoming some of these limitations, aesthetic leadership is proposed as a style of leadership that is not antithetical to either model and reflects nursing's recognition of the validity of art and aesthetics to nursing generally. Aesthetic leadership is also proposed as a way to identify an expert clinical leader from a less experienced clinical leader, taking a similar approach to the way Benner (1984) has theorised in her staging of novice to expert clinical nurse.

  10. Building an innovation electronic nursing record pilot structure with nursing clinical pathway. (United States)

    Hao, Angelica Te-Hui; Huang, Li-Fang; Wu, Li-Bin; Kao, Ching-Chiu; Lu, Mei-Show; Jian, Wen-Shan; Chang, Her-Kung; Hsu, Chien-Yeh


    The nursing process consists of five interrelated steps: assessment, diagnosis, planning, implementation, and evaluation. In the nursing process, the nurse confronts a great deal of data and information. The amount of data and information may exceed the amount the nurse can process efficiently and correctly. Thus, the nurse needs assistance to become proficient in the planning of nursing care, due to the difficulty of simultaneously processing a large set of information. Thus, some form of assistance will be needed to help nurses to become more proficient in planning nursing care. Using computer technology to support clinicians' decision making may provide high-quality, patient-centered, and efficient healthcare. Although some existing nursing information systems aid in the nursing process, they only provide the most rudimentary decision support--i.e., standard care plans associated with common nursing diagnoses. Such a computerized decision support system helps the nurse develop a care plan step-by-step. But it does not assist the nurse in the decision-making process. The decision process about how to derive nursing diagnoses from data and how to individualize the care plans still remains in the mind of the nurse. The purpose of this study is to develop a pilot structure in an electronic nursing record system integrated with international nursing standards for improving the proficiency and accuracy of the plan of care in the clinical pathway process. The pilot system has shown promise in assisting both student nurses and beginner nurses. It also shows promise in helping experts who need to work in a practice area that is outside of their immediate domain.

  11. International nursing students and what impacts their clinical learning: literature review. (United States)

    Edgecombe, Kay; Jennings, Michele; Bowden, Margaret


    This paper reviews the sparse literature about international nursing students' clinical learning experiences, and also draws on the literature about international higher education students' learning experiences across disciplines as well as nursing students' experiences when undertaking international clinical placements. The paper aims to identify factors that may impact international nursing students' clinical learning with a view to initiating further research into these students' attributes and how to work with these to enhance the students' clinical learning. Issues commonly cited as affecting international students are socialisation, communication, culture, relationships, and unmet expectations and aspirations. International student attributes tend to be included by implication rather than as part of the literature's focus. The review concludes that recognition and valuing of international nursing students' attributes in academic and clinical contexts are needed to facilitate effective strategies to support their clinical practice in new environments.

  12. Journal club: Integrating research awareness into postgraduate nurse training

    Directory of Open Access Journals (Sweden)

    Clare Davis


    Full Text Available Background: Evidence-based nursing requires nurses to maintain an awareness of recently published research findings to integrate into their clinical practice. In the South African setting keeping up with recent literature has additional challenges, including the diversity of nurses’ home language, geographically foreign origins of published work, and limited economic resources. Students enrolled in a postgraduate programme came from various paediatric settings and displayed limited awareness of nursing literature as an evidence base for practice.Objectives: The study aimed to design and introduce a journal club as an educational strategy into the postgraduate programmes in children’s nursing at the University of Cape Town (UCT, and then to refine the way it is used to best serve programme outcomes and facilitate student learning whilst still being an enjoyable activity.Method: An action research methodology using successive cycles of ‘assess-plan-act-observe’ was used to design, implement and refine the structure of a journal club within the postgraduate diploma programme over four academic years. Six educators actively tracked and reflected on journal club sessions, and then analysed findings during and after each annual cycle to plan improvement and increasing programme alignment.Results: Considerable refinement of the intervention included changing how it was structured, the preparation required by both students and educators, the article selection process and the intervention’s alignment with other learning activities in the programme.Conclusion: Journal club facilitated an increase in student awareness and reading of nursing literature, offering the opportunity to consider application of published research to current nursing practice. Another benefit was enabling students to become familiar with the specialised and technical language of research, children’s nursing and the critical care of children and neonates, by speaking

  13. Clinical research informatics

    CERN Document Server

    Richesson, Rachel L


    This book provides foundational coverage of key areas, concepts, constructs, and approaches of medical informatics as it applies to clinical research activities, in both current settings and in light of emerging policies. The field of clinical research is fully characterized (in terms of study design and overarching business processes), and there is emphasis on information management aspects and informatics implications (including needed activities) within various clinical research environments. The purpose of the book is to provide an overview of clinical research (types), activities, and are

  14. The phenomenological movement: implications for nursing research. (United States)

    Walters, A J


    This paper presents a comparison of the phenomenologies of Edmund Husserl and Martin Heidegger with the aim of highlighting some of the critical distinctions between these two 'schools' of phenomenology concerning the methodological implications of each approach for nursing research. Specifically, the paper examines: the implications of epistemology versus ontology; issues relating to validity; the involvement of the researcher, and aspects relating to interpretation.

  15. The Ethics of Qualitative Nursing Research. (United States)

    Robley, Lois R.


    Ethical issues in qualitative nursing research include the following: what to study, which participants, what methods, how to achieve informed consent, when to terminate interviews and when to probe, when treatment should supersede research, and what and how to document in case studies. (SK)

  16. [Ethnography for nursing research, a sensible way to understand human behaviors in their context]. (United States)

    Bourbonnais, Anne


    Understanding human behaviours is at the heart of the nursing discipline. Knowledge development about behaviours is essential to guide nursing practice in the clinical field, for nursing education or in nursing management. In this context, ethnography is often overlooked as a research method to understand better behaviours in their sociocultural environment This article aims to present the principles guiding this qualitative method and its application to nursing research. First, the ethnographic method and some of its variants will be described. The conduct of an ethnographic study will then be exposed. Finally, examples of ethnographic studies in nursing will be presented. This article provides a foundation for the development of research protocols using ethnography for the advancement of nursing knowledge, as well as better use of ethnographic findings to improve care practices.

  17. Nursing Students' Clinical Experience With Death: A Pilot Study. (United States)

    Heise, Barbara A; Gilpin, Laura C


    Although debriefing in simulation settings is routine in nursing education, debriefing does not routinely take place in clinical settings with nursing students after a patient has died. This pilot study sought to explore nursing students' perceptions of their first experience with the death of a patient. Students reported emotional distress and feelings of inadequacy with regard to communicating with and supporting the family of the dying patient. Only half the students sampled reported debriefing by their clinical instructor or staff. Nurse educators must include debriefing and student support following a patient death in the clinical setting.

  18. Ethical Issues of Air Force Nurse Practitioners in Clinical Practice (United States)


    cognitive theory of moral development as set forth by Kohlberg. Crisham explained building on the works of Piaget in the early 30’s, Kohlberg (1976...late 1980s, nursing research has addressed caring as a central theme to nursing. In 1989, Jean Watson’s philosophy and theory of human caring in nursing

  19. Professional nurses' understanding of clinical judgement: A contextual inquiry

    Directory of Open Access Journals (Sweden)

    Anna C. van Graan


    Full Text Available Higher cognitive skills are essential competencies for nurses joining the technologically and increasingly complex health care environment to provide safe and effective nursing care. Educators and clinical facilitators have recognised that newly qualified nurses do not meet the expectations for entry level clinical judgement and are held accountable for finding adequate learning experiences as preparation for such practice demands. An explorative and descriptive qualitative design was followed in this study to reach an understanding of clinical judgement in the clinical nursing environment from the perspective of professional nurses. Eleven professional nurses (n = 11 working at primary health care clinics, public and private hospitals participated voluntarily. Data was collected by means of the “World Café” method, incorporating a combination of techniques such as interviewing, discussions, drawings, narratives and reflection. The focus was on professional nurses' knowledge of the meaning of clinical judgement and factors influencing the development of clinical judgement in the clinical environment. Qualitative thematic content analysis principles were applied during data analysis. The findings were integrated with the relevant literature to culminate in conclusions that should add to the knowledge base of clinical judgement as an essential skill for improving autonomous and accountable nursing care.


    Directory of Open Access Journals (Sweden)

    Herry Prasetyo


    Full Text Available Background: The implementation of a psychiatric clinical placement has been an integral component in Indonesia Nursing Academies. Purpose: The research was to investigate how nursing students’ perceived knowledge in caring for mentally ill patients as a result of their psychiatric clinical placement. Method: A descriptive survey design commonly called non-experimental design was used in this research. Students, who had completed two weeks in a psychiatric clinical placement as a component of mental health nursing subject, were invited to participate. Then, a questionnaire was distributed to nursing students (N=40, giving an overall responses rate of 85 %. Result: The finding revealed that as a result of clinical placement, the majority of nursing students had better perceived knowledge regarding the concept of mental health and mental illness, nursing care plan, medication and providing education towards patient and people in community about mental health. Conclusion: The findings provide evidence for the benefits of such a clinical placement in relation to students’ perceived knowledge in caring for psychiatric patients. Key words: Clinical placement, nursing students, knowledge, mentally ill

  1. Clinical Self-Efficacy in Senior Nursing Students: A Mixed- Methods Study


    Abdal; Masoudi Alavi; Adib-Hajbaghery


    Background Clinical education has a basic role in nursing education, and effective clinical training establishes a sense of clinical self-efficacy in senior nursing students. Self-efficacy is a key component for acting independently in the nursing profession. Objectives This study was designed to outline senior nursing students’ views about clinical self-efficacy and to determine its level in nursing students. ...

  2. New graduate nurses' clinical competence, clinical stress, and intention to leave: a longitudinal study in Taiwan. (United States)

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


    This longitudinal research study aimed to develop a pregraduation clinical training program for nursing students before graduation and evaluate its effect on students' self-perceived clinical competence, clinical stress, and intention to leave current job. A sample of 198 students returned the questionnaires before and after the program. They were followed up at 3, 6, and 12 months after graduation. Results showed that posttest clinical competence was significantly higher than pretest competence, positively related to clinical competence at 3 and 12 months, and negatively related to clinical stress at 3 months. The clinical competence at 3 months was positively related to clinical competence at 6 and 12 months, and clinical competence at 6 months was related to intention to leave at 12 months. Intention to leave at 6 months was positively related to intention to leave at 3 and 12 months. Clinical stress at 3 months was positively related to clinical stress at 6 and 12 months, but not related to intention to leave at any time points. The training program improved students' clinical competence. The stressful time that was correlated with new graduate nurses' intention to leave their job was between the sixth and twelfth months after employment.

  3. Clinical decision making of nurses working in hospital settings. (United States)

    Bjørk, Ida Torunn; Hamilton, Glenys A


    This study analyzed nurses' perceptions of clinical decision making (CDM) in their clinical practice and compared differences in decision making related to nurse demographic and contextual variables. A cross-sectional survey was carried out with 2095 nurses in four hospitals in Norway. A 24-item Nursing Decision Making Instrument based on cognitive continuum theory was used to explore how nurses perceived their CDM when meeting an elective patient for the first time. Data were analyzed with descriptive frequencies, t-tests, Chi-Square test, and linear regression. Nurses' decision making was categorized into analytic-systematic, intuitive-interpretive, and quasi-rational models of CDM. Most nurses reported the use of quasi-rational models during CDM thereby supporting the tenet that cognition most often includes properties of both analysis and intuition. Increased use of intuitive-interpretive models of CDM was associated with years in present job, further education, male gender, higher age, and working in predominantly surgical units.

  4. Experiences of Male Nursing Students during Clinical Training in Maternal Nursing


    川村, 千恵子; 井端, 美奈子; 田原, 町子; Kawamura, Chieko; IBATA, Minako; Tahara, Machiko


    The purpose of this study was to explore experiences of male nursing students. Content analysis was used as the study methodology. Data were collected from questionnaires and semi-structured interviews with 5 male nursing students before and after clinical training in Maternal Nursing. Five core categories were extracted before and after the clinical training, and one category was extracted afterwards. The five categories were as follows: fear of an accident happening and disturbance in learn...

  5. Developing a Web-Based Nursing Practice and Research Information Management System: A Pilot Study. (United States)

    Choi, Jeeyae; Lapp, Cathi; Hagle, Mary E


    Many hospital information systems have been developed and implemented to collect clinical data from the bedside and have used the information to improve patient care. Because of a growing awareness that the use of clinical information improves quality of care and patient outcomes, measuring tools (electronic and paper based) have been developed, but most of them require multiple steps of data collection and analysis. This necessitated the development of a Web-based Nursing Practice and Research Information Management System that processes clinical nursing data to measure nurses' delivery of care and its impact on patient outcomes and provides useful information to clinicians, administrators, researchers, and policy makers at the point of care. This pilot study developed a computer algorithm based on a falls prevention protocol and programmed the prototype Web-based Nursing Practice and Research Information Management System. It successfully measured performance of nursing care delivered and its impact on patient outcomes successfully using clinical nursing data from the study site. Although Nursing Practice and Research Information Management System was tested with small data sets, results of study revealed that it has the potential to measure nurses' delivery of care and its impact on patient outcomes, while pinpointing components of nursing process in need of improvement.

  6. Newly graduated nurses use of knowledge sources in clinical decison-making - a qualitative study

    DEFF Research Database (Denmark)

    Voldbjerg, Siri

    within evidence-based practice to a limited extent. The thesis is based on a synthesis of findings from two studies. The aim of the first study was to explore which knowledge sources newly graduated nurses use in clinical decision making as reported within international qualitative research. The purpose...... into a clinical setting influences the use of knowledge sources among newly graduated nurses. In study 1, meta-ethnography as described by Noblit and Hare was applied as method of synthesis of international qualitative research. Based on iterative literature search in the databases CINAHL, PubMed, SCOPUS...... of clinical decisions, based on transparent, articulate and reflective use of knowledge sources. Furthermore, it is implied that nurses are able to retrieve, asses, implement and evaluate research evidence. To meet these requirements, nursing educations around the world have organised curricula to educate...

  7. Dutch transmural nurse clinics for chronic patients: a descriptive study.

    NARCIS (Netherlands)

    Temmink, D.; Francke, A.L.; Kerkstra, A.; Huyer Abu-Saad, H.


    'Transmural care' can be defined as patient-tailored care provided on the basis of close collaboration and joint responsibility between hospitals and home care organizations. One form of transmural care is transmural nurse clinics for chronically ill. This study describes 62 transmural nurse clinics

  8. Study of clinical nurses scientific research integrity awareness scale reliability and validity%临床护士科研诚信意识量表信度和效度的研究

    Institute of Scientific and Technical Information of China (English)

    刘美满; 周霞; 郑亚光


      目的编制临床护士科研诚信意识量表,并对其进行信度和效度的评价。方法参阅大量文献,收集资料,并通过与对科研诚信方面研究较深的护理专家进行深度访谈,完成量表编制。用临床护士科研诚信意识量表对286名临床护士进行调查,对测定结果进行信效度分析。结果量表的内容效度指数为0.885,同质性信度系数为0.883,重测信度为0.878。结论临床护士科研诚信意识量表具有较好的信效度,可用于测评临床护士科研诚信意识状况。%Objective To design the scale of scientific research integrity awareness among clinical nurses and study its reliability and validity.Methods The scale were completed by reviewing literature,collecting data and interviewing nursing specialists.A total of 286 clinical nurses were investigated by the scale for the research in its reliability and validity.Results The index of content validity was 0.885,and the reliability was 0.883 and the test-retest reliability was 0.878.Conclusion The scale is reliable and valid when used for assessing the integrity awareness of nurses.

  9. Experiencing nursing education research: narrative inquiry and interpretive phenomenology. (United States)

    Lindsay, Gail M


    Narrative inquiry is emerging from higher education curriculum studies into nursing, and interpretive phenomenology is established in nursing education research. These two research methods are compared by subject matter, agent, method, data and outcome, using examples from nursing education research. This comparison facilitates a researcher's choice of method by showing what is revealed by each type of inquiry and how they differ.

  10. Residency Programs and Clinical Leadership Skills Among New Saudi Graduate Nurses. (United States)

    Al-Dossary, Reem Nassar; Kitsantas, Panagiota; Maddox, P J


    Nurse residency programs have been adopted by health care organizations to assist new graduate nurses with daily challenges such as intense working environments, increasing patient acuity, and complex technologies. Overall, nurse residency programs are proven beneficial in helping nurses transition from the student role to independent practitioners and bedside leaders. The purpose of this study was to assess the impact of residency programs on leadership skills of new Saudi graduate nurses who completed a residency program compared to new Saudi graduate nurses who did not participate in residency programs. The study design was cross-sectional involving a convenience sample (n = 98) of new graduate nurses from three hospitals in Saudi Arabia. The Clinical Leadership Survey was used to measure the new graduate nurses' clinical leadership skills based on whether they completed a residency program or not. Descriptive statistics, correlation, and multiple linear regression analyses were conducted to examine leadership skills in this sample of new Saudi graduate nurses. A significant difference was found between residents and nonresidents in their leadership skills (t = 10.48, P = .000). Specifically, residents were significantly more likely to show higher levels of leadership skills compared to their counterparts. Attending a residency program was associated with a significant increase in clinical leadership skills. The findings of this study indicate that there is a need to implement more residency programs in hospitals of Saudi Arabia. It is imperative that nurse managers and policy makers in Saudi Arabia consider these findings to improve nurses' leadership skills, which will in turn improve patient care. Further research should examine how residency programs influence new graduate nurses' transition from student to practitioner with regard to clinical leadership skills in Saudi Arabia.

  11. Development of clinical assessment criteria for postgraduate nursing students. (United States)

    Tolhurst, B G; Bonner, A


    This paper explores the development and implementation of specific criteria to determine the level of clinical performance of postgraduate nursing students during the first year of a Master of Nursing course. The authors describe two commonly used clinical skill assessment tools and identify limitations of these tools for postgraduate nursing students. As a result of these limitations, Clinical Assessment Criteria (CAC) utilising the framework of Benner (1984) was developed. Inherent within the CAC is four levels of clinical nursing performance, which enable the nurse teacher and student to monitor the progression from novice to proficient levels of practice within a specialty area. Following a successful pilot study, the CAC was incorporated into clinical assessments in nine specialty postgraduate courses. Furthermore, the framework developed for the CAC can also be integrated into a variety of professional development domains.

  12. Clinical leadership development and education for nurses: prospects and opportunities

    Directory of Open Access Journals (Sweden)

    Joseph ML


    Full Text Available M Lindell Joseph, Diane L Huber College of Nursing, The University of Iowa, Iowa City, IA, USA Abstract: With the implementation of the Affordable Care Act, elevated roles for nurses of care coordinator, clinical nurse leader, and advanced practice registered nurse have come to the forefront. Because change occurs so fast, matching development and education to job requirements is a challenging forecasting endeavor. The purpose of this article is to envision clinical leadership development and education opportunities for three emerging roles. The adoption of a common framework for intentional leadership development is proposed for clinical leadership development across the continuum of care. Solutions of innovation and interdependency are framed as core concepts that serve as an opportunity to better inform clinical leadership development and education. Additionally, strategies are proposed to advance knowledge, skills, and abilities for crucial implementation of improvements and new solutions at the point of care. Keywords: clinical leadership, nursing leadership, CNL, care coordination, innovation, interdependency

  13. Clinical Research Methodology 2: Observational Clinical Research. (United States)

    Sessler, Daniel I; Imrey, Peter B


    Case-control and cohort studies are invaluable research tools and provide the strongest feasible research designs for addressing some questions. Case-control studies usually involve retrospective data collection. Cohort studies can involve retrospective, ambidirectional, or prospective data collection. Observational studies are subject to errors attributable to selection bias, confounding, measurement bias, and reverse causation-in addition to errors of chance. Confounding can be statistically controlled to the extent that potential factors are known and accurately measured, but, in practice, bias and unknown confounders usually remain additional potential sources of error, often of unknown magnitude and clinical impact. Causality-the most clinically useful relation between exposure and outcome-can rarely be definitively determined from observational studies because intentional, controlled manipulations of exposures are not involved. In this article, we review several types of observational clinical research: case series, comparative case-control and cohort studies, and hybrid designs in which case-control analyses are performed on selected members of cohorts. We also discuss the analytic issues that arise when groups to be compared in an observational study, such as patients receiving different therapies, are not comparable in other respects.

  14. Mathematical knowledge and drug dosage calculation: Necessary clinical skills for the nurse

    Directory of Open Access Journals (Sweden)

    Athanasakis Efstratios


    Full Text Available When nurses perform their tasks, they manage situations where maths knowledge is required. Such a situation is the calculation of medication dosage. Aim: The literature review of papers relevant with the mathematical knowledge and drug calculation skills of nurses and nursing students. Material-Method: A search of published research and review articles from January 1989 until March 2012, has been conducted in Pubmed database. The search terms used were: nurses, mathematics skills, numeracy skills and medication dosology calculation skills. Results: Literature review showed that many studies focus in the mathematical knowledge and drug dosage calculation competency of nursing students. Results from these studies revealed that nursing students had poor mathematical knowledge and drug dosage calculation skills. In contrast with students, professional nurses are more likely to have sufficient skills in drug calculations. Apart from the papers analyzing calculation skills' assessment, several studies examined educational interventions in the context of calculation skills enhancement. Accuracy and proficiency in the dosage calculation of medications is a preventive factor of errors made at medication preparation and administration. Conclusion: Mathematical knowledge and drug dosage calculation abilities are interrelated concepts and essential clinical skills for the nurse. The fact that nursing students do not have adequate skills for calculating medications' dosage, might be an issue that schools of nursing education should focus in. Further research of the drug dosage calculation skills is considered essential.

  15. Concept analysis of competency in nursing: Qualitative research

    Directory of Open Access Journals (Sweden)

    Masumeh Bagheri Nesami


    Full Text Available (Received 23 Sep ,2008; Accepted 3 Dec ,2008 AbstractBackground and Purpose: Competency is a complicated and an ambiguous concept. It is also a challenging subject in the health care arena, which is significant in different aspects of nursing, such as education, clinic and management. There are ambiguities about it, thus, in this article, researchers conducted analysis of this concept. Materials and methods: This research is a concept analysis by the hybrid method. This model has three steps. In literature review stage, 475 related articles exist in databases up to September 2007 were analyzed and evaluated. As to the importance of educational system in the training of nursing courses, 5 educators were interviewed in the field work stage. After listening to tapes, results were Tran scripted and content analysis was done. In the last stage, holistic analysis was carried out.Results: Best definition and properties of competency was selected based on literature reviews. In the field work stage, categories and attributes, same as literature reviews stage, were emerged with interviewing of nursing educators, in addition to holistic view properties, in relation to attitude domain and creativity of management domain. In the last stage, a hybrid model was delivered.Conclusion: In the Iranian field of nursing, educational planning, implementing competency instrument, nurses and students evaluation can be performed according to this study criterion. J Mazand Univ Med Sci 2008; 18(67:35-42 (Persian

  16. Is it possible to strengthen psychiatric nursing staff's clinical supervision?

    DEFF Research Database (Denmark)

    Gonge, Henrik; Buus, Niels


    AIM: To test the effects of a meta-supervision intervention in terms of participation, effectiveness and benefits of clinical supervision of psychiatric nursing staff. BACKGROUND: Clinical supervision is regarded as a central component in developing mental health nursing practices, but the evidence...... on individuals or wards already actively engaged in clinical supervision, which suggested that individuals and wards without well-established supervision practices may require more comprehensive interventions targeting individual and organizational barriers to clinical supervision....

  17. NIH's National Institute of Nursing Research Is Changing Lives (United States)

    ... Current Issue Past Issues NIH's National Institute of Nursing Research Is Changing Lives Past Issues / Spring 2008 Table ... on. From childbirth to end-of-life care, nursing research is aimed at helping patients across the entire ...

  18. American Nurses Association Nursing World (United States)

    ... ANA Staff Nurses Advanced Practice Nurses Nurse Managers Nursing Research Student Nurses Educators What is Nursing? NursingWorld About ... Online Course Alert! The Ins and Outs of Nursing Research 11/09/16 ANA Ready to Work with ...

  19. Clinical accompaniment: the critical care nursing students’ experiences in a private hospital

    Directory of Open Access Journals (Sweden)

    N. Tsele


    Full Text Available The quality of clinical accompaniment of the student enrolled for the post-basic diploma in Medical and Surgical Nursing Science: Critical Care Nursing (General is an important dimension of the educational/learning programme. The clinical accompanist/mentor is responsible for ensuring the student’s compliance with the clinical outcomes of the programme in accordance with the requirements laid down by the Nursing Education Institution and the South African Nursing Council. The purpose of this study was to explore and describe the experiences of the students enrolled for a post-basic diploma in Medical and Surgical Nursing Science: Critical Care Nursing (General, in relation to the clinical accompaniment in a private hospital in Gauteng. An exploratory, descriptive and phenomenological research design was utilised and individual interviews were conducted with the ten students in the research hospital. A content analysis was conducted and the results revealed both positive and negative experiences by the students in the internal and external worlds. The recommendations include the formulation of standards for clinical accompaniment of students. the evaluation of the quality of clinical accompaniment of students and empowerment of the organisation, clinical accompanists/mentors and clinicians.

  20. Developing a manual for strengthening mental health nurses' clinical supervision

    DEFF Research Database (Denmark)

    Buus, Niels; Cassedy, Paul; Gonge, Henrik


    In this article, we report findings from a study aimed at developing the content and implementation of a manual for a research-based intervention on clinical supervision of mental health nursing staff. The intervention was designed to strengthen already existing supervision practices through...... educational preparation for supervision and systematic reflection on supervision. The intervention consists of three sessions and was implemented on two groups of mental health hospital staff. We present an outline of the manual and explain how the trial sessions made us adjust the preliminary manual...

  1. 护理教师对情景模拟教学培训评价的质性研究%Qualitative Research about Evaluation on Scenario Simulated Teaching Training among Clinical Nursing Faculty

    Institute of Scientific and Technical Information of China (English)

    陈悦; 刘化侠; 万学英; 张爱华; 梁玉慧; 杨茜茜; 武霞


    目的:探讨临床护理教师接受情景模拟教学培训后的真实体验,评价其效果和可行性,为系统开展情景模拟教学提供指导。方法对来自我校和6所医院的46名临床护理专兼职教师进行2天的情景模拟教学培训。之后,采用质性研究中焦点团体访谈法对自愿参与访谈的28名教师进行访谈,并用 Colaizzi 法对资料进行分析。结果培训体验归纳为5个主题:情景模拟教学培训的效果;情景模拟教学培训的不足;传统临床护理教学存在的问题;开展情景模拟教学的困难;护理教师对临床教学的建议和启发。结论本次情景模拟教学培训使临床护理教师受益颇多,有利于提高其综合素质,同时反映出护理实践教学存在诸多进步空间,有待完善。%Objective To explore the real experiences of clinical nursing faculty who accepted scenario simulated teaching training,to evaluate its effectiveness and feasibility,and provide guidance for clinical training and usage.Methods Forty-six clinical nursing faculty from our medical university and 6 hospitals attended 2-days intensive training.Using focus group interviews of qualitative research,28 faculties among them volunteered to interview after scenario simulated teaching training.The data collected were analyzed by using Colaizzi method.Results Five themes were extracted,including active role in teaching training,shortage of teaching training,the problems of traditional clinical nursing teaching,difficulties to carry out scenario simulation teaching,recommends for clinical teaching.Conclusions Although the training had made some remarka-ble achievements and enhanced the comprehensive quality of clinical nursing faculty,some shortages appeared in clinical teaching which needed to be improved.

  2. The District Nursing Clinical Error Reduction Programme. (United States)

    McGraw, Caroline; Topping, Claire


    The District Nursing Clinical Error Reduction (DANCER) Programme was initiated in NHS Islington following an increase in the number of reported medication errors. The objectives were to reduce the actual degree of harm and the potential risk of harm associated with medication errors and to maintain the existing positive reporting culture, while robustly addressing performance issues. One hundred medication errors reported in 2007/08 were analysed using a framework that specifies the factors that predispose to adverse medication events in domiciliary care. Various contributory factors were identified and interventions were subsequently developed to address poor drug calculation and medication problem-solving skills and incorrectly transcribed medication administration record charts. Follow up data were obtained at 12 months and two years. The evaluation has shown that although medication errors do still occur, the programme has resulted in a marked shift towards a reduction in the associated actual degree of harm and the potential risk of harm.

  3. Clinical research: regulatory issues. (United States)

    Wermeling, D P


    The regulatory issues faced by institutions performing clinical research are described. Many institutions do not have on staff an expert who understands the regulatory issues involved in managing investigational new drug research and who knows the institution's obligations under the federal rules. Because pharmacists understand the FDA regulations that apply to the management of drugs in clinical research, institutions are asking pharmacists to expand their role and manage clinical research offices. Many authorities govern various aspects of investigational drug research. FDA has published regulations for good clinical practice (GCP), and the International Conference on Harmonisation is developing an international standard for the proper management of clinical trials. The guidelines published by the Joint Commission on Accreditation of Healthcare Organizations aim to protect patients who are in the institution to receive health care and also participate in clinical trials. The Social Security Administration Acts specifically state that only items and services that are reasonable and necessary for the diagnosis and treatment of injury or disease can be billed to the government; research-related billings are excluded from coverage. Proper management of drug research is crucial to the success of a research program that is integrated with patient care.

  4. The Certified Clinical Nurse Leader in Critical Care. (United States)

    L'Ecuyer, Kristine M; Shatto, Bobbi J; Hoffmann, Rosemary L; Crecelius, Matthew L


    Challenges of the current health system in the United States call for collaboration of health care professionals, careful utilization of resources, and greater efficiency of system processes. Innovations to the delivery of care include the introduction of the clinical nurse leader role to provide leadership at the point of care, where it is needed most. Clinical nurse leaders have demonstrated their ability to address needed changes and implement improvements in processes that impact the efficiency and quality of patient care across the continuum and in a variety of settings, including critical care. This article describes the role of the certified clinical nurse leader, their education and skill set, and outlines outcomes that have been realized by their efforts. Specific examples of how clinical nurse leaders impact critical care nursing are discussed.

  5. Analysis of Family Clinical, vision of service nurses

    Directory of Open Access Journals (Sweden)

    Daniele Merisio Raimundi


    Full Text Available Objective to know the practice of the Family Clinic in Cuiaba and its relationship with the precepts of the expanded clinic, from the perspective of the service nurses. Method qualitative descriptive research, data collection with semi-structured interviews and results analyzed according to the method of thematic content analysis. Results for nurses working in the service, this assumes a differentiated and innovative proposal, which seeks to correlate with shared management in its three spheres. Although most do not know the Enlarged Clinic term in his speech cited its main principles and its tools. The greatest potential described were related to the Support Center for Health and popular participation, and as challenges, the lack of community health worker, the national health establishment registration and the difficulty of operation due to the profile of the professionals technical level arising from secondary care. Conclusions The clinic has positive aspects that can contribute to the advancement of the profession, to train health professionals and an innovative primary care model. Therefore, it emphasizes the need for implementation of continuing education in order to realize its proposal, and further studies on site.

  6. Clinical profile, nursing diagnoses and nursing care for postoperative bariatric surgery patients. (United States)

    Steyer, Nathalia Helene; Oliveira, Magáli Costa; Gouvêa, Mara Regina Ferreira; Echer, Isabel Cristina; Lucena, Amália de Fátima


    Objective To analyze the clinical profile, nursing diagnoses, and nursing care established for postoperative bariatric surgery patients. Method Cross-sectional study carried out in a hospital in southern Brazil with a sample of 143 patients. Data were collected retrospectively from electronic medical records between 2011 and 2012 and analyzed statistically. Results We found a predominance of adult female patients (84%) with class III obesity (59.4%) and hypertension (72%). Thirty-five nursing diagnoses were reported, among which the most frequent were: Acute Pain (99.3%), Risk for perioperative positioning injury (98.6%), and Impaired tissue integrity (93%). The most frequently prescribed nursing care were: to use protection mechanisms in the surgical patient positioning, to record pain as 5th vital sign, and to take vital signs. There was an association between age and comorbidities. Conclusion The nursing diagnoses supported the nursing care prescription, which enables the qualification of nursing assistance.

  7. Developing an advanced practice nurse-led liver clinic. (United States)

    McAfee, Jean L


    End-stage liver disease (ESLD) is a leading cause of digestive disease deaths in the United States and continues to increase exponentially every year. Best practice does not currently recognize or utilize a clinic practice model for ESLD management. Advanced practice registered nurses (APRNs) can impact ESLD disease management by implementing an outpatient clinic care model to focus on treatment compliance, patient education, improvement of patient outcomes, and reduction in hospital admission rates for ESLD patients. A review of 15 research articles was completed to determine the impact APRNs can make on chronic care of ESLD patients. Results from the review support APRN analysis, assessment, diagnosis, treatment, intervention, and evaluation of ESLD patients. The literature reviewed also demonstrates that ESLD patients have improved symptom management when maintained in an outpatient setting, allowing for decreased hospital and insurance expenditures. Following evaluation of the evidence, it was concluded that an APRN-led ESLD clinic merits further study.

  8. Research on the prevalence of medication errors in clinical nursing%临床用药护理差错现状的调查

    Institute of Scientific and Technical Information of China (English)

    宋白娟; 邱梅英; 何美香


    Objective To investigate the prevalence of medication errors in clinical nursing work, to analyze the causes, and to explore relevant measures ensuring medication safety. Methods By using a self-made questionnaire, 10 investigators recruited from their own relationships 130 nurses who had made medication error. The participants reported the backgrounds of making a medication error, types of the error,causes, persons who discovered the error,and how the error was discovered. Results Totally, 46.1% of the participants reported the medication errors they had made occurred in day shifts;36. 9% reported that they had made medication errors in department of emergency and 35. 4% in ICU. As for the causes of medication errors, 85. 4% blamed themselves for negligence, 36. 2% alleged that they were not familiar with the medication, 35. 4% ascribed the errors to unfamiliar environment, and 29. 2% to heavy workload. And 61. 5% reported that the medication errors they had made were discovered by their colleagues, 26. 1% reported that the medication errors they had made were discovered through double checking. A total of 36. 9% reported of administering wrong dosage, which was the most frequently seen medication error. Conclusion Many factors conspire to cause medication errors. In nursing practice, nursing managers and nurses should pay attention to high-risk places, processes, and error-prone persons, and take measures to make excellent crisis management.%目的 了解目前临床用药中护理差错发生的现状及原因,探索相应的对策确保用药安全。方法利用自制问卷,10名调查员根据各自的人际网抽取曾发生用药错误的130名护士,对用药护理差错发生的背景、类型、原因、发现的人员与方式进行调查。结果用药差错多发生于白班(46.1%),且以急诊科(36.9%)和重症监护室(35.4%)高发;个人疏忽(85.4%)、对药物不熟悉(36.2%)、对环境不熟悉(35.4%)和繁重

  9. Professional excellence and career advancement in nursing: a conceptual framework for clinical leadership development. (United States)

    Adeniran, Rita Kudirat; Bhattacharya, Anand; Adeniran, Anthony A


    Increasingly, stakeholders in the health care community are recognizing nursing as key to solving the nation's health care issues. This acknowledgment provides a unique opportunity for nursing to demonstrate leadership by developing clinical nurse leaders to collaborate with the multidisciplinary care team in driving evidence-based, safe quality, cost-effective health care services. One approach for nursing success is standardizing the entry-level education for nurses and developing a uniform professional development and career advancement trajectory with appropriate incentives to encourage participation. A framework to guide and provide scientific evidence of how frontline nurses can be engaged will be paramount. The model for professional excellence and career advancement provides a framework that offers a clear path for researchers to examine variables influencing nurses' professional development and career advancement in a systematic manner. Professional Excellence and Career Advancement in Nursing underscores professional preparedness of a registered nurse as central to leadership development. It also describes the elements that influence nurses' participation in professional development and career advancement under 4 main categories emphasizing mentorship and self-efficacy as essential variables.

  10. Nursing Research: Understanding Nursing Innovations for the Transformation of Communities of Care (United States)

    Burge, Donna M.; Sullivan, Shelia Cox


    The article describes the potent impact of nursing research in shaping and implementing current healthcare trends. Further, the article provides contextual information relevant to the historical development of nursing science from Florence Nightingale forward while marking milestones of achievement in nursing research endeavors and subsequent…

  11. Perception of nursing students face clinical supervision: literature review


    Certo, Ana; Galvão, Ana Maria; Louçano, Ana


    Currently, without theoretical clinical training is not possible for the nursing student adequately meet their clinical practices.In this regard, clinical supervision plays a key role monitoring and development of the same. However,so that the student can be supervised, requires evidence of nurse supervisor competence in this context. In contemporary literature, this issue has been much debated, as the target of numerous different scientific studies. Aim of the study was, under...

  12. Nursing informatics, ethics and decisions: implications for translational research

    DEFF Research Database (Denmark)

    Kaltoft, Mette Kjer; Nielsen, Jesper Bo; Dowie, Jack

    -calculation with evidence-based ratings for option performance on those criteria to produce a preference-sensitive assessment or opinion. Results: The first example shows the framework connecting nursing informatics and nursing ethics in the clinical context of a nurse’s decision to disclose or not disclose information...... and tool for translating research findings into practice. It also can identify weaknesses in the current evidence base in order to influence research priorities. The optimal decision in each case depends on both the weights attached to the selected criteria and the performance ratings for the options...... into practice which can simultaneously identify and communicate the needs for backward translation from practice to research. Method: Web-based decision analytic software is used to demonstrate how the weights for multiple person/patient-important criteria can be combined in an expected value...

  13. Clinical reasoning in undergraduate nursing education: a scoping review

    Directory of Open Access Journals (Sweden)

    Sáskia Sampaio Cipriano de Menezes


    Full Text Available Abstract OBJECTIVE This study aimed at analyzing the current state of knowledge on clinical reasoning in undergraduate nursing education. METHODS A systematic scoping review through a search strategy applied to the MEDLINE database, and an analysis of the material recovered by extracting data done by two independent reviewers. The extracted data were analyzed and synthesized in a narrative manner. RESULTS From the 1380 citations retrieved in the search, 23 were kept for review and their contents were summarized into five categories: 1 the experience of developing critical thinking/clinical reasoning/decision-making process; 2 teaching strategies related to the development of critical thinking/clinical reasoning/decision-making process; 3 measurement of variables related to the critical thinking/clinical reasoning/decision-making process; 4 relationship of variables involved in the critical thinking/clinical reasoning/decision-making process; and 5 theoretical development models of critical thinking/clinical reasoning/decision-making process for students. CONCLUSION The biggest challenge for developing knowledge on teaching clinical reasoning seems to be finding consistency between theoretical perspectives on the development of clinical reasoning and methodologies, methods, and procedures in research initiatives in this field.

  14. Developing a taxonomy and an ontology of nurses' patient clinical summaries. (United States)

    McLane, Sharon; Esquivel, Adol; Turley, James P


    Nurses prepare a summary of patient information that they consult and update throughout the shift. This document is believed to be integral to cognition, working memory, and decision-making. While serving as a key support to nursing practice, this summary also represents risks to patient safety. Characterized as a PCCAT, or Personally Created Cognitive Artifact, studies of this document in the context of nursing practice have not been reported. The absence of reported research, the importance of the document to nurse cognition and practice, and related safety risks prompted the research that this paper discusses. A taxonomy was developed through the analysis and coding of 151 PCCATs. Further analysis and mapping provided an ontology of the PCCAT. Content differences were noted between nursing units and among nurses. This may reflect differences in unit-based culture and/or differences in the patient complexity. The interaction between culture and perceived complexity of practice is one of the great difficulties in generating automated information systems for clinical practice settings. This paper is part of a larger research protocol that explores meta-level knowledge structures and revision to the understanding of the granularity of nursing knowledge. Development of a taxonomy and ontology of the nurse PCCAT, an important component of the larger research protocol, is described in this paper.

  15. Nurse lecturers' perceptions of what baccalaureate nursing students could gain from clinical group supervision. (United States)

    Lindgren, Barbro; Athlin, Elsy


    The extensive amount of studies on clinical supervision during the nursing students' clinical programmes has shown that supervision most often is given on a one-to-one basis, and that many challenges are embedded in this kind of supervision. In some studies group supervision has been used, with mostly successful effects according to the nursing students. At a university in Sweden, a model of group supervision was included in the baccalaureate nursing programme, conducted by nurse lecturers. The purpose of this study was to describe the value of clinical group supervision to nursing students, as perceived by the nurse lecturers. Data consisted of field notes written by the nurse lecturers after 60 supervision sessions, and qualitative content analysis was performed. The findings showed how reflection in a group of equals was considered to give the nursing students opportunities to increase their understanding of themselves and others, prepare them for coming events, increase their personal and professional strengths, and inspire them for further development. On the basis of the findings and previous studies the value of using nurse lecturers as group supervisors was discussed. The impact of a contract to achieve a good learning environment in group supervision was also stressed.

  16. The role of nurses and nurse leaders on realizing the clinical, social, and economic return on investment of nursing care. (United States)

    Shamian, Judith; Ellen, Moriah E


    There is a limited understanding of the significance and the potential contribution that nursing can make through practice, policy, science, and profession to the global health agenda. In this article, we present some of the evidence to demonstrate the clinical, social, and economic returns on investment in nursing. We conclude by addressing the issues that nurse and system leaders need to address in order to achieve these returns on investments, and unless nurses get involved at the leadership level, these returns on investment will not be attained.

  17. Critical thinking of student nurses during clinical accompaniment

    Directory of Open Access Journals (Sweden)

    BY Uys


    Full Text Available The purpose of this study was to investigate the methods of clinical accompaniment used by clinical facilitators in practice. The findings of the study also reflected facilitators’ perceptions regarding critical thinking and the facilitation thereof. A quantitative research design was used. A literature study was conducted to identify the methods of accompaniment that facilitate critical thinking. Data was collected by means of a questionnaire developed for that purpose. Making a content-related validity judgment, and involving seven clinical facilitators in an academic institution, ensured the validity of the questionnaire. The results of the study indicated that various clinical methods of accompaniment were used. To a large extent, these methods correlated with those discussed in the literature review. The researcher further concluded that the concepts ‘critical thinking’ and ‘facilitation’ were not interpreted correctly by the respondents, and would therefore not be implemented in a proper manner in nursing practice. Furthermore, it seemed evident that tutor-driven learning realised more often than student-driven learning. In this regard, the requirement of outcomes-based education was not satisfied. The researcher is therefore of the opinion that a practical programme for the development of critical thinking skills during clinical accompaniment must be developed within the framework of outcomes-based education.

  18. The application of qualitative research findings to oncology nursing practice. (United States)

    Cuthbert, Colleen Ann; Moules, Nancy


    The Oncology Nursing Society (ONS) has established an ambitious research agenda and professional priorities based on a survey by LoBiondo-Wood et al. (2014). With the overall goal to "improve cancer care and the lives of individuals with cancer" (Moore & Badger, 2014, p. 93) through research activities, translating those research findings to direct clinical practice can be overwhelming. As clinicians, understanding how to critique research for quality prior to incorporating research findings into practice is important. The ultimate goal in this critique is to ensure that decisions made about patient care are based on strong evidence. However, the process for appraisal of qualitative research can be ambiguous and often contradictory as a result of the elusive aspect of quality in qualitative research methods (Seale, 1999). In addition, with more than 100 tools available to evaluate qualitative research studies (Higgins & Green, 2011), a lack of consensus exists on how to critically appraise research findings.

  19. Emotional intelligence and clinical performance/retention of nursing students

    Directory of Open Access Journals (Sweden)

    Chelsea Marvos


    Full Text Available Objective: This exploratory, quantitative, descriptive study was undertaken to explore the relationship between clinical performance and anticipated retention in nursing students. Methods: After approval by the university′s Human Subjects Committee, a sample of 104 nursing students were recruited for this study, which involved testing with a valid and reliable emotional intelligence (EI instrument and a self-report survey of clinical competencies. Results: Statistical analysis revealed that although the group average for total EI score and the 6 score subsets were in the average range, approximately 30% of the individual total EI scores and 30% of two branch scores, identifying emotions correctly and understanding emotions, fell in the less than average range. This data, as well as the analysis of correlation with clinical self-report scores, suggest recommendations applicable to educators of clinical nursing students. Conclusions: Registered nurses make-up the largest segment of the ever-growing healthcare workforce. Yet, retention of new graduates has historically been a challenge for the profession. Given the projected employment growth in nursing, it is important to identify factors which correlate with high levels of performance and job retention among nurses. There is preliminary evidence that EI "a nontraditional intelligence measure" relates positively not only with retention of clinical staff nurses, but with overall clinical performance as well.

  20. Designing Nursing Simulation Clinical Experiences to Promote Critical Inquiry (United States)

    Beattie, Bev; Koroll, Donna; Price, Susan


    The use of high fidelity simulation (HFS) learning opportunities in nursing education has received increased attention in the literature. This article describes the design of a systematic framework used to promote critical inquiry and provide meaningful simulation clinical experiences for second year nursing students. Critical inquiry, as defined…

  1. Clinical placements and nursing students' career planning: a qualitative exploration. (United States)

    McKenna, Lisa; McCall, Louise; Wray, Natalie


    Many nursing students enter undergraduate programmes with preconceived ideas about their future nursing careers, and intend to practice in particular areas such as midwifery or paediatrics. Through clinical placements, students are exposed to different clinical areas and professional socialization is facilitated. However, little is known about the influence of clinical placements on students' career intentions. This paper reports nursing findings drawn from a large qualitative study conducted in Victoria, Australia that sought to explore the influence of health professional students' clinical placements on their future career intentions. Participants were invited to be involved in either face-to-face or focus group interviews depending upon their own preference. Thematic data analysis revealed three main themes: 're-affirming career choice', 'working in a particular area' and 'work location'. Findings from the study add to our understanding of factors influencing nursing students' planning for their future careers including the impact of clinical placements.

  2. Case study methodology in nurse migration research: an integrative review. (United States)

    Freeman, Michelle; Baumann, Andrea; Fisher, Anita; Blythe, Jennifer; Akhtar-Danesh, Noori


    The migration of nurses combined with a global nursing shortage affects the supply of nurses and access to health services in many countries. The purpose of this article was to conduct an integrative review of case study methodology (CSM) in nurse migration research. Findings identify where studies using CSM have been conducted, by whom, and the themes explored. More studies using CSM are required to answer the important "how" and "why" questions related to nurse migration. Nurses should take a leadership role in this research.

  3. Nursing students’ perception of clinical learning experiences as provided by the nursing staff in the wards

    Directory of Open Access Journals (Sweden)

    N. R. C. TIakula


    Full Text Available A descriptive survey was carried out, using convenience and systematic sampling in order to better understand the manner in which student nurses perceive their clinical experience in the hospital. Data were collected from 80 subjects in 4 nursing colleges using a critical incident technique. Positive and negative experiences are described,

  4. Undergraduate Nurse Variables that Predict Academic Achievement and Clinical Competence in Nursing (United States)

    Blackman, Ian; Hall, Margaret; Darmawan, I Gusti Ngurah.


    A hypothetical model was formulated to explore factors that influenced academic and clinical achievement for undergraduate nursing students. Sixteen latent variables were considered including the students' background, gender, type of first language, age, their previous successes with their undergraduate nursing studies and status given for…

  5. A wellness framework for pediatric nursing clinical practice. (United States)

    Spurr, Shelley; Bally, Jill; Ogenchuk, Marcella; Peternelj-Taylor, Cindy


    This article presents a proposed holistic Framework for Exploring Adolescent Wellness specific to the discipline of nursing. Conceptualized as a practical adolescent wellness assessment tool, the framework attends to the physical, spiritual, psychological and social dimensions of adolescent health. Through the discussion of a reconstructed case study the framework's application to nursing practice is illustrated. Nurses are distinctly positioned to promote adolescent wellness. This approach facilitates the exploration of the multiple influences on the health of adolescents, across a variety of clinical practice specialties and settings, by nurses of varying experiences.

  6. Information-Seeking, Research Utilization, and Barriers to Research Utilization of Pediatric Nurse Educators. (United States)

    Barta, Kathleen M.


    Responses from 52% of 409 pediatric nurse educators identified 3 top information sources for updating instruction: nursing journals, professional education activities, and texts. Level of research utilization measured by Nursing Practice Questionnaire-Education for eight nursing practices was the implementation stage. Those using nursing journals…

  7. Case study and case-based research in emergency nursing and care: Theoretical foundations and practical application in paramedic pre-hospital clinical judgment and decision-making of patients with mental illness. (United States)

    Shaban, Ramon Z; Considine, Julie; Fry, Margaret; Curtis, Kate


    Generating knowledge through quality research is fundamental to the advancement of professional practice in emergency nursing and care. There are multiple paradigms, designs and methods available to researchers to respond to challenges in clinical practice. Systematic reviews, randomised control trials and other forms of experimental research are deemed the gold standard of evidence, but there are comparatively few such trials in emergency care. In some instances it is not possible or appropriate to undertake experimental research. When exploring new or emerging problems where there is limited evidence available, non-experimental methods are required and appropriate. This paper provides the theoretical foundations and an exemplar of the use of case study and case-based research to explore a new and emerging problem in the context of emergency care. It examines pre-hospital clinical judgement and decision-making of mental illness by paramedics. Using an exemplar the paper explores the theoretical foundations and conceptual frameworks of case study, it explains how cases are defined and the role researcher in this form of inquiry, it details important principles and the procedures for data gathering and analysis, and it demonstrates techniques to enhance trustworthiness and credibility of the research. Moreover, it provides theoretically and practical insights into using case study in emergency care.

  8. Value-sensitive clinical accompaniment in community nursing science

    Directory of Open Access Journals (Sweden)

    Ebin Arries


    Full Text Available Clinical community health facilities where undergraduate students are placed for their practical work in community nursing science are dynamic and have undergone major transformation over the past few years. In the clinical field, community nurses and undergraduate students are representative of the different races and language and ethnic groups in the South African population, with each group espousing different value systems. Both parties – students and community nurses – report that, due to these differences, value conflicts are experienced during clinical accompaniment and that this has negative effects on clinical learning in community nursing science.

    The goal of this study was to explore and describe the experiences of students with regard to value-sensitive clinical accompaniment in the community nursing environment. An exploratory, descriptive and contextual design was used. Interactions between community nurses and students during clinical accompaniment were explored for value sensitivity by means of video recordings,participant observation and focus group interviews. Data were collected by means of video recordings, participant observation and focus group interviews. The data were analysed and coded by the researcher and the external coder, using an inductive descriptive method to identify important segments of the regularity of behaviour. The focus group interviews were transcribed, analysed and coded by the researcher and the external coder, using Tesch’s steps of analysis (Creswell 1994:155–156.Lincoln and Guba’s criteria (1985:290 for trustworthiness were applied to the study.

    The general findings indicate that clinical accompaniment in community nursing is not value sensitive and, as a result, guidelines for value-sensitive clinical accompaniment need to be developed for undergraduate students in the community nursing environment. The following values (values for which guidelines need to be developed were

  9. Nurse cannulation: introducing an advanced clinical skill.

    LENUS (Irish Health Repository)

    Hoctor, Bridget


    Many patients admitted to emergency departments (EDs) require therapy delivered by cannula. Mid-Western Regional Hospital, Tipperary, used to run a system in which many patients had to endure two invasive procedures: on arrival their blood was taken by nurses and later they were cannulated by doctors. To reduce the number of procedures, ED nurses initiated a project to extend their skills to include cannulation. The new system of nurse cannulation at triage has also helped reduce waiting times.

  10. A conceptual framework of clinical nursing care in intensive care1 (United States)

    da Silva, Rafael Celestino; Ferreira, Márcia de Assunção; Apostolidis, Thémistoklis; Brandão, Marcos Antônio Gomes


    Objective: to propose a conceptual framework for clinical nursing care in intensive care. Method: descriptive and qualitative field research, carried out with 21 nurses from an intensive care unit of a federal public hospital. We conducted semi-structured interviews and thematic and lexical content analysis, supported by Alceste software. Results: the characteristics of clinical intensive care emerge from the specialized knowledge of the interaction, the work context, types of patients and nurses characteristic of the intensive care and care frameworks. Conclusion: the conceptual framework of the clinic's intensive care articulates elements characteristic of the dynamics of this scenario: objective elements regarding technology and attention to equipment and subjective elements related to human interaction, specific of nursing care, countering criticism based on dehumanization. PMID:26487133

  11. 临床护士积极心理品质与专业自我概念的相关性研究%Correlation research of positive psychological quality and professional self-concept of clinical nurses

    Institute of Scientific and Technical Information of China (English)



    目的:了解临床护士积极心理品质与专业自我概念状况及两者相关性,为护理管理提供依据。方法采用自制一般情况调查表、积极心理品质量表和护理专业自我概念量表( PSCNI )对1139名临床护士进行问卷调查。结果临床护士积极心理品质量表总分为(174.95±16.68)分,节制维度条目平均得分最高,为(3.76±0.59)分,超越维度平均得分最低,为(2.13±0.41)分;护理专业自我概念量表总分为(91.32±12.76)分,技能维度条目平均得分最高,为(3.65±0.28)分,满意度条目平均得分最低,为(2.46±0.36)分。专业自我概念得分值与积极心理品质得分值呈正相关( r值分别为0.218~0.526,P<0.05);多元回归分析显示,认知维度、情感维度、人际维度、公正维度及超越维度是专业自我概念的主要影响因素。结论临床护士专业自我概念状况不佳,提高护士积极心理品质,有助于增强专业自我概念水平。%Objective To understand the condition of positive psychological quality and professional self-concept of clinical nurses and their correlation , in order to afford the basis for nursing management . Methods Totals of 1 139 clinical nurses were researched using the positive psychological quality scale and professional self-concept scale.Results The total score of the clinical nurses'positive psychological quality scale was (174.95 ±16.68).The average of temperance dimension was the highest of (3.76 ±0.59).The average of beyond the dimension was the lowest of (2.13 ±0.41).The total score of self-concept scale of the nurse professional was (91.32 ±12.76).The average of skills dimension was the highest of (3.65 ±0.28).The average of satisfaction was the lowest of (2.46 ±0.36).There was positive correlation between the score of positive psychological quality and professional self-concept ( r =0

  12. Ad aptation of Clinical Decision Making in Nursing Scale to Undergraduate Students of Nursing: The Study of Reliability and Validity

    Directory of Open Access Journals (Sweden)

    Aylin Durmaz Edeer


    Full Text Available A clinical decision making skill is essential in the implementation of nursing knowledge and reflecting on patient care. The research was planned to measure the reliability and validity of The Clinical Decision Making in Nursing Scale (CDMNSTr for undergraduate nursing students from Turkey. This study is a methodological design. This study was conducted on 210 undergraduate students of nursing. For validity; Language – Content Validity and Construct Validity (Exploratory and Confirmatory Factor Analysis were examined. For reliability; CDMNS’s Cronbach’s alpha reliability coefficient, item-total score correlation coefficients and stability analysis (test-retest were examined. Item Content Validity Index and Scale Content Validity Index were calculated as .81 and .83 respectively. Confirmatory factor analyses showed that goodness of fit indexes were acceptable. Cronbach alpha value of the scale was .78. Item-to-total score correlation coefficients ranged from .13 to .56. The correlation coefficient for test-retest was .82. The scale can be used as a valid and reliable measurement tool to determine the perceptions of Turkish undergraduate students of nursing regarding to clinical decision making.


    Institute of Scientific and Technical Information of China (English)



    Objective To explore the therapeutic apparatus at low temperature with comprehensive nurs‐ing intervention in patients with severe craniocerebral injury ,the application of clinical nursing and cura‐tive effect .Methods Junan county board springs center hospital diagnosis and treatment of 69 cases of se‐vere craniocerebral injury patients according to random number table method is divided into observation group and control group ,the observation group of 35 cases ,34 cases in the placebo group .Control group adopted routine craniocerebral trauma treatment methods ,including application of dehydrating agent ,diu‐retics ,hemostatic agent ,antibiotic ,hormone and cranial nerve nutrition agent ,calcium antagonists ,etc;Observation group on the basis of conventional treatment within 24 h after the onset of using the low tem‐perature treatment and cooperate with the comprehensive nursing measures .3 months after treatment by the method of Glasgow coma scale (GCS) according to the patients with open ,language and movement re‐sponse evaluation of clinical curative effect .Results Observation group with 88 .6% regained certain self‐care ability ,8 .6% of the need to care others ,1 death ,accounting for 2 .9% .The control group 64 .7% re‐gained certain self‐care ability ,29 .4% of the need to care others ,killed 2 people ,accounting for 5 .9% , the total curative effect compare similar between the two groups have statistical significance ( P< 0 .05) . Conclusion Comprehensive nursing measures using the low temperature ,an instrument with good clinical nursing curative effect ,can effectively reduce the morbidity and mortality in patients with severe head inju‐ry ,improve the patients'self‐care ability , w orthy of clinical popularization and application .%目的:探索亚低温治疗仪配合综合护理措施在重型颅脑损伤患者临床护理中的应用及疗效。方法将莒南县板泉中心卫生院诊治的重型颅脑损伤患者69例按

  14. Phenomenology in pediatric cancer nursing research. (United States)

    Fochtman, Dianne


    What does it mean to have cancer as a child or adolescent? To understand this, researchers must study the illness from the child's point of view and listen to these children's descriptions of their "lived world." Phenomenology is a qualitative research methodology that can be used to discover and interpret meaning. To use phenomenology congruently, the philosophical background must be understood as well as the adaptation of the philosophical basis to research in the caring sciences. Only when clinicians truly understand the meaning of this illness to the child can they design nursing interventions to ease suffering and increase quality of life in children and adolescents with cancer.

  15. Mixed Methods in Nursing Research : An Overview and Practical Examples



    Mixed methods research methodologies are increasingly applied in nursing research to strengthen the depth and breadth of understanding of nursing phenomena. This article describes the background and benefits of using mixed methods research methodologies, and provides two examples of nursing research that used mixed methods. Mixed methods research produces several benefits. The examples provided demonstrate specific benefits in the creation of a culturally congruent picture of chronic pain man...

  16. Case Study Research Methodology in Nursing Research. (United States)

    Cope, Diane G


    Through data collection methods using a holistic approach that focuses on variables in a natural setting, qualitative research methods seek to understand participants' perceptions and interpretations. Common qualitative research methods include ethnography, phenomenology, grounded theory, and historic research. Another type of methodology that has a similar qualitative approach is case study research, which seeks to understand a phenomenon or case from multiple perspectives within a given real-world context.

  17. Structure and Development of Centers for Nursing Research. (United States)

    Grey, Margaret


    Nursing research centers help strengthen faculty research capability, improve research education, and facilitate collaborations and use of resources. The director plays a pivotal role in securing funding, nurturing new researchers, and overseeing ethical behavior in human subjects research. (SK)

  18. Rehabilitation nurses working as collaborative research teams. (United States)

    Pierce, Linda L


    Rehabilitation nurses conducting research would benefit from working within collaborative research teams. The development of intradisciplinary (one discipline) and interdisciplinary (many disciplines) research teams is described in this article. A research team is defined as more than a single person in the role of the researcher while studying the same topic of interest in a joint or collaborative manner. Strategies to ensure successful research team collaboration are described. Exemplars of developing and maintaining a team at one site, which consists of members of the same discipline, as well as another team that consists of multiple professional disciplines, are shared. Collaboration among research team members in practice, administration, and education settings transcends degrees and roles to make substantial contributions to professional practice.

  19. Using observational methods in nursing research. (United States)

    Salmon, Jenny


    Observation is a research data-collection method used generally to capture the activities of participants as well as when and where things are happening in a given setting. It checks description of the phenomena against what the researcher perceives to be fact in a rich experiential context. The method's main strength is that it provides direct access to the social phenomena under consideration. It can be used quantitatively or qualitatively, depending on the research question. Challenges in using observation relate to adopting the role of participant or non-participant researcher as observer. This article discusses some of the complexities involved when nurse researchers seek to collect observational data on social processes in naturalistic settings using unstructured or structured observational methods in qualitative research methodology. A glossary of research terms is provided.

  20. Effect of immersive workplace experience on undergraduate nurses' mental health clinical confidence. (United States)

    Patterson, Christopher; Moxham, Lorna; Taylor, Ellie K; Perlman, Dana; Brighton, Renee; Sumskis, Susan; Heffernan, Tim; Lee-Bates, Benjamin


    Preregistration education needs to ensure that student nurses are properly trained with the required skills and knowledge, and have the confidence to work with people who have a mental illness. With increased attention on non-traditional mental health clinical placements, further research is required to determine the effects of non-traditional mental health clinical placements on mental health clinical confidence. The aim of the present study was to investigate the impact of a non-traditional mental health clinical placement on mental health nursing clinical confidence compared to nursing students undergoing traditional clinical placements. Using the Mental Health Nursing Clinical Confidence Scale, the study investigated the relative effects of two placement programmes on the mental health clinical confidence of 79 nursing students. The two placement programmes included a non-traditional clinical placement of Recovery Camp and a comparison group that attended traditional clinical placements. Overall, the results indicated that, for both groups, mental health placement had a significant effect on improving mean mental health clinical confidence, both immediately upon conclusion of placement and at the 3-month follow up. Students who attended Recovery Camp reported a significant positive difference, compared to the comparison group, for ratings related to communicating effectively with clients with a mental illness, having a basic knowledge of antipsychotic medications and their side-effects, and providing client education regarding the effects and side-effects of medications. The findings suggest that a unique clinical placement, such as Recovery Camp, can improve and maintain facets of mental health clinical confidence for students of nursing.

  1. National Institute of Nursing Research (United States)

    ... Life Module NINR FAQ Global Health NIH Research Portfolio Online Reporting Tools (RePORT) NINR Job Opportunities Staff Directory Main Body Content Page Level Navigation Home Home New “Provider Perspectives” Web Feature New “Provider Perspectives” Web Feature NINR ...

  2. Psychiatric nursing menbers' reflections on participating in group-based clinical supervision

    DEFF Research Database (Denmark)

    Buus, Niels; Angel, Sanne; Traynor, Michael


    This paper is a report of an interview study exploring psychiatric hospital nursing staff members' reflections on participating in supervision. Clinical supervision is a pedagogical process designed to direct, develop, and support clinical nurses. Participation rates in clinical supervision...... in psychiatric settings have been reported to be relatively low. Qualitative research indicates that staff members appreciate clinical supervision, but paradoxically, do not prioritize participation and find participation emotionally challenging. Little is known about these contradictory experiences and how...... they influence participation rates. Twenty-two psychiatric hospital nursing staff members were interviewed with a semistructured interview guide. Interview transcripts were interpreted by means of Ricoeur's hermeneutic method. The respondents understood clinical supervision to be beneficial, but with very...

  3. Clinical research ethics in Irish healthcare: diversity, dynamism and medicalization.

    LENUS (Irish Health Repository)

    Condell, Sarah L


    Gaining ethical clearance to conduct a study is an important aspect of all research involving humans but can be time-consuming and daunting for novice researchers. This article stems from a larger ethnographic study that examined research capacity building in Irish nursing and midwifery. Data were collected over a 28-month time frame from a purposive sample of 16 nurse or midwife research fellows who were funded to undertake full-time PhDs. Gaining ethical clearance for their studies was reported as an early \\'rite of passage\\' in the category of \\'labouring the doctorate\\'. This article penetrates the complexities in Irish clinical research ethics by describing the practices these nurse and midwife researchers encountered and the experiences they had. The key issue of representation that occurred in the context of \\'medicalized\\' research ethics is further explored including its meaning for nursing or midwifery research.

  4. Interpretation and use of statistics in nursing research. (United States)

    Giuliano, Karen K; Polanowicz, Michelle


    A working understanding of the major fundamentals of statistical analysis is required to incorporate the findings of empirical research into nursing practice. The primary focus of this article is to describe common statistical terms, present some common statistical tests, and explain the interpretation of results from inferential statistics in nursing research. An overview of major concepts in statistics, including the distinction between parametric and nonparametric statistics, different types of data, and the interpretation of statistical significance, is reviewed. Examples of some of the most common statistical techniques used in nursing research, such as the Student independent t test, analysis of variance, and regression, are also discussed. Nursing knowledge based on empirical research plays a fundamental role in the development of evidence-based nursing practice. The ability to interpret and use quantitative findings from nursing research is an essential skill for advanced practice nurses to ensure provision of the best care possible for our patients.

  5. 可视无痛人工流产术患者的临床护理研究%Clinical Nursing Research of Visual Painless Abortion

    Institute of Scientific and Technical Information of China (English)



    目的:探索临床护理方法对可视无痛人工流产术患者的治疗效果的影响。方法:选取本院采用麻醉行无痛人工流产手术的孕妇600例,按随机数字表法分为治疗组300例和对照组300例,对照组采用普通护理方法,治疗组采用综合护理方法。分析治疗效果(麻醉剂镇痛效果、宫口紧合情况、人工流产综合并发症情况、出血情况)及患者满意度。结果:治疗组麻醉剂镇痛效果、人工流产综合并发症情况、出血情况及满意度均好于对照组(P<0.05);且治疗组宫口紧合良好、无痛率达100%。结论:采取有效的临床综合护理措施,能提高镇痛效果,减小人工流产综合并发症的发病概率,降低手术事故的发生概率,适合在临床可视无痛人工流产手术中推广使用。%Objective:To explore the impact that clinical care methods on the visual painless abortion. Method:Selected 600 cases of pregnant women used anesthesia painless abortion surgery in our hospital,and were divided into the treatment group for 300 cases and the control group for 300 cases according to random number table method,control group used common nursing method,the treatment group used comprehensive nursing method. Analyzed the treatment effect(narcotic analgesic effect,palace close mouthed,artificial abortion syndrome,hemorrhage)and patient satisfaction of the two groups. Result:Narcotic analgesic effect,artificial abortion syndrome,bleeding and satisfaction of the treatment group were better than the control group(P<0.05);and the treatment group palace close mouthed good,painless rate was 100%. Conclusion:Taking effective clinical care measures,can improve the effect of analgesia,reduce the incidence of abortion complication probability integrated,reduce the probability of occurrence of an accident surgery,suitable for promoting the use of painless surgery use in clinical visualization.

  6. Conducting Family Nursing in Heart Failure outpatient clinics: Nurses experiences

    DEFF Research Database (Denmark)

    Voltelen, Barbara; Konradsen, Hanne; Østergaard, Birte


    Aim: This study aimed to explore what was documented during structured Family Nursing (FN) conversations with patients diagnosed with Heart Failure and their families, and to gain knowledge about the nurses’ experiences conducting FN. Background: Patients with HF face many challenges, and so do...... throughout the FN intervention and a Focus group interview with 6 nurses who were conducting the conversations. Content analyses of all text material dealt with both manifest and latent content, and were analyzed through a deductive and inductive process. Results: Enabling bonding emerged as the overall...... theme for the FN conversations, and was made possible through two subthemes; “strengthening family bonds” and “creating an enabling context for FN”. Conducting the FN conversations was challenging due to the use of new communication skills. Optimal setting, experience, retraining and professional...

  7. Ethical responsibilities in nursing: research findings and issues. (United States)

    Cassidy, V R


    Discussions in the literature assert that nurses are becoming increasingly cognizant of their ethical responsibilities, but that they are often ill prepared to participate in ethical decision making. A review of selected research literature from 1970 to 1987 was undertaken to validate these assertions. A total of 12 studies related to ethical responsibilities was identified in the review; all studies were published between 1980 and 1987. The majority of studies were at the descriptive and exploratory levels and employed Kohlberg's cognitive theory of moral development as their conceptual framework. Significant findings related to educational level and ethical responsibilities were consistent across studies. Findings related to age and clinical experience were mixed; the effects of economic level, religion-religiosity, ethnicity, and other variables on ethical responsibilities were not significant. Issues raised in the light of the existing research include the use of Kohlberg's theory as a conceptual orientation in nursing groups and limited data on the reliability and validity of instruments used in measuring ethical constructs. Recommendations for future research on ethical responsibilities include the validation of Kohlberg's theory for nursing investigations, exploration of other frameworks for developing a multidimensional view of ethical responsibilities, and the use of qualitative research designs.

  8. Research and Application of Humane Care and Psychological Care in Clinical Nursing%“人文心理”护理理念在临床护理中的研究与应用

    Institute of Scientific and Technical Information of China (English)



      Objective :To discuss application humanistic care and psychological care in clinical nursing.Method:By strengthening the nurses humanistic care and psychological nursing concept of training,changes to the disease as the center,professional nursing concept,into humanistic care and psychological nursing in holistic nursing concept,will penetrate into every detail of the nursing work.Result:Patients nurses care satisfaction was significantly improved,enhancing the overall quality of hospital care services.Conclusion:Humanistic care and psychological nursing improve the nurse-patient relationship,reduce nurse-patient disputes,improve nursing service quality.%  目的:探讨“人文关怀+心理护理”理念在临床护理工作的应用效果。方法:通过加强护士人文关怀及心理护理理念的培训,改变以疾病为中心、专科护理的理念,转变为人文关怀+心理护理的整体护理理念,将理念渗透到护理工作的各个细节中。结果:患者对护理人员的护理服务满意度明显提高,全面提升了医院的护理服务品质。结论:“人文关怀+心理护理”整体理念在临床护理工作应用中,改善了护患关系,减少了护患纠纷,提高了医院护理服务品质。

  9. [Possibilities and problems in the development of forensic nursing in Japan: a questionnaire survey of clinical nurses]. (United States)

    Kodama, Hiromi; Tsuntematsu, Kayoko; Yanai, Keiko


    Forensic nursing scientifically obtains and preserves the criminal damage from victims of domestic violence, child abuse, elder abuse, sexual violence and other related forms of violence. This was developed in North America in the 1980s, and has carried out appropriate nursing care while protecting the human rights of victims. Serious crime in Japan has been increasing, and it would seem that forensic nursing opportunities should expand as well. However, in Japan, there hasn't been much discussion about forensic nursing. Theorizing that support for clinical forensic nursing should be recognized and relevant, we carried out a survey of 581 clinical nurses to investigate the development of forensic nursing in Japan. 93 clinical nurses (16.0%) had a low level of familiarity with forensic nursing; however, 324 nurses (56.3%) had encountered patients who had suffered violence. 264 nurses (45.4%) had a feeling of wanting to be involved in forensic nursing, but were not confident with the knowledge and technology, while 144 nurses (24.8%) were concerned about the larger responsibility they would have. 400 nurses (68.8%) hoped to receive specialized knowledge and technical education. It is necessary to establish an education system for forensic nursing in accordance with the educational status-quo while considering the present state of forensic nursing education.

  10. Racial and ethnic identity in nursing research. (United States)

    Gennaro, Susan; Fantasia, Heidi Collins; Keshinover, Tayra; Garry, David; Wilcox, Wendy; Uppal, Elyse


    Nurse researchers need to be able to identify the race and ethnicity of participants in their studies for several reasons including addressing health disparities, ensuring adequate representation from under-represented minorities, and making sure other nurses can understand how findings may or may not pertain to their own patient population. However, obtaining accurate information about race and ethnicity requires careful attention to norms of study participants. Race and ethnicity are not always viewed as 2 separate constructs and the definition of both changes over time. In fact, a random sample of 100 patients in 1 hospital found an 11% discrepancy between patients' self-identification of race using 2 different methodologies of self-identification. To optimize accuracy of self-identification of race and ethnicity, this paper discusses techniques learned in practice and in the literature for improving self-identification of these 2 constructs.

  11. Nursing research: science, visions and telling stories. (United States)

    Clarke, L


    Some aspects of qualitative and quantitative approaches to nursing research are described, with particular emphasis on the critical assessment of the qualitative approach. While common objections to quantitative (statistical) studies are mentioned, the main thrust is against the lack of generalizability of much contemporary qualitative work. Concepts of validity and reliability are additionally scrutinized in the context of their use by ethnographers. Grounded theory is a primary focus since it harbours most of the departures--and terminology--of the non-quantitative schools. It is surmised that much of what passes as qualitative research is really a creative activity akin to the writing of the poem or novel.

  12. The Staff Nurse Clinical Leader at the Bedside: Swedish Registered Nurses' Perceptions. (United States)

    Larsson, Inga E; Sahlsten, Monika J M


    Registered nurses at the bedside are accountable for and oversee completion of patient care as well as directly leading and managing the provision of safe patient care. These nurses have an informal leadership role that is not associated with any given position. Leadership is a complex and multifaceted concept and its meaning is unclear, especially in the staff nurse context. The aim was to describe registered nurses' perceptions of what it entails to be the leader at the bedside in inpatient physical care. A phenomenographic approach was employed. Interviews were performed with Swedish registered nurses (n = 15). Five descriptive categories were identified: demonstrating clinical knowledge, establishing a good atmosphere of collaboration, consciously structuring the work in order to ensure patients' best possible nursing care, customized presence in the practical work with patients according to predetermined prerequisites, and monitoring coworkers' professional practice. Registered nurses informal role as leader necessitates a social process of deliberate effort to attain and maintain leader status and authority. Participants used deliberate communicative approaches and interactive procedures. Leader principles grounded in the core values of the nursing profession that ensure nursing values and person-centered attributes were a key aspect.

  13. Nursing intellectual capital theory: implications for research and practice. (United States)

    Covell, Christine L; Sidani, Souraya


    Due to rising costs of healthcare, determining how registered nurses and knowledge resources influence the quality of patient care is critical. Studies that have investigated the relationship between nursing knowledge and outcomes have been plagued with conceptual and methodological issues. This has resulted in limited empirical evidence of the impact of nursing knowledge on patient or organizational outcomes. The nursing intellectual capital theory was developed to assist with this area of inquiry. Nursing intellectual capital theory conceptualizes the sources of nursing knowledge available within an organization and delineates its relationship to patient and organizational outcomes. In this article, we review the nursing intellectual capital theory and discuss its implications for research and practice. We explain why the theory shows promise for guiding research on quality work environments and how it may assist with administrative decision-making related to nursing human resource management and continuing professional development.

  14. Rural nurse specialists: clinical practice and the politics of care. (United States)

    Fitzgerald, Ruth P


    Doctor flight from rural areas is an international phenomenon that places great pressure on primary health care delivery. In New Zealand, the response to these empty doctors' surgeries has been the introduction of nurse-led rural health clinics that have attracted controversy both in the media and from urban-based doctors over whether such nurse-led care is a direct substitution of medical care. This article analyzes the reflections of nurses working in some of these clinics who suggest that their situation is more complex than a direct substitution of labor. Although the nurses indicate some significant pressures moving them closer to the work of doctoring, they actively police this cross-boundary work and labor simultaneously to shore up their nursing identities. My own conclusions support their assertions. I argue that it is the maintenance of a holistic professional habitus that best secures their professional identity as nurses while they undertake the cross-boundary tasks of primary rural health care. There are clear professional benefits and disadvantages for the nurses in these situations, which make the positions highly politicized. These recurring divisions of labor within medical care giving and the elaboration of new types of care worker form an appropriate although neglected topic of study for anthropologists. The study of the social organization of clinical medicine is much enriched by paying closer attention to its interaction with allied health professions and their associated understandings of "good" care.

  15. What are the roles of clinical nurses and midwife specialists? (United States)

    Wickham, Sheelagh

    Research shows the increasing part the Clinical Nurse Specialist (CNS) plays in healthcare today. But what does a CNS actually do in their day-to day-work? This study, set in the Republic of Ireland, aimed to explore the CNS and clinical midwife specialist (CMS) roles in practice. Quantitative methodology was used to explore the roles and activities of the CNS and CMS. Following ethics approval, a valid and reliable questionnaire was circulated to the total population of CNS/CMS in Ireland. The data were analysed using SPSS. This study articulates the individual role elements and activity level. The findings show the CNS/CMS to be active in the roles of researcher, educator, communicator, change agent, leader and clinical specialist, but the level of activity varies between different roles and individual role elements. The CNS/CMS is seen as a valuable resource in health care today and has potential to have a positive effect on patient care. The majority of CNS/CMSs are active in varying roles but the analysis shows lesser activity in some areas, such as research. The findings merit further study on role activity and possible variables that influence role activity.

  16. Faculty research productivity and organizational structure in schools of nursing. (United States)

    Kohlenberg, E M


    The purpose of this study was to identify the relationship between faculty research productivity and organizational structure in schools of nursing. The need for nursing research has been widely recognized by members of the nursing profession, yet comparatively few engage in conducting research. Although contextual variables have been investigated that facilitate or inhibit nursing research, the relationship between organizational structure and nursing research productivity has not been examined. This problem was examined within the context of the Entrepreneurial Theory of Formal Organizations. A survey methodology was used for data collection. Data on individual faculty research productivity and organizational structure in the school of nursing were obtained through the use of a questionnaire. A random sample of 300 faculty teaching in 60 master's and doctoral nursing schools in the United States was used. The instruments for data collection were Wakefield-Fisher's Adapted Scholarly Productivity Index and Hall's Organizational Inventory. The data were analyzed using Pearson Product-Moment Correlation Coefficients and multiple correlation/regression techniques. The overall relationship between faculty research productivity and organizational structure in schools of nursing was not significant at the .002 level of confidence. Although statistically significant relationships were not identified, scholarly research productivity and its subscale prepublication and research activities tended to vary positively with procedural specifications in a highly bureaucratic organizational structure. Further research may focus on identification of structural variables that support highly productive nurse researchers.

  17. The value to nursing research of Gadamer's hermeneutic philosophy. (United States)

    Pascoe, E


    In recent years there has been an increasing awareness in nursing research of the importance of accumulation of knowledge related particularly to the art of nursing. Because of this, nurses are endeavouring to understand more comprehensively the meanings given to central phenomena such as caring, comfort and reassurance, and also to research them with methodologies in such a way that these meanings are not destroyed, distorted or decontextualized. Gadamer's hermeneutic philosophy may prove to be a valuable approach in enabling nurses to gain a deeper and fuller understanding of these phenomena which are central to nursing practice.

  18. A survey on viewpoints of nursing and midwifery students and their clinical instructors at Faculty of Nursing and Midwifery of Shahid Sadoughi University of Medical Sciences towards clinical education during 2009-2011

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    T Salimi


    Full Text Available Introduction: Clinical environments play a vital role in nursing and midwifery students' learning. The present study investigates the viewpoints of clinical instructors and nursing and midwifery students of Shahid Sadoughi University of Medical Sciences about clinical education status during 2009-2011. Methods: In this cross sectional research data were gathered using a researcher made questionnaire including five domains: educational plan, quality of clinical instructors function, role of clinical professionals in clinical education, educational facilities and space, clinical evaluation and professional satisfaction. The questionnaire was completed by clinical instructors and nursing and midwifery students. Convenient sampling was accomplished. Face validity, content validity and reliability of the questionnaire was assessed and confirmed by test – retest method. Results: Majority of clinical instructors, nursing and midwifery students reported day and evening work shifts more appropriate. Majority of clinical instructors reported the clinical education status pleasant, but 79.8% nursing students and 64.2% midwifery students reported it moderate. Comparing the mean of clinical education status from the viewpoints of clinical instructors didn't show a significant difference in the domain of "the role of the others impressive in clinical education", but there was a significant difference between the nursing and midwifery students in their view points about the domain. Conclusion: Clinical competency is an essential component in providing high quality nursing care, thus the educational planners should continue to evaluate the effectiveness of clinical education. Boosting the clinical learning environment domains such as “successful instructors”, “professional values”, “professional relationship with the members of caring team” and “conflict management” could make the clinical experience attractive and assure students

  19. The impact on nurses and nurse managers of introducing PEPFAR clinical services in urban government clinics in Uganda

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    Kyegombe Nambusi


    Full Text Available Abstract Background Improving provider performance is central to strengthening health services in developing countries. Because of critical shortages of physicians, many clinics in sub-Saharan Africa are led by nurses. In addition to clinical skills, nurse managers need practical managerial skills and adequate resources to ensure procurement of essential supplies, quality assurance implementation, and productive work environment. Giving nurses more autonomy in their work empowers them in the workplace and has shown to create positive influence on work attitudes and behaviors. The Infectious Disease Institute, an affiliate of Makerere University College of Health Science, in an effort to expand the needed HIV services in the Ugandan capital, established a community-university partnership with the Ministry of Health to implement an innovative model to build capacity in HIV service delivery. This paper evaluates the impact on the nurses from this innovative program to provide more health care in six nurse managed Kampala City Council (KCC Clinics. Methods A mixed method approach was used. The descriptive study collected key informant interviews from the six nurse managers, and administered a questionnaire to 20 staff nurses between September and December 2009. Key themes were manually identified from the interviews, and the questionnaire data were analyzed using SPSS. Results Introducing new HIV services into six KCC clinics was positive for the nurses. They identified the project as successful because of perceived improved environment, increase in useful in-service training, new competence to manage patients and staff, improved physical infrastructure, provision of more direct patient care, motivation to improve the clinic because the project acted on their suggestions, and involvement in role expansion. All of these helped empower the nurses, improving quality of care and increasing job satisfaction. Conclusions This community-university HIV

  20. Evaluating clinical competence during nursing education: A comprehensive integrative literature review. (United States)

    Lejonqvist, Gun-Britt; Eriksson, Katie; Meretoja, Riitta


    This paper explored concepts, definitions and theoretical perspectives evaluating clinical competence during nursing education. The questions were: (i) How is clinical competence evaluated? and (ii) What is evaluated? An integrative review of 19 original research articles from 2009 to 2013 was performed. Results showed that evaluation tools were used in 14, observations in 2 and reflecting writing in 3 studies. The students participated in all but one evaluation alone or together with peers, faculty members or preceptors. Three themes were found: (i) professional practice with a caring perspective; (ii) clinical skills and reflective practice; and (iii) cognitive, affective and psychomotor skills both with a nursing perspective. This review shows an emphasis on structured methods with a risk reducing nursing to tasks and skills why combinations with qualitative evaluations are recommended. A holistic view of competence dominated and in designing evaluations, explicit perspectives and operationalized definitions of clinical competence became evident.

  1. Assessing preregistration nursing students' clinical competence: a systematic review of objective measures. (United States)

    Cant, Robyn; McKenna, Lisa; Cooper, Simon


    Nursing students are required to develop clinical knowledge, skills and attitudes for professional practice. However, objectivity and parity of students' clinical assessments has been questioned. In the last decade, more objective techniques have been developed, with increased use of Objective Structured Clinical Examinations. We reviewed objective clinical assessment measures used in preregistration nursing courses to determine utilization and the validity and reliability of assessment techniques. A systematic search was made of quantitative research publications between 2000 and May 2011, identifying 16 studies that were subsequently reviewed. The validity and reliability of studies varied, with six studies judged as high quality, using various methodologies. This paper describes methods of instrument development and reports on their application in preregistration nursing programs.

  2. Challenges of assessing critical thinking and clinical judgment in nurse practitioner students. (United States)

    Gorton, Karen L; Hayes, Janice


    The purpose of this study was to determine whether there was a relationship between critical thinking skills and clinical judgment in nurse practitioner students. The study used a convenience, nonprobability sampling technique, engaging participants from across the United States. Correlational analysis demonstrated no statistically significant relationship between critical thinking skills and examination-style questions, critical thinking skills and scores on the evaluation and reevaluation of consequences subscale of the Clinical Decision Making in Nursing Scale, and critical thinking skills and the preceptor evaluation tool. The study found no statistically significant relationships between critical thinking skills and clinical judgment. Educators and practitioners could consider further research in these areas to gain insight into how critical thinking is and could be measured, to gain insight into the clinical decision making skills of nurse practitioner students, and to gain insight into the development and measurement of critical thinking skills in advanced practice educational programs.

  3. Enacting a Vision for a Master's Entry Clinical Nurse Leader Program: Rethinking Nursing Education. (United States)

    Hicks, Frank D; Rosenberg, Lisa


    The need to educate nurses at the graduate level and provide them with a different skill set that broadens their view of health and nursing is clearly articulated by the American Association of Colleges of Nursing. Consequently, the role of the clinical nurse leader (CNL) was born. Responding to the need for providing a highly educated and credentialed professional at the bedside, Rush University College of Nursing made the bold move to phase out baccalaureate education and enact a prelicensure, master's entry CNL program. Although there is a clear need for this type of graduate, there is little in the literature to provide guidance to institutions that wish to develop this type of program. This paper describes the factors that came into play in making that decision, the process of curriculum development and implementation, the challenges encountered in implementing this type of program, and the outcomes that the program has evidenced since its inception.

  4. Changing Nephrology Nurses' Beliefs about the Value of Evidence-Based Practice and Their Ability to Implement in Clinical Practice. (United States)

    Hain, Debra; Haras, Mary S


    A rapidly evolving healthcare environment demands sound research evidence to inform clinical practice and improve patient outcomes. Over the past several decades, nurses have generated new knowledge by conducting research studies, but it takes time for this evidence to be implemented in practice. As nurses strive to be leaders and active participants in healthcare redesign, it is essential that they possess the requisite knowledge and skills to engage in evidence-based practice (EBP). Professional nursing organizations can make substantial contributions to the move healthcare quality forward by providing EBP workshops similar to those conducted by the American Nephrology Nurses'Association.

  5. Barriers to and Facilitators of Research Utilization among Iranian Nurses: a Literature Review (United States)

    Heydari, Abbas; Emami Zeydi, Amir


    Introduction: Research utilization (RU), is an important strategy to promote the quality of patient care. The aim of this study was to present a comprehensive literature review describing barriers and facilitators of RU among Iranian nurses. Methods: Literature review was undertaken using the international databases including Pub Med/Medline, Scopus, Science Direct, and Google Scholar. Also, Persian electronic databases such as Magiran, SID and Iran Medex were searched up to May 2014. The search was limited to articles in the English and Persian languages that evaluate the barriers or facilitators of RU among Iranian nurses. Results: A total of 11 articles were in the final dataset. The most important barriers to RU among Iranian nurses were related to the organization factors such as inadequate facilities; insufficient time on the job, lack of authority, physician cooperation, and administrative support. The most frequent facilitators of RU were education in enhancing nurses knowledge and skills in research evaluation, support from knowledgeable nursing colleagues and nursing faculty in the clinical setting, access to an expert committee for clinical appraisal, improving skills in English language and searching for articles, sufficient economic resources to carry out research, and having access to more facilities such as internet. Conclusion: Iranian nurses encounter with the same difficulties as to other countries regarding RU; while setting related barriers were the predominant obstacles to RU among them. Therefore, health managers are expected to plan appropriate strategies to smooth the progress of RU by nurses in their practice. PMID:25717456

  6. The community health clinics as a learning context for student nurses

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    MB Makupu


    Full Text Available The purpose of the research study was to describe guidelines to improve the community health clinics as a learning context conducive to learning. The objectives of the study commenced by getting the perception of student nurses from a nursing college in Gauteng; community sisters from ten community health clinics in the Southern Metropolitan Local Council and college tutors from a college in Gauteng. The research design and method used, consisting of a qualitative, exploratory, descriptive and contextual approach and the design was divided into two phases. Phase one consisted of a field/empirical study and phase two of conceptualization. In all the samples follow-up focus group interviews were conducted to confirm the findings. To ensure trustworthiness, Lincoln and Guba’s model (1985 was implemented and data analysis was according to Tesch’s model (1990 in Creswell 1994:155 based on a qualitative approach. The conceptual framework discussed, indicating a body of knowledge, was based on the study and empirical findings from phase one to give clear meaning and understanding regarding the research study. The research findings were then compared with existing literature within the framework, to determine similarities and differences as literature control method. Guidelines were then formulated from phase one and two to solve the indicated problems based on the three different sample groups. Ethical consideration was maintained throughout the research study. Recommendations related to nursing education, nursing practice and nursing research were indicated accordingly.

  7. Refocusing research priorities in schools of nursing. (United States)

    Kulage, Kristine M; Ardizzone, Laura; Enlow, William; Hickey, Kathleen; Jeon, Christie; Kearney, Joan; Schnall, Rebecca; Larson, Elaine L


    It is critical for schools of nursing to periodically reassess their scholarly programs to ensure that their conceptual framework and approaches address current challenges and enhance productivity. This article describes the process undertaken at Columbia University School of Nursing to evaluate scholarly enterprise so that it remains relevant and responsive to changing trends and to revise our research conceptual model to be reflective of the foci of our clinicians and researchers. As part of a larger strategic initiative, a two-phase Research Excellence Planning and Implementation Workgroup was convened, consisting of a broad representation of faculty and administrative staff, with an overall goal of expanding scholarly capacity. During Phase I, members developed measurable outcomes and tactics and revised the school's conceptual research model. In Phase II, the workgroup implemented and monitored tactics and presented final recommendations to the dean. To measure progress, faculty members completed a survey to establish baseline scholarship and collaboration with results indicating room for growth in interdisciplinary and inter-institutional collaboration. Ongoing assessment of outcomes includes Web-based tracking of scholarly activities and follow-up surveys to monitor expansion of faculty collaboration. We recommend this process to other schools committed to sustainable, increasingly relevant scholarship.

  8. 护理临床能力评价的文献计量学研究%Research status of nursing clinical competence assessment: a review based on bibliometrics analysis

    Institute of Scientific and Technical Information of China (English)

    刘哲军; 苏颖; 胡雁


    目的 了解国内护理临床能力评价研究现状.方法 对中国知网、万方数据库、中国生物医学文献数据库在2012年7月以前收录的护理临床能力评价文献进行检索和归纳分析.结果 国内护理临床能力评价研究文献始于1994年;评价对象涉及广泛,尤以专门针对本科生能力评价的文献占59.7%;83.1%的文献为研究性论文,其内容以评价体系研究(55.8%)和评价实践(22.1%)为主,评价实践所采用的方法包括问卷调查、OSCE及其他考核形式,研究所使用的术语尚不统一;文献的来源机构呈现出一定的集中趋势.结论 我国护理临床能力评价研究尚处在起步阶段,当前需进一步规范概念的使用,根据不同护理教育层次学生的培养目标研究针对性的评价体系,并继续探索有效的评价方法.%Objective To explore domestic research status of nursing clinical competence assessment.Methods Relevant literatures on nursing clinical competence assessment published before July 2012 were retrieved from the databases of CNKI,Wanfang and CMB,and analyzed.Results Literatures on nursing clinical competence assessment debuted in 1994.A wide range of assessment objects were covered,with 59.7% of the literature focusing on undergraduate students; 83.1% of the literature were research studies,which mainly focus on assessment system(55.8%) and practice(22.1%).Methods used in assessment included questionnaire surveys,OSCE and other forms,with some terms being used inconsistently.Research institutes of these literature showed some central trend.Conclusion Domestic research on nursing clinical competence assessment is still in its infancy.Use of the concepts should be standardized,assessment system should be developed according to different training goals of objects.Methods of assessment need further exploration.

  9. [PARI-ETLD (Therapeutic Approach and Nursing Research -- Epidemiology and Treatment of Decubitus Lesions]. (United States)

    Di Giulio, P; Saiani, L; Laquintana, D; Palese, A; Bellingeri, A


    Pressure sores are one of the preferred nursing research topics but, in spite of the large number of studies, most questions related to the prevention and treatment of pressure sores remain unanswered. Well designed clinical trials and on sufficiently large samples are very rare and most treatments are routinely used even without a reliable evidence of their efficacy. The PARI-ETLD trial is the occasion for: a. evaluating the efficacy of the Fitostimoline, in the ri-epitelization of superficial pressure sores; b. starting a clinical trial conducted by nurses; c. building a multicentre nursing network for collecting data on the epidemiology of pressure sores and for evaluating the effectiveness of caring strategies and treatments. The protocol presented, with the data collection forms, is an example of feasibility of clinical trials in the nursing practice and offers examples of ways for overcoming common problems related to the implementation of clinical trials in everyday practice.

  10. Frequency of nursing diagnoses in a surgical clinic

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    Andreza Cavalcanti Vasconcelos


    Full Text Available Objective: to identify the frequency of Nursing Diagnoses of patients in a surgical clinic. Methods: cross-sectional study, performed with 99 patients in the postoperative of general surgery. Data were collected through a questionnaire validated according to domains of NANDA International, including physical and laboratory examination. Results: 17 nursing diagnoses were found; eight had a frequency higher than 50.0% (infection risk, impaired tissue integrity, constipation risk, anxiety, bleeding risk, acute pain, delayed surgical recovery, dysfunctional gastrointestinal motility. It was observed in all patients the Nursing Diagnostics: risk of infection, impaired tissue integrity and risk of constipation. Conclusion: the frequency of the most prevalent diagnosis is inserted in the domains safety/protection and nutrition, which determines the need to redirect nursing care, prioritizing the patient's clinic.

  11. Clinical Decision Making of Nurses Working in Hospital Settings

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    Ida Torunn Bjørk


    Full Text Available This study analyzed nurses' perceptions of clinical decision making (CDM in their clinical practice and compared differences in decision making related to nurse demographic and contextual variables. A cross-sectional survey was carried out with 2095 nurses in four hospitals in Norway. A 24-item Nursing Decision Making Instrument based on cognitive continuum theory was used to explore how nurses perceived their CDM when meeting an elective patient for the first time. Data were analyzed with descriptive frequencies, t-tests, Chi-Square test, and linear regression. Nurses' decision making was categorized into analytic-systematic, intuitive-interpretive, and quasi-rational models of CDM. Most nurses reported the use of quasi-rational models during CDM thereby supporting the tenet that cognition most often includes properties of both analysis and intuition. Increased use of intuitive-interpretive models of CDM was associated with years in present job, further education, male gender, higher age, and working in predominantly surgical units.

  12. 76 FR 57068 - National Institute of Nursing Research Notice of Closed Meeting (United States)


    ... HUMAN SERVICES National Institutes of Health National Institute of Nursing Research Notice of Closed... of Committee: National Institute of Nursing Research Special Emphasis Panel, Summer Research... Officer, National Institute of Nursing Research, National Institutes of Health, Bethesda, MD 20892,...

  13. 76 FR 10912 - National Institute of Nursing Research; Notice of Closed Meetings (United States)


    ... HUMAN SERVICES National Institutes of Health National Institute of Nursing Research; Notice of Closed... of Committee: National Institute of Nursing Research Special Emphasis Panel, Summer Research... Officer, National Institute of Nursing Research, National Institutes of Health, 6701 Democracy Blvd,...

  14. 75 FR 55808 - National Institute of Nursing Research; Notice of Closed Meetings (United States)


    ... HUMAN SERVICES National Institutes of Health National Institute of Nursing Research; Notice of Closed... of Committee: National Institute of Nursing Research Special Emphasis Panel; National Research... Institute of Nursing Research, National Institutes of Health, 6701 Democracy Blvd., Ste. 710, Bethesda,...

  15. The clinical nurse leader: helping psychiatric mental health nurses transform their practice. (United States)

    Seed, Mary S; Torkelson, Diane J; Karshmer, Judith F


    The national movement to transform the health care delivery systems must include a focus on mental health treatment. To address similar deficits across other practice domains, the Clinical Nurse Leader (CNL) role has been created. The CNL is a master's degree that prepares a nurse to use a systems perspective to improve outcomes for a cohort of patient, deliver care based on best practices, and coordinate care in a multidisciplinary team. Applying the CNL role to mental health care could help psychiatric mental health nursing be at the forefront in the transformation of mental health care delivery.

  16. Comorbidities and cognitive functioning: implications for nursing research and practice. (United States)

    Vance, David; Larsen, Kirsten I; Eagerton, Gregory; Wright, Mary A


    Optimal cognitive functioning is necessary to successfully negotiate one's environment, yet medical conditions can interfere with brain health, thus negatively impacting cognitive functioning. Such comorbidities include hypertension, heart disease, diabetes, depression, and HIV, as well as others. The physiological properties of these comorbidities can reduce one's cognitive reserve and limit one's cognitive efficiency. This article provides an overview of a few common comorbidities known to affect cognitive functioning and addresses ways in which cognitive functioning may be ameliorated and protected or mitigated in lieu of cognitive declines in such clinical populations. Implications for nursing practice and research are posited.

  17. Nurse educators’ perceptions on facilitating reflective thinking in clinical nursing education

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    Marie Muller


    Full Text Available This article seeks to publish the results of nurse educators with regard to how reflective thinking of learners can be facilitated in clinical nursing education. Opsomming Hierdie artikel beoog om die resultate van verpleeg-opvoeders met betrekking tot hoe reflektiewe denke van leerders in kliniese verpleegonderwys gefasiliteer kan word, te publiseer. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.

  18. Understanding compassion literacy in nursing through a clinical compassion cafe. (United States)

    Winch, Sarah; Henderson, Amanda Jane; Kay, Margaret; Burridge, Letitia Helen; Livesay, Georgia Jane; Sinnott, Michael John


    This article presents a method of reconnecting and reaffirming with nurses the importance of compassion in health care by using a clinical compassion cafe, which describes nine steps that provide a forum to reaffirm clinicians' core values. This process has the potential to engage clinical staff in a different modality removed from the usual didactic approaches.

  19. Ageism and clinical research. (United States)

    Briggs, R; Robinson, S; O'Neill, D


    Despite being the most significant consumers of health care resources and medications worldwide, recent international research has highlighted the under-representation of older participants from clinical trials. This creates problems for physicians as the patients seen in clinical practice are not representative of those on which medical treatments and interventions have been trialled, and we need to consider whether results (both negative and positive) from these trials are applicable to these patients. Our aim was to gauge whether exclusion of older people was prevalent in research proposals submitted to Dublin teaching hospitals. We audited all clinical research proposals submitted to the Research Ethics committee (REC) covering the teaching hospitals attached to Trinity College Dublin (TCD) from July 2008 to July 2011 inclusive, recording exclusion of patients based on an arbitrary upper age limit. Of the 226 relevant trials studied, 31(13.7%) excluded participants based solely on an arbitrary upper age limit. 22 (9.8%) of the relevant trials were submitted by geriatricians, none of which excluded patients based solely on age. Over 50% (12 of 22) trials submitted by neurology/psychiatry excluded patients based on an upper age limit. The mean upper age limit used over all trials as a cut-off was 69.2 years of age. As well as this, the majority of the remaining trials also contained other exclusion criteria, especially those based on cognitive function which further limited participation of older people. While we found that a significant proportion of clinical trials submitted to the TCD REC still excluded patients based arbitrarily on an upper age limit, participation rates of older people seem to be higher in this Irish centre than that seen in international trials. Significant room for improvement still remains however and there needs to be a promotion of greater awareness of the need for developing, testing and licensing medicines so that it mirrors the

  20. Using electronic surveys in nursing research. (United States)

    Cope, Diane G


    Computer and Internet use in businesses and homes in the United States has dramatically increased since the early 1980s. In 2011, 76% of households reported having a computer, compared with only 8% in 1984 (File, 2013). A similar increase in Internet use has also been seen, with 72% of households reporting access of the Internet in 2011 compared with 18% in 1997 (File, 2013). This emerging trend in technology has prompted use of electronic surveys in the research community as an alternative to previous telephone and postal surveys. Electronic surveys can offer an efficient, cost-effective method for data collection; however, challenges exist. An awareness of the issues and strategies to optimize data collection using web-based surveys is critical when designing research studies. This column will discuss the different types and advantages and disadvantages of using electronic surveys in nursing research, as well as methods to optimize the quality and quantity of survey responses.

  1. Preparation for high-acuity clinical placement: confidence levels of final-year nursing students

    Directory of Open Access Journals (Sweden)

    Porter J


    Full Text Available Joanne Porter, Julia Morphet, Karen Missen, Anita Raymond School of Nursing and Midwifery, Monash University, Churchill, VIC, Australia Aim: To measure final-year nursing students’ preparation for high-acuity placement with emphasis on clinical skill performance confidence. Background: Self-confidence has been reported as being a key component for effective clinical performance, and confident students are more likely to be more effective nurses. Clinical skill performance is reported to be the most influential source of self-confidence. Student preparation and skill acquisition are therefore important aspects in ensuring students have successful clinical placements, especially in areas of high acuity. Curriculum development should aim to assist students with their theoretical and clinical preparedness for the clinical environment. Method: A modified pretest/posttest survey design was used to measure the confidence of third-year undergraduate nursing students (n = 318 for placement into a high-acuity clinical setting. The survey comprised four questions related to clinical placement and prospect of participating in a cardiac arrest scenario, and confidence rating levels of skills related to practice in a high-acuity setting. Content and face validity were established by an expert panel (α = 0.90 and reliability was established by the pilot study in 2009. Comparisons were made between confidence levels at the beginning and end of semester. Results: Student confidence to perform individual clinical skills increased over the semester; however their feelings of preparedness for high-acuity clinical placement decreased over the same time period. Reported confidence levels improved with further exposure to clinical placement. Conclusion: There may be many external factors that influence students’ perceptions of confidence and preparedness for practice. Further research is recommended to identify causes of poor self-confidence in final-year nursing

  2. Effectiveness of structured, hospital-based, nurse-led atrial fibrillation clinics

    DEFF Research Database (Denmark)

    Qvist, Ina; Hendriks, Jeroen M L; Møller, Dorthe S;


    OBJECTIVE: A previous randomised trial showed that structured, nurse-led atrial fibrillation (AF) care is superior to conventional AF care, although further research is needed to determine the outcomes of such care in a real-world setting. We compared the outcomes of patients in real-world, nurse-led......, structured hospital AF clinics with the outcomes of a randomised trial of the efficacy of a nurse-led AF clinic, with respect to a composite outcome of cardiovascular-related hospitalisation and death. METHODS: All patients were referred to the AF nurse specialist by cardiologists. The AF nurse specialist....... The composite primary end point occurred with an incidence rate of 8.0 (95% CI 6.1 to 10.4) per 100 person-years in the real-world population and 8.3 (95% CI 6.3 to 10.9) per 100 person-years in the clinical trial, with a crude HR of 0.83 (95% CI 0.56 to 1.23). CONCLUSIONS: Structured, nurse-led, hospital...

  3. Factors Related to Healthy Diet and Physical Activity in Hospital-Based Clinical Nurses. (United States)

    Albert, Nancy M; Butler, Robert; Sorrell, Jeanne


    Hospitals often promote healthy lifestyles, but little is known about nurses' actual diet and physical activity. Greater understanding about these lifestyle choices for clinical nurses may improve existing hospital-based programs and/or create desirable services. This article discusses a study that considered diet and physical activity of clinical nurses, using elements of Pender's self-care theory as a conceptual framework. Study methods included a cross-sectional, correlational design and a convenience sample of 278 nurses who worked on units with 24 hours/day and seven days-per-week responsibilities. Participants completed diet and exercise questionnaires about perceptions of attitudes and opinions, barriers, diet benefits/exercise motivators, self-efficacy, and locus of control, and personal and work characteristics. Diet and activity categories were created. Study results demonstrated that over 50% of nurses had moderately healthy diets but were insufficiently active. Healthy diet and physical activity levels were associated with higher self-efficacy, more diet benefits and physical activity motivators, fewer perceived barriers, and confidence in body image. The article discussion and conclusion sections note areas for future research and suggest that focused interventions that address benefits, motivators, and self-efficacy may increase participation in hospital-based programs and enhance healthy lifestyle for hospital-based clinical nurses.

  4. Educational research methods for researching innovations in teaching, learning and assessment: The nursing lecturer as researcher. (United States)

    Marks-Maran, Diane


    The author, who has had previous experience as a nurse researcher, has been engaged in helping nurse lecturers to undertake evaluation research studies into innovations in their teaching, learning and assessment methods. In order to undertake this work successfully, it was important to move from thinking like a nurse researcher to thinking like an educational researcher and developing the role of the nursing lecturer as researcher of their teaching. This article explores the difference between evaluation and evaluation research and argues for the need to use educational research methods when undertaking evaluation research into innovations in teaching, learning and assessment. A new model for educational evaluation research is presented together with two case examples of the model in use. The model has been tested on over 30 research studies into innovations in teaching, learning and assessment over the past 8 years.

  5. Nurses and challenges faced as clinical educators: a survey of a group of nurses in Cameroon

    Directory of Open Access Journals (Sweden)

    Vivian E A Eta


    Full Text Available BACKGROUND: Clinical teaching is an important component of clinical education. In nursing, clinical teaching is ensured by clinical nurse educators (CNEs. This study aimed at describing the major challenges faced by CNEs in Cameroon. METHODS: In a qualitative study, supplemented with quantitative methods, CNEs were enrolled from three health districts to represent their frequency in Cameroon’s health delivery system. RESULTS: A total of 56 CNEs participated in the study, of whom, as many as 58.9% acknowledged always facing challenges in clinical teaching and supervision. The major challenges identified were the lack of opportunities to update knowledge and skills, students’ lack of preparedness and the CNEs not being prepared for clinical teaching. CNEs attributed these challenges in major part to the lack of incentives and poor health policies. CONCLUSION: CNEs in Cameroon do indeed face major challenges which are of diverse origins and could adversely affect teaching in clinical settings

  6. Nursing Students' Perceptions of Satisfaction and Self-Confidence with Clinical Simulation Experience (United States)

    Omer, Tagwa


    Nursing and other health professionals are increasingly using simulation as a strategy and a tool for teaching and learning at all levels that need clinical training. Nursing education for decades used simulation as an integral part of nursing education. Recent studies indicated that simulation improves nursing knowledge, clinical practice,…

  7. Clinical Research Manual: Practical Tools and Templates for Managing Clinical Research Cavalieri Jennifer and Rupp Mark Clinical Research Manual: Practical Tools and Templates for Managing Clinical Research 336pp US$44.95 Sigma Theta Tau 9781937554637 1937554635 [Formula: see text]. (United States)


    CLINICAL NURSES, alongside other healthcare professionals, are being drawn into clinical research in their day-to-day working in different ways, so an understanding of how clinical trials are managed and what role nurses can play in them is important.

  8. Analysis of hot spots of clinical psychological nursing research based on frequency analysis and co word clustering in recent 5 years%基于词频分析和共词聚类的近5年临床心理护理研究热点分析

    Institute of Scientific and Technical Information of China (English)

    赵娇; 韩世范


    [目的]揭示国际临床心理护理研究热点及临床心理护理研究现状,为我国临床心理护理研究提供参考。[方法]选取2011年—2015年PubMed数据库临床心理护理相关文献作为研究对象,利用书目共现分析系统(Bi-comb 2.0软件)对主题词进行词频分析,利用 SPSS 22.0统计软件对主题词进行系统聚类,并用双聚类软件(gCLUTO)进行双聚类分析对系统聚类结果进行调整。[结果]系统聚类得到3组聚类效果较好的主题词,双聚类有3个类团聚类较好,另外1个类团聚类效果较差。通过对高频主题词进行聚类分析,总结出近5年临床心理护理的3个主要研究热点:家庭在临床心理护理过程中越来越重要,精神、心理障碍成为临床心理护理重点关注的问题,肿瘤病人成为临床心理护理需要重点关注的群体。[结论]基于词频分析和共词聚类的近5年临床心理护理研究热点分析有助于了解目前国际临床心理护理研究热点,对我国临床心理护理研究起到一定的借鉴作用。%Objective:In order to provide a reference for clinical psychological nursing research in China,it re-vealed the hot spots of international clinical psychological nursing research and the status quo of clinical psycho-logical nursing research.Methods:The clinical psychological nursing related literatures were selected as the re-search object in PubMed database from 2011 to 2015.The bibliographic co occurrence analysis system (Bicomb 2)was used for frequency analysis of subject words.SPSS 22.0 statistical software was used to cluster the sub-j ect headings,and the double cluster software (gCLUTO)was used to adj ust the clustering results.Results:The systematic clustering had been used to get the 3 groups of subj ect headings with better clustering effect,and the double cluster had 3 better classes,and one poor cluster.Through cluster analysis of high frequency subj ect headings

  9. Nursing Doctorates in Brazil: research formation and theses production


    Carmen Gracinda Silvan Scochi; Francine Lima Gelbcke; Márcia de Assunção Ferreira; Maria Alice Dias da Silva Lima; Katia Grillo Padilha; Nátali Artal Padovani; Denize Bouttelet Munari


    OBJECTIVE: to analyze the formation of nursing doctorates in Brazil, from theses production, disciplines and other strategies focusing on research offered by courses. METHOD: a descriptive and analytical study of the performance of 18 doctoral courses in nursing, running from 1982 to 2010, and defended their theses between 2010-2012. RESULTS: 502 theses were defended in this period, most linked to the online research process of health and nursing care. There are gaps in the knowledge of theor...

  10. The South African Military Nursing College Pupil Enrolled Nurses’ experiences of the clinical learning environment

    Directory of Open Access Journals (Sweden)

    Ernestina M. Caka


    Full Text Available The study focused on the clinical learning experiences of Pupil Enrolled Nurses (PENs within the military health service. The purpose of the research was to explore and describe the learning experiences of PENs within the Military health clinical learning environment. An explorative, descriptive, contextual design which is qualitative in nature was used to guide the study. The military as a training institution prides itself on preparing nurses both as soldiers and nurses, this could be both challenging and exasperating for students, as the scopes are diverse. Being notably very hierarchical, the military’s rules constantly take precedence over nursing rules. For the duration of nursing training, students are allocated in the clinical learning area to acquire competencies such as problem solving, cognitive and psychomotor skills (Kuiper & Pesut 2003:383. Students learn how to merge theory and practice and apply theories in the practical sense. This is however, not done in isolation from the military codes, as they are intertwined. Attendance of military parades and drills are incorporated during this phase. This could create missed opportunities from the clinical learning as students are expected to leave the clinical setting for this purpose. Three focus group sessions were conducted and the experiences of the students, as narrated by themselves, yielded valuable insights. The researcher wrote field notes and assisted with the management of the audio tapes for easy retrieval of information. Data was analysed by the researcher, independent of the cocoder. Two themes relating to the PENs’ learning experiences emerged from the data analysed: (1 facilitators of clinical learning, (2 and barriers to clinical learning. The findings obtained depicted those factors which facilitated and obstructed student learning. These findings made it possible for the researcher to make recommendations concerning positive interventions which could be taken to

  11. Modeling the relations of ethical leadership and clinical governance with psychological empowerment in nurses

    Directory of Open Access Journals (Sweden)

    Goona Fathi


    Full Text Available Background: Ethical leadership appeared as a new approach in the leadership perspective and provided the ground for promoting individual and organizational efficiency by giving priorities to ethics in organizations. In this regard, the present study was conducted with the aim of modeling the relations of ethical leadership and clinical governance with psychological empowerment among nurses of public hospitals in Kermanshah in 2014. Methods: the research method was descriptive survey. The study sample consisted of all nurses (n=550 working in public hospitals of Kermanshah University of Medical Science for whom 163 nurses were selected using simple random sampling. The tools for data collection were ethical leadership, clinical governance and psychology empowerment questionnaires whose validity and reliability were confirmed. The structural equation modeling was used to analyze the data. Results: The results showed a significant relationship between ethical leadership and clinical governance (P<0.01 and psychological empowerment (P<0.01. Moreover, there was a significant correlation between clinical governance and psychological empowerment (P<0.05. Based on the results of the research, ethical leadership directly and through clinical governance affected the nurses’ psychological empowerment (P<0.05. Conclusion: reliance on ethics and ethical leadership in hospitals, in addition to providing the space and ground for improving the effectiveness of clinical governance approach, can promote the feeling of psychological empowerment in nurses. Accordingly, the ethical issues are required to be taken into consideration in hospitals.

  12. The concept and characteristics of clinical practice ability in Master Degree of Nursing (specialty)

    Institute of Scientific and Technical Information of China (English)

    Jing Zeng; Jing-Ci Zhu; Xiao-Yu Zhao


    The concepts of ability, practice ability, and professional practice ability were analyzed using a theoretical research method. Based on the results of the analysis, the concept of clinical practice ability for Master Degree of Nursing (specialty) students was defined, and the characteristics were interpreted to provide references for future in-depth studies.

  13. A Bridge between Two Cultures: Uncovering the Chemistry Concepts Relevant to the Nursing Clinical Practice (United States)

    Brown, Corina E.; Henry, Melissa L. M.; Barbera, Jack; Hyslop, Richard M.


    This study focused on the undergraduate course that covers basic topics in general, organic, and biological (GOB) chemistry at a mid-sized state university in the western United States. The central objective of the research was to identify the main topics of GOB chemistry relevant to the clinical practice of nursing. The collection of data was…

  14. Nursing research ethics, guidance and application in practice. (United States)

    Doody, Owen; Noonan, Maria


    Ethics is fundamental to good research practice and the protection of society. From a historical point of view, research ethics has had a chequered past and without due cognisance there is always the potential for research to do harm. Research ethics is fundamental to research practice, nurse education and the development of evidence. In conducting research, it is important to plan for and anticipate any potential or actual risks. To engage in research, researchers need to develop an understanding and knowledge of research ethics and carefully plan how to address ethics within their research. This article aims to enhance students' and novice researchers' research ethics understanding and its application to nursing research.

  15. [Clinical research VI. Clinical relevance]. (United States)

    Talavera, Juan O; Rivas-Ruiz, Rodolfo


    Usually, in clinical practice the maneuver selected is the one that achieves a favorable outcome with a direct percentage of superiority of at least 10 %, or when the number needed to treat is approximately equal to 10. While this percentage difference is practical for estimating the magnitude of an association, we need to differentiate the impact measures (attributable risk, preventable fraction), measures of association (RR, OR, HR), and frequency measures (incidence and prevalence) applicable when the outcome is nominal. And we must identify ways to measure the strength of association and the magnitude of the association when the outcome variable is quantitative. It is not uncommon to interpret the measures of association as if they were impact measures. For example, for a RR of 0.68, it is common to assume a 32 % reduction of the outcome, but we must consider that this is a relative reduction, which comes from relations of 0.4/0.6, 0.04/0.06, or 0.00004/0.00006. However the direct reduction is 20 % (60 % - 40 %), 2 %, and 2 per 100,000, respectively. Therefore, to estimate the impact of a maneuver it is important to have the direct difference and/or NNT.

  16. Use of videos to support teaching and learning of clinical skills in nursing education: A review. (United States)

    Forbes, Helen; Oprescu, Florin I; Downer, Terri; Phillips, Nicole M; McTier, Lauren; Lord, Bill; Barr, Nigel; Alla, Kristel; Bright, Peter; Dayton, Jeanne; Simbag, Vilma; Visser, Irene


    Information and communications technology is influencing the delivery of education in tertiary institutions. In particular, the increased use of videos for teaching and learning clinical skills in nursing may be a promising direction to pursue, yet we need to better document the current research in this area of inquiry. The aim of this paper was to explore and document the current areas of research into the use of videos to support teaching and learning of clinical skills in nursing education. The four main areas of current and future research are effectiveness, efficiency, usage, and quality of videos as teaching and learning materials. While there is a clear need for additional research in the area, the use of videos seems to be a promising, relevant, and increasingly used instructional strategy that could enhance the quality of clinical skills education.

  17. Predictors of Improvement in Critical Thinking Skills among Nursing Students in an Online Graduate Nursing Research Course (United States)

    Riccio, Patricia A.


    The purpose of this pilot study was to examine predictors of improvement in critical thinking skills among online graduate nursing students in a graduate nursing research course. Thirty-five students who had taken an online Nursing research course within the prior 12 months and who were currently enrolled in the online graduate Nursing program at…

  18. Using a clinical collaborative model for nursing education: application for clinical teaching. (United States)

    Maguire, Denise J; Zambroski, Cheryl H; Cadena, Sandra V


    The promise of a clinical collaborative model (CCM) is that it engages hospital partners in a mutually beneficial partnership by providing the entire student clinical experience in one institution. The CCM prepares students for the day-to-day reality of patient care through the use of individual staff nurse preceptors, enhancing the relationship between the student and hospital upon graduation. The authors describe a successful paradigm for student nurse clinical education across the baccalaureate program.

  19. Activities and interactions of baccalaureate nursing students in clinical practica. (United States)

    Polifroni, E C; Packard, S A; Shah, H S; MacAvoy, S


    Basic nursing education is governed by individual state rules and regulations lacking in uniformity across the United States and based on unstated and perhaps mistaken assumptions. At the same time, there is increasing evidence of problems and difficulties with the current traditional model of nursing education. Before proposing changes in said model, the authors chose to examine what it is that a nursing student does in a clinical area. The perspective of activities and interactions was chosen to illustrate, through a nonparticipant observation study, the patterns and utilization of time during a scheduled clinical experience for baccalaureate nursing students. The goal of the study was to determine who, other than the client/patient, influences the student learning at the clinical site and how learning time is spent. Two schools (one private and one public) and nine clinical sites with 37 observations were used to collect the data for this study. Findings are best summarized in four (overlapping) categories of school time, registered nurse (RN) staff time, hospital staff time, and supervised time. School time, or time spent interacting with the instructor, another student, and/or the student on his/her own in the practice setting (time exclusive of staff input) constituted 84 per cent of all time. RN staff time that was time spent with either the primary nurse or other RNs on the unit used 10 per cent of the student time, Fourteen per cent of student time was spent in hospital staff time, which includes interactions with any nursing staff or other hospital personnel.(ABSTRACT TRUNCATED AT 250 WORDS)

  20. Integrative Nursing: Application of Principles Across Clinical Settings

    Directory of Open Access Journals (Sweden)

    Mary Jo Kreitzer


    Full Text Available While the essence of nursing has long been whole person (body, mind, and spirit and whole system-focused, in reality the contemporary practice of nursing in many settings around the globe has become increasingly fragmented and de-stabilized. Nursing shortages in many parts of the world are significant, and hierarchies and bureaucracies often remove nurses from the point of care, be that the bedside, home, or clinic, replacing them with less skilled workers and filling their time with documentation and other administrative tasks. Integrative nursing is a framework for providing whole person/whole system care that is relationship-based and person-centered and focuses on improving the health and wellbeing of caregivers as well as those they serve. It is aligned with what is being called the “triple aim” in the United States—an effort focused on improving the patient experience (quality and satisfaction, improving the health of populations, and reducing the cost of care. The principles of integrative nursing offer clear and specific guidance that can shape and impact patient care in all clinical settings.

  1. Integrative nursing: application of principles across clinical settings. (United States)

    Kreitzer, Mary Jo


    While the essence of nursing has long been whole person (body, mind, and spirit) and whole system-focused, in reality the contemporary practice of nursing in many settings around the globe has become increasingly fragmented and de-stabilized. Nursing shortages in many parts of the world are significant, and hierarchies and bureaucracies often remove nurses from the point of care, be that the bedside, home, or clinic, replacing them with less skilled workers and filling their time with documentation and other administrative tasks. Integrative nursing is a framework for providing whole person/whole system care that is relationship-based and person-centered and focuses on improving the health and wellbeing of caregivers as well as those they serve. It is aligned with what is being called the "triple aim" in the United States-an effort focused on improving the patient experience (quality and satisfaction), improving the health of populations, and reducing the cost of care. The principles of integrative nursing offer clear and specific guidance that can shape and impact patient care in all clinical settings.

  2. The 2014 National Nursing Research Roundtable: The science of caregiving. (United States)

    Grady, Patricia A; Gullatte, Mary


    The National Nursing Research Roundtable (NNRR) meets annually to provide an opportunity for the leaders of nursing organizations with a research mission to discuss and disseminate research findings to improve health outcomes. In 2014, the NNRR addressed the science of caregiving, a topic of increasing importance given that more people are living with chronic conditions and that managing chronic illness is shifting from providers to individuals, their families, and the communities where they live. The NNRR consisted of scientific presentations in which leading researchers discussed the latest advances in caregiving science across the life span and breakout sessions where specific questions were discussed. The questions focused on the policy and practice implications of caregiving science and provided an opportunity for nursing leaders to discuss ways to advance caregiving science. The nursing community is ideally positioned to design and test caregiver health interventions and to implement these interventions in clinical and community settings.

  3. Feminist theory and nursing: an empowerment model for research. (United States)

    Parker, B; McFarlane, J


    This article describes the use of the feminist process to empower nurses in conducting research. The criteria for feminist research, defined by Duffy, are applied to a research study that identifies the effects of physical abuse during pregnancy on maternal-infant outcomes. The authors describe the process of empowerment of the investigators through the use of a consortium model of research, the staff nurses who are conducting the interviews, and the research participants (pregnant women). The integration of feminist principles and nursing research is a process that merges similar beliefs and ideologies.

  4. Developing a nurse-led clinic using transformational leadership. (United States)

    Gousy, Mamood; Green, Kim


    Nurses are at the forefront of implementing and managing change, given constantly changing healthcare services and the increase in demand for health care. Therefore, it is important to identify the best style of leadership to engage nurses in implementing service-led improvements. This article explores the effects of transformational leadership in bringing about service-led improvements in health care, using the example of setting up a nurse-led acupuncture clinic to optimise the care of patients with chronic pain. Transformational leadership was used throughout the project - from the initial local planning, training and development, through to liaising with the appropriate staff and deciding on an evaluation strategy. Transformational leadership proved to be an effective way to engage and empower nurses and other members of the chronic pain team to enable them to achieve the project aims.

  5. Modeling Evidence-Based Application: Using Team-Based Learning to Increase Higher Order Thinking in Nursing Research

    Directory of Open Access Journals (Sweden)

    Bridget Moore


    Full Text Available Nursing practice is comprised of knowledge, theory, and research [1]. Because of its impact on the profession, the appraisal of research evidence is critically important. Future nursing professionals must be introduced to the purpose and utility of nursing research, as early exposure provides an opportunity to embed evidence-based practice (EBP into clinical experiences. The AACN requires baccalaureate education to include an understanding of the research process to integrate reliable evidence to inform practice and enhance clinical judgments [1]. Although the importance of these knowledge competencies are evident to healthcare administrators and nursing leaders within the field, undergraduate students at the institution under study sometimes have difficulty understanding the relevance of nursing research to the baccalaureate prepared nurse, and struggle to grasp advanced concepts of qualitative and quantitative research design and methodologies. As undergraduate nursing students generally have not demonstrated an understanding of the relationship between theoretical concepts found within the undergraduate nursing curriculum and the practical application of these concepts in the clinical setting, the research team decided to adopt an effective pedagogical active learning strategy, team-based learning (TBL. Team-based learning shifts the traditional course design to focus on higher thinking skills to integrate desired knowledge [2]. The purpose of this paper is to discuss the impact of course design with the integration of TBL in an undergraduate nursing research course on increasing higher order thinking. [1] American Association of Colleges of Nursing, The Essentials of Baccalaureate Education for Professional Nursing Practice, Washington, DC: American Association of Colleges of Nursing, 2008. [2] B. Bloom, Taxonomy of Educational Objectives, Handbook I: Cognitive Domain, New York: McKay, 1956.

  6. 76 FR 77240 - National Institute of Nursing Research; Notice of Closed Meetings (United States)


    ... HUMAN SERVICES National Institutes of Health National Institute of Nursing Research; Notice of Closed... of Committee: National Institute of Nursing Research Special Emphasis Panel, Pain Assessment for...., Scientific Review Officer, National Institute of Nursing Research, National Institutes of Health,...

  7. 75 FR 1794 - National Institute of Nursing Research; Notice of Closed Meeting (United States)


    ... HUMAN SERVICES National Institutes of Health National Institute of Nursing Research; Notice of Closed... privacy. Name of Committee: National Institute of Nursing Research Special; Emphasis Panel Inflammatory... Officer, National Institute of Nursing Research, National Institutes of Health, 6701 Democracy...

  8. 78 FR 63997 - National Institute of Nursing Research; Notice of Closed Meeting (United States)


    ... HUMAN SERVICES National Institutes of Health National Institute of Nursing Research; Notice of Closed... of Committee: National Institute of Nursing Research Special Emphasis Panel; Training and Career... Review, Division of ] Extramural Activities, National Institute of Nursing Research, National...

  9. 77 FR 59941 - National Institute of Nursing Research; Notice of Closed Meeting (United States)


    ... HUMAN SERVICES National Institutes of Health National Institute of Nursing Research; Notice of Closed... of Committee: National Institute of Nursing Research Initial Review Group. Date: October 18, 2012..., MD, Scientific Review Officer, National Institute of Nursing Research, National Institutes of...

  10. 77 FR 35991 - National Institute of Nursing Research; Notice of Closed Meeting (United States)


    ... HUMAN SERVICES National Institutes of Health National Institute of Nursing Research; Notice of Closed... of Committee: National Institute of Nursing Research Special Emphasis Panel; Early Detection and... Institute of Nursing Research, National Institutes of Health, Bethesda, MD 20892, (301)...

  11. 77 FR 61418 - National Institute of Nursing Research; Notice of Closed Meeting (United States)


    ... HUMAN SERVICES National Institutes of Health National Institute of Nursing Research; Notice of Closed... of Committee: National Institute of Nursing Research Special Emphasis Panel; Addressing Needs of...: Tamizchelvi Thyagarajan, Ph.D., Scientific Review Officer, National Institute of Nursing Research,...

  12. 75 FR 10808 - National Institute of Nursing Research; Notice of Closed Meeting (United States)


    ... HUMAN SERVICES National Institutes of Health National Institute of Nursing Research; Notice of Closed... of Committee: National Institute of Nursing Research, Special Emphasis Panel, NINR Loan Repayment..., Scientific Review Administrator, Office of Review, National Institute of Nursing Research,...

  13. 78 FR 7794 - National Institute of Nursing Research; Notice of Closed Meetings (United States)


    ... HUMAN SERVICES National Institutes of Health National Institute of Nursing Research; Notice of Closed... of Committee: National Institute of Nursing Research Special Emphasis Panel, Palliative Care Research...: Mario Rinaudo, MD, Scientific Review Officer, Office of Review, National Institute of Nursing...

  14. Becoming conscious of learning and nursing in clinical settings

    DEFF Research Database (Denmark)

    Nielsen, Kirsten; Pedersen, Birthe D.; Helms, Niels Henrik


    Literature shows several benefits of implementing ePortfolio and focusing on learning styles within nursing education. However, there is some ambiguity, so the aim was to investigate learning mediated by the mandatory part of ePortfolio in clinical settings. The design takes a phenomenological......-hermeneutic approach. The setting was a ten-week clinical course in Basic Nursing, and participants were 11 first-year students randomly assigned. Data was generated by participant observations, narrative interviews and portfolio documents. The entire data material was interpreted according to the French philosopher...

  15. Nursing Faculty Members' Perspectives of Faculty-to-Faculty Workplace Incivility among Nursing Faculty Members (United States)

    Amos, Kimberly S.


    In recent years, nursing faculty incivility has been a searing topic of research. Nursing research included studies on incivility among nursing students, incivility between nursing students and nursing faculty, and incivility in the clinical setting. However, literature specifically on nursing faculty incivility was limited. This descriptive,…

  16. Nursing outcomes content validation according to Nursing Outcomes Classification (NOC) for clinical, surgical and critical patients. (United States)

    Seganfredo, Deborah Hein; Almeida, Miriam de Abreu


    The objective of this study was to validate the Nursing Outcomes (NO) from the Nursing Outcomes Classification (NOC) for the two Nursing Diagnoses (ND) most frequent in hospitalized surgical, clinical and critical patients. The content validation of the REs was performed adapting the Fehring Model. The sample consisted of 12 expert nurses. The instrument for data collection consisted of the NOs proposed by NOC for the two NDs in the study, its definition and a five-point Likert scale. The data were analyzed using descriptive statistics. The NOs that obtained averages of 0.80 or higher were validated. The ND Risk for Infection was the most frequent, being validated eight (38.1%) of 21 NOs proposed by the NOC. The ND Self-Care Deficit: Bathing/Hygiene was the second most frequent and five (14.28%) out of 35 NOs were validated.

  17. Students' Assessment and Self-assessment of Nursing Clinical Faculty Competencies: Important Feedback in Clinical Education? (United States)

    Lovrić, Robert; Prlić, Nada; Zec, Davor; Pušeljić, Silvija; Žvanut, Boštjan


    The students' assessment of clinical faculty competencies and the faculty members' self-assessment can provide important information about nursing clinical education. The aim of this study was to identify the differences between the students' assessment of the clinical faculty member's competencies and the faculty member's self-assessment. These differences can reveal interesting insights relevant for improving clinical practice.

  18. Clinical nurses' perceptions and expectations of the role of doctorally-prepared nurses: a qualitative study in Iran. (United States)

    Cheraghi, Mohammad-Ali; Jasper, Melanie; Vaismoradi, Mojtaba


    Nurses with doctorates are increasing in number throughout the world, yet the multitude of roles they play following graduation is unclear. The purpose of this study was to explore and describe clinical nurses' perceptions and expectations of the role of doctorally-prepared nurses in Iran. A qualitative study, using a content analysis approach was conducted with 43 clinical nurses chosen using a purposive sampling strategy. Oral, semi-structured and written interviews were used to generate data. During data analysis, three main themes emerged; "advantages of the doctoral degree", "clarification of doctorally-prepared nurses' role in clinical practice", and "unmet expectations of doctorally-prepared nurses". An understanding of the expectations of nurses on the role of doctorally-prepared nurses is needed to improve the collaboration between clinical nurses and doctorally-prepared nurses; remove misunderstandings on the abilities and skills of doctorally-prepared nurses; incorporate the expectations into doctoral education in order to facilitate their collaboration; and also remove the theory and practice gap through the utilisation of doctorally-prepared nurses' knowledge and skills in practice.

  19. Exploration of Nursing Faculty Members' Lived Experiences of Objective Structured Clinical Examination (OSCE) in Undergraduate Nursing Education (United States)

    Obizoba, Cordelia O.


    The purpose of this phenomenological study was to gain an understanding of nursing faculty members' lived experiences of Objective Structured Clinical Examination (OSCE) in undergraduate nursing education. As owners of their programs' curriculum, nursing faculties are charged with the responsibility of providing needed knowledge, skills, and…

  20. Designing and delivering clinical risk management education for graduate nurses: an Australian study. (United States)

    Johnstone, Megan-Jane; Kanitsaki, Olga; Currie, Tracey; Smith, Enid; McGennisken, Chris


    In order to enhance their capabilities in clinical risk management (CRM) and to be integrated into safe and effective patient safety organisational processes and systems, neophyte graduate nurses need to be provided with pertinent information on CRM at the beginning of their employment. What and how such information should be given to new graduate nurses, however, remains open to question and curiously something that has not been the subject either of critique or systematic investigation in the nursing literature. This article reports the findings of the third and final cycle of a 12 month action research (AR) project that has sought to redress this oversight by developing, implementing and evaluating a CRM education program for neophyte graduate nurses. Conducted in the cultural context of regional Victoria, Australia, the design, implementation and evaluation of the package revealed that it was a useful resource, served the intended purpose of ensuring that neophyte graduate nurses were provided with pertinent information on CRM upon the commencement and during their graduate nurse year, and enabled graduate nurses to be facilitated to translate that information into their everyday practice.

  1. Stress and inflammation: a biobehavioral approach for nursing research. (United States)

    Kang, Duck-Hee; Rice, Marti; Park, Na-Jin; Turner-Henson, Anne; Downs, Charles


    Despite known advantages, the use of biobehavioral approaches in nursing research remains limited. The purposes of this article are to (1) present applications of stress and inflammation in various health conditions as examples of biobehavioral concepts and (2) stimulate similar applications of biobehavioral concepts in future nursing research. Under a biobehavioral conceptual framework, studies on stress and selective inflammatory biomarkers in cardiovascular, cancer, and pulmonary health are reviewed and summarized. Inflammation underlies many diseases, and stress is a significant source of increased inflammation. Biobehavioral concepts of stress and inflammation are highly relevant to nursing research concerned with health-related issues. Diverse biobehavioral concepts are readily applicable and should be utilized in nursing research with children and adults. To stimulate further biobehavioral research, more training and resources for nurse scientists, more unified conceptual definitions and biobehavioral conceptual frameworks, rigorous and expanded methodologies, and more collaboration are essential.

  2. Getting grounded: using Glaserian grounded theory to conduct nursing research. (United States)

    Hernandez, Cheri Ann


    Glaserian grounded theory is a powerful research methodology for understanding client behaviour in a particular area. It is therefore especially relevant for nurse researchers. Nurse researchers use grounded theory more frequently than other qualitative analysis research methods because of its ability to provide insight into clients' experiences and to make a positive impact. However, there is much confusion about the use of grounded theory.The author delineates key components of grounded theory methodology, areas of concern, and the resulting implications for nursing knowledge development. Knowledge gained from Glaserian grounded theory research can be used to institute measures for enhancing client-nurse relationships, improving quality of care, and ultimately improving client quality of life. In addition, it can serve to expand disciplinary knowledge in nursing because the resulting substantive theory is a middle-range theory that can be subjected to later quantitative testing.

  3. The Nursing Research Center on HIV/AIDS Health Disparities. (United States)

    Holzemer, William L; Méndez, Marta Rivero; Portillo, Carmen; Padilla, Geraldine; Cuca, Yvette; Vargas-Molina, Ricardo L


    This report describes the partnership between the schools of nursing at the University of California San Francisco and the University of Puerto Rico to address the need for nursing research on HIV/AIDS health disparities. The partnership led to the creation of the Nursing Research Center on HIV/AIDS Health Disparities with funding from the National Institutes of Health/National Institute of Nursing Research. We provide background information on the disproportionate impact of the HIV/AIDS epidemic on racial and ethnic minorities, describe the major predictors of health disparities in persons at risk for or diagnosed with HIV/AIDS using the Outcomes Model for Health Care Research, and outline the major components of the Nursing Research Center. The center's goal is to improve health outcomes for people living with and affected by HIV/AIDS by enhancing the knowledge base for HIV/AIDS care.

  4. Disruptive behavior and clinical outcomes: perceptions of nurses and physicians. (United States)

    Rosenstein, Alan H; O'Daniel, Michelle


    Providing safe, error-free care is the number-one priority of all health care professionals. Excellent outcomes have been associated with procedural efficiency, the implementation of evidence-based standards, and the use of tools designed to reduce the likelihood of medical error (such as computerized medication orders and bar-coded patient identification). But the impact of work relationships on clinical outcomes isn't as well documented. The current survey was designed as a follow-up to a previous VHA West Coast survey that examined the prevalence and impact of physicians' disruptive behavior on the job satisfaction and retention of nurses (see "Nurse-Physician Relationships: Impact on Nurse Satisfaction and Retention," June 2002). Based on the findings of that survey and subsequent comments on it, the follow-up survey examined the disruptive behavior of both physicians and nurses, as well as both groups' and administrators' perceptions of its effects on providers and its impact on clinical outcomes. Surveys were distributed to 50 VHA hospitals across the country, and results from more than 1,500 survey participants were evaluated. Nurses were reported to have behaved disruptively almost as frequently as physicians. Most respondents perceived disruptive behavior as having negative or worsening effects, in both nurses and physicians, on stress, frustration, concentration, communication, collaboration, information transfer, and workplace relationships. Even more disturbing was the respondents' perceptions of negative or worsening effects of disruptive behavior on adverse events, medical errors, patient safety, patient mortality, the quality of care, and patient satisfaction. These findings suggest that the consequences of disruptive behavior go far beyond nurses' job satisfaction and morale, affecting communication and collaboration among clinicians, which may well, in turn, have a negative impact on clinical outcomes. Strategies aimed at reducing the incidence and

  5. Reflection of the Nurses on their Responsibilities and the Students’ Working System During Clinical Teaching

    Directory of Open Access Journals (Sweden)

    Aygul Akyuz


    Full Text Available In this descriptive study, we aimed to determine the views of nurses on their responsibilities and the students’ working system during student clinical teaching. The study universe consisted of nurses working at the Gulhane Military Medical Faculty training hospital while the study sample consisted of 165 nurses working the day shift (08:00-17:00 on weekdays during December 2005 and willing to participate in the study. We used the survey form developed by the researchers following a literature survey to collect the data. This form contained items on the nurses’ own responsibilities during the clinical teaching of the students, the working system of the students, their views on being role models and the principles regarding the staff responsible for clinical teaching. Percentages and the chi-square test were used for the analysis of the data. Within the context of the research, 66,1% of the nurses have stated that the course instructor should possess the primary responsibility for the students during the clinical study while some 23,6% of the nurses expressed that the responsibility belonged to themselves. According to the 32,1% of the nurses, the presence of intern nurses in the clinic would increase patient care quality while 32,1% of them indicated an increase in job satisfaction; 49,1% of them expressed that it would not constitute a limitation of time allocated to the patient care and finally 44,8% of them stated that this presence of intern nurses would not increase their workload. 65,8% of the nurses have implied that students should conduct their studies as patient-centric, while 77,6% of them expressed that they would see themselves as the perfect role model for their students during the clinical teachings. [TAF Prev Med Bull 2007; 6(6.000: 459-464

  6. Research Priorities in Neonatal and Pediatric Nursing

    Directory of Open Access Journals (Sweden)

    Thaíla Corrêa Castral


    • Implement the participation of Brazilian scientific societies in establishing health care policies, guidelines and protocols, creating consensus committees. Furthermore, it is important to highlight the ABEn recommendations presented during the 65th Brazilian Nursing Congress, which took place in October of 2013 in Rio de Janeiro, particularly regarding the development of strategies to meet the National Curriculum Guidelines for Nursing Undergraduate Courses, especially concerning the development, participation and application of research and other types of knowledge production that aim at improving the quality of professional practice. Therefore, this number of the Revista Eletrônica de Enfermagem has five original articles that are relevant for Pediatric and Neonatal Nursing. The studies address themes such as nursing diagnosis in children with respiratory infections, child immunization, childhood vulnerability, factors related to peripheral vascular trauma in children, and using case studies to teach diagnostic thinking. The findings are relevant for the implementation of more effective interventions, thus improving the quality of health care delivered to newborns, children and their family.     REFERENCE 1. Carvalho V. Linhas de pesquisa e prioridades de enfermagem: proposta com distinção gnoseológica para o agrupamento da produção científica de pós-graduação em enfermagem. Esc. Anna Nery. 2002;6(1:145-54. 2. Lansky S, França E. Mortalidade infantil neonatal no Brasil: situação, tendências e perspectivas. In: Rede Interagencial de Informações para Saúde. Demografia e Saúde: contribuição para análise de situação e tendências [Internet]. Brasília: OPAS; 2009 [acesso em: 20 mar 2014]. p. 83-112. Disponível em: 3. Ministério da Saúde. Plano Nacional de Saúde–PNS:2012-2015. Brasília (Brasil: Ministério da Saúde;  2011 [acesso em: 20 mar 2014

  7. Formative clinical evaluation of first-year students in fundamental nursing science

    Directory of Open Access Journals (Sweden)

    I. Wannenburg


    Full Text Available The outcome of any system of evaluation has a considerable impact on the daily lives of students in a variety of educational settings. Hence, it was attempted to illustrate the complexity of the problem when evaluating the performance skills of first year students in the clinical environment of the general hospital. The choice of the research field originated from the increasing concern of the researcher about the reliability of the current evaluation practices in the formative assessment of first year student nurses. The impression gained is that nurse educators are more concerned with the end results of evaluation than with the teaching-learning process needed to reach this goal. Due to the many variables that can influence its results, the implementation of the evaluation process in clinical nursing is extremely complicated. In the course of studying the literature relevant to the research field, the researcher identified aspects that can be considered as of critical importance in the assessment of student performance in clinical nursing.

  8. Becoming conscious of learning and nursing in clinical settings

    DEFF Research Database (Denmark)

    Nielsen, Kirsten; Pedersen, Birthe D.; Helms, Niels Henrik


    -hermeneutic approach. The setting was a ten-week clinical course in Basic Nursing, and participants were 11 first-year students randomly assigned. Data was generated by participant observations, narrative interviews and portfolio documents. The entire data material was interpreted according to the French philosopher...... Paul Ricoeurs theory of interpretation. This paper reports that the mandatory part promotes consciousness of own learning and competencies in clinical nursing and raises students` consciousness of nurse identity. It gives preceptors the opportunity to differentiate their supervision for individual...... students and guide them to improve their learning potential. However, the language used in the individual study plan must be clarified to avoid ambiguity, and there is potential to tailor the individual study plan....

  9. The effect of nursing management development program on clinical competency in coronary care unit

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    Ali Akbar Vaezi


    Full Text Available Background: Nurses are the main members in nursing cares and nursing managers can improve their clinical competency by applying better leadership skills. This study carried out to determine the effect of nursing management program on clinical competency of nurses in a coronary care unit (CCU.Methods: A quasi-experimental study was carried out in two educational hospitals in Yazd- Iran. These hospitals were allocated randomly in case and control hospitals. 25 matched nurses were selected by convenience sampling from both case and control hospitals. The clinical competency of nurses was measured by related questioners consisted of two dimensions caring and care management behaviors by self-evaluation and head nurse evaluation in case and control groups. Then, the intervention was implemented in four stages including nurse's development, managers' development, adaptation and supervision period during four months in the case group. After intervention, clinical competency of nurses was measured in both groups.Results: The results showed that before intervention more than 80% of nurses in two groups was in the moderate clinical competency level and they were proficient based on Benner's skill acquisition model. After intervention, nurses' clinical competency improved to higher level in case group but it didn't change in control group (P<0.05. Conclusion: Creating necessary modifications in nursing environments through the management development program by head nurses may improve nurses' clinical competency.

  10. A Research Report on the Prescription Rights of Chinese Nurses

    Institute of Scientific and Technical Information of China (English)

    Shi-Fan Han; Rui-Fang Zhu; Hui-Hui Han


    Objective:To explore the feasibility of the nurse’s prescription right in China,to develop the requirements for the qualification of the applicant for the prescription right of nurse,and to determine the content of certain prescriptions in the specific circumstances.Methods:Literature review on the relevant articles/material with the contents of the nurse’ s right of prescription home and abroad.Semi-structured depth interview method was used to interview 18 experts on whether the nurses can participate in the graded nursing decision and whether nurses with certain ability can make the decision.Using the self-made questionnaire "Nurses involved in graded nursing decision-recognition questionnaire",553 nurses completed questionnaires on willingness to nurse decision-making grading.Using the analytic hierarchy process,the 23 experts’ judgment on the main body of the graded nursing was rated.Using semi-structured depth interview method,17 experts were interviewed on the graded nursing quality assessment and training outline.The form of expert personal judgment and the "grading nursing qualification experts predict questionnaire" were used as a preliminary designing tool,32 experts were asked to predict the graded nursing quality.The relatively important factors that might promote implementation of right of Chinese nurse prescribing weights setting were obtained by analytic hierarchy process.Using Delphi method,2 rounds of consultation to 291 experts/times were performed,and determined its content on the fields of graded nursing decision,nurses’ job description,decision making nurse in graded nursing work process and related management system,decision-making main body of clinical nursing,nurse authority of prescription application qualification,clinical nurses,diabetes specialist nurses,tumor specialist nurses,nurses in emergency department,community nurses in certain circumstances writing prescription,and nursing undergraduate added with nurse authority of

  11. New graduate nurses' perceptions of the effects of clinical simulation on their critical thinking, learning, and confidence. (United States)

    Kaddoura, Mahmoud A


    Critical thinking has been a crucial outcome of nursing educational programs. Effective nurses should be knowledgeable about complex patient situations and confident in their skills. One teaching strategy recently adopted by some educators to develop nurses' critical thinking, learning, and confidence is simulation. Simulation incorporates scenarios and case studies developed to replicate real-life clinical situations. Learners are asked to solve clinical problems and make critical decisions based on the information provided. Little research has been done on how simulation experiences promote critical thinking, learning, and confidence, especially in new graduate nurses. This study explored the perceptions of new graduate nurses of how clinical simulation developed their critical thinking skills, learning, and confidence throughout their hospital clinical training. Ten new baccalaureate nursing graduates voluntarily participated in this study, which used an exploratory descriptive design. Data were collected by demographic questionnaires and semi-structured interviews and were analyzed using content analysis. Participants reported that simulation prepared them well to care confidently for critically ill patients. Simulation also helped them learn to make sound clinical decisions to improve patient outcomes. The findings have crucial implications for nursing education, practice, and research. They provide evidence to support the use of simulation as a teaching strategy to promote critical thinking skills, learning, and confidence.

  12. Promoting a Strategic Approach to Clinical Nurse Leader Practice Integration. (United States)

    Williams, Marjory; Avolio, Alice E; Ott, Karen M; Miltner, Rebecca S


    The Office of Nursing Services of the Department of Veterans Affairs (VA) piloted implementation of the clinical nurse leader (CNL) into the care delivery model and established a strategic goal in 2011 to implement the CNL role across the VA health care system. The VA Office of Nursing Services CNL Implementation and Evaluation (CNL I&E) Service was created as one mechanism to facilitate that goal in response to a need identified by facility nurse executives for consultative support for CNL practice integration. This article discusses strategies employed by the CNL I&E consultative team to help facility-level nursing leadership integrate CNLs into practice. Measures of success include steady growth in CNL practice capacity as well as positive feedback from nurse executives about the value of consultative engagement. Future steps to better integrate CNL practice into the VA include consolidation of lessons learned, collaboration to strengthen the evidence base for CNL practice, and further exploration of the transformational potential of CNL practice across the care continuum.

  13. Patient aggression in clinical psychiatry: perceptions of mental health nurses. (United States)

    Jonker, E J; Goossens, P J J; Steenhuis, I H M; Oud, N E


    Mental health nurses are faced with an increasing number of aggressive incidents during their daily practice. The coercive intervention of seclusion is often used to manage patient aggression in the Netherlands. However, GGZ Nederland, the Dutch association of service providers for mental health and addition care, has initiated a project to decrease the number of seclusions in clinical psychiatry. A first step in this project is to gain insight into the current situation: the perceived prevalence of patient aggression, the attitudes of mental health nurses towards patient aggression and those socio-demographic and psychosocial factors that contribute to the use of coercive interventions. A survey was undertaken among 113 nurses from six closed and semi-closed wards. In this survey, two questionnaires were used: (1) the Attitude Toward Aggression Scale; and (2) the Perceptions of the Prevalence of Aggression Scale. Variables derived from the Theory of Planned Behaviour were also measured. Nurses reported being regularly confronted with aggression in general and mostly with non-threatening verbal aggression. They perceived patient aggression as being destructive or offensive and not serving a protective or communicative function. The nurses generally perceived themselves as having control over patient behaviour (i.e. considerable self-efficacy) and reported considerable social support from colleagues. Although the nurses in this study were frequently confronted with aggression, they did not experience the aggression as a major problem.

  14. Competencies in nursing students for organized forms of clinical moral deliberation and decision-making


    Uil-Westerlaken, Jeanette den; Cusveller, Bart


    Bachelor-prepared nurses are expected to be competent in moral deliberation and decision-making (MDD) in clinical practice. It is unclear, however, how this competence develops in nursing students. This study explores the development of nursing students’ competence for participating in organized forms of MDD in clinical practice, with an eye to improve nursing education. A cross-sectional descriptive survey was conducted by a questionnaire among first and fourth year bachelor nursing students...

  15. The contribution of organization theory to nursing health services research. (United States)

    Mick, Stephen S; Mark, Barbara A


    We review nursing and health services research on health care organizations over the period 1950 through 2004 to reveal the contribution of nursing to this field. Notwithstanding this rich tradition and the unique perspective of nursing researchers grounded in patient care production processes, the following gaps in nursing research remain: (1) the lack of theoretical frameworks about organizational factors relating to internal work processes; (2) the need for sophisticated methodologies to guide empirical investigations; (3) the difficulty in understanding how organizations adapt models for patient care delivery in response to market forces; (4) the paucity of attention to the impact of new technologies on the organization of patient care work processes. Given nurses' deep understanding of the inner workings of health care facilities, we hope to see an increasing number of research programs that tackle these deficiencies.

  16. The Relationship between Clinical Competence and Clinical Self-efficacy among Nursing and Midwifery Students

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    Shahla Mohamadirizi


    Full Text Available Introduction  Self-efficacy in clinical performance had an important role in applying competencies; also competencies and self-efficacy in clinical performance influenced to quality care of nursing and midwifery students. So the present study aimed to define the relationship between clinical competencies and clinical self-efficacy among nursing and midwifery students. Materials and Methods  This is a cross-sectional study conducted on 150 of nursing and midwifery students in Isfahan University of Medical Science, selected through two stage sampling in 2014. The participant completed questionnaires about personal/ educational characteristics and nursing competencies questionnaire (18 items and clinical self-efficacy scale (37 items. The data were analyzed by, Pearson statistical test, t-test, variance analysis through SPSS version16. Results The results showed that 50% (n=75 and 37.4% (n=56 of nursing and midwifery students had good clinical competence and clinical Self-Efficacy, respectively. Also the mean competencies and self-efficacy in clinical performance scores were 35.05± 1.2 and 76.03± 0.4 respectively. Pearson correlation coefficient showed that there was a positive linear correlation between the score of clinical competence and clinical self-efficacy (P

  17. 急性左心衰竭致心源性休克临床护理研究%Clinical nursing research cardiogenic shock caused by acute left heart failure

    Institute of Scientific and Technical Information of China (English)



    目的:探讨急性左心衰竭致心源性休克患者的临床护理措施。方法选取我科室收治的86例急性左心衰致心源性休克患者进行讨论分析,将其随机平均分为两组,一组实施常规护理措施为对照组,一组实施临床护理干预措施为观察组,将两组患者的满意度以及临床治疗效果进行比较。结果经过有效的临床护理干预,观察组的患者满意度以及临床治疗效果均由于对照组,经比较具有显著的差异(P <0.05),具有统计学意义。结论对急性左心衰致心源性休克患者在实施常规护理的基础上增加有效的临床护理干预措施,可以明显的提高心衰合并心律失常的纠正率,提高护理质量以及临床治疗效果,增加患者的满意度。%Objective to investigate the acute left heart failure caused by cardiac shock in patients with clinical nursing measures. Methods to choose my department treated 86 cases of acute left heart failure patients with cardiac shock to discuss analysis, will be randomly divided into two groups, a group of routine nursing measures for the control group, a set of clinical nursing intervention measures as the observation group, the two groups of patients satisfaction and clinical therapeutic effects were compared. results through effective clinical nursing intervention, patient satisfaction and clinical therapeutic effect of observation group were as the control group, the more significant difference (P < 0.05), with statistical significance. Conclusion for patients with acute left heart failure caused by cardiac shock on the basis of conventional nursing increase effective clinical nursing interventions that can significantly improve the correct rate of arrhythmia in heart failure combined, improve the quality of nursing and clinical therapeutic effect and increase patients satisfaction.

  18. Baccalaureate Nursing Students' Communication Process in the Clinical Setting. (United States)

    Kotecki, Catherine Nuss


    Interviews (n=22) and observations (n=14) in clinical settings were coded and analyzed to identify student nurses' problems in communicating with patients and the process of learning solutions. The process involved affirming the self, engaging the patient, experiencing communication breakdown, and refining the repertoire of communication…

  19. An Interactive Diagnosis Approach for Supporting Clinical Nursing Courses (United States)

    Wei, Chun-Wang; Lin, Yi-Chun; Lin, Yen-Ting


    Clinical resources in nursing schools are always insufficient for satisfying the practice requirements of each student at the same time during a formal course session. Although several studies have applied information and communication technology to develop computer-based learning tools for addressing this problem, most of these developments lack…

  20. Walking the bridge: Nursing students' learning in clinical skill laboratories. (United States)

    Ewertsson, Mona; Allvin, Renée; Holmström, Inger K; Blomberg, Karin


    Despite an increasing focus on simulation as a learning strategy in nursing education, there is limited evidence on the transfer of simulated skills into clinical practice. Therefore it's important to increase knowledge of how clinical skills laboratories (CSL) can optimize students' learning for development of professional knowledge and skills, necessary for quality nursing practice and for patient safety. Thus, the aim was to describe nursing students' experiences of learning in the CSL as a preparation for their clinical practice. Interviews with 16 students were analysed with content analysis. An overall theme was identified - walking the bridge - in which the CSL formed a bridge between the university and clinical settings, allowing students to integrate theory and practice and develop a reflective stance. The theme was based on categories: conditions for learning, strategies for learning, tension between learning in the skills laboratory and clinical settings, and development of professional and personal competence. The CSL prepared the students for clinical practice, but a negative tension between learning in CSL and clinical settings was experienced. However, this tension may create reflection. This provides a new perspective that can be used as a pedagogical approach to create opportunities for students to develop their critical thinking.

  1. Key components of financial-analysis education for clinical nurses. (United States)

    Lim, Ji Young; Noh, Wonjung


    In this study, we identified key components of financial-analysis education for clinical nurses. We used a literature review, focus group discussions, and a content validity index survey to develop key components of financial-analysis education. First, a wide range of references were reviewed, and 55 financial-analysis education components were gathered. Second, two focus group discussions were performed; the participants were 11 nurses who had worked for more than 3 years in a hospital, and nine components were agreed upon. Third, 12 professionals, including professors, nurse executive, nurse managers, and an accountant, participated in the content validity index. Finally, six key components of financial-analysis education were selected. These key components were as follows: understanding the need for financial analysis, introduction to financial analysis, reading and implementing balance sheets, reading and implementing income statements, understanding the concepts of financial ratios, and interpretation and practice of financial ratio analysis. The results of this study will be used to develop an education program to increase financial-management competency among clinical nurses.

  2. 对鼻饲患者开展舒适护理的临床研究%Clinical research of comfort nursing in patients with nasogastric feeding

    Institute of Scientific and Technical Information of China (English)

    刘春霞; 王玉霞; 马风梅


    Objective To explore the method of comfort nursing in patients with nasogastric feeding and observe the influence on enhancement of patients satisfaction degree. Methods Case control study Was used in 162 conscious patients with nasogastric feeding.80 patients from January 2005 to January 2006 were selected as control group and given routine nursing.82 patients from February 2006 to May 2007 were named as the test group and received confort nursing.The satisfaction degree of patients, injury of nasal mucosa, shedding rate of the gastric tube and aspiration rate were investigated with self-designed discomfort questionnaires. Results The satisfaction degree in the test group Was 63.41%,which was higher than that of the control(40.00%,P<0.01).The rate of nasal mucosa injury, shedding of the gastric tube and aspiration rate were lower in the test group(1.22%,2.44%,1.22%)than those in the control group(8.75%,10.00%,7.50%,P<0.05).Conclusion The application of comfort nursing in patients with nasogastric feeding contributed to the enhancement of satisfaction degree of patients and nursing quality.%目的 探讨对开展鼻饲患者舒适护理的方法,观察其对提高患者主观满意度等护理质量的影响.方法 采用病例对照的研究方法.把162例神志清醒的鼻饲患者分为2组,2005年1月-2006年1月的80例患者作为对照组实施常规护理;2006年2月-2007年5月的82例患者作为实验组开展舒适护理.应用自制不舒适感问卷评估患者的主观满意度和鼻黏膜是否受损,统计脱管率、误吸率.结果 对照组和实验组的舒适主观满意度分别为40.00%,63.41%,2组比较差异有统计学意义(P<0.01);对照组的鼻黏膜受损、脱管、误吸率分别为8.75%、10.00%、7.50%,实验组分别为1.22%、2.44%、1.22%,2组比较差异有统计学意义(P<0.05).结论 对鼻饲患者开展舒适护理有助于提高患者主观满意度,提高护理质量.

  3. Constructivism applied to psychiatric-mental health nursing: an alternative to supplement traditional clinical education. (United States)

    DeCoux Hampton, Michelle


    With the popularity of accelerated pre-licensure nursing programmes and the growth in nursing student enrolments, traditional clinical education continues to be a challenge to deliver. Nursing faculty members are required to develop and implement educational innovations that achieve effective learning outcomes, while using fewer resources. The purpose of this qualitative study was to explore the effectiveness of a constructivism-based learning project to achieve specific learning outcomes and to supplement approximately 30 clinical hours in a psychiatric-mental health nursing course. Students participated in a 10-week, multistage project that examined life histories, treatment resources, and evidence-based practice, as applied to a single individual with a mental illness. Students reported increased understanding of mental health and illness, developed personal relevance associated with the knowledge gained, and learned to problem solve with regard to nursing care of individuals diagnosed with mental illness. For many students, there also appeared to be a reduction in stigmatized attitudes towards mental illness. Constructivism-based learning is a promising alternative to supplement clinical hours, while effectively achieving learning outcomes. Future research is needed to further validate the use of this method for the learning of course content, as well as the reduction of stigma.

  4. Nursing students' perceptions of the qualities of a clinical facilitator that enhance learning. (United States)

    Sweet, Linda; Broadbent, Julie


    There is a wealth of research investigating the role of the clinical facilitator and the student experience of clinical education. However, there is a paucity of recent research reviewing the students' perspectives of facilitators' qualities that influence their learning. This paper explores undergraduate nursing students' perceptions of the qualities of a clinical facilitator that enhanced their learning. The study was designed as a cross-sectional survey. A total of 452 third year nursing students at one Australian University were invited to participate. A total of 43 students completed the survey and were analysed; thus, the response rate was 9.7%. Results of the study indicate that nursing students perceive availability, approachability and feedback from the clinical facilitator to be highly influential to their learning in the clinical setting. The relational interdependence of these is discussed. Clinical facilitators have an important role in student learning. The findings of this study can be used in the development of clinical facilitator models, guidelines and in continuing education.

  5. Evaluation of nursing students about the objective structured clinical examination

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    Jéssica Naiara de Medeiros Araújo


    Full Text Available The Objective Structured Clinical Examination (OSCE is considered a fundamental element to improve teaching and learning. It can be understood as a measurement tool of clinical competencies with adoption of standard procedures. A qualitative study aimed to describe the evaluation of students about the OSCE use as strategy to promote the teaching-learning process in Clinical Nursing. A focus group with 27 students was created for data collection with information extracted from three guiding questions. Data was analyzed using Content Analysis technique. Two categories emerged from the first guiding question: the use of SOP; and learning strategy. Three categories emerged from the second question: main feelings; valid experience; and assessment method. From the third question, two categories were identified: learning from errors; and similarity with practice. The OSCE constitutes an assessment strategy that positively contributed with the teaching-learning process in Clinical Nursing.

  6. Clinical Research on Rehabilitation Nursing Methods and Effect of Children With Cerebral Palsy%小儿脑瘫患儿的临床康复护理方法及效果研究

    Institute of Scientific and Technical Information of China (English)



    Objective To investigate the effect of rehabilitation nursing in children with cerebral palsy. Methods 90 children with cerebral palsy were divided into 2 groups according to the random number method. The control group(40 cases)implemented the conventional basic nursing,the research group(50 cases)with rehabilitation nursing,the effect of the two groups were compared. Results The total effective rate of the study group were significantly higher than the control group(P < 0.05). Conclusion Rehabilitation nursing on basic nursing of children with cerebral palsy,the effect is obvious, the nursing satisfaction rate is high.%目的:探讨康复护理应用在小儿脑瘫患儿中的效果。方法90例脑瘫患儿按照随机数字法分为2组,对照组(40例)实施常规基础护理,研究组(50例)加用康复护理,对比两组效果。结果研究组总有效率、护理满意率均高于对照组(P <0.05)。结论对脑瘫患儿在基础护理上加用康复护理,效果佳,护理满意率高。

  7. 运用沟通要素浅析我国护理科研成果推广应用中的问题及对策%Problem analysis and strategy on the application of Chinese clinical nursing research based on the communication theory

    Institute of Scientific and Technical Information of China (English)

    霍苗; 李小寒


    运用沟通的基本要素分析我国护理科研成果在推广应用中存在的问题,并提出相应的对策,以引起护理管理者的注意,从而重视、支持护理科研成果的推广与应用,以促进护理学科的发展.%Based on the six elements of communication process, the authors analyzed the problems in the application of clinical nursing research. Strategies to solve these problems were proposed in order to raise the managers' attention on the application of nursing research and prompting the development of nursing in China.

  8. Outcomes of a Nurse-Managed Diabetes Foot Clinic (United States)


    Managed Diabetes Foot Clinic 5b. GRANT NUMBER HU0001-04-1-TS10 5c. PROGRAM ELEMENT NUMBER N/A 6. AUTHOR(S) 5d. PROJECT NUMBER N04-017...measured outcomes of a nurse-managed diabetes foot clinic on foot wound rates, health care costs, and changes in health status in adults with...assignment by risk. All received diabetic - foot self-care education and foot assessment. Controls were seen very three months. Treatment participants

  9. [Analysis phenomenology and application to nursing research]. (United States)

    Huang, Yu-Ping; Kellett, Ursula M; St John, Winsome; Lee, Sheuan


    Phenomenology has been divided into three schools of thought arising from different philosophical assumptions and methods. There is descriptive phenomenology, interpretative phenomenology, and a combination of both. Phenomenology has been adopted as a study method to explore experiences in different nursing fields in Taiwan. Husserlian descriptive phenomenology professes to utilize the skills of epoché, bracketing, and phenomenological reduction not only in order to seek the essence of phenomena, but also to allow the researcher to get into the participant's life-world to gain a deeper understanding of their experience; in other words, to let the true phenomenon or essence be revealed. By contrast, Heideggerian interpretative phenomenology rejected the idea that one can completely suspend one's presuppositions, prejudices or preconceived ideas by simply Being-in-the-world. One is immersed in and absorbing from the world, so one will not be able to notice everything that one is gaining from the world. Heidegger also insisted that any interpretation is only valid when background is taken into account. This not only facilitates the researcher's deeper understanding of the other's experience, but also facilitates more accurate interpretation of context and meaning. When researchers seek to follow Husserl's idea of performing bracketing in descriptive phenomenology, in order to truly put the concept into practice, they should understand their prior assumptions and maintain a written journal of reflections throughout the study.

  10. Participant action research with bedside nurses to identify NANDA-International, Nursing Interventions Classification, and Nursing Outcomes Classification categories for hospitalized persons with diabetes. (United States)

    Minthorn, Crista; Lunney, Margaret


    Experienced bedside nurses identified 14 nursing diagnoses, 78 interventions, and 76 health outcomes for hospitalized persons with diabetes. Using these terms, the nursing department revised the standards of care and the electronic health record. Nurses' engagement in generating knowledge translated to increased interest in research. This methodology is recommended for other agencies.

  11. Nursing Clinical Documentation System Structured on NANDA-I, NOC, and NIC Classification Systems. (United States)

    Peres, Heloisa Helena C; de Almeida Lopes M da Cruz, Diná; Tellez, Michelle; de Cassia Gengo e Silva, Rita; dos S Diogo, Regina Celia; Ortiz, Diley Cardoso F; Ortiz, Dóris R


    Information is a key feature that health professionals need to exercise their profession with efficiency and quality. This study aims to present the experience of the usage of an electronic system for clinical documentation in nursing in a university hospital. It is a methodological research of technology production. The system was developed in four phases: Conception, Elaboration, Construction, and Transition, and was named Electronic Documentation System of the University of São Paulo Nursing Process (PROCEnf-USP™). The knowledge base of PROCEnf-USP™ was organized in hierarchy of domains and classes, according to NNN linkages.

  12. Animal models in genomic research: Techniques, applications, and roles for nurses. (United States)

    Osier, Nicole D; Pham, Lan; Savarese, Amanda; Sayles, Kendra; Alexander, Sheila A


    Animal research has been conducted by scientists for over two millennia resulting in a better understanding of human anatomy, physiology, and pathology, as well as testing of novel therapies. In the molecular genomic era, pre-clinical models represent a key tool for understanding the genomic underpinnings of health and disease and are relevant to precision medicine initiatives. Nurses contribute to improved health by collecting and translating evidence from clinically relevant pre-clinical models. Using animal models, nurses can ask questions that would not be feasible or ethical to address in humans, and establish the safety and efficacy of interventions before translating them to clinical trials. Two advantages of using pre-clinical models are reduced variability between test subjects and the opportunity for precisely controlled experimental exposures. Standardized care controls the effects of diet and environment, while the availability of inbred strains significantly reduces the confounding effects of genetic differences. Outside the laboratory, nurses can contribute to the approval and oversight of animal studies, as well as translation to clinical trials and, ultimately, patient care. This review is intended as a primer on the use of animal models to advance nursing science; specifically, the paper discusses the utility of preclinical models for studying the pathophysiologic and genomic contributors to health and disease, testing interventions, and evaluating effects of environmental exposures. Considerations specifically geared to nurse researchers are also introduced, including discussion of how to choose an appropriate model and controls, potential confounders, as well as legal and ethical concerns. Finally, roles for nurse clinicians in pre-clinical research are also highlighted.

  13. Clinical teachers as caring mothers from the perspectives of Jordanian nursing students. (United States)

    Lopez, Violeta


    The purpose of this transcultural qualitative study was to discover, describe and explain the meaning of a caring student-teacher encounter within the context of clinical education. Clinical teachers are registered nurses who have completed a university undergraduate nursing degree program and at least 1 year of post-registration clinical experience. They are employed as full-time staff of the faculty of nursing. Among the 19 Jordanian undergraduate nursing students interviewed, "clinical nurse teachers as caring mothers," emerged as an important theme. This paper describes the clinical teachers in their mothering roles, such as supporting, negotiating, reinforcing, transforming and releasing nursing students throughout their clinical practice. Understanding students' cultural beliefs and values provides possible predictors that could facilitate positive student-teacher relationships that could be used to plan the clinical education for nursing students. There is also a need to develop workshops in clinical teaching that would incorporate cultural awareness, especially in a multicultural student-teacher groups.

  14. Nurses’ Perceptions of the Concept of Power in Nursing: A Qualitative Research (United States)

    Sepasi, Rana Rezai; Borhani, Fariba; Rafiei, Hossein


    Introduction Power is a complex and extensive concept in nursing, which has a decisive impact on the accomplishment of duties, satisfaction and achievement of professional goals. Explaining the concept of power in nursing from the perspective of nurses and accessing its various dimensions may result in a better understanding of this issue. Aim This study was aimed to explore the concept of power in nursing, using the views and experiences of Iranian nurses. Materials and Methods This study was a qualitative research which used a content analysis approach. Participants were selected from among nurses active in clinical, management, and educational practices using the purposive sampling method. Data were collected using a semi-structured individual interview. The results were obtained by analysing the data using an inductive approach and the constant comparison method. Results The participants of this study regarded the power of nursing as a positive concept and the issue of power in nursing consisted of three classes, the genesis with the subclasses of “being purposeful”, “being under the shadow of the profession nature”, “being dependent on the source”, strengthening with the subclasses of “being emotional and introverted”, “being formed in the context of professional communication”, “fluidity and flowing”, and the evolution with the subclasses “based on human values”, and “being a tool for professional excellence”. Conclusion The concept of power in nursing can be considered a purposeful issue based on the nurses’ viewpoint which flourishes in the context of human, moral and caring nature of the nursing profession. According to its dependence on the nature of profession and on the basis of professional communication, Power of nursing grows with a fluidlike flowing structure, linked with human values, reaches maturity and results in outcomes such as improving the quality of care and professional excellence. PMID:28208886

  15. Costing nursing care: using the clinical care classification system to value nursing intervention in an acute-care setting. (United States)

    Moss, Jacqueline; Saba, Virginia


    The purpose of this study was to combine an established methodology for coding nursing interventions and action types using the Clinical Care Classification System with a reliable formula (relative value units) to cost nursing services. Using a flat per-diem rate to cost nursing care greatly understates the actual costs and fails to address the high levels of variability within and across units. We observed nurses performing commonly executed nursing interventions and recorded these into an electronic database with corresponding Clinical Care Classification System codes. The duration of these observations was used to calculate intervention costs using relative value unit calculation formulas. The costs of the five most commonly executed interventions were nursing care coordination/manage-refer ($2.43), nursing status report/assess-monitor ($4.22), medication treatment/perform-direct ($6.33), physical examination/assess-monitor ($3.20), and universal precautions/perform-direct ($1.96). Future studies across a variety of nursing specialties and units are needed to validate the relative value unit for Clinical Care Classification System action types developed for use with the Clinical Care Classification System nursing interventions as a method to cost nursing care.

  16. A conceptual framework for teaching research in nursing

    Directory of Open Access Journals (Sweden)

    SCD Wright


    Full Text Available Though research is often referred to the lifeblood, hallmark or cornerstone in the development of a profession (Brink, 1996:2, teaching research in Nursing is a challenge. The challenge does not just lie in teaching the subject, but in resistance and unwillingness of students to engage in the subject. In the experience of the researcher, registered nurses identify themselves with being a nurse and a caregiver; the role of researcher has never been internalised. The challenge is to achieve the outcome envisaged, namely, nurses who are knowledgeable consumers of research as well as continuous productive scholars in their application of nursing. Research generates knowledge and knowledge is the basis of caring with excellence. Nursing is an art and a science and the science must produce the knowledge upon which the art is based. The purpose of this article is to propose a conceptual framework of how to teach research in order to achieve such a successful outcome. The conceptual framework proposed in this article is based on four pillars, theoretical knowledge of research, scientific writing, psychological support and experiential learning. The importance of the research facilitator, not just as a teacher but also as a positive role model, is also described.

  17. Skin care in nursing: A critical discussion of nursing practice and research. (United States)

    Kottner, Jan; Surber, Christian


    of the skin and concomitant health conditions and on a clearly defined outcome. A standardized skin care and skin care product language is needed for researchers planning and conducting clinical trials, for reviewers doing systematic reviews and evidence-base summaries, for nurses and other healthcare workers to deliver evidence-based and safe skin care.

  18. Family nurse practitioner clinical competencies in alcohol and substance use. (United States)

    Talashek, M L; Gerace, L M; Miller, A G; Lindsey, M


    The prevalence of substance use among patients presenting to primary health care settings mandates clinical competency in the area for nurse practitioners (NPs). An educational intervention with an evaluation component is described. The effect of incorporating substance use content into a Family Nurse Practitioner (FNP) curriculum was tested with a convenience sample of 16 FNP students and 8 practicing NPs. Students' knowledge increased significantly; however, differences in students' and practicing NPs' knowledge did not reach significance. Students' clinical competency increased significantly, as demonstrated by standardized patient clinical evaluations, and was significantly better than the practicing NPs in the skill domains of evaluation and record keeping. Educational intervention can improve NP identification of substance-abusing patients in primary health care settings.

  19. Applications of complex systems theory in nursing education, research, and practice. (United States)

    Clancy, Thomas R; Effken, Judith A; Pesut, Daniel


    The clinical and administrative processes in today's healthcare environment are becoming increasingly complex. Multiple providers, new technology, competition, and the growing ubiquity of information all contribute to the notion of health care as a complex system. A complex system (CS) is characterized by a highly connected network of entities (e.g., physical objects, people or groups of people) from which higher order behavior emerges. Research in the transdisciplinary field of CS has focused on the use of computational modeling and simulation as a methodology for analyzing CS behavior. The creation of virtual worlds through computer simulation allows researchers to analyze multiple variables simultaneously and begin to understand behaviors that are common regardless of the discipline. The application of CS principles, mediated through computer simulation, informs nursing practice of the benefits and drawbacks of new procedures, protocols and practices before having to actually implement them. The inclusion of new computational tools and their applications in nursing education is also gaining attention. For example, education in CSs and applied computational applications has been endorsed by The Institute of Medicine, the American Organization of Nurse Executives and the American Association of Colleges of Nursing as essential training of nurse leaders. The purpose of this article is to review current research literature regarding CS science within the context of expert practice and implications for the education of nurse leadership roles. The article focuses on 3 broad areas: CS defined, literature review and exemplars from CS research and applications of CS theory in nursing leadership education. The article also highlights the key role nursing informaticists play in integrating emerging computational tools in the analysis of complex nursing systems.

  20. 临床护理路径在急诊患者抢救中的应用研究%Application research of clinical nursing pathway in patient with emergency rescue

    Institute of Scientific and Technical Information of China (English)

    许丽; 李香玉


    目的::探讨急诊患者抢救时临床护理路径的应用方法,以及取得的效果。方法:将100例急诊抢救的危重症患者随机分为对照组和观察组,对患者的分诊正确率、抢救成功率、护理满意度,以及在急诊停留时间、转运时间、转运不良事件发生率等进行对比分析。结果:观察组各项指标明显优于对照组,与临床护理路径的实施呈正相关性。结论:针对急诊抢救患者实施临床护理路径,可以有效提高分诊正确率、抢救成功率、护理满意度,减少急诊停留时间、转运时间及转运不良事件发生率。%Objective:To explore the application method and effect of clinical nursing pathway in emergency rescue. Methods:100 pa-tients were divided into control group and observation group randomly. Compared and analyzed the triage accuracy, rescue success, nurs-ing satisfaction as well as residence time, transit time, the adverse event incidence of transportation in emergency. Results:All the indica-tors in observation group were superior to control group significantly and it is related to the practice of clinical nursing pathway positively. Conclusion:Clinical nursing pathway could improve the triage accuracy, rescue success, nursing satisfaction and decrease residence time, transit time, the adverse event incidence of transportation in emergency rescue.

  1. Pain and nurses' emotion work in a paediatric clinic: treatment procedures and nurse-child alignments. (United States)

    Rindstedt, Camilla


    In the treatment of cancer in children, treatment procedures have been reported to be one of the most feared elements, as more painful than the illness as such. This study draws on a video ethnography of routine needle procedure events, as part of fieldwork at a paediatric oncology clinic documenting everyday treatment negotiations between nurses and young children. On the basis of detailed transcriptions of verbal and nonverbal staff-child interaction, the analyses focus on ways in which pain and anxiety can be seen as phenomena that are partly contingent on nurses' emotion work. The school-age children did not display fear. In the preschool group, though, pain and fear seemed to be phenomena that were greatly reduced through nurses' emotion work. This study focuses on three preschoolers facing potentially painful treatment, showing how the nurses engaged in massive emotion work with the children, through online commentaries, interactive formats (delegation of tasks, consent sequences, collaborative 'we'-formats), as well as solidarity-oriented moves (such as praise and endearment terms). Even a young toddler would handle the distress of needle procedures, when interacting with an inventive nurse who mobilized child participation through skilful emotion work.

  2. Exploring nursing students’ experience of peer learning in clinical practice (United States)

    Ravanipour, Maryam; Bahreini, Masoud; Ravanipour, Masoumeh


    Background: Peer learning is an educational process wherein someone of the same age or level of experience level interacts with other students interested in the same topic. There is limited evidence specifically focusing on the practical use of peer learning in Iran. The aim of this study was to explore nursing students’ experiences of peer learning in clinical practice. Materials and Methods: A qualitative content analysis was conducted. Focus groups were used to find the students’ experiences about peerlearning. Twenty-eight baccalaureate nursing students at Bushehr University of Medical Sciences were selected purposively, and were arranged in four groups of seven students each. The focus group interviews were conducted using a semi-structured interview schedule. All interviews were tape-recorded, transcribed verbatim, and analyzed using conventional content analysis method. Results: The analysis identified four themes: Paradoxical dualism, peer exploitation, first learning efficacy, and socialization practice. Gained advantages and perceived disadvantages created paradoxical dualism, and peer exploitation resulted from peer selection and peer training. Conclusion: Nursing students reported general satisfaction concerning peer learning due to much more in-depth learning with little stress than conventional learning methods. Peer learning is a useful method for nursing students for practicing educational leadership and learning the clinical skills before they get a job. PMID:26097860

  3. [To know to change: the nurses of the Oncology Institute of Southern Switzerland (IOSI) and their relationship with the Evidence Based Practise (EBP) and Nursing Research]. (United States)

    Valcarenghi, Dario; Pedrazzani, Carla; Bianchi, Monica


    To promote the development of a culture and a professional practice based on "evidence of effectiveness", the IOSI Nursing Officer instituted a specific Unit which decided to establish its own lines of action based on the results of an internal investigation conducted among nurses employed within IOSI, with reference to the model of action research. In July 2010, a semi-structured questionnaire self compiled was sent to all nurses to find out their opinions and experiences on EBP and nursing research, to recognize their proposals, and willingness to be part of an internal network. 63 out of 98 questionnaire were filled in. Several nurses have knowledge and experience in these fields, but change their professional behavior especially under pressure from the external environment, rather than by autonomous choice. They consider EBP substantially useful, but difficult to implement especially without their direct involvement. Two third of the sample have felt the need of EBP during their professional activity and there is a general willingness to develop nursing research (56%) and/or play an active role of "referent" on these issues within own Unit (35%). The survey showed that at IOSI there is a favorable substrate for EBP and nursing research (for basic knowledge and availability). The data collected have served to define internal lines of action in a narrow relationship with the clinical areas, according to the model of action research. It is a process that requires vision, coordinated efforts, perseverance and time.

  4. [Initiation into nursing care research, a tool for measuring the construction of nursing professional identity]. (United States)

    Wietrich, Laurence; Regnier, Jean-Claude


    This article presents some results stemming from university research work, in relation with nursing training and the construction of student nurses' professional identity. As a tool contributing in the process of this construction, Research in Nursing Care (RNS), the main subject of our research, is an element of the training program in nursing care. In a context of development of the profession, we tried to clarify the meaning of RNC as part of training but also in the fields where care is lavished as this is a work/study education program. The RNC object was discussed in historical, regulatory, and scientific contexts. Three hypotheses were raised and put to the test; the followed methodology was clarified some proposals followed the analysis of the various data corpus obtained and some reflection tracks were initiated for the trainers and assistants.

  5. Inservice Education in a Clinical Research Hospital (United States)

    Ellis, Geraldine


    Orientation, training, and in-service programs are designed to provide assurance that nursing care standards will be met. Describes how to familiarize staff with the meaning of research, with its demand for repetition and precision, and the many ways in which nursing personnel actually provide support to the research physician. (RB)

  6. Nursing Faculty Members' Perspectives of Faculty-to-Faculty Workplace Incivility among Nursing Faculty Members (United States)

    Amos, Kimberly S.


    In recent years, nursing faculty incivility has been a searing topic of research. Nursing research included studies on incivility among nursing students, incivility between nursing students and nursing faculty, and incivility in the clinical setting. However, literature specifically on nursing faculty incivility was limited. This descriptive,…

  7. Enhancing moral agency: clinical ethics residency for nurses. (United States)

    Robinson, Ellen M; Lee, Susan M; Zollfrank, Angelika; Jurchak, Martha; Frost, Debra; Grace, Pamela


    One antidote to moral distress is stronger moral agency-that is, an enhanced ability to act to bring about change. The Clinical Ethics Residency for Nurses, an educational program developed and run in two large northeastern academic medical centers with funding from the Health Resources and Services Administration, intended to strengthen nurses' moral agency. Drawing on Improving Competencies in Clinical Ethics Consultation: An Education Guide, by the American Society for Bioethics and Humanities, and on the goals of the nursing profession, CERN sought to change attitudes, increase knowledge, and develop skills to act on one's knowledge. One of the key insights the faculty members brought to the design of this program is that knowledge of clinical ethics is not enough to develop moral agency. In addition to lecture-style classes, CERN employed a variety of methods based in adult learning theory, such as active application of ethics knowledge to patient scenarios in classroom discussion, simulation, and the clinical practicum. Overwhelmingly, the feedback from the participants (sixty-seven over three years of the program) indicated that CERN achieved transformative learning.

  8. Familiarity knowledge in student nurses' clinical studies: exemplified by student nurses in palliative care. (United States)

    Haugan, Grethe; Hanssen, Ingrid


    In this article based on a literary study, the form of knowledge named familiarity knowledge is examined. Although rooted in the philosophical tradition of Wittgenstein and Polanyi, the development of familiarity knowledge is tied in with clinical practice and particular patients and contexts while paying attention to the framework factors influencing the setting as a whole as well as with theoretical knowledge relevant to the situation at hand. Palliative care makes a backdrop for some of the discussion. Familiarity knowledge can never be context free and attends to that which is unique in every nurse-patient relationship. Both assertive and familiarity knowledge are needed to care for dying patients in a competent, sensitive, and truly caring manner. Mentors need to help students synthesize assertive knowledge and familiarity knowledge during their clinical studies to enrich both kinds of knowledge and deepen their understanding. Student nurses expertly mentored and tutored while caring for dying patients living at home become, for instance, less apprehensive about facing dying patients than students not so mentored. Nurses need to understand the complexity of nursing care to be able to see the uniqueness of the situation and approach the individual patient on the bases of experience and insight.

  9. Learning Experience of Student Nurses through Reflection on Clinical Practice: A Case Study in Pediatric Nursing, Southern Thailand

    Directory of Open Access Journals (Sweden)



    Full Text Available This article aims to describe student nurse experiences of clinical practice through their reflections. Forty reflections on clinical practice in a pediatric department were conducted at a tertiary hospital. Student nurses wrote reflections which were then thematically analyzed. Analysis was founded on the following: First, situations of nursing care in medical and surgical pediatrics; Second, clinical practice with nursing care as procedurals; Third, results after student’s activities; and Fourth, reflections of students presented as “what?”, “now what?”, and “new actions?” Particularly, reflections of student nurses were classed into 7 themes; 1 “Significant knowledge for nursing practice”, 2“Better self-confidence for nursing practices”, 3“Patient and family centers”, 4 “Concentration/attention must come first”, 5 “Practice carefully”, 6 “Make students have accountability, honesty, and ethics” and 7 “Mirror for improving intervention in the future as professional nurses”. Overall, student nurses had an improved learning experience in pediatric nursing care through reflection on clinical practice.

  10. Perioperative Clinical Nurse Specialist Role Delineation: A Systematic Review (United States)


    data during translation by the research team. A review summary table (RST) was developed to record data gathered from the systematic review. The table...of the data during translation by the research team. Articles that were included in the final bibliography, but then determined not to meet any of nurses. Heart Lung, 19(3), 236-242. Coleman, S., & Henneman , E. A. (1991). Comprehensive patient care and documentation through unit-based

  11. Eportfolio and learning styles in clinical nursing education

    DEFF Research Database (Denmark)

    Nielsen, Kirsten; Pedersen, Birthe D.; Helms, Niels Henrik


    This study reports the use of electronic portfolio in clinical nursing education. The study is part of a larger study investigating learning mediated by ePortfolio. The method takes a phenomenological-hermeneutic approach. The setting was a ten-week clinical course in basic nursing....... The participants were 11 first-year students randomly selected. Data were generated by participant observations, interviews and portfolio documents. Findings showed that the ePortfolio was used individually and mostly at home. Using ePortfolio in the ward is more time-consuming. The ePortfolio was used to reflect...... only in one way, lack of supervision about how to learn. The study showed some but not unambiguous connection between preferred learning styles and ePortfolio use....

  12. Student Nurses' Learning Needs & Expectations in the Clinical Learning Units

    Directory of Open Access Journals (Sweden)

    M Chabeli


    Full Text Available This paper describes and explores the clinical learning needs and expectations of student nurses. An exploratory, descriptive and qualitative design, which is contextual in nature, was used where a focus group interview was conducted with the final year basic students undergoing a four year comprehensive diploma course leading to registration as a professional nurse. Tecsh’s (in Cresswell, 1994:155 method of data analysis was employed. Eight categories were identified as follows: communication; role modelling; up-to-date knowledge and experience; continuous supervision; assessment and evaluation; scientific process; management; professional practice and student status. A recommendation deduced from the conclusions made on the identified clinical learning needs and expectations of the students should enable teachers to address the long standing problem of how students should learn.

  13. Violence Experienced By Nursing Students in Clinical Practice Settings

    Directory of Open Access Journals (Sweden)

    Meltem KÜRTÜNCÜ


    Full Text Available The study was made to determine violence experienced by nurse students in clinical settings. It was applied to the School of Health Nursing Student of a university during a week in June, 2010. There were 360 students, 53 of whom were senior, 60 of whom were thirdyear, 114 of whom were sophomore, 79 of whom were first-year and 102 of whom were prep-school students, at the school. Students in preparatory classes were not included in the scope of the study since they didn't take applied courses. 70,58% of the students were reached. It was determined that the students were often exposed to verbal abuse and sexism in clinical setting and the abuse was performed by their colleagues.

  14. The use of clinical logs to improve nursing students' metacognition: a pilot study. (United States)

    Fonteyn, M E; Cahill, M


    The purpose of this study was to examine the effectiveness of the use of a reflective clinical log to improve students' thinking strategies and metacognition (cognitive awareness). Rather than prepare a written nursing care plan prior to entering the clinical setting, students instead were asked to write in a clinical log at the completion of their clinical day, reflecting upon client problems that they had identified, the data that were used to identify these problems, the nursing interventions that were used, and the results of these interventions. The students reported that they preferred the use of a reflective log over writing nursing care plans and they felt that the logs improved their ability to think about their thinking (i.e. their metacognition). The results of this pilot study indicate that reflection in clinical logs assists students to become more active learners, to manage their own thinking, and to improve their metacognition. Additional research in this area is needed to confirm study findings and to provide further understanding regarding the effectiveness of clinical logs as a teaching strategy to improve students' metacognition.

  15. Simply the best: teaching gerontological nursing students to teach evidence-based practice. Creating tip sheets can help achieve the goal of implementing EBP in clinical facilities. (United States)

    Schoenfelder, Deborah Perry


    This article describes a teaching strategy used in an undergraduate gerontological nursing clinical course to familiarize students with evidence-based practice. Students are required to read and summarize an assigned evidence-based practice guideline published by The University of Iowa Gerontological Nursing Interventions Research Center. They then develop a "tip sheet," based on the assigned guideline, to disseminate to health care staff at their practicum sites, which is either a long-term care facility or a hospital-based skilled nursing facility. Nursing students' reactions to the assignment and nursing staff's responses to the tip sheets are discussed.

  16. Integrating clinical research into clinical decision making

    Directory of Open Access Journals (Sweden)

    Mark R Tonelli


    Full Text Available Evidence-based medicine has placed a general priority on knowledge gained from clinical research for clinical decision making. However, knowledge derived from empiric, population-based research, while valued for its ability to limit bias, is not directly applicable to the care of individual patients. The gap between clinical research and individual patient care centers on the fact that empiric research is not generally designed to answer questions of direct relevance to individual patients. Clinicians must utilize other forms of medical knowledge, including pathophysiologic rationale and clinical experience, in order to arrive at the best medical decision for a particular patient. In addition, clinicians must also elucidate and account for the goals and values of individual patients as well as barriers and facilitators of care inherent in the system in which they practice. Evidence-based guidelines and protocols, then, can never be prescriptive. Clinicians must continue to rely on clinical judgment, negotiating potentially conflicting warrants for action, in an effort to arrive at the best decision for a particular patient.

  17. Preliminary clinical nursing leadership competency model: a qualitative study from Thailand. (United States)

    Supamanee, Treeyaphan; Krairiksh, Marisa; Singhakhumfu, Laddawan; Turale, Sue


    This qualitative study explored the clinical nursing leadership competency perspectives of Thai nurses working in a university hospital. To collect data, in-depth interviews were undertaken with 23 nurse administrators, and focus groups were used with 31 registered nurses. Data were analyzed using content analysis, and theory development was guided by the Iceberg model. Nurses' clinical leadership competencies emerged, comprising hidden characteristics and surface characteristics. The hidden characteristics composed three elements: motive (respect from the nursing and healthcare team and being secure in life), self-concept (representing positive attitudes and values), and traits (personal qualities necessary for leadership). The surface characteristics comprised specific knowledge of nurse leaders about clinical leadership, management and nursing informatics, and clinical skills, such as coordination, effective communication, problem solving, and clinical decision-making. The study findings help nursing to gain greater knowledge of the essence of clinical nursing leadership competencies, a matter critical for theory development in leadership. This study's results later led to the instigation of a training program for registered nurse leaders at the study site, and the formation of a preliminary clinical nursing leadership competency model.

  18. Research Progress of Clinical Nursing Model Diabetic Ketosis Acid Toxic Swelling Application%糖尿病酮症酸中毒应用临床护理模式研究

    Institute of Scientific and Technical Information of China (English)



    随着社会的进步,医学的发展,护理工作在糖尿病酮症酸中毒中也发挥着越来越重要的作用。糖尿病或糖尿病酮症酸中毒的护理与其他疾病的护理相比,护理工作者需要投入更多的耐心与细心。饮食、胰岛素注射、血糖测定则是日常工作的重点。随着护理技术的成熟,人们根据实际需要制定出了不同的护理模式。不同的护理模式,其出发点和具体操作步骤也有一定的差异,研究不同的临床护理模式的优点与缺点,对进一步对糖尿病酮症酸中毒患者进行规范化与个性化的护理,对提高护理水平和医疗水平有着非常重要的意义。%Along with the progress of the society, the development of medicine, nursing work is playing a more and more important role in diabetic ketoacidosis. Compared with the care of diabetes or diabetic ketoacidosis nursing and other diseases, nursing workers need more patience and careful. Diet, insulin, glucose is the key of daily work. With the development of nursing technology matures, people develop nursing mode according to dif erent actual need. Dif erent models of care, the starting point and the specific steps also have some dif erences, the advantages and disadvantages of dif erent modes of clinical nursing, nursing for further standardization and individualization on patients with diabetic ketoacidosis, has a very important meaning to improve the level of nursing and medical level.

  19. Clinical research before informed consent. (United States)

    Miller, Franklin G


    Clinical research with patient-subjects was routinely conducted without informed consent for research participation prior to 1966. The aim of this article is to illuminate the moral climate of clinical research at this time, with particular attention to placebo-controlled trials in which patient-subjects often were not informed that they were participating in research or that they might receive a placebo intervention rather than standard medical treatment or an experimental treatment for their condition. An especially valuable window into the thinking of clinical investigators about their relationship with patient-subjects in the era before informed consent is afforded by reflection on two articles published by psychiatric researchers in 1966 and 1967, at the point of transition between clinical research conducted under the guise of medical care and clinical research based on consent following an invitation to participate and disclosure of material information about the study. Historical inquiry relating to the practice of clinical research without informed consent helps to put into perspective the moral progress associated with soliciting consent following disclosure of pertinent information; it also helps to shed light on an important issue in contemporary research ethics: the conditions under which it is ethical to conduct clinical research without informed consent.

  20. Research to support evidence-based practice in COPD community nursing. (United States)

    Kirkpatrick, Pamela; Wilson, Ethel; Wimpenny, Peter


    Evidence-based practice (EBP) is a requirement of nurses through the generation of evidence to implementing it, in a bid to to improve clinical practice. However, EBP is difficult to achieve. This paper highlights an approach to generating evidence for enhancing community nursing services for patients with chronic obstructive pulmonary disease (COPD) through a collaborative partnership. A district nurse and two nursing lecturers formed a partnership to devise a systematic review protocol and perform a systematic review to enhance COPD practice. This paper illustrates the Joanna Briggs Institute (JBI) systematic review process, the review outcomes and the practitioner learning. Collaborative partnerships between academics, researchers and clinicians are a potentially useful model to facilitate enhanced outcomes in evidence-based practice and evidence application.

  1. Clinical Research with a Hermenutical Design and an Element of Application

    Directory of Open Access Journals (Sweden)

    Lillemor Lindwall RN, RNA, PhD


    Full Text Available In 2008 two researchers completed a 2-year study in collaboration with nurse anesthetists and operating room nurses from three operating theaters in western Sweden. In this paper, with focus on methodology and the ethical approach to research, the aim was to describe a hermeneutical design with an element of application used in a perioperative clinical study. The element of application was chosen to involve clinical nurses to participate as coresearchers. This research was inspired by Lindholm's (2006 method for application research developed to bring new knowledge, to create change as well as to unite theory in dialogues with clinical nurses. Through the perioperative dialogue, the coreseacher not only became one who collected data but also the older patients' nurse, who cared for them. A hermeneutical text interpretation with five readings was used to gain new understanding. Perioperative care becomes evident and is dedicated to the patient in perioperative.

  2. Stereotyping by nurses and nursing students: a critical review of research. (United States)

    Ganong, L H; Bzdek, V; Manderino, M A


    Thirty-eight empirical studies of stereotyping by nurses and nursing students were critically examined and discussed. The review was conducted and reported as though it were primary research. Subjects were the studies examined, methods were the reviewing procedure, data were attributes of the studies, and results were the conclusions drawn. The research on nurses' stereotypes has been characterized by: the use of one method of data collection, usually questionnaires; the measurement of the presence or absence of specific stereotypes; and nonprobability sampling techniques. There is some evidence that nurses stereotype other people based on age, sex, attractiveness, personality, diagnosis, social class, and family structure. Suggestions for adding to this body of knowledge are made.

  3. Doctors and nurses on wards with greater access to clinical dietitians have better focus on clinical nutrition

    DEFF Research Database (Denmark)

    Thoresen, L.; Rothenberg, E.; Beck, Anne Marie;


    According to the Council of Europe, clinical dietitians should assume a more central role in nutritional support. The aim of this study was to assess the opinions among doctors, nurses and clinical dietitians regarding the use of clinical dietitians' expertise in the hospital units and, further......, to assess whether the presence of clinical dietitians in hospital departments influenced doctors and nurses focus on clinical nutrition. A questionnaire about the use of clinical nutrition was mailed to 6000 doctors and 6000 nurses working in hospital units where undernutrition is documented to be common......, as well as to 678 clinical dietitians working in Scandinavian hospitals. The response rate of clinical dietitians, nurses and doctors were 53%, 46% and 29%, respectively. Nurses and doctors who saw clinical dietitians often found it less difficult to identify undernourished patients and found that insight...

  4. 8. Are nurse-led prosthetic valve anticoagulation clinics effective?

    Directory of Open Access Journals (Sweden)

    F. Obeid


    Full Text Available Valvular heart disease is a major and serious healthcare issue. There is an increasing evidence that Nurse-led anticoagulation clinics may improve patients’ management and care.This is a retrospective comparison study that included the first 94 patients enrolled in the Nurse Led Prosthetic Valve Anticoagulation Clinic (PVATC in King Abdul-Aziz Cardiac Centre between April and June 2013, and received Warfarin by General Cardiology Clinics for one year pre enrollment in PVATC, and one year after. Time in Therapeutic Range (TTR of the International Normalized Ratio (INR was calculated and compared between pre and post PVATC enrolment. Other data including demographics and comorbidities were collected and analyzed. Mean age of patients was 53 ± 12.5 years and males were 56%. Atrial fibrillation was found in 37%, Diabetes Mellitus in 28% and Hypertension in 34%. Mean TTR was 72% pre enrollment in PVATC as compared to 78.9% after (P < 0.006. Median TTR was 75% pre, and 81.5% after attending the PVATC (P < 0.0001. 56% of patients pre enrollment had TTR values above 70% threshold, compared to 75% after enrollment. Nurse-Led PVATC has significant impact on the care provided to patients receiving anticoagulation treatment.

  5. Nursing preceptors' experiences of two clinical education models. (United States)

    Mamhidir, Anna-Greta; Kristofferzon, Marja-Leena; Hellström-Hyson, Eva; Persson, Elisabeth; Mårtensson, Gunilla


    Preceptors play an important role in the process of developing students' knowledge and skills. There is an ongoing search for the best learning and teaching models in clinical education. Little is known about preceptors' perspectives on different models. The aim of the study was to describe nursing preceptors' experiences of two clinical models of clinical education: peer learning and traditional supervision. A descriptive design and qualitative approach was used. Eighteen preceptors from surgical and medical departments at two hospitals were interviewed, ten representing peer learning (student work in pairs) and eight traditional supervision (one student follows a nurse during a shift). The findings showed that preceptors using peer learning created room for students to assume responsibility for their own learning, challenged students' knowledge by refraining from stepping in and encouraged critical thinking. Using traditional supervision, the preceptors' individual ambitions influenced the preceptorship and their own knowledge was empathized as being important to impart. They demonstrated, observed and gradually relinquished responsibility to the students. The choice of clinical education model is important. Peer learning seemed to create learning environments that integrate clinical and academic skills. Investigation of pedagogical models in clinical education should be of major concern to managers and preceptors.

  6. Nursing Role Transition Preceptorship (United States)

    Batory, Susan M.


    The preceptorship clinical experience in a practical nursing (PN) program at a Midwestern community college is considered crucial to the PN students' transition from novice nurse to professional nurse. However, no research has been available to determine whether the preceptorship clinical accomplishes its purpose. A case study was conducted to…

  7. Problems of Clinical Education According to Junior and Senior Nursing Students\\' Viewpoint at Qom Nursing and Midwifery School in 2008

    Directory of Open Access Journals (Sweden)

    M Abbasi


    Full Text Available Objectives : Clinical education is a dynamic process which plays an important role in training professional nurses. The role of ideal clinical education is undeniable in personal and professional development and clinical expertise of nurses. Nevertheless, students encounter some problems in clinical education. Undoubtedly, awareness of these problems is the first step in reducing them. One of the best and almost reliable sources of assessing such problems are the students themselves. The present study was caried out to assess the clinical education problems from the viewpoints of nursing students studying at their third or fourth year of education at Qom School of Nursing and Midwifery in 2008. Method : The study was a descriptive one in which 53 junior and senior students of nursing participated to answer some clinical education problems of nursing through a self-made questionnaire consisting of 5 domains and 31 questions. Results : The most important problems of clinical education from students' viewpoints included: sufficient clinical practice history among trainers (34%, giving information to the students about their evaluation method before clinical training (26.4%, and reinforcing students' self-confidence at clinical environment (24.5%. Low-importance items were: coordination between educational objectives and Personnel Expectations (50.9%, Welfare Facilities (47.2%, use of educational aids at clinical setting, and enough motivation for Employment at nursing (45.3%. Conclusion : On the basis of the findings of the study, it seems possible to decrease some of the most important problems of nursing students through determining goals and coordinating between educational goals and staff's expectations and preparing welfare and educational equipment for clinical wards.

  8. Balancing interests of hospitals and nurse researchers: lessons learned. (United States)

    Marshall, June; Edmonson, Cole; Gemeinhardt, Gretchen; Hamilton, Patti


    While nurse researchers and administrators in health care organizations need to collaborate to understand the variables that affect nursing practice environments and patient care outcomes, there are inherent risks associated with these collaborations that require careful consideration. A team of academic and hospital researchers found that in studying the off-peak (nights and weekends) nursing environment using institutional ethnography, which involved interviews of nurses and administrators, the subject of the research was frequently the hospitals where these individuals worked. Although the individuals who participated in the research consented to be interviewed about their work, it was less clear how and to what extent the anonymity of their organizations could be maintained. The risks and benefits encountered suggest the need for a decision-making process to be undertaken by collaborative research teams. This decision process and analysis can help ensure a fruitful research relationship that protects sensitive concerns of hospital entities while advancing our understanding of nursing practice environments and patient care outcomes. Important strategies include having all leaders and research team members discuss the agendas of all entities and individuals involved, including clearly delineating the roles, responsibilities, and contributions of all parties. In addition, any constraints or expectations of first right of review of publications needs to be negotiated from the outset. Collaborators need to review their agreements throughout the research process to avoid pitfalls that could adversely impact the relationships as well as the dissemination of knowledge gained.

  9. Designing a mixed methods study in pediatric oncology nursing research. (United States)

    Wilkins, Krista; Woodgate, Roberta


    Despite the appeal of discovering the different strengths of various research methods, mixed methods research remains elusive in pediatric oncology nursing research. If pediatric oncology nurses are to succeed in mixing quantitative and qualitative methods, they need practical guidelines for managing the complex data and analyses of mixed methods research. This article discusses mixed methods terminology, designs, and key design features. Specific areas addressed include the myths about mixed methods research, types of mixed method research designs, steps involved in developing a mixed method research study, and the benefits and challenges of using mixed methods designs in pediatric oncology research. Examples of recent research studies that have combined quantitative and qualitative research methods are provided. The term mixed methods research is used throughout this article to reflect the use of both quantitative and qualitative methods within one study rather than the use of these methods in separate studies concerning the same research problem.

  10. Clinical use of sensory gardens and outdoor environments in norwegian nursing homes: a cross-sectional e-mail survey. (United States)

    Gonzalez, Marianne Thorsen; Kirkevold, Marit


    Gardens and outdoor environments offer multiple therapeutic possibilities for the residents in nursing homes. Web-based questionnaires were sent to 488 nursing home leaders and 121 leaders responded. The clinical impressions of the leaders and staff regarding the benefits of sensory gardens (SGs) to the residents were consistent with previous research. SGs facilitated taking residents outdoors, offered convenient topics for communication and facilitated social privacy for relatives. For improved clinical use of SGs and outdoor environments, systematic assessment of residents' interests, performance and experiences when outdoors, implementation of seasonal clinical programmes and educational programmes for leaders and staff are recommended.

  11. Interdisciplinary research: evaluating writing to learn in the nursing curriculum. (United States)

    Poirrier, G P


    A 3-year collaborative study was conducted by the department head of baccalaureate nursing and the director of writing at a southern university in Louisiana. The research was designed to test the effectiveness of an intense writing-to-learn curriculum intervention incorporated into a required introductory nursing course. Writing-to-learn strategies used in this study were designed to foster personal involvement in the subject matter, improve data comprehension, and encourage critical thinking (Dobie & Poirrier, 1995). The findings reported in this study represent Part III of a 3-year investigation into the effectiveness of using writing-to-learn strategies in freshman nursing classes.

  12. [Archaeology and genealogy as methodological options of nursing research]. (United States)

    Azevedo, Rosemeiry Capriata de Souza; Ramos, Flavia Regina Souza


    This article is based on the historical contextualization about the development of research in nursing, presents the categories/lines of interest that support the human knowledge applied in the Doctorate Thesis in Nursing in Brazil, points out the archeological and genealogical methods proposed by Michel Foucault, and their possibility to make more difficult the day-to-day tasks of the nursing profession Whether in Institutions, Public Policies, Health Reform, and Vocational Training, in the attempt to understand which strategies, challenges, knowledge base, and practices have influenced the building of the subjects.

  13. Mixed-Methods Research in the Discipline of Nursing. (United States)

    Beck, Cheryl Tatano; Harrison, Lisa


    In this review article, we examined the prevalence and characteristics of 294 mixed-methods studies in the discipline of nursing. Creswell and Plano Clark's typology was most frequently used along with concurrent timing. Bivariate statistics was most often the highest level of statistics reported in the results. As for qualitative data analysis, content analysis was most frequently used. The majority of nurse researchers did not specifically address the purpose, paradigm, typology, priority, timing, interaction, or integration of their mixed-methods studies. Strategies are suggested for improving the design, conduct, and reporting of mixed-methods studies in the discipline of nursing.

  14. The research status quo of clinical competence evaluation system of master nursing specialists%护理硕士专业学位研究生临床能力考评体系研究现状

    Institute of Scientific and Technical Information of China (English)

    王紫娟; 莫霖; 刘洋; 石林


    通过文献分析,从临床能力的概念、培养现状、考评体系三方面介绍国内外护理硕士专业学位研究生临床能力考评体系的研究现状.目前我国尚无护理硕士专业学位研究生临床能力的统一概念,且未形成相应的独特的临床能力培养模式.重点阐述了国内外护理硕士专业学位研究生临床能力考评体系在考核方法、考评工具、考评机构及考评指标等方面存在的差异.指出我国应统一护理硕士专业学位研究生临床能力的概念,制定灵活、多样的临床能力考评方法,同时设立独立于政府的专门评价机构,并实施学校研究生院-(临床)学院研究生处-护理教研室三级质量监控体系,以保证培养质量.%The present paper consults the concept of clinical competence, cultivation actuality, examination and assessment system of master of nursing specialist (MNS) at home and aboard based on literature analysis.Currently there is neither unified concept of master nursing specialist clinical competence, nor a unique clinical ability training mode of MNS.This paper mainly expounds the differences of the nursing professional master degree graduate students clinical ability evaluation system at home and abroad in the assessment methods, assessment tools, assessment agencies and assessment index, pointing out that our country should make a unified concept of the clinical competence.We should develop a flexible, diverse clinical competency assessment method, establish specialized evaluation agencies which are independent of the government, and implement 3 level quality monitoring system-graduate school of the university, clinical college graduate school and nursing department of, to ensure the training quality.

  15. Grounded theory in nursing research: Part 1--Methodology. (United States)

    McCann, Terence V; Clark, Eileen


    The epistemological underpinnings of grounded theory make it valuable in the study of nursing, which is premised on an interpersonal process between nurses and clients. Further, it is a useful style of research when there is little prior information about a topic. In this article (Part 1), Terence McCann and Eileen Clark outline the key features of this methodology. In the follow-up article (Part 2, McCann and Clark 2003a), a critique is provided of grounded theory and the two main approaches to this methodology. In the final article in the series (Part 3, McCann and Clark 2003b), the authors illustrate how grounded theory can be applied to nursing research with examples from McCann's Australian study (McCann and Baker 2001) of how community mental health nurses promote wellness with clients who are experiencing an early episode of psychotic illness.

  16. Learning experience of Chinese nursing students in an online clinical English course: qualitative study. (United States)

    Tang, Anson C Y; Wong, Nick; Wong, Thomas K S


    The low English proficiency of Chinese nurse/nursing students affects their performance when they work in English-speaking countries. However, limited resources are available to help them improve their workplace English, i.e. English used in a clinical setting. To this end, it is essential to look for an appropriate and effective means to assist them in improving their clinical English. The objective of this study is to evaluate the learning experience of Chinese nursing students after they have completed an online clinical English course. Focus group interview was used to explore their learning experience. 100 students in nursing programs at Tung Wah College were recruited. The inclusion criteria were: (1) currently enrolled in a nursing program; and (2) having clinical experience. Eligible participants self-registered for the online English course, and were required to complete the course within 3 months. After that, semi-structured interviews were conducted on students whom completed the whole and less than half of the course. One of the researchers joined each of the interviews as a facilitator and an observer. Thematic analysis was used to analyze the data. Finally, 7 themes emerged from the interviews: technical issues, adequacy of support, time requirement, motivation, clarity of course instruction, course design, and relevancy of the course. Participants had varied opinions on the 2 themes: motivation and relevancy of the course. Overall, results of this study suggest that the online English course helped students improve their English. Factors which support their learning are interactive course design, no time constraint, and relevancy to their work/study. Factors which detracted from their learning are poor accessibility, poor technical and learning support and no peer support throughout the course.

  17. Practical research of revised anchored instruction in clinical practice teaching of psychiatric nursing%改良式抛锚式教学在精神病护理学见习中的实践

    Institute of Scientific and Technical Information of China (English)

    甘照宇; 王继辉; 钟智勇; 程敏锋; 张晋碚


    Objective To explore the feasibility and practical value of revised anchored instruction in clinical practice teaching of psychiatric nursing.Methods Revised anchored instruction was introduced to the clinical practice teaching of psychiatric nursing among 30 senior nursing students from Nursing School of SUN Yat-sen University.Authentic cases along with literal or oral materials,instead of videodisc,were used to present question-embedded situations,clinical practice was organized in small subgroups,discussion was performed all together,anchors' were casted by both teachers and students.Results With the driving of questions,all the students were well motivated and fully devoted to studying with high enthusiasm,autonomic and collaborative learning were advocated and formed.Knowledge imparting and capability fostering were achieved.Conclusions Application of revised anchored instruction in the clinical practice teaching of psychiatric nursing is feasible and valuable.%目的 探讨改良式抛锚式教学在精神病护理学见习教学中的现实可行性和实践价值.方法 选择中山大学护理学院护理学专业30名本科见习生为研究对象,实施改良式抛锚式教学,以真实的案例代替影像技术,同时借助文字或口述资料呈现问题情景,通过分组实践、集中讨论、师生层层“抛锚”,有步骤、有层次地开展教学活动.结果 在问题驱动下,学生的学习动机被激发、学习热情高涨,“自主学习”和“协作学习”的风气初步形成,知识传授以及能力培养的教学目标得以实现.结论 改良式抛锚式教学应用于精神病护理学见习中是可行的而且有益的.

  18. Effects of clinical practice environments on clinical teacher and nursing student outcomes. (United States)

    Babenko-Mould, Yolanda; Iwasiw, Carroll L; Andrusyszyn, Mary-Anne; Laschinger, Heather K S; Weston, Wayne


    The purpose of this study was to use a cross-sectional survey design, with an integrated theoretical perspective, to examine clinical teachers' (n = 64) and nursing students' (n = 352) empowerment, teachers' and students' perceptions of teachers' use of empowering teaching behaviors, students' perceptions of nurses' practice behaviors, and students' confidence for practice in acute care settings. In this study, teachers and students were moderately empowered. Teachers reported using a high level of empowering teaching behaviors, which corresponded with students' perceptions of teachers' use of such behaviors. Teachers' empowerment predicted 21% of their use of empowering teaching behaviors. Students reported nurses as using a high level of professional practice behaviors. Students felt confident for professional nursing practice. The findings have implications for practice contexts related to empowering teaching-learning environments and self-efficacy.

  19. Servant leadership in nursing: a framework for developing sustainable research capacity in nursing. (United States)

    Jackson, Debra


    In the current professional climate, research activities are highly valued with nurses in all sectors actively encouraged to participate. However, working environments for many nurses are such that it can be difficult to privilege research activities in any sustained way. A number of organisational challenges coalesce to impede participation in research activities, including limited resources, lack of skills, knowledge and opportunities, and a culture of individualism. Strong, effective research leadership is essential to help mediate some of these negative aspects of organisational life, and promote creative environments to facilitate the development of research capacity. Servant leadership is a service-oriented approach that focuses on valuing and developing people, and offers a participatory and collaborative framework within which to build creative and productive research communities. Such communities can encourage connectedness between people, deepen the capacity for supportive collegiality, and foster a holistic social learning milieu to support researchers of all levels, including early career researchers and research higher degree candidates.

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

    Directory of Open Access Journals (Sweden)

    Fen Zhou


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

  1. Client satisfaction with a nurse-managed clinic. (United States)

    Pulliam, L


    To survive and thrive in today's competitive health-care market, health-care providers must evaluate outcomes of their services, including client satisfaction, then use this information to set standards. In the past, standards of care for the elderly were based on tradition rather than evaluation of their effect on outcomes (Thorsland, 1986). There are, therefore, few guidelines for evaluating outcomes of care in any setting and almost none for care of the elderly in nurse-managed centers. As a first step in evaluating client satisfaction in a nurse-managed clinic a focus group discussion was conducted with nine clients of the Nurse Education Link to Aged (NELA) Wellness Center. The focus group participants indicated that the Center had done an excellent job of meeting physical and emotional health needs of clients. Participants especially liked the location of the clinic in the apartment building where they live. Additional services requested by participants included programs for coping with depression and stress, alcoholism, and arthritis, and for increasing social interaction between men and women.

  2. An intensive nurse-led, multi-interventional clinic is more successful in achieving vascular risk reduction targets than standard diabetes care.

    LENUS (Irish Health Repository)

    MacMahon Tone, J


    The aim of this research was to determine whether an intensive, nurse-led clinic could achieve recommended vascular risk reduction targets in patients with type 2 diabetes as compared to standard diabetes management.

  3. Can we afford not to have clinical nurse specialists? (United States)

    Vollman, K M; Stewart, K H


    The clinical nurse specialist (CNS) is in an excellent position to lead and design the necessary changes required in acute, chronic, and home care settings to meet the economic and legislative agendas to reshape health-care delivery. In this article, the authors, through the use of examples, outline key quality characteristics of a successful unit-based, system-focused model of CNS practice. Clearly, the benefits obtained from the outcomes of a traditional CNS role make a significant contribution to the profession of nursing and to the public. Without the CNS role, the opportunity for system change and the development and nurturing of the front-line health-care worker may be lost.

  4. Scientific fraud: definitions, policies, and implications for nursing research. (United States)

    Chop, R M; Silva, M C


    Scientific research typically has been founded on high ethical standards established by researchers in academia and health care research institutions. Scientific fraud, an act of deception or misrepresentation of one's own work, violates these ethical standards. It can take the form of plagiarism, falsification of data, and irresponsible authorship. Scientific fraud has been attributed to misdirected attempts to attain high levels of personal and professional success. Researchers so prone commit scientific fraud in a search for promotion, status, tenure, and the obtaining of research grants. To divert scientific fraud, three recommendations are suggested: (1) socialize prospective nurse researchers into an atmosphere where intellectual and professional integrity prevail; (2) have established nurse researchers serve as role models and mentors who can educate the neophyte researcher about the ethics of research, including scientific fraud; and (3) emphasize and reward quality in research and publications, rather than quantity.

  5. Clinical Research on Stroke Rehabilitation Nursing in the Department of Neurology%神经内科护理中对脑卒中康复护理的临床研究

    Institute of Scientific and Technical Information of China (English)



    Objective To analyze the comprehensive effect of stroke rehabilitation nursing in department of neurology.Methods 200 stroke patients admitted to the department as the research object. According to patients admitted to the hospital,200 cases of patients were randomly divided into observation group and control group,100 cases in each. The control group received routine nursing care,observation group received rehabilitation nursing.Results After systematic nursing,the basic living ability score and treatment effective rate were better in the observation group compared with the control group (P<0.05).Conclusion Stroke patients in the neurological department of internal medicine,in the implementation of rehabilitation nursing can effectively improve the treatment effect and the living ability of the patients. satisfactory,to shorten the process of patients with delirium duration, improve the prognosis of patients.%目的:深入分析神经内科护理中对脑卒中康复护理的综合效果。方法选取科室收治的200例脑卒中患者为研究对象,根据患者入院先后将200例患者分为观察组和对照组,各100例,对照组行常规护理,观察组行康复护理。结果经系统的护理,两组患者在基本生活能力评分及治疗有效率比较,观察组均优于对照组(P<0.05)。结论在神经内科脑卒中患者的治疗中,实施康复护理能够有效提高患者的治疗效果及生活能力。

  6. The genesis of 'the Neophytes': a writing support group for clinical nurses. (United States)

    Stone, Teresa; Levett-Jones, Tracy; Harris, Margaret; Sinclair, Peter M


    This paper profiles the establishment and evaluation of the Neophyte Writers' Group, run by nurse academics in collaboration with clinical nurses. The growing demand for nurses to write, publish and present their work had inspired the introduction of a series of workshops designed to develop and improve writing and presentation skills, which eventuated in formation of the Neophytes. The group was founded on the basis of Bandura's theory of self-efficacy (1997), a concept which has been discussed extensively in social psychology literature to explain motivation and learning theory. People with high assurance in their capabilities regard difficult tasks as challenges to be mastered rather than as threats to be avoided (Bandura, 1994). The Neophytes' group employs a collaborative approach intended to increase and reinforce members' self-confidence; the underlying philosophy is to promote and enhance writers' motivation, capacity and self-efficacy in order to achieve future publication goals confidently and independently. Support which engenders these strengths through a program relevant to participants' needs is likely, as this group found, to increase publication productivity. Additional unexpected outcomes resulted, such as engagement by clinical nurses' in academic work, and an increase in research higher degree enrolments.

  7. Portfolio assessment and evaluation: implications and guidelines for clinical nursing education. (United States)

    Chabeli, M M


    With the advent of Outcomes-Based Education in South Africa, the quality of nursing education is debatable, especially with regard to the assessment and evaluation of clinical nursing education, which is complex and renders the validity and reliability of the methods used questionable. This paper seeks to explore and describe the use of portfolio assessment and evaluation, its implications and guidelines for its effective use in nursing education. Firstly, the concepts of assessment, evaluation, portfolio and alternative methods of evaluation are defined. Secondly, a comparison of the characteristics of the old (traditional) methods and the new alternative methods of evaluation is made. Thirdly, through deductive analysis, synthesis and inference, implications and guidelines for the effective use of portfolio assessment and evaluation are described. In view of the qualitative, descriptive and exploratory nature of the study, a focus group interview with twenty students following a post-basic degree at a university in Gauteng regarding their perceptions on the use of portfolio assessment and evaluation method in clinical nursing education was used. A descriptive method of qualitative data analysis of open coding in accordance with Tesch's protocol (in Creswell 1994:155) was used. Resultant implications and guidelines were conceptualised and described within the existing theoretical framework. Principles of trustworthiness were maintained as described by (Lincoln & Guba 1985:290-327). Ethical considerations were in accordance with DENOSA's standards of research (1998:7).

  8. Translation of the Nursing Clinical Facilitators Questionnaire (NCFQ) to Norwegian language. (United States)

    Råholm, Maj-Britt; Thorkildsen, Kari; Löfmark, Anna


    The translation and adaptation of English instruments to be used with populations speaking other languages is an important and complex process which is attracting increased attention in nursing and health-related research. The aim of this article is to describe the translation process of the Nursing Clinical Facilitators Questionnaire (NCFQ) for testing in Norway. The instrument is a 28-item-questionnaire with a Likert-type (1-5) scale ranging from the descriptions "strongly agree (1) to strongly disagree (5)". The aim of the instrument is to measure the efficiency of, and satisfaction with the supervision received from the nurse students' perspective. The NCFQ questionnaire was translated in six phases. The translation process was conducted systematically by applying the three methods described in the literature: the methods of forward-translation, back-translation and comparison followed by an empirical study (pilot test). The methods were chosen to test the quality of translation, establish semantic equivalence of the translated instrument and to estimate the cross-cultural relevance of the instrument. The translation process has given prerequisites to use the NCFQ questionnaire in a larger study and a possibility to compare different models for supervision of nursing students in the clinical part of their education.

  9. Using Nursing Diagnosis to Describe the Clinical Competence of Baccalaureate and Associate Degree Graduating Students: A Comparative Study. (United States)

    Lee, Helena A.; Strong, Kathleen A.


    This study compared perceptions of clinical competence of professional and technical nursing students with the expectations of their nursing faculty by using a nursing diagnosis framework. Results of the study are reported and implications discussed. (CT)

  10. The correlation research on thecritical thinking ability of intern nurses and the clinic intern environment%实习护生批判性思维能力与临床实习环境的相关性研究

    Institute of Scientific and Technical Information of China (English)

    李艳艳; 陈翠萍


    Objective:To explore the correlation between thecritical thinking of student nurses and the clinic intern environment in order to provide theoreti-cal foundation for the nursing managers and educators to improve the clinic intern environment and the critical thinking ability. Methods:Selected 405 in-tern nurses at the end of their internship from a grade-3 class-A hospital in Shanghai using the cluster random sampling method and evaluated their per-formance at the end of their internship in the critical thinking ability evaluation scale and the clinic intern environment test scale. Results:The student nur-ses scored (277.50 ±34.38) in the critical thinking ability test and scored (103.00 ±25.52)in the clinic intern environment test. The score is in medium level, and the critical thinking ability of student nurses was positively correlated with the clinic intern environment (P<0. 05). Conclusion:The clinic in-tern environment has positive predictive function for the critical thinking ability. Through improving the clinic intern environment and realizing the effective collaboration between the college and hospital, the critical thinking ability of intern nurses can be enhanced.%目的::了解护生临床实习环境与批判性思维能力之间的关系,为护理管理者及教育者改善临床实习环境和提高批判性思维能力提供理论依据。方法:采取整群随机抽样的方法抽取上海市某三级甲等医院实习末期护生405名,采用批判性思维能力量表和临床实习环境测评量表在其实习末期进行测评。结果:护生批判性思维能力得分(277.50±34.38)分,临床实习环境得分为(103.00±25.52)分,均处于中等水平,护生批判性思维能力与实习环境总分呈正相关(P<0.05)。结论:临床实习环境对批判性思维能力有正向预测作用,通过完善临床实习环境,实现学校和医院的教学有效衔接,可提升护生的批判性思维能力。

  11. 探讨神经内科门诊分诊护士岗位的科学安排%The Scientific Research of Nurses'Arrangement in Nerological Clinical Triage

    Institute of Scientific and Technical Information of China (English)

    罗晓玲; 程华英; 卿晓英


    Objective The ef ects of nurses'service qualification were investigated and analyzed in neurological clinic triage to explor the best arrange for the neurological clinic triage posts of nurses. Method 400 patients were divided into two groups and investigated as the triage nurses'dif erent service qualifications. The control group had lower service qualification and the observation group had higher one. Result The degree of satisfaction of observatoin group and control group was 95.7%and 75.8%respectively,so the result had a statistical dif erence (P≤0.05). Conclusion The service the nurses who had higher qualification had more pertinence provided was more suiter for neurological clinic triage,and the nurses who had dif erent qualications need work together to improve the service quality.%目的:调查和分析护士的资历在神经内科门诊分诊中的作用,探索更适合神经内科门诊分诊护士岗位的科学安排。方法随机调查400例患者,按为其服务的分诊护士年资段分成两组,观察组是高年资护士,对照组是低年资护士,调查患者满意度。结果观察组满意度为95.7%,对照组满意度为75.8%,差异有统计学意义(P≤0.05)。结论高年资护士的服务更具针对性,更符合神经内科门诊工作的需要,高、低年资护士搭配可更好地提升服务质量。

  12. [A study on clinical teaching method in nursing education--focusing on teaching method of touching]. (United States)

    Okazaki, M


    The purpose of this study is the development of effective clinical teaching methods of nursing education using touching in hospital nursing care. The clinical teaching-learning process was designed based on the Steinaker, N.W. & R. Bell's experiential learning model (1979), in which teaching-learning process was divided into five steps-exposure, participation, identification, internalization, and dissemination. Three hypotheses were postulated as follows: 1-1. Guidance given to nursing students to use touching in nursing care will make them conscious of the efficiency of touching. 1-2. Nursing students will grasp the efficiency of their nursing action by "cause and effect" relations. 2-0. Guidance given to nursing students to use touching in their nursing care will allay and soften their anxiety and tension toward such nursing practices. 3-0. Nursing intervention by touching will heighten the clinical judgement ability of nursing students. The teaching-learning plan was carried out in a nursing school in Kitakyushu-shi. Fifteen nursing students studied by this plan. The results was as follows: a. Hypotheses 1-1, 1-2, 2-0, were confirmed. b. Hypothesis 3-0, was not confirmed.

  13. 78 FR 20664 - Society of Clinical Research Associates-Food and Drug Administration: Food and Drug... (United States)


    ... education (CME) and continuing nursing education (CNE) credit. CME for Physicians: The Society of Clinical... approved provider of continuing nursing education by the Pennsylvania State Nurses Association (PSNA),...

  14. Developing and implementing the community nursing research strategy for Wales. (United States)

    Kenkre, Joyce; Wallace, Carolyn; Davies, Robyn; Bale, Sue; Thomas, Sue


    In order to obtain the best patient outcomes in community nursing, practice needs to be underpinned by robust research-based evidence. This article describes a Community Nursing Research Strategy developed and implemented in Wales to provide the nursing profession with the evidence to support future organisational and professional change in achieving excellence in the community. This was developed in partnership with education, research, health services, workforce planning and Government using consensus methodology (specifically, a nominal group technique). Consequently, the process was inclusive and included three steps: escalating presentation of ideas, topic debate and topic rating. The result was a strategy with four implementation strands, including a virtual network, research portfolio, application to practice and leadership.

  15. Development of a School Nursing Research Agenda in Florida: A Delphi Study (United States)

    Gordon, Shirley C.; Barry, Charlotte D.


    Research is important to the image, visibility, and viability of school nursing. Each state school nursing association should evaluate member commitment to school nursing research based on their unique set of financial, educational, and organizational resources. A 3-round Delphi study was conducted in which Florida school nurses identified…

  16. The Development and Testing of a Community Health Nursing Clinical Evaluation Tool. (United States)

    Hawranik, Pamela


    Describes the development and testing of a clinical evaluation tool for a community health nursing course for registered nurses through review of the literature and focus groups with community health nurses and faculty. The article contains 22 references and an abbreviated form of the evaluation tool. (Author/JOW)

  17. Competencies in nursing students for organized forms of clinical moral deliberation and decision-making

    NARCIS (Netherlands)

    Uil-Westerlaken, Jeanette den; Cusveller, Bart


    Bachelor-prepared nurses are expected to be competent in moral deliberation and decision-making (MDD) in clinical practice. It is unclear, however, how this competence develops in nursing students. This study explores the development of nursing students’ competence for participating in organized for

  18. The benefits of computer-mediated communication in nursing research. (United States)

    East, Leah; Jackson, Debra; O'Brien, Louise; Peters, Kathleen


    Use of the Internet, and the opportunity to utilise computer-mediated communication (CMC) provides new alternatives for nurse researchers to collect data. The use of CMC for research purposes is advantageous for both researchers and participants. Through this mode of communication, recruitment of participants can be enhanced through reaching individuals who are geographically distant, and nurses have the opportunity to provide participants with true anonymity, which may be beneficial when exploring sensitive issues. This paper explores the existing literature and draws on healthcare studies that have used CMC as a data collection tool.

  19. The National Institute of Nursing Research Graduate Partnerships Program (NINR-GPP): an opportunity for PhD students. (United States)

    Engler, Mary B; Austin, Joan K; Grady, Patricia


    The Institutional Graduate Partnerships Program (GPP) offered by the National Institute of Nursing Research (NINR) provides an exceptional opportunity for students who are enrolled in any PhD program in nursing across the nation to complete dissertation research on the premier research campus of the National Institutes of Health, Bethesda, MD. The goal of this doctoral fellowship program, which is up to 3 years in length, is to train promising doctoral students in basic and clinical research. This knowledge and skill set is necessary for the next generation of nurse scientists to ultimately conduct translational research. In this article, the authors describe the program, eligibility requirements, application procedures, and selection criteria for NINR-supported GPP nursing students. Also provided are tips for interested students and outcomes of current and former NINR-supported GPP students (NINR-GPP).

  20. Cleveland Clinic Rehabilitation Research Program (United States)


    functional impairments of the arm and hand , effects are weak and invariable. Limited succcess of rehabilitation is speculated to be associated with...Award Number: W81XWH-11-1-0707 TITLE: Cleveland Clinic Rehabilitation Research Program PRINCIPAL INVESTIGATOR: Vernon Lin, MD PhD CONTRACTING...CONTRACT NUMBER Cleveland Clinic Rehabilitation Research Program 5b. GRANT NUMBER W81XWH-11-1-0707 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) 5d

  1. Clinical Evaluation of Baccalaureate Nursing Students Using SBAR Format: Faculty versus Self Evaluation (United States)

    Saied, Hala; James, Joemol; Singh, Evangelin Jeya; Al Humaied, Lulawah


    Clinical training is of paramount importance in nursing education and clinical evaluation is one of the most challenging responsibilities of nursing faculty. The use of objective tools and criteria and involvement of the students in the evaluation process are some techniques to facilitate quality learning in the clinical setting. Aim: The aim of…

  2. Development status and prospect of rehabilitation clinical nurse specialist

    Directory of Open Access Journals (Sweden)

    Xiao-ping WANG


    Full Text Available Through access to a lot of relevant information on the role of the rehabilitation nurse specialist functions, explore how rehabilitation specialist nurse qualifications provides a basis for our rehabilitation specialist nurse cultivating and development.

  3. Research: An Essential Skill of a Graduate Nurse? (United States)

    Blenkinsop, Christine


    Research training helps nursing students develop the following: planning, communication, and analytic skills; self-confidence; ethical awareness; self-awareness; reflection; and understanding of validity and reliability. Instructors should be aware that student research has the potential to violate patients' rights and can yield low-quality…

  4. Approaching Ethical Reasoning in Nursing Research through a Communitarian Perspective. (United States)

    Dresden, Elissa; McElmurry, Beverly J.; McCreary, Linda L.


    Case studies depict dilemmas in nursing research involving protection of community rights and community informed consent. Outlines research guidelines derived from communitarian ethical frameworks that consider beneficence, justice, and respect for autonomy in the context of community. (Contains 58 references.) (SK)

  5. Psychiatric hospital nursing staff's experiences of participating in group-based clinical supervision:

    DEFF Research Database (Denmark)

    Buus, Niels; Angel, Sanne; Traynor, Michael


    Group-based clinical supervision is commonly offered as a stress-reducing intervention in psychiatric settings, but nurses often feel ambivalent about participating. This study aimed at exploring psychiatric nurses' experiences of participating in groupbased supervision and identifying psychosocial...... reasons for their ambivalence. Semi-structured interviews were conducted with 22 psychiatric nurses at a Danish university hospital. The results indicated that participation in clinical supervision was difficult for the nurses because of an uncomfortable exposure to the professional community. The sense...... of exposure was caused by the particular interactional organisation during the sessions, which brought to light pre-existing but covert conflicts among the nurses....

  6. Clinical learning experiences of male nursing students in a Bachelor of Nursing programme: Strategies to overcome challenges

    Directory of Open Access Journals (Sweden)

    Sibusiso F. Buthelezi


    Full Text Available Background: Male nursing students are faced with more challenges in the clinical setting than their female counterparts. The ways in which male nurses are viewed and received by nursing staff and patients have an impact on how they perceive themselves and their role in the profession. These perceptions of self have a significant impact on their self-esteem. This study was conducted to explore the clinical learning experiences of male nursing students at a university during their placement in clinical settings in the Western Cape Province, and how these experiences impacted on their self-esteem.Objectives: To describe the learning experiences of male nursing students during placement in clinical settings, and how these impact on their self-esteem.Method: A qualitative, exploratory study was conducted. Purposive sampling was used to select participants. Three focus group (FG discussions, consisting of six participants per group, were used to collect data. Data analysis was conducted by means of Coliazzi’s (1978 seven steps method of qualitative analysis.Study findings: The following three major themes were identified: experiences that related to the constraints in the learning environment, the impact on the self-esteem, and the social support of students working in a female-dominated profession.Conclusion: Male nurses should be supported in nursing training, as the rate at which males enter the profession is increasing.

  7. Negotiating clinical knowledge: a field study of psychiatric nurses' everyday communication

    DEFF Research Database (Denmark)

    Buus, Niels


    Nursing practices at psychiatric hospitals have changed significantly over the last decades. In this paper, everyday nursing practices were interpreted in light of these institutional changes. The objective was to examine how mental health nurses' production of clinical knowledge was influenced...... was highly dependent on the individual nurses' practical ability to participate in the game. Furthermore, the nurses colluded in their mutual communication to enable the collective display and sense of knowing that protected them against explicit signs of uncertainty about the clinic. The game of clinical...... by the particular social relations on hospital wards. Empirical data stemming from an extended fieldwork at two Danish psychiatric hospital wards were interpreted using interactionistic theory and the metaphor: 'the game of clinical knowledge'. The results indicated that the nurses' production of clinical knowledge...

  8. [Clinical decision making and critical thinking in the nursing diagnostic process]. (United States)

    Müller-Staub, Maria


    The daily routine requires complex thinking processes of nurses, but clinical decision making and critical thinking are underestimated in nursing. A great demand for educational measures in clinical judgement related with the diagnostic process was found in nurses. The German literature hardly describes nursing diagnoses as clinical judgements about human reactions on health problems / life processes. Critical thinking is described as an intellectual, disciplined process of active conceptualisation, application and synthesis of information. It is gained through observation, experience, reflection and communication and leads thinking and action. Critical thinking influences the aspects of clinical decision making a) diagnostic judgement, b) therapeutic reasoning and c) ethical decision making. Human reactions are complex processes and in their course, human behavior is interpreted in the focus of health. Therefore, more attention should be given to the nursing diagnostic process. This article presents the theoretical framework of the paper "Clinical decision making: Fostering critical thinking in the nursing diagnostic process through case studies".

  9. The practice of nursing research: getting ready for 'ethics' and the matter of character. (United States)

    Sellman, Derek


    Few would argue with the idea that nursing research should be conducted ethically yet obtaining ethical approval is considered by many to have become unnecessarily burdensome. This brief article investigates the idea that there might be a relationship between the level of perceived burdensomeness of the research ethics application process on the one hand and the character of the nurse-researcher on the other. Given that nurses are required to be other-regarding, a nurse who undertakes research primarily for self-regarding reasons would seem to be acting in ways inconsistent with the aims of nursing as set out in nursing codes. It is suggested that the self-regarding nurse-researcher may find the ethics application process more burdensome than the other-regarding nurse-researcher who, it is further suggested, is engaged with nursing research as a practice in the technical sense in which that term has been developed by the philosopher Alasdair MacIntyre.

  10. [Study nurses in Germany--a survey of job-related activities in clinical trials as a basis for a job description and for training curricula]. (United States)

    Fisk, Bettina; Beier, Jutta


    Until now, the conducting of clinical trials by nurses has scarcely come under scientific examination. Particularly in Germany, the field of activity has only been treated marginally in the health-care and nursing sciences. In Germany, the term 'Study Nurse' is used not only for members of the nursing profession but across disciplines; it is one of the most widely used terms. An explorative, descriptive study has been conducted employing a modified version of the Work Sampling Method. 79 Study Nurses were anonymously surveyed using a self-administered workload catalogue. 85 participated in the survey that focused on demographics, qualifications, and salary. In every workload catalogue, contact with other colleagues as well as job activities and the time spent on each activity were documented over twenty days. Study Nurses are mostly members of the nursing profession. They work mostly at university clinics and are responsible for conducting clinical trials. This applies to all trials that license medicinal products but also for trials initiated by investigators. While trial-specific documentation is their most time-intensive task, the overall role of Study Nurses encompasses a very broad range of activities. For the most part, they work alone and independently but have various contacts mainly to patients and the investigator. Future research should take into consideration the motivation for opting for the job of Study Nurse and the question of whether through their training and experience nurses are better qualified than other healthcare professionals.

  11. Nurse Practitioner Perceptions of a Diabetes Risk Assessment Tool in the Retail Clinic Setting. (United States)

    Marjama, Kristen L; Oliver, JoAnn S; Hayes, Jennifer


    IN BRIEF This article describes a study to gain insight into the utility and perceived feasibility of the American Diabetes Association's Diabetes Risk Test (DRT) implemented by nurse practitioners (NPs) in the retail clinic setting. The DRT is intended for those without a known risk for diabetes. Researchers invited 1,097 NPs working in the retail clinics of a nationwide company to participate voluntarily in an online questionnaire. Of the 248 NPs who sent in complete responses, 114 (46%) indicated that they used the DRT in the clinic. Overall mean responses from these NPs indicated that they perceive the DRT as a feasible tool in the retail clinic setting. Use of the DRT or similar risk assessment tools in the retail clinic setting can aid in the identification of people at risk for type 2 diabetes.

  12. An Enriched Research Experience for Minority Undergraduates--A Step toward Increasing the Number of Minority Nurse Researchers. (United States)

    Leeman, Jennifer; Goeppinger, Jean; Funk, Sandra; Roland, E. Joyce


    A partnership between a research university and a minority-serving institution created a research enrichment and apprenticeship program for minority nursing students. The program provides students an opportunity to experience nursing research with the goal of increasing the number of minority researchers in nursing. (Contains 11 references.) (JOW)

  13. Research on work engagement and its influencing factors of clinical nurses%临床护士工作投入及其影响因素的研究

    Institute of Scientific and Technical Information of China (English)

    王雪; 卜秀梅; 赵晓霜; 金红梅


    Objective To know about the current status of the work engagement of the clinical nurses and its influencing factors,to explore the influencing factors of work engagement of clinical nurses so as to provide basis for improving the level of the work engagement of the clinical nurses.Methods The work engagement scale,hardiness scale,role pressure scale,perceived organizational support scale and questionnaire of family care index were used to investigate a total of 630 clinical nurses.The results were analyzed.Results The average score of work engagement,hardiness,role pressure and perceived organizational support were showed respectively as following:(3.28±0.51),(2.60±0.53),(3.00±0.50),(3.43± 1.04) scores.Clinical nurses number of the total point between 7 and 10 of family support accounted for 70.9%(447/630).Hardiness,perceived organizational support,family support and work engagement were in obvious positive correlation,whereas role pressure was in obvious negative correlation with work engagement.Hierarchical regression analysis showed after the variable of demographic was controlled,the hardiness and perceived organizational support respectively had significant positive predictive function on work engagement as respective independent variables.Role pressure had obvious negative predicative function on work engagement.Conclusions Hospital managers should create a good working environment for clinical nurses,measures should be taken from individual and organizational aspects so as to improve the hardiness and perceived organizational support,reduce role pressure and the work positivity of the clinical nurses,so that the nurse more positively devoted to their work.It has important practical significance to improving the quality of their services and stabilizing nursing troop.%目的 了解临床护士工作投入及其影响因素的现状,探讨临床护士工作投入的影响因素,为提高临床护士的工作投入水平提供依据.方法 采用工作

  14. The team builder: the role of nurses facilitating interprofessional student teams at a Swedish clinical training ward. (United States)

    Elisabeth, Carlson; Ewa, Pilhammar; Christine, Wann-Hansson


    Interprofessional education (IPE) is an educational strategy attracting increased interest as a method to train future health care professionals. One example of IPE is the clinical training ward, where students from different health care professions practice together. At these wards the students work in teams with the support of facilitators. The professional composition of the team of facilitators usually corresponds to that of the students. However, previous studies have revealed that nurse facilitators are often in the majority, responsible for student nurses' profession specific facilitation as well as interprofessional team orientated facilitation. The objective of this study was to describe how nurses act when facilitating interprofessional student teams at a clinical training ward. The research design was ethnography and data were collected through participant observations and interviews. The analysis revealed the four strategies used when facilitating teams of interprofessional students to enhance collaborative work and professional understanding. The nurse facilitator as a team builder is a new and exciting role for nurses taking on the responsibility of facilitating interprofessional student teams. Future research needs to explore how facilitating nurses balance profession specific and team oriented facilitating within the environment of an interprofessional learning context.

  15. Individual determinants of research utilization by nurses: a systematic review update

    Directory of Open Access Journals (Sweden)

    Wallin Lars


    Full Text Available Abstract Background Interventions that have a better than random chance of increasing nurses' use of research are important to the delivery of quality patient care. However, few reports exist of successful research utilization in nursing interventions. Systematic identification and evaluation of individual characteristics associated with and predicting research utilization may inform the development of research utilization interventions. Objective To update the evidence published in a previous systematic review on individual characteristics influencing research utilization by nurses. Methods As part of a larger systematic review on research utilization instruments, 12 online bibliographic databases were searched. Hand searching of specialized journals and an ancestry search was also conducted. Randomized controlled trials, clinical trials, and observational study designs examining the association between individual characteristics and nurses' use of research were eligible for inclusion. Studies were limited to those published in the English, Danish, Swedish, and Norwegian languages. A vote counting approach to data synthesis was taken. Results A total of 42,770 titles were identified, of which 501 were retrieved. Of these 501 articles, 45 satisfied our inclusion criteria. Articles assessed research utilization in general (n = 39 or kinds of research utilization (n = 6 using self-report survey measures. Individual nurse characteristics were classified according to six categories: beliefs and attitudes, involvement in research activities, information seeking, education, professional characteristics, and socio-demographic/socio-economic characteristics. A seventh category, critical thinking, emerged in studies examining kinds of research utilization. Positive relationships, at statistically significant levels, for general research utilization were found in four categories: beliefs and attitudes, information seeking, education, and professional

  16. Qualitative research on the evaluation approach of clinical thinking of nursing staff%护理人员临床思维能力评价途径的质性研究

    Institute of Scientific and Technical Information of China (English)

    郭佳; 隋树杰


    Objective To provide insights into the evaluation index and evaluation methods of clinical thinking of nursing staff.Methods 14 nursing experts in Heilongjiang province were interviewed by a halfstructured in-depth outline with 8 questions.Themes were obtained by phenomenological data analysis method,including coding,classification,explanation of phenomena and significance,refining essence and elements.Results Two themes of evaluation approach of clinical thinking of nursing staff was obtained:evaluation index and evaluation method.Basic theoretical knowledge,basic practical skills,strain capacity,communication ability,originality of thinking and critical thinking are subthemes of the evaluation index.The best way of evaluating methods is combining multiple evaluations.Conclusions Cultivation of clinical thinking of nursing staff requires efforts from schools and hospitals to establish a scientific,rigorous evaluation approach.%目的 探讨护理人员临床思维能力的评价途径.方法 采用含有8个问题的半结构式访谈提纲,对黑龙江省的14名护理专家进行深入访谈,应用现象学资料整理分析方法,将资料进行编码、分类,解释现象实质和意义,提炼主题和要素,之后获得主题.结果 得到护理人员临床思维能力评价途径的两大主题:评价指标和评价方式.其中评价指标含有6个次主题:基本理论知识、基本护理技能、应变能力、沟通能力、思维的独创性和思维的批判性.评价方式应为多种评价方式相结合.结论 护理人员临床思维能力的培养需要学校和医院的共同努力,并需要建立科学、严谨的评价途径.

  17. The contribution of research to the understanding of nursing. (United States)

    McFarlane, J


    In summary, it is contended that the research being carried out by nurses in a university is rich source for analysis and synthesis, and that the synthesis itself will produce a new and unique contribution to the understanding of nursing. The methodology of theoretical research may well take in a taxonomy of cognitive skills which follows Bloom's (1956) taxonomy of educational objectives. The propositions, hypotheses and generalizations evolved would demand evaluation in terms of internal evidence and external criteria. But one would expect to find as a result of analysis and synthesis the emergence of new concepts and theories not clearly identified before.

  18. Validity and Reliability of Direct Observation of Procedural Skills in Evaluating the Clinical Skills of Nursing Students of Zahedan Nursing and Midwifery School

    Directory of Open Access Journals (Sweden)

    Mohamad Sahebalzamani


    Full Text Available Background: To evaluate the validity and reliability of assessing the performance of nursing students using the Direct Observation of Procedural Skills (DOPS.Materials and Method: This research was conducted on 55 nursing internship students in 8 procedures. A DOPS consisted of an assessor observing a student when performing skills, completing a checklist with the student and providing verbal feedback. The procedures were selected among the core skills of nursing according to the views of faculty members. Content validity, criterion validity (correlation the average scores of nursing clinical and theoretical courses separately with DOPS score, relation of each item with DOPS, construct validity (inspection of internal construction, reliability (examination of internal consistency, inter-rater reliability were examined. Results: Correlation of DOPS scores with the theoretical and clinical average scores were 0.117 (p=0.429 and 0.376 (p= 0.008 respectively. There has been a significant relation between each skill and DOPS total score (p= 0.001 that indicates a desired internal construction of the exercise. The reliability of the exercise was measured as 94% by Cronbach alpha coefficient. Minimum and maximum correlation coefficient in the inter-rater reliability were 42% and 84% respectively which were significant in all cases (p=0 .001. Conclusion: In conclusion, our results showed that DOPS has the validity and reliability for objective evaluation of procedural skills in nursing

  19. Integrating quality and safety education into clinical nursing education through a dedicated education unit. (United States)

    Masters, Kelli


    The Institute of Medicine and American Association of Colleges of Nursing are calling for curriculum redesign that prepares nursing students with the requisite knowledge and skills to provide safe, high quality care. The purpose of this project was to improve nursing students' knowledge of quality and safety by integrating Quality and Safety Education for Nurses into clinical nursing education through development of a dedicated education unit. This model, which pairs nursing students with front-line nursing staff for clinical experiences, was implemented on a medical floor in an acute care hospital. Prior to implementation, nurses and students were educated about the dedicated education unit and quality and safety competencies. During each clinical rotation, students collaborated with their nurses on projects related to these competencies. Students' knowledge was assessed using questions related to quality and safety. Students who participated in the dedicated education unit had higher scores than those with traditional clinical rotations. Focus groups were held mid-semester to assess nurses' perceptions of the experience. Five themes emerged from the qualitative data including thirsting for knowledge, building teamwork and collaboration, establishing trust and decreasing anxiety, mirroring organization and time management skills, and evolving confidence in the nursing role.

  20. Perceived Benefits of Pre-Clinical Simulation-based Training on Clinical Learning Outcomes among Omani Undergraduate Nursing Students

    Directory of Open Access Journals (Sweden)

    Girija Madhavanprabhakaran


    Full Text Available Objectives: This study aimed to explore the benefits perceived by Omani undergraduate maternity nursing students regarding the effect of pre-clinical simulation-based training (PSBT on clinical learning outcomes. Methods: This non-experimental quantitative survey was conducted between August and December 2012 among third-year baccalaureate nursing students at Sultan Qaboos University in Muscat, Oman. Voluntary participants were exposed to faculty-guided PSBT sessions using low- and medium-fidelity manikins, standardised scenarios and skill checklists on antenatal, intranatal, postnatal and newborn care and assessment. Participants answered a purposely designed self-administered questionnaire on the benefits of PSBT in enhancing learning outcomes. Items were categorised into six subscales: knowledge, skills, patient safety, academic safety, confidence and satisfaction. Scores were rated on a four-point Likert scale. Results: Of the 57 participants, the majority (95.2% agreed that PSBT enhanced their knowledge. Most students (94.3% felt that their patient safety practices improved and 86.5% rated PSBT as beneficial for enhancing skill competencies. All male students and 97% of the female students agreed that PSBT enhanced their confidence in the safe holding of newborns. Moreover, 93% of participants were satisfied with PSBT. Conclusion: Omani undergraduate nursing students perceived that PSBT enhanced their knowledge, skills, patient safety practices and confidence levels in providing maternity care. These findings support the use of simulation training as a strategy to facilitate clinical learning outcomes in future nursing courses in Oman, although further research is needed to explore the objective impact of PSBT on learning outcomes.

  1. Clinical research on treating and nursing osteoporosis in TCM%骨质疏松症的中医综合治疗及护理的临床研究

    Institute of Scientific and Technical Information of China (English)

    刘艳; 刘小平; 张天龙


    目的:探讨中医综合疗法及护理对骨质疏松症的临床疗效。方法:从门诊和住院部招募60例骨质疏松症患者,采用磁疗、按摩、中药熏蒸、中药内服的中医综合疗法治疗,护理包括心理护理、日常护理和健康教育、治疗过程护理,观察治疗后的临床疗效。结果:经过3个疗程的治疗后,取得了显著性临床疗效,骨痛评分、中医症状评分较治疗前有显著性改善,3个月后随访其疗效比治疗后更好。结论:中医综合治疗和综合护理对骨质疏松症具有很好的疗效,值得临床参考。%Objective: To investigate the clinical effects of TCM comprehensive therapy and nursing on treating osteoporosis. Methods:60 patients was treated by involving magnet therapy, massage, TCM fumigation and oral taking etc. TCM comprehensive therapy and meantime nursing care of mental, daily, health education and therapeutic process were carried out. Results: After three courses of treatment, there were significant differences of pain VAS scores and TCM symptoms scores between pre-therapy and post-treatment, also follow-up and post-treatment. Conclusions: TCM comprehensive therapy and nursing for osteoporosis are effective, worthy of clinical reference.

  2. Reading and utilizing quantitative nursing research: a guide for the neophyte. (United States)

    Ryan, M


    Research utilization, that is, applying research findings to practice, is now recognized as essential to developing scientifically based nursing practice. A key step in this process is the ability of nurses to read nursing research studies and determine the usefulness of their findings for practice. This article presents strategies that will help nurses develop or enhance their reading and research skills, enabling fuller participation in the research utilization process.

  3. A qualitative research on the feelings of nursing masters in initial stage of clinical practice%硕士学位护士临床实践工作初期体验的质性研究

    Institute of Scientific and Technical Information of China (English)

    李雁平; 刘彦慧; 李春芳; 金凤娟


    Objective To describe the feelings,career development needs and the coping styles of stress experience of nurses with master's degree within one year after graduation.Methods The semistructured in-depth interview was conducted in 15 nurses with master's degree individually.The data were analyzed by qualitative content analysis method and the themes were abstractod.Results Three themes were extracted,including feelings,their career development needs and coping styles of stress.The nurses with master's degree reported feelings of heavy work pressure; lack of a sense of accomplishment; strong sense of loss.Their career development needs included improvement of professional knowledge and clinical skills; organizational supports; improvement of professional English and received a doctor' s degree.There were three main coping styles of stress:adjusting attitude and self role orientation; competence improvement; adjusting interpersonal relationship.Conclusions Nursing masters suffer from heavy pressure in clinical practice within one year after graduation.They have some occupation development needs.Nursing managers should explore positive and effective methods to relieve the nurses' stress and ratioually use and actively guide nursing masters,and provide direction and space for achieving their occupation value.%目的 探讨硕士学位护士毕业后1年内临床护理实践工作的真实体验,了解其情感感受、职业发展需求及压力应对方式.方法 对15名毕业1年内从事临床护理工作的硕士学位护士进行半结构化深入访谈,采用定性资料分析法对访谈结果进行分析.结果 硕士学位护士临床实践工作初期的体验提炼为3大主题:内心感受、职业发展及压力应对.内心真实感受主要有:工作压力大;成就感缺失;失落感强烈.职业发展需求有:专业知识与临床技能的提高;组织上的支持及职业规划;专业英语的加强;攻读博士学位.压力应对方法有:调节心

  4. Statistical challenges in nursing education and research: an expert panel consensus. (United States)

    Hayat, Matthew J; Higgins, Melinda; Schwartz, Todd A; Staggs, Vincent S


    This article summarizes an expert panel discussion, "Statistical Challenges in Nursing Research," conducted at the 2013 Joint Statistical Meetings. The panel consisted of doctorally prepared statisticians with faculty appointments in United States-based academic nursing programs. The discussion centered on challenges concerning the use of statistics in nursing education and research. Five domains were identified, including perceptions about statistics, statisticians' roles and responsibilities, interdisciplinary collaboration between statisticians and nurse investigators, statistics education, and the use of statistics in the nursing literature.

  5. 合作学习在本科实习护生小讲课中的应用研究%Research of cooperative learning applied in small lectures of clinical practice nursing students

    Institute of Scientific and Technical Information of China (English)

    刘英; 张振香; 方东萍; 张旋; 林秀如; 陈梅桂


    Objective To explore the effects of cooperative learning applied in small lectures of undergraduate nursing students in the course of clinical practice. Methods A total of 60 nursing students were divided into two groups ,30 for each group. The experimental group completed small lectures by cooperative learning,while the control group did them individually. The score of small lectures appraised by the teachers and an self - assessment questionnaire for nursing students were used to evaluate the effects of the two methods. Results The achievement of the experimental group was higher than the control group (P <0.01). The health education,team comperation,overcome difficulty, problem analysis and problem solving ability and critical thinking ability were improved by nursing students self - evaluation. Conclusion Cooperative learning is helpful to cultivate nursing students comprehensive ability and improve their ability of autonomous learning.%目的 探讨合作学习在本科实习护生小讲课中的应用效果.方法 选取在某医院实习的本科护生60名,分为实验组与对照组,每组30名,分别采取合作学习与护生个人独立完成小讲课两种形式教学,运用护生小讲课评价表与学生小讲课效果自我评价问卷,比较两种教学方法的效果.结果 实验组护生的小讲课成绩高于对照组(P<0.01);护生自评提高了健康教育、团队合作、克服困难、分析问题和解决问题的能力和评判性思维能力.结论 将合作学习应用于小讲课有利于培养护生的综合能力,有利于护生自主学习能力的发展与提高.

  6. Enhancing nursing education via academic–clinical partnership: An integrative review

    Directory of Open Access Journals (Sweden)

    Thokozani Bvumbwe


    Full Text Available A competent nursing workforce is important for an effective healthcare system. However, concerns on the poor quality of nursing care and poor competencies among nursing students, nurses, and midwives are increasing in Malawi. Anecdotal notes from stakeholders show shortfalls in nursing education. Furthermore, a large gap between theory and practice exists. This study described the role of academic–clinical partnership in strengthening nursing education. A search of ScienceDirect, PubMed, Medline, and PsychINFO on EBCSOhost and Google Scholar was conducted using the following key words: academic–clinical collaboration, academic–clinical partnership, academic practitioner gap, and college hospital partnership or/and nursing. Furthermore, peer reviewed reports on academic–clinical partnership in nursing were included in the search. Thirty-three records from 2002 to 2016 were reviewed. Six themes emerged from the review: mutual and shared goals, evidence-based practice, resource sharing and collaboration, capacity building, partnership elements, and challenges of academic clinical partnership. The review highlighted that academic–practice partnerships promote shared goal development for the healthcare system. The gap between theory and practice is reduced by the sharing of expertise and by increasing evidence-based practice. Academic clinical partnership improves competencies among students and the safety and health outcomes of patients. The study concluded that the nursing education implemented within an academic clinical partnership becomes relevant to the needs and demands of the healthcare system.

  7. The data collection tools in nursing researches in Turkey

    Directory of Open Access Journals (Sweden)

    Ayla Ünsal


    Full Text Available Aim: The aim of this study was to determine data collection tools in nursing researches in Turkey.Methods: This study included nine literatures. This literature were that had ten national/international nursing congress and symposium books realized in Turkey and five in peer reviewed nursing journals in Turkey. Consequently, the sample of these study 1328 researches that wasn't had article and that literatures was during the period 1991-2008 years. Methods of researches in sample was overviewed, used data collection tools was determined. Results: The evaluation of research reports indicates that 91.2% of the papers were used questionnaire forms developed by researchers. A questionnaire form word was equal pool, identifier form, personal presentation form, interview form, demographic form, data collection form words in studies. Thirty-six percent of research reports used scales by developed or adapted our country. State-Trait Anxiety Inventory (8.1%, Healthy Lifestyle Behaviours Scale (5.2%, Beck Depression Index (4.5%, Self-Care Agency Scale (4.5%, Quality of Life Scale (3.8%, Visual Analogue Pain Scale (2.9%, Beck Hopelessness Scale (2.7%, Coopersmith Self-Esteem Inventory (2.7% and The Ways of Coping Questionnaire (2.2% were mostly obtained in nursing researches in Turkey. However, although scales using had faint in literature in 1990 years, scales using was rise as the years went by.Conclusions: Questionnaire form used more by data collection tools in nursing researches in Turkey. These forms were made validity and reliability and scales using increase as the years went by. Several studies in bigger sample groups can do that inclusive graduate and doctorate theses.

  8. The data collection tools in nursing researches in Turkey

    Directory of Open Access Journals (Sweden)

    Ayla Ünsal


    Full Text Available Aim: The aim of this study was to determine data collection tools in nursing researches in Turkey.Methods: This study included nine literatures. This literature were that had ten national/international nursing congress and symposium books realized in Turkey and five in peer reviewed nursing journals in Turkey. Consequently, the sample of these study 1328 researches that wasn't had article and that literatures was during the period 1991-2008 years. Methods of researches in sample was overviewed, used data collection tools was determined.Results: The evaluation of research reports indicates that 91.2% of the papers were used questionnaire forms developed by researchers. A questionnaire form word was equal pool, identifier form, personal presentation form, interview form, demographic form, data collection form words in studies. Thirty-six percent of research reports used scales by developed or adapted our country. State-Trait Anxiety Inventory (8.1%, Healthy Lifestyle Behaviours Scale (5.2%, Beck Depression Index (4.5%, Self-Care Agency Scale (4.5%, Quality of Life Scale (3.8%, Visual Analogue Pain Scale (2.9%, Beck Hopelessness Scale (2.7%, Coopersmith Self-Esteem Inventory (2.7% and The Ways of Coping Questionnaire (2.2% were mostly obtained in nursing researches in Turkey. However, although scales using had faint in literature in 1990 years, scales using was rise as the years went by.Conclusions: Questionnaire form used more by data collection tools in nursing researches in Turkey. These forms were made validity and reliability and scales using increase as the years went by. Several studies in bigger sample groups can do that inclusive graduate and doctorate theses.

  9. Using a Person-Oriented Approach in Nursing Research. (United States)

    Knisely, Mitchell R; Draucker, Claire Burke


    The purpose of this article was to provide an overview of the person-oriented approach, describe empirical examples of its use, and discuss how the approach may be used in nursing research. The person-oriented approach consists of theoretical and methodological components and provides a way to explore the heterogeneity of populations related to phenomena of interest. For analytic purposes, the person-oriented approach views the person as a holistic unit rather than a sum of his or her characteristics, and thus, it provides an alternative or complementary approach to the more traditional, variable-oriented approaches most commonly used to study health phenomena. Although the person-oriented approach has not been used extensively in nursing research, it offers promise for nursing scholars who study complex problems within heterogeneous populations and who seek to develop targeted interventions to more effectively promote desired health outcomes.

  10. Acuity-based nurse assignment and patient scheduling in oncology clinics. (United States)

    Liang, Bohui; Turkcan, Ayten


    The oncology clinics use different nursing care delivery models to provide chemotherapy treatment to cancer patients. Functional and primary care delivery models are the most commonly used methods in the clinics. In functional care delivery model, patients are scheduled for a chemotherapy appointment without considering availabilities of individual nurses, and nurses are assigned to patients according to patient acuities, nursing skill, and patient mix on a given day after the appointment schedule is determined. Patients might be treated by different nurses on different days of their treatment. In primary care delivery model, each patient is assigned to a primary nurse, and the patients are scheduled to be seen by the same nurse every time they come to the clinic for treatment. However, these clinics might experience high variability in daily nurse workload due to treatment protocols that should be followed strictly. In that case, part-time nurses can be utilized to share the excess workload of the primary nurses. The aim of this study is to develop optimization methods to reduce the time spent for nurse assignment and patient scheduling in oncology clinics that use different nursing care delivery models. For the functional delivery model, a multiobjective optimization model with the objectives of minimizing patient waiting times and nurse overtime is proposed to solve the nurse assignment problem. For the primary care delivery model, another multiobjective optimization model with the objectives of minimizing total overtime and total excess workload is proposed to solve the patient scheduling problem. Spreadsheet-based optimization tools are developed for easy implementation. Computational results show that the proposed models provide multiple nondominated solutions, which can be used to determine the optimal staffing levels.

  11. Canada's First Nurse Practitioner-Led Clinic: A Case Study in Healthcare Innovation. (United States)

    Heale, Roberta; Butcher, Marilyn


    Canada's first nurse practitioner-led clinic opened in 2007 after a period of intense lobbying. The development of this clinic has received a great deal of attention in the nursing world and among the general public, but the factors that enabled it have not been examined. The antecedents outlined in healthcare innovation concept analysis - including leadership, financial considerations, idea generation, teamwork, culture and demand - provide a framework for examination of the campaign for the nurse practitioner-led clinic. This review demonstrates the complex interplay of factors that drive healthcare innovation and expands understanding of the leadership and change competencies of the advanced practice nurse.

  12. [Research activity in clinical biochemistry

    DEFF Research Database (Denmark)

    Jorgensen, H.L.; Larsen, B.; Ingwersen, P.


    BACKGROUND: Quantitative bibliometric measurements of research activity are frequently used, e.g. for evaluating applicants for academic positions. The purpose of this investigation is to assess research activity within the medical speciality of Clinical Biochemistry by comparing it with a matched...... Clinical Biochemistry, 57 fulfilled the inclusion criteria. Each of these 57 was matched according to medical title with two randomly chosen specialists from other specialities, totaling 114. Using Medline and the Web of Science, the number of publications and the number of citations were then ascertained....... RESULTS: 25% of the 11,691 specialists held a PhD degree or doctoral degree, DMSci, (Clinical Biochemistry: 61%). The 171 specialists included in the study had 9,823 papers in Medline and 10,140 papers in the Web of Science. The number of Medline papers per specialist was 71 for Clinical Biochemistry...

  13. 临床护理管理者领导技能需求的质性研究%Qualitative research on the requirement of clinical nursing manager leadership skills

    Institute of Scientific and Technical Information of China (English)

    封秀萍; 吕芳芳; 祝筠; 金海君; 宋春霞


    Objective To explore the needs of clinical nursing manager leadership skills, so as to provide a reference for the training and promotion. Methods Semi-structured interview was adopted in 15 nursing managers in 4 Jinan level three class A hospitals, and data were analyzed by Colaizzi′s phenomenological procedures. Results Four aspects were exacted for leadership skills: leadership power skills, management skills, professional skills, personal qualities. Conclusions The requirement of clinical nursing manager leadership skills is necessary and urgent, mainly concentrated on the management skills. The management skills should be strengthened, and pay attention to the power of leadership, professional skills and personal qualities at the same time, in order to adapt to the management requirements, and improve the quality of nursing management.%目的:探索临床护理管理者领导技能需求,为医院临床护理管理者领导技能的培训及提供理论参考和实证依据。方法选取济南市4所三级甲等医院中15名临床护理管理者进行半结构式访谈,采用Colaizzi的现象学分析法对访谈资料进行分析。结果临床护理管理者领导技能归纳为领导力技能、领导管理技能、领导业务技能、个人品质4个主题。结论临床护理管理者领导技能需求主要集中在领导管理技能需求。医院在领导技能的培训及培养方面,应侧重于管理技能,同时注重领导力、业务技能及个人品质,以提升医院护理质量及管理水平。

  14. Outsiders in nursing education: cultural sensitivity in clinical education. (United States)

    Debrew, Jacqueline Kayler; Lewallen, Lynne Porter; Chun, Edna


    Cultural competence is a stated value of nursing and nursing education. However, some institutional and traditional practices in nursing education can unintentionally impede nurses from achieving cultural competence. Both the literature and interviews with nurse educators show that despite educators' intentions to treat all students the same, nontraditional students may feel singled out and may in fact be singled out for closer scrutiny because of their difference from the demographic norms of nursing students. To ensure that the nursing profession reflects the composition of the patient population it serves, nurse educators must first acknowledge the Eurocentric culture of nursing education and, then, work to change the environment in which students are recruited, learn, and take on the role of beginning practicing nurses.

  15. Assimilating to Hierarchical Culture: A Grounded Theory Study on Communication among Clinical Nurses. (United States)

    Kim, MinYoung; Oh, Seieun


    The purpose of this study was to generate a substantive model that accounts for the explanatory social processes of communication in which nurses were engaged in clinical settings in Korea. Grounded theory methodology was used in this study. A total of 15 clinical nurses participated in the in-depth interviews. "Assimilating to the hierarchical culture" emerged as the basic social process of communication in which the participants engaged in their work environments. To adapt to the cultures of their assigned wards, the nurses learned to be silent and engaged in their assimilation into the established hierarchy. The process of assimilation consisted of three phases based on the major goals that nurses worked to achieve: getting to know about unspoken rules, persevering within the culture, and acting as senior nurse. Seven strategies and actions utilized to achieve the major tasks emerged as subcategories, including receiving strong disapproval, learning by observing, going silent, finding out what is acceptable, minimizing distress, taking advantages as senior nurse, and taking responsibilities as senior nurse. The findings identified how the pattern of communication in nursing organizations affected the way in which nurses were assimilated into organizational culture, from individual nurses' perspectives. In order to improve the rigid working atmosphere and culture in nursing organizations and increase members' satisfaction with work and quality of life, managers and staff nurses need training that focuses on effective communication and encouraging peer opinion-sharing within horizontal relationships. Moreover, organization-level support should be provided to create an environment that encourages free expression.

  16. Improving the quality of nursing documentation: An action research project

    Directory of Open Access Journals (Sweden)

    Elisha M. Okaisu


    Full Text Available Background: Documentation is an important function of professional nursing practise. In spite of numerous improvement efforts globally, inadequate documentation continues to be reported as nurse authors investigate barriers and challenges. Objectives: The project aimed to improve nurses’ documentation of their patient assessments at the CURE Children’s Hospital of Uganda in order to enhance the quality of nursing practise. Method: An action research methodology, using repeated cycles of planning, intervention, reflection and modification, was used to establish best practise approaches in this context for improving nurses’ efficacy in documenting assessments in the patient record. The researchers gathered data from chart audits, literature reviews and key informant interviews. Through analysis and critical reflection, these data informed three cycles of systems and practise modifications to improve the quality of documentation. Results: The initial cycle revealed that staff training alone was insufficient to achievethe project goal. To achieve improved documentation, broader changes were necessary, including building a critical mass of competent staff, redesigned orientation and continuing education, documentation form redesign, changes in nurse skill mix, and continuous leadership support. Conclusion: Improving nursing documentation involved complex challenges in this setting and demanded multiple approaches. Evidence-based practise was the foundation of changes in systems required to produce visible improvement in practise. The involved role of leadership in these efforts was very important.

  17. Cleveland Clinic Rehabilitation Research Program (United States)


    Maxwell-Faraday Equations. (B) Due to the nature of circular MS coils, negligible current is induced from the center of the MS coil, described as the...the patients prior to enrollment. Figure 6. iSCI patients with more functional gains from therapy had increased demyelination in the...Clinical and Translational Science Association’s Clinical Research Unit assistance has helped attenuate any safety threats. B. Publications and

  18. The myth of induction in qualitative nursing research. (United States)

    Bergdahl, Elisabeth; Berterö, Carina M


    In nursing today, it remains unclear what constitutes a good foundation for qualitative scientific inquiry. There is a tendency to define qualitative research as a form of inductive inquiry; deductive practice is seldom discussed, and when it is, this usually occurs in the context of data analysis. We will look at how the terms 'induction' and 'deduction' are used in qualitative nursing science and by qualitative research theorists, and relate these uses to the traditional definitions of these terms by Popper and other philosophers of science. We will also question the assertion that qualitative research is or should be inductive. The position we defend here is that qualitative research should use deductive methods. We also see a need to understand the difference between the creative process needed to create theory and the justification of a theory. Our position is that misunderstandings regarding the philosophy of science and the role of inductive and deductive logic and science are still harming the development of nursing theory and science. The purpose of this article is to discuss and reflect upon inductive and deductive views of science as well as inductive and deductive analyses in qualitative research. We start by describing inductive and deductive methods and logic from a philosophy of science perspective, and we examine how the concepts of induction and deduction are often described and used in qualitative methods and nursing research. Finally, we attempt to provide a theoretical perspective that reconciles the misunderstandings regarding induction and deduction. Our conclusion is that openness towards deductive thinking and testing hypotheses is needed in qualitative nursing research. We must also realize that strict induction will not create theory; to generate theory, a creative leap is needed.

  19. Stress and stressors in the clinical environment: a comparative study of fourth-year student nurses and newly qualified general nurses in Ireland.

    LENUS (Irish Health Repository)

    Suresh, Patricia


    To measure and compare the perceived levels of job-related stress and stressors of newly qualified nurses and fourth-year student nurses in the clinical environment and to explore the participants\\' views on stress and stressors.

  20. Reiki as a clinical intervention in oncology nursing practice. (United States)

    Bossi, Larraine M; Ott, Mary Jane; DeCristofaro, Susan


    Oncology nurses and their patients are frequently on the cutting edge of new therapies and interventions that support coping, health, and healing. Reiki is a practice that is requested with increasing frequency, is easy to learn, does not require expensive equipment, and in preliminary research, elicits a relaxation response and helps patients to feel more peaceful and experience less pain. Those who practice Reiki report that it supports them in self-care and a healthy lifestyle. This article will describe the process of Reiki, review current literature, present vignettes of patient responses to the intervention, and make recommendations for future study.

  1. 77 FR 68134 - Submission for OMB Review; Comment Request (30-day): National Institute of Nursing Research (NINR... (United States)


    ...): National Institute of Nursing Research (NINR) Summer Genetics Institute Alumni Survey SUMMARY: Under the... publication. Proposed Collection: National Institute of Nursing Research (NINR) Summer Genetics...

  2. Expanding the use of empiricism in nursing: can we bridge the gap between knowledge and clinical practice? (United States)

    Giuliano, Karen K


    The philosophy of Aristotle and its impact on the process of empirical scientific inquiry has been substantial. The influence of the clarity and orderliness of his thinking, when applied to the acquisition of knowledge in nursing, can not be overstated. Traditional empirical approaches have and will continue to have an important influence on the development of nursing knowledge through nursing research. However, as nursing is primarily a practice discipline, the transition from empirical and syllogistic reasoning is problematic. Other types of inquiry are essential in the application of nursing knowledge obtained by empirical scientific approaches and to understand how that knowledge can best be used in the care of patients. This paper reviews the strengths and limitations of syllogistic reasoning by applying it to a recently published study on temperature measurement in nursing. It then discusses possible ways that the empirical knowledge gained from that study and confirmed in its reasoning by logical analysis could be used in the daily care of critically ill patients. It concludes by highlighting the utility of broader approaches to knowledge development, including interpretative approaches and contemporary empiricism, as a way to bridge the gap between factual empirical knowledge and the practical application of that knowledge in everyday clinical nursing practice.

  3. Stimulating Healthy Aging with a Model Nurse-Managed Free Clinic in a Senior Center. (United States)

    Franklin, Ruth H.

    As part of a Geriatric Education and Health Management program, a model nurse-managed free clinic has been established at an urban senior center by faculty and students of the University of New Mexico College of Nursing. Funded by a 3-year grant from the Department of Health and Human Services, the weekly clinic is based on Orem's self-care theory…

  4. The benefits and challenges of providing nursing student clinical rotations in the intensive care unit. (United States)

    Swinny, Betsy; Brady, Melanie


    The goal of providing a clinical rotation in a basic nursing program is to integrate skills and knowledge from the classroom setting into the clinical practice setting. In the intensive care unit (ICU), nursing students have the ability to learn about the complex health issues of critically ill patients, practice selected technical skills, and develop communication skills. There are both benefits and challenges to having nursing students in the intensive care setting. With preparation, the student is able to immerse in the ICU environment, acquire new knowledge and skills, and participate alongside the nurse caring for critically ill patients. The staff nurse must balance patient care with the added responsibilities of helping the student meet the clinical goals. It is optimal to have faculty that are also intensive care clinically competent and can facilitate the clinical experience. The school, the hospital, and the ICU need to collaborate to provide a positive clinical experience that is safe for the patient. In return, the hospital can recruit student nurses and clinical faculty. Planned with thought and intention, rotations in the ICU can be an ideal clinical setting for upper-level student nurses to learn the role of the registered nurse.

  5. Authenticity in Learning--Nursing Students' Experiences at a Clinical Education Ward (United States)

    Manninen, Katri; Henriksson, Elisabet Welin; Scheja, Max; Silen, Charlotte


    Purpose: This study aims to explore and understand first year nursing students' experiences of learning at a clinical education ward. Design/methodology/approach: The setting is a clinical education ward for nursing students at a department of infectious diseases. A qualitative study was carried out exploring students' encounters with patients,…

  6. Improving Adjunct Nursing Instructors' Knowledge of Student Assessment in Clinical Courses (United States)

    Johnson, Kelly Vowell


    Utilization of adjunct nursing instructors to teach clinical courses is a common occurrence in nursing programs. Adjunct clinical instructors are often expert clinicians, but they have limited experience in teaching and lack the expertise needed to be successful in the educator role, such as knowledge of student assessment. Faculty development…

  7. A combined nurse-pharmacist managed pain clinic: joint venture of public and private sectors. (United States)

    Hadi, Muhammad Abdul; Alldred, David Phillip; Briggs, Michelle; Closs, S José


    Chronic pain has become one of the most prevalent problems in primary care. The management of chronic pain is complex and often requires a multidisciplinary approach. The limited capacity of general practitioners to manage chronic pain and long waiting time for secondary care referrals further add to the complexity of chronic pain management. Restricted financial and skilled human capital make it hard for healthcare systems across the world to establish and maintain multidisciplinary pain clinics, in spite of their documented effectiveness. Affordability and accessibility to such multidisciplinary pain clinics is often problematic for patients. The purpose of this paper is to share our experience and relevant research evidence of a community based combined nurse-pharmacist managed pain clinic. The pain clinic serves as an example of public-private partnership in healthcare.

  8. Ruptured thought: rupture as a critical attitude to nursing research. (United States)

    Beedholm, Kirsten; Lomborg, Kirsten; Frederiksen, Kirsten


    In this paper, we introduce the notion of ‘rupture’ from the French philosopher Michel Foucault, whose studies of discourse and governmentality have become prominent within nursing research during the last 25 years. We argue that a rupture perspective can be helpful for identifying and maintaining a critical potential within nursing research. The paper begins by introducing rupture as an inheritance from the French epistemological tradition. It then describes how rupture appears in Foucault's works, as both an overall philosophical approach and as an analytic tool in his historical studies. Two examples of analytical applications of rupture are elaborated. In the first example, rupture has inspired us to make an effort to seek alternatives to mainstream conceptions of the phenomenon under study. In the second example, inspired by Foucault's work on discontinuity, we construct a framework for historical epochs in nursing history. The paper concludes by discussing the potential of the notion of rupture as a response to the methodological concerns regarding the use of Foucault-inspired discourse analysis within nursing research. We agree with the critique of Cheek that the critical potential of discourse analysis is at risk of being undermined by research that tends to convert the approach into a fixed method.

  9. Nursing informatics and nursing ethics

    DEFF Research Database (Denmark)

    Kaltoft, Mette Kjer


    All healthcare visions, including that of The TIGER (Technology-Informatics-Guiding-Educational-Reform) Initiative envisage a crucial role for nursing. However, its 7 descriptive pillars do not address the disconnect between Nursing Informatics and Nursing Ethics and their distinct communities......-of-(care)-decision. Increased pressure for translating 'evidence-based' research findings into 'ethically-sound', 'value-based' and 'patient-centered' practice requires rethinking the model implicit in conventional knowledge translation and informatics practice in all disciplines, including nursing. The aim is to aid 'how...... nurses and other health care scientists more clearly identify clinical and other relevant data that can be captured to inform future comparative effectiveness research. 'A prescriptive, theory-based discipline of '(Nursing) Decisionics' expands the Grid for Volunteer Development of TIGER's newly launched...

  10. Exposing emotional labour experienced by nursing students during their clinical learning experience: A Malawian perspective

    Directory of Open Access Journals (Sweden)

    Gladys Msiska


    Conclusion: Effective clinical teaching and learning demands the emotional commitment of lecturers. The understanding of emotional labour in all its manifestations will help in the creation of caring clinical learning environments for student nurses in Malawi.

  11. 78 FR 50067 - National Institute of Nursing Research; Notice of Meeting (United States)


    ... HUMAN SERVICES National Institutes of Health National Institute of Nursing Research; Notice of Meeting... hereby given of a meeting of the National Advisory Council for Nursing Research. The meeting will be open...: National Advisory Council for Nursing Research. Date: September 17-18, 2013. Open: September 17, 2013,...

  12. 77 FR 12599 - National Institute of Nursing Research; Notice of Closed Meeting (United States)


    ... HUMAN SERVICES National Institutes of Health National Institute of Nursing Research; Notice of Closed... of Committee: National Institute of Nursing Research Special Emphasis Panel; Loan Repayment. Date... Inst of Nursing Research, National Institutes of Health, 6701 Democracy Blvd. (DEM 1), Suite...

  13. 77 FR 27075 - National Institute of Nursing Research Notice of Closed Meeting (United States)


    ... HUMAN SERVICES National Institutes of Health National Institute of Nursing Research Notice of Closed... of Committee: National Institute of Nursing Research Special Emphasis Panel; HIV Palliative Care RFA... Officer, National Institute of Nursing Research, National Institutes of Health, Bethesda, MD 20892,...

  14. 77 FR 6812 - National Institute of Nursing Research; Notice of Closed Meeting (United States)


    ... HUMAN SERVICES National Institutes of Health National Institute of Nursing Research; Notice of Closed... of Committee: National Institute of Nursing Research Special Emphasis Panel Genomic Advances to Wound...: Tamizchelvi Thyagarajan, Ph.D., Scientific Review Officer, National Institute of Nursing Research,...

  15. 77 FR 3481 - National Institute of Nursing Research; Notice of Closed Meeting (United States)


    ... Institute of Nursing Research; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory.... Contact Person: Weiqun Li, MD, Scientific Review Officer, National Institute of Nursing Research, National... . (Catalogue of Federal Domestic Assistance Program Nos. 93.361, Nursing Research, National Institutes...

  16. 76 FR 31621 - National Institute of Nursing Research; Notice of Closed Meeting (United States)


    ... HUMAN SERVICES National Institutes of Health National Institute of Nursing Research; Notice of Closed... of Committee: National Institute of Nursing Research Initial Review Group. Date: June 23-24, 2011... Officer, National Institute of Nursing Research, National Institutes of Health, 6701 Democracy Blvd.,...

  17. 76 FR 76169 - National Institute of Nursing Research; Notice of Meeting (United States)


    ... HUMAN SERVICES National Institutes of Health National Institute of Nursing Research; Notice of Meeting... hereby given of a meeting of the National Advisory Council for Nursing Research. The meeting will be open...: National Advisory Council for Nursing Research. Date: January 17-18, 2012. Open: January 17, 2012, 1...

  18. 77 FR 45645 - National Institute of Nursing Research; Notice of Meeting (United States)


    ... Institute of Nursing Research; Notice of Meeting Pursuant to section 10(d) of the Federal Advisory Committee... for Nursing Research. The meeting will be open to the public as indicated below, with attendance... Committee: National Advisory Council for Nursing Research. Date: September 18-19, 2012. Open: September...

  19. 76 FR 60508 - National Institute of Nursing Research; Notice of Closed Meeting (United States)


    ... HUMAN SERVICES National Institutes of Health National Institute of Nursing Research; Notice of Closed... of Committee: National Institute of Nursing Research Initial Review Group; NRRC 52 October 20, 2011..., MD, Scientific Review Officer, National Institute of Nursing Research, National Institutes of...

  20. 76 FR 5596 - National Institute of Nursing Research; Notice of Closed Meeting (United States)


    ... HUMAN SERVICES National Institutes of Health National Institute of Nursing Research; Notice of Closed... of Committee: National Institute of Nursing Research Initial Review Group. Date: February 17-18, 2011... Officer, National Institute of Nursing Research, National Institutes of Health, 6701 Democracy Blvd.,...