WorldWideScience

Sample records for clinical nursing research

  1. Role perceptions of nurse clinical research coordinators

    Directory of Open Access Journals (Sweden)

    Jones CT

    2013-09-01

    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

  2. [Clinical nursing research. New standards for quality assurance for nursing and patient].

    Science.gov (United States)

    Evers, G C

    2000-06-01

    Nursing as a health-service has a long tradition, nursing research however, a relatively short history. Florence Nightingale was the first to publish about nursing research in the year 1858. Since Nightingale, the need to study and improve the efficacy and efficiency of nursing has steadily increased. More than ever before, society needs nursing based on scientific knowledge and not just on unchallenged rituals and traditions. This scientific knowledge base can be acquired by clinical research. Within multidisciplinary clinical research it is necessary to focus on nursing's unique function. Virginia Henderson (1955) and Dorothea Orem (1959) have clearly explicated this function. Designs for clinical nursing research can be (quasi-) experimental, correlational or descriptive. Descriptive research can be qualitative or quantitative. Effects of nursing interventions on decrease of self-care problems and improvement of self-care capability and behaviors, should be investigated by experimental or quasi-experimental studies. Some examples of clinical nursing research are given. The first example demonstrates the effect of quantity and quality of nursing staff on patient's capabilities for hygiene self-care. The second example explicates the relation between self-care and quality of life with breast-cancer patients under chemotherapy treatment. The last example shows the effect of diabetes education on self-care behaviour and metabolic control. The examples given demonstrate the importance of clinical research focused on nursing's unique function. In order to accomplish this, programs of research are needed as well as close co-operation with nursing services, physicians and hospitals. Only when research findings are discussed and implemented in multidisciplinary teams, nursing will become more evidence-based. PMID:10969578

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

    Directory of Open Access Journals (Sweden)

    Efstratios Athanasakis

    2013-01-01

    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.

  4. Information and research needs of acute-care clinical nurses.

    Science.gov (United States)

    Spath, M; Buttlar, L

    1996-01-01

    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

  5. Nurse awareness of clinical research: a survey in a Japanese University Hospital

    OpenAIRE

    Yanagawa, Hiroaki; Takai, Shigemi; Yoshimaru, Michiko; Miyamoto, Toshiko; Katashima, Rumi; Kida, Kikue

    2014-01-01

    Background Clinical research plays an important role in establishing new treatments and improving the quality of medical practice. Since the introduction of the concept of clinical research coordinators (CRC) in Japan, investigators and CRC work as a clinical research team that coordinates with other professionals in clinical trials leading to drug approval (registration trials). Although clinical nurses collaborate with clinical research teams, extended clinical research teams that include c...

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

    Directory of Open Access Journals (Sweden)

    Lona Roll

    2013-01-01

    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.

  7. Engaging nurses in research for a randomized clinical trial of a behavioral health intervention.

    Science.gov (United States)

    Roll, Lona; Stegenga, Kristin; Hendricks-Ferguson, Verna; Barnes, Yvonne J; Cherven, Brooke; Docherty, Sharron L; Robb, Sheri L; Haase, Joan E

    2013-01-01

    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. PMID:24102024

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

    Directory of Open Access Journals (Sweden)

    Leila Valizadeh

    2012-12-01

    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.

  9. Participation of nurses in the execution of clinical research protocol about technological innovation

    Directory of Open Access Journals (Sweden)

    Luciane Patrícia Andreani Cabral

    2015-10-01

    Full Text Available AbstractOBJECTIVETo report the nurse's experience of inclusion in interdisciplinary clinical study about technological innovation, involving people with spinal cord injury.METHODDescriptive experience report. The empirical support was based on notes about perspectives and practice of clinical research, with a multi-professional nursing, physical education, physiotherapy and engineering staff.RESULTThe qualification includes the elaboration of the document for the Ethics Committee, familiarization among the members of staff and with the studied topic, and also an immersion into English. The nurse's knowledge gave support to the uptake of participants and time adequacy for data collection, preparation and assistance of the participants during the intervention and after collection. Nursing theories and processes have contributed to reveal risky diagnoses and the plan of care. It was the nurse's role to monitor the risk of overlapping methodological strictness to the human aspect. The skills for the clinical research must be the object of learning, including students in multidisciplinary researches.CONCLUSIONTo qualify the nurse for clinical research and to potentialize its caregiver essence, some changes are needed in the educational system, professional behavior, attitude and educational assistance.

  10. 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;

    2016-01-01

    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...

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

    OpenAIRE

    Nicola McKay; Lesley Wilkes; Joanne Cummings

    2013-01-01

    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 inv...

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

    Directory of Open Access Journals (Sweden)

    Lesley Wilkes

    2013-01-01

    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.

  13. Developing a culture to facilitate research capacity building for clinical nurse consultants in generalist paediatric practice.

    Science.gov (United States)

    Wilkes, Lesley; Cummings, Joanne; McKay, Nicola

    2013-01-01

    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. PMID:23956854

  14. [The Usage of Auricular Acupressure in Clinical Nursing and Evidence-Based Research].

    Science.gov (United States)

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

    2015-12-01

    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. PMID:26645441

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

    OpenAIRE

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

    2015-01-01

    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 research. Method: The main participants were nurses working in a lung unit of a rural hospital. A multi-method process of data collection was used during the observing, reflecting, planning and acting phases....

  16. Iranian nurses' constraint for research utilization

    OpenAIRE

    Mehrdad Neda; Salsali Mahvash

    2009-01-01

    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 ...

  17. Emergence of Nordic Nursing Research

    DEFF Research Database (Denmark)

    Larsen, Kristian

    2009-01-01

    This paper reports on a detailed analysis of findings from a larger study of 'Nordic nursing theorists and clinical nurses' reflections on and experience with production and use of research, theory and findings'. The development of nursing science in the Nordic countries goes back to the late 1970s....... 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....... The interview agenda explored the participants' research activities and knowledge production. Our conclusion is that one cannot speak of nursing research in the Nordic countries as a fully developed and autonomous field. Yet we see the outlines of an emerging nursing research field with a common doxa. At least...

  18. Clinical Wisdom among Proficient Nurses

    DEFF Research Database (Denmark)

    Uhrenfeldt, Lisbeth; Hall, Elisabeth

    2007-01-01

    This paperexamines clinical wisdom which has emerged from a broader study anout nurse managers´influence on proficient registered nurse turnover and retention. The purpose of the study was to increase understanding of proficient nurses´experience and clinical practice by giving voice to the nurses...

  19. 临床护理人员科研培训需求调查%Research training needs among clinical nurses

    Institute of Scientific and Technical Information of China (English)

    王冰飞; 陈海英; 马京华; 李妍; 于虹; 朱玉芳; 谷岩梅

    2014-01-01

    目的:了解临床护理人员科研培训需求。方法:采用问卷调查法对1034名临床护理人员进行调查,再分别以面对面和书面形式访谈了12名和68名参加科研培训的护理人员。结果:临床护理人员科研知识培训需求前三位的是选题、科研设计和收集资料;不同学历、不同职称的护理人员培训需求有差别。访谈结果提示临床护理人员进行科研比较被动,发表论文是提高其科研积极性的途径之一,护理人员认为一对一的指导是最有效的科研学习方法,与专家直接交流和参加专科会议交流最受欢迎。结论:临床护理人员在选题、设计等方面需要培训,但培训应分层次开展;专科会议是受临床护理研究者欢迎的提高科研水平的途径,临床护理人员期待与专家进行一对一的交流。%Objective:To investigate the nursing research training needs among clinical nurses. Methods:Totally 1034 clinical nurses were recruited and investigated by questionnaires and and open-end questions. 12 and 68 nurses who had taken part in research training program were interviewed by face-to-face method and questionnaires, respectively. Results:Research topic, research design and data collection were listed as the ifrst three top needs of nursing research training. The needs were signiifcantly different among nurses with different educational backgrounds and professional titles. Meanwhile, the interview showed that most clinical nurses performed nursing research passively. Publishing a professional paper could motivate their research interests. Clinical nurses preferred to attend research conference on their own ifelds and expected to communicate with the research specialists face to face. Conclusion:Clinical nurses need training in research topic selection and research design and different training according to different needs is preferred. Conference on certain topic is preferable for improving

  20. Iranian nurses' constraint for research utilization

    Directory of Open Access Journals (Sweden)

    Mehrdad Neda

    2009-09-01

    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.

  1. Developments in the Nursing Research

    OpenAIRE

    N Petroglou; S Dadoumi

    2008-01-01

    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...

  2. Information-seeking behavior of nursing students and clinical nurses: implications for health sciences librarians*

    OpenAIRE

    Dee, Cheryl; Stanley, Ellen E.

    2005-01-01

    Objectives: This research was conducted to provide new insights on clinical nurses' and nursing students' current use of health resources and libraries and deterrents to their retrieval of electronic clinical information, exploring implications from these findings for health sciences librarians.

  3. Relationship of Clinical Nursing Competence to Nursing Occupational Experience in Hospice/Palliative Care Nurses in Japan

    OpenAIRE

    Kaori Tsutsumi; Keiko Sekido

    2015-01-01

    Aim: The purpose of this research is to examine the relationship between the clinical nursing competence and nursing occupational experience in hospice/palliative care nurses (HPN) in Japan. Methods: A mail survey using an anonymous self-administered questionnaire was conducted on clinical nursing competence regarding communication, care and prediction of worsening of symptoms with the authors’ previous research as a framework. The subjects were nurses working in hospice/palliative care units...

  4. Clinical Decision Making of Rural Novice Nurses

    Science.gov (United States)

    Seright, Teresa J.

    2010-01-01

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

  5. Ethical aspects of nursing research

    OpenAIRE

    Alexsandra Rodrigues Feijão

    2014-01-01

    With the advances of nursing scientific production in recent decades, in tandem with the growth of nursing postgraduate programs in Brazil, the discussion about ethics in research with human beings is perennial and relevant to nursing research.

  6. Nursing students’ perspectives on clinical education

    Directory of Open Access Journals (Sweden)

    MOHAMMAD REZA HEIDARI

    2015-01-01

    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.

  7. Exploring how nurse lecturers maintain clinical credibility.

    Science.gov (United States)

    Fisher, Melanie T

    2005-01-01

    The role of the nurse lecturer is changing. There is growing pressure from the government and professionals alike to recruit nurse teachers who posses both practical and recent experience of nursing [Department of Health, 1999. Making a Difference: Strengthening the Nursing, Midwifery and Health Visiting Contribution to Health and Health Care. DOH, London; UKCC, 2000. Standards for the Preparation of Teachers of Nursing, Midwifery and Health Visiting. UKCC, London]. Whilst much of the literature available suggests a growing concern amongst practitioners, students and nurse educationalists themselves about the importance of being ;clinically credible', what is not clear is how tangible it is to maintain currency and clinical credibility. In addition, the term ;clinical credibility' is in itself ill-defined. An exploratory study was undertaken within one higher education institution which sought to seek the views of nurse lecturers. The principles of ethnography were applied to this research. The sample included six of the most recently appointed nurse lecturers within one academic faculty who taught predominantly on pre-registration programmes. Data from individual and focus group interviews was analysed using a thematic content analysis approach. The findings are discussed which embrace the concepts of: working ;hands on' in the clinical area, clinical currency, transferability of skills, clinical visibility and role development. Recommendations for the development of professional practice are offered. PMID:19038175

  8. Nursing student perceptions of nurse-to-nurse collaboration in dedicated education units and in traditional clinical instruction units.

    Science.gov (United States)

    Moore, Jane; Nahigian, Eileen

    2013-06-01

    Changes within the health care system have created opportunities for emerging models of care delivery, including collaborative nursing teams. Collaboration between RNs and interprofessional teams supports improved care delivery outcomes. One promising strategy to enhance collaboration is the use of dedicated education units, which are academic-clinical partnerships that facilitate nursing student learning. This descriptive, quantitative study described and compared perceptions of nursing students about nurse-to-nurse collaboration witnessed in dedicated education units and traditional clinical units. Data gathered with the Nurse-to-Nurse Collaboration Scale (NNCS) were analyzed using descriptive statistics and t tests. Findings demonstrate a significant difference on the visual analogue scales for nurse-to-nurse and nurse-to-nursing student collaboration, by type of unit. The NNCS findings indicated differences in the shared processes, coordination, communication, and conflict management subdomains. Further research in the area of collaboration among nurses and dedicated education units is recommended. PMID:23656375

  9. Ethnographic nexus analysis in clinical nursing education

    DEFF Research Database (Denmark)

    Kjær, Malene

    2016-01-01

    Purpose;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.Design/methodology/approach;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...

  10. 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

    2015-01-01

    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

  11. Communicating clinical nursing issues through the newspaper.

    Science.gov (United States)

    Kalisch, B J; Kalisch, P A

    1981-01-01

    The information quality of nursing news is a critical factor in gaining public support for the acquisition of scarce resources necessary to undergird clinical nursing practice. A content analysis of 3,098 newspaper articles about nursing in 1978 was employed to examine the treatment of clinical nursing news. Among the variables studied were practice settings, educational levels, role clarity, professional activities, nurse-physician relationships, and degree of favorable image. Results revealed that the quality of news about clinical nursing varied by specialties, with maternity nursing and pediatric nursing news shown to be more progressive and community health nursing and medical-surgical nursing revealed as quite traditional. Psychiatric nursing received an inordinately low level of news coverage. Recommendations are offered to assist improvement in the amount and quality of news treatment of clinical nursing. PMID:6908956

  12. Nursing students’ perspectives on clinical education

    OpenAIRE

    MOHAMMAD REZA HEIDARI; REZA NOROUZADEH

    2015-01-01

    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...

  13. Clinical violence in nursing students

    OpenAIRE

    Aghajanloo, Ali; Nirumand-Zandi, Kianoosh; Safavi-Bayat, Zahra; Alavi-Majd, Hamid

    2011-01-01

    BACKGROUND: One of the significant issues in health studies is violence. Although violence against nurses has been recognized as a major occupational problem, its magnitude and extent is not clearly defined. The aim of this study was to determine the extent and types of violence during clinical training of nursing students. METHODS: In this descriptive and cross-sectional study, 180 sophomores, juniors and seniors of Shahid Beheshti, Tehran and Iran Medical Universities were selected by quota...

  14. Nurses' experiences of clinical commissioning group boards.

    Science.gov (United States)

    Allan, Helen; O'Driscoll, Mike; Savage, Jan; Lee, Gay; Dixon, Roz

    2016-06-15

    Aim To explore the experience of governing body nurses appointed to clinical commissioning group (CCG) boards; how they perform their responsibilities; and their perceived effectiveness in ensuring safe, patient-centred care and the factors that influence their effectiveness. Method This was a small pilot study using a mixed methods approach. There were four phases of the study: literature review, qualitative data collection (interviews), quantitative data collection (survey), and final data analysis. Findings In the early stages of the formation of CCGs, few governing body nurses had relevant experience to meet the needs of a strategic role, and many of these nurses had no proper job description, too little time to carry out their responsibilities, little management support, and unequal access to training, development, formal support or supervision compared to GP colleagues. Two working patterns or models of work of governing body nurses emerged: the full-time integrated executive statutory role and the part-time non-executive statutory role. Quality and quality assurance were the most frequently cited roles or responsibilities of governing body nurses in CCGs, and their highest priority was to improve the population's health. Conclusion The role of governing body nurse has emerged at a time of organisational change, and following extensive criticism of nursing and nurses in the media. Nurses' roles and experiences are affected by these contextual events and by the emerging structures and diversity of CCGs. Further research is required into the leadership role of governing body nurses, succession planning, and the effectiveness of their relationships with other senior nurses. PMID:27305258

  15. Understanding clinical nursing education: An exploratory study.

    Science.gov (United States)

    Dahlke, Sherry; O'Connor, Maureen; Hannesson, Teresa; Cheetham, Karleen

    2016-03-01

    Clinical experiences are recognized as a critical aspect of nursing education, highlighting the importance of the perspectives of those providing clinical instruction. The aim of this mixed methods descriptive study was to discover the knowledge and guidance needs of preceptors and clinical faculty who provide clinical instruction to Bachelor of Science in Nursing (BSN) students. Fifteen clinical faculty and 17 preceptors were surveyed using a questionnaire developed and piloted by the researchers. Although preceptors and clinical faculty reported a high level of knowledge and confidence in their ability to guide student nurses, they also identified the need for additional support for their teaching roles. Analysis of the qualitative data provided insights into what helped and what hindered clinical instruction, as well as what could enhance clinical instruction. The development, implementation, and evaluation of formal education and mentorship processes for preceptors and clinical faculty are recommended in order to meet these knowledge and guidance gaps. Further research is also needed to explore how to clinical instruction could be tailored to the capacity of those engaged in the experiences and to clinical environments. PMID:26775165

  16. 临床护士资讯素养的研究现状%Review of information literacy research among clinical nurses

    Institute of Scientific and Technical Information of China (English)

    周金莉; 万艳平

    2011-01-01

    With the rapid development of informatics and network in the 21st Century,information literacy has become a basic quality for a modem citizen.It is also an important ability that a clinical nurse should have.Therefore,This paper summarized the meaning of information literacy ,its research status in nursing practice and its application in nursing education, nursing management and clinical nursing.The training on information literacy for nurses should be strengthened and the capacity of obtaining and using the information should be improved ,thus increasing the quality of nursing.%面对21世纪信息化、网络化的迅速发展,资讯素养已经成为现代公民生活所必须的基本素质.资讯素养是临床护理人员需要具备的重要能力.文章阐述了资讯素养的涵义及其在护理实践中的研究现状和在护理教育、护理管理、临床护理的应用现状.为加强护理人员资讯素养能力的培训,提高护士信息索取和利用能力,以期提高护理质量提供参考依据.

  17. The Importance of Nursing Research

    OpenAIRE

    Tingen, Martha S.; Burnett, Anna H.; Murchison, Rachel B.; Zhu, Haidong

    2009-01-01

    Nursing research has a tremendous influence on current and future professional nursing practice, thus rendering it an essential component of the educational process. This article chronicles the learning experiences of two undergraduate nursing students who were provided with the opportunity to become team members in a study funded by the National Institute of Nursing Research. The application process, the various learning opportunities and responsibilities performed by the students, and the b...

  18. Clinical autonomy and nurse/physician collaboration in emergency nurses

    OpenAIRE

    Cotter, Patrick Thomas

    2013-01-01

    Aim: To investigate clinical autonomy and Nurse/Physician collaboration among emergency nurses and the relationship between these concepts, personal characteristics and organisational influences. Background: Nurses have been identified as having a significant role in addressing the challenges of providing modern healthcare. Emergency nurses have reported competence in a wide range of emergency care skills. However, there is evidence that Emergency Department (ED) nurses may have lower levels ...

  19. Clinical skills competence of nursing students

    OpenAIRE

    Kirwa, Lilian; Gakere, Zipporah

    2016-01-01

    Nursing skills competency is important knowledge throughout nursing carrier, it is part of basic practical skills that is vital to all nursing students. The purpose of this thesis was to create awareness to first year nursing students of Lahti University of applied sciences about the importance of practicing nursing skills early on in their studies through skills lab practice in a clinical setting. The aim was to enlighten the importance of practicing nursing hand skills repetitively. It was ...

  20. 77 FR 59199 - National Institute of Nursing Research; Notice of Closed Meetings

    Science.gov (United States)

    2012-09-26

    ... 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...

  1. 78 FR 52938 - National Institute of Nursing Research; Notice of Closed Meeting

    Science.gov (United States)

    2013-08-27

    ... 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...

  2. 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

    2012-01-01

    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

  3. Enhancing Patient Safety Using Clinical Nursing Data: A Pilot Study.

    Science.gov (United States)

    Choi, Jeeyae; Choi, Jeungok E

    2016-01-01

    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. PMID:27332171

  4. The clinical nurse educator as leader.

    Science.gov (United States)

    Adelman-Mullally, Theresa; Mulder, Cindy K; McCarter-Spalding, Deborah E; Hagler, Debra A; Gaberson, Kathleen B; Hanner, Mary Beth; Oermann, Marilyn H; Speakman, Elizabeth T; Yoder-Wise, Patricia S; Young, Patricia K

    2013-01-01

    The National League for Nursing recognizes leadership as an important aspect of the educator role. The purpose of this article is to describe leadership in the context of clinical nursing education and how clinical nurse educators enact leadership. The article identifies particular nursing practice skills and strengths that clinicians bring to nursing education that enhance leadership knowledge, skills, and abilities. After review of several leadership models, we identified five overarching themes that demonstrate how clinical nurse educators exemplify the various models including role modeling, providing vision, helping students to learn, challenging the system or status quo, and seeking relational integrity. We explicate the themes with examples affirming the leadership potential of clinical nurse educators, and suggest ways in which nursing faculty members and administrators might draw on the leadership capital of clinical nurse educators. PMID:22854312

  5. Role modeling excellence in clinical nursing practice.

    Science.gov (United States)

    Perry, R N Beth

    2009-01-01

    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. PMID:18590978

  6. Clinical Nursing Instructor Perception of the Influence of Engagement in Bedside Nursing Practice on Clinical Teaching

    Science.gov (United States)

    Berndt, Jodi L.

    2013-01-01

    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…

  7. 75 FR 55808 - National Institute of Nursing Research; Notice of Closed Meeting

    Science.gov (United States)

    2010-09-14

    ... 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..., National Institute of Nursing Reserach, National Institutes of Health, 6701 Democracy Blvd, Rm....

  8. Clinical Research

    DEFF Research Database (Denmark)

    Christensen, Irene

    2016-01-01

    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 so...... 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....

  9. Clinical nurses' characterizations of patient coping problems.

    Science.gov (United States)

    Becket, N

    1991-01-01

    The author reports the findings from a qualitative study of diagnostic data obtained and interpreted by hospital nurses on the coping of adult patients and their families. Clinical data taken from taped interviews were transcribed and analyzed using grounded theory and analytic induction techniques. The data were then compared with diagnoses accepted for testing by NANDA. The phenomena described by the research did not match the NANDA constructs for individual and family coping problems. Nurses' assessments of coping response, however, fit within transactional theory. The use of the term "ineffective" to qualify coping was generally avoided. Ineffective coping, suggesting an outcome or product of coping, was not often considered applicable to the coping responses nurses found appropriate at specific times in specific situations. PMID:1873103

  10. Participatory Action Research in clinical nursing practice in a medical ward

    DEFF Research Database (Denmark)

    Kjerholt, Mette; Wagner, Lis; Lindhardt, Tove;

    2016-01-01

    Background: Action research with a participatory approach (PAR) was used as research design in a medical ward but stopped midway because of lack of active actor participation in the actions. Aim: To describe challenges and barriers influencing lack of participation. Setting: A medical hospital ward...... framework and conditions are present not only prior to but during the entire project process. Implications. The study shows that PAR is not always suitable as research approach in a busy hospital ward. Furthermore, the study outlines methodological questions in relation to use of PAR....

  11. Attributes of clinical leadership in contemporary nursing: an integrative review.

    Science.gov (United States)

    Mannix, Judy; Wilkes, Lesley; Daly, John

    2013-08-01

    Effective clinical leadership is offered as the key to healthy, functional and supportive work environments for nurses and other health professionals. However, as a concept it lacks a standard definition and is poorly understood. This paper reports on an integrative review undertaken to uncover current understandings of defining attributes of contemporary clinical leadership in nursing. Data collection involved a search of relevant electronic databases for a 10-year period. Keywords for the search were 'clinical leadership' and 'nursing'. Ten research papers met the inclusion criteria for the integrative review. Analysis of these studies indicated clinical leadership attributes had a clinical focus, a follower/team focus or a personal qualities focus; attributes necessary to sustain supportive workplaces and build the capacity and resilience of nursing workforces. The small number of research-based studies yielded for the review indicates the need for further research in the area of clinical leadership. PMID:24099222

  12. Academic training and clinical placement problems to achieve nursing competency

    Directory of Open Access Journals (Sweden)

    NARJES RAHMATI SHARGHI

    2015-01-01

    Full Text Available Introduction: High quality of care is one of the requirements of nursing which depends on the nursing competency. In this connection, the aim of this research was to determine the problems related to the academic training (nursing’ educational program and clinical practice to achieve competency from the viewpoint of nurses, faculty members, and nursing students. Methods: The study was an analytical cross-sectional one. The sample consisted of the academic staff, the third and the fourth year nursing students and nurses in practice. The instrument of the study was a two-part researcher-made questionnaire with 22 questions in the theoretical- clinical realm to assess problems related to the theoretical and clinical teaching in nursing, and 23 questions to assess the clinical functions. The questionnaire was validated in terms of both face and content validity. Its reliability, using Cronbach’s Alpha coefficient, was 0.72 in the theoretical-clinical and 0.73 in the clinical realm. Both descriptive and analytical statistics were used to analyze the data, using SPSS software. Results: The results of this study indicated that from the participants’ viewpoints, the most important problems in the academic education for nurses to acquire competency were as follows: lack of academic research during the clinical period (88.9%, no application of theoretical aspects of the nursing process in practice (85.6%, insufficient knowledgeable and professional educators (81.1%, the use of traditional routine-oriented methods on the wards (75.6%; also insufficient time for performance based on knowledge in relation to the nurse’s workload (86.5%, weakness and usefulness of scientific function encouragement systems in clinic (85.2%, and learnt theoretical subjects not coming into practice in clinical fields after graduation (75.6%. Conclusion: Efforts to reduce the gap between the theoretical and practical (clinical function knowledge in educational and work

  13. Nursing students’ valuation on their clinical clerkship

    OpenAIRE

    Ana R. Rodríguez Gonzalo; María Jesús Muñoz Lobo; Félix Sánchez Vicario; Ascensión Cuñado Barrio; Isabel Gómez García

    2011-01-01

    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 s...

  14. A survey of clinical nursing skills in intellectual disability nursing

    OpenAIRE

    McKeon, Michael

    2009-01-01

    In this study the question asked is: what clinical nursing skills are predominantly used in intellectual disability nursing? A survey of the nursing needs of people with moderate to severe intellectual disability in both residential and community units was undertaken with a questionnaire.The measure was a Likert design scale ranging across: skills used more than once a day, skills used daily, skills used weekly, skills used monthly, skills very rarely used, and skills never used.The results o...

  15. Recruiting and retaining competent clinical nurses. The Clinical Promotion Project Victoria General Hospital, Halifax, Nova Scotia.

    Science.gov (United States)

    Grantham, M; Ross, S E; MacKay, R; Banfield, V; Brown, J; Beanlands, H

    1989-06-01

    A career advancement program for nurses has been developed and implemented at the Victoria General Hospital, Halifax, as part of a manpower planning strategy for recruitment and retention of clinical nurses. A competency based performance appraisal system was developed and implemented as part of the program. This system identifies four levels of clinical expertise. Progression through each level indicates that a nurse has achieved a certain level of skill, knowledge and abilities. Demonstrated competence in one level is a prerequisite to promotion to the next level of practice. Implementation of this system provides clinical career opportunities for nurses in direct patient care. This article will provide the nurse administrator with an insight into the development and implementation of a clinical career advancement program. Future articles will described the research evaluation of the Clinical Performance Appraisal System and clinical nurses' reactions to the new system. PMID:2486680

  16. National Institute of Nursing Research

    Science.gov (United States)

    ... by Care Recipients Magnet Hospitals May Provide Better Surgical Outcomes Many Older People Experience Hip Disability Before Fracture Chronic Pain's Impact on Resuming Work Quick Links NINR's 30th Anniversary Advancing Nursing Research Through Data Science Precision Medicine at NINR ...

  17. Trends in Publication of Nursing Informatics Research

    OpenAIRE

    Kim, Hyeoneui; Ohno-Machado, Lucila; Oh, Janet; Jiang, Xiaoqian

    2014-01-01

    We analyzed 741 journal articles on nursing informatics published in 7 biomedical/nursing informatics journals and 6 nursing journals from 2005 to 2013 to begin to understand publication trends in nursing informatics research and identify gaps. We assigned a research theme to each article using AMIA 2014 theme categories and normalized the citation counts using time from publication. Overall, nursing informatics research covered a broad spectrum of research topics in biomedical informatics an...

  18. Marking out the clinical expert/clinical leader/clinical scholar: perspectives from nurses in the clinical arena

    OpenAIRE

    Mannix, Judy; Wilkes, Lesley; Jackson, Debra

    2013-01-01

    Background Clinical scholarship has been conceptualised and theorised in the nursing literature for over 30 years but no research has captured nurses’ clinicians’ views on how it differs or is the same as clinical expertise and clinical leadership. The aim of this study was to determine clinical nurses’ understanding of the differences and similarities between the clinical expert, clinical leader and clinical scholar. Methods A descriptive interpretative qualitative approach using semi-struct...

  19. 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

    2012-01-01

    (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.

  20. Clinical nurse specialists: state of the profession and challenges ahead.

    Science.gov (United States)

    Heitkemper, Margaret M; Bond, Eleanor F

    2004-01-01

    Clinical nurse specialists (CNSs) are enjoying a rebirth. As health science and healthcare increase in complexity, it is critical that nurse experts provide leadership to improve patient care, advance nursing practice, and strengthen healthcare delivery systems. CNSs with specialty expertise combined with competencies in patient care, nursing practice, and healthcare delivery systems are essential to translating the products of our vast research enterprise into policies and practices that serve the patient. Many challenges loom. New diseases have emerged; treatments change constantly. We are newly aware of the gravity of the perils posed by natural and man-made disasters. Patients use complimentary and alternative health practices but we do not understand the power and risks of these approaches. Information technology makes possible new approaches to educating nurses and patients and tracking clinical outcomes. CNSs are vital to building a healthcare system that is evidence based, patient centered, outcome effective, safe, ethical, interdisciplinary, and cost-effective. PMID:15360045

  1. The nurse researcher: an added dimension to qualitative research methodology.

    Science.gov (United States)

    Gardner, G

    1996-09-01

    Nurse researchers are increasingly adopting qualitative methodologies for research practice and theory development. These approaches to research are, in many cases, more appropriate for the field of nursing inquiry than the previously dominant techno-rational methods. However, there remains the issue of adapting methodologies developed in other academic disciplines to the nursing research context. This paper draws upon my own experience with interpretive research to raise questions about the issue of nursing research within a social science research framework. The paper argues that by integrating the characteristics of nursing practice with the characteristics of research practice, the researcher can develop a 'nursing lens', an approach to qualitative research that brings an added dimension to social science methodologies in the nursing research context. Attention is drawn to the unique nature of the nurse-patient relationship, and the ways in which this aspect of nursing practice can enhance nursing research. Examples are given from interview transcripts to support this position. PMID:8868728

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

    Science.gov (United States)

    Thomas, Sandra P; Burk, Renee

    2009-01-01

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

  3. Action research in nursing homes

    DEFF Research Database (Denmark)

    Andersen, John; Bilfeldt, Annette

    2016-01-01

    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....

  4. Comparison of nursing students’ and clinical nurses’ attitude toward the nursing profession

    OpenAIRE

    Koushali, Ali Noruzi; Hajiamini, Zahra; Ebadi, Abbas

    2012-01-01

    Background: To develop nursing education and promote nursing strategies, there is a need for a staff with positive attitude. The present study was conducted to compare the attitudes among clinical nurses and nursing students toward the nursing profession. Materials and Methods: In this descriptive- analytical study 313 clinical nurses and 81 nursing students (total n = 394) of Tehran, Iran, were selected through a systematic sampling method and their viewpoints were investigated using a nursi...

  5. Finnish nurses' attitudes towards nursing research and related factors.

    Science.gov (United States)

    Kuuppelomäki, Merja; Tuomi, Jouni

    2005-02-01

    This study was concerned with Finnish nurses' attitudes to nursing research and with the associations of different background factors with these attitudes. The data were collected with a purpose-designed, structured questionnaire. The study was carried out in one central hospital, one central university hospital and 10 community health centres in Finland. A total of 400 nurses took part. The response rate was 67%. The data were analysed using SPSS statistical software. Attitudes to nursing research were generally quite positive, although over half of the nurses felt their own relationship to nursing science was quite distant. There were also shortfalls with respect to the information value and utilisation of research results. Only one-third took the view that doing research is an important part of the nurse's job. Age, the frequency of reading the professional literature, participation in training courses, training received in research and development, and the type of workplace were associated with attitudes. The results underline the importance of paying closer attention to the choice of research objects in the field of nursing science. Greater effort should also be invested in supporting and developing the application of research results. It is recommended that more courses on research methodology and other relevant training be made available to practical nurses. PMID:15680617

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

    Science.gov (United States)

    Missen, Karen; McKenna, Lisa; Beauchamp, Alison

    2016-06-01

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

  7. Clinical and nursing problems in Crohn’s disease

    OpenAIRE

    Iwona Wawrzycka; Martyna Głuszek-Osuch; Stanisław Głuszek

    2013-01-01

    Introduction: Crohn’s disease (CD) is a transmural, typically granulomatous intestinal inflammation and may affect any part of the gastrointestinal tract, from the mouth to the anus. The complexity of the course of CD along with its complications (fistulas, perforation, and bleeding into the gastrointestinal tract) requires doctors and nurses to have specialised knowledge that conditions the treatment of this disease. Aim of the research : To present the clinical image and nursing probl...

  8. Philosophic analysis of a theory of clinical nursing.

    Science.gov (United States)

    Schafer, P J

    1987-01-01

    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

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

    Directory of Open Access Journals (Sweden)

    MM Chabeli

    2001-09-01

    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.

  10. 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

    2011-01-01

    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.

  11. Clinical Research and Clinical Trials

    Science.gov (United States)

    ... Meetings, Conferences & Events Partnering & Donating to the NICHD Staff Directory ... Clinical Research Skip sharing on social media links Share this: Page Content Clinical research is research that directly involves a ...

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

    DEFF Research Database (Denmark)

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

    Nursing informatics, ethics and decisions: implications for translational research Objective: To introduce, in the multi-disciplinary contexts of clinical decision making and policy formation, a theory-based decision-analytic framework for the transparent forward translation of research into...... 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 to...

  13. Transition to nursing practice of accelerated second-degree baccalaureate students using clinical coaches.

    Science.gov (United States)

    Bridges, Ruth Ann; Holden-Huchton, Patricia; Armstrong, Myrna L

    2013-05-01

    Among the challenges currently facing nursing is the need for new graduates who are competent to begin providing complex patient care. Innovations in nursing education must lead to outcomes that bridge the gap between nursing education and the beginning competencies that employers need in newly hired graduates. One method for preparing students for patient care is the clinical coach model. This model involves placing a student nurse with an experienced, baccalaureate-prepared staff nurse for 12 months of clinical experience. The student works the same schedule as the coach rather than with a series of preceptors on different units. Coaches attend training conducted by school of nursing faculty, using high-fidelity simulation with clinical scenarios. Coaches and students are supported through weekly visits by clinical faculty. This model of clinical education is one method that provides innovation for clinical nursing education and a foundation for further research. PMID:23458079

  14. Nursing students' perceptions of clinical experience.

    Science.gov (United States)

    Windsor, A

    1987-04-01

    Senior nursing students were interviewed in this study to better understand the clinical learning experience from the students' point of view. Results of the study revealed that the nursing students were indeed learning in their clinical experience. The major categories of learning were classified as nursing skills, time management, and professional socialization. The quality of learning was reportedly affected by the quality of the student's preparation, characteristics of the instructor, and the variety of clinical opportunities to which students were exposed. The data also reflected a pattern of student development which was separated into three stages. The first stage was permeated with anxiety and obsession with the rules of task performance. The second stage was a difficult transition period where students struggled with identifying the roles of nurses. During the final stage, the students become more comfortable with performing nursing tasks and become interested in expanding their role and becoming more independent. As the students strived for independence, they identified more closely with staff nurses and withdrew from instructors. PMID:3035128

  15. Inconsistencies in quality of life data collection in clinical trials: a potential source of bias? Interviews with research nurses and trialists.

    Directory of Open Access Journals (Sweden)

    Derek Kyte

    Full Text Available BACKGROUND: Patient-reported outcomes (PROs, such as health-related quality of life (HRQL are increasingly used to evaluate treatment effectiveness in clinical trials, are valued by patients, and may inform important decisions in the clinical setting. It is of concern, therefore, that preliminary evidence, gained from group discussions at UK-wide Medical Research Council (MRC quality of life training days, suggests there are inconsistent standards of HRQL data collection in trials and appropriate training and education is often lacking. Our objective was to investigate these reports, to determine if they represented isolated experiences, or were indicative of a potentially wider problem. METHODS AND FINDINGS: We undertook a qualitative study, conducting 26 semi-structured interviews with research nurses, data managers, trial coordinators and research facilitators involved in the collection and entry of HRQL data in clinical trials, across one primary care NHS trust, two secondary care NHS trusts and two clinical trials units in the UK. We used conventional content analysis to analyze and interpret our data. Our study participants reported (1 inconsistent standards in HRQL measurement, both between, and within, trials, which appeared to risk the introduction of bias; (2, difficulties in dealing with HRQL data that raised concern for the well-being of the trial participant, which in some instances led to the delivery of non-protocol driven co-interventions, (3, a frequent lack of HRQL protocol content and appropriate training and education of trial staff, and (4 that HRQL data collection could be associated with emotional and/or ethical burden. CONCLUSIONS: Our findings suggest there are inconsistencies in the standards of HRQL data collection in some trials resulting from a general lack of HRQL-specific protocol content, training and education. These inconsistencies could lead to biased HRQL trial results. Future research should aim to develop

  16. Market Research: An Area in Need of Nurse Researchers.

    Science.gov (United States)

    Froberg, Debra G.; And Others

    1986-01-01

    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)

  17. 42 CFR 410.76 - Clinical nurse specialists' services.

    Science.gov (United States)

    2010-10-01

    ... Doctor of Nursing Practice (DNP) doctoral degree; and (3) Be certified as a clinical nurse specialist by... nurse specialist's services; (3) Although incidental, are an integral part of the professional service... immediately available). (e) Professional services. Clinical nurse specialists can be paid for...

  18. Nursing students’ valuation on their clinical clerkship

    Directory of Open Access Journals (Sweden)

    Ana R. Rodríguez Gonzalo

    2011-05-01

    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.

  19. Teaching style in clinical nursing education: a qualitative study of Iranian nursing teachers' experiences.

    Science.gov (United States)

    Hossein, Karimi Moonaghi; Fatemeh, Dabbaghi; Fatemeh, Oskouie Seid; Katri, Vehviläinen-Julkunen; Tahereh, Binaghi

    2010-01-01

    There are many studies about nursing clinical settings and their problems, but the teaching style as a whole has not been widely studied. Therefore, this study aimed to explore nursing teachers' perceptions about teaching style in the clinical settings in Iran. A grounded theory approach was used to conduct this study. Fifteen nursing teachers were interviewed individually, 2006-2007. The interviews were tape-recorded and later transcribed verbatim. The transcriptions were analyzed using Strauss and Corbin's method. Three main and 12 sub themes emerged from data and these could explain the nature of the teaching style in clinical education of the Mashhad Faculty of Nursing and probably others in Iran. The main themes included: multiplicity in teaching style, nature of clinical teaching, and control and adaptation in education atmosphere. Multiplicity in teaching style was the dominant concept in this study. Each educator had a personal and individualized style which was flexible according to the situation, type of the skill (course content), education environment and facilities, and level of the learner. This study can guide nurse educators to know more about teaching styles and use them appropriately in the clinical settings. Further research into the themes of this study are recommended. PMID:19251481

  20. 78 FR 73867 - National Institute of Nursing Research; Notice of Closed Meeting

    Science.gov (United States)

    2013-12-09

    ... 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,...

  1. 78 FR 17420 - National Institute of Nursing Research; Notice of Closed Meeting

    Science.gov (United States)

    2013-03-21

    ... 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,...

  2. Positivism and qualitative nursing research.

    Science.gov (United States)

    Paley, J

    2001-01-01

    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. PMID:11885869

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

    Directory of Open Access Journals (Sweden)

    Xu Tian

    2014-09-01

    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.

  4. 护理临床带教教师科研能力的调查%Investigation on clinical teachers' scientific research abilities for nursing undergraduate

    Institute of Scientific and Technical Information of China (English)

    董胜莲; 魏双江; 吴庆文; 殷丽娟; 苗沙沙

    2011-01-01

    目的 了解教学医院护理本科生毕业实习临床带教教师的护理科研能力,为开展有针对性科研知识培训,提高其科研能力做参考.方法 选择3所综合性三级甲等教学医院参与护理本科生临床带教的221名临床护士进行问卷调查,内容包括一般资料、参与科研及撰写论文情况以及对科研相关知识的了解情况.结果 临床带教教师科研意识较差,参加过科研者为51.1%,主持科研项目者6.8%;51.6%发表过论文;学历高者参与科研、发表论文情况好于学历低者,差异有统计学意义(P<0.01);职称高、直属附属医院的带教教师发表论文好于职称低、非直属附属医院,差异有统计学意义(P<0.01),参与科研情况差异无统计学意义(P>0.05).结论 通过对临床带教教师科研能力的调查提示,应重视对本科生临床带教队伍的管理,提升他们的整体水平,进一步加强临床带教教师的科研意识,针对性地对其进行科研知识的培训,加强带教教师的科研能力.%Objective To explore scientific research ability of clinical teaching teachers of nursing undergraduate. Methods 221 clinical nursing teachers who involved in clinical teaching in 3 three-grade A teaching hospital were investigated by the questionnaires which included general information, research participation, paper writing and the knowledge about nursing research. Results The teachers' awareness about scientific research in these hospitals was worse. Participated was 51. 1%, presided was 6.8%, published was 51.6%. There were statistically significant differences in educational background, title, properties of affiliated hospital. Conclusions It's necessary to further strengthen the teaching quality of the whole clinical team, and to train them with research knowledge to increase their scientific research ability.

  5. Nursing students in clinical practice--developing a model for clinical supervision.

    Science.gov (United States)

    Häggman-Laitila, Arja; Elina, Eriksson; Riitta, Meretoja; Kirsi, Sillanpää; Leena, Rekola

    2007-11-01

    The aim of this study was to develop a model for clinical supervision to promote the clinical practice of nursing students. The study was implemented in Finland and it was carried out in three phases. Firstly, data were collected by means of a literature review and focus group interviews. Secondly, the data were analysed and described in expert groups, and finally the model itself was evaluated by 23 nursing experts. The data of literature review and focus group interviews consisted of 27 studies and four groups from three organisations: nurses (n=7), managers (n=6), teachers (n=8) and students (n=6). The data were analysed by qualitative content analysis. The model devolved from the study includes the concepts describing prerequisites, content and influence of clinical supervision. The prerequisites are nursing skills, a holistic view of the nursing curriculum, pedagogical, organisational, development, cooperation and interaction competence and decision-making skills. The content of clinical supervision includes support of professional development, pedagogical competence, research and development activities and collaborative working. Clinical supervision has influence on students' professional and personal development and conception of the future of nursing profession, students' preparedness for career planning and the teacher's and preceptor's professional development. The model could unify the notions of all parties concerned of the prerequisites, content and influence of clinical supervision. Furthermore, the entire supervision process and its control could be clarified. The model may be utilised in selecting and educating preceptors and evaluating the quality of clinical supervision. PMID:17936544

  6. The Necessity of Ethical Education for Clinical Nurses in Japan

    OpenAIRE

    Adachi,Miyuki; Miyabayashi,Ikuko; Miyawaki,Mihoko

    2000-01-01

    In complex and diversified clinical settings, social needs for patients' rights are increasingly demanded. Although clinical nurses have not received systematic ethics education, they will face ethical problems on a daily basis. To solve these problems, we are required to offer ethics education to clinical nurses. We have conducted a seminar on ethics for clinical nurses at Tottori University Hospital. The purpose of this study is to clarify the current status of nursing ethics. Sixty-six cli...

  7. Clinical Decision Making of Nurses Working in Hospital Settings

    OpenAIRE

    Ida Torunn Bjørk; Hamilton, Glenys A.

    2011-01-01

    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 d...

  8. Integration of biological and nursing sciences: a 10-year plan to enhance research and training.

    Science.gov (United States)

    Cowan, M J; Heinrich, J; Lucas, M; Sigmon, H; Hinshaw, A S

    1993-02-01

    A proposed multiyear plan of funding mechanisms by the National Center for Nursing Research (NCNR) to increase the use of biological theory and measurements in nursing research has been developed for both research training and research programs. The objectives of the research training programs are (a) to develop a cadre of nurse scientists with solid research training in the biological sciences, (b) to upgrade to state-of-the-art biological research for mid-career nurse scientists, and (c) to ensure adequate highly trained biological-nurse manpower will be available to accomplish the nation's nursing research agenda. The objectives of the research programs are (a) to stimulate nurse scientists to undertake novel, innovative research using state-of-the-art biological technology, (b) to link the behavioral and biological underpinnings of nursing science in specified areas of biomedical clinical research, and (c) to ensure that, in the coming decade, nursing science and behavioral research will be inextricably interwoven with biological research. The research training programs include: targeted predoctoral-postdoctoral transitional training, targeted predoctoral or postdoctoral fellowships, training awards for existing institutional training grants in other disciplines, mid-career awards, the Nurse Scientist award, and institutional training grants for biological nursing. The research programs include: small grants programs, augmentation of existing projects in other Institutes, Requests For Applications (RFA) in biobehavioral nursing, cluster studies, and clinical trials. PMID:8488310

  9. Engaging Clinical Nurses in Quality Improvement Projects.

    Science.gov (United States)

    Moore, Susan; Stichler, Jaynelle F

    2015-10-01

    Clinical nurses have the knowledge and expertise required to provide efficient and proficient patient care. Time and knowledge deficits can prevent nurses from developing and implementing quality improvement or evidence-based practice projects. This article reviews a process for professional development of clinical nurses that helped them to define, implement, and analyze quality improvement or evidence-based practice projects. The purpose of this project was to educate advanced clinical nurses to manage a change project from inception to completion, using the Six Sigma DMAIC (Define, Measure, Analyze, Improve, Control) Change Acceleration Process as a framework. One-to-one mentoring and didactic in-services advanced the knowledge, appreciation, and practice of advanced practice clinicians who completed multiple change projects. The projects facilitated clinical practice changes, with improved patient outcomes; a unit cultural shift, with appreciation of quality improvement and evidence-based projects; and engagement with colleagues. Project outcomes were displayed in poster presentations at a hospital exposition for knowledge dissemination. PMID:26430867

  10. Nursing Challenges in Motivating Nursing Students through Clinical Education: A Grounded Theory Study

    OpenAIRE

    Hanifi Nasrin; Parvizy Soroor; Joolaee Soodabeh

    2012-01-01

    Nurses are the first role models for students in clinical settings. They can have a significant role on students' motivation. The purpose of this study was to explore the understanding of nursing students and instructors concerning the role of nurses in motivating nursing students through clinical education. The sampling was first started purposefully and continued with theoretical sampling. The study collected qualitative data through semistructured and interactive interviews with 16 nursing...

  11. 临床护士科研能力和循证护理实践水平的相关性研究%Study on the Correlation Relationship of Clinical Nurses' Scientific Research Ability and Evidence-based Nursing Practice Level

    Institute of Scientific and Technical Information of China (English)

    赵梦遐; 孔令磷

    2015-01-01

    目的了解临床护士的科研能力水平及循证护理实践水平,并探讨二者之间的相关性。方法本研究采用方便整群抽样的方法选取三级甲等综合医院200名临床护士进行问卷调查,包括一般资料调查表、科研能力自评量表、循证实践知信行水平问卷三部分,采用Excel 2003软件和SPSS19.0统计软件建立数据库并进行数据的统计分析。结果临床护士的科研能力总体得分率较低,其中论文写作知识这一维度的得分率最高;科研能力和循证护理实践水平之间的相关系数为0.236,具有正相关关系。结论临床护士的科研能力有待于提高,护理管理者可通过培养护士各方面的临床护理科研能力促进临床循证护理实践的开展。%Objective To understand the clinical nurses' scientific research ability and evidence-based nursing practice level, and to explore the cor elation between the two. Methods 200 clinical nurses in three level of first-class comprehensive hospital were investigated by convenience cluster sampling method in this study , including the general information questionnaire, scientific research ability questionnaire, and the evidence-based practice KAP level questionnaire , the data were analyzed by Excel 2003 software and SPSS19.0 statistical software. Results The overal score of clinical nurses' scientific research ability at a lower rate, the writing knowledge score was highest; the cor elation coef icient between the ability of scientific research and evidence-based nursing practice level is 0.236, which has a positive cor elation. Conclusion Clinical nurse' scientific research ability needs to be improved, and the nursing managers can use to carry out training scientific research ability of clinical nursing in al aspects to promote nurses' clinical evidence-based nursing practice.

  12. Ethnomethodology. I: An approach to nursing research.

    Science.gov (United States)

    Bowers, L

    1992-02-01

    This is the first of two papers outlining and demonstrating an ethnomethodological perspective upon nursing research. The aim of this paper is to introduce the reader to some of the basic ideas of ethnomethodology, and to stimulate nursing researchers into questioning some of the presuppositions involved in their work. To this end ethnomethodology is explored through a series of contrasts between the conventional approach to the sociology of nursing and an ethnomethodological approach. To conclude, some of the areas of interest for ethnomethodological nursing research are outlined. PMID:1551755

  13. Mentors’ implication in clinical learning and assessment of nursing students

    OpenAIRE

    González Chordá, Víctor; Mena Tudela, Desirée; Cervera Gasch, Águeda; Salas Medina, Pablo; Folch Ayora, Ana; Orts Cortés, María Isabel; Maciá Soler, Loreto

    2014-01-01

    Nursing Education in Europe is regulated by law from 2005. Clinical learning comprises at least 50% of the total degree program in nursing. It is necessary rely on professionals nurses involved in the learning process and skills development assessment. The level of implication in learning processes of these professional nurses is very important to ensure good results.

  14. The effect of nursing staff on student learning in the clinical setting.

    Science.gov (United States)

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

    2016-06-01

    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. PMID:27275914

  15. Nurses' intention to apply clinical practice guidelines.

    Science.gov (United States)

    Kogan, Ella; Tabak, Nili

    2012-12-01

    Using Ajzen and Madden's Theory of Planned Behavior, this study investigates factors which influence nurses' intention to apply clinical practice guidelines in their daily ward work. A convenience sample of 91 nurses in internal medicine wards in three Israeli hospitals answered four questionnaires. Data were processed by Pearson correlation coefficients and multivariate regression. The main findings were that burnout was negatively correlated with the intention to work according to guidelines and that professionalism (in the sense of a tendency to follow taught procedure rather than personal judgment) was positively correlated with it. Furthermore, nurses who perceive their behavioral control and subjective norms to be positive will be the most determined to work according to guidelines, provided they personally command the necessary resources to do so. PMID:23447906

  16. 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

    2011-01-01

    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.

  17. Strategies for Improving Nursing Students' Mental Health Clinical Rotation.

    Science.gov (United States)

    Kroning, Maureen

    2016-01-01

    Mental illness is a huge problem many people face in the U.S. and around the world. The American Psychiatric Nurses Association indicates there is a shortage of nurses in every level and role in psychiatric-mental health nursing. Raising up a generation of nurses who want to work with the mentally ill is a challenge for nurse educators. The use of role playing and simulation in the learning lab prior to entering the clinical setting and reflective journaling in the clinical rotation can improve undergraduate nursing students' mental health clinical experience. PMID:27295244

  18. Interdisciplinarity and nursing research: opportunities and challenges.

    Science.gov (United States)

    Carnevale, Franco A

    2014-01-01

    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. PMID:25590876

  19. Interdisciplinarity and nursing research: opportunities and challenges

    Directory of Open Access Journals (Sweden)

    Franco A. Carnevale

    2014-12-01

    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.

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

    OpenAIRE

    Ernestina M. Caka; Sebi Lekalakala-Mokgele

    2013-01-01

    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...

  1. Nurses' Clinical Decision Making on Adopting a Wound Clinical Decision Support System.

    Science.gov (United States)

    Khong, Peck Chui Betty; Hoi, Shu Yin; Holroyd, Eleanor; Wang, Wenru

    2015-07-01

    Healthcare information technology systems are considered the ideal tool to inculcate evidence-based nursing practices. The wound clinical decision support system was built locally to support nurses to manage pressure ulcer wounds in their daily practice. However, its adoption rate is not optimal. The study's objective was to discover the concepts that informed the RNs' decisions to adopt the wound clinical decision support system as an evidence-based technology in their nursing practice. This was an exploratory, descriptive, and qualitative design using face-to-face interviews, individual interviews, and active participatory observation. A purposive, theoretical sample of 14 RNs was recruited from one of the largest public tertiary hospitals in Singapore after obtaining ethics approval. After consenting, the nurses were interviewed and observed separately. Recruitment stopped when data saturation was reached. All transcribed interview data underwent a concurrent thematic analysis, whereas observational data were content analyzed independently and subsequently triangulated with the interview data. Eight emerging themes were identified, namely, use of the wound clinical decision support system, beliefs in the wound clinical decision support system, influences of the workplace culture, extent of the benefits, professional control over nursing practices, use of knowledge, gut feelings, and emotions (fear, doubt, and frustration). These themes represented the nurses' mental outlook as they made decisions on adopting the wound clinical decision support system in light of the complexities of their roles and workloads. This research has provided insight on the nurses' thoughts regarding their decision to interact with the computer environment in a Singapore context. It captured the nurses' complex thoughts when deciding whether to adopt or reject information technology as they practice in a clinical setting. PMID:26066306

  2. Mixed methods research in mental health nursing.

    Science.gov (United States)

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

    2011-08-01

    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. PMID:21749560

  3. Improving Cancer Care Through Nursing Research.

    Science.gov (United States)

    Mayer, Deborah K

    2015-09-01

    Nursing research and nurse researchers have been an integral and significant part of the Oncology Nursing Society's (ONS's) history, as evidenced by the development of the Nursing Research Committee within a few years of ONS's establishment. Ruth McCorkle, PhD, RN, FAAN, was the committee's first chairperson in 1979. This was followed by the creation of the Advanced Nursing Research Special Interest Group in 1989 under the leadership of Jean Brown, PhD, RN, FAAN. ONS also began to recognize nurse researchers in 1994 by creating the annual ONS Distinguished Researcher Award to recognize the contributions of a member who has conducted or promoted research that has enhanced the science and practice of oncology nursing. The list of recipients and of their work is impressive and reflects the wide range of our practice areas (see http://bit.ly/1MTC5cp for the recipient list). In addition, the ONS Foundation began funding research in 1981 and has distributed more than $24 million in research grants, research fellowships, and other scholarships, lectures, public education projects, and career development awards (ONS Foundation, 2015). And, in 2006, the Putting Evidence Into Practice resource was unveiled, which provides evidence-based intervention reviews for the 20 most common problems experienced by patients with cancer and their caregivers (www.ons
.org/practice-resources/pep)
. PMID:26302272

  4. The importance of communication for clinical leaders in mental health nursing: the perspective of nurses working in mental health.

    Science.gov (United States)

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

    2013-11-01

    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. PMID:24131413

  5. 国家临床重点专科建设对优质护理服务影响的质性研究%Qualitative research about impact of constructing national key clinical specialty on high quality nursing service

    Institute of Scientific and Technical Information of China (English)

    何琼; 江智霞; 雷丹; 苏小林; 赖榕霏

    2015-01-01

    目的 探讨国家临床重点专科建设对优质护理服务的影响.方法 采用现象学研究方法,深入访谈临床医生、护士及护理管理者14人,并用Colaizzi 7步分析法分析访谈资料.结果 医护人员体验:项目建设一定程度促进了护理专科发展、医疗环境和设备完善、护理服务能力提高及质量改善,医护患间的合作更加紧密,但护士工作压力增大,职业倦怠明显.结论 国家临床重点专科建设能有效促进优质护理服务的深入开展,改善患者就医感受,但护士工作压力增大,岗位绩效管理不完善制约了护理专科的发展.%Objective The aim of this study was to investigate the impact of constructing national key clinical specialty on high quality nursing service.Methods Using the Colaizzi 7-step analysis method to analyze the information,which through using the phenomenology research methods by making interviews with 14 clinicians,nurses and nursing administrators.Results The clinical medical staffs experienced the construction of key clinical specialist,to some extent,that would promote the development of nursing discipline,enhancing the environment and equipment in hospital,having improvement on the ability of nursing service and quality simultaneously,and then the cooperation between medical staffs and patients were more closely,while nurses bearing increased work pressure,with obviously job burnout.Conclusions The national key clinical specialist construction would effectively launching nursing quality care in depth and improving patient satisfaction with medical care,while the working pressure of nurses and the imperfection of post performance management restricted the development of nursing discipline.

  6. Investing in nursing research in practice settings: a blueprint for building capacity.

    Science.gov (United States)

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

    2013-12-01

    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. PMID:24377848

  7. Nursing research and the human sciences.

    Science.gov (United States)

    Malinski, Violet M

    2002-01-01

    Nursing has long been associated with the natural sciences. However, more recently some nurses have begun to identify it as a human science. The epistemological and ontological bases then shift, with clear implications for the research approaches that are regarded as the most useful. This column offers a discussion of the worldviews represented in contemporary nursing knowledge, focusing particularly on the newer paradigm that includes the view of nursing as a human science, and the place of qualitative and quantitative research. Neither the human sciences nor the natural sciences are seen as providing a sufficient base for all nursing knowledge. Both qualitative and quantitative approaches are viewed as potentially useful strategies given the nature of the phenomenon to be explored. Parallels to current discussions of worldviews and research methods in transpersonal psychology are identified. PMID:11873465

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

    Directory of Open Access Journals (Sweden)

    Laila Akhu-Zaheya

    2015-06-01

    Full Text Available 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 public universities in Jordan participated in the study. Results: The results showed that the mean of stress perceived by students was 45.9. Students’ assignment were perceived as the main source of stress (M= 10.7, SD= 4.5 followed by stress related to patients’ care (M= 10.5, SD= 5.5 and stress from teachers and nursing staff (M= 9.6, SD= 5.3. The lowest source of stress is from students’ lack of professional knowledge and skills (M= 3.96; SD= 2.8. The mean of students’ clinical performance is 73.4%. Students’ perceived stress has a significant negative correlation with students’ clinical performance (r= -.09; p <.05. The results also showed significant negative correlation between stress related to lack of professional knowledge and skills, and stress related to patient care and students’ clinical performance. Conclusion: This study expanded on students’ stress in clinical settings, and warrants further research in assessing its impact on their performance. Teachers should be aware of and help students to overcome and cope with said stress related factors in the clinical settings effectively.

  9. PSYCHIATRIC CLINICAL PLACEMENT UPON NURSING STUDENTS PERCEIVED KNOWLEDGE IN CARING FOR MENTALLY ILL

    OpenAIRE

    Herry Prasetyo

    2012-01-01

    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 ...

  10. Nursing research and bibliographic citation models.

    Science.gov (United States)

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

    2009-01-01

    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. PMID:19669051

  11. Informed consent practices of Chinese nurse researchers.

    Science.gov (United States)

    Olsen, Douglas P; Honghong Wang; Pang, Samantha

    2010-03-01

    Nursing research in China is at an early stage of development and little is known about the practices of Chinese nurse researchers. This interview study carried out at a university in central China explores the informed consent practices of Chinese nurse researchers and the cultural considerations of using a western technique. Nine semistructured interviews were conducted in English with assistance and simultaneous translation from a Chinese nurse with research experience. The interviews were analyzed by one western and two Chinese researchers and major themes were identified. All participants endorsed informed consent as ethically required. Differences were noted between some of the informed consent practices typically recommended in the USA and those identified in this study, such as: recruitment using local and government officials, recruiting directly from medical records without special permission, family consultation in consent and consent control, and not revealing randomization to intervention groups receiving different treatments. PMID:20185442

  12. Do calculation errors by nurses cause medication errors in clinical practice? A literature review.

    Science.gov (United States)

    Wright, Kerri

    2010-01-01

    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

  13. Nursing students' perceptions about clinical learning environment in Turkey.

    Science.gov (United States)

    Serçekuş, Pınar; Başkale, Hatice

    2016-03-01

    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. PMID:26787194

  14. Development of the Massachusetts School Nurse Research Network (MASNRN): A Practice-Based Research Network to Improve the Quality of School Nursing Practice

    Science.gov (United States)

    Vessey, Judith A.

    2007-01-01

    When school nurses embrace evidence-based practice (EBP), higher-quality care is provided to students, their families, and the larger community. Despite this, school nursing has been slow to embrace EBP. Practice-Based Research Networks (PBRNs), which capitalize on the combined strengths of clinicians and researchers to study clinical questions,…

  15. Development of the University of California, San Francisco Microcomputer Facility for Nursing Research and Development

    OpenAIRE

    Holzemer, W. L.; Slichter, M.J.; Slaughter, R.E.; Stotts, N.A.

    1983-01-01

    The ongoing development of microcomputer technology has fostered a great deal of new thinking about clinical nursing research and professional education. A facility for the expansion of these areas utilizing this technology has been established at the UCSF School of Nursing. Projects currently implemented include the development of microcomputer-based clinical nursing simulations, research training, and the development of courseware for general computer literacy as well as advanced special to...

  16. Clinical reasoning of nursing students on clinical placement: Clinical educators' perceptions.

    Science.gov (United States)

    Hunter, Sharyn; Arthur, Carol

    2016-05-01

    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. PMID:27235568

  17. Continual summing-up, deepening the related researches and improving the interventional nursing

    International Nuclear Information System (INIS)

    With the development of the medical technique in the field of clinical interventional radiology, the relevant interventional nursing team has also gradually grown and expanded. At present, there are certain differences in the development situation of interventional nursing between China and foreign countries. The experts in nursing fields in China should learn the matured experience from abroad to open up the features and superiorities of Chinese interventional nursing. Therefore, the nursing workers in China should continually to make summing-up, exert oneself to deepen the related researches and effectively improve the interventional nursing level. (authors)

  18. Research Priorities in Neonatal and Pediatric Nursing

    OpenAIRE

    Thaíla Corrêa Castral; Mariana Firmino Daré; Carmen Gracinda Silvan Scochi

    2014-01-01

    In Brazil, Nursing accounts for approximately 60% (R$ 1.3 million) of the human resources of the Unified Health System (the national public health system, SUS by its acronym in Portuguese), thus making a significant contribution to health care. There is an utmost need to accelerate the process of implementing research into practice. In this setting, nursing has the potential to improve the quality of health research findings and, therefore, improve innovative health care technologies. ...

  19. Trends in breastfeeding research by Brazilian nurses

    OpenAIRE

    Oriá Mônica Oliveira B.; Glick Doris F.; Alves Maria Dalva S.

    2005-01-01

    Exclusive breastfeeding is acknowledged as important for survival, optimal growth, and development of infants. The current review presents a synthesis of research output by Brazilian nurses on breastfeeding over the last 20 years, analyzes the theoretical and methodological issues emerging from studies on breastfeeding in Brazil, and provides directions for future research and practice by nurses in the area breastfeeding. Studies included in this review were identified through LILACS searches...

  20. [The historical background and present development of evidence-based healthcare and clinical nursing].

    Science.gov (United States)

    Tsai, Jung-Mei

    2014-12-01

    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. PMID:25464952

  1. CME ON CLINICAL RESEARCH

    Directory of Open Access Journals (Sweden)

    Suneel. I. Majagi

    2012-06-01

    , 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

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

    OpenAIRE

    Laila Akhu-Zaheya; Insaf Shaban; Wejdan Khater

    2015-01-01

    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...

  3. Diploma Nursing Students' Attitudes toward Psychiatric Nursing, Role Models, and Clinical Placement.

    Science.gov (United States)

    Holder, Elizabeth; Mark, Tony

    A study was conducted at Humber College to investigate the attitudes of college-prepared diploma nursing students towards psychiatric nursing. Specifically, the study sought to determine the effect of psychiatric nursing role models on student attitudes, and whether a relationship existed between clinical placement and student attitudes. The study…

  4. Senior student nurse proficiency: A comparative study of two clinical immersion models.

    Science.gov (United States)

    Kumm, Sharon; Godfrey, Nelda; Richards, Veronica; Hulen, Jennifer; Ray, Kristin

    2016-09-01

    This study focused on identifying the best clinical learning model that would support nursing practice readiness following each immersion experience. Practicum preceptors completed surveys in which evaluated student preparation/readiness by assessing clinical knowledge, technical skills, critical thinking, communication, professionalism, management of responsibilities, and overall performance. The study results yielded no statistical significance when comparing both models. Future research is needed to analyze the impact of clinical hours offered in the senior immersion experience along with the curriculum content differences among various models of clinical experiences in undergraduate nursing programs to ensure practice readiness of nursing graduates. PMID:27429344

  5. [Planning nursing teaching: educational purposes and clinical competence].

    Science.gov (United States)

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

    2009-06-01

    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. PMID:19655664

  6. 运用医护一体化模式提高护士临床科研能力的实践与效果%With the model of doctor-nurse col aborating practice and effect of clinical scientific research ability of the nurses

    Institute of Scientific and Technical Information of China (English)

    劳豫玲

    2014-01-01

    Objective:Explore the use of doctor-nurse col aborating model to improve the ability of nurses in clinical practice and research results. Methods:Composition in September of 2012 scientific research study groups, doctor-nurse col aborating model to promote the use of medical care in the clinical research of mutual cooperation in scientific research and basic knowledge of observed and compared before and after the implementation of the doctor-nurse col aborating modelof nurse, statistics, statistical operations, essay writing knowledge and change of the number of published papers and the number of people involved in scientific research.Result:After implementation, the basics of nursing research, statistical knowledge, statistical operations, essay writing knowledge than before nurses were significantly increased (P <0.05); After implementation, the number of papers published and nurses involved in research than before the number of nurses were significantly increased (P <0.05).Conclusion:Use of doctor-nurse col aborating model can effectively enhance scientific awareness and research capacity of nurses to improve nursing initiative, enthusiasm and creativity, and promote the smooth commencement of the work of nursing research, nursing theory to promote knowledge and skil s constantly updated, should be widely applied.%目的:探讨运用医护一体化模式提高护士临床科研能力的实践与效果。方法:2012年9月组成科研学习小组,运用医护一体化模式促进医护在临床科研中相互合作,观察比较医护一体化模式实施前后护士的科研基础知识﹑统计学知识﹑统计学操作﹑论文写作知识及发表论文数及参与科研的人数变化情况。结果:实施后护理人员的科研基础知识﹑统计学知识﹑统计学操作﹑论文写作知识较实施前护理人员均明显提高( P<0.05);实施后护理人员的发表论文数与参与科研人数较实施前护理人员均明显提高(P<0

  7. Strengthening the research and development on nursing instruments

    International Nuclear Information System (INIS)

    The current status about nursing instruments is described. The nursing work is an impotent part of medical treatments, especially in the treatment with radioactive isotopes. Some proposals concerning the future research and development of nursing instruments have been submitted

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

    LENUS (Irish Health Repository)

    Lockwood, Emily B

    2008-10-01

    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

  9. Identification of Data Element Categories for Clinical Nursing Information Systems via Information Analysis of Nursing Practice

    OpenAIRE

    Graves, Judith R.; Corcoran, Sheila

    1988-01-01

    In order to empirically identify data elements for content of a Clinical Nursing Information System serving cardiovascular nurses, the question “What supplemental information (or data, or knowledge) do nurses seek in order to make decisions about patient care?” was asked. Data was collected from nurses working all shifts in three different agencies: a community hospital, a large private teaching hospital, and a large public teaching hospital. For each instance of supplemental information-seek...

  10. Relationship between Emotional Intelligence and Clinical Competencies of Nursing Students in Tabriz Nursing and Midwifery School

    OpenAIRE

    Rahkar Farshi Mahni; Vahidi Maryam; Jabraeili Mahnaz

    2015-01-01

    Introduction: Preparing students to take over job responsibilities is one of the most challenging duties of nursing schools. The focus of nursing education should be on helping students to achieve high levels of competence in nursing care and identify factors for reinforcing it. Since desirable results have not been reported on clinical competencies of nursing students, achieving skills to control their emotions could be effective. Thus, this study aimed to investigate the relationship betwee...

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

    OpenAIRE

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

    2014-01-01

    Nursing informatics, ethics and decisions: implications for translational research Objective: To introduce, in the multi-disciplinary contexts of clinical decision making and policy formation, a theory-based decision-analytic framework for the transparent forward translation of research 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 f...

  12. An Investigation of Factors Influencing Nurses' Clinical Decision-Making Skills.

    Science.gov (United States)

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

    2016-08-01

    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. PMID:26906246

  13. Needs of Continuing Education for Clinical Nurses in Grade-III Level-A Hospital: A Qualitative Research%三级甲等医院临床护士继续教育需求的质性研究

    Institute of Scientific and Technical Information of China (English)

    杨俊茹; 蒋维连

    2012-01-01

    Objective To explore the specific needs of continuing education for the clinical nurses in grade-III level-A hospitals,so as to provide references for further research and practices of continuing education for clinical nurses. Methods Using hermeneutic phenomenological theory, semi-structured and face to face interviews were adopted to survey 14 clinical nurses. The data were analyzed by Colajzzi's principles of data analysis. Results There was a demand for continuing education in clinical nurses,which was characterized by strong practicability in electronic,networked forms. Conclusion The clinical nurses need continuing education. Clinical nurses in different levels desire continuing education provided comprehensive, specific and practical knowledge in a good education platform in digital form.%目的 探索三级甲等医院临床护士对继续教育的具体需求,为临床护理继续教育的研究和实践提供参考.方法 运用诠释现象学的理论和方法,对14名临床护士进行半结构式、面对面深度访谈,运用Claizzi资料分析原则进行资料的整理分析.结果 护士对护理继续教育存在需求,对继续教育内容的需求希望突出很强的实用性,护士期待电子化、网络化等继续教育形式.结论 临床护士需要护理继续教育,不同层次的临床护士希望护理继续教育能提供有针对性的全面、具体、实用的知识,并以数字化的形式为临床护士提供良好的教育平台.

  14. The meaning of hope in nursing research

    DEFF Research Database (Denmark)

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

    2009-01-01

    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....... 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...... 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. Interdisciplinarity and nursing research: opportunities and challenges

    OpenAIRE

    Carnevale, Franco A.

    2014-01-01

    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 Am...

  16. Is there gender bias in nursing research?

    Science.gov (United States)

    Polit, Denise F; Beck, Cheryl Tatano

    2008-10-01

    Using data from a consecutive sample of 259 studies published in four leading nursing research journals in 2005-2006, we examined whether nurse researchers favor females as study participants. On average, 75.3% of study participants were female, and 38% of studies had all-female samples. The bias favoring female participants was statistically significant and persistent. The bias was observed regardless of funding source, methodological features, and other participant and researcher characteristics, with one exception: studies that had male investigators had more sex-balanced samples. When designing studies, nurse researchers need to pay close attention to who will benefit from their research and to whether they are leaving out a specific group about which there is a gap in knowledge. PMID:18324681

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

    DEFF Research Database (Denmark)

    Gonge, Henrik; Buus, Niels

    2015-01-01

    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...... supporting positive outcomes of clinical supervision in psychiatric nursing is not convincing. DESIGN: The study was designed as a randomized controlled trial. All permanently employed nursing staff members at three general psychiatric wards at a Danish university hospital (n = 83) were allocated to either...

  18. Nursing researchers' modifications of Ricoeur's hermeneutic phenomenology.

    Science.gov (United States)

    Singsuriya, Pagorn

    2015-12-01

    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. PMID:25808423

  19. Trends in breastfeeding research by Brazilian nurses

    Directory of Open Access Journals (Sweden)

    Mônica Oliveira B. Oriá

    2005-02-01

    Full Text Available Exclusive breastfeeding is acknowledged as important for survival, optimal growth, and development of infants. The current review presents a synthesis of research output by Brazilian nurses on breastfeeding over the last 20 years, analyzes the theoretical and methodological issues emerging from studies on breastfeeding in Brazil, and provides directions for future research and practice by nurses in the area breastfeeding. Studies included in this review were identified through LILACS searches of Portuguese-language sources. Articles were organized and analyzed chronologically by comparing the evolution of the Brazilian Breastfeeding Program. The incomplete research output of the Brazilian nursing profession in regard to breastfeeding research needs to be addressed. In addition, specific cultural, sociological, and anthropological characteristics of Brazilian regional settings remain to be explored. Emphasis on potential confounders and critical interrelations is warranted.

  20. How to set up a nurse-led clinic.

    Science.gov (United States)

    Hatchett, Richard

    2016-05-11

    Nurse-led clinics are a vital part of UK health care. They are diverse and are therefore hard to define, but they involve nurses having their own patient caseload and increased autonomy, often using advanced clinical skills such as physical assessment, diagnosis and medicines management. PMID:27206209

  1. Nursing research: historical background and teaching information strategies.

    OpenAIRE

    Sarkis, J M; Conners, V L

    1986-01-01

    The expansion of research-based literature is one of the foremost goals of the nursing profession. Linked to this goal are the utilization and further development of nursing libraries. This paper discusses some historical factors that have influenced nursing literature. It presents a model for teaching graduate nursing students the relationship between research and library information skills.

  2. An investigation of the roles and functions of nurse preceptors in the clinical areas

    OpenAIRE

    S.C. Cele; H.A. Gumede; B. A. Kubheka

    2002-01-01

    This article explores the confusion that exists in the clinical areas concerning proper accompaniment of student nurses. There is a feeling that professional nurses in clinical areas are not always actively involved in clinical teaching. The clinical instructors and nurse educators are unable to accompany student nurses properly because of staff shortages. Some hospitals have identified one professional nurse per unit to work as a nurse preceptor for accompaniment of student nurses. This has ...

  3. Collaboration: a solution to the challenge of conducting nursing research in cardiac rehabilitation.

    Science.gov (United States)

    Gallagher, Robyn; Sadler, Leonie; Kirkness, Ann; Belshaw, Julie; Roach, Kellie; Warrington, Darrell

    2013-01-01

    Clinical nurse leaders such as clinical nurse consultants are required to conduct research and incorporate outcomes of this research into their every day practice. However, undertaking research presents issues for cardiac rehabilitation clinical nurse consultants because they may have competing demands, difficulty with finding replacements and may be relatively isolated from other researchers. The solution to this situation is the formation of a collaborative research team with other cardiac rehabilitation clinical nurse consultants, with the inclusion of an experienced university academic as a mentor for the cardiac rehabilitation clinical nurse consultants working in an Area Health Service encompassing both rural and metropolitan hospitals in New South Wales, Australia. The related research project aimed to evaluate and improve the clients' knowledge and practices related to the use of sublingual glyceryl trinitrate. The team's experiences and suggestions for clinical nurse Leaders are presented in this paper. Essential team characteristics include having shared motivation, good communication practices, flexibility and tolerance, an effective team size, achieving success, willingness to accept challenges and an experienced mentor. The benefits of developing a collaborative team for research led by clinical nurse consultants in cardiac rehabilitation by far outweigh the time and effort involved in the process. PMID:24596995

  4. The place of research and Evidence Based Practice in nursing.

    OpenAIRE

    HRSTKOVÁ, Pavla

    2011-01-01

    Nursing is a permanently developing field of activity. Research plays an irreplaceable role in this field. We moreover more and more often see the term Evidence Based Practice nowadays. However a lot of general nurses do not know that this term also relates to the field of nursing, where it is called Evidence Based Nursing. Quantitative research was chosen for this thesis. The research was performed in South Bohemian and Central Bohemian regions among general nurses with bachelor degree. The ...

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

    Directory of Open Access Journals (Sweden)

    Joseph ML

    2015-07-01

    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

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

    Directory of Open Access Journals (Sweden)

    Clare Davis

    2014-10-01

    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

  7. The Ethics of Qualitative Nursing Research.

    Science.gov (United States)

    Robley, Lois R.

    1995-01-01

    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)

  8. Toward standard classification schemes for nursing language: recommendations of the American Nurses Association Steering Committee on Databases to Support Clinical Nursing Practice.

    OpenAIRE

    McCormick, K A; Lang, N.; Zielstorff, R; Milholland, D K; Saba, V.; Jacox, A

    1994-01-01

    The American Nurses Association (ANA) Cabinet on Nursing Practice mandated the formation of the Steering Committee on Databases to Support Clinical Nursing Practice. The Committee has established the process and the criteria by which to review and recommend nursing classification schemes based on the ANA Nursing Process Standards and elements contained in the Nursing Minimum Data Set (NMDS) for inclusion of nursing data elements in national databases. Four classification schemes have been rec...

  9. Clinical Trials in Vision Research

    Science.gov (United States)

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

  10. Residency Programs and Clinical Leadership Skills Among New Saudi Graduate Nurses.

    Science.gov (United States)

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

    2016-01-01

    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. PMID:27000200

  11. Research Areas - Clinical Trials

    Science.gov (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.

  12. Research Areas: Clinical Trials

    Science.gov (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.

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

    Directory of Open Access Journals (Sweden)

    Athanasakis Efstratios

    2013-01-01

    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.

  14. The Certified Clinical Nurse Leader in Critical Care.

    Science.gov (United States)

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

    2016-01-01

    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. PMID:27487750

  15. Historical research in nursing: standards for research and evaluation.

    Science.gov (United States)

    Hewitt, L C

    1997-09-01

    Historical research, a method of inquiry that combines science and literature, often supports a common thesis that an informed understanding of nursing history provides insights that can contribute effective approaches to current professional issues. Historical research was formally recognized by the American Nurses Association (ANA) in 1965. A review of 11 recent historical research studies supports the concept that adherence to established standards of research and presentation contributes to the value of historical research. While relating an interesting story is an intrinsic element of historical research, the research gains purpose and meaning when the presentation of data includes a statement of purpose utilizing a research question, a review of literature establishing a relation to the greater nursing community, and a concluding analysis relating the research to current and future professional issues. PMID:9369656

  16. CME ON CLINICAL RESEARCH

    OpenAIRE

    Suneel. I. Majagi; S. S. Torgal; S. V. Hiremath

    2012-01-01

    Safety and efficacy are the two major concerns for any drug therapy. Globally clinical research plays an inevitable role in bringing a new molecule into the market after its synthesis by the pharmaceutical industries. Availability of large patient population, highly educated and skilled manpower, wide spectrum of diseases and favorable economic environment imply India’s potential as a global hub for clinical research. Pharmaceutical companies and Clinical Research Organization (CRO)s will req...

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

    DEFF Research Database (Denmark)

    Buus, Niels; Cassedy, Paul; Gonge, Henrik

    2013-01-01

    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. The...

  18. Clinical research informatics

    CERN Document Server

    Richesson, Rachel L

    2012-01-01

    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

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

    Directory of Open Access Journals (Sweden)

    N. Tsele

    2000-09-01

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

    OpenAIRE

    Shahla Mohamadirizi; Shahnaz Kohan; Fatemeh Shafei; Soheila Mohamadirizi

    2015-01-01

    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 Universit...

  1. Analysis of Family Clinical, vision of service nurses

    Directory of Open Access Journals (Sweden)

    Daniele Merisio Raimundi

    2016-06-01

    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.

  2. Concept analysis of competency in nursing: Qualitative research

    Directory of Open Access Journals (Sweden)

    Masumeh Bagheri Nesami

    2008-01-01

    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

  3. Development of Detailed Clinical Models for Nursing Assessments and Nursing Interventions

    OpenAIRE

    Park, Hyeoun-Ae; Min, Yul Ha; Kim, Younglan; Lee, Myung Kyung; Lee, Youngji

    2011-01-01

    Objectives The aim of this study was to develop and validate Detailed Clinical Models (DCMs) for nursing assessments and interventions. Methods First, we identified the nursing assessment and nursing intervention entities. Second, we identified the attributes and the attribute values in order to describe the entities in more detail. The data type and optionality of the attributes were then defined. Third, the entities, attributes and value sets in the DCMs were mapped to the International Cla...

  4. Evaluating nursing students clinic stress, and coping with stress during the clinic first day of the Woman Health and Diseases Nursing clinical course

    OpenAIRE

    Dilek Coşkuner Potur; Nevin Çitak Bilgin; Nuran Kömürcü

    2015-01-01

    Purpose: This study aimed to explore the clinical stress levels, stress sources and coping strategies of Turkish male and female nursing students attending the Woman’s Health and Disease Nursing clinical course on the first day.Method and material: This cross-sectional study was conducted in March 2010 at a public university located in Istanbul. The study group included 98 nursing students. Data were collected from the nursing students in the study group using a self-report questionnaire, cli...

  5. CLINICAL DECISION MAKING IN NURSING CARE: EVIDENCE BASED PRACTICE AND SENIORITY

    Directory of Open Access Journals (Sweden)

    Sivasangari Subramaniam

    2015-03-01

    Full Text Available In the nursing profession, EBP makes a positive contribution to healthcare outcomes, care delivery, clinical teaching and research. The research objective was to determine the nurses' knowledge, attitude, practice towards EBP and barriers to use EBP in four (4 Government Hospitals in Malaysia, Hospital Universiti Sains Malaysia (HUSM, Hospital Pulau Pinang (HPP, Hospital Sultan Abdul Halim (HSAH and Hospital Seberang Jaya (HSJ. A cross-sectional study was conducted from January until December 2012 among (n=600 nurses working in all disciplines, on shift or day time duties in four selected hospitals. The questionnaire was adapted from a Singapore study (Majid, 2011. Results showed that among the nurses working in 4 different Malaysian hospitals, close to fifty percent (53 % knew what the evidence based practice meant. The items assessing the attitude showed a large number nurses responding that they did neither agree nor disagree with statements provided. The majority of the remaining nurses tended to show a rather positive attitude except when asked about how the workload interfered with their EBP practice. The practice level of EBP scored a mean of more than 3 out of maximal five for most items. Most nurses recognized there were many barriers to EBP in their working place. In conclusion, this study may have helped to increase our understanding of knowledge, attitudes, practice and barriers towards to use of EBP to the utilization of research by nurses through an exploration of perceived barriers and facilitators on the part of nurses.

  6. Predictors of Successful Clinical Performance in Associate Degree Nursing Students.

    Science.gov (United States)

    Rice, Eileen

    2015-01-01

    The purpose of this study was to explore self-efficacy and emotional intelligence (EI) as predictors for successful clinical performance in nursing students. Students (n = 56) from 5 associate degree in nursing (ADN) schools in 2 Northeastern states participated in the study. Findings demonstrated significant relationships among EI, self-efficacy, and student-rated clinical competence. The findings from this study support the importance of fostering clinical self-efficacy and building EI abilities in ADN students. PMID:25628244

  7. CLINICAL DECISION MAKING IN NURSING CARE: EVIDENCE BASED PRACTICE AND SENIORITY

    OpenAIRE

    Sivasangari Subramaniam; Sotheenathan Krishinan; Revathy U. Thandapani; Hans Van Rostenberghe; Azriani Berahim

    2015-01-01

    In the nursing profession, EBP makes a positive contribution to healthcare outcomes, care delivery, clinical teaching and research. The research objective was to determine the nurses' knowledge, attitude, practice towards EBP and barriers to use EBP in four (4) Government Hospitals in Malaysia, Hospital Universiti Sains Malaysia (HUSM), Hospital Pulau Pinang (HPP), Hospital Sultan Abdul Halim (HSAH) and Hospital Seberang Jaya (HSJ). A cross-sectional study was conducted from January until Dec...

  8. The role of nurses and nurse leaders on realizing the clinical, social, and economic return on investment of nursing care.

    Science.gov (United States)

    Shamian, Judith; Ellen, Moriah E

    2016-05-01

    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. PMID:27060808

  9. Nurse researchers in corrections: a qualitative study.

    Science.gov (United States)

    Ferszt, Ginette G; Hickey, Joyce

    2013-01-01

    The United States has more people, per capita, in prisons and jails than any other country in the world. Because the prison population is largely composed of people who have been economically and socially disadvantaged, a very high percentage enter correctional facilities in poor health. Because of the large concentrated numbers of women, men, and youth in prisons and jails, an exceptional opportunity exists for nurses and other researchers to conduct creative and innovative research to improve the health care of this hard-to-reach population. The purpose of this study was to explore the experiences of nurse researchers who have been successful in conducting studies in different correctional settings. A qualitative descriptive design was used, and telephone interviews with 16 participants were completed. The participants described how they established credibility, the challenges they faced, and the unexpected personal and professional rewards they received. Recommendations for potential researchers will hopefully lead to an increase in research with this invisible population. PMID:24256982

  10. 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...... from 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...

  11. The Effect of Nursing Faculty Presence on Students' Level of Anxiety, Self-Confidence, and Clinical Performance during a Clinical Simulation Experience

    Science.gov (United States)

    Horsley, Trisha Leann

    2012-01-01

    Nursing schools design their clinical simulation labs based upon faculty's perception of the optimal environment to meet the students' learning needs, other programs' success with integrating high-tech clinical simulation, and the funds available. No research has been conducted on nursing faculty presence during a summative…

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

    Directory of Open Access Journals (Sweden)

    Chelsea Marvos

    2015-01-01

    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.

  13. 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

    1993-05-01

    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,

  14. 42 CFR 414.56 - Payment for nurse practitioners' and clinical nurse specialists' services.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Payment for nurse practitioners' and clinical nurse specialists' services. 414.56 Section 414.56 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICARE PROGRAM PAYMENT FOR PART B MEDICAL AND...

  15. Undergraduate Nurse Variables that Predict Academic Achievement and Clinical Competence in Nursing

    Science.gov (United States)

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

    2007-01-01

    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…

  16. Nurse cannulation: introducing an advanced clinical skill.

    LENUS (Irish Health Repository)

    Hoctor, Bridget

    2012-01-31

    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.

  17. Adolescent nursing applications in the pediatrics clinic

    OpenAIRE

    Bülgün, Mahi

    2011-01-01

    Nurses have an indispensable role in maintenance and promotion of adolescens rsquo; health Nurses must know the basic principles of appropriate approach to adolescents should be able to guide the adolescent and family in the promotion and maintenance of health In this article general observation principles of adolescent and family the appropriate nursing approach to the major adolescent health issues how to evaluate gathered data about adolescent rsquo;s such as nutrition physical activity me...

  18. Nursing practice in the adolescent outpatient clinic

    OpenAIRE

    Pehlivan, Saadet

    2011-01-01

    Nurses have an indispensable role in maintenance and promotion of adolescens rsquo; health Nurses must know the basic principles of appropriate approach to adolescents should be able to guide the adolescent and family in the promotion and maintenance of health In this article general observation principles of adolescent and family the appropriate nursing approach to the major adolescent health issues how to evaluate gathered data about adolescent rsquo;s such as nutrition physical activity me...

  19. Impact of clinical supervision on field training of nursing students at Urmia University of Medical Sciences

    Science.gov (United States)

    DEHGHANI, MOHAMMADREZA; GHANAVATI, SHIRIN; SOLTANi, BEHROUZ; AGHAKHANI, NADER; HAGHPANAH, SEZANEH

    2016-01-01

    Introduction Obtaining clinical competency in clinical education is one of the problems in nursing and use of the new methods of clinical training is very important. Clinical supervision is one of the methods used as a mechanism to promote knowledge and skill for promoting professional performance in nursing students. This study is carried out to determine the impact of clinical supervision on field training of nursing students at Urmia University of Medical Sciences. Methods In the present experimental study, 32 nursing students were enrolled in the study based on census and randomly assigned into two groups of experimental and control by block randomization. Clinical supervision was used in the experimental group and the control group received routine clinical trainings in the field. The students’ clinical skills were assessed using a researcher-made checklist, the validity of which was confirmed through content validity method by 13 faculty members and its reliability was approved by test-retest method on 20 nursing students in the form of a pilot study and through Cronbach’s alpha (87%). Data were analyzed using SPSS, version 14. Results ‍There was a significant difference between the experimental and control groups in clinical skills such as recognition and administration of medication, team participation,  patients and their relatives’ education, considering the safety,  infection prevention and  nursing process (p<0.005). Conclusion The study demonstrated that in clinical supervision process, students have a better communication and cooperation with their instructor and with each other and their confidence and understanding and the amount of learning in practical skills was enhanced more than routine clinical training. The implementation of this clinical training method for students of nursing and other fields of medical sciences is recommendable. PMID:27104203

  20. Validation of clinical activity tracking system in Intensive Care Unit to assess nurse workload distribution.

    Science.gov (United States)

    Peng Guo; Yeong Shiong Chiew; Shaw, Geoff; Chase, Geoff

    2015-08-01

    Therapeutic Intervention Score System (TISS-28) and the Nursing Activities Score (NAS) are common used to evaluate nursing workload in the Intensive Care Unit (ICU). However, they require experienced researchers to perform, are subject to user bias and experience, and are labor intensive, which all exclude regular use. A Clinical Activities Tracking System (CATS) was developed to evaluate bedside nursing activities automatically. This paper presents the validation of this system in quantifying bedside nursing activities. A total of 30 hours (1 hour/day) of nursing activities were manually recorded by trained researcher. The manually recorded total time spent on bedside nursing activities (Atime) was compared with time recorded using CATS (Ctime). A high correlation was found between Atime and Ctime with R = 0.882, and thus the actual time spent in nursing activity can be estimated using a first order polynomial function. In this study, it was found that the median Atime between 7 am-10 pm is 1.4-1.5 times higher than nursing activities at 10 pm-7 am. Results showed that CATS was able to provide unique and high information on patient bedside nursing activities. PMID:26736298

  1. Critical thinking of student nurses during clinical accompaniment

    Directory of Open Access Journals (Sweden)

    BY Uys

    2005-09-01

    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.

  2. Nursing Research: Understanding Nursing Innovations for the Transformation of Communities of Care

    Science.gov (United States)

    Burge, Donna M.; Sullivan, Shelia Cox

    2012-01-01

    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…

  3. Value-sensitive clinical accompaniment in community nursing science

    Directory of Open Access Journals (Sweden)

    Ebin Arries

    2010-03-01

    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

  4. Use of personal phones by senior nursing students to access health care information during clinical education: staff nurses' and students' perceptions.

    Science.gov (United States)

    Wittmann-Price, Ruth A; Kennedy, Lynn D; Godwin, Catherine

    2012-11-01

    Research indicates that having electronic resources readily available increases learners' ability to make clinical decisions and confidence in patient care. This mixed-method, descriptive pilot study collected data about senior prelicensure nursing students using smartphones, a type of mobile electronic device (MED), in the clinical area. The smartphones contained nursing diagnosis, pharmacology, and laboratory information; an encyclopedia; and the MEDLINE database. Student (n = 7) data about smartphone use during a 10-week clinical rotation were collected via student-recorded usage logs and focus group recordings. Staff nurses' (n = 5) perceptions of students' use of smartphones for clinical educational resources were collected by anonymous survey. Both the focus group transcript and staff surveys were evaluated and the themes summarized by content analysis. Positive results and barriers to use, such as cost and technological comfort levels, are discussed. The results may help nurse educators and administrators initiate further research of MEDs as a clinical resource. PMID:22978275

  5. Student nurses experience of learning in the clinical environment.

    Science.gov (United States)

    Papastavrou, Evridiki; Lambrinou, Ekaterini; Tsangari, Haritini; Saarikoski, Mikko; Leino-Kilpi, Helena

    2010-05-01

    The clinical learning environment is a complex social entity that influences student learning outcomes in the clinical setting. Exploration of this environment gives insight into the educational functioning of the clinical areas and allows nurse teachers to enhance students' opportunities for learning. Since Cyprus is undergoing major reforms in nursing education, building on the experience and knowledge gained, this study aims to explore the present clinical situation and how this would impact on nursing education moves to the university. As nursing education would take on a different approach, it is assumed the learning approach would also be different, and so utilization of the clinical environment would also be improved. Six hundred and forty five students participated in the study. Data were collected by means of the clinical learning environment and supervision instrument. A statistically significant correlation was found between the sub-dimensions "premises of nursing care" and "premises of learning" indicating that students are relating learning environment with the quality of nursing care and patient relationships. The ward atmosphere and the leadership style of the manager were rated as less important factors for learning. The majority of students experienced a group supervision model, but the more satisfied students were those with a "personal mentor" that was considered as the most successful mentor relationship. The findings suggest more thorough examination and understanding of the characteristics of the clinical environment that are conductive to learning. PMID:19700368

  6. Developing an empirical base for clinical nurse specialist education.

    Science.gov (United States)

    Stahl, Arleen M; Nardi, Deena; Lewandowski, Margaret A

    2008-01-01

    This article reports on the design of a clinical nurse specialist (CNS) education program using National Association of Clinical Nurse Specialists (NACNS) CNS competencies to guide CNS program clinical competency expectations and curriculum outcomes. The purpose is to contribute to the development of an empirical base for education and credentialing of CNSs. The NACNS CNS core competencies and practice competencies in all 3 spheres of influence guided the creation of clinical competency grids for this university's practicum courses. This project describes the development, testing, and application of these clinical competency grids that link the program's CNS clinical courses with the NACNS CNS competencies. These documents guide identification, tracking, measurement, and evaluation of the competencies throughout the clinical practice portion of the CNS program. This ongoing project will continue to provide data necessary to the benchmarking of CNS practice competencies, which is needed to evaluate the effectiveness of direct practice performance and the currency of graduate nursing education. PMID:18438164

  7. The experience of qualified nurses in assessing student nurses' clinical skills

    OpenAIRE

    Kelly, Mary

    2002-01-01

    The purpose of this study was to explore the experience of qualified nurses in assessing student nurses’ clinical skills. The writer’s interest in this area arose from the findings of reports in the UK and Ireland. These reports suggested that nurses do not feel adequately prepared for their roles in clinical assessment. The literature reviewed for this study highlights some of the difficulties surrounding assessment. Two areas identified are: lack of preparation for a role in assessment an...

  8. Engagement in clinical learning environment among nursing students: Role of nurse educators

    OpenAIRE

    Ramesh Venkatesaperumal; Shreedevi Balachandran; Jayanthi Radhakrishnan; Melba Sheila D’Souza

    2013-01-01

    Student engagement in a clinical learning environment is a vital component in the curricula of pre-licensure nursing students, providing an opportunity to combine cognitive, psychomotor, and affective skills. This paper is significant in Arab world as there is a lack of knowledge, attitude and practice of student involvement in the new clinical learning environment. The purpose of this review article is to describe the experiences and perspectives of the nurse educator in facilitating pre-li...

  9. National Institute of Nursing Research

    Science.gov (United States)

    ... of 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 Register Now for ...

  10. A clinical internship model for the nurse practitioner programme.

    Science.gov (United States)

    Lee, Geraldine A; Fitzgerald, Les

    2008-11-01

    Nurse practitioners in Victoria, Australia must be prepared to Masters level before seeking nurse practitioner (NP) endorsement. The challenge from a university curriculum development perspective was to develop a programme that prepares the NP theoretically and clinically for their advanced practice role. The aim of this discussion paper is to outline how the internship model was developed and report the students' opinions on the model. The NP students complete the internship with a suitably qualified mentor which requires them to work together to develop and maintain a clinical learning plan, keep a log of the weekly meetings that shows how the objectives have been achieved. The internship includes advanced clinical assessment, prescribing, diagnostic and treatment skills and knowledge related to the nurse's specialty. The clinical assessment tool incorporates the National Competency Standards for the Nurse Practitioner and allows students and mentors to identify the level of practice and set clinical objectives. Students were asked to give feedback on the clinical internship and overall their comments were favourable, reporting benefits of a clinical mentor in their work and the clinical case presentations. The clinical internship allows the acquisition of knowledge and clinical skills in the clinical specialty with an expert clinical mentor in this innovative programme. PMID:18472301

  11. Learning Experience of Student Nurses through Reflection on Clinical Practice: A Case Study in Pediatric Nursing, Southern Thailand

    OpenAIRE

    Charuai SUWANBAMRUNG

    2015-01-01

    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 F...

  12. Minority International Research Training Program: Global Collaboration in Nursing Research.

    Science.gov (United States)

    McElmurry, Beverly J.; Misner, Susan J.; Buseh, Aaron G.

    2003-01-01

    The Minority International Research Training Program pairs minority nursing students with faculty mentors at international sites for short-term research. A total of 26 undergraduate, 22 graduate, and 6 postdoctoral students have participated. Challenges include recruitment, orientation, and preparation of students; identification and preparation…

  13. Becoming conscious of learning and nursing in clinical settings

    DEFF Research Database (Denmark)

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

    2015-01-01

    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...... 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...

  14. [Possibilities and problems in the development of forensic nursing in Japan: a questionnaire survey of clinical nurses].

    Science.gov (United States)

    Kodama, Hiromi; Tsuntematsu, Kayoko; Yanai, Keiko

    2012-09-01

    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. PMID:23035347

  15. Relationship between Emotional Intelligence and Clinical Competencies of Nursing Students in Tabriz Nursing and Midwifery School

    Directory of Open Access Journals (Sweden)

    Rahkar Farshi Mahni

    2015-07-01

    Full Text Available Introduction: Preparing students to take over job responsibilities is one of the most challenging duties of nursing schools. The focus of nursing education should be on helping students to achieve high levels of competence in nursing care and identify factors for reinforcing it. Since desirable results have not been reported on clinical competencies of nursing students, achieving skills to control their emotions could be effective. Thus, this study aimed to investigate the relationship between emotional intelligence (EI and clinical competencies. Methods: In this correlational study, all nursing students in semesters 6, 7 and 8 were studied after determining the sample size in Tabriz University of Medical Sciences. The data were collected using three questionnaires of demographic data, the Emotional Intelligence Sharing – Sybrya and a short clinical competence. The data analysis was done through descriptive and inferential statistics using SPSS 18. Results: The results of the present study showed that the total EI score and clinical competence of students was more than moderate. The relationship between total EI and clinical competence was significant. Among the subscales of EI, there was a significant relationship between social skills and clinical competence. Conclusion: The relationship between the total emotional intelligence score and clinical competence of students in this study indicated the necessity and importance of emotions in decision-making to act properly within a clinical setting. Therefore, taking part in courses designed for learning skills of emotion perception and stress management in the workplace seem to be essential.

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

    OpenAIRE

    Bridget Moore; Jennifer Styron; Kristina Miller

    2015-01-01

    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 eviden...

  17. Rural nurse specialists: clinical practice and the politics of care.

    Science.gov (United States)

    Fitzgerald, Ruth P

    2008-01-01

    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. PMID:18663640

  18. 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)

    汪学芸

    2012-01-01

      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。

  19. Violence and aggression in the emergency department: factors impinging on nursing research.

    Science.gov (United States)

    Ferns, Terry; Stacey, Chrissie; Cork, Alison

    2006-01-01

    This paper examines issues involved in the debate regarding the role of research in nursing. The authors take the example of violence and aggression in the emergency field to discuss methodological, philosophical, professional, logistical, power differentials and leadership theory that influence and explain the process of conducting research surrounding violence and aggression experienced by nurses working in emergency departments. The paper examines the importance of research and discusses practical issues that impinge or frustrate clinical nursing staff who wish to conduct original research. PMID:16209925

  20. Using observational methods in nursing research.

    Science.gov (United States)

    Salmon, Jenny

    2015-07-01

    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. PMID:26153969

  1. Enacting a Vision for a Master's Entry Clinical Nurse Leader Program: Rethinking Nursing Education.

    Science.gov (United States)

    Hicks, Frank D; Rosenberg, Lisa

    2016-01-01

    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. PMID:26802590

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

    Directory of Open Access Journals (Sweden)

    Kyegombe Nambusi

    2011-03-01

    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

  3. Clinical research on clinical nursing pathway in patients with gastric cancer operation%临床护理路径在胃癌手术患者的应用效果

    Institute of Scientific and Technical Information of China (English)

    向梅; 刘爱华

    2015-01-01

    目的:探讨临床护理路径(CNP)对胃癌手术患者的应用效果。方法选择79例胃癌手术患者为研究对象,采用随机分层法分为对照组39例和观察组40例,对照组予以常规护理,观察组按 CNP 模式进行护理,比较2组护理干预后术后康复指标、健康知识掌握、生活质量、护理满意度、术后并发症等。结果观察组肠鸣音出现时间、肛门排气时间、下床活动时间均显著短于对照组,护理满意度、健康知识掌握率、生活质量各维度评分均显著高于对照组,术后并发症率显著低于对照组,差异均有统计学意义(P <0.05)。结论临床护理路径可有效提高胃癌手术患者健康知识水平,促进患者术后康复,提高术后生活质量。%Objective To investigate the application effect of clinical nursing pathway on patients with gastric cancer operation.Methods A total of 79 patients with gastric cancer in our hospital were divided into control group (39 cases)and observation group (40 cases).The control group was given routine nursing while the observation group was given CNP model nursing.The recovery index,health knowledge,quality of life,nursing satisfaction and postoperative complica-tions were compared between the two groups after nursing intervention.Results The bowel sounds time,anal exhaust time and ambulation time in the observation group were significantly shorter than that in the control group.Nursing satisfaction,health knowledge rate and quality of life were significantly higher than that in the control group.Postoperative complications were sig-nificantly lower than control group,the differences were statistically significant(P <0.05).Con-clusion Clinical nursing pathway can effectively improve health knowledge level,promote postop-erative rehabilitation and improve quality of life of patients.

  4. Misinterpretive phenomenology: Heidegger, ontology and nursing research.

    Science.gov (United States)

    Paley, J

    1998-04-01

    This paper argues that Heidegger's phenomenology does not have the methodological implications usually ascribed to it in nursing literature. The Heidegger of Being and Time is not in any sense antagonistic to science, nor does he think that everydayness is more authentic, more genuine, than scientific enquiry or theoretical cognition. It is true that social science must rest on interpretive foundations, acknowledging the self-interpreting nature of human beings, but it does not follow from this that hermeneutics exhausts all the possibilities. Positivist approaches to social science are certainly inconsistent with Heidegger's ontology, but realist approaches are not and structuration theory, in particular, can be seen as a sociological translation of his ideas. Social enquiry in nursing is not therefore confined to studies of lived experience. Indeed, lived experience research constitutes not a realization, but rather a betrayal, of Heidegger's phenomenology, being thoroughly Cartesian in spirit. PMID:9578213

  5. Intentional Modelling: A Process for Clinical Leadership Development in Mental Health Nursing.

    Science.gov (United States)

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

    2016-05-01

    Clinical leadership is becoming more relevant for nurses, as the positive impact that it can have on the quality of care and outcomes for consumers is better understood and more clearly articulated in the literature. As clinical leadership continues to become more relevant, the need to gain an understanding of how clinical leaders in nursing develop will become increasingly important. While the attributes associated with effective clinical leadership are recognized in current literature there remains a paucity of research on how clinical leaders develop these attributes. This study utilized a grounded theory methodology to generate new insights into the experiences of peer identified clinical leaders in mental health nursing and the process of developing clinical leadership skills. Participants in this study were nurses working in a mental health setting who were identified as clinical leaders by their peers as opposed to identifying them by their role or organizational position. A process of intentional modeling emerged as the substantive theory identified in this study. Intentional modeling was described by participants in this study as a process that enabled them to purposefully identify models that assisted them in developing the characteristics of effective clinical leaders as well as allowing them to model these characteristics to others. Reflection on practice is an important contributor to intentional modelling. Intentional modelling could be developed as a framework for promoting knowledge and skill development in the area of clinical leadership. PMID:27105347

  6. The process of community health nursing clinical clerkship: A grounded theory

    OpenAIRE

    Ildarabadi, Eshagh; Moonaghi, Hossein Karimi; Heydari, Abbas; Taghipour, Ali

    2013-01-01

    Background: The performance of the community health nurse depends on a combination of scientific and practical competencies acquired by educational experiences during the nursing course. Curriculum planners of nursing education need to understand nursing education to train professional and community-oriented nurses. The aim of this article is to explore the experiences of nursing students during their community health nursing clinical clerkship courses. Materials and Methods: A grounded theor...

  7. The needs of community service nurses with regard to supervision and clinical accompaniment / Busisiwe Eunice Shezi

    OpenAIRE

    Shezi, Busisiwe Eunice

    2014-01-01

    A new category of community-service nursing practitioner who was the equivalent of a newly qualified nurse emerged in the years 1998–2007. Community service was introduced by the national Department of Health in an attempt to retain professional nurses. The community service nurse is registered with the South African Nursing Council in the category “community service”. Community service nurses need to obtain clinical experience under the supervision of experienced professional nurses in a pub...

  8. Clinical Decision Making of Nurses Working in Hospital Settings

    Directory of Open Access Journals (Sweden)

    Ida Torunn Bjørk

    2011-01-01

    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.

  9. Frequency of nursing diagnoses in a surgical clinic

    Directory of Open Access Journals (Sweden)

    Andreza Cavalcanti Vasconcelos

    2015-12-01

    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.

  10. Children’s Oncology Group’s 2013 Blueprint for Research: Nursing Discipline

    OpenAIRE

    Landier, Wendy; Leonard, Marcia; Ruccione, Kathleen S.

    2012-01-01

    Integration of the nursing discipline within cooperative groups conducting pediatric oncology clinical trials provides unique opportunities to maximize nursing’s contribution to clinical care, and to pursue research questions that extend beyond cure of disease to address important gaps in knowledge surrounding the illness experience. Key areas of importance to the advancement of the nursing discipline’s scientific knowledge are understanding the effective delivery of patient/family education,...

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

    DEFF Research Database (Denmark)

    Berthelsen, Connie Bøttcher; Hølge-Hazelton, Bibi

    2015-01-01

    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...

  12. Evaluating clinical competence during nursing education: A comprehensive integrative literature review.

    Science.gov (United States)

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

    2016-04-01

    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. PMID:26369943

  13. Stress, sense of coherence and quality of life among Norwegian nurse students after a period of clinical practice

    OpenAIRE

    Kleiveland, Benedicte; Natvig, Gerd Karin; Jepsen, Randi

    2015-01-01

    Background. Previous research has found that sense of coherence is significantly related to aspects of health, but studies on nurse students with a salutogenic approach are limited. Objectives. To investigate (1) if nurse students’ experience of stress differs among clinical practice in nursing homes and medical/surgical wards. (2) Whether sense of coherence and stress are associated with quality of life. (3) If sense of coherence acts as a moderator in the relationship between stres...

  14. Student Nurses' Learning Needs & Expectations in the Clinical Learning Units

    OpenAIRE

    M. Chabeli

    1999-01-01

    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: communicati...

  15. Frequency of nursing diagnoses in a surgical clinic

    OpenAIRE

    Andreza Cavalcanti Vasconcelos; Claudia Germania Alencar de Castro; Durcival Francisco da Silva; Vanessa Juvino de Sousa

    2016-01-01

    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, bleed...

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

    Directory of Open Access Journals (Sweden)

    Marie Muller

    2004-01-01

    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.

  17. Eportfolio and learning styles in clinical nursing education

    DEFF Research Database (Denmark)

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

    2015-01-01

    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 participa...... one learns 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.......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...... on practice and one´s own learning process. The principal initiators were emotional involvement in clinical nursing, consciousness of learning through writing; ponder over practice, and a confident and constructive student-preceptor relationship. Inhibitors were vulnerability, a preconception that...

  18. Research Priorities in Correctional Nursing Practice: Results of a Three-Round Delphi Study.

    Science.gov (United States)

    Schoenly, Lorry

    2015-10-01

    Correctional nursing has been recognized as a specialty since 1985, but research to describe and support nursing practice in the criminal justice system has been sparse. The development of a research agenda can stimulate the research necessary to provide an evidence base for specialty practice development. A three-round Delphi study was undertaken to elicit a prioritized list of research topics to guide future research efforts for meaningful results. Six predominant themes emerged from an analysis of top research questions generated by a panel of 18 correctional nursing experts. Research priorities include critical thinking and clinical judgment, competency and educational level, assessment, nursing protocols, effect on patient outcomes, and the environment of care. PMID:26285595

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

    LENUS (Irish Health Repository)

    Condell, Sarah L

    2012-11-01

    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.

  20. Determination Thought and Anxiety Levels of Nursing Students Intended for Clinical Practice

    Directory of Open Access Journals (Sweden)

    Kilichan Bayar

    2009-02-01

    Full Text Available AIM: This study was carried out as a definitive work in order to determine the thoughts and anxiety levels of nursing students intended for clinical practice. METHODS: The scope of the research was composed of the students who took Essentials of Profession lesson at first grade, Surgery at second grade and Child Diseases at third grade in Mugla University, Mugla School of Health Sciences Department of Nursing. Of 149 students, 126 (%84.36 were completed the study. Data was collected using a questionnaire prepared by the researchers and State-Trait Anxiety Inventory. RESULTS: The mean age of the students included in the study was 20.15±1.52 years. 77.8% of the nursing students stated that they feel ready for the clinical practice, 51.6% thought that their theoretical knowledge was not sufficient for the clinical practice, 46% there were applications that they were afraid to perform during the clinical practice and 50.8% stated that they were excited about the clinical practice. There was a statistically significant difference average score of state anxiety level between pre and post clinical practice results of State-Trait Anxiety Inventory (p<0.05. CONCLUSION: It was concluded that anxiety levels of nursing students were higher before they start clinical practice. [TAF Prev Med Bull 2009; 8(1.000: 37-42

  1. 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

    2011-03-01

    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

  2. Investigation of the teaching cognition and capabilities of clinical advisers for masters degree level nursing specialty graduate students

    Directory of Open Access Journals (Sweden)

    Xiao-Lei Zhao

    2014-03-01

    Conclusion: Clinical advisers for nursing specialty graduate students in our survey were generally inexperienced with regarding to training and culturing nursing graduate students. These advisers were prepared for core teaching competency, but were not qualified to conduct scientific research. Based on these results, it would be beneficial to provide the clinical advisers more training on teaching cognition for graduate students and improve their competency to perform scientific research.

  3. The data collection tools in nursing researches in Turkey

    OpenAIRE

    Ünsal, Ayla; Ergül, Nilüfer

    2010-01-01

    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 overviewe...

  4. Nursing Students' Perceptions of Satisfaction and Self-Confidence with Clinical Simulation Experience

    Science.gov (United States)

    Omer, Tagwa

    2016-01-01

    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,…

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

    Directory of Open Access Journals (Sweden)

    Porter J

    2013-04-01

    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

  6. Eportfolio and learning styles in clinical nursing education

    DEFF Research Database (Denmark)

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

    2015-01-01

    on practice and one´s own learning process. The principal initiators were emotional involvement in clinical nursing, consciousness of learning through writing; ponder over practice, and a confident and constructive student-preceptor relationship. Inhibitors were vulnerability, a preconception that...... one learns 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.......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...

  7. Psychiatric clinical course strengthens the student-patient relationships of baccalaureate nursing students.

    Science.gov (United States)

    Ketola, J; Stein, J V

    2013-02-01

    Psychiatric nursing teaches students how to engage and communicate with patients who have severe emotional distress. Nurses need this knowledge as the majority of patients encountered in hospitals are distressed. This study explores the impact of a psychiatric clinical course in helping students learn to relate to distressed patients. The study used a mixed research methodology to survey 67 baccalaureate students about their experiences in the placement portion of the psychiatric nursing course. The pre-clinical questions focused on students' anticipation regarding individuals with mental illness and how the clinical experience would affect them as nurses and as individuals. The post-clinical questions asked how the clinical experience affected them. The students stated that their time with patients had changed them. Ninety-nine per cent were no longer frightened of the patients. Students realized the patients were distressed and were glad to help them. This work sensitized them to the individual rather than the generic patient. It initiated a process in self-awareness, in sensitivity to the feelings of another person and in communication skills. These are steps in the development of an empathetic presence. The students recognized the need for these skills in all nursing. The authors recommend strategies to assist students in developing an empathetic presence. PMID:22413758

  8. Integrative Nursing: Application of Principles Across Clinical Settings

    Directory of Open Access Journals (Sweden)

    Mary Jo Kreitzer

    2015-04-01

    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.

  9. Integrative nursing: application of principles across clinical settings.

    Science.gov (United States)

    Kreitzer, Mary Jo

    2015-04-01

    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. PMID:25973268

  10. Developing a nurse-led clinic using transformational leadership.

    Science.gov (United States)

    Gousy, Mamood; Green, Kim

    2015-03-25

    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. PMID:25804177

  11. Race and racism in nursing research: past, present, and future.

    Science.gov (United States)

    Porter, Cornelia P; Barbee, Evelyn

    2004-01-01

    Nursing research on race and racism began in the 1970s. However, because these concepts were seen as cultural attitudes, race and racism were obscured. The evidence on the presence of negative attitudes, biases, and stereotypes about different racial and ethnic groups is inconsistent. During the past two decades, research on race and racism has grown, but there is still an urgent need for more high-quality research on this subject. The major recommendations from this review are to conduct observational research on racism in clinical and practice settings, not as an intellectual end in itself; to assist in eliminating of the historically based disparities among members of racial and ethnic groups; and to conduct research about racism as it affects mobility in educational and practice settings. PMID:15368766

  12. Using a scorecard to demonstrate clinical nurse specialists' contributions.

    Science.gov (United States)

    Jepsen, Stacy

    2015-01-01

    Clinical nurse specialists (CNSs) have the expertise to influence change at the patient, nurse, and system levels. They are clinical experts who understand the challenges of the current health care environment: decreasing costs, ensuring high-quality care, and achieving outcomes. Evidence has demonstrated CNSs' influence on improving patient outcomes. Although CNSs often lead the work, they can be invisible when the outcomes are presented. A scorecard to display this work could be invaluable to the CNS role, as it would bring transparency to the evidence-based work done. This article describes the development of a CNS scorecard in a 627-bed tertiary hospital. PMID:25594479

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

    Directory of Open Access Journals (Sweden)

    Ernestina M. Caka

    2013-06-01

    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

  14. 75 FR 55808 - National Institute of Nursing Research; Notice of Closed Meetings

    Science.gov (United States)

    2010-09-14

    ... 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. 76 FR 59413 - National Institute of Nursing Research; Notice of Closed Meetings

    Science.gov (United States)

    2011-09-26

    ... HUMAN SERVICES National Institutes of Health National Institute of Nursing Research; Notice of Closed... of Committee: National Institute of Nursing Research Special Emphasis Panel, Institutional Research...: Weiqun Li, MD, Scientific Review Administrator, National Institute of Nursing Research,...

  16. 76 FR 10912 - National Institute of Nursing Research; Notice of Closed Meetings

    Science.gov (United States)

    2011-02-28

    ... 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,...

  17. A Bridge between Two Cultures: Uncovering the Chemistry Concepts Relevant to the Nursing Clinical Practice

    Science.gov (United States)

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

    2012-01-01

    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…

  18. Clinical simulation: a sine qua non of nurse education or a white elephant?

    Science.gov (United States)

    Stayt, Louise C

    2012-07-01

    An emphasis has been placed on clinical skill development in nurse education curricula due to the expressed concern about nursing students' clinical competence at the point of registration. Hence, the use of clinical simulation as an educational tool has become increasingly popular. The aim of this article is to examine the learning theory that underpins clinical simulation by utilising Carper's patterns of knowing (1978) as a theoretical framework. It is revealed that there is a philosophical conflict between the different learning approaches required to meet all the expected learning outcomes. It would also appear that due to a paucity of the current evidence base that the cost benefits of clinical simulation are largely unknown. The implications of these limitations may in part be overcome by future research endeavours, judicious curriculum development and a pluralistic approach to the facilitation of clinical simulation. PMID:21741136

  19. The integration of simulation into a clinical foundations of nursing course: student and faculty perspectives.

    Science.gov (United States)

    Kardong-Edgren, Suzan E; Starkweather, Angela Renee; Ward, Linda D

    2008-01-01

    Taking the initial steps to integrate simulation into a nursing program can appear overwhelming to faculty and supportive personnel. This paper will describe an approach taken by one undergraduate nursing program in the United States that focused on integrating simulation into a clinical foundations nursing course. Current research was used to guide the design and implementation of simulation. Several key points from the literature were applied to the process; linking scenarios with didactic information, the importance of debriefing, and the need for repetitive practice. Using these concepts, simulation scenarios were constructed following the Nursing Education Simulation Framework. Three scenarios were subsequently implemented during the course, with data from students and faculty collected after each scenario. The results indicate the students perceived the design and implementation to be very agreeable, while faculty reactions to simulation remain mixed. However, there was universal support concerning the use of repetitive practice of foundational skills to enhance learning outcomes. PMID:18673294

  20. Psychological type and explanatory style of nursing students and clinical faculty.

    Science.gov (United States)

    Allchin, Lynn; Dzurec, Laura Cox; Engler, Arthur J

    2009-04-01

    Health care providers' collaboration and effective teamwork are essential to patient safety and quality care. Part of an ongoing project, this study focused on nursing faculty-student communication characteristics, specifically examining psychological type (Myers-Briggs Type Indicator) and explanatory style (Attributional Style Questionnaire) of participating first-year baccalaureate nursing students (n = 286) and clinical nursing faculty (n = 59) from both 2-year and 4-year nursing programs. Modal student psychological type was ESFJ, and modal faculty psychological type was ISTJ. The two groups demonstrated significant differences in information processing styles and in making decisions and judgments. Students demonstrated slightly more optimistic outlooks than did faculty. Psychological type and level of optimism did not appear to correlate. Data from this study provide an initial framework on which to base research to examine quality of teamwork among health care providers and, consequently, the quality of patient care. PMID:19441635

  1. Use of videos to support teaching and learning of clinical skills in nursing education: A review.

    Science.gov (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

    2016-07-01

    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. PMID:27237353

  2. Clinical and nursing problems in Crohn’s disease

    Directory of Open Access Journals (Sweden)

    Iwona Wawrzycka

    2013-08-01

    Full Text Available Introduction: Crohn’s disease (CD is a transmural, typically granulomatous intestinal inflammation and may affect any part of the gastrointestinal tract, from the mouth to the anus. The complexity of the course of CD along with its complications (fistulas, perforation, and bleeding into the gastrointestinal tract requires doctors and nurses to have specialised knowledge that conditions the treatment of this disease. Aim of the research : To present the clinical image and nursing problems of CD patients, based on the analysis of medical documentation of the Clinical Department of General, Oncological and Endocrine Surgery. Material and methods: The group under study was formed out of 34 patients with diagnosed CD, hospitalised within the years 2003–2011. The criteria for inclusion into the group were as follows: diagnosed CD, age of 18–80, male and female gender. The criteria for exclusion were connected with other inflammatory diseases of the intestines, the age being below 18, or admission due to another reason, e.g. a planned cholelithiasis surgery during a remission of CD. Results : Analysis of medical documentation concerned 34 patients with CD. There were 15 women (44.1% and 19 men (55.9% in the group; the minimal age was 20 and the maximal 77; the average age was 47.2 and the median 47. The minimum length of stay was 1 day, the maximum 32 days, the average 8.29, and the median 6.5. Analysis of the data showed that the duration of hospitalisation increases with age. There is no statistical interrelation between the length of stay at the hospital and the nature of the stay (emergency, planned. The duration of the disease was most often from 2 to 5 years in 12 cases (35.3%, in 7 cases (20.6% this was 5 to 10 years, and in one person (2.9% it was above 10 years. In 23.5% of patients, it was aches and pains that were the cause of going to hospital; other symptoms such as bleeding, diarrhoea and vomiting were a separate rarer cause of

  3. High-fidelity simulation: Assessment of student nurses' team achievements of clinical judgment.

    Science.gov (United States)

    Hallin, Karin; Bäckström, Britt; Häggström, Marie; Kristiansen, Lisbeth

    2016-07-01

    Nursing educators have the challenge of preparing nursing students to handle complex patient care situations in real life, but much remains unknown about the ability to make clinical judgments. In this study, high-fidelity simulation (HFS) was used at a Swedish university to find answers about pre-licensure nursing students' success in clinical judgment in terms of team ability and relationships with theoretical achievements, and personal and scenario circumstances. The matrix Lasater Clinical Judgment Rubric (LCJR) was used to analyze and score the students' ability in teams to notice, interpret and respond to complex care situations. Overall, the results showed the student teams in their first meeting with HFS in a complex care situation achieved low clinical judgment points; most teams were in the stages of Beginning and Developing. For attaining high team achievements the majority of the students in the team should theoretically be "high performance". Being observers and having HFS experience before nursing education was significant too. However, age, health care experience, and assistant nurse degrees were of secondary importance. Further research at universities regionally, nationally, and internationally is needed. PMID:27428686

  4. The role of advanced practice nurses in knowledge brokering as a means of promoting evidence-based practice among clinical nurses

    OpenAIRE

    Gerrish, Kate; Nolan, Mike; Kirshbaum, Marilyn; McDonnell, Ann; Tod, Angela; Guillaume, Louise

    2011-01-01

    Aim: To identify approaches used by advanced practice nurses to promote evidence-based practice among clinical nurses. Background: Barriers encountered at individual and organizational levels hinder clinical nurses in their ability to deliver evidence-based practice. Advanced practice nurses are well placed to promote evidence-based practice through interactions with clinical nurses. However, little is understood about how advanced practice nurses might realise this potential. Met...

  5. Predictors of Improvement in Critical Thinking Skills among Nursing Students in an Online Graduate Nursing Research Course

    Science.gov (United States)

    Riccio, Patricia A.

    2015-01-01

    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…

  6. Becoming conscious of learning and nursing in clinical settings

    DEFF Research Database (Denmark)

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

    2015-01-01

    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...... 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....

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

    Directory of Open Access Journals (Sweden)

    Ali Akbar Vaezi

    2011-03-01

    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.

  8. Promoting a Strategic Approach to Clinical Nurse Leader Practice Integration.

    Science.gov (United States)

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

    2016-01-01

    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. PMID:26636231

  9. The Nurse in Research: An Approach to Professional Excellence.

    Science.gov (United States)

    National Institutes of Health (DHEW), Bethesda, MD. Clinical Center.

    The traditional role of the professional nurse has emphasized patient care; however this role is now becoming part of a new role of the medical profession--membership on the modern medical team. In conjunction with this trend the Clinical Center of the National Institutes of Health in Bethesda has focused not only on the traditional nursing skills…

  10. Iranian Effective Clinical Nurse Instructor evaluation tool: Development and psychometric testing

    OpenAIRE

    Shahsavari, Hooman; Yekta, Zohreh Parsa; Zare, Zahra; Sigaroodi, Abdolhossain Emami

    2014-01-01

    Background: Clinical education is the heart of the nursing education program. Effective nursing clinical instructors are needed for graduating the future qualified nurses. There is a well-developed body of knowledge about the effectiveness of clinical teaching and the instructors. However, translating this knowledge into a context-based evaluation tool for measuring the effectiveness of Iranian clinical nursing instructors remains a deficiency. The purpose of this study is to describe the dev...

  11. Walking the bridge: Nursing students' learning in clinical skill laboratories.

    Science.gov (United States)

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

    2015-07-01

    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. PMID:25892366

  12. Nursing experience in clinical endovascular treatment for renal artery aneurysms

    International Nuclear Information System (INIS)

    Objective: To discuss the standardized clinical nursing measures for patients receiving endovascular treatment of renal artery aneurysms. Methods: The clinical data of 9 patients with renal artery aneurysm, who were admitted to authors' hospital during the period from Jan. 2010 to Aug. 2011 and received endovascular treatment, were retrospectively analyzed. The related nursing points as well as the received endovascular. Results: A total of 9 cases with renal artery aneurysm were treated nursing measures were summarized. Results: A total of 9 cases with renal artery aneurysm were with interventional management, including embolization (n = 6), stent implantation (n = 2) and stent implantation together with coil embolization (n = 1). The mean hospitalization time was (10±2) days. Postoperative retention of urine was observed in one patient and postoperative retroperitoneal hemorrhage occurred in another patient. Neither nursing-related nor operation-related complications occurred. Conclusion: Standardized perioperative nursing care for patients with renal artery aneurysm can surely help enhance the patient's tolerance to the surgery, and effectively prevent the complications. (authors)

  13. Key components of financial-analysis education for clinical nurses.

    Science.gov (United States)

    Lim, Ji Young; Noh, Wonjung

    2015-09-01

    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. PMID:25917407

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

    Directory of Open Access Journals (Sweden)

    Bridget Moore

    2015-06-01

    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.

  15. Educators' experience of teaching nursing research to undergraduates.

    Science.gov (United States)

    Mansour, Tamam B; Porter, Eileen J

    2008-11-01

    Most research pertaining to the teaching of nursing research has focused on learning outcomes and students' attitudes toward research. Few scholars have explored what it is like to teach nursing research. The purpose of this study was to describe the experience of teaching undergraduate nursing research. Data were obtained from 12 nurse educators through e-mail interviews and analyzed using Giorgi's method of descriptive phenomenology. Four meaning units describe the experience: marketing research content, introducing the research process, enhancing student abilities to learn about research, and enhancing personal abilities to teach research. The three meaning units that focus on faculty intentions toward students are somewhat consistent with prior research but include interesting new ideas. Concerning the last meaning unit, participants reported an interest in learning about teaching strategies, advanced statistics, and informational technology. Deans and directors should explore the learning needs of such faculty and offer appropriate ongoing education. PMID:18359922

  16. Evaluating nursing students clinic stress, and coping with stress during the clinic first day of the Woman Health and Diseases Nursing clinical course

    Directory of Open Access Journals (Sweden)

    Dilek Coşkuner Potur

    2015-04-01

    Full Text Available Purpose: This study aimed to explore the clinical stress levels, stress sources and coping strategies of Turkish male and female nursing students attending the Woman’s Health and Disease Nursing clinical course on the first day.Method and material: This cross-sectional study was conducted in March 2010 at a public university located in Istanbul. The study group included 98 nursing students. Data were collected from the nursing students in the study group using a self-report questionnaire, clinical stress questionnaire and Carver Coping scale. The data were analyses using percentages, chi-square analysis, the Mann-Whitney U test and Cronbach's alpha coefficients Results: Approximately half of the male students (47.6% reported that they experienced stress since the patient group consisted of females and the majority of male students (76.2% stated that they were subject to gender discrimination at the clinic and there was a significant difference between the male and female students. The male and female nursing students’ stress levels and Carver Coping scale total score of  on the first day of the Woman’s Health and Disease nursing clinical course was similar (p>0.05. Conclusions:  Male students experience stress because the patient group consisted of women, the majority of male students reported that they were subject to gender discrimination and gender discrimination was a source of stress for them. Female and male nursing students experienced stress in the first day of the clinical course of the Woman's Health and Diseases Nursing course, and that the stressors and coping strategies were similar across genders. In the clinical training for the Woman's Health and Diseases Nursing course lectures should be aware of possible stressors and, if necessary, should help students in positive coping.

  17. Research Priorities in Neonatal and Pediatric Nursing

    Directory of Open Access Journals (Sweden)

    Thaíla Corrêa Castral

    2014-03-01

    • 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: http://www.ripsa.org.br/local/docsonline/6/7/276-livro_demografia_e_saude_WEB.pdf. 3. Ministério da Saúde. Plano Nacional de Saúde–PNS:2012-2015. Brasília (Brasil: Ministério da Saúde;  2011 [acesso em: 20 mar 2014

  18. 77 FR 33752 - National Institute of Nursing Research; Notice of Closed Meetings

    Science.gov (United States)

    2012-06-07

    ... HUMAN SERVICES National Institutes of Health National Institute of Nursing Research; Notice of Closed... of Committee: National Institute of Nursing Research Special Emphasis Panel Assessing and Managing... . Name of Committee: National Institute of Nursing Research Special Emphasis Panel Centers of...

  19. 77 FR 61418 - National Institute of Nursing Research; Notice of Closed Meeting

    Science.gov (United States)

    2012-10-09

    ... 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,...

  20. 75 FR 10808 - National Institute of Nursing Research; Notice of Closed Meeting

    Science.gov (United States)

    2010-03-09

    ... 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,...

  1. 77 FR 59941 - National Institute of Nursing Research; Notice of Closed Meeting

    Science.gov (United States)

    2012-10-01

    ... 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...

  2. 77 FR 38840 - Proposed Collection; Comment Request; National Institute of Nursing Research (NINR) Summer...

    Science.gov (United States)

    2012-06-29

    ... Nursing Research (NINR) Summer Genetics Institute Alumni Survey SUMMARY: In compliance with the... comment on proposed data collection projects, the National Institute of Nursing Research (NINR), the... Nursing Research (NINR) Summer Genetics Institute Alumni Survey. Type of Information Collection...

  3. 78 FR 63997 - National Institute of Nursing Research; Notice of Closed Meeting

    Science.gov (United States)

    2013-10-25

    ... 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...

  4. 75 FR 1794 - National Institute of Nursing Research; Notice of Closed Meeting

    Science.gov (United States)

    2010-01-13

    ... 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...

  5. 76 FR 77240 - National Institute of Nursing Research; Notice of Closed Meetings

    Science.gov (United States)

    2011-12-12

    ... 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,...

  6. 77 FR 35991 - National Institute of Nursing Research; Notice of Closed Meeting

    Science.gov (United States)

    2012-06-15

    ... 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)...

  7. 78 FR 7794 - National Institute of Nursing Research; Notice of Closed Meetings

    Science.gov (United States)

    2013-02-04

    ... 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...

  8. Psychological characteristics and nursing measures of patients in dental clinic

    OpenAIRE

    Zhu, Hong-ying

    2014-01-01

    Dental clinic include dental pulp disease, dental, orthodontic repair and others. This work is  precise and meticulous.And the course of treatment and follow-up time is longer, the number of patients is much more. Patients need spend much time to wait,and need pay for high cost of this. Patients would inevitably have  negative emotions, under the influence of many factors. The doctors and nurses could use mental nursing to establish a good relationship between doctors and patients, and create...

  9. The effect of concept mapping on clinical decision making skills of ICU nurses

    Directory of Open Access Journals (Sweden)

    Fakhri Dokht Akbari

    2014-10-01

    Full Text Available Introduction: Concept mapping is an innovative tool that would help hospital educators and nurses to promote their knowledge and clinical decision making skills. The aim of this study was to investigate the effect of concept mapping on clinical decision making skills of nurses working in the intensive care unit (ICU. Methods: The quasi-experimental, non-equivalent control group, pretest-posttest design was conducted among baccalaureate nurses working in an intensive care unit. Forty two nurses were recruited and data gathering was performed through a self-administered questionnaire. Statistical analysis was conducted by SPSS software package version 16.0. Results: Despite the significant difference between the mean pre-, post- and retention test scores (P<0.001, there was no significant correlation between these results and the nurses’ gender. A negative significant association was found between age and improved post test scores (P=0.02. Work experience had a significant positive effect on post test score improvement (P<0.001. Conclusion: This study revealed that the concept mapping strategy had a significant effect on the clinical decision making skills of nurses. However, further research on a larger sample size is recommended to confirm the results.

  10. New methods of researching healthcare facility users: the nursing workspace

    OpenAIRE

    Karen Keddy

    2012-01-01

    This study is entitled Embodied Professionalism: The relationship between the physicalnature of nursing work and nursing space. The analysis is based in a critical examination of existing approaches, assumptions, and attitudes in the research literature about who, what, and how to study the person-environment relationship in healthcare facilities. New methods of studying how nurses experience their work, their workplace and the objects in their workspace are needed in order to address importa...

  11. NATURE OF PRECEPTORSHIP AND ITS IMPACT ON CLINICAL NURSING CARE FROM THE PERSPECTIVES OF RELEVANT NURSING STAFF

    OpenAIRE

    Bukhari, Elham

    2012-01-01

    THE UNIVERSITY OF MANCHESTERABSTRACT OF THESIS submitted by Elham Ali Bukhari for the degree of Doctor of Philosophy and entitled Nature of preceptorship and its impact on clinical nursing care from the perspectives of relevant nursing staff. December 2011____________________________________________________________________Background: previous studies have revealed that newly hired nurses experience stress and anxiety when entering a new clinical setting. Failure to support and prepare these n...

  12. The contribution of organization theory to nursing health services research.

    Science.gov (United States)

    Mick, Stephen S; Mark, Barbara A

    2005-01-01

    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. PMID:16360704

  13. Worksite Physical Activity Intervention for Ambulatory Clinic Nursing Staff.

    Science.gov (United States)

    Tucker, Sharon; Farrington, Michele; Lanningham-Foster, Lorraine M; Clark, M Kathleen; Dawson, Cindy; Quinn, Geralyn J; Laffoon, Trudy; Perkhounkova, Yelena

    2016-07-01

    Health behaviors, including physical activity (PA), of registered nurses (RNs) and medical assistants (MAs) are suboptimal but may improve with worksite programs. Using a repeated-measures crossover design, the authors explored if integrating a 6-month worksite non-exercise activity thermogenesis (NEAT) intervention, with and without personalized health coaching via text messaging into workflow could positively affect sedentary time, PA, and body composition of nursing staff without jeopardizing work productivity. Two ambulatory clinics were randomly assigned to an environmental NEAT intervention plus a mobile text message coaching for either the first 3 months (early texting group, n = 27) or the last 3 months (delayed texting group, n = 13), with baseline 3-month and 6-month measurements. Sedentary and PA levels, fat mass, and weight improved for both groups, significantly only for the early text group. Productivity did not decline for either group. This worksite intervention is feasible and may benefit nursing staff. PMID:27143144

  14. Developing more positive attitudes towards mental health nursing in undergraduate students: part 2--The impact of theory and clinical experience.

    Science.gov (United States)

    Happell, B; Robins, A; Gough, K

    2008-09-01

    Previous research examining the impact of education on nursing students' attitudes towards mental health nursing as a career has highlighted clinical experience as the primary influencing factor and generally has not considered the impact of theory. The current study compared a cohort of second-year and a cohort of third-year nursing students from the same university. Second-year students had received more theory and clinical experience than their counterparts. Questionnaires were distributed to the total population of students before commencement of, and after completion of clinical placement. This paper examines students' perceived preparedness for and satisfaction with clinical experience, attitudes towards people with mental illness, and attitudes towards mental health nursing as a career option following the completion of differing amounts of theory and clinical experience. The results demonstrate some statistically significant differences with increased amounts of theory and clinical experience in the second-year cohort being positively influential. The findings suggest that an increased component of theoretical and clinical experience in psychiatric/mental health nursing is likely to produce more positive attitudes towards people with mental illness and psychiatric/mental health nursing. However, little difference in perceived preparedness for and satisfaction with clinical experience was noted between the two cohorts. PMID:18768004

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

    OpenAIRE

    N. Tsele; Marie Muller

    2000-01-01

    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...

  16. Integration of Evidence into a Detailed Clinical Model-based Electronic Nursing Record System

    OpenAIRE

    Park, Hyeoun-Ae; Min, Yul Ha; Jeon, Eunjoo; Chung, Eunja

    2012-01-01

    Objectives The purpose of this study was to test the feasibility of an electronic nursing record system for perinatal care that is based on detailed clinical models and clinical practice guidelines in perinatal care. Methods This study was carried out in five phases: 1) generating nursing statements using detailed clinical models; 2) identifying the relevant evidence; 3) linking nursing statements with the evidence; 4) developing a prototype electronic nursing record system based on detailed ...

  17. Nursing research for a multi-ethnic society

    OpenAIRE

    Salway, Sarah; Ellison, George

    2010-01-01

    Summary points • Conducting research that appropriately and sensitively pays attention to ethnicity presents an important challenge to nursing researchers and demands particular competencies. • Nursing research must recognise the multifaceted nature of ethnicity and the varied ways in which health-related experiences and outcomes may be associated with ethnicity. • Ethnic identities are complex and fluid so that using fixed ethnic categories in research requires careful consideration...

  18. Rare Diseases Clinical Research Network

    Science.gov (United States)

    ... RDCRN? Aims of the Rare Diseases Clinical Research Network Contact Us RDCRN Members Login Accessibility Disclaimer The Rare Diseases Clinical Research Network is an initiative of the Office of Rare ...

  19. 山西省某三级甲等医院临床医护合作存在问题的现状调查%Research on the existing problems of clinical doctor-nurse collaboration

    Institute of Scientific and Technical Information of China (English)

    谢晓芬; 石贞仙; 吴春梅; 王晓云

    2012-01-01

    Objective To investigate key bonding point and existing problems of clinical doctor-nurse collaboration,in order to improve the collaboration and provide reference for seamless cooperation between doctors and nurses.Methods Open questionnaires were used to find out the bonding point of doctor-nurse collaboration and its problems.Questionnaire on existing problems of doctor-nurse collaboration ( doctor volume and nurse volume) was also designed for further analysis.247 nurses and 211 doctors in a third class A hospital in Shanxi province were included in this investigation,to work out the collaboration between nurses and doctors and the cause of existing problems.Results The score rates in 8 doctor - nurse bonding point were 30.35% ~84.5% in nurse volume and 31.3% ~ 84.3% in doctor volume.The highest score in both nurse and doctor volume was doctor' s operating dimension,which accounted for 84.5% and 84.3%.Among 10 worst doctornurse collaboration items,people who scored more than or equal to 3 accounted for 63.97% ~ 100.00%.Among 5 items which were the highest in both nurse and doctor volume,ward management accounted for 40%.82.94% doctors who scored more than or equal to 3 believed that junior nurses' ability to cooperate was poorer.Conclusions Nurse performed poorly in cooperation during doctors' operation.Most problems lie in ward management.Problems in medical order handling and execution are most intractable.And junior nurses lack standardized training and competence evaluation.Therefore,establishing reasonable flow path and responsibilities is necessary to improve doctor-nurse collaboration.%目的 探讨临床医护合作关键结合点及存在的问题,为改善医护合作,实现医护无缝隙合作提供依据.方法 通过开放性问卷调查,找出医护合作内容及其存在的问题,编制医护合作存在问题调查问卷(医生卷、护士卷).选取山西省某三级甲等医院的247名护士、211名医生进行

  20. Relationship of academic courses and clinical internships to performance on the National Qualified Examination for Registered Professional Nurses (NQEX-RPN)

    OpenAIRE

    Huimin Xiao; Weiwei Wu; Yan Lin; Xuan Zhang

    2014-01-01

    Background: Success in the National Qualified Examination for Registered Professional Nurses (NQEX-RPN) is a critical issue for each nursing student and every nursing school. However, to date, little research has been conducted regarding the degree of risk for licensure failure associated with specific academic courses and clinical internships in Mainland China. Objective: This study aimed to explore the relationship of academic courses and clinical internships to performance on the NQEX-R...

  1. Enabling professional development in mental health nursing: the role of clinical leadership.

    Science.gov (United States)

    Ennis, G; Happell, B; Reid-Searl, K

    2015-10-01

    Clinical leadership is acknowledged as important to the nursing profession. While studies continue to identify its significance in contributing to positive outcomes for consumers, the role that clinical leadership has in enabling and supporting professional development in mental health nursing is poorly understood. This study utilized a grounded theory methodology to explore the characteristics clinicians consider important for clinical leadership and its significance for mental health nursing in day-to-day clinical practice. Individual face-to-face, semi-structured interviews were conducted with nurses working in mental health settings. Participants described the important role that clinical leaders play in enabling professional development of others through role modelling and clinical teaching. They describe how nurses, whom they perceive as clinical leaders, use role modelling and clinical teaching to influence the professional development of nursing staff and undergraduate nursing students. Attributes such as professionalism and honesty were seen, by participants, as enablers for clinical leaders in effectively and positively supporting the professional development of junior staff and undergraduate nurses in mental health nursing. This paper examines clinical leadership from the perspective of mental health nurses delivering care, and highlights the important role of clinical leaders in supporting professional development in mental health nursing. PMID:26010165

  2. 75 FR 32486 - National Institute of Nursing Research; Notice of Closed Meetings

    Science.gov (United States)

    2010-06-08

    ... 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 HIV RFA Review... Rinaudo, MD, Scientific Review Administrator, Office of Review, National Institute of Nursing...

  3. Skin care in nursing: A critical discussion of nursing practice and research.

    Science.gov (United States)

    Kottner, Jan; Surber, Christian

    2016-09-01

    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. PMID:27267180

  4. Enhancing the clinical reflective capacities of nursing students.

    Science.gov (United States)

    Andersen, Elizabeth

    2016-07-01

    The purpose of clinical practicums is to help nursing students learn from real clinical experiences. In clinical settings, nursing instructors set-aside time at the end of each clinical day for reflective, debriefing discussions that are designed to draw the students' attention to relevant information and help them understand their beliefs and experiences. The students' competence and decision-making skills are enhanced when they are able to reflect on critical incidents or everyday practice events. It is sometimes difficult, however, for instructors to engage students meaningfully in discussions and promote reflection when students are fatigued. In this article, I argue that it is possible to refresh, support, and inspire undergraduate nursing students by engaging them in an activity designed to distract them and occupy their conscious attention, so that their more divergent and less accessible ideas are allowed to surface. Less accessible ideas are associated with the default network; regions in the brain that are most active when the brain is allowed to rest and wander. Congruent with the middle range theory of comfort, a distracting activity will provide comfort to students who are fatigued and/or distressed, and at the same time, will enhance their reflective capacities. A distracting activity that is enjoyable, not too demanding, and can be sustained for more than just a few minutes works best for idea generation and reflection. PMID:27428689

  5. Nurse Managers’ Strategies for the Integration of Newly Graduated Nurses into Clinical Units in Japan: A Qualitative Exploratory Study

    OpenAIRE

    Gregg, Misuzu F; Wakisaka, Toyomi; Hayashi, Chifuyu

    2013-01-01

    Aim: The purpose of this study was to explore the strategies used by nurse managers in Japan to facilitate the integration of newly graduate nurses (NGNs) into their clinical units. Background: The integration of NGNs into clinical units is an important issue for both NGNs and nurse managers because the first year of practice plays a vital role in a NGN’s career. Method: Data were generated through semi-structured interviews with 9 nurse managers in 9 acute care hospitals. Data analysis was c...

  6. Perceived stress among Macao nursing students in the clinical learning environment

    Directory of Open Access Journals (Sweden)

    Ming Liu

    2015-06-01

    Conclusions: Macao nursing students, to some extent, experienced stress in clinical learning environment and the stress level was higher than that of Hong Kong nursing students. The most common stressors were related to clinical and educational dimensions. The study suggests that teaching and learning modalities and the workload of nursing students should be reviewed.

  7. Nursing research on physical activity: a feminist critique.

    Science.gov (United States)

    Im, E

    2001-04-01

    Studies on physical activity have rarely included women as research participants, and have been mainly conducted among Western populations. In this paper, nursing research on women's physical activity is analyzed and critiqued using a feminist perspective that respects and values women's own experiences and their diversities. An extensive literature search was conducted using computerized data retrieval systems and 47 empirical studies published in nursing literature were selected and analyzed. The critique is presented with three main themes emerged from the analysis: (a) "without considering women's own experiences"; (b) "implicit androcentric and ethnocentric assumptions"; (c) "without meaningful interactions". Based on the analysis, future directions for nursing research on physical activity are proposed. PMID:11223059

  8. Psychiatric nursing research based on nursing for the whole person theory

    OpenAIRE

    M. Poggenpoel

    1996-01-01

    One of the determinants for decision-making in conducting psychiatric nursing research is the researchers’ framework of reference he/she works from. This framework of reference refers to the way in which researcher views reality and is called a paradigm and consists of metatheoretical, theoretical and methodological assumptions. The metatheoretical assumptions reflect the researcher’s view of a person, health, nursing and environment. These are beliefs and cannot be tested and are accepted to...

  9. Student Nurses' Learning Needs & Expectations in the Clinical Learning Units

    Directory of Open Access Journals (Sweden)

    M Chabeli

    1999-09-01

    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.

  10. Violence Experienced By Nursing Students in Clinical Practice Settings

    Directory of Open Access Journals (Sweden)

    Meltem KÜRTÜNCÜ

    2013-01-01

    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.

  11. Validation of a clinical critical thinking skills test in nursing

    OpenAIRE

    Sujin Shin; Dukyoo Jung; Sungeun Kim

    2015-01-01

    Purpose: The purpose of this study was to develop a revised version of the clinical critical thinking skills test (CCTS) and to subsequently validate its performance. Methods: This study is a secondary analysis of the CCTS. Data were obtained from a convenience sample of 284 college students in June 2011. Thirty items were analyzed using item response theory and test reliability was assessed. Test-retest reliability was measured using the results of 20 nursing college and graduate school stud...

  12. Exploring nursing students’ experience of peer learning in clinical practice

    OpenAIRE

    Ravanipour, Maryam; Bahreini, Masoud; Ravanipour, Masoumeh

    2015-01-01

    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’ experienc...

  13. Accident and emergency nursingclinical audit

    OpenAIRE

    Kitching, Holly

    2010-01-01

    Abstract The aim of this audit is to measure current practice in minor head injury management in an emergency department against the recommendations stated in the National Institute for Clinical Excellence (NICE) (2007) guidelines for Head injury: Triage, assessment, investigation and early management of head injury in infants, children and adults. Objectives Is to determine the impact on workload in the emergency department in-relation to the implementation of the NICE head injur...

  14. Preliminary clinical nursing leadership competency model: a qualitative study from Thailand.

    Science.gov (United States)

    Supamanee, Treeyaphan; Krairiksh, Marisa; Singhakhumfu, Laddawan; Turale, Sue

    2011-12-01

    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. PMID:22122346

  15. An exploration of the experience of compassion fatigue in clinical oncology nurses.

    Science.gov (United States)

    Perry, Beth; Toffner, Greg; Merrick, Trish; Dalton, Janice

    2011-01-01

    Compassion fatigue (CF) is "debilitating weariness brought about by repetitive, empathic responses to the pain and suffering of others" (LaRowe, 2005, p. 21). The work performed by oncology nurses, and the experiences of the people they care for, place oncology nurses at high risk for CF (Pierce et al., 2007; Ferrell & Coyle, 2008). Thus oncology nurses were chosen as the study focus. This paper details a descriptive exploratory qualitative research study that investigated the experience of CF in Canadian clinical oncology registered nurses (RNs). A conceptual stress process model by Aneshensel, Pearlin, Mullan, Zarit, and Whitlatch (1995) that considers caregivers' stress in four domains provided the study framework (see Figure 1). Nineteen study participants were recruited through an advertisement in the Canadian Oncology Nursing Journal (CONJ). The advertisement directed potential participants to a university-based online website developed for this study. Participants completed a questionnaire and wrote a narrative describing an experience with CF and submitted these through the secure research website. Data were analyzed thematically. Five themes include: defining CF, causes of CF, factors that worsen CF, factors that lessen CF, and outcomes of CF. Participants had limited knowledge about CF, about lack of external support, and that insufficient time to provide high quality, care may precipitate CF. The gap between quality of care nurses wanted to provide and what they were able to do, compounded by coexisting physical and emotional stress, worsened CF. CF was lessened by colleague support, work-life balance, connecting with others, acknowledgement, and maturity and experience. Outcomes of CF included profound fatigue of mind and body, negative effects on personal relationships, and considering leaving the specialty. Recommendations that may enhance oncology nurse well-being are provided. PMID:21661623

  16. An exploration of oncology specialist nurses’ roles in nurse-led chemotherapy clinics

    OpenAIRE

    Farrell, Carole Denise

    2014-01-01

    The purpose of this study was to investigate nurses’ roles within nurse-led chemotherapy clinics. There has been a rapid expansion and development of nursing roles and responsibilities in oncology, but little understanding of how roles are enacted and their impact on patient experiences and outcomes. This was a two stage approach comprising a survey of UK oncology specialist nurses followed by an ethnographic study of nurses’ roles in nurse led chemotherapy clinics. Ethics approval was obtain...

  17. Emergency Training, Education And Perceived Clinical Skills For Tsunami Care Among Nurses In Banda Aceh, Indonesia

    OpenAIRE

    Cut Husna; Urai Hatthakit; Aranya Chaowalit

    2011-01-01

    Background: Nurses are a part of health care provider who has responsibility to respond to disaster. The nurses ought to have sufficient knowledge and skills in caring for patients in disasters such as in a tsunami. Clinical skills of nurses effectively help the nurses in handling the tsunami emergency response.Objectives: To describe the levels of perceived clinical skills for tsunami care in acute response phase (6 months) after tsunami struck, and to examine the relationship between emerge...

  18. Clinical concept mapping: Does it improve discipline-based critical thinking of nursing students?

    OpenAIRE

    Moattari, Marzieh; Soleimani, Sara; Moghaddam, Neda Jamali; Mehbodi, Farkhondeh

    2014-01-01

    Background: Enhancing nursing students’ critical thinking is a challenge faced by nurse educators. This study aimed at determining the effect of clinical concept mapping on discipline-based critical thinking of nursing students. Materials and Methods: In this quasi-experimental post-test only design, a convenient sample of 4th year nursing students (N = 32) participated. They were randomly divided into two groups. The experimental group participated in a 1-day workshop on clinical concept map...

  19. “责任制整体护理模式”的临床实践与体会%Clinical practice and research of "responsibility system for holistic nursing mode"

    Institute of Scientific and Technical Information of China (English)

    刘立林; 陆连娣; 董钦

    2012-01-01

    目的:探讨责任制整体护理模式在临床护理工作中的意义.方法:明确各岗位护士的职责,护理服务内涵、服务目标和工作标准,服务项目包括为患者实施的病情观察,治疗和护理措施,生活护理,康复健康指导等内容.结果:患者的基础护理、安全管理能很好落实,病房环境可达到安静、整洁、安全、有序,提高了护理质量、服务满意度.结论:责任制整体护理模式可持续提高护理质量,推进护理学科向专业方向发展.%Objective:To investigate the responsibility of holistic nursing model of can in clinical significance. Methods: Way through clinical experience, clarify the job duties of nurses,nursing services ,content,service objectives and work standards,services for patients should include the condition of observation , treatment and nursing care, life care, rehabilitation and health guidance and so on. The basis of the results of patient care, safety management is well implemented , the ward environment to reach a quiet, clean, safe, orderly, and can improve the quality of care and service satisfaction. Conclusion : Overall responsibility for sustainable care model to improve the quality of care,promote nursing science to professional direction.

  20. 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;

    2008-01-01

    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...

  1. The Delphi Technique in nursing research. Part 2: Methodological considerations

    Directory of Open Access Journals (Sweden)

    Dimitrios Theofanidis

    2011-07-01

    Full Text Available The Delphi technique (DT has been used as an innovative method for the interaction of team of experts aiming at the growth of new knowledge and successful forecasting. In the first part presented the epistemological value and the comparative advantages of the method and its basic modifications. Although the technique is widely used, its scientific value is disputed as its structural features have not been determined in an absolute manner as yet. Relative questions concern the choice of experts, the sample size, the number of rounds and the desirable degree of anonymity and consensus. In this article a critical analysis of the application, restrictions, practical value and scientific prestige of DT are presented. The next two articles discuss the analysis of results as well as the use and usefulness of the method in nursing research, education and clinical practice.

  2. Use of Data Base Microcomputer Software in Descriptive Nursing Research

    OpenAIRE

    Chapman, Judy Jean

    1985-01-01

    Data base microcomputer software was used to design a file for data storage and retrieval in a qualitative nursing research project. The needs of 50 breast feeding mothers from birth to four months were studied. One thousand records with descriptive nursing data were entered into the file. The search and retrieval capability of data base software facilitated this qualitative research. The findings will be discussed in three areas: (1) infant concerns, (2) postpartum concerns, and (3) breast c...

  3. Nursing Faculty Members' Perspectives of Faculty-to-Faculty Workplace Incivility among Nursing Faculty Members

    Science.gov (United States)

    Amos, Kimberly S.

    2013-01-01

    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,…

  4. The application research of standard management model in nursing clinic practice teaching%规范护理临床带教管理模式的应用研究

    Institute of Scientific and Technical Information of China (English)

    曾洁; 付方雪; 吴惠平

    2011-01-01

    Objective :To discuss the effect of application of standard management model in nursing clinic practice teaching.Methods :300 nursing practice students in our hospital during the period of July 2003 to May 2006 were selected as control group ,300 nursing practice students in our hospital during the period of July 2006 to May 2009 were selected as experiment group.Traditional modelwas used in the control group, standard management model in nursing clinic practice teaching was applied in the experimental group.All of them were tested at the end of study in our hospital, at the same time, the practice students were asked for questionnaire, and finally the scores of theory, practice, case history writing and lecture as well as the valuation and approval degree of the practice teachers by nursing students were contrasted and analyzed.Results:The nursing practice students in experimental group got obviously higher scores of theory, practice and case history writing as well as lecture than those of the students in contrast one, the valuation and approval degree of the practice teachers by nursing students in experimental group was also higher than in the contrast one,the contrast was remarkably different( P < 0.05 ).Conclusion: Standard management model in nursing clinic practice teaching was effective improving nursing students the theoretical knowledge, practical ability and professional quality of clinical teachers.%目的:探讨规范临床带教管理模式的应用效果.方法:我院从2006年开始改革并规范临床带教管理模式,随机抽取2003年7月~2006年5月我院实习护生300名为对照组,2006年7月~2009年5月我院实习护生300名为实验组,回顾性调查两组护生的实习考核成绩及对临床带教老师的评价.结果:实验组护生的理论、操作考核成绩、护理病历书写评分、护理查房、讲课评分及对临床带教老师专业素质的评价均高于对照组(P<0.05).结论:规范临床带教管理

  5. Psychiatric nursing staff members' reflections on participating in group-based clinical supervision: a semistructured interview study

    DEFF Research Database (Denmark)

    Buus, Niels; Angel, Sanne; Traynor, Michael;

    2011-01-01

    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......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...... 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...

  6. Quality of care of nurse-led and allied health personnel-led primary care clinics

    OpenAIRE

    Chin, WY; Lam, CLK; Lo, SV

    2011-01-01

    Objectives To review the literature regarding quality of care of nurse-led and allied health personnel-led primary care clinics with specific attention to the quality indicators for fall prevention, continence care, pulmonary rehabilitation, mental health, pharmaceutical care, and wound care services. Data sources Literature search from 1990 to 2010 including Ovid Medline, Cochrane Database, RAND (Research and Development) Corporation Health Database, the ACOVE (Assessing the Care of Vulnerab...

  7. The use of narrative in preparing mental health nursing staff to undertake clinical supervision

    OpenAIRE

    Lyon, Steve

    2005-01-01

    There is considerable interest in the use of narrative by healthcare professionals. This ranges from those who are exploring its use as a therapeutic method through to those who are interested in its use within research. This paper examines, through a personal reflective account, the use of narrative as a method of engaging participants in the learning process within a training programme* preparing mental health nursing staff to undertake clinical supervision. The paper suggests that the use ...

  8. Necrotizing Enterocolitis in the Premature Infant: Neonatal Nursing Assessment, Disease Pathogenesis, and Clinical Presentation

    OpenAIRE

    Gregory, Katherine E.; DeForge, Christine E.; Natale, Kristan M.; Phillips, Michele; Van Marter, Linda J

    2011-01-01

    Necrotizing enterocolitis (NEC) remains one of the most catastrophic comorbidities associated with prematurity. In spite of extensive research, the disease remains unsolved. The aims of this paper are to present the current state of the science on the pathogenesis of NEC, summarize the clinical presentation and severity staging of the disease, and highlight the nursing assessments required for early identification of NEC and ongoing care for infants diagnosed with this gastrointestinal diseas...

  9. An Effect Research about Cases Teaching Method in Clinical Practice of Nursing Undergraduates%案例教学法在护理本科生临床实习中的效果研究

    Institute of Scientific and Technical Information of China (English)

    冯晓芬; 何剑; 花霞; 崔丽君; 汪海飞

    2012-01-01

    目的 探讨临床实习教学中护理本科生案例教学方法的应用效果.方法 将72名护理本科生按奇偶数组分为试验组和对照组,每组各36名.对照组采用传统带教模式,试验组采用案例教学,考评两组护理本科生理论知识、操作技能及临床护理综合能力.结果 试验组护理本科生理论知识、操作技能成绩均明显优于对照组(P<0.01);问卷调查护理本科生临床护理综合能力提高情况,两组比较有显著性差异(P<0.05).结论 案例教学法能提高护理本科生理论知识、操作技能及临床护理综合能力,值得推广应用.%Objectives This article discusses 1he application effect about cases teaching method in clinicalpiactice of nursing undergraduates. Methods We separated 72 nursing undergraduates into experin ental group (EG ) and com parison group (CG ) according to odd num ber and even number, each group has 36 persons. CG uses traditional instruction teaching while EG uses case teaching. T heoretical know ledge, operation skill and clinical nursing comprehensive ability are evaluated. Results The theoretical know ledge and operation technique score of EG is obviously higher 1han CG (P< 0 .01) ; There is obvbus difference about in provem ent situation of clinical nursing com prehensive ability by questionnaire ( P<0 .05 ) . Conclusions C ases teaching method can improve theoretical know ledge, operation skill and clinical nursing com prehensive ability of nursing undergraduates that is w orth to popularization and application .

  10. New methods of researching healthcare facility users: the nursing workspace

    Directory of Open Access Journals (Sweden)

    Karen Keddy

    2012-10-01

    Full Text Available This study is entitled Embodied Professionalism: The relationship between the physicalnature of nursing work and nursing space. The analysis is based in a critical examination of existing approaches, assumptions, and attitudes in the research literature about who, what, and how to study the person-environment relationship in healthcare facilities. New methods of studying how nurses experience their work, their workplace and the objects in their workspace are needed in order to address important issues of this person-environment relationship. Nursing work is re-conceptualized asembodied professionalism which acknowledges the interconnections between the physical labor ofprofessional nursing work, time, and space. This is a qualitative case study of nursing activities on a surgical unit that are invisible, marginalized, and unaccounted for in the research literature. Instead of studying how nurses’ efficiency and productivity could be increased through design interventions, this study examines the physical nature of nursing work and the physical setting from the nurses’ perspective. Instead of viewing the healthcare facility as solely a place for healing, this approach views the healthcare facility as a place for working. A nurse’s goal can simply be the desire to ‘get the workdone.’ A qualitative research methodology and a mixed method approach is used in this study. The methods include structured interviews, location mapping, photo-documentation, architectural inventories, place-centered behavioral mapping, and focused observations. In order to get a better understanding of how nurses experience their workspace, an image-based visual research method, theexperiential collage, was designed. The findings from using these methods reveal the significant rolethat the physical activities of moving, searching, and recovering play in gaining insights into nurses’ socio-spatial experience of the nursing workspace.

  11. Effects of clinical practice environments on clinical teacher and nursing student outcomes.

    Science.gov (United States)

    Babenko-Mould, Yolanda; Iwasiw, Carroll L; Andrusyszyn, Mary-Anne; Laschinger, Heather K S; Weston, Wayne

    2012-04-01

    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. PMID:22432538

  12. Evaluating, understanding and improving the quality of clinical placements for undergraduate nurses: A practice development approach.

    Science.gov (United States)

    Courtney-Pratt, Helen; Ford, Karen; Marlow, Annette

    2015-11-01

    Supervision and support is central to sustainability of clinical placement experiences of undergraduate nurses, but open to influences that impact nurses' capacity to undertake the role. Whilst supervision of learners is integral to the role of health care professionals, the primary responsibility is to deliver safe and effective care. Supervision of learners in practice is impacted by low levels of organisational support, variable individual preparedness, and lack of feedback and recognition for the role from education and industry partners. Over a period of five years the Quality Clinical Placement Evaluation research team, consisting of a partnership between health care and tertiary sectors have developed, and utilised a practice development approach to understand and support the quality of clinical placement for undergraduates and supervising ward nurses involved in Tasmanian clinical placement programs. Importantly, the approach evolved over time to be a flexible three step program supporting the translation of findings to practice, comprised of an education session related to supervision support; survey distribution to undergraduates and supervising ward nurses following clinical placement; and workshops where stakeholders come together to consider findings of the survey, their experience and the local context, with resultant actions for change. This paper reports on findings from the program after successful implementation in urban tertiary hospitals as it was implemented in non-traditional clinical placement settings, including community, aged care and rural settings. Feedback from clinicians identifies the utility of the three step program across these settings. The unique partnerships and approach to evaluating, understanding and improving quality of clinical placements has potential for transferability to other areas, with the value of findings established for all stakeholders. PMID:26256817

  13. Clinical reasoning in nursing, a think-aloud study using virtual patients - a base for an innovative assessment.

    Science.gov (United States)

    Forsberg, Elenita; Ziegert, Kristina; Hult, Håkan; Fors, Uno

    2014-04-01

    In health-care education, it is important to assess the competencies that are essential for the professional role. To develop clinical reasoning skills is crucial for nursing practice and therefore an important learning outcome in nursing education programmes. Virtual patients (VPs) are interactive computer simulations of real-life clinical scenarios and have been suggested for use not only for learning, but also for assessment of clinical reasoning. The aim of this study was to investigate how experienced paediatric nurses reason regarding complex VP cases and how they make clinical decisions. The study was also aimed to give information about possible issues that should be assessed in clinical reasoning exams for post-graduate students in diploma specialist paediatric nursing education. The information from this study is believed to be of high value when developing scoring and grading models for a VP-based examination for the specialist diploma in paediatric nursing education. Using the think-aloud method, data were collected from 30 RNs working in Swedish paediatric departments, and child or school health-care centres. Content analysis was used to analyse the data. The results indicate that experienced nurses try to consolidate their hypotheses by seeing a pattern and judging the value of signs, symptoms, physical examinations, laboratory tests and radiology. They show high specific competence but earlier experience of similar cases was also of importance for the decision making. The nurses thought it was an innovative assessment focusing on clinical reasoning and clinical decision making. They thought it was an enjoyable way to be assessed and that all three main issues could be assessed using VPs. In conclusion, VPs seem to be a possible model for assessing the clinical reasoning process and clinical decision making, but how to score and grade such exams needs further research. PMID:23938093

  14. Toward a qualified yes: personal characteristics of postbaccalaureate nursing students and implementation of the clinical nurse leader role.

    Science.gov (United States)

    Dzurec, Laura Cox; Allchin, Lynn; Engler, Arthur J; Szarlan, John; Polifroni, E Carol; Brewer, Thomas

    2006-01-01

    Anecdotal and research data suggest that psychological type and explanatory style influence individuals' day-to-day functioning. The assessment of these characteristics among postbaccalaureate students will support faculty in planning for students' educational programs and guide them as they provide support for the expansive role functions of, among others, the graduates of the newly proposed clinical nurse leader program. This article is a report of one study included in a longitudinal project examining the influence of psychological type and explanatory style on students' academic success. The questions addressed in this article are as follows: "How do psychological type and explanatory style differ between entering baccalaureate students and entering postbaccalaureate students?" and "How do experiences of depression and fatigue differ between these two groups of novice nursing students?" Findings suggest that postbaccalaureate students, although similar in psychological type to baccalaureate students, are significantly less depressed, less fatigued, and less positive in explanatory style than traditional baccalaureate students, indicating a potential need for support in addressing the demands of the roles that they will encounter as nurses. PMID:16459285

  15. The Development of a Regional Nursing History Collection: Its Relevance to Practice, Education, and Research.

    Science.gov (United States)

    Hezel, Linda F.; Linebach, Laura M.

    1991-01-01

    The Nursing History Collection at the University of Missouri-Kansas City preserves artifacts and memorabilia of regional nursing history. Such collections are essential to practice, education, and research in nursing. (SK)

  16. Clinical research in allied health.

    Science.gov (United States)

    Selker, L G

    1994-01-01

    Allied health professionals in nutrition and medical dietetics, occupational therapy, physical therapy, and speech-language pathology and audiology play both unique and key cross-cutting roles in the furtherance of clinical research. Clinical research in nutrition and medical dietetics uniquely focuses on food nutrient intake and the metabolic utilization of nutrients. Clinical research in occupational therapy has a special focus on the relationship of impairment to disability, the adaptation to disability and the maximization of function. Physical therapy clinical research uniquely targets movement dysfunction and its evaluation and treatment within the context of quality and effective care. Clinical research in speech-language pathology and audiology is singular in its focus on deafness and hearing disorders, voice, speech, language and related disorders, and intersections among these and other neurological and physical conditions. Thus, all of these disciplines are making unique contributions to clinical research. Clinical research in these allied health professions is much more than the above specific foci. Inasmuch as these disciplines are rooted in practice, their contributions to research are inherently clinical. Many, if not most, of these contributions represent further validations of clinical practice or its underlying knowledge base. This means that, at a macro level, clinical research in allied health is very much "applied" research. Within allied health clinical research, this emphasis is redoubled at the "person," or individual level, where considerable attention is given to concepts of function and effectiveness. Clinical research in allied health has played a key cross-cutting role through its emphasis on collaboration. Possibly due to their professional maturation within multidisciplinary academic units, allied health professionals have demonstrated a level of comfort with multidisciplinary and interdisciplinary collaborations unique within many

  17. Implementation and evaluation of an educational programme to support registered nurses during clinical supervision of student nurses in medical and surgical wards in a training health facility, Namibia

    Directory of Open Access Journals (Sweden)

    Hanna Neshuku

    2015-12-01

    Full Text Available The purpose of this paper is to provide an account of the implementation and evaluation of the educational programme was to support registered nurses in the Oshana region, Namibia educationally, in order to enable them to provide effective clinical supervision of student nurses The researcher selected to conduct a workshop because during a workshop it is possible to have two-way communication that encouraged the exchange of ideas and facts with the aim of sharing valued information among one another. The duration of the workshop was two days. The workshop was attended by registered nurses (registered nurses from a training institution and training health facilities from the Oshana Region. Participants were selected using a criterion sampling method (registered nurses who were supervising second and third year nursing students during clinical practice; those registered nurses were from medical and surgical wards at training heath facilities in the Oshana Region and had been working there for a year or more. There were no limitations on the number / sample size; the researcher allowed all participants who turned up to attend the workshop resulted in seventeen participants attended the workshop. The programme was implemented in three phases which in turn was divided into sessions. The orientation phase provided an introduction to the workshop where aspects related to the purpose, goals, and objectives of the workshop and logistical arrangements of the implementation of the programme were discussed. The working phase consisted of three sessions which is corresponding to the programme objectives. The implementation of each session was based on the specific objective activities of that session and it was expected to produce an outcome that would help the registered nurses during the execution of their clinical supervisory duties of nursing students During the termination phase two qualitative evaluations were done firstly, the evaluation of the

  18. Description of an educational programme developed to support registered nurses during clinical supervision of student nurses in medical and surgical wards in a training health facility: Namibia

    Directory of Open Access Journals (Sweden)

    Hanna Neshuku

    2015-12-01

    Full Text Available This paper describes an educational programme interventions developed to support registered nurses during the clinical supervision of student nurses in the medical and surgical wards of a training hospital in the Oshana region, Namibia. The programme developed contained the purpose and goals of the programme, programme objectives, programme structure, processes and approaches. The programme catered for the following themes: Managerial challenges, educational challenges and non-conducive environment as was experienced by registered nurses and student nurses in order to support them during clinical supervision. It includes the activities to address managerial challenges as identified to be affecting the clinical supervision of student nurses; this is to address educational challenges identified during clinical supervision of student nurses. Furthermore, the programme contains activities focused on providing registered nurses with knowledge and skills on clinical supervision, in order to increase their understanding and competence about the clinical supervision of student nurses. Another activity included interventions for enhancing positive interpersonal relationships and good communication skills to improve effective interactions between registered nurses and student nurses. This study made it possible for the development of an educational programme that enable the registered nurses to receive the much needed information pertaining to the clinical supervision of student nurses, and served as a guide and support tool when carrying out clinical supervision of student nurses. In conclusion the study was justified as an original contribution to the existing body of knowledge in general health nursing science.

  19. Integrating clinical research into clinical decision making

    Directory of Open Access Journals (Sweden)

    Mark R Tonelli

    2011-01-01

    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.

  20. Understanding workload in occupational health research on nursing

    Directory of Open Access Journals (Sweden)

    Ana Lucia Cardoso Kirchhof

    2011-07-01

    Full Text Available Introduction: The concept of workload has been used by nursing with multiple meanings. Among them, we have considered patient dependency and nursing intensity. We propose to add to this understanding that workloads are biopsychic processes with effects on the worker’s body.Development: We discuss this theoretical concept based on the Latin American contribution and the importance of theory in the conceptual field. Final reflection: This discussion provides other theoretical ways to operate this concept in areas of research, focusing on the worker’s health. Also, this concept in nursing research helps to further study the work process and its relationship with health to analyze the contribution of each component of this in the health nursing workers.

  1. The genesis of 'the Neophytes': a writing support group for clinical nurses.

    Science.gov (United States)

    Stone, Teresa; Levett-Jones, Tracy; Harris, Margaret; Sinclair, Peter M

    2010-10-01

    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. PMID:20096487

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

    OpenAIRE

    Porter J; Morphet J; Missen K; Raymond A

    2013-01-01

    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 report...

  3. Conceptual framework for facilitating reflective practice by nurses in the clinical setting

    OpenAIRE

    Lucia Nelumbu; Louise Pretorius

    2015-01-01

    Problems or incidents occurring in clinical settings are often seen as indicators of poor nursing care and even indicators of a lack of reflective practice skills. This paper presents the description of the conceptual framework to facilitate reflective practice for registered nurses in clinical settings. It focuses on the characteristics of the agent (lecturer as a facilitator) and recipients (registered nurses), the context of the clinical practice, the procedures for the facilitation of ref...

  4. 实习前护生离职意愿与主观幸福感的相关性研究%Research on correlation between turnover intention and subjective well-being of nursing students before clinical internship

    Institute of Scientific and Technical Information of China (English)

    吴冬梅; 全婷

    2012-01-01

    [目的]了解实习前护生离职意愿水平,探讨其与主观幸福感的相关性.[方法]采用离职意愿量表、青少年主观幸福感量表对423名实习前护生进行问卷调查.[结果]有效问卷406份,实习前护生的离职意愿处于较高水平,离职意愿Ⅰ 得分为4.64分±1.27分,离职意愿Ⅱ 得分为5.14分±1.31分,离职意愿Ⅲ得分为5.66分±0.99分,离职意愿总分为15.44分±2.72分,指标值为64.33%.3年制大专护生离职意愿Ⅱ得分及离职意愿总分高于5年制本科护生(P<0.01);学习成绩中等者离职意愿Ⅰ得分高于成绩优秀者(P<0.01);离职意愿Ⅰ和离职意愿Ⅱ的影响因素为实习前护生的学校满意度;离职意愿Ⅲ的影响因素为生活满意度总分及负性情感.[结论]实习前护生离职意愿总体偏高,在校主观幸福感对其影响较明显,高校护理教育者及管理者应重视学校、社会等多方面对实习前护生专业思想的教育.%Objective: To know about the turnover intention level of nursing students before clinical internship and probe into the correlation between it and subjective well -being. Methods: A total of 423 nursing students were investigated by convenient sampling metho ds with filling out turnover intention scale(TIS) and adolescent subjective well -being scale before clinical internship. Results: There were 406 effective questionnaires, and the results showed that the level of turnover intention of nursing students before clinical internship was higher. The score in the turnover intention I was(4. 64+1. 27) ,in the turnover intention TJ was (5. 14 + 1. 31), in the turnover intention H was (5. 66 + 0. 99),and the total score of turnover intention was(15. 44 + 2. 72). The index value of the turnover intention was 64. 33%. The score of the turnover intention TJ and the total score of turnover intention of students who were in 3 - year college were higher than that of the undergraduates in the school with 5 - year(P

  5. Use and development of teaching technologies presented in nursing research

    OpenAIRE

    Pétala Tuani Candido De Oliveira Salvador; Cláudia Cristiane Filgueira Martins Rodrigues; Kálya Yasmine Nunes de Lima; Kisna Yasmin Andrade Alves; Viviane Euzébia Pereira Santos

    2015-01-01

    Objective: characterizing teaching technologies used or developed in nursing dissertations and theses in Brazil. Methods: a documentary research that had data collection sourced from directories of theses and dissertations available on the website of the Brazilian Nursing Association, from Volumes Nineteen (XIX) (2001) to Twenty-one (XXI) (2013). Results: of 6346 studies, 18 (0.28%) used or developed teaching technologies, composed of the following categories: use of conceptual map; use of ga...

  6. Clinical Evaluation of Baccalaureate Nursing Students Using SBAR Format: Faculty versus Self Evaluation

    Science.gov (United States)

    Saied, Hala; James, Joemol; Singh, Evangelin Jeya; Al Humaied, Lulawah

    2016-01-01

    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…

  7. Servant leadership in nursing: a framework for developing sustainable research capacity in nursing.

    Science.gov (United States)

    Jackson, Debra

    2008-01-01

    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. PMID:18341074

  8. Hospital restructuring and nursing leadership: a journey from research question to research program.

    Science.gov (United States)

    Cummings, Greta G

    2006-01-01

    The 1990s brought new fiscal realities to healthcare, leading to nursing job loss estimates in tens of thousands following widespread hospital restructuring to manage costs and improve efficiency. This research aimed at examining (a) how multiple episodes of hospital restructuring leading to layoff of nurses affected nurses who remained employed and (b) whether and how nursing leadership mitigated or intensified the negative effects of hospital restructuring on nurses. This dissertation comprised 3 empirical studies leading to 5 publications. The first study was a systematic literature review; the second and third used structural equation modeling to develop and test theoretical models addressing nursing practice environments and effects of hospital restructuring on nurses. The combined findings in this dissertation illustrate that hospital restructuring had significant negative physical/emotional health effects on nurses who remained employed. Nurses who worked for resonant (emotionally intelligent) leadership reported positive health and well-being, and opportunities to provide quality patient care. Nurses who worked for dissonant leadership reported greater negative effects of hospital restructuring. These findings led to a beginning theory of relational energy--a mechanism of mitigation whereby resonant nursing leaders invest energy into collaborative relationships with nurses, thereby positively influencing health and well-being, and, ultimately, outcomes for patients. PMID:17077713

  9. 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

    2015-07-01

    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.

  10. Psychiatric hospital nursing staff's experiences of participating in group-based clinical supervision:

    DEFF Research Database (Denmark)

    Buus, Niels; Angel, Sanne; Traynor, Michael;

    2010-01-01

    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....

  11. Curriculum planning and computer-assisted instruction (CAI) within clinical nursing education.

    OpenAIRE

    Perciful, E. G.

    1992-01-01

    Some experts in nursing and computers have stated that the integration of the computer within nursing education needs to be planned. It has also been declared that there is a need for a body of knowledge that describes the planning and implementing of CAI and the degree of success with the implementation of CAI within nursing education. There is a paucity of literature addressing the planning, implementing, and evaluation of CAI within clinical nursing education. The purpose of this paper is ...

  12. Assessment of quality in psychiatric nursing documentation-a clinical audit

    OpenAIRE

    2014-01-01

    Background: Quality in nursing documentation facilitates continuity of care and patient safety. Lack of communication between healthcare providers is associated with errors and adverse events. Shortcomings are identified in nursing documentation in several clinical specialties, but very little is known about the quality of how nurses document in the field of psychiatry. Therefore, the aim of this study was to assess the quality of the written nursing documentation in a psychiatric...

  13. 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

    2009-06-01

    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.

  14. The Development and Validation of a Tool to Measure Self-Confidence and Anxiety in Nursing Students While Making Clinical Decisions

    Science.gov (United States)

    White, Krista Alaine

    2011-01-01

    Clinical decision making (CDM) is a cornerstone skill for nurses. Self-confidence and anxiety are two affective influences that impact the learning and adeptness of CDM. Currently, no instruments exist that measure perceived self-confidence and anxiety level of undergraduate nursing students related to CDM. The purpose of this research was to…

  15. A Preceptorship Model for Nurses in Rural Health Care Facilities. Rural Education Research Series No. 2.

    Science.gov (United States)

    Pottinger, M. Enid

    This report describes a preceptorship model that provides student nurses with clinical practice in rural health facilities. The development and implementation of a preceptorship model reflects a partnership between nursing education and nursing service--between the urban nursing school and the rural hospital. A five-stage preceptorship model is…

  16. 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

    2015-01-01

    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.

  17. [Disaster and disaster nursing: from an education and research perspective].

    Science.gov (United States)

    Chen, Li-Chin; Fan, Jun-Yu

    2010-06-01

    Due to its geographic position and the effect of changes in both global and island-specific environments, Taiwan is an area highly prone to natural disasters. While responsibility for national disaster prevention and rescue are distributed amongst various authorities, healthcare agencies hold sole responsibility for the treatment of injuries sustained during disaster events. Disaster casualties require differing levels of medical assistance. In order to respond systematically to disaster events, the government should require that all healthcare facilities operate a hospital emergency incident command system (HEICS). Past experience shows the important role that nurses play in the disaster relief process. The 911 disaster in the United States both helped reorient the direction of nursing education and emphasized teaching practical strategies, standard operating procedures, and frequently asked questions for nurses. Recognizing the limited research done worldwide on disaster nursing, the World Society of Disaster Nursing (WSDN) was established in 2008 in Kobe, Japan. The main purposes of the WSDN is to promote international academic exchange, establish an Internet information exchange platform, and organize international disaster nursing related activities. The WSDN has suggested that future research may focus in on critical issues that include post-disaster health status follow-up, exploration of the healthcare needs and other issues of disaster survivors, care skills development, and the potential for development of cooperative support networks between medical institutions. PMID:20535673

  18. Transnationalism: A Framework for Advancing Nursing Research With Contemporary Immigrants.

    Science.gov (United States)

    Rosemberg, Marie-Anne S; Boutain, Doris M; Mohammed, Selina A

    2016-01-01

    This article advances nursing research by presenting transnationalism as a framework for inquiry with contemporary immigrants. Transnationalism occurs when immigrants maintain relationships that transcend the geographical borders of their origin and host countries. Immigrants use those relationships to experience health differently within concurrent socioeconomic, political, and cultural contexts than national situated populations. Nurse researchers are called upon to consider these trans-border relationships when exploring the health of contemporary immigrants. Such consideration is needed to develop relevant research designs, methods, analysis, and dissemination strategies. PMID:26836998

  19. Integrating quality and safety education into clinical nursing education through a dedicated education unit.

    Science.gov (United States)

    Masters, Kelli

    2016-03-01

    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. PMID:26777871

  20. Nurse task shifting for antiretroviral treatment services in Namibia: implementation research to move evidence into action.

    Directory of Open Access Journals (Sweden)

    Gabrielle O'Malley

    Full Text Available BACKGROUND: Evidence from several sub-Saharan countries support nurse-initiated antiretroviral treatment as a feasible alternative to doctor-led models characteristic of early responses to the HIV epidemic. However, service delivery models shown to be effective in one country may not be readily adopted in another. This study used an implementation research approach to assist policy makers and other stakeholders to assess the acceptability and feasibility of task shifting in the Namibian context. METHODS: The Namibian Ministry of Health and Social Services implemented a Task Shifting Demonstration Project (TSDP at 9 sites at different levels of the health system. Six months after implementation, a mixed methods evaluation was conducted. Seventy semi-structured interviews were conducted with patients, managers, doctors and nurses directly involved with the TSDP. Physician-evaluators observed and compared health service provision between doctors and nurses for 40 patients (80 observations, documenting performance in agreement with the national guidelines on 13 clinical care indicators. RESULTS: Doctors, nurses, and patients interviewed believed task shifting would improve access to and quality of HIV services. Doctors and nurses both reported an increase in nurses' skills as a result of the project. Observation data showed doctors and nurses were in considerable agreement (>80% with each other on all dimensions of HIV care and ≥90% on eight dimensions. To ensure success of national scale-up of the task shifting model, challenges involving infrastructure, on-going mentoring, and nursing scope of practice should be anticipated and addressed. CONCLUSION: In combination with findings from other studies in the region, data from the TSDP provided critical and timely information to the Namibian Ministry of Health and Social Services, thus helping to move evidence into action. Small-scale implementation research projects enable stakeholders to learn by

  1. Integration of clinical research documentation in electronic health records.

    Science.gov (United States)

    Broach, Debra

    2015-04-01

    Clinical trials of investigational drugs and devices are often conducted within healthcare facilities concurrently with clinical care. With implementation of electronic health records, new communication methods are required to notify nonresearch clinicians of research participation. This article reviews clinical research source documentation, the electronic health record and the medical record, areas in which the research record and electronic health record overlap, and implications for the research nurse coordinator in documentation of the care of the patient/subject. Incorporation of clinical research documentation in the electronic health record will lead to a more complete patient/subject medical record in compliance with both research and medical records regulations. A literature search provided little information about the inclusion of clinical research documentation within the electronic health record. Although regulations and guidelines define both source documentation and the medical record, integration of research documentation in the electronic health record is not clearly defined. At minimum, the signed informed consent(s), investigational drug or device usage, and research team contact information should be documented within the electronic health record. Institutional policies should define a standardized process for this integration in the absence federal guidance. Nurses coordinating clinical trials are in an ideal position to define this integration. PMID:25636041

  2. 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

    2012-04-01

    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

  3. 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

    2015-01-01

    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.

  4. Negotiating clinical knowledge: a field study of psychiatric nurses' everyday communication

    DEFF Research Database (Denmark)

    Buus, Niels

    2008-01-01

    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 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 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...

  5. Approaching Ethical Reasoning in Nursing Research through a Communitarian Perspective.

    Science.gov (United States)

    Dresden, Elissa; McElmurry, Beverly J.; McCreary, Linda L.

    2003-01-01

    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)

  6. Clinical major option: a model for implementing critical care nursing into baccalaureate preparation.

    Science.gov (United States)

    Robertson, K A

    2000-01-01

    What was initiated as a directive from a provincial government in an attempt to increase the number of critical care nurses has evolved into an exciting educational opportunity for many nurses and student nurses in the year 2000. Between 1993 and 1997 there has been significant downsizing of acute care beds across Canada (Code Blue: Critical Care Nursing in Nova Scotia, 1998). At the same time patient acuity has increased, due to shorter hospital stays, and the number of nurses working full-time has decreased with the increased use of casual nurses. Several studies at both the provincial and national levels report current and future shortages of specialized nurses (emergency, critical care and perioperative). It is expected that this shortage will continue into the future, a shortage that is driven by technological advances, as well as an aging general and nursing population. Continued shortages of these acute care nurses will result in fierce competition for skilled nurses as well as aggressive recruitment and retention strategies (Code Blue: Critical Care Nursing in Nova Scotia, 1998). It is generally agreed within the nursing community that specialty nurses in critical care require a unique body of knowledge that is not acquired in a basic undergraduate nursing program (Fitzsimmons, Hadley, & Shively, 1999). This specialized knowledge can be gained informally through experience; however, it is largely developed in additional formal education programs. The purpose of this article is to outline a strategy for the delivery of specialty education at three educational levels in acute care nursing with three streams: emergency, critical care and perioperative nursing. This clinical major option is to be delivered in partnership among the Queen Elizabeth Hospital II, the Health Science Centre and Dalhousie University School of Nursing, Halifax, Nova Scotia, Canada. This model of offering specialty education in university preparation could be a template for preparing

  7. Diabetes research reported by nurses in Nordic countries

    DEFF Research Database (Denmark)

    Graue, G; Iversen, MM; Sigurdardottir, AK;

    2013-01-01

    from manual search. They were published in 63 different scientific journals, with 52 (32%) published in nursing journals and typically by authors with university degrees. Only one in four authors had published five or more articles. The majority of the studies originated from a single country, with 23...... Nordic countries (Denmark, Iceland, Norway and Sweden) from 1979–2009, and to identify the time periods in which they had been published, different study designs and the number of publications related to nurse authors. We performed an electronic search for potentially relevant scientific articles between...... (14%) including co-authors from another country. It was concluded that research in diabetes reported by nurses has increased considerably after the year 2000. Further action is needed to build stronger national groups of researchers. International collaborative research networks facilitate funding...

  8. 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

    2013-01-01

    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

  9. Nurturing a positive research culture: the Academic Department of Military Nursing perspective.

    Science.gov (United States)

    Lamb, Di

    2015-12-01

    The structure and quality of nurse education in the UK has been scrutinised for many decades, culminating in a significant shift from ward-based learning at certificate level to that at diploma or degree level being delivered in higher education institutions. This professionalisation of nursing in the last decade of the 20th century was influenced by major changes in Department of Health policy, which demanded that a sound evidence base must be applied to nursing practice thereby replicating the model of evidence-based medicine. The requirement for care delivery to be evidence based is built on the premise that a continual research programme to investigate, disseminate and implement findings will enhance decision making in the clinical environment, thereby improving standards of care and patient outcomes. However, for this to be achieved there is an organisational responsibility to drive a positive research culture in order to effectively generate new knowledge and expertise. This paper explores the nursing research culture in the NHS and the strategies employed by the Defence Medical Services for supporting its nurses to generate the high-quality evidence that informs best practice. PMID:26400975

  10. Clinical Alarms in Intensive Care Units: Perceived Obstacles of Alarm Management and Alarm Fatigue in Nurses

    OpenAIRE

    Cho, Ok Min; Kim, Hwasoon; Lee, Young Whee; Cho, Insook

    2016-01-01

    Objectives The purpose of this descriptive study was to investigate the current situation of clinical alarms in intensive care unit (ICU), nurses' recognition of and fatigue in relation to clinical alarms, and obstacles in alarm management. Methods Subjects were ICU nurses and devices from 48 critically ill patient cases. Data were collected through direct observation of alarm occurrence and questionnaires that were completed by the ICU nurses. The observation time unit was one hour block. On...

  11. The effect of concept mapping on clinical decision making skills of ICU nurses

    OpenAIRE

    Fakhri Dokht Akbari; Malahat Nikravan Mofrad; Azam Dabirian

    2014-01-01

    Introduction: Concept mapping is an innovative tool that would help hospital educators and nurses to promote their knowledge and clinical decision making skills. The aim of this study was to investigate the effect of concept mapping on clinical decision making skills of nurses working in the intensive care unit (ICU). Methods: The quasi-experimental, non-equivalent control group, pretest-posttest design was conducted among baccalaureate nurses working in an intensive care unit. Forty two nur...

  12. Development and Psychometric Evaluation of the Nursing Instructors’ Clinical Teaching Performance Inventory

    OpenAIRE

    2014-01-01

    Evaluation of nursing instructors’ clinical teaching performance is a prerequisite to the quality assurance of nursing education. One of the most common procedures for this purpose is using student evaluations. This study was to develop and evaluate the psychometric properties of Nursing Instructors’ Clinical Teaching Performance Inventory (NICTPI). The primary items of the inventory were generated by reviewing the published literature and the existing questionnaires as well as consulting wit...

  13. The current evidence base for the clinical nurse leader: a narrative review of the literature.

    Science.gov (United States)

    Bender, Miriam

    2014-01-01

    The clinical nurse leader (CNL) is a relatively new nursing role, introduced in 2003 through the American Association of Colleges of Nursing (AACN). A narrative review of the extant CNL literature was conducted with the aim of comprehensively summarizing the broad and methodologically diverse CNL evidence base. The review included 25 implementation reports, 1 CNL job analysis, 7 qualitative and/or survey studies, and 3 quantitative studies. All CNL implementation reports and studies described improved care quality outcomes after introduction of the role into a care delivery microsystem. Despite preliminary evidence supporting the CNL as an innovative new nursing role capable of consistently improving care quality wherever it is implemented, CNLs are still struggling to define the role to themselves and to the health care spectrum at large. Although the AACN CNL White Paper provides a concise model for CNL educational curriculum and end competencies, there is a compelling need for further research to substantively delineate the CNL role in practice, define care delivery structures and processes that influence CNL integration, and develop indicators capable of capturing CNL-specific contributions to improved care quality. PMID:24720939

  14. 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

    2013-03-01

    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.

  15. Report of an innovative research program for baccalaureate nursing students.

    Science.gov (United States)

    Sheil, E P; Crain, H

    1992-10-01

    In summary, an innovative low-cost way to teach undergraduate students about research and to socialize students into attending research conferences has been developed. It is not perfect yet, but with time, critical students, and responsive research-productive faculty, each program should improve. It is not surprising that sophomore students do not achieve the objectives at the same level as older students. As students move closer to the "real" world of nursing practice and develop increasing sophistication about nursing in general and research in particular, they are, hopefully, more knowledgeable consumers of nursing research. What is particularly satisfying to the planners of those Research Days is that through the experience of attending Undergraduate Research Day at various points in their educational progress, students are socialized into discussing research. Additionally, they seemed to develop some degree of comfort with this aspect of their future nursing role. The RN and former student panel participants normalized research involvement for the student attendees. Panel member stories about their mistakes and successes made students realize that nursing investigations need not be the sole property of those with doctoral degrees. A serendipitous outcome of these programs was an increased awareness by students of the specific research project in which their teachers were engaged. Students informally reported a feeling of pride and reflected accomplishment. The importance of timing in offering such programs should not have been a surprise at this urban commuter university. Unwittingly, in scheduling the Friday afternoon program the planners ignored the initial consideration that the program not impose financial hardship on students.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:1335496

  16. [Interprative phenomenology: a qualitative research method for nursing care].

    Science.gov (United States)

    Spichiger, Elisabeth; Prakke, Heleen

    2003-06-01

    This paper aims at discussing interpretive phenomenology as a research method and at demonstrating its usefulness for nursing. The philosophical background of phenomenology and aspects of the philosophical perspective underlying interpretive phenomenology are discussed. The research process with data collection, analysis, and presentation of the results, as well as the evaluation of such studies are elucidated. Interpretive phenomenology allows insights into the daily world of ill or disabled people and their families. The articulation of their experiences gives them a voice and has the capacity to bring about positive changes in nursing practice. PMID:12838721

  17. Reiki as a clinical intervention in oncology nursing practice.

    Science.gov (United States)

    Bossi, Larraine M; Ott, Mary Jane; DeCristofaro, Susan

    2008-06-01

    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. PMID:18515247

  18. Nurse-led sexually transmitted disease clinics: staff perceptions concerning the quality of the service.

    Science.gov (United States)

    Mindel, A; Fennema, J S A; Christie, E; van Leent, E

    2009-11-01

    The aim of this study was to evaluate staff perception of a nurse-led sexually transmitted infection (STI) clinical service. The staff at the Amsterdam STI clinic were interviewed using a standardized questionnaire. A series of eight questions was designed to determine the perceived advantages or disadvantages of nurse-led clinics, based on personal experience, using a Likert scale. After completion of the structured interview, the staff were offered the opportunity of providing comments. All 36 members of staff completed the survey. Twenty-seven (75%) agreed or strongly agreed that nurse-led clinics provided more time with patients. Sixty-four percent agreed or strongly agreed that such a service provided greater confidentiality and 94% agreed or strongly agreed that 'nurse-led clinics provided a high level of job satisfaction for nurses.' In contrast, only 64% agreed or strongly agreed that nurse-led clinics provided a high level of job satisfaction for doctors. When staff comments were evaluated, four common themes emerged. First, that this was an efficient way of providing services; second, that the clinic was a pleasant environment, there was excellent teamwork and greater job satisfaction; third, that a good deal of rivalry existed between doctors and nurses and finally, that there was a need for and importance of protocols, rules and staff training and development. In conclusion, there was a high level of staff satisfaction with the service. Nurse-led STI clinics may be a useful adjunct to existing STI facilities. PMID:19854883

  19. 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

    2016-01-01

    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。

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

    OpenAIRE

    Athanasakis Efstratios

    2013-01-01

    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 sk...

  1. The contribution of the clinical nurse instructor to the development of critical thinking skills of the student nurse in Namibia

    OpenAIRE

    Pretorius, L; Small, L.; K Jooste; A van Dyk

    2005-01-01

    A quantitative, non-experimental and exploratory study was undertaken to determine the contribution by the clinical nurse instructor to develop critical thinking skills of student nurses in Namibia. Opsomming ‘n Kwantitatiewe nie-eksperimentele en verkennende studie is onderneem om te bepaal wat die bydrae van die kliniese verpleeginstrukteur is om kritiese denke by die studentverpleegkundige in Namibië te ontwikkel. *Please note: This is a reduce...

  2. Exposing emotional labour experienced by nursing students during their clinical learning experience: A Malawian perspective

    Directory of Open Access Journals (Sweden)

    Gladys Msiska

    2014-01-01

    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.

  3. The data collection tools in nursing researches in Turkey

    Directory of Open Access Journals (Sweden)

    Ayla Ünsal

    2010-02-01

    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.

  4. The data collection tools in nursing researches in Turkey

    Directory of Open Access Journals (Sweden)

    Ayla Ünsal

    2010-02-01

    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.

  5. Impact case studies submitted to REF2014: the hidden impact of nursing research

    OpenAIRE

    Kelly, Daniel; Kent, Bridie; McMahon, Ann; Taylor, Julie; Traynor, Michael

    2016-01-01

    The UK’s research excellence framework (REF) 2014 rated the research from 154 universities and the impact of research was evaluated in 6975 impact case studies. Nursing was returned within unit of Assessment (UoA) 3 which also included Dentistry, Pharmacy, Allied Health Professions, although nursing research was also submitted within other UoAs. The study aim was to collate and categorise available REF impact case studies involving nursing researchers or on topics of relevance to nursing. Us...

  6. A strategy to promote nurses' health research contribution in South Africa / Emmerentia du Plessis

    OpenAIRE

    Du Plessis, Emmerentia

    2006-01-01

    Professionals in the medical field often question the value and contribution nurses make through research. To counteract these perceptions, to create awareness of nurses of their role in contributing to the body of knowledge of nursing and to improve the implementation of research findings, it is important to design and implement a strategy for the promotion of all aspects of research by nurses. This research intended to describe and explore the contribution of research by ...

  7. Individual determinants of research utilization by nurses: a systematic review update

    Directory of Open Access Journals (Sweden)

    Wallin Lars

    2011-01-01

    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

  8. Validation of a clinical critical thinking skills test in nursing

    Directory of Open Access Journals (Sweden)

    Sujin Shin

    2015-01-01

    Full Text Available Purpose: The purpose of this study was to develop a revised version of the clinical critical thinking skills test (CCTS and to subsequently validate its performance. Methods: This study is a secondary analysis of the CCTS. Data were obtained from a convenience sample of 284 college students in June 2011. Thirty items were analyzed using item response theory and test reliability was assessed. Test-retest reliability was measured using the results of 20 nursing college and graduate school students in July 2013. The content validity of the revised items was analyzed by calculating the degree of agreement between instrument developer intention in item development and the judgments of six experts. To analyze response process validity, qualitative data related to the response processes of nine nursing college students obtained through cognitive interviews were analyzed. Results: Out of initial 30 items, 11 items were excluded after the analysis of difficulty and discrimination parameter. When the 19 items of the revised version of the CCTS were analyzed, levels of item difficulty were found to be relatively low and levels of discrimination were found to be appropriate or high. The degree of agreement between item developer intention and expert judgments equaled or exceeded 50%. Conclusion: From above results, evidence of the response process validity was demonstrated, indicating that subjects respondeds as intended by the test developer. The revised 19-item CCTS was found to have sufficient reliability and validity and will therefore represents a more convenient measurement of critical thinking ability.

  9. Improving Undergraduate Nursing Research Education: The Effectiveness of Collecting and Analyzing Oral Histories.

    Science.gov (United States)

    Duggleby, Wendy

    1998-01-01

    Nine oral histories of retired nurses were collected by 18 nursing students, whose attitudes toward nursing research were significantly more positive compared to 20 nonparticipants. Themes elicited from the histories showed the influence of World War II, technology, and intensive care on nursing practice in this century. (SK)

  10. Evaluation of clinical teaching and professional development in a problem and community-based nursing module

    Directory of Open Access Journals (Sweden)

    J.C de Villiers

    2004-09-01

    Full Text Available In South Africa the main focus is on primary health care. This affects the education and training of nurses, and training schools must respond by developing appropriate teaching modules. A school of nursing developed, implemented and revised a problem- and community- based learning module over a period of three years (1996-1998. This student-centered module focuses on students’ needs, active participation, collaboration, accountability, self-assessment, self-study, life-long learning and appropriate skills. In the formal clinical teaching environment PBL was the main approach. However, this approach was also supported by a variety of strategies, for example group discussions and scenarios. The knowledge, attitudes and professional development skills acquired in the PBL approach were then applied informally in the community setting (CBE. The purpose of the study was to evaluate a first year clinical teaching module as part of an extensive programme. A quantitative research method, a descriptive design, and a variety of data collection techniques were used. Conclusions were that clinical teaching was effective within the problem- (PBL and community-based (CBE approaches; 78% of respondents were positive about the clinical learning environment; 61 % stated that expectations were met; 81% preferred group activities, and 67% indicated that they had developed professional skills. Facilitators agreed that clinical teaching met the requirements of PBL & CBE. The pass rate also improved.

  11. Nursing informatics and nursing ethics

    DEFF Research Database (Denmark)

    Kaltoft, Mette Kjer

    2013-01-01

    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...

  12. The Effect of Applying Direct Observation of Procedural Skills (DOPS) on Nursing Students’ Clinical Skills: A Randomized Clinical Trial

    OpenAIRE

    Hengameh, Habibi; Afsaneh, Raiesifar; Morteza, Khaghanizade; Hosein, Mahmudi; Marjan, Seyed Mazhari; Ebadi, Abbas

    2015-01-01

    Background: Remarkable advances in educational measurement have proved need to the implementation of modern and appropriate methods of clinical evaluation. This study was carried out to compare the effect of applying direct observation procedural skills and routine evaluation method on clinical skills of nursing students. Methods: This randomized clinical trial was conducted on students of Nursing Army College, Tehran, Iran. After obtaining approval from the Ethics Committee of the Baqiyatall...

  13. Scientific evidence of dockworker illness to nursing clinical reasoning

    Directory of Open Access Journals (Sweden)

    Marlise Capa Verde de Almeida

    2016-04-01

    Full Text Available Abstract OBJECTIVE To identify scientific evidence of occupational illness of dockworkers published in the literature. METHOD systematic review of the literature, developed according to the Cochrane method. The databases searched were: Cochrane, LILACS, MEDLINE/PubMed, CINAHL and SciELO. Studies from 1988 to 2014 were selected. The data were analyzed according to the level of evidence and Strengthening the Reporting of Observational Studies in Epidemiology. RESULTS We included 14 studies, in which 11 (78.6% were from international journals. The year of 2012 showed greater number of studies. All studies were classified as: Level of Evidence 4, highlighting lung cancer, musculoskeletal and ischemic diseases, causal link in chemical risks. CONCLUSION The development of preventive measures should especially include chemical exposure of workers applying the clinical reasoning of nurses' environmental knowledge to care for illnesses.

  14. Overcoming challenges of conducting research in nursing homes.

    Science.gov (United States)

    Jenkins, Catharine; Smythe, Analisa; Galant-Miecznikowska, Magdalena; Bentham, Peter; Oyebode, Jan

    2016-05-27

    In the UK, one third of the 850,000 people with dementia live in care homes. This article explores the process of carrying out research in nursing homes, identifying barriers and enabling factors, and making recommendations for researchers. The authors' experiences derive from an ongoing study investigating the effect of educational interventions to promote and embed person-centred care, designed for nurses caring for the people with dementia in nursing homes. Design issues arose from the need to use cluster randomisation which requires a large sample size, implementation fidelity, poor compliance and high numbers of participants lost to follow up. Further difficulties included gaining ethical approval, recruitment, raising concerns and the practicalities of participant retention. There are many benefits of conducting research in care homes, for the homes themselves, their staff and residents. These include training and education, networking and empowerment of staff and subsequent improved standards of care. For the research team, benefits include opportunities to contribute to an underserved setting, to advance care standards and improve nurses' working lives. PMID:27231082

  15. Nursing, knowledge and practice.

    Science.gov (United States)

    Allen, D

    1997-07-01

    Recent commentators have suggested that academic knowledge is irrelevant to nursing practice and may actually undermine nursing's traditional caring ethos. Furthermore, by making nursing more academic, it is claimed that 'natural' but non-academic carers are prevented from pursuing a career in nursing. Debates about the relationship between nursing, knowledge and practice have a long history and have to be understood in terms of wider political and economic issues relating to nursing, its status within society and the changing role of nurses within the health services division of labour. One crucial issue is nursing's status as women's work. Critics of developments in nurse education draw an ideological equation between nursing work and the traditional female role. From this perspective the qualities that make a good nurse cannot be taught, rather they are founded on 'natural' feminine skills. Irrespective of whether caring is 'natural' or not, it is questionable as to whether, for today's nurses, being caring is sufficient. The shape of nursing jurisdiction is a long way removed from its origins in the Victorian middle-class household. In addition to their traditional caring role, contemporary nurses may also have complex clinical, management and research responsibilities, as well as being crucial coordinators of service provision. It is suggested that these and future developments in health services make the need for an educated nursing workforce even more pressing. In order to adequately prepare nurses for practice, however, it is vital that nurse education reflects the reality of service provision. PMID:10180381

  16. Research in guidance demand of different levels of nursing students in initial stage of clinical practice%不同层次护生临床实习初期指导需求的研究

    Institute of Scientific and Technical Information of China (English)

    赵骄蓉; 关红; 王秋节; 王丽娜

    2014-01-01

    Objective To analyze the guidance demands of different levels of nursing students in initial stage of clinical practice,and implement student-development-centered and targeted teaching philosophy.Methods Scales and a home-made questionnaire were used to investigate 178 nursing students at different levels and the results underwent statistical analysis.Results In the early internships,guidance needs of psychology and basic knowledge were of consistency in undergraduate and college nursing students.There were some differences in guidance needs between secondary school students and undergraduate and college nursing students.The total average score of stress and all the subscale scores were at low and middle levels.The total average score of communication skills and all the subscale scores were above 2.5 points.The was statistically significant difference in joint participation dimension and verifying dimension.Conclusions Different levels of nursing students at the beginning of practice had different needs of guidance.Teachers should guide nursing students to face and deal with problems,relieve stress,improve communication skills,and handle interpersonal relationships well.Targeted guidance,management and meeting the specific needs of students can improve the effectiveness of teaching.%目的 分析研究不同层次护理实习生在临床实习初期的指导需求,有的放矢地实施以学生发展为中心的教学理念.方法 运用量表及自制问卷对178名不同层次护生针对临床实习初期的指导需求进行调查与统计分析.结果在实习初期,本科、大专护生有关心理、知识的指导需求基本具有一致性,中专护生与本科、大专的指导需求存在一定的差异性.不同层次护生压力水平总均分及各维度得分都在低中等水平,差异有统计学意义.不同层次护生沟通能力总均分及各维度得分都在25分以上;共同参与维度、验证感受维度不同层次的护生的评分比

  17. The potential impact of gender stereotypes for nursing research.

    Science.gov (United States)

    Hicks, C

    1996-11-01

    The move towards evidence-based health care has meant an increasing pressure on paramedical professionals to become more research aware and research active. However, despite various initiatives designed to encourage research, there remains within nursing a notable paucity of relevant published research. While numerous explanations have been put forward in an attempt to account for this shortfall, they have tended to focus on structural/organizational barriers rather than difficulties located at the individual level. However, Hicks, in studies of midwives and nurse managers suggests that one critical perspective may be the stereotypes and assumptions associated with the nursing profession, these being so diametrically opposed to the core skills required of researchers that they operate as a natural deterrent to research activities of any sort. Embedded within this theory is the notion of gender roles, which are archetypally feminine for nursing yet archetypally masculine for research. However, Hicks' studies, which were both variants of Asch's Central Trait Theory, focused on women both as the hypothetical subject of the exercise involved and as participants. If research is bound up with gender attributions in the way she suggests, it would be necessary to ask if this is still relevant when the gender of the hypothetical figure at the centre of the study is changed. To this end, the present study was conducted which, apart from the modification just highlighted, was a replication of Hicks' earlier studies. In brief, two groups of participants rated a hypothetical male candidate for a nursing post along 15 bipolar dimensions. The candidate had been described by his referee using six adjectives, of which five were identical for each group. However, the final phrase used to describe the first group's candidate was "good clinician' while for the second group it was "good researcher'. The ratings given by the two groups along the 15 dimensions were then compared. It was

  18. Professional Development Needs of Novice Nursing Clinical Teachers: A Rapid Evidence Assessment.

    Science.gov (United States)

    Jetha, Farah; Boschma, Geertje; Clauson, Marion

    2016-01-01

    The current nursing profession is challenged with a decreasing supply of competent clinical teachers due to several factors consequently impacting the quality of nursing education. To meet this demand, academic nursing programs are resorting to hiring expert nurses who may have little or no teaching experience. They need support during their transition from practice to teaching. Using the systematic approach of a Rapid Evidence Assessment (REA), scholarly literature was reviewed to identify existing professional development needs for novice clinical teachers as well as supportive strategies to aid the transition of experienced nurses into teaching practice. The REA included 29 relevant studies. Findings revealed three main professional development needs for novice clinical teachers and key supportive strategies. Based on these findings recommendations for best practices to support and prepare novice clinical teachers are presented. PMID:26918271

  19. A Dedicated Education Unit for Maternal-Newborn Nursing Clinical Education.

    Science.gov (United States)

    Raines, Deborah A

    2016-01-01

    Designing a quality maternal-newborn clinical practice experience for undergraduate nursing students is often challenging. A dedicated education unit (DEU) is a partnership model of clinical education in which students partner with a designated unit-based nurse in providing nursing care within a typical patient care assignment. This article describes the experience of implementing a DEU in a junior level (third year) nursing practice course in a bachelor of science in nursing program curriculum. A DEU model is a perfect fit for maternal-newborn clinical learning experiences and provides a win-win outcome for academic and clinical partners as well as safe patient care. http://dx.doi.org/10.1016/j.nwh.2015.12.005. PMID:26902437

  20. A framework to support preceptors' evaluation and development of new nurses' clinical judgment.

    Science.gov (United States)

    Nielsen, Ann; Lasater, Kathie; Stock, Mary

    2016-07-01

    In today's complex, fast-paced world of hospital nursing, new graduate nurses do not have well-developed clinical judgment skills. Nurse preceptors are charged with bridging the gap between new graduates' learning in school and their autonomous practice as RNs. In one large, urban medical center in the U.S., a clinical judgment model and rubric were used as a framework for a new evaluation and orientation process. Preceptors of new graduate nurses who had used the former and new processes described their experiences using the framework. The findings indicated that having a structured framework provided objective ways to evaluate and help develop new graduate nurses' clinical judgment. It is hypothesized that academic clinical supervisors may find such a framework useful to prepare students for transition to practice. PMID:27428698

  1. The effect and clinical application of homemade tracheotomy incision nursing pads.

    Science.gov (United States)

    Yao, Yachun; Xu, Li; Du, Kun; Zhang, Jiajun

    2014-09-01

    To investigate the effect and clinical application of the homemade tracheotomy incision nursing pads. 83 patients suffering tracheotomy were randomly divided into experimental and control groups. The experimental group was treated with the homemade tracheotomy incision nursing pads, and the control group was treated with the traditional tracheotomy nursing pads. Subsequently, the number of nursing pads used in 2 weeks, tracheotomy incision bacterial colonies and the comfort of patient between the two groups of pads was compared. The number of nursing pads used by the experimental group was smaller than the control group, and the tracheotomy incision bacterial colonies in the experimental group were fewer than the control group (P 0.05). Thus, the results show that the effect of homemade tracheotomy incision nursing pads is greater compared to the traditional nursing pads. PMID:24633484

  2. A case study: the clinical application of quadrangular dialogue--a caring in nursing teaching model.

    Science.gov (United States)

    Sumner, Jane F

    2004-01-01

    Teaching caring in nursing is expected of nursing faculty, but the practical application is rarely explained. It has been regarded as the moral responsibility of faculty to teach in a caring way. This case study relates how one faculty applied the concepts to quadrangular dialogue a caring model of nursing education to the experience of baccalaureate student nurses in their first clinical rotation. The components of quadrangular dialogue will be described, and applied to a specific patient who was cared for by students in one semester. This model is developed from Habermas' (1995) Theory of Communicative Action and Moral Consciousness, Bishop and Scudder's (1990) Triadic Dialogue and a caring in nursing paradigm developed by this author. It explains how the patient, nursing student and nursing faculty are all first person in the interaction, while the illness is object. By acknowledging the humanness of participants, validation and fulfillment for each follow. PMID:16646898

  3. Nursing faculty teaching a module in clinical skills to medical students: a Lebanese experience

    Directory of Open Access Journals (Sweden)

    Abdallah B

    2014-11-01

    Full Text Available Bahia Abdallah,1 Jihad Irani,2 Silva Dakessian Sailian,1 Vicky George Gebran,1 Ursula Rizk1 1Nursing Program at the Faculty of Health Sciences, University of Balamand, 2Faculty of Medicine and Medical Sciences, University of Balamand, Beirut, Lebanon Abstract: Nursing faculty teaching medical students a module in clinical skills is a relatively new trend. Collaboration in education among medical and nursing professions can improve students' performance in clinical skills and consequently positively impact the quality of care delivery. In 2011, the Faculty of Medicine in collaboration with the Faculty of Health Sciences at the University of Balamand, Beirut, Lebanon, launched a module in clinical skills as part of clinical skills teaching to first-year medical students. The module is prepared and delivered by nursing faculty in a laboratory setting. It consists of informative lectures as well as hands-on clinical practice. The clinical competencies taught are hand-washing, medication administration, intravenous initiation and removal, and nasogastric tube insertion and removal. Around sixty-five medical students attend this module every year. A Likert scale-based questionnaire is used to evaluate their experience. Medical students agree that the module provides adequate opportunities to enhance clinical skills and knowledge and favor cross-professional education between nursing and medical disciplines. Most of the respondents report that this experience prepares them better for clinical rotations while increasing their confidence and decreasing anxiety level. Medical students highly appreciate the nursing faculties' expertise and perceive them as knowledgeable and resourceful. Nursing faculty participating in medical students' skills teaching is well perceived, has a positive impact, and shows nurses are proficient teachers to medical students. Cross professional education is an attractive model when it comes to teaching clinical skills in

  4. Diffusion of pain management research into nursing practice.

    Science.gov (United States)

    Dooks, P

    2001-04-01

    The promotion of evidence based practice is a challenge within nursing. Pain management is a prime example of this practice research gap. There is solid evidence for 20 years to promote positive change in our methods of pain management, yet outdated approaches are still amazingly evident. Even among oncology nurses, who place a high value on promoting patient comfort, there is a lack of evidence-based pain management. Rogers' Diffusion of Innovation Theory provides an interesting framework for examining the issues and possible solutions to this complex problem. Rogers' theory examines how changes diffuse through a social system over time and also exposes some of the barriers and facilitators to this process. The theory looks at adopters, the nature of the innovation, the social system, and communication patterns. Identifying the barriers of the past will help nursing to overcome these same barriers and increase the adoption of evidence-based pain management approaches in the future. PMID:11318267

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

    Science.gov (United States)

    Sheppard, Kate

    2015-02-01

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

  6. [Research activity in clinical biochemistry

    DEFF Research Database (Denmark)

    Jorgensen, H.L.; Larsen, B.; Ingwersen, P.;

    2008-01-01

    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...

  7. Precautions used by occupational health nursing students during clinical placements

    Directory of Open Access Journals (Sweden)

    T.M.M. Maja

    2009-09-01

    Full Text Available Protection of health care workers including students from being infected when caring for high risk patients is a major cause for concern to all promoting occupational health. Safety of every employee is mandatory. Furthermore, universal guidelines for precautions must be used by all interacting with high risk patients and clients to protect themselves and prevent the spread of infection. The aim of this paper was to ascertain the availability of universal guidelines for precautions against the spread of infection in clinical settings and determine the precautions used by OHN students during their clinical placements. To realise these objectives, a quantitative and descriptive design was followed. A purposive sampling method was used to select 45 Occupational health nursing students who participated in the study.Data was collected with the use of a structured questionnaire and the results revealed that: most units where OHN students were placed for clinical experience had guidelines for universal precautions although these were not always accessible to them; regarding compliance to universal precautions, OHN students were reportedly aware of the hazards of failure to comply although in some emergencies and where personal protective material was not available, they had to provide care without using protective equipments. Recommendations made include that employers and staff at all occupational settings must ensure that updated guidelines for universal precautions are available and accessible to every body interacting with high risk patients; health care providers and students must be fully informed about and should always adhere to universal precautions.

  8. Essentials of building a career in nursing research.

    Science.gov (United States)

    Cleary, Michelle; Sayers, Jan; Watson, Roger

    2016-07-01

    Background Nursing research is fundamental to driving evidence-based practice and achieving safe outcomes for patients. Underpinning the discussion in this paper are nurse researchers who thought strategically during their undergraduate and postgraduate studies to build a body of credible research influencing patient outcomes and, in so doing, establish their careers. Aim To provide an overview of some of the career essentials that support a transition in role for the beginner or emerging researcher, otherwise known as the early career researcher. Discussion Early career researchers need to acquire research competencies, to get involved in research teams, and to understand the research landscape and the various associated subtleties/vagaries and career trajectories. This is fundamental for establishing their credibility as researchers, and enabling them to undertake research that will influence policy and practice. Conclusion Establishing a research career is challenging, and takes time, effort, patience, perseverance and commitment. For beginner researchers, collegial support and mentoring are essential to support a viable, professional, sustainable, enquiring profession, and a satisfying career. Implications for practice Building individual capabilities and collaborative research teams together is fundamental to research success in adapting to new roles and workplaces. PMID:27424961

  9. Challenges faced by professional nurses when implementing the Expanded Programme on Immunisation at rural clinics in Capricorn District, Limpopo

    Directory of Open Access Journals (Sweden)

    Tebogo M. Mothiba

    2016-03-01

    Full Text Available Background: Immunisation is the cornerstone of primary healthcare. Apart from the provision of safe water, immunisation remains the most cost-effective public health intervention currently available. Immunisation prevents infectious conditions that are debilitating, fatal and have the potential to cause huge public health burdens, both financially and socially, in South Africa.Aim: To determine the challenges faced by professional nurses when implementing the Expanded Programme on Immunisation (EPI at rural clinics in Capricorn District, Limpopo Province, South Africa.Setting: The study was conducted in selected primary healthcare clinics of Capricorn District, Limpopo Province.Methods: A qualitative explorative descriptive contextual research design was used to gather data related to the challenges faced by professional nurses when implementing EPI at rural clinics in Capricorn District.Results: The findings revealed that professional nurses had knowledge of the programme, but that they experienced several challenges during implementation of EPI that included staff shortages and problems related to maintenance of the vaccines’ potency.Conclusions: The Department of Health as well as the nursing administration should monitor policies and guidelines, and especially maintenance of a cold chain for vaccines, to ensure that they are practised throughout Limpopo Province. The problem of staff shortages also needs to be addressed so that the EPI can achieve its targeted objectives.Keywords: Professional nurse, knowledge, EPI-SA, immunisation

  10. 78 FR 29373 - National Institute of Nursing Research; Notice of Closed Meetings

    Science.gov (United States)

    2013-05-20

    ... 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 10-11, 2013..., MD, Scientific Review Officer, National Institute of Nursing Research, National Institutes of...

  11. 77 FR 6812 - National Institute of Nursing Research; Notice of Closed Meeting

    Science.gov (United States)

    2012-02-09

    ... 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,...

  12. 76 FR 31621 - National Institute of Nursing Research; Notice of Closed Meetings

    Science.gov (United States)

    2011-06-01

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

  13. 77 FR 32652 - National Institute of Nursing Research; Notice of Closed Meeting

    Science.gov (United States)

    2012-06-01

    ... 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 21, 2012. Time...., Scientific Review Officer, National Institute of Nursing Research, National Institutes of Health,...

  14. 76 FR 5596 - National Institute of Nursing Research; Notice of Closed Meeting

    Science.gov (United States)

    2011-02-01

    ... 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.,...

  15. 76 FR 31621 - National Institute of Nursing Research; Notice of Closed Meeting

    Science.gov (United States)

    2011-06-01

    ... 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.,...

  16. 77 FR 12599 - National Institute of Nursing Research; Notice of Closed Meeting

    Science.gov (United States)

    2012-03-01

    ... 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...

  17. 75 FR 56118 - National Institute of Nursing Research; Notice of Closed Meeting

    Science.gov (United States)

    2010-09-15

    ... 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 21-22, 2010... Officer, National Institute of Nursing Research, National Institutes of Health, 6701 Democracy Blvd.,...

  18. 76 FR 60508 - National Institute of Nursing Research; Notice of Closed Meeting

    Science.gov (United States)

    2011-09-29

    ... 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...

  19. 77 FR 3481 - National Institute of Nursing Research; Notice of Closed Meeting

    Science.gov (United States)

    2012-01-24

    ... 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 16-17, 2012... Officer, National Institute of Nursing Research, National Institutes of Health, 6701 Democracy Blvd.,...

  20. 78 FR 2276 - National Institute of Nursing Research; Notice of Closed Meeting

    Science.gov (United States)

    2013-01-10

    ... 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 14-15, 2013..., MD, Scientific Review Officer, National Institute of Nursing Research, National Institutes of...

  1. 78 FR 63996 - National Institute of Nursing Research; Notice of Closed Meeting

    Science.gov (United States)

    2013-10-25

    ... 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: November 4-5, 2013..., MD, Scientific Review Officer, National Institute of Nursing Research, National Institutes of...

  2. Forms of Knowledge Incorporated in Clinical Decision-making among Newly-Graduated Nurses: A Metasynthesis

    DEFF Research Database (Denmark)

    Voldbjerg, Siri; Elgaard Sørensen, Erik; Grønkjær, Mette;

    2013-01-01

    Clinical-decision-making is of decisive importance to how evidence-based practice is put into practice. Schools of Nursing have a responsibility to teach and train nursing students to make clinical decisions within a frame of evidence-based practice. Clinical decision-making among nurses has been...... knowledge that informs clinical decision-making among newly-graduated nurses. Qualitative studies were retrieved from CINAHL, PubMed, SCOPE, ERIC and GOOGLE-Scholar and subsequently selected by pre-defined inclusion criteria and critically appraised using CASP. Metaphors identified in the analytical process...... will contribute to theory development and have implications for clinical and educational practice regarding the professional development of clinical decision making within a frame of evidence-based practice. The presentation highlights the main findings from the metasynthesis and provides perspectives...

  3. Use of interviews in nursing research.

    Science.gov (United States)

    Mitchell, Gary

    2015-06-24

    Conducting interviews is one of the most common ways of collecting data in healthcare research. In particular, interviews are associated with qualitative research, where researchers seek to understand participants' experiences through their own words and perspectives. This article will help healthcare researchers prepare to carry out interviews as part of their research. It will also emphasise important skills to consider during the interview process. Consideration will also be given to remedying interviews that do not go according to plan, as well as identifying appropriate debriefing processes post-interview. With this knowledge, healthcare researchers are more likely to conduct effective interviews that will yield better quality data and protect the participant. PMID:26103871

  4. Qualitative research on student's expectation about curriculum design of ICU clinical nurse specialist training program%ICU临床护理专家培训项目课程设置的质性研究

    Institute of Scientific and Technical Information of China (English)

    钟亚萍; 卢惠娟; 夏海鸥; 蒋红

    2011-01-01

    目的 了解拟参加ICU临床护理专家培养项目的学员对该项目课程设置的期望,为合理地设置课程提供依据.方法 根据课程设置的理论和原则、相关文献及ICU护理实践状况,形成课程设置访谈框架,对拟参加ICU临床护理专家培训项目的12名ICU护士进行焦点团体访谈.结果 培养ICU临床护理专家有必要性和可行性;培养内容应包括临床护理、教育、科研、管理领导和咨询等多方面内容,并体现护理最新理念;教学方法应根据成人学习的特点采用案例讲授法、研讨法、情景模拟教学和自学等多种方法;评价方式以综合评价为主.结论 ICU临床护理专家培养应全面加强基础理论,强调发展学员的综合能力,培养高层次的护理人才.%Objective To identify the training needs of students who will attend the ICU CNS training program, and to provide scientific basis for course design. Methods An outline of interview was carefully worked out based on theories and principles of curriculum development, literature, and current practices of ICU nursing. Twelve students participated in this qualitative study. Focus group interview was used to develop insights into students' perceptions. Results Students believed that the training of ICU CNS is essential and feasible. Training contents should include direct nursing care, education, research, management and consultation, and should reflect the recent development of nursing. According to the characteristic of adult learning, several teaching methods could be used, such as lecture, seminar, situational simulation and self-study. Comprehensive evaluation should be used. Conclusion ICU CNS training program should target itself to help students strengthen basic theoretical knowledge and enhance comprehensive ability, in an effort to cultivate high-level nursing talents.

  5. Effect of Situational Leadership in Clinical Education on Communication Competency of Nursing Students

    OpenAIRE

    * Z (MSc.) Pourfarzad; Z. Vanaki; *** R (Ph.D). Memarian

    2009-01-01

    Background & Aim: Communication is one of the basic concepts which nursing students must learn. Nurse instructors' behaviors have key role on effective clinical education. The aim of this study was to assess the effect of situational leadership model on nursing students' communication competency. Methods & Materials: In this before-after trial, we recruited the students who had medical & surgical practicum in the second semester and summer of 1385-86 in publi...

  6. The Relationship between Stress Levels and Biological Responses in a Clinical Nursing Practicum

    OpenAIRE

    Chikamura, Chiho; Iida, Tadayuki; Ishizaki, Fumiko; Aoi, Satomi; Kobayashi, Toshio; Kataoka, Tsuyoshi

    2008-01-01

    We evaluated the association between the stress levels and biological responses of nursing students in a clinical practicum. The subjects consisted of 28 third-year nursing students at the nursing department of College A. The degree of stress was evaluated using the Japanese version of the State Trait Anxiety Inventory (STAI). As parameters of biological responses, serum estrogen, salivary cortisol, and salivary IgA were measured. These measurements were performed twice (before and during the...

  7. Experiences of Newly Admitted Nursing Students in Theoretical and Clinical Practice

    OpenAIRE

    Lekkas, Elena; Mwanakayaya, Naomi; Uzoka, Zeal; Ogie-Osahon, Cynthia

    2016-01-01

    The clinical and classroom environment provides opportunities for student learning and widens the scope of them acquring competencies in the nursing profession. During the first year of nursing school, any unpleasant or delightful encounter by students in these environments of study may influence their learning outcome. The aim of this study was to find out the experiences of the first year nursing students in classroom and practice area as well as its consequence on their wellbeing and the c...

  8. The encounter between two research disciplines – innovation through rethinking values and mealtime in nursing homes

    Directory of Open Access Journals (Sweden)

    Kristin Støren Wigum

    2012-08-01

    Full Text Available More than 44,000 Norwegian citizens live in nursing homes. Many health problems are related to malnutrition and under-nourishment. Registered nurses are responsible for the care quality in nursing homes. Due to limitations with respect to workforce and budget, it is of importance that staff discovers new mealtime solutions. In the field of industrial design, the profession is continuously proliferating in specialized directions concerning both design tasks to solve, design approaches, as well as the span of technological and human-oriented means as part of solutions. The aim has been to explore how to improve the quality of mealtime in nursing homes. We have included: 1 observations 2 dialogue meetings and 3 workshops. The final result of the study is seen as two-fold: the value platform and five design concept ideas. Within the field of clinical nursing research, the hunt for new solutions is a challenge. In this work, crossing disciplinary frontiers is of great importance. In the present study, we have tried to implement this approach and experience. Through rethinking values, we have discovered innovative solutions and strategies that might have been difficult to discover within a traditional, single disciplinary method.

  9. Effectiveness of structured, hospital-based, nurse-led atrial fibrillation clinics: a comparison between a real-world population and a clinical trial population

    Science.gov (United States)

    Qvist, Ina; Hendriks, Jeroen M L; Møller, Dorthe S; Albertsen, Andi E; Mogensen, Helle M; Oddershede, Gitte D; Odgaard, Annette; Mortensen, Leif Spange; Johnsen, Søren Paaske; Frost, Lars

    2016-01-01

    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 provided patient education, risk-factor control and stimulated empowerment and compliance. During follow-up, treatment was adjusted according to clinical guidelines. Patient education was repeated, and compliance with medical treatment was controlled. The study size was powered as a non-inferiority study. Outcome measures were adjudicated by the same principles in both cohorts. Results A total of 596 patients from the real world and 356 patients from a clinical trial were included in this study. No significant difference between groups with respect to age, type of AF or CHA2DS2VASc score was found. 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-based AF care appears to be effective, and patient outcomes in an actual, hospital-based, structured AF care are as least as good as those in trial settings. PMID:26835143

  10. Technology-based strategies for promoting clinical reasoning skills in nursing education.

    Science.gov (United States)

    Shellenbarger, Teresa; Robb, Meigan

    2015-01-01

    Faculty face the demand of preparing nursing students for the constantly changing health care environment. Effective use of online, classroom, and clinical conferencing opportunities helps to enhance nursing students' clinical reasoning capabilities needed for practice. The growth of technology creates an avenue for faculty to develop engaging learning opportunities. This article presents technology-based strategies such as electronic concept mapping, electronic case histories, and digital storytelling that can be used to facilitate clinical reasoning skills. PMID:25402714

  11. Perceptions of the clinical competence of newly registered nurses in the North West province

    OpenAIRE

    M.R. Moeti; S.E. van Niekerk; C.E. van Velden

    2004-01-01

    The clinical competence of newly registered nurses relating to the care of individual Clients, depends on their ability to correlate theoretical knowledge learned in the classroom with practice and the development of clinical skills. Its foundation lies in the ability to identify and solve problems that emanate from critical thinking, analytical reasoning and reflective practice. It is clear that the quality of clinical exposure plays a leading role in the development of nursing professionals...

  12. Ethical violations in the clinical setting: the hidden curriculum learning experience of Pakistani nurses

    OpenAIRE

    Jafree, Sara Rizvi; Zakar, Rubeena; Fischer, Florian; Zakar, Muhammad Zakria

    2015-01-01

    Background The importance of the hidden curriculum is recognised as a practical training ground for the absorption of medical ethics by healthcare professionals. Pakistan’s healthcare sector is hampered by the exclusion of ethics from medical and nursing education curricula and the absence of monitoring of ethical violations in the clinical setting. Nurses have significant knowledge of the hidden curriculum taught during clinical practice, due to long working hours in the clinic and front...

  13. An economic analysis of patient simulators clinical training in nursing education.

    Science.gov (United States)

    Harlow, Kirk C; Sportsman, Susan

    2007-01-01

    Patient simulators have become widely used in medical education including increasing use in nursing education. Research suggests their usefulness in developing nursing competence. Little research to date, however, has examined the financial feasibility of the use of patient simulators as an educational tool. The extent to which a simulation lab comprising six Laerdal SimMan high-fidelity patient simulators and a staff of nurse educators is a financially feasible alternative to classroom-based education is examined. PMID:17402675

  14. Bias in clinical intervention research

    DEFF Research Database (Denmark)

    Gluud, Lise Lotte

    2006-01-01

    Research on bias in clinical trials may help identify some of the reasons why investigators sometimes reach the wrong conclusions about intervention effects. Several quality components for the assessment of bias control have been suggested, but although they seem intrinsically valid, empirical...

  15. Study on Nursing Clinical Teachers' Comprehensive Quality Evaluation Model on the Basis of Fuzzy Mathematics

    Directory of Open Access Journals (Sweden)

    Zhijuan Liu

    2013-04-01

    Full Text Available In this study, we study on the nursing clinical teachers' comprehensive quality evaluation model on the basis of fuzzy mathematics. First, it obtains the nursing clinical teachers' comprehensive quality evaluation index framework by making use of Delphi method. Then, it constructs the comprehensive quality evaluation hierarchy model by applying the analytic hierarchy process, to obtain the weight for each index, based on which to establish fuzzy comprehensive evaluation model, thus acquiring new method for nursing clinical teachers' comprehensive quality evaluation. Examples have proven the feasibility and effectiveness of this method.

  16. Co-Designing Mobile Apps to Assist in Clinical Nursing Education: A Study Protocol.

    Science.gov (United States)

    O'Connor, Siobhan; Andrews, Tom

    2016-01-01

    Mobile applications (apps) to train health professionals is gaining momentum as the benefits of mobile learning (mLearning) are becoming apparent in complex clinical environments. However, most educational apps are generic, off-the-shelf pieces of software that do not take into consideration the unique needs of nursing students. The proposed study will apply a user-centred design process to create a tailored mobile app for nursing students to learn and apply clinical skills in practice. The app will be piloted and evaluated to understand how nursing students use mobile technology in clinical settings to support their learning and educational needs. PMID:27332433

  17. [Nursing development at the Solothurn hospitals. Towards clinically oriented nursing expertise and practice development].

    Science.gov (United States)

    Schäfer, Ursi Barandun; Hirsbrunner, Therese; Jäger, Susanne; Näf, Ernst; Römmich, Sabine; Horlacher, Kathrin

    2011-02-01

    At the Solothurn Hospitals (soH), 13 academically educated nurses are responsible for the development of nursing care with the goal to improve patient-oriented, effective, appropriate, and economic care. The strategy contains three priorities: a) expert care of single patients in demanding situations, b) sustained application of organisational methods such as primary nursing, nursing process, and skill/grade mix, and c) design and management of practice development projects related to specific patient groups. A first evaluation with qualitative and quantitative methods showed that the exemplary care of single patients by expert nurses was evaluated as positive for the patients as well as for the teams on two wards by nurses who were interviewed. After the introduction of primary nursing, the application rate was 81 to 90 % and the introduction of fall prevention methods in geriatric rehabilitation decreased the fall rate from 8.2 to 5.5 per 1000 patient days. A comparision with the literature shows that the expert nurses of soH perform both, working at the bedside and being responsible for practice development projects, as specialised Advanced Practice Nurses (APNs). APNs at the Solothurn Hospitals work also as generalists when organisational methods need to be consolidated. Their successes depend from their integration into the hierarchy and both, into the nursing as well as into the interprofessional teams. Competencies in Transformational Leadership also are essential at all management levels. PMID:21274841

  18. Development of nursing theory and science in vulnerable populations research.

    Science.gov (United States)

    Nyamathi, Adeline; Koniak-Griffin, Deborah; Greengold, Barbara Ann

    2007-01-01

    Inequalities with respect to the distribution of societal resources can predispose people to vulnerability, which has led to a growing concern across America. The Federal Government has taken a leadership role and has launched several initiatives to combat health inequalities experienced by vulnerable populations. The National Institute of Health and all of its institutes, including the National Institute of Nursing Research, have written strategic plans to reduce, and ultimately, eliminate such health disparities. Nursing research has been conducted in the setting of vulnerable populations; several theoretical models for studying vulnerability have been created; and interventional studies designed to reduce health disparities have been implemented. This introduction includes the following: (a) a definition of the concept of vulnerability and health disparities; (b) a discussion of the conceptual models of vulnerability and health disparity and their applications; (c) a description of the impact of federal funding on vulnerable populations research; (d) a synopsis of the contributions made by nurse researchers in the field of vulnerable populations research; and (e) an overview of the volume. PMID:17958287

  19. Assessment of the Impact of Integrated Simulation on Critical Thinking and Clinical Judgment in Nursing Instruction

    Science.gov (United States)

    Meyer, Rita Allen

    2012-01-01

    The purpose of this study was to explore the effects of using simulation and didactic instruction on critical thinking and clinical judgment with student nurses enrolled in a fall semester medical-surgical class. Specifically, it was of interest to compare the performance of these fall semester nursing students with the performance of nursing…

  20. What Students Really Learn: Contrasting Medical and Nursing Students' Experiences of the Clinical Learning Environment

    Science.gov (United States)

    Liljedahl, Matilda; Boman, Lena Engqvist; Fält, Charlotte Porthén; Bolander Laksov, Klara

    2015-01-01

    This paper explores and contrasts undergraduate medical and nursing students' experiences of the clinical learning environment. Using a sociocultural perspective of learning and an interpretative approach, 15 in-depth interviews with medical and nursing students were analysed with content analysis. Students' experiences are described using a…

  1. Introduction of New Clinical Clerks to Nursing Procedures and the Ward Laboratory

    Science.gov (United States)

    Kunin, Calvin M.; DeGrott, Jane

    1975-01-01

    The quality of patient care suffers because of the intellectual separatism that exists among medical, nursing, and other professions. Description of an attempt to introduce knowledge of selected nursing and laboratory skills to third-quarter clinical clerks. (Author/PG)

  2. Clinical competency, self-efficacy, and job satisfaction: perceptions of the staff nurse.

    Science.gov (United States)

    Tyler, Staci; Bourbon, Erica; Cox, Shannon; Day, Nanci; Fineran, Chris; Rexford, Dena; Rinas, Jessica; Shumate, Kim; Ward-Smith, Peggy

    2012-01-01

    This descriptive study obtained survey data that explored the perception of staff nurses regarding their clinical competency, self-efficacy, and job satisfaction. The purpose of this study was to identify nursing professional development issues, data that can then be used to develop evidence-based educational programs. PMID:22261904

  3. Accompaniment needs of first year nursing students in the clinical learning environment

    OpenAIRE

    Carlson, S.

    2003-01-01

    The clinical learning environment creates many opportunities for student learning and the development of critical competencies in the nursing profession. The learning that takes place in this environment, however, confronts the first year nursing student with challenges that are absent from the classroom situation and causes the student to experience a significant amount of uncertainty and anxiety.

  4. Research progress on ECS combined with scene simulation teaching method in clinical nursing teaching%ECS结合情景模拟教学法在临床护理教学中的研究进展

    Institute of Scientific and Technical Information of China (English)

    白井双; 祝贺; 马新利; 段萍; 史媛媛; 吴淑华

    2015-01-01

    综述了急救模拟人(ECS)方法结合情景模拟教学法对于培养护士实践动手能力、评判性思维能力、团队合作能力、学习专业知识积极性和急救护理初步能力的研究进展。%It reviewed the research progress on emergency care stimulateman (ECS)method combined with scene simulation teaching method for training nurses’practice ability,critical thinking ability,team cooperation ability,learning enthusiasm of professional knowledge and preliminary ability of emergency nursing.

  5. 77 FR 3479 - National Institute of Nursing Research; Notice of Closed Meeting

    Science.gov (United States)

    2012-01-24

    ... HUMAN SERVICES National Institutes of Health National Institute of Nursing Research; Notice of Closed... of Committee: National Institute of Nursing Research Special Emphasis Panel Scholars Training for the...: Mario Rinaudo, MD, Scientific Review Officer, Office of Review, National Inst of Nursing...

  6. 76 FR 32978 - National Institute of Nursing Research; Notice of Closed Meetings

    Science.gov (United States)

    2011-06-07

    ... 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 Risk-Avoidance...: Mario Rinaudo, MD, Scientific Review Officer, Office of Review, National Inst of Nursing...

  7. 护理人员对护理信息化需求的质性研究%Qualitative Research on the Demands for Nursing Information of Nursing Staff

    Institute of Scientific and Technical Information of China (English)

    杜娟

    2015-01-01

    目的了解护理人员对护理信息化的需求,为设计实用高效的临床护理信息化解决方案提供参考依据。方法采用现象学研究方法,对16名临床护理人员进行半结构式访谈,运用Colaizzi[1]资料分析原则整理分析并提炼主题。结果护理人员的信息化需求集中在患者定位、身份确认、用药信息核对及生命体征实时监测等方面。结论护理信息化解决方案应在了解护理人员需求的基础上不断完善。%Objective To understand the demands for nursing information of nursing staf , to make a reference for designing a practical and ef icient nursing information system. Methods Adopting the phenomenological research methods to conduct semi-structured interviews on 16 clinical nursing staf s,sorting out ,analying and extracting the subjects according to Colaizzi data analysis principle. Results Although there is a lack of informatization knowledge, the nursing staf are in urgent need of practical and ef icient nursing information system on patient location, identification, drug information check and wearable vital signs real-time monitoring.,ect. Conclusion The nursing information system should be further improved on a basis of ful y understanding as wel as exploring the demands of the nursing staf .

  8. The development of clinical nurse specialists (CNSs) in intellectual disability nursing in Ireland

    OpenAIRE

    Doody, Owen; Slevin, Eamonn; Taggart, Laurence

    2012-01-01

    Since the commencement of intellectual disability nurse training in 1959, both education and service provision philosophies have changed over time in Ireland. These changes have occurred in response to national and international reports and attitudes. Coinciding with the changes in education and philosophy have been the development and advancement of the intellectual disability nursing profession. Currently undergraduate intellectual disability nurse education is unique to Irel...

  9. Critical thinking of student nurses during clinical accompaniment

    OpenAIRE

    BY Uys; SM Meyer

    2005-01-01

    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-rela...

  10. Best practices in nursing homes. Clinical supervision, management, and human resource practices.

    Science.gov (United States)

    Dellefield, Mary Ellen

    2008-07-01

    Human resource practices including supervision and management are associated with organizational performance. Evidence supportive of such an association in nursing homes is found in the results of numerous research studies conducted during the past 17 years. In this article, best practices related to this topic have been culled from descriptive, explanatory, and intervention studies in a range of interdisciplinary research journals published between 1990 and 2007. Identified best practices include implementation of training programs on supervision and management for licensed nurses, certified nursing assistant job enrichment programs, implementation of consistent nursing assignments, and the use of electronic documentation. Organizational barriers and facilitators of these best practices are described. PMID:20077964

  11. Experiences by student nurses during clinical placement in psychiatric units in a hospital

    Directory of Open Access Journals (Sweden)

    W.J.C. Van Rhyn

    2004-09-01

    Full Text Available An exploratory study was conducted with the aim of discovering and describing experiences of psychiatric nursing students during clinical placement in a psychiatric unit. For the purpose of the study an unstructured interview was conducted with each participant during their first placement in a psychiatric unit to identify the factors experienced as stressful. The results indicated that all eight participants experienced average to high stress. Sources of stress identified included, among others, ineffective teaching and learning programmes, poor managerial governance of the service, detachment of professional nurses from their teaching role, poor relationships among staff, overreliance on the medical model of care and patient neglect. Psychiatric nursing students sampled indicated universal support for in-service education and training for professional nurses, attitude change of professional nurses towards students, support for student initiatives, student involvement in patient care and adequate allocation of resources for patient care and nurse training. The exploration and description of experiences of the psychiatric nursing students will help nurse educators plan clinical learning opportunities in such a way that they are less stressful, thus ensuring that psychiatric nursing students are equipped to utilise themselves as therapeutic instruments.

  12. Family Nursing Therapeutic Conversations in Heart Failure Outpatient Clinics in Denmark: Nurses’ Experiences

    DEFF Research Database (Denmark)

    Voltelen, Barbara; Konradsen, Hanne; Østergaard, Birte

    2016-01-01

    conducted. Content analysis was performed using a combined deductive and inductive process. Nurses reported developing a distinct, closer, and more constructive relationship with the patients and their families and reported FNTC increased family bonding and strengthened family relationships. The nurses......As part of the Heart Failure Family Trial presently being conducted in Denmark, this qualitative process evaluation explored the perceptions of seven practicing cardiac nurses who offered family nursing therapeutic conversations (FNTC) to families in three heart failure outpatient clinics. FNTC...... were guided by the Calgary Family Assessment and Intervention Models. Data consisted of 34 case reports written by the nurses which documented the use of FNTC, including family responses to the FNTC. A focus group interview with the six of the nurses about their experience of offering FNTC was also...

  13. Active Learning Improves Nursing Student Clinical Performance in an Academic Institution in Macao

    Institute of Scientific and Technical Information of China (English)

    Cindy Sin U Leong; Lynn B. Clutter

    2015-01-01

    Objective: To assess the outcome of the application of active learning during practicum among nursing students using clinical assessment and evaluation scores as a measurement. Methods: Nursing students were instructed on the basics of active learning prior to the initiation of their clinical experience. The participants were divided into 5groups of nursing students ( n=56) across three levels ( years 2-4) in a public academic institute of a bachelor degree program in Macao. Final clinical evaluation was averaged and compared between groups with and without in-tervention. Results: These nursing students were given higher appraisals in verbal and written comments than previous students without interventian. The groups with the invention achieved higher clinical as-sessment and evaluation scores on average than comparable groups without the active learning in-tervention. One group of sophomore nursing students ( year 2) did not receive as high of evalua-tions as the other groups, receiving an average score of above 80. Conclusions: Nursing students must engage in active learning to demonstrate that they are will-ing to gain knowledge of theory, nursing skills and communication skills during the clinical practi-cum.

  14. 营养风险筛查方法2002在临床护理中应用的研究进展%Research advances on nutritional risk screening method 2002 in the application of clinical nursing

    Institute of Scientific and Technical Information of China (English)

    黄云花; 宋怀宇; 李宁; 尹丹; 刘洋(综述); 谭毅(审校)

    2013-01-01

    Nutritional risk screening tool made by European Society for parenteral and enteral nutrition (ES-PEN) is based on evidence-based medicine,that is Nutritional risk screening method 2002(NRS2002),is an effective tool to predict the clinical outcome of hospitalized patients and determine whether nutrition intervention is needed , which is recommended as a nutritional risk screening tool of first choice for hospitalized patients .Nutritional risk refers to the risk of clinical complications related to nutritional factors ,not the risk of malnutrition .Discovering the nutritional risk can predict the clinical outcome and monitor the efficacy of nutritional support in patients .But in current domestic nutrition support treatment these still exists irrationality in the clinical application .The aim of this paper is to review the NRS2002 method and the clinical nursing application at home ,in order to provide a reference for clinical practi-tioners.%欧洲肠外肠内营养学会( ESPEN)制定的以循证医学为基础的营养风险筛查工具---营养风险筛查方法2002( NRS2002),是可以预测住院患者的临床结局,判断是否需要营养干预的一种有效工具,被ES-PEN推荐为住院患者营养筛查的首选工具。营养风险是指与营养因素有关的出现临床并发症的风险,而不是出现营养不良的风险。通过发现患者的营养风险,可以预测患者的临床结局,监测患者使用临床营养支持的效果。而目前国内营养支持治疗在临床应用中仍存在不合理性。该文旨在对NRS2002及其在国内临床护理中应用的情况等予以综述,以期为临床工作者提供参考。

  15. Assimilating to Hierarchical Culture: A Grounded Theory Study on Communication among Clinical Nurses.

    Science.gov (United States)

    Kim, MinYoung; Oh, Seieun

    2016-01-01

    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. PMID:27253389

  16. MR spectroscopy in clinical research

    DEFF Research Database (Denmark)

    Henriksen, O

    1994-01-01

    MR spectroscopy (MRS) offers unique possibilities for non-invasive evaluation of biochemistry in vivo. During recent years there has been a growing body of evidence from clinical research studies on human beings using 31P and 1H MRS. The results indicate that it is possible to evaluate phosphorous...... energy metabolism, loss of neurones, and lactate production in a large number of brain diseases. Furthermore, 31P and 1H MRS may be particularly clinically useful in evaluation of various disorders in skeletal muscle. In the heart 31P MRS seems at the moment the most suitable for evaluation of global...... affections of the myocardium. In the liver 31P MRS appears to be rather insensitive and non-specific, but absolute quantification of metabolite concentrations and using metabolic "stress models" may prove useful in the future. The clinical role of MRS in oncology is still unclear, but it may be useful for...

  17. Evaluation of undergraduate nursing students' clinical confidence following a mental health recovery camp.

    Science.gov (United States)

    Cowley, Thomas; Sumskis, Sue; Moxham, Lorna; Taylor, Ellie; Brighton, Renee; Patterson, Chris; Halcomb, Elizabeth

    2016-02-01

    In the present study, we evaluate the impact of participation in a mental health recovery camp on the clinical confidence of undergraduate nursing students in dealing with individuals with mental illness. Twenty undergraduate nursing students who participated in the recovery camp completed the Mental Health Nursing Clinical Confidence Scale both before and directly after attending the camp. Data were analysed using descriptive and inferential statistics. Participation in the recovery camp was associated with a statistically-significant increase in students' level of overall confidence between the pretest and post-test data (P level of confidence in both the pre- and post-results. The clinical confidence of undergraduate nursing students improved through participation in an immersive clinical experience within the recovery camp. PMID:26767715

  18. [Exactly what is ethical nursing care? the perspective of the clinical humanities].

    Science.gov (United States)

    Yu, An-Bang

    2014-10-01

    As Taiwan enters the post-modern era of professional medical care, a host of issues relating to nursing care are becoming increasingly pressing. On the one hand, the wide range of ailments of body and mind requiring treatment is placing a major financial burden on the national health care system. On the other hand, few hospitals are able to provide "comprehensive care of body and mind." In addition to primary prevention, the most effective way to reduce the overall cost of medical care is to effectively bring volunteer caregivers (those who have an "ethical connection" with the patient, i.e., family, friends, neighbors, volunteers, etc.) into all levels of the caregiving process. Moreover, as medical ethics becomes increasingly focused on the well-being of the patient, more attention is being given to the healing relationship itself. Due to its ability to swiftly relieve a wide variety of ailments, the Western medical model has become widely accepted in Asia. Yet, a patient may feel a greater sense of healing when treatment is based on the principles of ethical caregiving. For example, in the way it quickly relieves the prevailing symptoms, psychiatric medication is like a freeway. By contrast, volunteer caregiving is more like a local road, which may be slower, but eventually takes one all the way home. Thus, making nursing care more person-centered and indigenized gives the patient a sense of not only being cured, but also being "cared for." However, for a long time the theory and practice of nursing education in Taiwan has been based on the Western model of nursing. In this model nursing is treated as a branch of the biological sciences, an overall approach quite different from the traditional view of caregiving in Asian societies. Nonetheless, recent research and clinical practice indicates that an indigenized form of nursing care may be a more suitable approach to comprehensive care, and that such an approach has much potential for widespread application in

  19. Evaluating a Clinical Decision Support Interface for End-of-Life Nurse Care

    Science.gov (United States)

    Febretti, Alessandro; Stifter, Janet; Keenan, Gail M; Lopez, Karen D; Johnson, Andrew; Wilkie, Diana J

    2016-01-01

    Clinical Decision Support Systems (CDSS) are tools that assist healthcare personnel in the decision-making process for patient care. Although CDSSs have been successfully deployed in the clinical setting to assist physicians, few CDSS have been targeted at professional nurses, the largest group of health providers. We present our experience in designing and testing a CDSS interface embedded within a nurse care planning and documentation tool. We developed four prototypes based on different CDSS feature designs, and tested them in simulated end-of-life patient handoff sessions with a group of 40 nurse clinicians. We show how our prototypes directed nurses towards an optimal care decision that was rarely performed in unassisted practice. We also discuss the effect of CDSS layout and interface navigation in a nurse’s acceptance of suggested actions. These findings provide insights into effective nursing CDSS design that are generalizable to care scenarios different than end-of-life.

  20. Guidance for using mixed methods design in nursing practice research.

    Science.gov (United States)

    Chiang-Hanisko, Lenny; Newman, David; Dyess, Susan; Piyakong, Duangporn; Liehr, Patricia

    2016-08-01

    The mixed methods approach purposefully combines both quantitative and qualitative techniques, enabling a multi-faceted understanding of nursing phenomena. The purpose of this article is to introduce three mixed methods designs (parallel; sequential; conversion) and highlight interpretive processes that occur with the synthesis of qualitative and quantitative findings. Real world examples of research studies conducted by the authors will demonstrate the processes leading to the merger of data. The examples include: research questions; data collection procedures and analysis with a focus on synthesizing findings. Based on experience with mixed methods studied, the authors introduce two synthesis patterns (complementary; contrasting), considering application for practice and implications for research. PMID:27397810

  1. [Fundamental research in nursing sciences. Historical research on the foundations of a discipline].

    Science.gov (United States)

    Nadot, Michel

    2012-06-01

    For lack of serious fundamental research in History on the standardization of its own discipline, the nursing profession continues to be fed by clichés, common sense, and relies on symbols and faiths stemming from the past as well as on what characterizes in a general way the female careers in our society. The lack of recognition experienced by the nursing profession is not so surprising from then on. At the time of the globalization of knowledge, which remains to this day, the only source of sustainable competitive advantage, the historian of the nursing discipline should start wondering about the international status of his discipline within the learned worlds. PMID:22880499

  2. The contribution of the clinical nurse instructor to the development of critical thinking skills of the student nurse in Namibia

    Directory of Open Access Journals (Sweden)

    L Pretorius

    2005-04-01

    Full Text Available A quantitative, non-experimental and exploratory study was undertaken to determine the contribution by the clinical nurse instructor to develop critical thinking skills of student nurses in Namibia. Opsomming ‘n Kwantitatiewe nie-eksperimentele en verkennende studie is onderneem om te bepaal wat die bydrae van die kliniese verpleeginstrukteur is om kritiese denke by die studentverpleegkundige in Namibië te ontwikkel. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.

  3. Research and Clinical Practice Relationship

    OpenAIRE

    Ashammakhi N

    2008-01-01

    To The Editor: I highly value and greet the authors for their editorial. Many important issues related to medical education and its future in Libya have been discussed in this paper [1]. One important point that has been addressed and I feel deserves attention is the “abnormal” relationship between clinical practice and research in Libya. From discussions with colleagues, this problem somehow has evolved from a misconception about educational and training systems that may have occurred in the...

  4. Measurement of nurses' workload in an oncology outpatient clinic

    Directory of Open Access Journals (Sweden)

    Célia Alves de Souza

    2014-02-01

    Full Text Available The growing demand and the degree of patient care in oncological outpatient services, as well as the complexity of treatment have had an impact on the workload of nurses. This study aimed at measuring the workload and productivity of nurses in an oncological outpatient service. An observational study using a work sampling technique was conducted and included seven nurses working in an oncological outpatient service in the south-eastern region of Brazil. A total of 1,487 intervention or activity samples were obtained. Nurses used 43.2% of their time on indirect care, 33.2% on direct care, 11.6% on associated activities, and 12% on personal activities. Their mean productivity was 88.0%. The findings showed that nurses in this service spend most of their time in indirect care activities. Moreover, the productivity index in this study was above that recommended in the literature.

  5. Finnish as a language of communication in the clinical environment: perception of international nursing students

    OpenAIRE

    Ndu, Victoria

    2015-01-01

    Finland has an increasing number of multi-cultural and multi-lingual students as more universities of applied sciences are introducing nursing programs. Nevertheless, communication problem which include reading, writing and speaking Finnish lan-guage still remains the major issues in the clinical settings. This study examined the experiences of international nursing students during their clinical practices, the possible ways to assist their academic progression and improve their Finnish la...

  6. Nurses? and Midwives? clinical leadership development needs: A mixed methods study

    OpenAIRE

    Casey, Mary; McNamara, Martin S; Fealy, Gerard M.; Geraghty, Ruth; Halligan, Philomena A; Treacy, Margaret; Butler, Michelle M.; Johnson, Maree

    2011-01-01

    Abstract Aim This paper is a report of a descriptive study of nurses? and midwives? clinical leadership development needs. Background Nurses and midwives are expected to fulfill a leadership role at all levels, yet efforts to strategically support them are often unfocused. An analysis of clinical leadership development needs can provide the foundation for leadership initiatives to support staff. Method A mixed methods design was used. A questionnaire was sent to ...

  7. Satisfaction of clinical nurses with the formation of a university tutorial program

    OpenAIRE

    Cervera Gasch, Águeda; González Chordá, Víctor; Mena Tudela, Desirée; Salas Medina, Pablo; Maciá Soler, Loreto; Orts Cortés, María Isabel

    2014-01-01

    Degree in nursing from the Universitat Jaume I (UJI) maintains the continuity of learning with an integrated learning methodology (theory, simulated practice and clinical practice). The objective of this methodology is to achieve consistency between the knowledge, abilities and skills acquired in the classroom, laboratory and clinic to ensure skills related. Reference Nurse is a key figure in this process, you receive accredited training on Educational Methods, assessment of competence, and E...

  8. The Strategic Impact of Clinical Practice Guidelines in Nursing on the Managerial Function of Supervision

    Directory of Open Access Journals (Sweden)

    Jose Antonio Vinagre Romero

    2013-10-01

    Full Text Available Clinical practice guidelines in nursing (CPG-N are tools that allow the necessary knowledge that frequently remains specialist-internalised to be made explicit. These tools are a complement to risk adjustment systems (RAS, reinforcing their effectiveness and permitting a rationalisation of healthcare costs. This theoretical study defends the importance of building and using CPG-Ns as instruments to support the figure of the nursing supervisor in order to optimise the implementation of R&D and hospital quality strategies, enabling clinical excellence in nursing processes and cost-efficient reallocation of economic resources through their linear integration with SARs.

  9. Voices from a minority: experiences of chinese male nursing students in clinical practice.

    Science.gov (United States)

    Chan, Z C Y; Lui, C W; Cheung, K L; Hung, K K; Yu, K H; Kei, S H

    2013-07-01

    In Hong Kong, males constituted only about 10.2% of the nursing workforce in 2010. The learning experiences of male nursing students in Hong Kong during their clinical practicum have rarely been explored. If these students cannot maintain their psychological well-being and psychological health in formal education and clinical placements, then their physical health will also suffer. This ethnographic qualitative study gave male nursing students in Hong Kong a chance to voice their experiences during their clinical practicum. Selected through snowball sampling, 18 male nursing students from a local university participated in individual face-to-face semistructured interviews. The data were processed with content analysis. The findings indicated that male students not only received more support and understanding from male rather than female members of staff but endured a certain amount of oppression while working in female wards. According to the students' comments on nursing culture, the work climate of male nursing students could be improved by reorganizing the clinical placements and providing extra support to male nursing students. PMID:23339129

  10. Implementation of a Next-Generation Electronic Nursing Records System Based on Detailed Clinical Models and Integration of Clinical Practice Guidelines

    OpenAIRE

    Min, Yul Ha; Park, Hyeoun-Ae; Chung, Eunja; Lee, Hyunsook

    2013-01-01

    Objectives The purpose of this paper is to describe the components of a next-generation electronic nursing records system ensuring full semantic interoperability and integrating evidence into the nursing records system. Methods A next-generation electronic nursing records system based on detailed clinical models and clinical practice guidelines was developed at Seoul National University Bundang Hospital in 2013. This system has two components, a terminology server and a nursing documentation ...

  11. Support in Clinical Settings as Perceived by Nursing Students in Iran: A Qualitative Study

    Science.gov (United States)

    Joolaee, Soodabeh; Ashghali Farahani, Mansoureh; Jafarian Amiri, Seyedeh Roghayeh; Varaei, Shokoh

    2016-01-01

    Background Although support is one of the most substantial needs of nursing students during clinical education, it is not clearly defined in the literature. Objectives The current study aimed to explore the concept of support in clinical settings as perceived by nursing students. Materials and Methods A qualitative content analysis was used to explore the meaning of student support in clinical settings. A purposive sampling with maximum variation was used to select the participants among bachelor nursing students in the nursing school of Babol University of Medical Sciences in the north of Iran. Semi-structured interviews were conducted to gather the perceptions and experiences of seventeen nursing students. Conventional content analysis was applied to analyze the data. Results In the current study, the main theme, nurturance, was emerged with seven subthemes of humanistic behavior with the student, respectful communication with students, accepting the student in the clinical setting, sustaining confidence, need based supervision, accepting the profession in the society and empowerment. Conclusions Nursing students support in the clinical education requires a nurturing care; a care that leads to the sense of worthiness and respectability in students and contributes to the improvement of their clinical abilities. PMID:27331057

  12. An Evaluation of Student Nurses' Experiences of Being a Researcher in a Mental Health Research Project.

    Science.gov (United States)

    Davies, Paul D.; Lado, Amode; Northway, Ruth; Bennett, Glynys; Williams, Robert; Moseley, Lawrence; Mead, Donna

    2002-01-01

    An evaluation of 12 mental health nursing students' participation in research showed that all felt reasonably or completely prepared by a research training workshop and handbook; 75% believed that their research experience greatly helped their understanding of the process, ethical issues, and knowledge of the population and increased their…

  13. Critical action research applied in clinical placement development in aged care facilities.

    Science.gov (United States)

    Xiao, Lily D; Kelton, Moira; Paterson, Jan

    2012-12-01

    The aim of this study was to develop quality clinical placements in residential aged care facilities for undergraduate nursing students undertaking their nursing practicum topics. The proportion of people aged over 65 years is expected to increase steadily from 13% in 2006 to 26% of the total population in Australia in 2051. However, when demand is increasing for a nursing workforce competent in the care of older people, studies have shown that nursing students generally lack interest in working with older people. The lack of exposure of nursing students to quality clinical placements is one of the key factors contributing to this situation. Critical action research built on a partnership between an Australian university and five aged care organisations was utilised. A theoretical framework informed by Habermas' communicative action theory was utilised to guide the action research. Multiple research activities were used to support collaborative critical reflection and inform actions throughout the action research. Clinical placements in eight residential aged care facilities were developed to support 179 nursing students across three year-levels to complete their practicum topics. Findings were presented in three categories described as structures developed to govern clinical placement, learning and teaching in residential aged care facilities. PMID:23134277

  14. The Effect of Peer-Mentoring Program on Nursing Students’ Clinical Environment Stressors

    Directory of Open Access Journals (Sweden)

    F Sardari Kashkooli

    2014-01-01

    Results: There was a significant difference between stress scores before and after of the intervention in both groups (p=0.00. Mean difference of clinical environment stress factors in two groups were not statistically significant (p=0.99. Conclusions: Peer-mentoring program is not significant effective on clinical environment stress reduction. Key Words: Nursing Education, Peer Mentoring, Clinical Environment Stressors

  15. Factors impacting on nurses' transference of theoretical knowledge of holistic care into clinical practice.

    Science.gov (United States)

    Henderson, Saras

    2002-12-01

    Since nurse education moved to universities, a reoccurring concern of health consumers, health administrators, and some practising nurses is that nurses are not able to transfer the theoretical knowledge of holistic care into practice. Much has been written about this concern usually under the heading of the theory-practice gap. A common reason that has been highlighted as the cause of this gap is that the theoretical knowledge that nurses learn in academia is predicated on concepts such as humanism and holistic caring. In contrast, the bureaucratic organisation where nurses provide care tends to be based on management concepts where cost containment and outcome measures are more acceptable. Hence nurses' learned values of holistic caring are pitted against the reality of the practice setting. So what is this practice reality? This paper attempts to provide an insider view of why the theoretical knowledge of holistic care may be difficult to enact in the clinical setting. In-depth taped interviews with nurses and participant observation were conducted in acute care hospitals in Western Australia. The interviews were transcribed verbatim and analysed using the constant comparative method. The findings indicated that utilitarian nursing and role models had impacted on the transference of theoretical knowledge of holistic care into practice. The paper outlines some measures that nurses themselves can undertake to ensure the narrowing of the theory-practice gap in this area. PMID:19036306

  16. Impact of the nursing consultation in the External Fixatives Clinic of National Children Hospital

    Directory of Open Access Journals (Sweden)

    Virginia Salas Cerdas

    2013-04-01

    Full Text Available This article presents the results of a study which analyzed 10 cases (8 female and 2 male aged betweentwo and 17 years, with a number of bone defects, and conducted over a period of three months in the externalfixator Clinic National Children's Hospital. Aimed to provide a clear vision about the need of this pediatricpopulation to have a consultation with Clinical Nursing. The exploratory study was conducted using anobservation guide and interviews with users, parents and interdisciplinary team, and implemented the nursingsegmented into three stages: pre-consultation, consultation and post-consultation, evaluating each the problemsand needs of each user (a, as well as the achievements of the children in this research and the role played by thenurse in the consultations. The results show specifically the educational aspects in physical and emotional healthnurse that gave the users and their families and at-hospital benefits through the implementation of the nursing. Weconclude that children participating in the study achieve proper assimilation and implementation of healtheducation regarding: skin healing fixer, signs and symptoms of infection, operation keys, administration ofantibiotics, plaster care and healthy food choices. In addition, awareness was achieved in children and theirparents in monitoring medical indications allowing satisfactory results in treatment.

  17. Ethnographic research into nursing in acute adult mental health units: a review.

    Science.gov (United States)

    Cleary, Michelle; Hunt, Glenn E; Horsfall, Jan; Deacon, Maureen

    2011-01-01

    Acute inpatient mental health units are busy and sometimes chaotic settings, with high bed occupancy rates. These settings include acutely unwell patients, busy staff, and a milieu characterised by unpredictable interactions and events. This paper is a report of a literature review conducted to identify, analyse, and synthesize ethnographic research in adult acute inpatient mental health units. Several electronic databases were searched using relevant keywords to identify studies published from 1990-present. Additional searches were conducted using reference lists. Ethnographic studies published in English were included if they investigated acute inpatient care in adult settings. Papers were excluded if the unit under study was not exclusively for patients in the acute phase of their mental illness, or where the original study was not fully ethnographic. Ten research studies meeting our criteria were found (21 papers). Findings were grouped into the following overarching categories: (1) Micro-skills; (2) Collectivity; (3) Pragmatism; and (4) Reframing of nursing activities. The results of this ethnographic review reveal the complexity, patient-orientation, and productivity of some nursing interventions that may not have been observed or understood without the use of this research method. Additional quality research should focus on redefining clinical priorities and philosophies to ensure everyday care is aligned constructively with the expectations of stakeholders and is consistent with policy and the realities of the organisational setting. We have more to learn from each other with regard to the effective nursing care of inpatients who are acutely disturbed. PMID:21736465

  18. Application research of clinical nursing pathway in swallowing disorder patients with acute cerebral infarction%临床护理路径在急性脑梗死吞咽障碍中的应用研究

    Institute of Scientific and Technical Information of China (English)

    顾志娥; 俞龙; 刘必琴; 秦长江

    2015-01-01

    ABSTRACT:Objective To study the application effect of clinical nursing pathway in swal-lowing disorder patients with acute cerebral infarction.Methods A total of 60 swallowing disorder patients with acute cerebral infarction hospitalized in our department the patients were divided into control group with 30 cases and the observation group with 30 cases according to admission time. The control group was given the routine nursing while the observation group was given clinical nurs-ing pathway on the basis of control group,including swallowing function assessment,health educa-tion,psychological nursing,feeding training,basic training and rehabilitation training,diet test, discharge guidance,and one-week telephone follow-up service.On the 15th day after admission, questionnaire and kubota drinking water test was used to evaluate the extent of the mastery of swal-lowing disorder knowledge and improvement of swallowing disorder,and the complications occur-rence (aspiration pneumonia and malnutrition)was recorded.Results The awareness of swallow-ing disorder knowledge in the observation group was higher than that in the control group,the dif-ference was statistically significant(P incidence of complications of swallowing disorder,so it is worthy of widely promotion in clinic.%目的:探讨临床护理路径在急性脑梗死吞咽障碍患者中的应用效果。方法选取急性脑梗死后吞咽障碍患者60例按入院时间段分为对照组和观察组各30例,对照组在药物治疗基础上采取常规护理方法,观察组在药物治疗基础上采取临床护理路径实施护理,内容包括吞咽功能评估、健康宣教、心理护理、摄食训练、基础训练、康复训练、试食、出院指导、电话跟踪随访服务1周。住院第15天采用自行设计的有关吞咽障碍的知识问卷、洼田饮水试验评估患者掌握吞咽障碍知识的程度和吞咽障碍程度改善的情况,并记录上述时间内患者并发症

  19. Models of clinical expertise in American nursing practice.

    Science.gov (United States)

    Gordon, D R

    1986-01-01

    This paper analyzes nursing job descriptions that compose a career ladder. These job descriptions, an ethnomodel of expertise, are compared to the Dreyfus model that describes five stages of skill acquisition. While the Dreyfus model posits the replacement of analytic reasoning with intuitive response as the characteristic of expert practice, the ideal posited in the nursing model places theoretical knowledge at the apex. Nursing job descriptions can best be understood in the context of this profession's search for greater power and legitimacy. PMID:3738566

  20. Research and clinical practice relationship

    Directory of Open Access Journals (Sweden)

    Ashammakhi N

    2008-01-01

    Full Text Available To The Editor: I highly value and greet the authors for their editorial. Many important issues related to medical education and its future in Libya have been discussed in this paper [1]. One important point that has been addressed and I feel deserves attention is the “abnormal” relationship between clinical practice and research in Libya. From discussions with colleagues, this problem somehow has evolved from a misconception about educational and training systems that may have occurred in the past. It may also be related to the lack of attention to research that has long existed in Libya [2,3]. The other aspect, shared with many other developing countries, is the misconception of research as unimportant or a luxury aspect of medicine. When it comes to understanding how a system (including healthcare can be updated and developed, the answer is vague! One important reason is a lack of understanding of the impact that research has on developing methods. In developed countries, research is the main academic distinction that leads to appointments for coveted positions in the system and is an important factor for academic promotion. In Libya, there remain arguments about who will be awarded Chair of university clinical departments. Such a post should no doubt be given to those with established academic achievements. When highly qualified persons are at the top of the pyramid this leads to further progress and enhanced research and advancement. The authors have discussed the point of having proper search committees for leadership and faculty positions. I believe that it will help eliminate the current stagnation and help to create innovative solutions. This should lead to improved medical education, health services, and ultimately impact the quality of life of all Libyan citizens.

  1. the importance of research for nursing professions in Emergency Medicine (as well

    Directory of Open Access Journals (Sweden)

    Paola Di Giulio

    2005-10-01

    Full Text Available The aim of this article is to discuss the importance of research for the development of the nursing profession, focusing specifically on the development and contribution of Emergency Department Nurses. A few examples of researches potentially relevant for the nursing profession are reported and briefly commented on, underlying the importance of the strict relationship between research, practice and education, and of the relevance of the research questions for the patients care and the improvement of practice.

  2. the importance of research for nursing professions in Emergency Medicine (as well)

    OpenAIRE

    Paola Di Giulio

    2005-01-01

    The aim of this article is to discuss the importance of research for the development of the nursing profession, focusing specifically on the development and contribution of Emergency Department Nurses. A few examples of researches potentially relevant for the nursing profession are reported and briefly commented on, underlying the importance of the strict relationship between research, practice and education, and of the relevance of the research questions for the patients care and the improve...

  3. Exploring the leadership role of the clinical nurse specialist on an inpatient palliative care consulting team.

    Science.gov (United States)

    Stilos, Kalli; Daines, Pat

    2013-03-01

    Demand for palliative care services in Canada will increase owing to an aging population and the evolving role of palliative care in non-malignant illness. Increasing healthcare demands continue to shape the clinical nurse specialist (CNS) role, especially in the area of palliative care. Clinical nurse specialists bring specialized knowledge, skills and leadership to the clinical setting to enhance patient and family care. This paper highlights the clinical leadership role of the CNS as triage leader for a hospital-based palliative care consulting team. Changes to the team's referral and triage processes are emphasized as key improvements to team efficiency and timely access to care for patients and families. PMID:24863582

  4. Newly graduated nurses' perception of competence, critical thinking and research utilization.

    OpenAIRE

    Wangensteen, Sigrid

    2010-01-01

    Sigrid Wangensteen has the recent years been engaged in doctoral studies at Karlstad University in combination with teaching at the bachelor program in nursing at Gjøvik Universtity College. This doctoral thesis is focused on newly graduated nurses, their perception of competence, critical thinking dispositions, research use and their experiences of being a nurse during their first year as a nurse. Qualitative and quantitative methods were used. The very first period of time was experienced a...

  5. 临床外科中肠梗阻的护理过程控制%Intestinal Obstruction in Clinical Surgical Nursing Process Control

    Institute of Scientific and Technical Information of China (English)

    刁乃洁

    2015-01-01

    目的:通过临床性的肠梗阻外科护理,完成术后的护理步骤过程分析,保证合理的临床医学护理研究过程控制,加强外科肠梗阻护理的准确性。方法采用药物质量方法,提高术后的护理工作,完成综合性的外科肠梗阻护理过程控制,实现有效化的临床外科护理。结果通过外科护理有效的提高了肠梗阻患者的恢复效果。结论采用合理的外科肠梗阻术前和术后护理,可以有效化的提高外科术后护理控制。%ObjectiveThrough clinical obstruction of surgical nursing,complete the postoperative nursing steps of the process analysis,to ensure the reasonable clinical nursing research process control,to strengthen the accuracy of the surgical intestinal obstruction of nursing.Methods Adopting the method of drug quality,and improve the postoperative nursing work,complete the comprehensive surgical intestinal obstruction of nursing process control,the realization of effective clinical surgical nursing.Results Through effective surgical nursing can improve the effect of the recovery of patients with intestinal obstruction.ConclusionThe reasonable surgical intestinal obstruction of preoperative and postoperative nursing,postoperative nursing care can effectively improve the surgical control.

  6. The palliative care clinical nurse consultant: an essential link.

    Science.gov (United States)

    O'Connor, Margaret; Chapman, Ysanne

    2008-01-01

    This study describes the role of acute hospital palliative care nurse consultants and makes recommendations about future directions for the role development of this role. While the palliative care nurse consultant role is accepted in the acute setting there is little evidence or literature about what contributes to the success of this role. A three-phase study was undertaken to describe the role of palliative care nurse consultants in acute hospitals in Melbourne, Australia. The first phase of the three-phase study, involving in-depth qualitative interviews with the palliative care nurse consultants, is reported in this article. Using open-ended semi-structured questions, 10 palliative care nurse consultants were interviewed using open-ended questions about aspects of their role and the interviews were thematically analysed. Four main themes were identified that clarified the role; being the internal link; being the lynch pin; being responsive and being challenged. The palliative care nurse consultants were the first point of introduction to palliative care and thus they saw a significant role in introducing the concept of palliative care to those requiring palliative care, their families and others. They are an important link between the settings of care required by people accessing palliative care-acute, in-patient palliative care and community care. The palliative care nurse consultants saw themselves in leadership positions that in some ways defy boundaries, because of the inherent complexity and diversity of the role. The palliative care nurse consultants' role appears to be pivotal in providing expert advice to staff and people requiring palliative care, and connecting palliative care services both within the hospital and to external services. PMID:19112925

  7. Exploration of the affordances of mobile devices in integrating theory and clinical practice in an undergraduate nursing programme

    Directory of Open Access Journals (Sweden)

    Juliana J. Willemse

    2015-07-01

    Full Text Available Background: Promoting the quality and effectiveness of nursing education is an important factor, given the increased demand for nursing professionals. It is important to establish learning environments that provide personalised guidance and feedback to students about their practical skills and application of their theoretical knowledge.Objective: To explore and describe the knowledge and points of view of students and educators about introduction of new technologies into an undergraduate nursing programme.Method: The qualitative design used Tesch’s (1990 steps of descriptive data analysis to complete thematic analysis of the data collected in focus group discussions (FGDs andindividual interviews to identify themes.Results: Themes identified from the students’ FGDs and individual interviews included:mobile devices as a communication tool; email, WhatsApp and Facebook as methods of communication; WhatsApp as a method of communication; nurses as role-models in the clinical setting; setting personal boundaries; and impact of mobile devices in clinical practiceon professionalism. Themes identified from the FGD, individual interviews and a discussion session held with educators included: peer learning via mobile devices; email, WhatsApp and Facebook as methods of communication; the mobile device as a positive learning method; students need practical guidance; and ethical concerns in clinical facilities about Internet access and use of mobile devices.Conclusion: The research project established an understanding of the knowledge and points of view of students and educators regarding introduction of new technologies into an undergraduate nursing programme with the aim of enhancing integration of theory and clinical practice through use of mobile devices.

  8. The emancipatory potential of nursing practice in relation to sexuality: a systematic literature review of nursing research 2009-2014.

    Science.gov (United States)

    Macleod, Catriona; Nhamo-Murire, Mercy

    2016-09-01

    Nurses play a key role in the provision of services in relation to sexuality in both primary and sexual and reproductive health-care. Given the intersection of sexualities with a range of social injustices, this study reviews research on nursing practice concerning sexuality from an emancipatory/social justice perspective. A systematic review of English articles published in nursing journals appearing on the Web of Science database from 2009 to 2014 was conducted. Thirty-eight articles met the inclusion criteria. Analysis consisted of a descriptive phase (types and location of studies, aspects of sexualities focused on, target health users and aspects of nursing practice focused on) and a critical/emancipatory phase. In terms of practice, our analysis revealed that: barriers exist to the integration of issues relating to sexuality in nursing practice; the social location of nurses and their personal feelings regarding sexuality influence their practice; content that addresses gendered norms and media that assist in communication underpin some emancipatory practices. Few studies locate analyses of nursing practice within gendered, cultural and social norms; consider advocacy as part of the practice of nurses; or analyse the promotion of health user participation in health services and structures. The implications for emancipatory practice are drawn out. PMID:27147132

  9. Stress, sense of coherence and quality of life among Norwegian nurse students after a period of clinical practice.

    Science.gov (United States)

    Kleiveland, Benedicte; Natvig, Gerd Karin; Jepsen, Randi

    2015-01-01

    Background. Previous research has found that sense of coherence is significantly related to aspects of health, but studies on nurse students with a salutogenic approach are limited. Objectives. To investigate (1) if nurse students' experience of stress differs among clinical practice in nursing homes and medical/surgical wards. (2) Whether sense of coherence and stress are associated with quality of life. (3) If sense of coherence acts as a moderator in the relationship between stress and quality of life. Participants. Data were collected from 227 nurse students between January and April 2014. Methods. Questionnaires measuring stress, sense of coherence and quality of life were completed after a period of clinical practice. Linear regression analyses were used to measure associations between stress, and sense of coherence respectively, and quality of life. Results. The results showed that 33.92% of the students experienced moderate or high levels of stress, and there was significantly more stress in hospital wards compared to nursing homes (p = 0.027). Sense of coherence was positively associated with quality of life in the simple and multiple regression analyses (p Stress was negatively associated with quality of life in the simple regression analysis (p stress was no longer associated with quality of life and sense of coherence appeared to be a significant moderator in the relationship between stress and quality of life (p = 0.015). Thus, a negative association was seen among students with the lowest levels of sense of coherence. Conclusion. These findings suggest that sense of coherence could be seen as a resource that nurse educators can build upon when supporting students in coping with stress. PMID:26468439

  10. Validation of Doloplus-2 among nonverbal nursing home patients - an evaluation of Doloplus-2 in a clinical setting

    Directory of Open Access Journals (Sweden)

    Kirkevold Øyvind

    2010-02-01

    Full Text Available Abstract Background Pain measurement in nonverbal older adults is best based on behavioural observation, e.g. using an observational measurement tool such as Doloplus-2. The purposes of this study were to examine the use of Doloplus-2 in a nonverbal nursing home population, and to evaluate its reliability and validity by comparing registered nurses' estimation of pain with Doloplus-2 scores. Method In this cross-sectional study, Doloplus-2 was used to observe the pain behaviour of patients aged above 65 years who were unable to self-report their pain. Nurses also recorded their perceptions of patient pain (yes, no, don't know before they used Doloplus-2. Data on demographics, medical diagnoses, and prescribed pain treatment were collected from patient records. Daily life functioning was measured and participants were screened using the Mini Mental State Examination. Results In total, 77 nursing home patients were included, 75% were women and the mean age was 86 years (SD 6.6, range 68-100. Over 50% were dependent on nursing care to a high or a medium degree, and all were severely cognitively impaired. The percentage of zero scores on Doloplus-2 ranged from 17% (somatic reactions to 40% (psychosocial reactions. Cronbach's alpha was 0.71 for the total scale. In total, 52% of the patients were judged by nurses to be experiencing pain, compared with 68% when using Doloplus-2 (p = 0.01. For 29% of the sample, nurses were unable to report if the patients were in pain. Conclusions In the present study, more patients were categorized as having pain while using Doloplus-2 compared with nurses' estimation of pain without using any tools. The fact that nurses could not report if the patients were in pain in one third of the patients supports the claim that Doloplus-2 is a useful supplement for estimating pain in this population. However, nurses must use their clinical experience in addition to the use of Doloplus-2, as behaviour can have different meaning

  11. What factors influence the prevalence and accuracy of nursing diagnoses documentation in clinical practice? A systematic literature review

    NARCIS (Netherlands)

    Paans, W.; Nieweg, R.M.B.; van der Schans, C.P.; Sermeus, W.

    2011-01-01

    Aim. To identify what determinants influence the prevalence and accuracy of nursing diagnosis documentation in clinical practice. Background. Nursing diagnoses guide and direct nursing care. They are the foundation for goal setting and provide the basis for interventions. The literature mentions sev

  12. Implementation and effects of PICC nursing clinic%PICC护理门诊的实施与效果

    Institute of Scientific and Technical Information of China (English)

    王红; 卢慧芳; 戴海燕; 张凯芬; 吴婷婷; 李瑛

    2013-01-01

    Objective To improve the nursing quality of patients with perpheraly inserted central catheter ( PICC). Methods The measures included reasonable setting and layout of PICC nursing clinic,formulating relevant processes and responsibilities,implementing multidisciplinary cooperation,research and developing the information system of PICC patients and dynamic quality control of the system. Result The complications rate of patients with PICC was reduced (P<0.01 or P < 0.05). Conclusion The establishment and operation of PICC nursing clinic is conductive to improve the nursing quality of patients with PICC tube.%目的 提高病人PICC置管护理质量.方法 对PICC护理门诊进行合理设置与布局、制订相关流程和职责、实施多学科合作、研发PICC病人管理信息系统并动态质量监控.结果 降低了PICC病人置管并发症的发生率(P<0.01或P<0.05).结论 PICC护理门诊的建立及规范运作,有利于提高病人PICC置管的护理质量.

  13. Schizophrenia nursing research in China from 2010 to 2014:A bibliometric analysis☆

    Institute of Scientific and Technical Information of China (English)

    Shu-Ping Zhang; Hong-Xia Liu

    2015-01-01

    Objective: This study used a bibliometric analysis to explore the research development of schizo-phrenia nursing in China from 2010 to 2014. Methods: The CNKI, VIP, and CBM databases were used to retrieve articles in China descri-bing schizophrenia nursing that met the predefined criteria from 2010 to 2014. Altogether, 1486 articles were included and analyzed by bibliometric methods. Results: The area of schizophrenia nursing had an annual average publication of 351 papers. The most productive institutions in schizophrenia nursing were located in Guangdong, Jiangsu, and Shandong, followed by Henan and Zhejiang. The papers were mainly published in the Medical Journal of Chinese People’ s Health and then in the International Journal of Nursing and the Chi-nese Journal of Modern Nursing. The study subjects mainly were on schizophrenics and then care-givers of schizophrenics ( including families, nursing assistant, nurse) . The most often used study designs in schizophrenia nursing research were a quasi-experimental study followed by experience reports and an investigational study. The research topics mainly focused on nursing intervention and rehabilitation training, followed by psychological, quality of life and social function. Conclusions: The schizophrenia nursing research has rapidly developed, with extensive content and abundant study topics, over the past 5 years.

  14. A Review of Barriers to Minorities' Participation in Cancer Clinical Trials: Implications for Future Cancer Research.

    Science.gov (United States)

    Salman, Ali; Nguyen, Claire; Lee, Yi-Hui; Cooksey-James, Tawna

    2016-04-01

    To enhance nurses' awareness and competencies in practice and research by reporting the common barriers to participation of minorities in cancer clinical trials and discussing facilitators and useful strategies for recruitment. Several databases were searched for articles published in peer reviewed journals. Some of the barriers to minorities' participation in clinical trials were identified within the cultural social-context of cancer patients. The involvement of community networking was suggested as the most effective strategy for the recruitment of minorities in cancer clinical trials. Using culturally sensitive approaches to enhance ethnic minorities' participation is important for advancing cancer care and eliminating health disparities. Awareness of barriers and potential facilitators to the enrollment of ethnic minority cancer patients may contribute to enhancing nurses' competencies of recruiting ethnic minorities in nursing research, playing efficient roles in cancer clinical trials team, and providing culturally competent quality care. PMID:25822567

  15. An emancipatory impulse: a feminist postmodern integrated turning point in nursing research.

    Science.gov (United States)

    Glass, N; Davis, K

    1998-09-01

    This article critiques the current debates regarding feminism, postmodernism, and feminist/postmodernism within nursing research. The critique classified the debates into three identifiable constructs: dissatisfaction, fragmentation, and integration. The authors propose a solution from the integration debate as an emancipatory "workable" turning point for nursing research. The solution is situated within feminism and draws on the epistemological constructs of both modernism and postmodernism. Nursing research is framed within the proposed ontological links that characterize the integrated solution. PMID:9730406

  16. Inaugural lecture: doing away with doctors? Workforce research and the future of nursing

    OpenAIRE

    Griffiths, Peter

    2012-01-01

    This paper based on Professor Griffiths inaugural lecture discusses nursing workforce research, focussing on skill mix and substitution, and considers how optimistic readings of research may ultimately be self-defeating for the professions, as well as dangerous for patients. Two core examples are used to illustrate these ‘optimistic’ readings. Research on nursing-led inpatient units – initially heralded as ‘proof’ of the independent therapeutic contribution of nursing – ultimately led to a le...

  17. Clinical and Technical Phosphoproteomic Research

    Directory of Open Access Journals (Sweden)

    Ferreira Antonio

    2011-06-01

    Full Text Available Abstract An encouraging approach for the diagnosis and effective therapy of immunological pathologies, which would include cancer, is the identification of proteins and phosphorylated proteins. Disease proteomics, in particular, is a potentially useful method for this purpose. A key role is played by protein phosphorylation in the regulation of normal immunology disorders and targets for several new cancer drugs and drug candidates are cancer cells and protein kinases. Protein phosphorylation is a highly dynamic process. The functioning of new drugs is of major importance as is the selection of those patients who would respond best to a specific treatment regime. In all major aspects of cellular life signalling networks are key elements which play a major role in inter- and intracellular communications. They are involved in diverse processes such as cell-cycle progression, cellular metabolism, cell-cell communication and appropriate response to the cellular environment. A whole range of networks that are involved in the regulation of cell development, differentiation, proliferation, apoptosis, and immunologic responses is contained in the latter. It is so necessary to understand and monitor kinase signalling pathways in order to understand many immunology pathologies. Enrichment of phosphorylated proteins or peptides from tissue or bodily fluid samples is required. The application of technologies such as immunoproteomic techniques, phosphoenrichments and mass spectrometry (MS is crucial for the identification and quantification of protein phosphorylation sites in order to advance in clinical research. Pharmacodynamic readouts of disease states and cellular drug responses in tumour samples will be provided as the field develops. We aim to detail the current and most useful techniques with research examples to isolate and carry out clinical phosphoproteomic studies which may be helpful for immunology and cancer research. Different phosphopeptide

  18. Why Most Clinical Research Is Not Useful.

    Science.gov (United States)

    Ioannidis, John P A

    2016-06-01

    John Ioannidis argues that problem base, context placement, information gain, pragmatism, patient centeredness, value for money, feasibility, and transparency define useful clinical research. He suggests most clinical research is not useful and reform is overdue. PMID:27328301

  19. Perceptions of students on the physical exams in clinical nursing practice

    OpenAIRE

    Maria de Fátima Lima de Oliveira; Waldemar Brandão Neto; Andrea Rosane Sousa Silva; Ana Virgínia Rodrigues Veríssimo; Ana Márcia Tenório de Souza Cavalcanti; Estela Maria Leite Meirelles Monteiro

    2016-01-01

    Objective: to understand the perceptions of students from an undergraduate course in nursing on the importance of physical exams in clinical nursing practice. Methods: a qualitative study with 12 students of a private institution. For data analysis, the method of interpretation of meanings was used, based on the hermeneutic-dialectic perspective. Results: directions have been identified which give the physical exam an objective dimension, in which the accuracy of propaedeutic techniques is es...

  20. Use of dependency and prioritization tools by clinical nurse specialists in palliative care: an exploratory study.

    LENUS (Irish Health Repository)

    Bracken, Mairéad

    2011-12-01

    The principal aim was to assess the utility of three needs assessment\\/dependency tools for use in community-based palliative care services. Specific objectives were to assess a sample of patients receiving specialist palliative care community nursing using these tools, to assess the predictive ability of each tool, and to explore the utility of prioritizing and measuring patient dependency from a clinical nurse specialist (CNS) perspective.

  1. Are nurse and pharmacist independent prescribers making clinically appropriate prescribing decisions? An analysis of consultations

    OpenAIRE

    Latter, Sue; Smith, Alesha; Blenkinsopp, Alison; Nicholls, Peter G.; Little, Paul; Chapman, Stephen

    2012-01-01

    OBJECTIVES: Legislation and health policy enabling nurses and pharmacists to prescribe a comprehensive range of medicines has been in place in the UK since 2006. Our objective was to evaluate the clinical appropriateness of prescribing by these professionals. METHODS: A modified version of the Medication Appropriateness Index (MAI) was used by 10 medical, seven pharmacist and three nurse independent raters to evaluate a sample of 100 audio-recorded consultations in which a medicine was pr...

  2. Exploring the role of organizational policies and procedures in promoting research utilization in registered nurses

    OpenAIRE

    Moralejo Donna; Squires Janet E; LeFort Sandra M

    2007-01-01

    Abstract Background Policies and procedures (P&Ps) have been suggested as one possible strategy for moving research evidence into practice among nursing staff in hospitals. Research in the area of P&Ps is limited, however. This paper explores: 1) nurses' use of eight specific research-based practices (RBPs) and RBP overall, 2) nurses' use and understanding of P&Ps, and 3) the role of P&Ps in promoting research utilization. Methods Staff nurses from the eight health regions governing acute car...

  3. Relevance of the nature vs nurture debate to clinical nursing.

    Science.gov (United States)

    McVicar, A; Clancy, J

    The philosophy of holistic care underpins nurse education, and the 'nature-nurture debate' is frequently used to facilitate discussion regarding the influence of interactions with the environment in 'shaping' the individual. A limitation to this approach is that much of the work cited in the literature relates primarily to psychosocial interactions. This conveys a narrow perspective on holism, and creates an impression that the debate cannot be applied to other aspects of health and wellbeing, yet models of nursing care emphasize the need for nurses to appreciate the interactional basis of health. This article uses examples from mental health, physical health and the influence of ageing, to argue that interactions must be viewed from a much wider perspective. Only in doing so can the principles and application of holistic care, and an understanding of the bases of health education practices, be appreciated. PMID:9004565

  4. 200 years of nursing--a chief nurse's reflections on practice, theory, policy, education, and research.

    Science.gov (United States)

    Erickson, Jeanette Ives

    2012-01-01

    This bimonthly department, sponsored by the AONE, presents information to assist nurse leaders in shaping the future of healthcare through creative and innovative leadership. The strategic priorities of AONE anchor the editorial content. They reflect contemporary healthcare and nursing practice issues that challenge nurse executives as they strive to meet the needs of patients. PMID:22157375

  5. Smartphones in Clinical Nursing Practice: A Multiphased Approach to Implementation and Deployment

    Science.gov (United States)

    Johnson, Brad; Davison, C. J.; Moralejo, Lisa

    2013-01-01

    Students in the undergraduate nursing program at the University of Calgary-Qatar are required to work with patients in clinical settings under faculty supervision. One of the main goals of clinical courses is to provide students with the opportunity to learn in context and "just-in-time," a much more realistic and memorable learning…

  6. Test-retest reliability of the Clinical Learning Environment, Supervision and Nurse Teacher (CLES + T) scale.

    Science.gov (United States)

    Gustafsson, Margareta; Blomberg, Karin; Holmefur, Marie

    2015-07-01

    The Clinical Learning Environment, Supervision and Nurse Teacher (CLES + T) scale evaluates the student nurses' perception of the learning environment and supervision within the clinical placement. It has never been tested in a replication study. The aim of the present study was to evaluate the test-retest reliability of the CLES + T scale. The CLES + T scale was administered twice to a group of 42 student nurses, with a one-week interval. Test-retest reliability was determined by calculations of Intraclass Correlation Coefficients (ICCs) and weighted Kappa coefficients. Standard Error of Measurements (SEM) and Smallest Detectable Difference (SDD) determined the precision of individual scores. Bland-Altman plots were created for analyses of systematic differences between the test occasions. The results of the study showed that the stability over time was good to excellent (ICC 0.88-0.96) in the sub-dimensions "Supervisory relationship", "Pedagogical atmosphere on the ward" and "Role of the nurse teacher". Measurements of "Premises of nursing on the ward" and "Leadership style of the manager" had lower but still acceptable stability (ICC 0.70-0.75). No systematic differences occurred between the test occasions. This study supports the usefulness of the CLES + T scale as a reliable measure of the student nurses' perception of the learning environment within the clinical placement at a hospital. PMID:25814151

  7. Evidence Based Nursing. A new perspective for Greek Nursing

    Directory of Open Access Journals (Sweden)

    Christina Ouzouni

    2008-07-01

    Full Text Available Despite the fact that nursing research has been developed in Greece, nevertheless the provision of nursing care is not based on current research findings, but rather on the knowledge gained by nurses during their undergraduate education. The transition of medicine in the last decade towards evidence based practice had definitely an impact on the nursing profession.The aim of this article is to briefly present evidence based nursing as a process and perspective to Greek nurses.Method: A literature search was performed in order to identify and review relevant articles concerning evidence based nursing.Conclusions: It has been supported that in the practice of evidence based nursing, a nurse has to decide whether the evidence is relevant for the individual patient. The incorporation of clinical expertise should balance the risks and benefits of a possible treatment and take into consideration the patient’s unique clinical circumstances and preferences. The stages to identify evidence for nursing practice follow firstly a question which must be addressed for a particular clinical problem. Then, a literature search is performed in order to access the evidence and critically appraise it and finally the best available evidence that fits into a particular case is utilized. Evidence based nursing bears benefits for patients, nurses and health care services, as well. In the process of implementing evidence based nursing in Greece there are several constraints. Taking these difficulties into consideration and until Greek nurses familiarize themselves with evidence based nursing care, it is necessary to constitute workgroups of nurse researchers aiming at forming clinical guidelines for nursing practice, which will based on the best available evidence.

  8. A nursing informatics research agenda for 2008-18: contextual influences and key components.

    Science.gov (United States)

    Bakken, Suzanne; Stone, Patricia W; Larson, Elaine L

    2008-01-01

    The context for nursing informatics research has changed significantly since the National Institute of Nursing Research-funded Nursing Informatics Research Agenda was published in 1993 and the Delphi study of nursing informatics research priorities reported a decade ago. The authors focus on 3 specific aspects of context--genomic health care, shifting research paradigms, and social (Web 2.0) technologies--that must be considered in formulating a nursing informatics research agenda. These influences are illustrated using the significant issue of healthcare associated infections (HAI). A nursing informatics research agenda for 2008-18 must expand users of interest to include interdisciplinary researchers; build upon the knowledge gained in nursing concept representation to address genomic and environmental data; guide the reengineering of nursing practice; harness new technologies to empower patients and their caregivers for collaborative knowledge development; develop user-configurable software approaches that support complex data visualization, analysis, and predictive modeling; facilitate the development of middle-range nursing informatics theories; and encourage innovative evaluation methodologies that attend to human-computer interface factors and organizational context. PMID:18922269

  9. Trends in nurse-midwifery. Results of the 1988 ACNM Division of Research Mini-Survey.

    Science.gov (United States)

    Lehrman, E J; Paine, L L

    1990-01-01

    The purpose of the 1988 Mini-Survey was the collection of up-to-date data from the ACNM membership, focusing on nurse-midwifery income. These were the last data collected about CNMs for the 1980 decade. The final survey sample included 1,735 CNMs and 67 SNMs; 70.6% of the CNMs were in clinical practice. The demographic, employment, and income findings are presented for all CNM respondents by ACNM region of residence and for CNMs in full-scope clinical nurse-midwifery practice. Additional income findings for CNMs working full time and part time are also presented by ACNM region of residence, as well as by selected individual states. Nurse-midwifery income is compared with nursing income during the same time period. Demographic and/or employment characteristics are presented for CNMs doing home births, for student nurse-midwives, for nurse-midwifery faculty, and for nurse-midwives with doctorates. In surveys done from 1984 to 1988, the mean full-time CNM annual income increased by +10,000. The 1988 Survey data are now approximately two years old and the impact of the recent nursing shortage on both nursing and nurse-midwifery salaries was not necessarily reflected in these data. PMID:2398405

  10. Advanced dementia research in the nursing home: the CASCADE study.

    Science.gov (United States)

    Mitchell, Susan L; Kiely, Dan K; Jones, Richard N; Prigerson, Holly; Volicer, Ladislav; Teno, Joan M

    2006-01-01

    Despite the growing number of persons with advanced dementia, and the need to improve their end-of-life care, few studies have addressed this important topic. The objectives of this report are to present the methodology established in the CASCADE (Choices, Attitudes, and Strategies for Care of Advanced Dementia at the End-of-Life) study, and to describe how challenges specific to this research were met. The CASCADE study is an ongoing, federally funded, 5-year prospective cohort study of nursing [nursing home (NH)] residents with advanced dementia and their health care proxies (HCPs) initiated in February 2003. Subjects were recruited from 15 facilities around Boston. The recruitment and data collection protocols are described. The demographic features, ownership, staffing, and quality of care of participant facilities are presented and compared to NHs nationwide. To date, 189 resident/HCP dyads have been enrolled. Baseline data are presented, demonstrating the success of the protocol in recruiting and repeatedly assessing NH residents with advanced dementia and their HCPs. Factors challenging and enabling implementation of the protocol are described. The CASCADE experience establishes the feasibility of conducting rigorous, multisite dementia NH research, and the described methodology serves as a detailed reference for subsequent CASCADE publications as results from the study emerge. PMID:16917187

  11. Research on Molybdenum Target Positioning Biopsy of Breast Lesions in Lactational Patient and Clinical Nursing%哺乳期钼靶定位乳腺病变的穿刺活检及临床护理研究

    Institute of Scientific and Technical Information of China (English)

    姜娥先; 魏本和; 司凯; 王军帅

    2014-01-01

    目的:探析哺乳期钼靶定位乳腺病变穿刺活检临床应用及护理干预。方法收集我院2012年1月至2014年1月140例进行钼靶定位乳腺病变穿刺活检术患者病例资料,并对该资料进行分析。结果钼靶提示存在单侧微钙化灶患者中,发现非典型增生5例,乳腺癌17例(检出率达12.14%),导管原位癌8例,浸润性导管癌9例;84例簇状分布微钙化中检出13例乳腺癌,56例非簇状分布微钙化中检出3例乳腺癌,微钙化呈簇状分布对比其他分布发生乳腺癌的概率相对较高。结论通过钼靶定位乳腺病变穿刺活检可以发现早期乳腺病变,尤其是乳腺癌,操作安全,从而能够早期诊断和早期治疗是提高乳腺癌患者生存质量的关键。%Objective To analyze the clinical application and nursing intervention of molybdenum target positioning biopsy of breast lesions in lactational patients.Method To Collect molybdenum target positioning biopsy of breast lesions in 140 lactational patients from January 2012 to January 2014 ,and analyze the data.Results In the patients: 5 cases of atypical hyperplasia , 17 cases of breast cancer rate(12.14%), 8 cases of ductal carcinoma in situ, 9 cases of infiltrating ductal carcinoma; 13 cases of breast cancer in 84 cases of microcalcification clusters of distribution, 56 cases of microcalcification clusters of distribution in 3 cases of breast cancer detection, it reveals that microcalcification clusters has relatively high incidence of breast cancer compared with other distribution.Conclusion To find early breast lesions, especially breast cancer by molybdenum target positioning biopsy breast lesions which handle without risk, can attain treatment early, it is the key to improve the quality of life of breast cancer patients.

  12. Clinical nursing care for transgender patients with cancer.

    Science.gov (United States)

    Levitt, Nathan

    2015-06-01

    Transgender people often face barriers in their pursuit of receiving sensitive and informed health care, and many avoid preventive care and care for life threatening conditions because of those obstacles. This article focuses on cancer care of the transgender patient, as well as ways that nurses and other providers can help to create a transgender-sensitive healthcare environment. PMID:26000586

  13. Patient aggression in clinical psychiatry: perceptions of mental health nurses.

    NARCIS (Netherlands)

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

    2008-01-01

    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

  14. Development of the Computerized Model of Performance-Based Measurement System to Measure Nurses' Clinical Competence.

    Science.gov (United States)

    Liou, Shwu-Ru; Liu, Hsiu-Chen; Tsai, Shu-Ling; Cheng, Ching-Yu; Yu, Wei-Chieh; Chu, Tsui-Ping

    2016-04-01

    Critical thinking skills and clinical competence are for providing quality patient care. The purpose of this study is to develop the Computerized Model of Performance-Based Measurement system based on the Clinical Reasoning Model. The system can evaluate and identify learning needs for clinical competency and be used as a learning tool to increase clinical competency by using computers. The system includes 10 high-risk, high-volume clinical case scenarios coupled with questions testing clinical reasoning, interpersonal, and technical skills. Questions were sequenced to reflect patients' changing condition and arranged by following the process of collecting and managing information, diagnosing and differentiating urgency of problems, and solving problems. The content validity and known-groups validity was established. The Kuder-Richardson Formula 20 was 0.90 and test-retest reliability was supported (r = 0.78). Nursing educators can use the system to understand students' needs for achieving clinical competence, and therefore, educational plans can be made to better prepare students and facilitate their smooth transition to a future clinical environment. Clinical nurses can use the system to evaluate their performance-based abilities and weakness in clinical reasoning. Appropriate training programs can be designed and implemented to practically promote nurses' clinical competence and quality of patient care. PMID:26829522

  15. Unsafe clinical practices as perceived by final year baccalaureate nursing students: Q methodology

    Science.gov (United States)

    2012-01-01

    Background Nursing education necessitates vigilance for clinical safety, a daunting challenge given the complex interchanges between students, patients and educators. As active learners, students offer a subjective understanding concerning safety in the practice milieu that merits further study. This study describes the viewpoints of senior undergraduate nursing students about compromised safety in the clinical learning environment. Methods Q methodology was used to systematically elicit multiple viewpoints about unsafe clinical learning from the perspective of senior students enrolled in a baccalaureate nursing program offered at multiple sites in Ontario, Canada. Across two program sites, 59 fourth year students sorted 43 theoretical statement cards, descriptive of unsafe clinical practice. Q-analysis identified similarities and differences among participant viewpoints yielding discrete and consensus perspectives. Results A total of six discrete viewpoints and two consensus perspectives were identified. The discrete viewpoints at one site were Endorsement of Uncritical Knowledge Transfer, Non-student Centered Program and Overt Patterns of Unsatisfactory Clinical Performance. In addition, a consensus perspective, labelled Contravening Practices was identified as responsible for compromised clinical safety at this site. At the other site, the discrete viewpoints were Premature and Inappropriate Clinical Progression, Non-patient Centered Practice and Negating Purposeful Interactions for Experiential Learning. There was consensus that Eroding Conventions compromised clinical safety from the perspective of students at this second site. Conclusions Senior nursing students perceive that deficits in knowledge, patient-centered practice, professional morality and authenticity threaten safety in the clinical learning environment. In an effort to eradicate compromised safety associated with learning in the clinical milieu, students and educators must embody the ontological

  16. Unsafe clinical practices as perceived by final year baccalaureate nursing students: Q methodology

    Directory of Open Access Journals (Sweden)

    Killam Laura A

    2012-11-01

    Full Text Available Abstract Background Nursing education necessitates vigilance for clinical safety, a daunting challenge given the complex interchanges between students, patients and educators. As active learners, students offer a subjective understanding concerning safety in the practice milieu that merits further study. This study describes the viewpoints of senior undergraduate nursing students about compromised safety in the clinical learning environment. Methods Q methodology was used to systematically elicit multiple viewpoints about unsafe clinical learning from the perspective of senior students enrolled in a baccalaureate nursing program offered at multiple sites in Ontario, Canada. Across two program sites, 59 fourth year students sorted 43 theoretical statement cards, descriptive of unsafe clinical practice. Q-analysis identified similarities and differences among participant viewpoints yielding discrete and consensus perspectives. Results A total of six discrete viewpoints and two consensus perspectives were identified. The discrete viewpoints at one site were Endorsement of Uncritical Knowledge Transfer, Non-student Centered Program and Overt Patterns of Unsatisfactory Clinical Performance. In addition, a consensus perspective, labelled Contravening Practices was identified as responsible for compromised clinical safety at this site. At the other site, the discrete viewpoints were Premature and Inappropriate Clinical Progression, Non-patient Centered Practice and Negating Purposeful Interactions for Experiential Learning. There was consensus that Eroding Conventions compromised clinical safety from the perspective of students at this second site. Conclusions Senior nursing students perceive that deficits in knowledge, patient-centered practice, professional morality and authenticity threaten safety in the clinical learning environment. In an effort to eradicate compromised safety associated with learning in the clinical milieu, students and educators

  17. Engaging a Nursing Workforce in Evidence-Based Practice: Introduction of a Nursing Clinical Effectiveness Committee.

    Science.gov (United States)

    McKeever, Stephen; Twomey, Bernadette; Hawley, Meaghan; Lima, Sally; Kinney, Sharon; Newall, Fiona

    2016-02-01

    This column shares the best evidence-based strategies and innovative ideas on how to facilitate the learning of EBP principles and processes by clinicians as well as nursing and interprofessional students. Guidelines for submission are available at http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1741-6787. PMID:26606269

  18. A competency based educational programme for research nurses: an Italian experience

    OpenAIRE

    Liptrott, S; Orlando, L.; Clerici, M.; Cocquio, A.; Martinelli, G.

    2009-01-01

    Background: the EU Directive states the requirement of staff working in trials to be qualified by education, training and experience [14]. This includes the research nurse; however, in the transition from ward nurse to research nurse, new and highly developed skills and knowledge are required in order to work effectively. Methods: an educational programme was developed, which included a review of current knowledge and baseline practice, development of competencies related to the role of resea...

  19. Development of a conceptual framework to guide a program of research exploring nurse-to-nurse communication.

    Science.gov (United States)

    Carrington, Jane M

    2012-06-01

    Research in nursing informatics has been described as problem based rather than theory guided. Furthermore, few examples exist in the literature where the process of theory development is described. This article describes a process used to develop a conceptual framework that supports a theory-driven program of research in nursing informatics. The conceptual framework combines Symbolic Interaction Theory and Information Theory. Constructs of Symbolic Interaction Theory (mind, self, and society) and Information Theory (entropy, negentropy, redundancy, probability, and noise) were then organized according to Gerbner's Communication Model. Theory derivation was the method used for organizing abstract constructs and reducing them to a measurable level. Theory derivation was supplemented with initial research findings. The measurable or middle-range constructs were then organized in a meaningful manner for conceptual framework development. The use of theory derivation to develop a conceptual framework to support theory-driven nursing informatics research will be discussed. The framework entitled "Effective Nurse-to-Nurse Communication" that guides a program of research will then be presented. PMID:22411412

  20. Implementation of Evidence-Based Practice in Relation to a Clinical Nursing Ladder System: A National Survey in Taiwan

    Science.gov (United States)

    Weng, Yi-Hao; Chen, Chiehfeng; Kuo, Ken N; Yang, Chun-Yuh; Lo, Heng-Lien; Chen, Kee-Hsin; Chiu, Ya-Wen

    2015-01-01

    Background Although evidence-based practice (EBP) has been widely investigated, few studies have investigated its correlation with a clinical nursing ladder system. The current national study evaluates whether EBP implementation has been incorporated into the clinical ladder system. Methods A cross-sectional questionnaire survey was conducted nationwide of registered nurses among regional hospitals of Taiwan in January to April 2011. Subjects were categorized into beginning nurses (N1 and N2) and advanced nurses (N3 and N4) by the clinical ladder system. Multivariate logistic regression model was used to adjust for possible confounding demographic factors. Results Valid postal questionnaires were collected from 4,206 nurses, including 2,028 N1, 1,595 N2, 412 N3, and 171 N4 nurses. Advanced nurses were more aware of EBP than beginning nurses (p < 0.001; 90.7% vs. 78.0%). In addition, advanced nurses were more likely to hold positive beliefs about and attitudes toward EBP (p < 0.001) and possessed more sufficient knowledge of and skills in EBP (p < 0.001). Furthermore, they more often implemented EBP principles (p < 0.001) and accessed online evidence-based retrieval databases (p < 0.001). The most common motivation for using online databases was self-learning for advanced nurses and positional promotion for beginning nurses. Multivariate logistic regression analyses showed advanced nurses were more aware of EBP, had higher knowledge and skills of EBP, and more often implemented EBP than beginning nurses. Linking Evidence to Action The awareness of, beliefs in, attitudes toward, knowledge of, skills in, and behaviors of EBP among advanced nurses were better than those among beginning nurses. The data indicate that a clinical ladder system can serve as a useful means to enhance EBP implementation. PMID:25588625