Sample records for surgical nursing courses

  1. Use of iPod™ technology in medical-surgical nursing courses: effect on grades. (United States)

    Johnston, Robert; Hepworth, Joseph; Goldsmith, Melissa; Lacasse, Cheryl


    Advances in computer technology, such as the portable and affordable iPod™, allow students to view lectures anywhere at any time. iPods™ are of special interest for nurse educators who strive to meet demands posed by a critical nursing shortage. A mixed-methods pilot study was conducted to assess whether iPod™ could be an effective teaching tool for medical-surgical nursing lectures. In a randomized study with 35 participants, together with eight students having their own iPods™, grades of students given pre-recorded class lectures on iPods™ were compared with grades of those who attended lectures without iPods™. Learning styles, amount and use of students devoted to iPod™ lectures were considered as well as grades. Most results were not significant, but there was some evidence that the control groups who attended classroom lectures received better grades than iPod™ users, and individuals who used iPod™ more frequently before the final exam received lower grades. These somewhat surprising results suggest the need for further research in the use of this technology as a resource for nursing education delivery.

  2. 高职外科护理学课程的整体教学设计%The overall class design of the Surgical Nursing course in vocational nursing program

    Institute of Scientific and Technical Information of China (English)

    高国丽; 车光昇; 熊瑛; 张丽雁; 孙亚男; 刘鸿慧


    Objective To reform the class design of the Surgical Nursing course, to improve the teaching quality of the course, and to improve student nurses' clinical competency. Methods A total of 97 student nurses on higher vocational nursing program enrolled in 2008 were treated as the control group, and were taught Surgical Nursing with conventional methods. Totally, 95 student nurses admitted in 2009 were assigned into the observation group. Teachers processed the class design of Surgical Nursing, set up job-oriented contents, then implemented teaching according to the design. Results The practice performance score of the observation group was significantly higher than the control group(P<0. 01). Totally, 89. 66% clinical mentors believed that teaching based on the class design consolidated student nurses theoretical knowledge; 72. 41% thought the teaching method improved their nursing skills; 81. 03% deemed that the teaching could adapt student nurses to clinical work quickly. Conclusion The overall class design of the Surgical Nursing course significantly improves the quality of teaching and students clinical competency.%目的 改革高职外科护理学课程的整体设计,提高外科护理学的教学质量和护生临床工作能力.方法 选取2008级高职护理专业(英语班)97名护生作为对照组,采用传统的教学方法;2009级高职护理专业(英语班)95名护生为观察组,由教师对外科护理学课程进行整体设计,即以职业岗位需求确定课程整体目标,以职业活动为导向设计课程内容,之后按照设计方案实施教学.结果 观察组实践成绩显著高于对照组(P<0.01).89.66%临床带教教师认为按照外科护理学的整体设计方案实施教学,使实习护生的专业理论知识增强;72.41%认为提高他们的技能操作,81.03%认为能使护生快速适应临床工作.结论 外科护理学的整体教学设计,显著提高了教学质量和护生临床工作能力.

  3. Survey compare team based learning and lecture teaching method, on learning-teaching process nursing student\\'s, in Surgical and Internal Diseases course

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    AA Vaezi


    Full Text Available Introduction: The effect of teaching methods on learning process of students will help teachers to improve the quality of teaching by selecting an appropriate method. This study aimed to compare the team- based learning and lecture teaching method on learning-teaching process of nursing students in surgical and internal diseases courses. Method: This quasi-experimental study was carried on the nursing students in the School of Nursing and Midwifery in Yazd and Meybod cities. Studied sample was all of the students in the sixth term in the Faculty of Nursing in Yazd (48 persons and the Faculty of Nursing in Meybod (28 persons. The rate of students' learning through lecture was measured using MCQ tests and teaching based on team-based learning (TBL method was run using MCQ tests (IRAT, GRAT, Appeals and Task group. Therefore, in order to examine the students' satisfaction about the TBL method, a 5-point Likert scale (translated questionnaire (1=completely disagree, 2= disagree, 3=not effective, 4=agree, and 5=completely agree consisted of 22 items was utilized. The reliability and validity of this translated questionnaire was measured. The collected data were analyzed through SPSS 17.0 using descriptive and analytical statistic. Result: The results showed that the mean scores in team-based learning were meaningful in individual assessment (17±84 and assessment group (17.2±1.17. The mean of overall scores in TBL method (17.84±0.98% was higher compared with the lecture teaching method (16±2.31. Most of the students believed that TBL method has improved their interpersonal and group interaction skills (100%. Among them, 97.7% of students mentioned that this method (TBL helped them to understand the course content better. The lowest levels of the satisfaction have related to the continuous learning during lifelong (51.2%. Conclusion: The results of the present study showed that the TBL method led to improving the communication skills, understanding

  4. Using case studies based on a nursing conceptual model to teach medical-surgical nursing. (United States)

    DeSanto-Madeya, Susan


    Nurse educators are continually challenged to develop teaching strategies that enhance students' critical thinking, problem-solving, and decision-making skills. Case studies are a creative learning strategy that fosters these skills through the use of in-depth descriptions of realistic clinical situations. Conceptual models of nursing provide a unique body of knowledge that can be used to guide construction of case studies and enhance application of didactic course content to nursing practice. In this column, the author discusses the use of case studies constructed within the context of the Roy adaptation model for a senior level medical-surgical nursing course.

  5. Nursing I. A Course of Study. (United States)

    Rogers, Helen V.; Benson, Ann

    Developed primarily as a beginning course of study for the practical nurse, this first of a two-part course can also be used to instruct nursing assistants and nursing students at other levels of practice. This curriculum guide is divided into the following three major areas of instruction: personal vocational relationships; basic nursing…

  6. Moral suffering among nurse educators of technical courses in nursing

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    Carla Godinho Duarte

    Full Text Available ABSTRACT Objective: to understand situations of moral suffering experienced at work by nurse educators of technical courses in nursing. Method: a qualitative study with discursive textual analysis by means of semi-structured interviews with ten nurse educators at two professional educational institutions in southern Brazil. Results: two categories were established: lack of commitment on the part of students to the future profession, expressed through disrespect and disregard for the work of nurse educators, with inappropriate behaviors and attitudes; and lack of commitment to the learning-teaching process, expressed by indifference to the professional profile and lack of interest in lessons and care practices associated with learning gaps. Conclusion: these situations have an impact on experiences of moral suffering by nurse educators, and show a need for rethinking their practice, relationships, and educational spaces, and implementing strategies to favor the confrontation of dilemmas and conflicts experienced in educational practice in technical courses in nursing.

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

    Gerard, Sally; Grossman, Sheila; Godfrey, Marjorie


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

  8. Perioperative nurse training in cardiothoracic surgical robotics. (United States)

    Connor, M A; Reinbolt, J A; Handley, P J


    The exponential growth of OR technology during the past 10 years has placed increased demands on perioperative nurses. Proficiency is required not only in patient care but also in the understanding, operating, and troubleshooting of video systems, computers, and cutting edge medical devices. The formation of a surgical team dedicated to robotically assisted cardiac surgery requires careful selection, education, and hands-on practice. This article details the six-week training process undertaken at Sarasota Memorial Hospital, Sarasota, Fla, which enabled staff members to deliver excellent patient care with a high degree of confidence in themselves and the robotic technology.

  9. Massive open online courses in nursing education. (United States)

    Goldschmidt, Karen; Greene-Ryan, Jane


    MOOCs are changing the face of higher education. Online programs provide nurses with access to technologies, networking with other professionals, and opportunities reflect on their practice. The changing climate of online, higher education provides access and flexibility to students balancing work, family, and financial responsibilities. Offering free courses may provide nursing students ambivalent about online learning the chance to experience otherwise unavailable educational opportunities including the chance to earn a BSN degree.

  10. Enhancing medical-surgical nursing practice: using practice tests and clinical examples to promote active learning and program evaluation. (United States)

    DuHamel, Martha B; Hirnle, Constance; Karvonen, Colleen; Sayre, Cindy; Wyant, Sheryl; Colobong Smith, Nancy; Keener, Sheila; Barrett, Shannon; Whitney, Joanne D


    In a 14-week medical-surgical nursing review course, two teaching strategies are used to promote active learning and assess the transfer of knowledge to nursing practice. Practice tests and clinical examples provide opportunities for participants to engage in self-assessment and reflective learning and enhance their nursing knowledge, skills, and practice. These strategies also contribute to program evaluation and are adaptable to a variety of course formats, including traditional classroom, web conference, and online self-study.

  11. Nursing/LVN Course. Bilingual Vocational Instructional Materials. (United States)

    Lopez-Cox, Guadalupe

    This course in licensed vocational nursing, one of a series of bilingual English-Spanish vocational education courses, is designed to teach basic nursing principles needed by nurses' aides to do nursing procedures and skills in the different health care institutions. It covers many areas, including the following: the health care system, personal…

  12. Postgraduates courses offered to nursing

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    Pedro Jorge Araujo


    Full Text Available Aim: To know the official masters that the Spanish Universities have offered during the academic course 2010/2011.Material and methods: Descriptive observational and transversal court study, in which it has analysed 170 university official masters and in which it has used a questionnaire with a total of 15 questions elaborated for this work.Results: 52 Spanish Universities of the 75 that there is have offered during the academic course 2010/2011 official masters that can realise for graduated in infirmary. By areas, the official masters more offered have been the ones of nutrition and alimentary security. 76,33% of the official masters have a length of 1 academic year. Almost the half of the official masters have an orientation researcher-professional and almost 40% researcher. 62,65% of the masters give of face-to-face way. In 52,1% of the official masters do not realise external practices and 86,2% has continuity with the doctorate.Conclusions: It has seen that it is necessary that expand the number of masters including other fields of study that contribute to a main specialisation of the professionals of the infirmary. An important percentage of official masters give in face-to-face modality, and there is very few offered on-line or to distance.

  13. Surgical training in your hands: organising a skills course. (United States)

    Burnand, Henry; Mutimer, Jon


    The advent of simulated surgical skills courses has brought dynamic changes to the traditional approach to acquiring practical skills in surgery. Teaching is a core part of the surgical profession, and any trainee can be involved in the organisation of skills training courses. This paper outlines the importance of organising surgical skills courses for trainees, and provides a practical guide on how to do so within busy clinical environments. The paper examines how to plan a course, how to design the programme, and provides tips on faculty staff requirements, venue, finance and participants, with additional suggestions for assessment and evaluation. We recommend the organisation of skills courses to any trainee. By following key ground rules, the surgical trainee can enable the acquisition of advanced learning opportunities and the ability to demonstrate valuable organisational skills. © Blackwell Publishing Ltd 2012.

  14. Creation of a Spanish nephrological nursing accrediting course. (United States)

    Gil, C; Andres, J; Rubio, M; Pujolar, N; Ventura, S; Fortuny, C; Freile, A; Rochera, A


    In 1989, the Spanish Association of Nephrological Nursing (Sociedad Espanola de Enfermeria Nefrologica--SEDEN) created a course directed to all graduates in nephrological nursing in Spain to answer a need for further training. This article details the objectives, methodology, and results of the Course for Accrediting Specialized Knowledge in Nephrological Nursing since it was created.

  15. Nursing graduates\\' views regarding the use of specialized courses in clinical training

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    Sh Mojahed


    Results: Principles and skills of nursing (97.0 ± 95.3, intensive care nursing (1.05 ± 3.80، medical and surgical nursing 3 and 4 gained the highest score and community health gained the lowest score. The highest mean scores in midwifery were related to obstetrics and maternal and child nutrition and Anesthetics gained the lowest score Conclusions: Coordination between theoretical learning and clinical nursing and midwifery services should be improved. Decision makers should consider these findings to improve the quality of low score courses.

  16. Nursing Distance Learning Course Comparison of Assignments and Examination Scores (United States)

    Mundine, Jennifer


    Nursing programs have embraced distance learning in their curricula, but discussion is ongoing about course assignments and grading criteria to increase examination scores in nursing distance learning courses. Because course examinations are a predictor of success on the postgraduate licensing examination (NCLEX-RN), the purpose of this study was…

  17. Nursing Distance Learning Course Comparison of Assignments and Examination Scores (United States)

    Mundine, Jennifer


    Nursing programs have embraced distance learning in their curricula, but discussion is ongoing about course assignments and grading criteria to increase examination scores in nursing distance learning courses. Because course examinations are a predictor of success on the postgraduate licensing examination (NCLEX-RN), the purpose of this study was…

  18. Use of the nursing intervention classification for identifying the workload of a nursing team in a surgical center


    João Francisco Possari; Raquel Rapone Gaidzinski; Antônio Fernandes Costa Lima; Fernanda Maria Togeiro Fugulin; Tracy Heather Herdman


    Objective: to analyze the distribution of nursing professionals' workloads, according to the Nursing Intervention Classification (NIC), during the transoperative period at a surgical center specializing in oncology. Methods: this was an observational and descriptive cross-sectional study. The sample consisted of 11 nurses, 25 nursing technicians who performed a variety of roles within the operating room, 16 nursing technicians who worked with the surgical instrumentation and two nursing techn...

  19. Frequency of nursing diagnoses in a surgical clinic

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    Andreza Cavalcanti Vasconcelos


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



    Zulene Maria de Vasconcelos Varela; Enêde Andrade da Cruz


    We objectified in this study with qualitative handling, to analyze the nurse's care in the people'sadmission in Surgical Center, starting from this professional's assistematic observation, accomplishing thisprocedure. In the chosen institution, the space for admission is common to all the elements of the team, to thepeople's flow and customers, that stay close one of the other ones, generating erroneous interpretations in thecommunication, hindering of that the efective care. The nurse's conc...

  1. Course Choice and Career Support Needs of Nursing Students


    福間, 美紀; 廣野, 祥子; 長田, 京子; 森山, 美香; 大森, 眞澄; 木村, 真司


    The purpose of this research was to clarify that nursing students course choice and career support needs. And it was to consider the way of our support. Using an anonymous self-administered questionnaire, we received answers from 43 nursing students (second grade; 12 people, third grade; 31 people)who had participated in a career seminar. As the course choice, being a nurse, public health nurse, and nurse midwife ranked high in descending order, both at the time of enrollment and the surve...

  2. Standardising fast-track surgical nursing care in Denmark

    DEFF Research Database (Denmark)

    Hjort Jakobsen, Dorthe; Rud, Kirsten; Kehlet, Henrik


    guidelines based on the principles of fast-track surgery-i.e. patient information, surgical stress reduction, effective analgesia, early mobilisation and rapid return to normal eating. Fast-track surgery was introduced systematically in Denmark by the establishment of the Unit of Perioperative Nursing (UPN...

  3. [Surgical Center environment and its elements: implications for nursing care]. (United States)

    Silva, Denise Conceição; Alvim, Neide Aparecida Titonelli


    The purpose of this qualitative research was to characterize the elements that constitute the environment of the Surgical Center and to analyze its implications for dynamic of care and nursing care. Based on the Environmental Theory's principals. Participated twelve nurses from the Surgical Center of a College Hospital in Rio de Janeiro. Data were gathered through the creativity and sensitivity technique "Map-Speaker", semi-structered interviews and participant observation, and were analyzed by thematic categories. The results showed that care can happen directly and indirectly in favor of full client recovery, counting the environment that the integrate in purpose to maintain harmonic and balanced. The nurse interventions aim to maintain the environment in favorable conditions so that a higher standard of care can be promoted.

  4. Surgical procedure of Free Flap. Main nursing care

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    Manuel Molina López


    Full Text Available The free flap surgical technique is used to cover extensive skin loss areas and situations where no flap is available, or in axial zones. The great breackthrough in the field of reconstructive surgical techniques and the creation of new units where these complex techniques are used, means that the nursing staff who work in these hospital units are adquiring greater protagonism in caring for, and the subsequent success of this type of surgery in which the problems of collaboration in all the perioperative phases depend entirely on the nursing team.The collaborative nursing problems could be defined as real or potential health problems, where users need nursing staff to follow the treatment and control procedures prescribed by other professional, generally doctors, who control and are responsible for the final outcome.While planning collaborative objectives and activities it should be taken into account that the function of the nursing staff is twofold: on the one hand, the patient must be taken care of as prescribed by other professionals and, on the other hand, it should bring into play cognitive elements (knowledge and know-how and clinical judgment when executing these in controlling the patients evolution.In this article our intention is to give an interesting and comprehensive description of the free flap surgical technique, its pros and cons, and identify the principal collaborative problems which nursing will have to deal with in each one of the perioperative phases, the number and specific nature of such oblige nursing on many occasions, to update and/or acquire new skills.

  5. Personality predictors of surgical specialties choice among students of nursing

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    Dorota Turska


    Full Text Available Background Holland’s theory of congruence, according to which one’s career choice is an expression of personality traits common to a given profession, constitutes a theoretical background for this research. The construct of the Distinct Surgical Personality (DSP is an exemplification of the idea of a congruent match between one’s personality and the requirements of the medical environment. In previous studies the authors revised their proposition concerning the DSP concept to include not only personality traits but also preferred values. This paper aims at verifying the proposition that this concept may also refer to students of nursing who select surgical specialties. Participants and procedure The study involved 163 students of nursing at the Medical University of Lublin aged 21-29 (M = 23.19, SD = 3.67. Students who opted for surgical specialities constituted the criterion group (N = 98. The study employed the Polish versions of the Personality Inventory NEO-FFI and the Schwartz Value Survey. Results There are two significant predictors of surgical specialties choice in nursing: a higher-level value of openness to change and extraversion. The tested model, which incorporates personality traits and preferred values, has proved congruent with the data, and allows for the proper classification of 79% of students who declared surgical specialties. Conclusions The results suggest the existence of a specific personality of surgical nurses. While clear adaptability to the specific environment has been determined, there are differences with respect to the concept of DSP, referring to doctors, widely discussed in the literature. In both cases these constructs look different, and are dependent on various types of professional activities within the therapeutic team.

  6. Course development for web-based nursing education programs. (United States)

    Schnetter, Vicki A; Lacy, Darlene; Jones, Melinda Mitchell; Bakrim, Khadija; Allen, Patricia E; O'Neal, Cynthia


    Developing and launching online programs requires nurse educators to reframe content and rethink traditional teaching methodologies. Creating a framework for course design and standardization of templates can result in online learning that is student centered while allowing the institution to scale up enrollment with quality education at the core. This article explores the considerations needed for effective, interactive online course delivery in nursing education. Working in conjunction with other university technology stakeholders, nurse educators can select the learning management system with the features that will work best for the program, develop the course structure and organization through adherence to template rules for both syllabi and course modules, and develop appropriate learning activities to assure student exposure to content identified in the course objectives. With these structure pieces in place process becomes the second focus for nurse educators in online programs. Process activities for active engagement are discussed.

  7. Swedish Nurse Anesthetists' Experiences of the WHO Surgical Safety Checklist. (United States)

    Rönnberg, Linda; Nilsson, Ulrica


    The World Health Organization (WHO) surgical safety checklist aims to increase communication, build teamwork, and standardize routines in clinical practice in an effort to reduce complications and improve patient safety. The checklist has been implemented in surgical departments both nationally and internationally. The purpose of this study was to describe the registered nurse anesthetists' (RNA) experience with the use of the WHO surgical safety checklist. This was a cross-sectional study with a descriptive mixed methods design, involving nurse anesthetists from two different hospitals in Sweden. Data were collected using a study-specific questionnaire. Forty-seven RNAs answered the questionnaire. There was a statistically significant lower compliance to "Sign-in" compared with the other two parts, "Timeout" and "Sign-out." The RNAs expressed that the checklist was very important for anesthetic and perioperative care. They also expressed that by confirming their own area of expertise, they achieved an increased sense of being a team member. Thirty-four percent believed that the surgeon was responsible for the checklist, yet this was not the reality in clinical practice. Although 23% reported that they initiated use of the checklist, only one RNA believed that it was the responsibility of the RNA. Forty-three percent had received training about the checklist and its use. The WHO surgical checklist facilitates the nurse anesthetist's anesthetic and perioperative care. It allows the nurse anesthetist to better identify each patient's specific concerns and have an increased sense of being a team member. Copyright © 2015 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.

  8. Gerontology course in the nursing undergraduate curricula. (United States)

    AlSenany, Samira; AlSaif, Amer A


    To explores nursing faculty members' attitudes towards older people, their thoughts about gerontological nursing education. Five focus groups and a survey were used with nursing faculty members 132 at the three nursing schools to explore their attitudes towards the care of older people and the perceived status of gerontological nursing education. The survey was given to 132 faculty members, including 76 clinical instructors, 40 associate professors and 16 professors. The nursing faculty in general had a positive attitude toward older people (M=3.36, SD 0.25), and teachers' attitudes were higher than those of their nursing students (M=3.18, SD0.29). This study results suggests that Saudi nursing curricula should include more extensive gerontology content and clinical experience with older people. This is the first time in Saudi Arabia that research has listened to their voices and examined their commitments toward gerontology education.

  9. Gerontology course in the nursing undergraduate curricula

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    Samira AlSenany


    Full Text Available Objective To explores nursing faculty members’ attitudes towards older people, their thoughts about gerontological nursing education. Method Five focus groups and a survey were used with nursing faculty members 132 at the three nursing schools to explore their attitudes towards the care of older people and the perceived status of gerontological nursing education. The survey was given to 132 faculty members, including 76 clinical instructors, 40 associate professors and 16 professors. The nursing faculty in general had a positive attitude toward older people (M=3.36, SD 0.25, and teachers’ attitudes were higher than those of their nursing students (M=3.18, SD0.29. Results This study results suggests that Saudi nursing curricula should include more extensive gerontology content and clinical experience with older people. Conclusion This is the first time in Saudi Arabia that research has listened to their voices and examined their commitments toward gerontology education.

  10. Standardising fast-track surgical nursing care in Denmark

    DEFF Research Database (Denmark)

    Hjort Jakobsen, Dorthe; Rud, Kirsten; Kehlet, Henrik;


    guidelines based on the principles of fast-track surgery-i.e. patient information, surgical stress reduction, effective analgesia, early mobilisation and rapid return to normal eating. Fast-track surgery was introduced systematically in Denmark by the establishment of the Unit of Perioperative Nursing (UPN......-track regimes in all surgical departments in Denmark. We recommend the workshop-practice method for implementation of new procedures in other areas of patient care.......Considerable variations in procedures, hospital stay and rates of recovery have been recorded within specific surgical procedures at Danish hospitals. The aim of this paper is to report on a national initiative in Denmark to improve the quality of surgical care by implementation of clinical...

  11. A Sample CISNE [Computerized Information Service for Nursing Educators] Nursing Course. (United States)

    Alvir, Howard P.

    The Computerized Information Service for Nursing Educators (CISNE) is a computerized information system designed to help nursing instructors exchange ideas in an attempt to improve teaching methods. The system, which is under development, will assist nursing educators by performing eight functions: (1) coding courses for instant input and…

  12. Learning and Study Strategies of Baccalaureate Nursing Students during First Semester Nursing Courses (United States)

    Gatto, Susan L.


    Background. Attrition rates from nursing courses and programs are reported to range from 3 to 55 percent with 20 to 80 percent due to involuntary attrition (academic failure). While trying to address the nursing shortage, nursing programs increased enrollment, but did not produce enough graduates since involuntary attrition also increased. While…

  13. Nursing the critically ill surgical patient in Zambia. (United States)

    Carter, Chris; Snell, David


    Critical illness in the developing world is a substantial burden for individuals, families, communities and healthcare services. The management of these patients will depend on the resources available. Simple conditions such as a fractured leg or a strangulated hernia can have devastating effects on individuals, families and communities. The recent Lancet Commission on Global Surgery and the World Health Organization promise to strengthen emergency and essential care will increase the focus on surgical services within the developing world. This article provides an overview of nursing the critically ill surgical patient in Zambia, a lower middle income country (LMIC) in sub-Saharan Africa.

  14. Nursing care at the end of life: a service learning course for undergraduate nursing students. (United States)

    Jeffers, Stephanie; Ferry, Dawn


    An elective course titled "Nursing Care at the End of Life" was designed for fourth-year nursing students in a baccalaureate nursing program. This course, taught by the authors, was designed to teach students about caring for the dying patient. Students were required to complete service learning with patients in a hospice or hospital setting. Students reported having a positive learning experience and gaining new knowledge and a deeper understanding of the needs of dying patients and their families.

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

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    B. B. Ntombela


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

  16. The flipped classroom: strategies for an undergraduate nursing course. (United States)

    Schlairet, Maura C; Green, Rebecca; Benton, Melissa J


    This article presents the authors' experience with flipping a fundamental concepts of nursing course for students in an undergraduate baccalaureate program. Authors describe implementing a flipped class, practical strategies to transform students' learning experience, and lessons learned. This article serves as a guide to faculty and programs seeking to develop and implement the flipped class model in nursing education.


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    Zulene Maria de Vasconcelos Varela


    Full Text Available We objectified in this study with qualitative handling, to analyze the nurse's care in the people'sadmission in Surgical Center, starting from this professional's assistematic observation, accomplishing thisprocedure. In the chosen institution, the space for admission is common to all the elements of the team, to thepeople's flow and customers, that stay close one of the other ones, generating erroneous interpretations in thecommunication, hindering of that the efective care. The nurse's concern, in developing the admission, as ownprerogative and humanização was evident. The continuity of that procedure, it is hindered by the surgical team,for the patient's liberation, what is leaving out the care alternatives and generating dissatisfaction in theprofessionals.

  18. The effect of an e-learning course on nursing staff's knowledge of delirium: a before-and-after study. (United States)

    van de Steeg, Lotte; IJkema, Roelie; Wagner, Cordula; Langelaan, Maaike


    Delirium is a common condition in hospitalized patients, associated with adverse outcomes such as longer hospital stay, functional decline and higher mortality, as well as higher rates of nursing home placement. Nurses often fail to recognize delirium in hospitalized patients, which might be due to a lack of knowledge of delirium diagnosis and treatment. The objective of the study was to test the effectiveness of an e-learning course on nurses' delirium knowledge, describe nursing staff's baseline knowledge about delirium, and describe demographic factors associated with baseline delirium knowledge and the effectiveness of the e-learning course. A before-and-after study design, using an e-learning course on delirium. The course was introduced to all nursing staff of internal medicine and surgical wards of 17 Dutch hospitals. 1,196 invitations for the e-learning course were sent to nursing staff, which included nurses, nursing students and healthcare assistants. Test scores on the final knowledge test (mean 87.4, 95% CI 86.7 to 88.2) were significantly higher than those on baseline (mean 79.3, 95% CI 78.5 to 80.1). At baseline, nursing staff had the most difficulty with questions related to the definition of delirium: what are its symptoms, course, consequences and which patients are at risk. The mean score for this category was 74.3 (95% CI 73.1 to 75.5). The e-learning course significantly improved nursing staff's knowledge of delirium in all subgroups of participants and for all question categories. Contrary to other studies, the baseline knowledge assessment showed that, overall, nursing staff was relatively knowledgeable regarding delirium. The Netherlands National Trial Register (NTR). NTR 2885 , 19 April 2011.

  19. Blended Learning Versus Traditional Lecture in Introductory Nursing Pathophysiology Courses. (United States)

    Blissitt, Andrea Marie


    Currently, many undergraduate nursing courses use blended-learning course formats with success; however, little evidence exists that supports the use of blended formats in introductory pathophysiology courses. The purpose of this study was to compare the scores on pre- and posttests and course satisfaction between traditional and blended course formats in an introductory nursing pathophysiology course. This study used a quantitative, quasi-experimental, nonrandomized control group, pretest-posttest design. Analysis of covariance compared pre- and posttest scores, and a t test for independent samples compared students' reported course satisfaction of the traditional and blended course formats. Results indicated that the differences in posttest scores were not statistically significant between groups. Students in the traditional group reported statistically significantly higher satisfaction ratings than students in the blended group. The results of this study support the need for further research of using blended learning in introductory pathophysiology courses in undergraduate baccalaureate nursing programs. Further investigation into how satisfaction is affected by course formats is needed. Copyright 2016, SLACK Incorporated.

  20. Factors influencing nursing care in a surgical intensive care unit

    Directory of Open Access Journals (Sweden)

    Raj John


    Full Text Available Context: The total time spent in nursing care depends on the type of patient and the patient′s condition. We analysed factors that influenced the time spent in nursing a patient. Aims : To analyse the factors in a patient′s condition that influenced time spent in nursing a patient. Materials and Methods: This study was performed in the Surgical Intensive Care Unit of a tertiary referral centre, over a period of one month. The total time spent on a patient in nursing care for the first 24 hours of admission, was recorded. This time was divided into time for routine nursing care, time for interventions, time for monitoring and time for administering medications. Statistical analysis used: A backward stepwise linear regression analysis using the age, sex, diagnosis, type of admission and ventilatory status as variables, was done. Results: Patients admitted after elective surgery required less time (852.4 ± 234.1 minutes, than those admitted after either emergency surgery (1069.5 ± 187.3 minutes, or directly from the ward or the emergency room (1253.7 ± 42.1 minutes. Patients who were ventilated required more time (1111.5 ± 132.5 minutes, than those brought on a T-piece (732.2 ± 134.8 minutes or extubated (639.5 ± 155.6 minutes. The regression analysis showed that only the type of admission and the ventilatory status significantly affected the time. Conclusions : This study showed that the type of admission and ventilatory status significantly influenced the time spent in nursing care. This will help optimal utilization of nursing resources.

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

    Riccio, Patricia A.


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

  2. Incorporating pedagogical principles in developing an online nursing research course. (United States)

    Odom, Sue Ellen; Barnes, Katrina; Wicker, Martha


    Since 1998, developing online courses to accommodate nontraditional students has been a major focus at a public commuter university in the southeast. Concern about the quality of online instruction prompted a number of faculty members in different disciplines to explore pedagogically sound methods for improving and evaluating their teaching using instructional technology. In response to the impetus to have a framework for the development of online courses, a seminar series based on the Seven Principles of Undergraduate Education was developed. On the basis of the pedagogical principles presented during the seminar series, the online nursing research course was redesigned to be more learner-centered by increasing student-to-student and student-to-faculty interaction. Seven interactive modules were developed to address students' diverse learning styles. Using this approach for teaching an online nursing research course, students were able to learn the important concepts typically taught in a traditional, face-to-face course, while managing family and work responsibilities.

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

    Seganfredo, Deborah Hein; Almeida, Miriam de Abreu


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

  4. Stress Generators for employees of surgical nursing center

    Directory of Open Access Journals (Sweden)

    João Paulo Belini Jacques


    Full Text Available The aim of this study was to identify factors that contribute to stress among workers in a surgical center. Descriptive qualitative research, performed in a surgery center of a university hospital in the state of Paraná. Data were collected between the months of August and September 2013, through semi-structured interviews with 15 members of the nursing team. Applied if the thematic content analysis resulting in three categories: work overload; lack of planning, human resources, materials and equipment and confinement. It is concluded that nursing professionals have experienced work related stress factors of objective nature such as work overload, lack of activity planning, human resources and materials and equipment and living in a closed environment.

  5. Undergraduate surgical nursing preparation and guided operating room experience: A quantitative analysis. (United States)

    Foran, Paula


    The aim of this research was to determine if guided operating theatre experience in the undergraduate nursing curricula enhanced surgical knowledge and understanding of nursing care provided outside this specialist area in the pre- and post-operative surgical wards. Using quantitative analyses, undergraduate nurses were knowledge tested on areas of pre- and post-operative surgical nursing in their final semester of study. As much learning occurs in nurses' first year of practice, participants were re-tested again after their Graduate Nurse Program/Preceptorship year. Participants' results were compared to the model of operating room education they had participated in to determine if there was a relationship between the type of theatre education they experienced (if any) and their knowledge of surgical ward nursing. Findings revealed undergraduates nurses receiving guided operating theatre experience had a 76% pass rate compared to 56% with non-guided or no experience (p < 0.001). Graduates with guided operating theatre experience as undergraduates or graduate nurses achieved a 100% pass rate compared to 53% with non-guided or no experience (p < 0.001). The research informs us that undergraduate nurses achieve greater learning about surgical ward nursing via guided operating room experience as opposed to surgical ward nursing experience alone.


    Directory of Open Access Journals (Sweden)

    Erika Zambrano Tanaka


    Full Text Available Distance education (EaD was first recognized in the Law of Guidelines and Bases of Education (LBD in 1996 and refers to a teaching-learning modality where students and tutors are separated yet connected through various technologies, like the internet. Distance Education has been growing steadily over the years, and its use has been constant in various modalities of courses, whether technical, undergraduate or postgraduate. Nursing courses, as well as other courses in the health area, have used it in order to facilitate access to learning, offering the student quality teaching and knowledge of new technologies. This study was developed with the purpose of analyzing Distance Education, as well as its application in the nursing courses. For that, a qualitative literature review was carried out. National databases published from 2002 to 2014 were withdrawn.

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

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


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

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

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


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

  9. Use of the nursing intervention classification for identifying the workload of a nursing team in a surgical center

    Directory of Open Access Journals (Sweden)

    João Francisco Possari


    Full Text Available Objective: to analyze the distribution of nursing professionals' workloads, according to the Nursing Intervention Classification (NIC, during the transoperative period at a surgical center specializing in oncology.Methods: this was an observational and descriptive cross-sectional study. The sample consisted of 11 nurses, 25 nursing technicians who performed a variety of roles within the operating room, 16 nursing technicians who worked with the surgical instrumentation and two nursing technicians from patient reception who worked in the surgical center during the transoperative period. An instrument was developed to collect data and the interventions were validated according to NIC taxonomy.Results: a total of 266 activities were identified and mapped into 49 nursing interventions, seven domains and 20 classes of the NIC. The most representative domains were Physiological-Complex (61.68% and Health System (22.12%, while the most frequent interventions were Surgical Care (30.62% and Documentation (11.47%, respectively. The productivity of the nursing team reached 95.34%.Conclusions: use of the Nursing Intervention Classification contributes towards the discussion regarding adequate, professional nursing staffing levels, because it shows the distribution of the work load.

  10. Using an age-specific nursing model to tailor care to the adolescent surgical patient. (United States)

    Monahan, Janean Carter


    A surgical experience can be stressful for any patient. When the patient is an adolescent, however, the surgical experience can create significant stress, which is related to normal adolescent development. Perioperative nursing care should address what adolescent patients perceive as stressful and should provide a safe environment so that a successful surgical outcome can be achieved. To accomplish this, a nursing model specific to perioperative nursing practice should be developed to guide nurses when providing care to adolescents. The Adolescent Perioperative System Stability Model based on the Neuman Systems Model provides a framework for defining scope of practice and organizing nursing care that is appropriate for the adolescent during a surgical experience. In addition to guiding nursing practice, this model provides direction and guidance for future studies of adolescents in the perioperative setting.

  11. "I Want to Be a Nurse!": A Qualitative Descriptive Study on the Impact of an "Introduction to Nursing" Course (United States)

    Edmonds, Michelle


    Recruitment of nursing students is not the issue. Each year, nursing programs across the country turn away highly qualified applicants due to faculty shortage and limited clinical space. Therefore, it is imperative to retain those who secure one of these valuable spots as a nursing student. An "Introduction to Nursing" course was offered…

  12. A new hybrid model for exploring the adoption of online nursing courses. (United States)

    Tung, Feng-Cheng; Chang, Su-Chao


    With the advancement in educational technology and internet access in recent years, nursing academia is searching for ways to widen nurses' educational opportunities. The online nursing courses are drawing more attention as well. The online nursing courses are very important e-learning tools for nursing students. The research combines the innovation diffusion theory and technology acceptance model, and adds two research variables, perceived financial cost and computer self-efficacy to propose a new hybrid technology acceptance model to study nursing students' behavioral intentions to use the online nursing courses. Based on 267 questionnaires collected from six universities in Taiwan, the research finds that studies strongly support this new hybrid technology acceptance model in predicting nursing students' behavioral intentions to use the online nursing courses. This research finds that compatibility, perceived usefulness, perceived ease of use, perceived financial cost and computer self-efficacy are critical factors for nursing students' behavioral intentions to use the online nursing courses. By explaining nursing students' behavioral intentions from a user's perspective, the findings of this research help to develop more user friendly online nursing courses and also provide insight into the best way to promote new e-learning tools for nursing students. This research finds that compatibility is the most important research variable that affects the behavioral intention to use the online nursing courses.

  13. Teaching a Course in Abnormal Psychology and Behavior Intervention Skills for Nursing Home Aides. (United States)

    Glenwick, David S.; Slutzsky, Mitchel R.; Garfinkel, Eric


    Describes an 11-week course given at a nursing home to nursing home aides that focused on abnormal psychology and behavior intervention skills. Discusses the course goals, class composition, and course description. Addresses the problems and issues encountered with teaching this course to a nontraditional population in an unconventional setting.…

  14. Role Playing Game (RPG on nursing undergraduate course: educational potentials

    Directory of Open Access Journals (Sweden)

    Amanda Nathale Soares


    Full Text Available The objective of this study was to evaluate the potential of a Role Playing Game as an educational strategy in Undergraduate Nursing course, emphasizing its subjective implications in understanding aspects of the profession. This is a qualitative study, conducted through an evaluative research, of deployment analysis type. Nursing students of the 3rd period participated. The instrument to collection was Memories of Game, reports prepared by students after game sessions. The game is a non-traditional educational strategy that enabled approach to students through professional practice, active participation, self-reflection and reflection on professional practice. This strategy favored individualization processes, allowing students to experience situations similar to the nursing practice and exercise skills such as teamwork and creativity. The expansion of studies that address the subjective processes in higher education, through simulation games, can contribute to better design of health development processes.

  15. Evaluation of the Community Health Nursing Course of First Year Proficiency Certificate Level Nursing in Nepal

    Directory of Open Access Journals (Sweden)

    Mandira Shahi


    Full Text Available INTRODUCTION: Community health is very much important in nursing education. It is essential because it maximizes the health status of individuals, families, groups and the community through direct approach with them. The main purpose of the study was to identify the gap in Community Health Nursing I course in Proficiency Certificate Level first year nursing program in Nepal. METHODS: Mix methods of research having qualitative and quantitative method were used in the study. Data were collected from 12 subject teachers, 35 nursing graduates and 61 Proficiency Certificate Level first year nursing students. The study used structured, five-point rating scale and open ended questions according to Strengths, Weaknesses, Opportunities and Threats analysis for the self-administered questionnaire. FINDINGS: Common view points of the three sector's respondents (student, nursing graduate and teachers regarding the strengths of curriculum are: curriculum is based on Primary Health Care approach and covers preventive and promotive aspects of health. Regarding weaknesses, they said that there is inadequate time for practice, there is lack of innovative methods and materials, the course didn't cover new trends of environmental pollution and changes, global warming, greenhouse effect, climate change and deforestation etc. Similarly, they added that curriculum is not revised regularly and there is insufficient supervision in field. Likewise, regarding opportunities, they said that there is job opportunity in social organization as Community Health Nursing/Public Health Nurse. Moreover, they said that there is lack of employment scope as threats point. CONCLUSION: The paper concludes that new issues and trends of community health nursing should be added, and curriculum should be revised regularly.

  16. [The leadership style exercised by nurses in surgical wards focuses on situational leadership]. (United States)

    Galvão, C M; Trevizan, M A; Sawada, N O; Fávero, N


    The present study was oriented to the leadership theme focussing nurses inside surgical ward unities. As a theoretical reference, the authors used the Situational Leadership Model proposed by Hersey and Blanchard. This study aimed at analysing the correspondence between the opinions of nurses and auxiliary personnel about the leadership style exerted by nurses in the surgical ward unit regarding the six categories of the assistance activity that were studied. Authors noticed that nurses, from the two studied hospitals, adopted the directive leadership styles (E2/selling or E1/telling) with the auxiliary personnel.

  17. Socialization in the Asynchronous Online Course Discussion of Graduate Nursing Administration Students: A Case Study (United States)

    Moore-Cox, Annie


    Over the last several years there has been an increase in the amount of graduate education in nursing offered online in Web-based programs. There is a lack of research into the role played by online graduate nursing course discussion, an important component of many courses, in the process of socialization for advanced nursing roles. To understand…

  18. Concept maps as an assessment tool in a nursing course. (United States)

    Hsu, Liling; Hsieh, Suh-Ing


    A concept map can be thought of as a scheme representing visual knowledge in the form of a hierarchical graphic network composed of nodes and links. In the complex health environment, it is very important for nursing educators to cultivate in nursing students thinking and judgment skills. Concept mapping is an instructional strategy that requires learners to identify, graphically display, and link key concepts by organizing and analyzing information. Concept maps can be successfully used to teach conceptual thinking, thus increasing students' competence in critical thinking in the modern paradigm. The purpose of this study was to implement concept mapping as a learning strategy in a nursing course and to evaluate students' learning progress through the construction of concept maps based on scenarios. Forty-three students, who had enrolled in a 2-year nursing program and took Nursing I in the fall semester of 2002, were invited to participate in this study, which was approved by the institutional research committee. Written informed consent was obtained from all the students. The class met for 4 hours, once a week, for 16 weeks. Participants were divided into seven groups, and during the course, they were required to complete six concept maps, five of which dealt with physical functions, including activity and rest, fluids and electrolytes, neuroendocrines, sensory-perception, and sexuality. The last map dealt with role functions. All the first drafts of the concept maps received low scores, but the third and following drafts made by all the teams showed improvement. The results of this study indicated that the students developed their concept maps from a linear sequence of concepts at the beginning into a highly integrated web of concepts in the final draft. In this study, despite complaints about the heavy workload and time consumption, the students acquired problem-solving and critical-thinking skills by organizing complex patient data, analyzing concept

  19. Surgical glove perforation among nurses in ophthalmic surgery: a case-control study. (United States)

    Shek, Karen Mei-Yan; Chau, Janita Pak-Chun


    Many of the ophthalmic surgical instruments are extremely fine and sharp. Due to the dim light environment required for ophthalmic surgical procedures, the passing of sharp instruments among surgeons and scrub nurses also poses a risk for glove perforations. A case-control study was performed to determine the number and site of perforations in the surgical gloves used by a group of scrub nurses during ophthalmic surgery. All six nurses working in an eye and refractive surgery centre in Hong Kong participated in the study. A total of 100 (50 pairs) used surgical gloves were collected following 50 ophthalmic surgeries. Fifty pairs of new surgical gloves were also collected. Every collected surgical glove underwent the water leak test. The surgical procedure perforation rate was 8%, and none of the perforations were detected by the scrub nurses. No perforations were found in any unused gloves. The findings indicate that glove perforations for scrub nurses during ophthalmic surgery do occur and mostly go unnoticed. Future studies should continue to explore factors contributing to surgical glove perforation.

  20. Application and evaluation of improved surgical aseptic technique curriculum in specialty nurse training in Henan Province

    Directory of Open Access Journals (Sweden)

    Bing Bai


    Conclusion: Novel surgical aseptic technique and application in the curriculum design of training for OR nurses should be developed to enhance their mastery of theoretical and practical skills and to modify their behaviors.

  1. Using distance technology to learn across borders: a virtual travel course in nursing. (United States)

    Gallagher-Lepak, Susan; Block, Derryl; Rojas, Yrene Esperanza Urbina; Birkholz, Lorri; Melgar Morán, Carlos Christian


    A 6-week online course was developed and delivered to nursing students and instructors at universities in two countries. The course exposed students and faculty to nursing and health concerns in both countries. All course communications were conducted in both English and Spanish, with support from online translation software as needed. Course content covered professional nursing, global health issues, and nursing interventions used with clinical problems. Although students were initially intimidated by the course language requirements, students valued the opportunity to learn about cultural and health issues. Faculty experienced a learning curve as well and enjoyed this international experience.

  2. Nursing Transition: An Individualized Course To Promote Mobility from the LVN to RN Role. Registered Nurse Shortage Project. Final Report. (United States)

    Irwin, Marcia; Malague, Marianne

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

  3. Surgical nurses' perceptions of ethical dilemmas, moral distress and quality of care. (United States)

    DeKeyser Ganz, Freda; Berkovitz, Keren


    To describe surgical nurses' perceived levels of ethical dilemmas, moral distress and perceived quality of care and the associations among them. Nurses are committed to providing quality care. They can experience ethical dilemmas and moral distress while providing patient care. Little research has focused on the effect of moral distress or ethical dilemmas on perceived quality of care. Descriptive, cross-sectional study. After administration and institutional Research Ethics Committee approval, a researcher requested 119 surgical nurses working in two Israeli hospitals to fill out three questionnaires (personal background characteristics; Ethical Dilemmas in Nursing and Quality of Nursing Care). Data collection took place from August 2007 to January 2008. Participant mean age was 39·7 years. The sample consisted mostly of women, Jewish and married staff nurses. The majority of nurses reported low to moderate levels of ethical dilemma frequency but intermediate levels of ethical dilemma intensity. Frequency of ethical dilemmas was negatively correlated with level of nursing skill, meeting patient's needs and total quality of care. No important correlations were found between intensity of ethical dilemmas and quality of care. Levels of ethical dilemma frequency were higher than intensity. Nurses tended to be satisfied with their level of quality of care. Increased frequency of ethical dilemmas was associated with some aspects of perceived quality of care. Quality of care is related to ethical dilemmas and moral distress among surgical nurses. Therefore, efforts should be made to decrease the frequency of these feelings to improve the quality of patient care. © 2011 Blackwell Publishing Ltd.

  4. The Determination of the Relationship between Academic Achievement in Nursing Courses and Success on the Registered Nurse Licensure Examination. (United States)

    Millican, Julie E.

    The objective of a study was to determine if academic achievement in nursing courses could be used to predict success on the National Council Licensure Examination for Registered Nurses (NCLEX-RN). It investigated the relationship between NCLEX outcomes and academic achievement in theory and clinical courses and the relationship between NCLEX…

  5. Use of a blog in an undergraduate nursing leadership course. (United States)

    Reed, Shelly J; Edmunds, Debra


    In this study, the use of a blog in a senior leadership clinical nursing course was analyzed qualitatively through two means; focus group interviews of those using the blog, and analysis of blog content. Initial feelings expressed by students were annoyance and intimidation concerning the blogging assignment. These feelings quickly dissipated, with students verbalizing many positive aspects related to the blog, including having a place to reflect, feeling connected as a group, valuing feedback provided by their peers, and learning from theirs and others' experiences. The mechanics of having to synthesize their thoughts in written form, in a shared venue was also identified by students to be helpful for their learning. Blog posts were primarily related to student experiences, with students identifying a "lesson learned" in most posts. Student comments were geared to providing support of fellow students, through words of encouragement or through sharing similar experiences. Instructors felt the blog, in addition to helping students to synthesize their thoughts, helped to monitor how students were learning and progressing throughout the semester, and helped them to transition from nursing student to practicing professional. The researchers concluded that blogging in a senior leadership clinical nursing course promotes reflection is an effective way to enhance student learning. Copyright © 2015 Elsevier Ltd. All rights reserved.

  6. [Analysis of teaching of the discipline Nursing in Surgical Center in schools of São Paulo]. (United States)

    Leite, Aline Suelem; Turrini, Ruth Natalia Teresa


    The study aimed to characterize the teaching of Nursing in Surgical Center in relation to work load, content and specific curriculum component; and to identify the perspectives and experiences of teachers in teaching this content. This is a descriptive study of quantitative and qualitative approach, that used a semi structured instrument for data collection, with questions related to teaching discipline, sent by email to the coordinators of the courses of Bachelor of Nursing from 219 schools in the state of São Paulo, registered in the website of the Brazilian Ministry of Education. Of the 52 respondents, 90.4% were from private schools, mostly located in the interior of the state (71.1%). From the total of courses, 53.8% ministered the content surgical center within another discipline. The median of content hours was of 64h (40-300h). The respondents commented on the extensive content for a small work load, both practical and theoretical, and its importance for the formation of the generalist nurse.

  7. Basic surgical skills course - Why is it so costly? (United States)

    Waduud, Mohammed Abdul; Ahmed, Nadeem


    Courses can be expensive and are often criticised for the transparency of associated costs.•It is important to appreciate the organisational costs of running high quality courses.•The three Royal Colleges in the UK do not use courses as profit making vehicles.

  8. Reflections on the Teaching of Surgical Nursing%对外科护理学教学的几点思考

    Institute of Scientific and Technical Information of China (English)



    外科护理学是医学护理学教学中一门重要的临床课程,其教学效果直接影响了学生将来的临床护理外科工作。笔者认为在外科护理学教学过程中,要综合教师、学生、教材、临床需要等多方面因素,整合情景模式教育,融入标准化患者概念,注重外科病人的心理护理,并多使用多媒体教学,培养良好的外科技能和理念才能更好地传授好这门课程。%In the teaching of surgical nursing is an important clinical course of medical nursing teach-ing ,which directly affects the clinical nursing of surgical work of students in the future .The author thinks that in the teaching of surgical nursing process ,to teachers ,students ,teaching material ,clini-cal needs and other factors ,the integration of situational education mode ,into the standardized pa-tients concept ,pay attention to psychological nursing in surgical patients ,and the use of multimedia teaching ,the cultivation of good surgical skills and ideas to better teach this curriculum .

  9. Nursing Process. Nursing: Basic Needs I. Nursing: Basic Needs II. Nursing through the Life Span. Entry into Professional Nursing. A Basic Course Outline (College Freshmen) for Nursing. A Four Year "2+2" Articulated Curriculum for the Occupation of Nursing. (United States)

    Maddox, Gaylon; And Others

    This course outline provides materials for third-year courses in a "2+2" curriculum for the occupation of registered nurse. It is part of a planned and articulated 4-year curriculum that spans the junior and senior years of high school and the freshman and sophomore years of the postsecondary institution. Introductory materials include:…

  10. Stress-related Psychological Disorders Among Surgical Care Nurses in Latvia


    Kristaps Circenis; Liana Deklava


    Background: The subject of stress related psychological disorders is considered to be one of the mostcritical problems in the 21st century. Latvia’s social-economic situation is stressful and a lot of nurses stillneed to work more than one shift. There are no complete studies about surgical care nurses and operatingroom nurses burnout, depression, anxiety and compassion fatigue situation in Latvia.Aim and Objectives: Research aim was to find out burnout, depression, compassion fatigue and anx...

  11. Reorganizing nursing work on surgical units: a time-and-motion study. (United States)

    Desjardins, France; Cardinal, Linda; Belzile, Eric; McCusker, Jane


    A time-and-motion study was conducted in response to perceptions that the surgical nursing staff at a Montreal hospital was spending an excessive amount of time on non-nursing care. A sample of 30 nurse shifts was observed by trained observers who timed nurses' activities for their entire working shift using a hand-held Personal Digital Assistant. Activities were grouped into four main categories: direct patient care, indirect patient care, non-nursing and personal activities. Break and meal times were excluded from the denominator of total worked hours. A total of 201 working hours were observed, an average of 6 hours, 42 minutes per nurse shift. The mean proportions of each nurse shift spent on the main activity categories were: direct care 32.8%, indirect care 55.7%, non-nursing tasks 9.0% and personal 2.5%. Three activities (communication among health professionals, medication verification/preparation and documentation) comprised 78.9% of indirect care time. Greater time on indirect care was associated with work on night shifts and on the short-stay surgical unit. Subsequent work reorganization focused on reducing time spent on communication and medications. The authors conclude that time-and-motion studies are a useful method of monitoring appropriate use of nursing staff, and may provide results that assist in restructuring nursing tasks.

  12. [Standardization of activities in an oncology surgical center according to nursing intervention classification]. (United States)

    Possari, João Francisco; Gaidzinski, Raquel Rapone; Fugulin, Fernanda Maria Togeiro; Lima, Antônio Fernandes Costa; Kurcgant, Paulina


    This study was undertaken in a surgical center specializing in oncology, and it aimed to identify nursing activities performed during the perioperative period and to classify and validate intervention activities according to the Nursing Interventions Classification (NIC). A survey of activities was conducted using records and by direct observation of nursing care across four shifts. Activities were classified as NIC nursing interventions using the cross-mapping technique. The list of interventions was validated by nursing professionals in workshops. Forty-nine interventions were identified: 34 of direct care and 15 of indirect care. Identifying nursing interventions facilitates measuring the time spent in their execution, which is a fundamental variable in the quantification and qualification of nurses' workloads.

  13. Operating room nurses' positioning of anesthetized surgical patients

    DEFF Research Database (Denmark)

    Sørensen, Erik Elgaard; Kusk, Kathrine Hoffmann; Grønkjaer, Mette


    AIMS AND OBJECTIVES: To describe the incidence of problems associated with the positioning of anaesthetised surgical patients. BACKGROUND: The positioning of the anaesthetised surgical patient is a complex task. The interdisciplinary nature with several professional groups in a surgical team may ...... of positioning equipment allowing individual consideration of the patient. Further research is required on positioning equipment, optimisation of continuity and the establishment of permanent surgical teams....

  14. Relationships among NANDA-I diagnoses, nursing outcomes classification, and nursing interventions classification by nursing students for patients in medical-surgical units in Korea. (United States)

    Noh, Hyun Kyung; Lee, Eunjoo


    The purpose of this study was to identify NANDA-I, Nursing Outcomes Classification (NOC), and Nursing Interventions Classification (NIC; NNN) linkages used by Korean nursing students during their clinical practice in medical-surgical units. A comparative descriptive research design was used to measure the effects of nursing interventions from 153 nursing students in South Korea. Nursing students selected NNN using a Web-based nursing process documentation system. Data were analyzed by paired t-test. Eighty-two NANDA-I diagnoses, 116 NOC outcomes, and 163 NIC interventions were identified. Statistically significant differences in patients' preintervention and postintervention outcome scores were observed. By determining patient outcomes linked to interventions and how the degree of outcomes change after interventions, the effectiveness of the interventions can be evaluated. © 2014 NANDA International, Inc.

  15. Evaluation of undergraduate nursing students' attitudes towards statistics courses, before and after a course in applied statistics. (United States)

    Hagen, Brad; Awosoga, Olu; Kellett, Peter; Dei, Samuel Ofori


    Undergraduate nursing students must often take a course in statistics, yet there is scant research to inform teaching pedagogy. The objectives of this study were to assess nursing students' overall attitudes towards statistics courses - including (among other things) overall fear and anxiety, preferred learning and teaching styles, and the perceived utility and benefit of taking a statistics course - before and after taking a mandatory course in applied statistics. The authors used a pre-experimental research design (a one-group pre-test/post-test research design), by administering a survey to nursing students at the beginning and end of the course. The study was conducted at a University in Western Canada that offers an undergraduate Bachelor of Nursing degree. Participants included 104 nursing students, in the third year of a four-year nursing program, taking a course in statistics. Although students only reported moderate anxiety towards statistics, student anxiety about statistics had dropped by approximately 40% by the end of the course. Students also reported a considerable and positive change in their attitudes towards learning in groups by the end of the course, a potential reflection of the team-based learning that was used. Students identified preferred learning and teaching approaches, including the use of real-life examples, visual teaching aids, clear explanations, timely feedback, and a well-paced course. Students also identified preferred instructor characteristics, such as patience, approachability, in-depth knowledge of statistics, and a sense of humor. Unfortunately, students only indicated moderate agreement with the idea that statistics would be useful and relevant to their careers, even by the end of the course. Our findings validate anecdotal reports on statistics teaching pedagogy, although more research is clearly needed, particularly on how to increase students' perceptions of the benefit and utility of statistics courses for their nursing

  16. The study of nursing students’ learning initiative in the course reform of aged caring

    Directory of Open Access Journals (Sweden)

    Sun Wenjing


    Full Text Available Purpose: Analyzing the influence of nursing students’ learning initiative in the course reform of aged caring. Discuss the way of the aged care reform. Method: To reform the course of aged care in our school level 2013 88 nursing undergraduate. The specific content: learning aged care theory, learning Japanese care technology basic knowledge, adding Japanese and Taiwan’s nursing concepts to the traditional aged care teaching, performing sitcoms about old people’s disease and nursing way , reporting the plan of aged care by PowerPoint, organizing student volunteers to visit the nursing home and so on. The specific content lasted four months. Adopting the learning initiative (ALS scale developed by Zang Yuli and others after course reform. Measure the students’ learning initiative before and after the teaching. Result: Nursing student’s self-study ability was in the middle and lower level before the course reform(59.26±7.38; After the course reform, nursing student gain higher score than before learning on the three aspects contain “Learning motivation”,“Learning goals” and “Solid study”. The difference has statistically significant.(P<0.05.Conclusion: Through the aged care course reform, nursing students strengthen the study enthusiasm and initiative; enhance nursing student’s self-study ability. It is conducive to improve the learning interest of aged care course for nursing students.

  17. Research and Development for a Course in Ethics in Nursing Practice for Community College Associate Degree Nursing Students. Final Report. (United States)

    Roediger, Jeanette

    A project was undertaken to research and acquire the instructional sources needed for a course in ethics for community college associate degree nursing students and to develop such a course. Addressed in the individual units of the course were the following topics: bioethics and ethical decision making, basic ethical concepts and principles,…

  18. Effect of collaborative testing on learning and retention of course content in nursing students. (United States)

    Rivaz, Mozhgan; Momennasab, Marzieh; Shokrollahi, Paymaneh


    Collaborative testing is a learning strategy that provides students with the opportunity to learn and practice collaboration. This study aimed to determine the effect of collaborative testing on test performance and retention of course content in nursing students of Shiraz University of Medical Sciences, Shiraz, Iran. This quasi-experimental study was carried out on 84 students enrolled in the course of Medical-Surgical 2 in Spring 2013 and Fall 2013 semesters. The control group consisting of 39 students participated in the first mid-term exam in an individual format. The intervention group, on the other hand, consisted of 45 students who took the test in a two-stage process. The first stage included an individual testing, while the second stage was a collaborative one given in groups of five individuals chosen randomly. Four weeks later, in order to investigate retention of the course content, both groups took part in the second mid-term exam held individually. The study findings showed significant difference between the mean scores in the intervention group in the Fall 2013 semester (p=0.001). Besides, a statistically significant difference was found between the two groups regarding the tests mean scores (p=0.001). Moreover, retention of course content improved in the collaborative group (p=0.001). The results indicated an increase in test performance and a long-term learning enhancement in collaborative testing compared with the traditional method. Collaborative testing, as an active learning technique and a valuable assessment method, can help nursing instructors provide the alumni with strong problem-solving and critical thinking abilities at healthcare environments.

  19. Effect of collaborative testing on learning and retention of course content in nursing students

    Directory of Open Access Journals (Sweden)



    Full Text Available Introduction: Collaborative testing is a learning strategy that provides students with the opportunity to learn and practice collaboration. This study aimed to determine the effect of collaborative testing on test performance and retention of course content in nursing students of Shiraz University of Medical Sciences, Shiraz, Iran. Methods: This quasi-experimental study was carried out on 84 students enrolled in the course of Medical-Surgical 2 in Spring 2013 and Fall 2013 semesters. The control group consisting of 39 students participated in the first mid-term exam in an individual format. The intervention group, on the other hand, consisted of 45 students who took the test in a two-stage process. The first stage included an individual testing, while the second stage was a collaborative one given in groups of five individuals chosen randomly. Four weeks later, in order to investigate retention of the course content, both groups took part in the second mid-term exam held individually. Results: The study findings showed significant difference between the mean scores in the intervention group in the Fall 2013 semester (p=0.001. Besides, a statistically significant difference was found between the two groups regarding the tests mean scores (p=0.001. Moreover, retention of course content improved in the collaborative group (p=0.001. Conclusion: The results indicated an increase in test performance and a long-term learning enhancement in collaborative testing compared with the traditional method. Collaborative testing, as an active learning technique and a valuable assessment method, can help nursing instructors provide the alumni with strong problemsolving and critical thinking abilities at healthcare environments.

  20. Use of an online writing tutorial to improve writing skills in nursing courses. (United States)

    Roberts, Susan T; Goss, Gay


    Nursing students often struggle with writing style and the presentation of a logical flow of ideas. To help students enhance their scholastic writing skills, nursing faculty implemented an online program to improve syntax, grammar, and presentation of thoughts. The authors discuss a descriptive study and its results, which did demonstrate the effectiveness of the writing tutorial in Web-based nursing courses.

  1. Factors determining the patients' care intensity for surgeons and surgical nurses: a conjoint analysis. (United States)

    van Oostveen, Catharina J; Vermeulen, Hester; Nieveen van Dijkum, Els J M; Gouma, Dirk J; Ubbink, Dirk T


    Surgeons and nurses sometimes perceive a high workload on the surgical wards, which may influence admission decisions and staffing policy. This study aimed to explore the relative contribution of various patient and care characteristics to the perceived patients' care intensity and whether differences exist in the perception of surgeons and nurses. We invited surgeons and surgical nurses in the Netherlands for a conjoint analysis study through internet and e-mail invitations. They rated 20 virtual clinical scenarios regarding patient care intensity on a 10-point Likert scale. The scenarios described patients with 5 different surgical conditions: cholelithiasis, a colon tumor, a pancreas tumor, critical leg ischemia, and an unstable vertebral fracture. Each scenario presented a mix of 13 different attributes, referring to the patients' condition, physical symptoms, and admission and discharge circumstances. A total of 82 surgeons and 146 surgical nurses completed the questionnaire, resulting in 4560 rated scenarios, 912 per condition. For surgeons, 6 out of the 13 attributes contributed significantly to care intensity: age, polypharmacy, medical diagnosis, complication level, ICU-stay and ASA-classification, but not multidisciplinary care. For nurses, the same six attributes contributed significantly, but also BMI, nutrition status, admission type, patient dependency, anxiety or delirium during hospitalization, and discharge type. Both professionals ranked 'complication level' as having the highest impact. The differences between surgeons and nurses on attributes contributing to care intensity may be explained by differences in professional roles and daily work activities. Surgeons have a medical background, including technical aspects of their work and primary focus on patient curation. However, nurses are focused on direct patient care, i.e., checking vital functions, stimulating self-care and providing woundcare. Surgeons and nurses differ in their perception of

  2. Surgical patients' and nurses' opinions and expectations about privacy in care. (United States)

    Akyüz, Elif; Erdemir, Firdevs


    The purpose of this study was to determine the opinions and expectations of patients and nurses about privacy during a hospital admission for surgery. The study explored what enables and maintains privacy from the perspective of Turkish surgical patients and nurses. The study included 102 adult patients having surgery and 47 nurses caring for them. Data were collected via semistructured questionnaire by face-to-face interviews. The results showed that patients were mostly satisfied by the respect shown to their privacy by the nurses but were less confident of the confidentiality of their personal data. It was found that patients have expectations regarding nursing approaches and attitudes about acknowledging and respecting patient autonomy and confidentiality. It is remarkable that while nurses focused on the physical dimension of privacy, patients focused on informational and psychosocial dimensions of privacy, as well as its physical dimension.

  3. Beyond correspondence, video conferencing, and voice mail: Internet-based master's degree courses in nursing. (United States)

    Wambach, K; Boyle, D; Hagemaster, J; Teel, C; Langner, B; Fazzone, P; Connors, H; Smith, C; Forbes, S


    The changing health care system and increasing demands for primary care providers have prompted an increase in nurse practitioner programs in the United States. Nurses in rural areas that are underserved by primary care practitioners often are faced with time and distance barriers to returning to school for advanced education. This article describes Internet-based courses as a unique distance learning platform for preparing primary care nurse practitioners at the University of Kansas (KU) School of Nursing. Discussion includes course development process, matching methods to course content, and other information on promoting interaction between students and faculty.

  4. Constructing a Collaborative, Emergent Syllabus of Communicative Performances in a Nursing English Course in Taiwan (United States)

    Stocker, Joel F.; Reddad, Mohamed


    Curriculum development research on nursing English in Taiwan has tended to end at needs analysis, offering little guidance on how to design and implement a course. Our objective was to examine how a course on workplace communication in English for nursing students in Taiwan would emerge in the classroom if teachers and students collaboratively…

  5. Patient satisfaction with nursing care in a colorectal surgical population. (United States)

    Lumby, J; England, K


    This paper describes one arm of a much larger, multi-site study whose hypothesis was that evidence-based nursing practice is more effective than routine nursing care in improving patient outcomes and health gain. This arm of the study investigated patient satisfaction as an outcome measure for those patients undergoing colorectal surgery. The study's relevance for nurses is in the potential feedback for reviewing nursing practice and health care delivery. Patient satisfaction with nursing care was measured through a validated questionnaire, the SERVQUAL, followed by interviews with a percentage of the study population. The results of this arm of the study confirm the importance of measuring patient satisfaction through a triangulated method which investigates thoroughly, providing feedback for continuous quality improvement. The in-depth interviews provided greater insight into the results of the questionnaire, enabling clear feedback to nursing staff at the different sites of the study. Results of the questionnaire revealed age, sex and education levels of patients as major influences on individual perceptions of nursing care. Patients whose surgery resulted in stomas were also less satisfied with health-care delivery.

  6. Instructional Objectives for Junior College Courses in Nursing: Medical Surgical Nursing I; and Obstetrics Nursing. (United States)

    Purdy, Leslie, Comp.

    These instructional objectives have been selected from materials used at Golden West College (California). These objectives are offered simply as samples that may be used where they correspond to the skills, abilities, and attitudes instructors want their students to acquire. These objectives may also serve as models for assisting instructors to…

  7. Healthcare information technology and medical-surgical nurses: the emergence of a new care partnership. (United States)

    Moore, An'Nita; Fisher, Kathleen


    Healthcare information technology in US hospitals and ambulatory care centers continues to expand, and nurses are expected to effectively and efficiently utilize this technology. Researchers suggest that clinical information systems have expanded the realm of nursing to integrate technology as an element as important in nursing practice as the patient or population being served. This study sought to explore how medical surgical nurses make use of healthcare information technology in their current clinical practice and to examine the influence of healthcare information technology on nurses' clinical decision making. A total of eight medical surgical nurses participated in the study, four novice and four experienced. A conventional content analysis was utilized that allowed for a thematic interpretation of participant data. Five themes emerged: (1) healthcare information technology as a care coordination partner, (2) healthcare information technology as a change agent in the care delivery environment, (3) healthcare information technology-unable to meet all the needs, of all the people, all the time, (4) curiosity about healthcare information technology-what other bells and whistles exist, and (5) Big Brother is watching. The results of this study indicate that a new care partnership has emerged as the provision of nursing care is no longer supplied by a single practitioner but rather by a paired team, consisting of nurses and technology, working collaboratively in an interdependent relationship to achieve established goals.

  8. Work-family conflict and neck and back pain in surgical nurses. (United States)

    Baur, Heiner; Grebner, Simone; Blasimann, Angela; Hirschmüller, Anja; Kubosch, Eva Johanna; Elfering, Achim


    Surgical nurses' work is physically and mentally demanding, possibly leading to work-family conflict (WFC). The current study tests WFC to be a risk factor for neck and lower back pain (LBP). Job influence and social support are tested as resources that could buffer the detrimental impact of WFC. Forty-eight surgical nurses from two university hospitals in Germany and Switzerland were recruited. WFC was assessed with the Work-Family Conflict Scale. Job influence and social support were assessed with the Copenhagen Psychosocial Questionnaire, and back pain was assessed with the North American Spine Society Instrument. Multiple linear regression analyses confirmed WFC as a significant predictor of cervical pain (β = 0.45, p back pain in surgery nurses. Work-life interventions may have the potential to reduce WFC in surgery nurses.

  9. Introducing the nurse practitioner into the surgical ward: an ethnographic study of interprofessional teamwork practice. (United States)

    Kvarnström, Susanne; Jangland, Eva; Abrandt Dahlgren, Madeleine


    The first nurse practitioners in surgical care were introduced into Swedish surgical wards in 2014. Internationally, organisations that have adopted nurse practitioners into care teams are reported to have maintained or improved the quality of care. However, close qualitative descriptions of teamwork practice may add to existing knowledge of interprofessional collaboration when introducing nurse practitioners into new clinical areas. The aim was to report on an empirical study describing how interprofessional teamwork practice was enacted by nurse practitioners when introduced into surgical ward teams. The study had a qualitative, ethnographic research design, drawing on a sociomaterial conceptual framework. The study was based on 170 hours of ward-based participant observations of interprofessional teamwork practice that included nurse practitioners. Data were gathered from 2014 to 2015 across four surgical sites in Sweden, including 60 interprofessional rounds. The data were analysed with an iterative reflexive procedure involving inductive and theory-led approaches. The study was approved by a Swedish regional ethics committee (Ref. No.: 2014/229-31). The interprofessional teamwork practice enacted by the nurse practitioners that emerged from the analysis comprised a combination of the following characteristic role components: clinical leader, bridging team colleague and ever-present tutor. These role components were enacted at all the sites and were prominent during interprofessional teamwork practice. The participant nurse practitioners utilised the interprofessional teamwork practice arrangements to enact a role that may be described in terms of a quality guarantee, thereby contributing to the overall quality and care flow offered by the entire surgical ward team. © 2017 Nordic College of Caring Science.

  10. Advancing medical-surgical nursing practice: improving management of the changing patient condition. (United States)

    Monroe, Heidi; Plylar, Peggy; Krugman, Mary


    Higher patient acuities and more novice nurses on medical-surgical units have Educators focused on achieving positive outcomes with changes in patient condition. An educational program was developed to enhance nurses' knowledge, skill, and confidence in assessing hemodynamics, recognizing early signs of instability, and administering vasoactive medications. The program was successful with significant knowledge improvement as well as an increased use of the Medical Emergency Team while maintaining a low number of code calls.

  11. Scientific production on surgical nursing: analysis of the quantitative studies carried out between 2005 and 2009



    This study aimed to analyze the characteristics of quantitative studies of nursing scientific publication in the surgical area. Research with quantitative approach carried out in the Virtual Healthcare Library with articles of quantitative nature, published from 2005 to 2009, in journals classified as A1, A2 and B1 by the Capes Nursing Qualis system 2008, full-text available on-line and in Portuguese. 28 articles were analyzed and it was detected that most of them are descriptive, exploratory...

  12. Body, stress and nursing: ethnography of an Intensive Care and Surgical Center


    Martins, Maria das Graças Teles [UNIFESP; Castro, Odilon; Pereira,Pedro Paulo Gomes


    This text seeks to reflect on the concepts of stress among nurses that work in the Surgical and Intensive Care Centers of a teaching hospital in the State of Paraíba. Qualitative ethnographic research allowed us to perceive that when talking about stress, these professionals mentioned their bodies and bodily manifestations. The research undertaken allowed us to understand the intimate relationships between the body, stress and nursing.

  13. Lessons learned from an accelerated post-master's nurse educator certificate program: teaching the practicum course. (United States)

    Flood, Lisa Sue; Powers, Mary Ellen


    Nursing faces current and future shortages in the practice arena. The nurse educator shortage exacerbates the nursing shortage.This article describes an innovative and collaborative approach developed to increase the supply of nurse educators. An overview of the initial offering of this post-master's nurse educator certificate program, a grant-funded, cohort-based program, delivered online in an accelerated format, is provided. Particular attention is given to the nursing education practicum, a precepted teaching experience. This course is viewed as a culminating course, wherein the role transition from expert practitioner to novice educator occurs as students connect the experiential aspects of the practicum with knowledge gained in didactic courses and enter a new community of practice. Lessons learned and recommendations for future cohorts are discussed.

  14. [The nursing course of Universidade Federal de Juiz de Fora: 1977-1979]. (United States)

    Figueiredo, Mariangela Aparecida Gonçalves; Baptista, Suely de Souza


    Historic-social research aiming at: characterize the nursing superior teaching in Juiz de Fora city and to discuss the reason and motivations which determined the creation of Nursing Course of the Universidade Federal de Juiz de Fora. Primary source: written documents and oral testimony. The results discussion was guided by Pierre Bourdieu. In the 1970's, Education Ministry Department of University Subjects undertook efforts to create nursing courses in federal universities. As the process of negotiation meant to incorporate Hermantina Beraldo Nursing College to Universidade Federal de Juiz de Fora failed, in 1978 a Department of Nursing was bind to UFJF Medical College and, in 1970, the Nursing Course of this same university started functioning.

  15. Existential issues among nurses in surgical care--a hermeneutical study of critical incidents. (United States)

    Udo, Camilla; Danielson, Ella; Melin-Johansson, Christina


    To report a qualitative study conducted to gain a deeper understanding of surgical nurses' experiences of existential care situations. Background.  Existential issues are common for all humans irrespective of culture or religion and constitute man's ultimate concerns of life. Nurses often lack the strategies to deal with patients' existential issues even if they are aware of them. This is a qualitative study where critical incidents were collected and analysed hermeneutically. During June 2010, ten surgical nurses presented 41 critical incidents, which were collected for the study. The nurses were first asked to describe existential care incidents in writing, including their own emotions, thoughts, and reactions. After 1-2 weeks, individual interviews were conducted with the same nurses, in which they reflected on their written incidents. A hermeneutic analysis was used. The majority of incidents concerned nurses' experiences of caring for patients' dying of cancer. In the analysis, three themes were identified, emphasizing the impact of integration between nurses' personal self and professional role in existential care situations: inner dialogues for meaningful caring, searching for the right path in caring, and barriers in accompanying patients beyond medical care. Findings are interpreted and discussed in the framework of Buber's philosophy of the relationships I-Thou and I-It, emphasizing nurses' different relationships with patients during the process of caring. Some nurses integrate their personal self into caring whereas others do not. The most important finding and new knowledge are that some nurses felt insecure and were caught somewhere in between I-Thou and I-It. © 2012 Blackwell Publishing Ltd.

  16. American Nurses Association Nursing World (United States)

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

  17. Qualitative assessment of a blended learning intervention in an undergraduate nursing course. (United States)

    Hsu, Li-Ling


    Nurses are experiencing new ethical issues because of global developments and changes in the healthcare environment. Blended learning is one of the various methods used to deliver meaningful learning experiences. Well-designed, properly administered nursing ethics education is essential for nursing students to visualize the role of professional nurses. However, a literature review shows that only a few existing studies have touched on the subject of nursing student experiences with blended learning in a nursing ethics course. This study examines how undergraduate nursing students respond to a blended learning approach in a nursing ethics course and how blended learning affects the learning process. We used a qualitative research design with in-depth interviews. Participants included 28 female undergraduate nursing students who had completed the nursing ethics course. Each interview lasted 50-100 minutes. The researcher conducted all interviews in 2009. The researcher identified six major themes and 13 subthemes from the data. The six themes included (a) enhancing thinking ability, (b) improving problem-solving skills, (c) reflecting in and on practice, (d) perceiving added workload, (e) encouraging active learning, and (f) identifying the value of nursing. Participants felt that the blended learning experience was a generally positive experience. Most participants appreciated the opportunity to take a more active role in the learning process, think about issues profoundly and critically, and exercise metacognitive powers in the thinking and decision-making process. Study findings may suggest productive ideas for fine-tuning blended learning models.

  18. Student satisfaction with a Website designed for three nursing courses. (United States)

    Zwolski, K


    . Creating and maintaining a web page is labor intensive, but it is, in my opinion, worth the effort. I strongly urge nurse educators to explore the possibilities of developing websites to accompany individual courses and to consider even more interactive web pages that include online discussion groups and provide space for posting student work. An active website needs frequent maintenance and updates. I recommend that academic administrators recognize web authoring as a valid and legitimate activity and provide nursing faculty with necessary support. This might include workshops on web authoring or Internet use, released time or credited time for initial website design, and credit allocation for site maintenance. The Internet is the most extensive collection of information available. As webmaster and pathophysiology expert, I am guiding my students; as a teacher, I am both assuming and recognizing a new role. As a teacher, I need to assume the responsibility for guiding students to worthwhile resources in the subject area. The website is a portal to the world, but a portal that I oversee.

  19. [The perception of surgical nursing caregivers regarding care given to patients with mental disorder]. (United States)

    Lacchini, Annie Jeanninne Bisso; Noal, Helena Carolina; Padoin, Stela Maris de Mello; Terra, Marlene Gomes


    The following study aimed to understand the meanings on the discourse of a Nursing Surgical team regarding the care given to patients with mental disorders submitted to surgical procedures. For such comprehension, a theoretical-philosophical referential by Maurice Merleau-Ponty has been examined. Concerning a methodological approach Paul Ricouer's hermeneutics has been used. Eight nursing caregivers from a public hospital in southern Brazil were interviewed from August to September 2008. The results showed the necessity of stimulating nursing caregivers in the reflective process in acting, thinking, and observing care given to patients with mental disorder; as well as to offer emotional support for them. The caregivers displayed the necessity of understanding the human being receiving care in order to be able to give thorough care as a being-in-the-world.

  20. Scientific production on surgical nursing: analysis of the quantitative studies carried out between 2005 and 2009

    Directory of Open Access Journals (Sweden)

    Keila Maria de Azevedo Ponte


    Full Text Available This study aimed to analyze the characteristics of quantitative studies of nursing scientific publication in the surgical area. Research with quantitative approach carried out in the Virtual Healthcare Library with articles of quantitative nature, published from 2005 to 2009, in journals classified as A1, A2 and B1 by the Capes Nursing Qualis system 2008, full-text available on-line and in Portuguese. 28 articles were analyzed and it was detected that most of them are descriptive, exploratory, cross-sectional and retrospective. The most adopted instrument of data collection was the form; as disposition of data analysis, the use of tables and of simple and relative frequency; as database, the Excel program; and as statistical tests, the chi-square and Fisher. Researches with quantitative approach in surgical nursing area have been published in journals of national impact with the main characteristics of this type of approach.

  1. Surgical management of cavernous malformations coursing with drug resistant epilepsy

    Directory of Open Access Journals (Sweden)

    Mario Arturo Alonso-Vanegas


    Full Text Available Cerebral cavernous malformations (CM are dynamic lesions characterized by continuous size changes and repeated bleeding. When involving cortical tissue, CM pose a significant risk for the development of drug-resistant epilepsy, which is thought to be result of an altered neuronal network caused by the lesion itself and its blood degradation products. Preoperative evaluation should comprise a complete seizure history, neurological examination, epilepsy-oriented MRI, EEG, video-EEG, completed with SPECT, PET, functional MRI and/or invasive monitoring as needed. Radiosurgery shows variable rates of seizure freedom and a high incidence of complications, thus microsurgical resection remains the optimal treatment for CM coursing with drug-resistant epilepsy.Two thirds of patients reach Engel I class at three-year follow-up, regardless of lobar location. Those with secondarily generalized seizures, a higher seizure frequency, and generalized abnormalities on preoperative or postoperative EEG, show poorer outcomes, while factors such as gender, duration of epilepsy, lesion size, age, bleeding at the time of surgery, do not correlate consistently with seizure outcome. Electrocorticography and a meticulous removal of all cortical hemosiderin –beyond pure lesionectomy– reduce the risk of symptomatic recurrences.

  2. Cardio-thoracic surgical patients' experience on bedside nursing handovers: Findings from a qualitative study. (United States)

    Lupieri, Giulia; Creatti, Chiara; Palese, Alvisa


    The purpose of this study was to describe the experiences of postoperative cardio-thoracic surgical patients experiencing nursing bedside handover. A descriptive qualitative approach was undertaken. A purposeful sampling technique was adopted, including 14 patients who went through cardio-thoracic surgery and witnessed at least two bedside handovers. The study was performed in a Cardio-thoracic ICU localised in a Joint Commission International accredited Academic Hospital in north-eastern Italy from August to November 2014. The experience of patients participating at the bedside handover is based on four main themes: (1) 'discovering a new nursing identity', (2) 'being apparently engaged in a bedside handover', (3) 'experiencing the paradox of confidentiality' and (4) 'having the situation under control'. With the handover performed at the bedside in a postoperative setting, two interconnected potential effects may be achieved with regard to patients, nurses and the nursing profession. Nurses have a great opportunity to express their closeness to patients and to promote awareness of the important growth that nursing has achieved over the years as a profession and discipline. Therefore, patients may better perceive nursing competence and feel safer during the postoperative care pathway. They can appreciate nurses' humanity in caring and trust their competence and professionalism.

  3. The incidence of technological stress among baccalaureate nurse educators using technology during course preparation and delivery. (United States)

    Burke, Mary S


    The concept of technology-related stress was first introduced in the 1980s when computers became more prevalent in the business and academic world. Nurse educators have been impacted by the rapid changes in technology in recent years. A review of the literature revealed no research studies that have been conducted to investigate the incidence of technological stress among nurse educators. The purpose of this descriptive-correlational study was to describe the technological stressors that Louisiana baccalaureate nurse educators experienced while teaching nursing theory courses. A researcher-developed questionnaire, the nurse educator technostress scale (NETS) was administered to a census sample of 311 baccalaureate nurse educators in Louisiana. Findings revealed that Louisiana baccalaureate nurse educators are experiencing technological stress. The variable, perceived administrative support for use of technology in the classroom, was a significant predictor in a regression model predicting Louisiana baccalaureate nurse educators' technological stress (F=14.157, p<.001).

  4. Construction of evaluation indicators of the learning process for a nursing course

    Directory of Open Access Journals (Sweden)

    Luzmarina Aparecida Doretto Braccialli


    Full Text Available The objective of this study was to build process assessment indicators for a nursing undergraduate course. The indicators were validated after three stages of a consensus conference, developed by experts based on an initial matrix with 209 indicators, in four areas of competence of the course. The analysis, performed with the mean and standard deviation of each indicator, led to the final matrix, comprising 87 indicators. The experts agreed that all indicators should be in the four stages of the nursing course program, considering the degree of autonomy of the undergraduate in each stage, and the fact that it is an integrated course, oriented by competences. The indicators may support local managers in the process assessment of the nursing course, as well as help other course managers in the health area use a program oriented by competences and active learning and teaching methodologies.

  5. Management role of surgical center nurses: perceptions by means of images

    Directory of Open Access Journals (Sweden)

    Camila Dalcól


    Full Text Available The objective of this study was to analyze the perceptions of surgical center nurses concerning their work environment and management role. Qualitative study conducted with 10 nurse supervisors in public and private hospitals, by means of individual projective interviews, from February to August 2013. The interviews were transcribed and submitted to content analysis. The results allowed analysis of the perceptions of nurses by means of images, such as: strategist, chameleon, conductor, flagship, owl head, and superhero. Regarding the environment, they described images associated with purposes and physical characteristics of the unit, highlighting it as the heart of the hospital. Regarding the management role, the images were associated with leadership, decision-making, adaptation, flexibility, teamwork and supervision. The results showed that nurses had a proactive but sometimes idealized view of their performance. It is of utmost importance that they reflect on their role and try to give their performance higher visibility.

  6. [Evidence-based practice in nursing curricula: the experience of nursing degree course of Reggio Emilia. A pilot study]. (United States)

    Finotto, Stefano; Chiesi, Ivens; Mecugni, Daniela; Casali, Patrizia; Doro, Lucia Maria Grazia; Lusetti, Simona


    Given the lack of evidence in literature concerning the presence of Evidence-Based Practice (EBP) in nursing curricula, but considering its importance in order to educate future nurses to use critical thinking and to base their practice on scientific evidence, tutors and nursing teachers of the Nursing Degree Course of Reggio Emilia (Università degli Studi di Modena e Reggio Emilia), have decided to introduce a three-year laboratory of EBP. The purposes of this project are: to describe the three-year EBP laboratory of Nursing Degree, its objectives, its structure, its integration with practical training and nursing subjects and its students evaluation strategies; to get students verify the perception of the usefulness of the three-year EBP laboratory regarding the elaboration of the graduation thesis, the search for appropriatem answers for patients met during clinical trainings and the usefulness of the EBP process in view of the development of their professional career. The design of research of this pilot study is correlation-descriptive. It has been selected a sample of convenience consisting of 56 nurses graduated in the autumn session of the academic year 2007-2008. For data collection we have used an electronic questionnaire (Microsoft Word with closed fields) structured for the purpose. The laboratory has been effective in learning to use the database to search for evidences and to use the database to search for evidences related to nursing problems met in training placements. Finally, graduated nurses consider the EBP process an essential element of professional nursing luggage. Although the sample is restricted the results indicates the good educational choice made by our Nursing Degree Course of integrating the EBP Laboratory in the curriculum.

  7. [Knowledge of hypothermia in nursing professionals of surgical center]. (United States)

    Mendoza, Isabel Yovana Quispe; Peniche, Aparecida de Cássia Giani; Püschel, Vilanice Alves de Araujo


    The objective was to identify the difference in knowledge about hypothermia in nursing assistant after an educational intervention. The conceptual basis of education is based on the prospect of meaningful learning allied to the construction of the conceptual map and the case study. Data were collected through the questionnaire validated by experts. The average knowledge after the educational intervention was (-3.49), however, there was no significant difference in knowledge as related to sociodemographic variables studied. We conclude that the educational intervention was satisfactory in that new information was anchored modified and expanded the cognitive structure of study subjects.

  8. The predominant leadership style in a nurse group which frequent a post-graduation courses


    Brandão Chaves, Enaura Helena; S. Souto De Moura, Gisela


    This study identify the leadership style is adopt for nurses which frequent Post-Graduation Courses offer by Schools of Nursing of Metropolitan region of Porto Alegre, Brazil. The data collection used an instrument proposed by David R. Frew was used in a sample of 184 nurses. The instrument classify the leadership in five styles: very autocratic, autocratic moderate mixed, democratic moderate and very democratic. The results shows the predominant utilization of the mixed style (83,15%) follow...

  9. Course of neuropsychiatric symptoms in residents with dementia in nursing homes over 2-year period

    NARCIS (Netherlands)

    Wetzels, Roland B; Zuidema, Sytse U; de Jonghe, Jos F M; Verhey, Frans R J; Koopmans, Raymond T C M


    OBJECTIVE: To determine the course of neuropsychiatric symptoms (NPSs) in nursing home residents with dementia and to determine their variability across diagnosis. DESIGN: Prospective cohort study over 2 years. SETTING: Fourteen dementia special care units in nine nursing homes in The Netherlands. P

  10. The Relationship between Grades Earned in Introductory Nursing Courses and Several Predictor Variables: An Exploratory Study. (United States)

    Spahr, Anthony E.

    A study was conducted at Morton College (Illinois) to gain a better understanding of the factors which contribute to academic success in introductory nursing courses, and to investigate the relationship between the following variables: student grades in Fundamentals of Nursing I and II, Anatomy and Physiology I, and Rhetoric I; and their scores on…

  11. Analysis of Student Reflections of Experiential Learning in Nursing Health Policy Courses. (United States)

    McGuire, Maureen; Goldstein, Carol; Claywell, Lora; Patton, Ryan

    This is a content analysis of the reflections of 187 nursing students after experiential learning opportunities in both master's and doctoral level health policy courses. Results show that experiential activities in a health policy class for nursing students increased their knowledge of the legislative process and motivated them to identify newfound intent to become more involved in the political process.

  12. The New Mexico School Nurse and Emergency Medical Services Emergency Preparedness Course: Program Description and Evaluation (United States)

    Elgie, Robert; Sapien, Robert E.; Fullerton-Gleason, Lynne


    Illness and injuries are common among students and school staff. Therefore, school nurses must be prepared. In this study, a 16-hour scenario-based emergency preparedness course for school nurses was evaluated for its effectiveness. Effectiveness was measured by (a) traditional methods (written exams and confidence surveys) and (b) skills and…

  13. Improving Adjunct Nursing Instructors' Knowledge of Student Assessment in Clinical Courses (United States)

    Johnson, Kelly Vowell


    Utilization of adjunct nursing instructors to teach clinical courses is a common occurrence in nursing programs. Adjunct clinical instructors are often expert clinicians, but they have limited experience in teaching and lack the expertise needed to be successful in the educator role, such as knowledge of student assessment. Faculty development…

  14. The role of rewards and demands in burnout among surgical nurses. (United States)

    Basińska, Beata A; Wilczek-Rużyczka, Ewa


    Job rewards have both, an intrinsic and an extrinsic motivational potential, and lead to employees' development as well as help them to achieve work goals. Rewards can balance job demands and protect from burnout. Due to changes on the labour market, new studies are needed. The aim of our study was to examine the role of demands and individual rewards (and their absence) in burnout among surgical nurses. The study was conducted in 2009 and 2010 with 263 nurses who worked in surgical wards and clinics in hospitals in Southern Poland. The hypotheses were tested by the use of measures of demands and rewards (Effort-Reward Imbalance Questionnaire by Siegrist) and burnout syndrome (Maslach Burnout Inventory). A cross-sectional, correlational study design was applied. Nurses experienced the largest deficiencies in salary and prestige. Exhaustion was explained by stronger demands and lack of respect (large effect). Depersonalization was explained by stronger demands, lack of respect and greater job security (medium effect). Reduced personal achievement was explained by more demands and greater job security (small effect). Excessive demands and lack of esteem are key reasons for burnout among surgical nurses. Job security can increase burnout when too many resources are invested and career opportunities do not appear. These results may help to improve human resource management in the healthcare sector.

  15. The role of rewards and demands in burnout among surgical nurses

    Directory of Open Access Journals (Sweden)

    Beata A. Basińska


    Full Text Available Objective: Job rewards have both, an intrinsic and an extrinsic motivational potential, and lead to employees' development as well as help them to achieve work goals. Rewards can balance job demands and protect from burnout. Due to changes on the labour market, new studies are needed. The aim of our study was to examine the role of demands and individual rewards (and their absence in burnout among surgical nurses. Materials and Methods: The study was conducted in 2009 and 2010 with 263 nurses who worked in surgical wards and clinics in hospitals in Southern Poland. The hypotheses were tested by the use of measures of demands and rewards (Effort-Reward Imbalance Questionnaire by Siegrist and burnout syndrome (Maslach Burnout Inventory. A cross-sectional, correlational study design was applied. Results: Nurses experienced the largest deficiencies in salary and prestige. Exhaustion was explained by stronger demands and lack of respect (large effect. Depersonalization was explained by stronger demands, lack of respect and greater job security (medium effect. Reduced personal achievement was explained by more demands and greater job security (small effect. Conclusions: Excessive demands and lack of esteem are key reasons for burnout among surgical nurses. Job security can increase burnout when too many resources are invested and career opportunities do not appear. These results may help to improve human resource management in the healthcare sector.

  16. Application of space syntax theory in the study of medical-surgical nursing units in urban hospitals. (United States)

    Trzpuc, Stefnee J; Martin, Caren S


    Additional research is needed to explore how the design of urban, medical-surgical nursing units influences communication patterns, perceptions of social support, and overall job satisfaction for nurses. Space syntax theory has typically been used to study communication in office environments; more recently, it has been applied to the study of healthcare environments. The purpose of this study was to explore the applicability of space syntax theory as a theoretical framework for studying nurses' communication in medical-surgical nursing units in urban hospitals. The nursing profession is rapidly changing, and nurses' work is psychologically and physically intense. At the same time, nurses are responsible for patient safety, optimal care delivery, and patient outcomes (Bureau of Labor Statistics, 2009; Clarke, 2007; Clarke & Donaldson, 2008; Institute of Medicine, 2000; Institute of Medicine, 2004). Nurses are central to the delivery of care and act as a conduit for communication among members of the patient care team. Some of the design characteristics that create a more appealing environment for patients, such as views of nature and single-patient rooms, may not be fully understood as they relate to nurses' tasks and responsibilities, and they could be detrimental to nursing communication. This study analyzed three medical-surgical nursing unit floor plans using two constructs of space syntax theory, and it verified analysis through three semi-structured interviews with end users. The use of space syntax theory for analyzing medical-surgical nursing unit floor plans is complex. Findings indicated that nurses' perceptions of two constructs of space syntax theory, visibility and accessibility, did not consistently match the anticipated benefits of the floor plan designs. Understanding how and when nurses communicate with each other could help designers of healthcare spaces create more effective environments that support nurses' work and personal health and welfare

  17. [NIC as a tool for assessing competences of nursing students in clinical placement at surgical units]. (United States)

    Celma Vicente, Matilde; Ajuria-Imaz, Eloisa; Lopez-Morales, Manuel; Fernandez-Marín, Pilar; Menor-Castro, Alicia; Cano-Caballero Galvez, Maria Dolores


    This paper shows the utility of a NIC standardized language to assess the extent of nursing student skills at Practicum in surgical units To identify the nursing interventions classification (NIC) that students can learn to perform in surgical units. To determine the level of difficulty in learning interventions, depending on which week of rotation in clinical placement the student is. Qualitative study using Delphi consensus technique, involving nurses with teaching experience who work in hospital surgical units, where students undertake the Practicum. The results were triangulated through a questionnaire to tutors about the degree of conformity. A consensus was reached about the interventions that students can achieve in surgical units and the frequency in which they can be performed. The level of difficulty of each intervention, and the amount of weeks of practice that students need to reach the expected level of competence was also determined. The results should enable us to design better rotations matched to student needs. Knowing the frequency of each intervention that is performed in each unit determines the chances of learning it, as well as the indicators for its assessment. Copyright © 2015 Elsevier España, S.L.U. All rights reserved.

  18. Planning a career as a children's nurse: the availability of career guidance during the nurse diploma course. (United States)

    Cox, Susanne J; Robinson, Sarah; Murrells, Trevor


    The recruitment and retention of registered children's nurses is paramount to the implementation of the national service framework for children's services. In recent years there have been increased career opportunities for children's nurses and a diversity of career pathways. Career guidance has a potential contribution to make to the effective management of nurses' careers. This article presents findings on child health diplomates' experiences of career guidance during the nurse diploma course. Findings indicate a substantial unmet demand for career guidance. The implications of the findings for child health nurses' careers are discussed and considered in relation to two key questions: should efforts be directed towards ensuring greater provision of career guidance, and if so, by whom?

  19. Utilizing Human Patient Simulators (HPS) to Meet Learning Objectives across Concurrent Core Nursing Courses: A Pilot Study (United States)

    Miller, Charman L.; Leadingham, Camille; Vance, Ronald


    Associate Degree Nursing (ADN) faculty are challenged by the monumental responsibility of preparing students to function as safe, professional nurses in a two year course of study. Advances in computer technology and emphasis on integrating technology and active learning strategies into existing course structures have prompted many nurse educators…

  20. Integrated Lecturing within Clerkship Course: A New Learning Method in Nurse Anesthesia Teaching

    Directory of Open Access Journals (Sweden)

    Mahmood Akhlaghi


    Full Text Available Background and purpose: The conventional lecture-based teaching method that has been used to transit theoretical knowledge to the participants is inadequate. Due to some issues with this didactic approach, it is believed that integration of this approach with an active method may be more valuable in nursing education. In this study, we hypothesized that integrating lecture-based teaching within clerkship course would enhance the knowledge of nurse-anesthesia students. Methods: This prospective randomized study was conducted on 24 students of second-year nurse-anesthesia course. All students received either didactic lectures or integrated lectures within the clerkship course during a 4-month semester of their educational curriculum. Their knowledge of anesthesia course was assessed at the end of the course using the Wilcoxon Rank test. Results: The adopted integrated method improved the students’ final scores at the end of the semester (p=0.004. Moreover, their scores were much improved in taxonomy-2 questions (p=0.001. Conclusions: Incorporating a didactic lecture approach within anesthesia clerkship course improves the knowledge of the participants in the anesthesia course. Keywords: ANESTHESIA, LECTURE, KNOWLEDGE, NURSE-ANESTHESIA COURSE, CLERKSHIP COURSE

  1. Evaluation of an interactive web-based nursing course with streaming videos for medication administration skills. (United States)

    Sowan, Azizeh K; Idhail, Jamila Abu


    Nursing students should exhibit competence in nursing skills in order to provide safe and quality patient care. This study describes the design and students' response to an interactive web-based course using streaming video technology tailored to students' needs and the course objectives of the fundamentals of nursing skills clinical course. A mixed-methodology design was used to describe the experience of 102 first-year undergraduate nursing students at a school of nursing in Jordan who were enrolled in the course. A virtual course with streaming videos was designed to demonstrate medication administration fundamental skills. The videos recorded the ideal lab demonstration of the skills, and real-world practice performed by registered nurses for patients in a hospital setting. After course completion, students completed a 30-item satisfaction questionnaire, 8 self-efficacy scales, and a 4-item scale solicited their preferences of using the virtual course as a substitute or a replacement of the lab demonstration. Students' grades in the skill examination of the procedures were measured. Relationships between the main variables and predictors of satisfaction and self-efficacy were examined. Students were satisfied with the virtual course (3.9 ± 0.56, out of a 5-point scale) with a high-perceived overall self-efficacy (4.38 ± 0.42, out of a 5-point scale). Data showed a significant correlation between student satisfaction, self-efficacy and achievement in the virtual course (r = 0.45-0.49, p streaming videos for clinical courses is a complex process that should be carefully designed to positively influence the learning experience. However, the learning benefits gained from such pedagogical approach are worth faculty, institution and students' efforts. Published by Elsevier Ireland Ltd.

  2. [An analysis of cost and profit of a nursing unit using performance-based costing: case of a general surgical ward in a general hospital]. (United States)

    Lim, Ji Young


    The aim of this study was to analyze net income of a surgical nursing ward in a general hospital. Data collection and analysis was conducted using a performance-based costing and activity-based costing method. Direct nursing activities in the surgical ward were 68, indirect nursing activities were 10. The total cost volume of the surgical ward was calculated at won 119,913,334.5. The cost volume of the allocated medical department was won 91,588,200.3, and the ward consumed cost was won 28,325,134.2. The revenue of the surgical nursing ward was won 33,269,925.0. The expense of a surgical nursing ward was 28,325,134.2. Therefore, the net income of a surgical nursing ward was won 4,944,790.8. We suggest that to develop a more refined nursing cost calculation model, a standard nursing cost calculation system needs to be developed.

  3. Integrating psychosocial skills into a medical-surgical curriculum in a baccalaureate nursing program. (United States)

    Christoffersen, Jean; Barron, Anne-Marie; Lynch, Marla; Caroline, Harlene


    With the increasing acuity levels of hospitalized patients, faculty members struggle with accessing clinical sites for undergraduate students. Teaching students how to interact with patients and their families can often take second place to attending to the many needs and safety issues in caring for acutely ill individuals, particularly in medical-surgical settings. Over the past several years, the psychiatric and medical-surgical faculty members in the nursing department of a college in Boston have struggled with how best to prepare students for both the physical and psychosocial aspects of care. In this article, the evolution of our psychiatric consultation-liaison model is discussed.

  4. Revision of an undergraduate older adult health care nursing education course. (United States)

    Tenhunen, Monica L; Fitzgerald, Anita


    As the number of older adults continues to increase worldwide, nursing education needs to focus on this population. A revision of an undergraduate nursing course focusing on the care of older adults was completed. Content for the revised course was based on the recommendations of major nursing education organizations. Seventeen topic areas were identified, and objectives for each topic were written. Based on the objectives, classroom and clinical assignments were developed. Assignments were varied to address multiple learning styles using evolving standards of education for nursing students. The revision was piloted with one group of approximately 45 second-semester nursing students. Survey results from the students showed an increase in their comfort level with older adults. Further studies could evaluate the activities after they have been implemented longer to make further adjustments as needed to ensure the best learning for students.

  5. Managing parental groups: personal impact of a group leadership course for child healthcare nurses. (United States)

    Lefèvre, Åsa; Lundqvist, Pia; Drevenhorn, Eva; Hallström, Inger


    To investigate the experience and personal impact of a group leadership course for child healthcare nurses. During their child's first year, all parents in Sweden are invited to participate in parental groups within the child health service; however, only 49% choose to participate. Despite extensive experience, child healthcare nurses find managing parental groups challenging and express a need for training in group dynamics and group leadership. The study was designed as a controlled study with a pretest/post-test design where the participants form their own control group. A group leadership course was given to 56 child healthcare nurses and evaluated in a pre- and postintervention questionnaire, a course evaluation and an interview with the course leaders. The child healthcare nurses felt their group leadership skills were strengthened and the majority (96%) felt that the course had changed their way of leading parental groups. They felt that the group leader role had been clarified and that they had obtained several new tools to use in their groups. Clarifying the role of group leader and adding knowledge about group leadership and dynamics seems to have increased the self-confidence for child healthcare nurses in group leadership. Improved confidence in group management might motivate the child healthcare nurses to further develop parental groups to attract the parents who currently choose not to participate. © 2016 John Wiley & Sons Ltd.

  6. Nursing students’ experiences, perceptions and behavior in a flipped-classroom anatomy and physiology course

    DEFF Research Database (Denmark)

    Mikkelsen, Thomas Raundahl


    Objective: The aim of this study was to explore nursing students’ experiences, perceptions and behavior during a course on kidney and urinary system anatomy and physiology designed according to the flipped-classroom approach. In flipped-classroom teaching, students prepare for class by engaging...... with teacher-produced learning material, typically videos. This frees up time in class, which can instead be spent on various student-centered, active-learning activities. Only very few studies on the use of flipped classroom in nursing education have been published. Methods: Videos and active......-learning activities were developed and used in a course with forty-eight first-year, first-semester nursing students at the School of Nursing, Campus Holstebro, VIA University College, Denmark. After completing the course, students were invited to participate in a survey. In addition, students’ use of videos...

  7. Learning experience of Chinese nursing students in an online clinical English course: qualitative study. (United States)

    Tang, Anson C Y; Wong, Nick; Wong, Thomas K S


    The low English proficiency of Chinese nurse/nursing students affects their performance when they work in English-speaking countries. However, limited resources are available to help them improve their workplace English, i.e. English used in a clinical setting. To this end, it is essential to look for an appropriate and effective means to assist them in improving their clinical English. The objective of this study is to evaluate the learning experience of Chinese nursing students after they have completed an online clinical English course. Focus group interview was used to explore their learning experience. 100 students in nursing programs at Tung Wah College were recruited. The inclusion criteria were: (1) currently enrolled in a nursing program; and (2) having clinical experience. Eligible participants self-registered for the online English course, and were required to complete the course within 3 months. After that, semi-structured interviews were conducted on students whom completed the whole and less than half of the course. One of the researchers joined each of the interviews as a facilitator and an observer. Thematic analysis was used to analyze the data. Finally, 7 themes emerged from the interviews: technical issues, adequacy of support, time requirement, motivation, clarity of course instruction, course design, and relevancy of the course. Participants had varied opinions on the 2 themes: motivation and relevancy of the course. Overall, results of this study suggest that the online English course helped students improve their English. Factors which support their learning are interactive course design, no time constraint, and relevancy to their work/study. Factors which detracted from their learning are poor accessibility, poor technical and learning support and no peer support throughout the course.

  8. Intravenous Fluid Therapy Course for the Licensed Practical Nurse. Instructor Guide. (United States)

    Missouri Univ., Columbia. Instructional Materials Lab.

    This curriculum guide provides materials for a 10-unit intravenous (IV) therapy course for licensed practical nurses. Units contain from one to nine lessons. The first unit provides an introduction and orientation to the course. Subsequent units concern documentation, anatomy and physiology as applied to IV therapy, fundamental aspects of fluid…

  9. Intravenous Fluid Therapy Course for the Licensed Practical Nurse. Instructor Guide. (United States)

    Missouri Univ., Columbia. Instructional Materials Lab.

    This curriculum guide provides materials for a 10-unit intravenous (IV) therapy course for licensed practical nurses. Units contain from one to nine lessons. The first unit provides an introduction and orientation to the course. Subsequent units concern documentation, anatomy and physiology as applied to IV therapy, fundamental aspects of fluid…

  10. Learning from Experience: An Evaluation of an External Nursing Course in Regional Australia (United States)

    Foster, Kim; Usher, Kim; Luck, Lauretta; Harvey, Nikki; Lindsay, David


    The delivery of pre-registration Bachelor of Nursing courses in Australia has primarily been through the traditional on-campus mode. The development and implementation of an external course mode necessitates pedagogical reflection on a number of delivery, design, implementation, and consequently evaluation, processes. This paper discusses one…

  11. Reinforcing Communication Skills While Registered Nurses Simultaneously Learn Course Content: A Response to Learning Needs. (United States)

    De Simone, Barbara B.


    Fifteen nursing students participated in Integrated Skills Reinforcement, an approach that reinforces writing, reading, speaking, and listening skills while students learn course content. Pre-/postassessment of writing showed that 93% achieved writing improvement. All students agreed that the approach improved understanding of course content, a…

  12. [A Study on the Cognitive Learning Effectiveness of Scenario-Based Concept Mapping in a Neurological Nursing Course]. (United States)

    Pan, Hui-Ching; Hsieh, Suh-Ing; Hsu, Li-Ling


    The multiple levels of knowledge related to the neurological system deter many students from pursuing studies on this topic. Thus, in facing complicated and uncertain medical circumstances, nursing students have diffi-culty adjusting and using basic neurological-nursing knowledge and skills. Scenario-based concept-mapping teaching has been shown to promote the integration of complicated data, clarify related concepts, and increase the effectiveness of cognitive learning. To investigate the effect on the neurological-nursing cognition and learning attitude of nursing students of a scenario-based concept-mapping strategy that was integrated into the neurological nursing unit of a medical and surgical nursing course. This quasi-experimental study used experimental and control groups and a pre-test / post-test design. Sopho-more (2nd year) students in a four-year program at a university of science and technology in Taiwan were convenience sampled using cluster randomization that was run under SPSS 17.0. Concept-mapping lessons were used as the intervention for the experimental group. The control group followed traditional lesson plans only. The cognitive learning outcome was measured using the neurological nursing-learning examination. Both concept-mapping and traditional lessons significantly improved post-test neurological nursing learning scores (p anatomy, physiology, and pathology. These results indicate that this intervention strategy may help change the widespread fear and refusal of nursing students with regard to neurological lessons and may facilitate interest and positively affect learning in this important subject area. Integrating the concept-mapping strategy and traditional clinical-case lessons into neurological nursing lessons holds the potential to increase post-test scores significantly. Concept mapping helped those in the experimental group adopt views and attitudes toward learning the teaching material that were more positive than those held by

  13. Development of an online nursing management course: successful experience between Brazil and Portugal. (United States)

    Tronchin, Daisy Maria Rizatto; Peres, Heloisa Helena Ciqueto; Lima, Antônio Fernandes Costa; Alavarce, Débora Cristina; Prata, Ana Paula; Santos, Margarida Reis; Aroldi, Juscilynne Barros da Costa


    Objective To describe the experience of planning and developing online refresher courses in nursing management for nurses in the contexts of Brazil and Portugal. Method The instructional design was based on meaningful learning theory, andragogy, and dialectical methodology, so it valued interaction between the actors, emphasizing the scenarios of practice and applying the concepts covered. The course structure is divided into nine theoretical units, four case studies, and an essay exam. Results The course was positively evaluated by the participants, who reported opportunities for acquisition of new knowledge, interaction and exchange of experiences, motivation to study the topics, and self-learning. Conclusion It is expected that description of this experience will stimulate proposals for new courses and programs in distance education modalities, improving the processes of teaching and learning so as to give support to future analyses of their impact on the development and enhancement of management skills in nursing.

  14. Mentor in Nursing {--} Evaluation and Innovation of the Course.



    The Diploma thesis is focused on evaluation and innovation of a mentor course. Based on the analysis of 11 educational programmes in certificated courses we found out that the courses are not unified. We chose one of the analysed mentor courses called ``Supervisor of clinical practice`` at the Faculty of Health Care Studies of the University of West Bohemia in Pilsen. The main goals of our research were: 1. to find out the opinions of the mentor course gradutes on the course, 2. to identify p...

  15. [Knowledge of nursing professionals of a surgical center regarding malignant hyperthermia]. (United States)

    Sousa, Cristina Silva; Cunha, Ana Lucia Mirancos


    The objective of this study was to assess the knowledge of the nursing professionals in a surgical center about malignant hyperther- mia.This is a descriptive exploratory study on malignant hyperthermia conducted with mid- and high-level nursing professionals in the surgical center of an institution located in the city of São Paulo, where the research was conducted between August and September 2013. Analysis of the data was descriptive and the average of the correct answers was compared using Student's t-test Among the 96 participants, the two items in which at least 70% of the team showed knowledge were: the definition of malignant hyperthermia and the professionals involved in the health care provided. With respect to all test items, 70% of nurses answered 50% correctly. The same percentage of mid-level professionals answered only 20% correctly.There was no statistically significant difference between the professional categories. This study revealed insufficient knowledge on the part of the nursing team about malignant hyperthermia.

  16. Gamification: An Innovative Teaching-Learning Strategy for the Digital Nursing Students in a Community Health Nursing Course. (United States)

    Day-Black, Crystal; Merrill, Earline B; Konzelman, Lois; Williams, Tammie T; Hart, Natalie


    Serious games have "re-emerged" as innovative teaching-learning strategies that researchers have shown to be effective in improving student learning outcomes. "Serious games" refer to games that are driven by educational goals, not entertainment. The use of serious games as part of the teaching-learning experience in nursing education fits into the philosophy and strategies of active learning. The "digital" nursing student needs engagement, stimulation, realism, and entertainment not more readings and Powerpoint supplements in the classroom to support learning. Nursing faculty at a mid-Atlantic Historical Black College and University introduced "serious gaming" technology into a Community Health Nursing course by using two web-based gamed simulations, Outbreak at WatersEdge: A Public Health Discovery Game, and EnviroRisk. This innovation proved to be effective in reinforcing learning and improving student learning outcomes.

  17. A Daily Goals Tool to Facilitate Indirect Nurse-Physician Communication During Morning Rounds on a Medical-Surgical Unit. (United States)

    Perry, Veronica; Christiansen, Mollie; Simmons, Angela


    Interprofessional bedside rounds are essential for patient-centered care. However, it may be difficult for nurses to round with physicians on medical-surgical units. Using a daily goals tool for indirect rounds improved nurse-physician communication and interprofessional care for patients.

  18. Integration of end-of-life education into a community health nursing course. (United States)

    Pullis, Bridgette Crotwell


    Student nurses and novice nurses report that they received little in their nursing education to adequately prepare them for the death of a patient. The American Association of Colleges of Nursing's (AACN) competencies for end-of-life care assert the need for competent nursing care at the time of death. To prepare students to care for dying patients and their families, a hospice clinical experience in a community health nursing course was designed to facilitate the development of competence in caring for adults and children at the end of life. At the end of the semester, the students were able to demonstrate principles of pain and symptom management and to communicate the goals and philosophy of hospice care to dying patients and their families. The students also demonstrated the ability to advocate for individuals at the end of life through the provision of information about hospice care, especially the benefits for timely referral to hospice and palliative care. The incorporation of a clinical experience into a community health nursing course that focuses on end-of-life care is an effective approach to teaching both community health concepts and care of dying patients. Such an approach incorporates essential content without adding to already extensive nursing curricula.

  19. Evaluation of NANDA nursing diagnoses of healthcare college final year students during the clinical application of the mental health and disease nursing course

    Directory of Open Access Journals (Sweden)

    Gülay Taşdemir


    Full Text Available The aim of this descriptive study was to evaluate the NANDA nursing diagnoses of Pamukkale University Denizli Healthcare College final year students for the patients they undertook the care of and to determine the aims and interventions relevant to these diagnoses.The study universe consisted of all Pamukkale University Denizli Healthcare College final year students who were continuing their education during the 2009-2010 educational year and took the Mental Health and Disease Nursing course (84. The universe was studied before selecting a sample. The internal medicine, surgery, cardiovascular surgery, chest disease, orthopedics-urology, and physical treatment and rehabilitation clinics were chosen for the consultation liaison psychiatry (CLP while the AMATEM Center of the Denizli State Hospital and the Pamukkale University Psychiatry clinics were chosen as the student clinical application areas. The data were collected by evaluating the 136 nursing care plans prepared by the students and the data collection forms the students had used for nursing care during the 2009-2010 autumn semester. The nursing care was evaluated according to the symptom, etiology and problem (SEP format, using the diagnostic list containing the NANDA diagnoses that had previously been provided to the students, and the number and percentage distributions were determined.The patients cared for at the CLP clinics by the students included in the study had been admitted for surgical interventions at a rate of 29.8% and cancer at 28.6% while those in the psychiatry clinics had been admitted for psychosis or alcohol-substance abuse at a rate of 16.7%. The students included in the study had determined 36 nursing diagnoses in 136 cases. The 6 most common diagnoses were infection risk at 34.5%, disturbance of sleep pattern at 33.3%, anxiety at 25.0%, activity intolerance at 20.2%, inadequate personal coping at 16.7% and trauma risk at 13.1% at the CLP clinics, and disturbed sleep

  20. Peer-led team learning model in a graduate-level nursing course. (United States)

    White, Pamela; Rowland, Amy Beth; Pesis-Katz, Irena


    The peer-led team learning (PLTL) model was introduced into a graduate-level course in health economics at our school of nursing. We believed this collaborative learning program, emphasizing peer-to-peer interaction to solve complex problems, would increase student engagement and mastery of course content. The course was redesigned to accommodate a weekly 1-hour workshop conducted by peer leaders. To gain better understanding of the effect of the PLTL model, focus groups were conducted at the end of the course. Evaluation of the focus group discussions showed that peer-led workshops helped students understand the subject matter. The opportunity to discuss concepts taught during lecture with their peers helped deepen students' understanding of the material and apply this knowledge in the classroom. These findings support continuation of the PLTL model in future health economics classes and suggest that this approach may be beneficial in other graduate level-nursing courses.

  1. Effects of a senior practicum course on nursing students' confidence in speaking up for patient safety. (United States)

    Kent, Lauren; Anderson, Gabrielle; Ciocca, Rebecca; Shanks, Linda; Enlow, Michele


    As patient advocates, nurses are responsible for speaking up against unsafe practices. Nursing students must develop the confidence to speak up for patient safety so that they can hold themselves, as well as their peers and coworkers, accountable for patients' well-being. The purpose of this study was to examine the effects of a senior practicum course on confidence for speaking up for patient safety in nursing students. Confidence in speaking up for patient safety was measured with the Health Professional Education in Patient Safety Survey. The study showed a significant increase in nursing students' confidence after the senior practicum course, but there was no significant change in students' confidence in questioning someone of authority.

  2. Problematization strategy: experience report in the care process course in psyquiatric nursing

    Directory of Open Access Journals (Sweden)

    Claudinei José Gomes Campos


    Full Text Available One aimed to present an experience report about the use of the problematization strategy in the teaching of the course Care Process in Psychiatric Nursing offered in the undergraduate nursing course at the Universidade Estadual de Campinas. One adopted as the methodology of the study a non-systematic observation and assessment of the theoretical productions developed by the students in the first semester of 2012. One believes that the change in the education of nurses must follow a new paradigm that redirects the relationship between professionals and the community, and that directs health actions in order to meet the real needs of the population. Despite the difficulties identified, one concluded that the use of this learning strategy can bring advantages and contributions to the teaching of psychiatric nursing.

  3. Effectiveness of concept mapping and traditional linear nursing care plans on critical thinking skills in clinical pediatric nursing course. (United States)

    Aein, Fereshteh; Aliakbari, Fatemeh


    Concept map is a useful cognitive tool for enhancing a student's critical thinking (CT) by encouraging students to process information deeply for understanding. However, the evidence regarding its effectiveness on nursing students' CT is contradictory. This paper compares the effectiveness of concept mapping and traditional linear nursing care planning on students' CT. An experimental design was used to examine the CT of 60 baccalaureate students who participated in pediatric clinical nursing course in the Shahrekord University of Medical Sciences, Shahrekord, Iran in 2013. Participants were randomly divided into six equal groups of each 10 student, of which three groups were the control group, and the others were the experimental group. The control group completed nine traditional linear nursing care plans, whereas experimental group completed nine concept maps during the course. Both groups showed significant improvement in overall and all subscales of the California CT skill test from pretest to posttest (P < 0.001), but t-test demonstrated that improvement in students' CT skills in the experimental group was significantly greater than in the control group after the program (P < 0.001). Our findings support that concept mapping can be used as a clinical teaching-learning activity to promote CT in nursing students.

  4. The impact of instituting Process-Oriented Guided-Inquiry Learning (POGIL) in a fundamental nursing course. (United States)

    Roller, Maureen C; Zori, Susan


    POGIL, using small groups of students, who assume the roles of leader, manager, recorder, and reflector to complete problem based activities in science courses, has demonstrated significant improvement in students' grades and course satisfaction in science courses and a nursing Fundamentals course. Using POGIL with nursing students in fundamentals nursing courses could help to improve final grades and course satisfaction while promoting active learning, critical thinking, and teamwork. To examine differences in final course grades, Assessment Technologies Institute, LLC (ATi) scores and course satisfaction in 2 groups of fundamentals nursing students where one group experienced Process Oriented Guided Inquiry Learning (POGIL) as a teaching strategy and one group did not. Satisfaction with performing in the varied roles used during POGIL was also examined. This quantitative descriptive study used a comparative design, with one group of students who experienced POGIL while analyzing case scenarios in class and a control group who did not experience POGIL. A t-test was used to compare final grades, ATi scores, and satisfaction survey results. A mid-size, private university in the northeastern United States was the setting. A convenience sample of pre-licensure baccalaureate nursing students taking Fundamental in Nursing Courses during the junior semester. The experimental group (N=63) had higher final course grades (p=0.046), better understanding of the course material (p=0.005), and greater satisfaction with grades (p=0.008) than the control group (N=75). The results of this study revealed that Fundamental nursing students who experienced POGIL had significantly higher final grades and course satisfaction compared with students who did not experience POGIL. The active learning and teamwork experienced during POGIL, may be beneficial to students as they transition to practicing nurses. Additional research using POGIL with a variety of nursing courses could be

  5. Between two roles - Experiences of newly trained nurse practitioners in surgical care in Sweden: A qualitative study using repeated interviews. (United States)

    Jangland, Eva; Yngman Uhlin, Pia; Arakelian, Erebouni


    The position of Nurse Practitioner is a new role in Nordic countries. The transition from a registered nurse to the Nurse Practitioner role has been reported to be a personal challenge. This study, guided by the Nordic theoretical model for use in the education of advanced practice nurses, represents a unique opportunity to describe this transition for newly graduated Nurse Practitioners in an interprofessional surgical care team in Sweden. The aim was to explore how the first Nurse Practitioners in surgical care experienced the transition into a new role and what competences they used in the team. Eight new Nurse Practitioners with parallel work in clinical practice were interviewed twice around the time of their graduation. The qualitative analyses show that the participants integrated several central competences, but the focus in this early stage in their new role was on direct clinical praxis, consultation, cooperation, case management, and coaching. Transition from the role of clinical nurse specialist to nurse practitioner was a challenging process in which the positive response from patients was a driving force for the new Nurse Practitioners. The participants felt prepared for and determined to solve the challenging situations they approached working in the interprofessional team.

  6. A profile of students who followed a course in the didactics of psychiatric nursing at Unisa during 1994. (United States)

    Ehlers, V J


    Students who followed the above course did so as part of the Nursing Education III course offered at UNISA. This research aims at establishing a profile of these students. Aspects covered include age, sex, marital status, professional and academic qualifications, professional posts held and current fields of occupation. Such knowledge will clarify who the psychiatric nurse educators of the future might be, and also what the target population for the above course could be. Students' personal perceptions of the above course are sought in the second part of the questionnaire. Such information should be valuable in improving future courses for educators of psychiatric nurses.

  7. Nursing Care after Surgical Treatment of Fungal Endoph-thalmitis in Children

    Institute of Scientific and Technical Information of China (English)

    Liqin Xu; Junlian Tan


    Purpose:To explore the nursing care following surgical treat-ment of fungal endophthalmitis in children. Methods:Thirty two children (32 eyes) with fungal endoph-thalmitis were enrolled in this study. After receiving antifungal medication,.the children underwent either intravitreal injec-tion,.intravitreal injection of medicine combined with vitrecto-my,.or intravitreal injection in combination with vitrectomy and intraocular C3F8 tamponade. Prior to surgery, psycholog-ical and quarantine nursing,.and medication use was properly prepared..After the surgery,.the changes in the severity of diseases were strictly observed..A suitable body posture was selected and the eyes were protected from infection. Results:.Among 32 patients with fungal endophthalmitis,.8 (25%).cases presented with alleviated inflammation and no changes in visual acuity. The visual acuity of 18 cases (56.25%). was improved to different extents postoperatively. The inflam-mation in 6 children (18.75%) was properly controlled and the visual acuity declined. No cross-infection was noted in any pa-tient. Conclusion: Prior to surgery, quarantine nursing and drug administration should be properly prepared. Postoperatively, the changes in the severity of diseases should be tightly moni-tored. The patients should be treated with effective therapies in a proper position,.aiming to enhance the surgical efficacy.

  8. Teaching Argumentation in a Philosophy Course for Baccalaureate Nursing Students (United States)

    Gough, Jim


    In this paper I introduce the background situation that triggered the need for a particular project offered in a senior undergraduate course in health care ethics. Background information is provided to support the rationale of the project in the course. Then, the argument that opens the challenge to the students is outlined, followed by a…

  9. The effectiveness of and satisfaction with high-fidelity simulation to teach cardiac surgical resuscitation skills to nurses. (United States)

    McRae, Marion E; Chan, Alice; Hulett, Renee; Lee, Ai Jin; Coleman, Bernice


    There are few reports of the effectiveness or satisfaction with simulation to learn cardiac surgical resuscitation skills. To test the effect of simulation on the self-confidence of nurses to perform cardiac surgical resuscitation simulation and nurses' satisfaction with the simulation experience. A convenience sample of sixty nurses rated their self-confidence to perform cardiac surgical resuscitation skills before and after two simulations. Simulation performance was assessed. Subjects completed the Satisfaction with Simulation Experience scale and demographics. Self-confidence scores to perform all cardiac surgical skills as measured by paired t-tests were significantly increased after the simulation (d=-0.50 to 1.78). Self-confidence and cardiac surgical work experience were not correlated with time to performance. Total satisfaction scores were high (mean 80.2, SD 1.06) indicating satisfaction with the simulation. There was no correlation of the satisfaction scores with cardiac surgical work experience (τ=-0.05, ns). Self-confidence scores to perform cardiac surgical resuscitation procedures were higher after the simulation. Nurses were highly satisfied with the simulation experience. Copyright © 2016 Elsevier Ltd. All rights reserved.

  10. Cultural competence course for nursing students in Taiwan: A longitudinal study. (United States)

    Lin, Chia-Jung; Chang, Pei-rong; Wang, Ling-Hua; Huang, Mei-Chih


    Culturally competent care is an essential ability for nursing students. However, little is known about the effects of educational intervention on attitudes or behavior changes with regard to cultural competence in Taiwan. This study evaluates the effects of a cultural competence course for nursing students. Using a longitudinal study design, 105 participants were assigned to an experiment group (51 participants) and control group (54 participants) based on the school they attended. Students in the experiment group received a two-credit course on cultural competence care. Using the Cultural Competence Assessment Instrument-Chinese Version (CCA-CV), data were collected between 2012 and 2013 at three points in time: before and after the course and again 6 to 8 months after the two groups (experiment and control) had completed the clinical practicum. The results of a generalized estimating equation (GEE) analysis indicate that the cultural competence of all participants had improved at the posttest assessment, with the experiment group showing a significantly better improvement over the control group. However, the overall effectiveness of the training diminished with time. This study supports that taking a cultural competence course effectively enhances the cultural competence of nursing students for a limited period of time immediately following the course. These results support that the benefits of incorporating a cultural competence course in clinical practice should be considered in the future. Furthermore, healthcare institutions should be encouraged to provide greater support and consideration to cultural competence issues in the nursing workplace in order to reinforce and extend the benefits of cultural competence courses provided at nursing schools. Copyright © 2015 Elsevier Ltd. All rights reserved.

  11. Charting the course for nurses' achievement of higher education levels. (United States)

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


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

  12. [Mathematical analysis of complicated course of acute surgical diseases of abdominal cavity organs]. (United States)

    Vozniuk, S M; Pol'ovyĭ, V P; Sydorchuk, R I; Palianytsia, A S


    In this paper we analyze the results of diagnosis and treatment of 130 patients with acute surgical diseases of the abdominal cavity, complicated by peritonitis. We proposed the method of estimating the severity of the patients using a coefficient of status severity (C(SS)), developed a scale for prediction of complicated outcomes of acute surgical pathology of the abdominal cavity and abdominal sepsis, which is adapted to the working conditions of local clinics. Using the C(SS) and the scale prediction, allowed timely identification of patients' risk group with possible complicated course, assign adequate treatment, reduce postoperative complications by 5%, relaparotomies by 4.4%, decrease postoperative mortality by 3.9%.

  13. The Impact of Nursing Students' Prior Chemistry Experience on Academic Performance and Perception of Relevance in a Health Science Course (United States)

    Boddey, Kerrie; de Berg, Kevin


    Nursing students have typically found the study of chemistry to be one of their major challenges in a nursing course. This mixed method study was designed to explore how prior experiences in chemistry might impact chemistry achievement during a health science unit. Nursing students (N = 101) studying chemistry as part of a health science unit were…

  14. Satisfaction of nurses with a training course for the operationalization of protocol on pressure ulcers

    Directory of Open Access Journals (Sweden)

    Mayara Vasconcelos Santos


    Full Text Available Objective: to identify the degree of satisfaction of nurses with a training course for operationalization of protocol on pressure ulcers. Methods: a descriptive exploratory study made in a philanthropic hospital in the northeast of Brazil. An instrument on satisfaction was applied to 21 participant nurses of the course on pressure ulcer based on care protocol. Results: young adults predominated (23-33 years old, female (87.5%, with significant participation in events, courses and research activities (81.0%, and 19.0% of research publication. The overall rate of satisfaction with the course made at the workplace was 84.34%. Conclusion: when the fundaments of practice based on evidence were cleared, the rate of satisfaction of the professionals who participate in Permanent Education activities is high, which makes clinical protocol operationalization possible.

  15. Implementing a leadership course and mentor model for students in the National Student Nurses' Association. (United States)

    Gardner, Elaine A; Schmidt, Cheryl K


    To help student development as responsible and accountable leaders, a mentor model was incorporated into an established voluntary leadership course offered each semester. The student joins the National Student Nurses' Association, completes leadership projects, and contracts for the course grade. The mentor model is a leadership option that pairs senior students wanting to mentor with junior students wishing to be mentored. The authors describe the outcomes of the leadership-mentor experience.

  16. Designing, delivering and evaluating a distance learning nursing course responsive to students needs. (United States)

    Sowan, Azizeh K; Jenkins, Louise S


    The majority of available studies in distance learning in nursing and health lack the sufficient details of course design and delivery processes which greatly affect the learning outcomes. Also, little is available about the fairness of this method of education to students with limited access to course resources. We describe the design and delivery processes and experience, in terms of satisfaction and achievement, of undergraduate nursing students in a distance course. The difference in achievement between the distance students and a comparable cohort of hybrid students is also examined. We also demonstrate the possibility of providing accessible education to students with limited technological resources. Participants included all undergraduate nursing students who were enrolled in a distance and a hybrid section of a communication skills course offered at a School of Nursing in Jordan. The distance course was created using Blackboard and Tegrity learning management systems. The design and delivery processes of the distance course incorporated three pedagogical principles that enhance: (a) course access and navigation; (b) communication and interaction; and (c) active and collaborative learning experiences. After course completion, distance students completed a 27-item satisfaction questionnaire. Achievement in the course and correlates of satisfaction were measured. The final sample included 25 students in the distance section and 35 in the hybrid section (N=60). The mean score of overall satisfaction in the distance section was 4.14 (0.32) out of a 5-point scale, indicating a high satisfaction. Results revealed significant associations between total satisfaction score and achievement in the distance course, grade expected in the course, and frequency of accessing the course materials (plearning, even for students with limited resources. Institutions have to make strategic decisions on how to optimize the use of technology to fit their individualized learning

  17. Assessing outcomes of a study abroad course for nursing students. (United States)

    Carpenter, Linda J; Garcia, Alexandra A


    There is little debate about the importance of preparing nursing graduates to provide culturally sensitive care to an increasingly diverse society. However, it is difficult for nurse educators to fit learning experiences that help students develop cultural competence into already full programs and create mechanisms to evaluate the results. This article describes a study to assess the impact of a study abroad program on developing cultural competence, including cultural awareness, sensitivity, knowledge, and skills. Results from the Cultural Awareness Survey, reflective journals, and interviews illustrate how the study abroad experience influenced the development of components of cultural competence and might influence clinical practice. Results suggest effective teaching strategies to assist students in becoming culturally competent are experiential in nature and include role modeling, reflective activities, and group discussion.

  18. Journal writing: a teaching strategy for gerontology nursing courses. (United States)

    Miller, Sally M


    Journal writing, recognized as a valuable method to augment and enrich learning, has been used in adult education, higher education, and in the health care professions. Journal writing promotes reflective thought and increases awareness. This article describes how journal writing was used in the gerontology rotation of an associate degree nursing program to engage students in the content, encourage examination of personal beliefs, recognize biases, and reflect on perceptions about older adults.

  19. The consequences of using advanced physical assessment skills in medical and surgical nursing: A hermeneutic pragmatic study (United States)

    Zambas, Shelaine I.; Smythe, Elizabeth A.; Koziol-Mclain, Jane


    Aims and objectives The aim of this study was to explore the consequences of the nurse's use of advanced assessment skills on medical and surgical wards. Background Appropriate, accurate, and timely assessment by nurses is the cornerstone of maintaining patient safety in hospitals. The inclusion of “advanced” physical assessment skills such as auscultation, palpation, and percussion is thought to better prepare nurses for complex patient presentations within a wide range of clinical situations. Design This qualitative study used a hermeneutic pragmatic approach. Method Unstructured interviews were conducted with five experienced medical and surgical nurses to obtain 13 detailed narratives of assessment practice. Narratives were analyzed using Van Manen's six-step approach to identify the consequences of the nurse's use of advanced assessment skills. Results The consequences of using advanced assessment skills include looking for more, challenging interpretations, and perseverance. The use of advanced assessment skills directs what the nurse looks for, what she sees, interpretation of the findings, and her response. It is the interpretation of what is seen, heard, or felt within the full context of the patient situation, which is the advanced skill. Conclusion Advanced assessment skill is the means to an accurate interpretation of the clinical situation and contributes to appropriate diagnosis and medical management in complex patient situations. Relevance to clinical practice The nurse's use of advanced assessment skills enables her to contribute to diagnostic reasoning within the acute medical and surgical setting. PMID:27607193

  20. The role of service-user feedback in undergraduate nursing courses. (United States)

    Ward, Sue; Benbow, Judith


    There is an increasing expectation that service users should contribute in a meaningful way to student nurse education courses. This article describes how service-user feedback on undergraduate student nurses' performance during practice learning opportunities (PLOs) gives an insight into the qualities service users value in student nurses. At Cardiff University, the new Bachelor of Nursing course, launched in September 2012, took into account the Nursing and Midwifery (NMC) standards for preregistration, implementing a mechanism for service users to feed back on students' clinical performance. To facilitate this service, user/carer feedback pages were inserted into the students' bound clinical practice portfolio. A large sample of the clinical portfolios (n=100) from one cohort across adult, child and mental health nursing fields were examined at the end of year 1, year 2 and again at the end of year 3, and service users' comments collated. In considering the words used by service users, the authors propose that they reflected the six fundamental values-or 6Cs-of care, compassion, competence, communication, courage and commitment that underpin the delivery of excellent care. Conclusions drawn from the feedback were that students exhibited the caring and professional qualities that service users value, and indeed showed the dignity and respect for patients and people that the profession demands.

  1. Seven Years On: Distance Learning Courses for First Level Registered Nurses and Midwives. (United States)

    Rogerson, Elizabeth C. B.; Harden, Ronald M.


    At the University of Dundee (Scotland), distance learning is used to provide inservice opportunities for nurses and midwives. The modular courses feature problem-based and work-based learning, text-based study guides, and strategies to provide continuous learner support. (SK)

  2. Evaluating a Web-based Graduate Level Nursing Ethics Course: Thumbs Up or Thumbs Down? (United States)

    McAlpine, Heather; Lockerbie, Linda; Ramsay, Deyanne; Beaman, Sue


    Student and teacher opinions were obtained regarding a Web-based ethics course for nursing graduate students. Both groups had positive views of online discussions; critical and reflective thinking was enhanced; technical difficulties were overcome with the help of expert support services; compressed time frame was a drawback; and ways to enhance…

  3. Implementing the educational units of the nursing course of FAFEMA: an experience report

    Directory of Open Access Journals (Sweden)

    Kátia T. Alves Rezende


    Full Text Available The study aims at reporting the curriculum development along the four grades of the Nursing Course of Marília Medical School (FAMEMA in 2003. The method used was the reflection about the pedagogical practice, from the documental analysis of the teaching-learning programs in each grade. The results show some points to be worked in the political-pedagogical project, such as: redefinition of the professors' and the nurse's roles from the health services; different understanding about the reference of the methodology of problematization and competence; professors' insecurity working with uncertainty in the teaching-learning process. It's also possible to identify changes that contributed to the implementation of the project, which are: the strengthening of the partnership between teaching and service; the relation between the medical and nursing courses; the use of the principles of the meaningful learning; introduction of the continuous education process, enabling the evaluation of the curriculum processes and strategies.

  4. Expansion of undergraduate courses in nursing: dilemmas and contradictions facing the labor market

    Directory of Open Access Journals (Sweden)

    Kenia Lara Silva


    Full Text Available We sought to analyze, from the perspective of professors and students, the reasons and consequences of the expansion of undergraduate courses in nursing, discussing the dilemmas and the contradictions confronting the labor market. It was a qualitative study with data obtained from focus groups, conducted in 18 undergraduate nursing courses in the state of Minas Gerais, during the period of February to October of 2011. The narratives were submitted to critical discourse analysis. The results indicated that the education of the nurse was permeated by insecurity as to the future integration into the labor market. The insecurity translates into dilemmas that referred to employability and the precariousness of the working conditions. In this context, employment in the family health strategy emerges as a mirage. One glimpses the need for a political agenda with the purpose of discussion about education, the labor market and the determinants of these processes.

  5. One-day triage course for nurses, it is essential

    Directory of Open Access Journals (Sweden)

    Ramin Azhough


    Full Text Available Objective: Triage procedure is one of the most important aspects of emergency departments as it has an undeniable role on the management of patients. It includes 5 categories based on the Emergency Severity Index (ESI according to the condition of severity. For better decision making and management, it is important to have skillful and experienced nursing staff. In the current study, we aimed to investigate the effectiveness of a one-day workshop on participants in terms of their triage knowledge improvement. Methods: This is a pre- and post-test trial study. In this study all the nursing staff of Sina hospital participated. The workshop was conducted in a single day for 6 hours. During the one-day workshop, topics such as emergency triage and hospital triage were covered according to START and ESI. In order to evaluate triage knowledge, each participant completed a pre-test before the workshop, and a post-test after the workshop (15 questions. Data were analyzed with SPSS 15.0. Paired t test was applied for data analysis. Results: Fifty-five nurses with the mean age of 35.72 ± 7.35 participated in the workshop. The analysis of the data, using paired t test based on the pre-test and post-test results, did not show any significant differences (P > 0.05. Conclusion: This study suggests that a one-day workshop is not really effective and reliable for triage knowledge improvement. We propose longer planned workshops in order to train more skillful staff.

  6. Surgical nurses' attitudes towards caring for patients dying of cancer - a pilot study of an educational intervention on existential issues. (United States)

    Udo, C; Melin-Johansson, C; Henoch, I; Axelsson, B; Danielson, E


    This is a randomised controlled pilot study using a mixed methods design. The overall aim was to test an educational intervention on existential issues and to describe surgical nurses' perceived attitudes towards caring for patients dying of cancer. Specific aims were to examine whether the educational intervention consisting of lectures and reflective discussions, affects nurses' perceived confidence in communication and to explore nurses' experiences and reflections on existential issues after participating in the intervention. Forty-two nurses from three surgical wards at one hospital were randomly assigned to an intervention or control group. Nurses in both groups completed a questionnaire at equivalent time intervals: at baseline before the educational intervention, directly after the intervention, and 3 and 6 months later. Eleven face-to-face interviews were conducted with nurses directly after the intervention and 6 months later. Significant short-term and long-term changes were reported. Main results concerned the significant long-term effects regarding nurses' increased confidence and decreased powerlessness in communication, and their increased feelings of value when caring for a dying patient. In addition, nurses described enhanced awareness and increased reflection. Results indicate that an understanding of the patient's situation, derived from enhanced awareness and increased reflection, precedes changes in attitudes towards communication. © 2014 John Wiley & Sons Ltd.

  7. Desperately seeking sociology: nursing student perceptions of sociology on nursing courses. (United States)

    Edgley, Alison; Timmons, Stephen; Crosbie, Brian


    This paper will present the findings of a qualitative study exploring the perceptions of students confronted by a requirement to learn sociology within a nursing curriculum. Those teaching sociology have a variety of explanations (more or less desperate), seeking to justify its place on the nursing curriculum. While there may be no resolution to the debate, the dispute thus far, has largely been between sociology and nursing academics. Absent from this debate are the voices of students 'required' to learn both nursing and sociology. What do students make of this contested territory? When students are trying to learn their trade, and know how to practice safely and efficaciously what do they make of the sociological imagination? How realistic is it to expect students to grasp both the concrete and practical with the imaginative and critical? Findings from this qualitative, focus group study suggest that students do indeed find learning sociology within a nursing curriculum "unsettling". It would seem that students cope in a number of ways. They fragment and compartmentalise knowledge(s); they privilege the interception of experiential learning on the path between theory and practice; and yet they appear to employ sociological understanding to account for nursing's gendered and developing professional status.

  8. Reinforcing communication skills while registered nurses simultaneously learn course content: a response to learning needs. (United States)

    DeSimone, B B


    This article describes the implementation and evaluation of Integrated Skills Reinforcement (ISR) in a baccalaureate nursing course entitled "Principles of Health Assessment" for 15 registered nurse students. ISR is a comprehensive teaching-learning approach that simultaneously reinforces student writing, reading, speaking, and listening skills while they learn course content. The purpose of this study was to assess the influence of ISR on writing skills and student satisfaction. A learner's guide and teacher's guide, created in advance by the teacher, described specific language activities and assignments that were implemented throughout the ISR course. During each class, the teacher promoted discussion, collaboration, and co-inquiry among students, using course content as the vehicle of exchange. Writing was assessed at the beginning and end of the course. The influence of ISR on the content, organization, sentence structure, tone, and strength of position of student writing was analyzed. Writing samples were scored by an independent evaluator trained in methods of holistic scoring. Ninety-three per cent (14 of 15 students) achieved writing growth from .5 to 1.5 points on a scale of 6 points. Student response to both the ISR approach and specific ISR activities was assessed by teacher-created surveys administered at the middle-end of the course. One hundred per cent of the students at the end of this project agreed that the ISR activities, specifically the writing and reading activities, helped them better understand the course content. These responses differed from evaluations written by the same students at the middle of the course. The ISR approach fostered analysis and communication through active collaboration, behaviors cited as critical for effective participation of nurses in today's complex health care environment.

  9. [Students awareness of health teaching: evaluation of "health education" course and the occupational health nursing practice]. (United States)

    Horikawa, Junko; Majima, Yukie; Ishihara, Itsuko


    The "health education" course is an important part of the baccalaureate curriculum in nursing. It is essential to teach students effective health education in a client oriented way. In order to improve the quality and content of this course, we extracted students descriptions from records of 44 students who had carried out group health education during nursing practice for the occupational health nursing course. We then analyzed students written sentences on their views concerning health teaching. After sentence analysis, we categorized these concepts into groups and titled them. The results of clarification of categories showed that the most common student awareness was in regard to technical and instructional skills, such as precise and suitable language selection for laymen, and utilization of teaching devices or mediums, during implementation of health teaching(43.6%). Secondly, assessment of health needs for a certain working population(10.3%), and effective teaching types such as instructional participant volunteers and full participation(9.2%) were deemed important. Thirdly, identification of the role of the occupational nurse(7.7%), and lastly the necessity of evaluation(2.3%) were considered necessary. Over all, in this study we found that students were most concerned about the instructional skills during the presentation of health education. Also, these results suggest that development of contents in the "health education" course to reinforce students assessment and evaluative abilities should be incorporated into the course. Furthermore, faculties who teach a "health education" course should provide a large variety of teaching materials and creative instructional methods for the students.

  10. Developing an International Combined Applied Surgical Science and Wet Lab Simulation Course as an Undergraduate Teaching Model

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    Michail Sideris


    Full Text Available Background. Essential Skills in the Management of Surgical Cases (ESMSC is an international, animal model-based course. It combines interactive lectures with basic ex vivo stations and more advanced wet lab modules, that is, in vivo dissections and Heart Transplant Surgery on a swine model. Materials and Methods. Forty-nine medical students (male, N=27, female N=22, and mean age = 23.7 years from King’s College London (KCL and Greek Medical Schools attended the course. Participants were assessed with Direct Observation of Procedural Skills (DOPS, as well as Multiple Choice Questions (MCQs. Paired t-test associations were used to evaluate whether there was statistically significant improvement in their performance. Aim. To evaluate the effectiveness of a combined applied surgical science and wet lab simulation course as a teaching model for surgical skills at the undergraduate level. Results. The mean MCQ score was improved by 2.33/32 (P<0.005. Surgical skills competences, as defined by DOPS scores, were improved in a statically significant manner (P<0.005 for all paired t-test correlations. Conclusions. ESMSC seems to be an effective teaching model, which improves the understanding of the surgical approach and the basic surgical skills. In vivo models could be used potentially as a step further in the Undergraduate Surgical Education.

  11. An intensive vascular surgical skills and simulation course for vascular trainees improves procedural knowledge and self-rated procedural competence. (United States)

    Robinson, William P; Doucet, Danielle R; Simons, Jessica P; Wyman, Allison; Aiello, Francesco A; Arous, Elias; Schanzer, Andres; Messina, Louis M


    Surgical skills and simulation courses are emerging to meet the demand for vascular simulation training for vascular surgical skills, but their educational effect has not yet been described. We sought to determine the effect of an intensive vascular surgical skills and simulation course on the procedural knowledge and self-rated procedural competence of vascular trainees and to assess participant feedback regarding the course. Participants underwent a 1.5-day course covering open and endovascular procedures on high-fidelity simulators and cadavers. Before and after the course, participants completed a written test that assessed procedural knowledge concerning index open vascular and endovascular procedures. Participants also assessed their own procedural competence in open and endovascular procedures on a 5-point Likert scale (1: no ability to perform, 5: performs independently). Scores before and after the course were compared among postgraduate year (PGY) 1-2 and PGY 3-7 trainees. Participants completed a survey to rate the relevance and realism of open and endovascular simulations. Fifty-eight vascular integrated residents and vascular fellows (PGY 1-7) completed the course and all assessments. After course participation, procedural knowledge scores were significantly improved among PGY 1-2 residents (50% correct before vs 59% after; P educational effect. Copyright © 2016 Society for Vascular Surgery. Published by Elsevier Inc. All rights reserved.

  12. A Partnership Approach to Genetic and Genomic Graduate Nursing Curriculum: Report of a New Course's Impact on Student Confidence. (United States)

    Williams, Tamara; Dale, Rosemary


    Genetics and genomics have historically not been included in nursing curricula but are increasingly important in health care delivery. A course was developed through a collaboration between nursing and pathology faculty, combining nursing practice and genomics content expertise. Graduate nursing students enrolled in the course self-reported confidence in the 38 American Nurses Association essential genetic and genomic competencies prior to, immediately after, and 9 months after completing the course. Before the course, students reported low confidence across all competencies. Students indicated a significant improvement in confidence in all competencies with an average 2-point improvement on a 5-point Likert scale, both immediately and 9 months after course completion. A course rooted in basic science directly linked to nursing application can prepare nurses to develop a sustained confidence in core competencies. Cross-disciplinary collaborations with faculty who have expertise in genomics may be an effective strategy for nursing programs. [J Nurs Educ. 2016;55(10):574-578.]. Copyright 2016, SLACK Incorporated.

  13. Audio feedback for student writing in online nursing courses: exploring student and instructor reactions. (United States)

    Wood, Kathryn A; Moskovitz, Cary; Valiga, Theresa M


    Because scientific writing is an essential skill for advanced practice nurses, it is an important component of graduate education. Faculty typically provide written feedback about student writing, but this may not be the most effective choice for the distance-learning environment. This exploratory pilot study's aim was to compare spoken, recorded feedback with written feedback in three areas: which approach do students perceive as providing more useful guidance; which approach helps students feel more connected to the course; and which approach do instructors prefer? Students enrolled in an evidence-based practice graduate-level course received asynchronous audio feedback on their written assignments instead of the written feedback they received in other courses. Results from a survey completed by 30 students at completion of the course suggest a strong preference for audio feedback. This pilot study suggests that audio feedback may be preferable to written comments for distance learning courses.

  14. Variations in the Origin and Course of Right Hepatic Artery and its Surgical Significance (United States)

    Kannan, Rajendran; Jebakani, Christilda Felicia; Anbalagan, Jayaram


    Introduction Variations in the Right Hepatic Artery (RHA) are exceedingly common and these variations are of great importance to surgeons and interventional radiologists. A thorough knowledge of the right hepatic arterial anatomy is mandatory while performing hepatic surgery and hepatic arteriography. Aim To find out the variations in the origin and course of the RHA and its surgical significance. Materials and Methods This study was conducted in 60 embalmed adult cadavers of both sexes of age group between 50 to 80 years. Abdomen was opened by a linear midline incision extending from the xiphoid process to the pubic symphysis. The origin of RHA from the proper hepatic artery was traced. The presence of aberrant right hepatic arteries -replaced and accessory were noted. The source of origin of accessory or replaced RHA arising from the superior mesenteric artery (SMA), right renal artery and inferior mesenteric artery was traced. The course of normal and aberrant RHA from its origin to the entrance into the right lobe of the liver was followed and structures related to it were noted. Results The RHA mostly originated from the main trunk of the proper hepatic artery in 52 specimens (86.6%). Presence of aberrant RHA was found in 8 specimens (13.3%). Among 8 specimens of aberrant RHA, replaced RHA arising from SMA was found in 5 specimens (8.3%) and accessory RHA arising from SMA was observed in 3 specimens (5%). In 86.6% of specimens, the RHA coursed dorsal to the duct system to enter the Calot’s triangle. In 8.3% of specimens, the RHA coursed ventral to duct system to reach the Calot’s triangle. The caterpillar like loop of the RHA was found in two specimens (3%). The replaced and accessory RHA (13.3%) arising from the SMA had a course dorsal to duct system to reach the Calot’s triangle. Conclusion Right hepatic artery is subject to anatomical variation in its origin and course. Our study identified the variations in the origin and course of right hepatic

  15. A survey of the teaching and learning of biological sciences on undergraduate nursing courses. (United States)

    Wharrad, H J; Allcock, N; Chapple, M


    Curriculum planners developing degree courses in nursing have to decide how much time to allocate to each of the academic disciplines including biological sciences. There is no research-based evidence to suggest what depth and detail of knowledge of biological sciences is required to support nursing practice. There is also some debate about the teaching methods used and who should teach the biological sciences. This paper reports the results of a small survey investigating the teaching of biological sciences on 16 nursing degree courses in the UK. The survey uncovered great variation in the number of hours spent on biological sciences in the different universities and in the science entry requirements of the different universities. Most teachers of biological sciences had a first degree in the subject but few were nurses. The possible implications of these findings are discussed. Problems associated with shared learning and didactic teaching methods are also highlighted. Although the biological sciences input will largely be a matter of institutional preferences, nursing needs to develop a research-based framework to aid curriculum planning.

  16. [Aims and core contents of basic and post basic courses of nursing management]. (United States)

    Saiani, Luisa; Brugnolli, Anna


    The second part of the issue, dedicated to the nursing management offers a discussion on some of the relevant areas of debate for the organization of nursing care. A reflection on the core contents and main aims of basic and post basic (master, advanced level, specialistic degree) nursing courses is proposed in the first contribution. Then a selection of topics is presented, focusing on the main research contributions available in the literature and on the ongoing debate for the following areas: the role of communication at the inter-shift handover and the new model of bedside reporting; the problems and challenges of doctors nurses collaboration in the health care team; the problems and expectations of new nurses joining the health care team and the process of development of practical skills; the hot debate on nursing roles and level of practice and the difficulties in differentiating between elementary, specialist and advanced nursing practice; the new emerging roles: the characteristics and achievements of Nurse Consultant; the new challenges of coordinators of the health care teams with the management of the multigenerational nursing team. For each topic a definition of the problem is presented, an example of relevant study, a critical debate and suggestions for further studies and areas of research. A list of the main journals that deal with nursing management is proposed with comments on the main characteristics of each journal. A study protocol that aims at describing the outcomes of the different styles and models of organization of medical wards on patients and nurses is presented as an example of organizative research; an experience of, and a model for, participation of the nurses to health policy planning is proposed. Nurses were, asked to identify health care problems encountered in their daily practice, their causes and propose solutions at basic and policy level. The session of International Observatory explores the main problems and difficulties of

  17. Effectiveness of a Brief, Basic Evidence-Based Practice Course for Clinical Nurses. (United States)

    Ramos-Morcillo, Antonio J; Fernández-Salazar, Serafín; Ruzafa-Martínez, María; Del-Pino-Casado, Rafael


    Barriers to the implementation of evidence-based practice (EBP) by nursing professionals include a lack of knowledge, inadequate skills in searching for and appraising evidence, and consulting research articles. However, few studies have addressed the effectiveness of educational interventions to improve their competence. To evaluate the effectiveness of a brief basic online and face-to-face educational intervention to promote EBP attitudes, knowledge and skills, and practice in clinical care nurses. This study was quasi-experimental, pretest-posttest design with a comparison group. The sample included registered nurses enrolled in the free continuing education courses offered in 2013 by the Nursing Council of Jaén (Spain). The study included 109 participants (54 in the intervention group and 55 in the comparison group). The intervention was a brief, basic EBP course with online and face-to-face learning. The comparison group received an educational intervention with different content. The evidence-based practice questionnaire (EBPQ) was used to evaluate EBP attitude, knowledge and skills, and practice before the intervention, and at 21 and 60 days following the intervention. Two-way mixed analysis of variance was conducted. There was a significant difference between intervention and comparison groups in the knowledge and skills dimension. The difference between groups was not significant in the EBP practice dimension. Both groups had high scores in the attitude dimension that did not change after the intervention. A brief basic educational intervention on EBP with online and face-to-face learning can produce improvements in the knowledge and skills of clinical nurses. © 2015 The Authors. Worldviews on Evidence-Based Nursing published by Wiley Periodicals, Inc. on behalf of Sigma Theta Tau International The Honor Society of Nursing.

  18. Preliminary evaluation of the learning outcome achieved by a nursing research seminar course for doctoral students. (United States)

    Lou, Meei-Fang; Chen, Yueh-Chih


    Educational evaluation is a priority policy of the Ministry of Education and student learning outcome is an important criterion used in educational evaluation work. The purpose of this study was to evaluate the learning outcome of a newly developed course for doctoral students entitled, Nursing Research Seminar. The course was one semester in length and required students to attend 2 hours of class per week. Student learning outcome was evaluated based on the level of understanding students had of course objectives. The six objectives of this course were: evaluating and integrating research papers; enhancing critical thinking skills; gaining an in-depth understanding of the literature related to topics of interest; enhancing ability to construct research proposals; guiding student dissertation work; and refining critical research skills. Data were collected from the responses provided by 25 students on a 5-point Likert-type evaluation form based on course objectives filled out during the last class of the semester. Descriptive and non-parametric statistics were adopted. Results showed: (1) The average post-course score (24.76 +/- 2.89) was significantly higher than the pre-course score (18.40 +/- 5.52); (2) Students realized significant improvements in all six objectives at the end of the course; (3) There were statistically significant differences in improvement scores in all six objectives for students in different years of their doctoral program; (4) The lower the year in the program, the higher the improvement scores for each course objective; (5) The two objectives of the six that saw the most significant improvements were "gaining an in-depth understanding of the literature related to topics of interest", and "enhancing critical thinking skills". Because of the small sample size, conclusions drawn from this study should be treated as tentative. Findings provide preliminary information supporting the importance and necessity of offering the Nursing Research

  19. Can a teaching assistant experience in a surgical anatomy course influence the learning curve for nontechnical skill development for surgical residents? (United States)

    Heidenreich, Mark J; Musonza, Tashinga; Pawlina, Wojciech; Lachman, Nirusha


    The foundation upon which surgical residents are trained to work comprises more than just critical cognitive, clinical, and technical skill. In an environment where the synchronous application of expertise is vital to patient outcomes, the expectation for optimal functioning within a multidisciplinary team is extremely high. Studies have shown that for most residents, one of the most difficult milestones in the path to achieving professional expertise in a surgical career is overcoming the learning curve. This view point commentary provides a reflection from the two senior medical students who have participated in the Student-as-Teacher program developed by the Department of Anatomy at Mayo Clinic, designed to prepare students for their teaching assistant (TA) role in anatomy courses. Both students participated as TAs in a six week surgical anatomy course for surgical first assistant students offered by the School of Health Sciences at Mayo Clinic. Development of teaching skills, nontechnical leadership, communication, and assessment skills, are discussed in relation to their benefits in preparing senior medical students for surgical residency.

  20. Assessment of high blood pressure patients in the third year’s Surgical Clinic of the Dentistry course at Cesumar


    Menin, Cristiane; Bortoloto, Flávia Gongora; Gustavo Jacobucci FARAH; Filho, Liogi Iwaki; Iwaki, Lílian Cristina Vessoni; Leite, Pablo C. Comelli; Gentini, Raquel Forlani


    With the increase of arterial hypertension in the Brazilian population, it has become essential to point out to undergraduate students the need for a thorough clinical examination of patients, and the special care with high blood pressure patients, especially in a surgical clinic where complications may be severe. The objective of this work has been to assess the number of high blood pressure patients that come the Surgical Clinic of the Dentistry course of CESUMAR, and find out if these pati...

  1. Using m-learning on nursing courses to improve learning. (United States)

    de Marcos Ortega, Luis; Barchino Plata, Roberto; Jiménez Rodríguez, María Lourdes; Hilera González, José Ramón; Martínez Herráiz, José Javier; Gutiérrez de Mesa, José Antonio; Gutiérrez Martínez, José María; Otón Tortosa, Salvador


    Modern handheld devices and wireless communications foster new kinds of communication and interaction that can define new approaches to teaching and learning. Mobile learning (m-learning) seeks to use them extensively, exactly in the same way in which e-learning uses personal computers and wired communication technologies. In this new mobile environment, new applications and educational models need to be created and tested to confirm (or reject) their validity and usefulness. In this article, we present a mobile tool aimed at self-assessment, which allows students to test their knowledge at any place and at any time. The degree to which the students' achievement improved is also evaluated, and a survey on the students' opinion of the new tool was also conducted. An experimental group of 20- to 21-year-old nursing students was chosen to test the tool. Results show that this kind of tool improves students' achievement and does not make necessary to introduce substantial changes in current teaching activities and methodology.

  2. Surgical swab counting: a qualitative analysis from the perspective of the scrub nurse. (United States)

    D'Lima, D; Sacks, M; Blackman, W; Benn, J


    The aim of the study was to conduct a qualitative exploration of the sociotechnical processes underlying retained surgical swabs, and to explore the fundamental reasons why the swab count procedure and related protocols fail in practice. Data was collected through a set of 27 semistructured qualitative interviews with scrub nurses from a large, multi-site teaching hospital. Interview transcripts were analysed using established constant comparative methods, moving between inductive and deductive reasoning. Key findings were associated with interprofessional perspectives, team processes and climate and responsibility for the swab count. The analysis of risk factors revealed that perceived social and interprofessional issues played a significant role in the reliability of measures to prevent retained swabs. This work highlights the human, psychological and organisational factors that impact upon the reliability of the process and gives rise to recommendations to address contextual factors and improve perioperative practice and training.

  3. Integrating information literacy into an online undergraduate nursing informatics course: the librarian's role in the design and teaching of the course. (United States)

    Schulte, Stephanie J


    Integration of information literacy as a core component into a new online undergraduate nursing course proved to be a learning experience in course design and teaching. This article describes the framework for the course design that combined cultural competency, informatics, and information literacy and was grounded in informatics competencies for nurses at the beginning level, an informatics textbook, and the Neurnan Systems Model. The librarian's role in this process and the information literacy unit's content and written assignment are detailed, and challenges in the collaboration are also addressed.

  4. Effects of a Web-based course on nursing skills and knowledge learning. (United States)

    Lu, Der-Fa; Lin, Zu-Chun; Li, Yun-Ju


    The purpose of the study was to assess the effectiveness of supplementing traditional classroom teaching with Web-based learning design when teaching intramuscular injection nursing skills. Four clusters of nursing students at a junior college in eastern Taiwan were randomly assigned to experimental and control groups. A total of 147 students (80 in the experimental group, 67 in the control group) completed the study. All participants received the same classroom lectures and skill demonstration. The experimental group interacted using a Web-based course and were able to view the content on demand. The students and instructor interacted via a chatroom, the bulletin board, and e-mail. Participants in the experimental group had significantly higher scores on both intramuscular injection knowledge and skill learning. A Web-based design can be an effective supplementing learning tool for teaching nursing knowledge and skills.

  5. Self-study program on HTML browser--application to Clinical Nursing General Remarks Course. (United States)

    Ochiai, N; Sota, Y; Ezumi, H


    We created a self-study program using HTML browser on the Clinical Nursing General Remarks Course, Eighty-three students each selected a published book on a personal history (written personal reflections from individuals who had undergone medical treatment and hospitalization), read it and submitted reports of their impressions of the histories. Their reports were arranged from a nursing perspective and entered on the home page of our college using HTML browser. We intended that the students would become more interested in reading of the personal histories, and that they would acquire new self-study skills and increase their interest in Internet through use of our program. In addition, we hoped that this program would encourage positive communication and mutual sharing of information. The students were able to easily refer to a personal history according to their interest from a nursing perspective. Therefore this program realized the mutual learning among students and other users.

  6. Multimodal strategies to improve surgical outcome

    DEFF Research Database (Denmark)

    Kehlet, Henrik; Wilmore, Douglas W


    surgical procedures or require only 1 to 2 days of postoperative hospitalization. Reorganization of the perioperative team (anesthesiologists, surgeons, nurses, and physical therapists) will be essential to achieve successful fast track surgical programs. CONCLUSIONS: Understanding perioperative...... track" surgery programs represents the major challenge for the medical professionals working to achieve a "pain and risk free" perioperative course....

  7. Student adoption and perception of lecture podcasts in undergraduate bachelor of science in nursing courses. (United States)

    Kardong-Edgren, Suzan; Emerson, Roberta


    The current study reports student use and perceptions of podcasted course lectures in an undergraduate Bachelor of Science in Nursing program. Prior to the current study, the majority of students were not familiar with the use of podcasts in education. Student use of the podcasts grew as they became familiar with the format. Students reported that podcasts helped them study and improved their grades. Faculty reported increased class absenteeism, although students reported no change in course attendance as a result of the availability of podcasts. Copyright 2010, SLACK Incorporated.

  8. Student learning styles in anatomy and physiology courses: Meeting the needs of nursing students. (United States)

    Johnston, A N B; Hamill, J; Barton, M J; Baldwin, S; Percival, J; Williams-Pritchard, G; Salvage-Jones, J; Todorovic, M


    Anatomy and Physiology is a core course in pre-registration nursing programs, yet many students have difficulty successfully negotiating the large volume of content and the complex concepts in these bioscience courses. Typically students perform poorly in these 'threshold' courses', despite multiple interventions to support student engagement. Investigation of the shortcomings in these courses, based on feedback from students indicated several key areas of difficulty in the course, especially focused around a relative lack of hands-on 'concrete' activities in laboratories and tutorials. To attempt to address this, academic and technical staff developed activities for students that promoted discussion and allowed students to interact easily and repetitively with content. Interactive tables and posters that needed to be labelled or 'filled-in' using pre-prepared Velcro dots, as well as pre-prepared flash cards to promote group work, were some examples of the activities used to enhance student experiences and promote hands-on learning. Over the academic year of 2013 these activities were introduced into the laboratory and tutorial classes for first year Bachelor of Nursing anatomy and physiology students. Staff and student participants positively rated implementation of these new activities on surveys, as they allowed them to explore the difficult aspects of anatomy and physiology, utilising various learning styles that may have been neglected in the past. Crown Copyright © 2015. Published by Elsevier Ltd. All rights reserved.

  9. Nursing students' attitudes toward statistics: Effect of a biostatistics course and association with examination performance. (United States)

    Kiekkas, Panagiotis; Panagiotarou, Aliki; Malja, Alvaro; Tahirai, Daniela; Zykai, Rountina; Bakalis, Nick; Stefanopoulos, Nikolaos


    Although statistical knowledge and skills are necessary for promoting evidence-based practice, health sciences students have expressed anxiety about statistics courses, which may hinder their learning of statistical concepts. To evaluate the effects of a biostatistics course on nursing students' attitudes toward statistics and to explore the association between these attitudes and their performance in the course examination. One-group quasi-experimental pre-test/post-test design. Undergraduate nursing students of the fifth or higher semester of studies, who attended a biostatistics course. Participants were asked to complete the pre-test and post-test forms of The Survey of Attitudes Toward Statistics (SATS)-36 scale at the beginning and end of the course respectively. Pre-test and post-test scale scores were compared, while correlations between post-test scores and participants' examination performance were estimated. Among 156 participants, post-test scores of the overall SATS-36 scale and of the Affect, Cognitive Competence, Interest and Effort components were significantly higher than pre-test ones, indicating that the course was followed by more positive attitudes toward statistics. Among 104 students who participated in the examination, higher post-test scores of the overall SATS-36 scale and of the Affect, Difficulty, Interest and Effort components were significantly but weakly correlated with higher examination performance. Students' attitudes toward statistics can be improved through appropriate biostatistics courses, while positive attitudes contribute to higher course achievements and possibly to improved statistical skills in later professional life. Copyright © 2015 Elsevier Ltd. All rights reserved.

  10. Perception of the nursing team of a Surgical Center regarding Hospital Accreditation at a University Hospital. (United States)

    Fernandes, Hellen Maria de Lima Graf; Peniche, Aparecida de Cássia Giani


    Objective To analyze the perception of nursing teams at a surgical center regarding the process of hospital accreditation, in the evaluative aspects of structure, process, and result. Method The study takes a quantitative and exploratory-descriptive approach, carried out at a university hospital. Result The population consisted of 69 nursing professionals, and the data collection was performed in the months of January and February 2014 by way of a questionnaire, utilizing the Likert scale. The methodology used a Cronbach's Alpha equal to 0.812. In the comparison of the three aspects, the one with the highest favorability score was "result", with an average of 47.12 (dp±7.23), and the smallest was "structure," with an average of 40.70 (dp±5.19). Conclusion This situational diagnostic can assist in the restructuring of the vulnerable areas evaluated in these three aspects, mainly in the aspect of structure, with a goal of level 2 accreditation by the ONA (Brazilian's National Organization for Accreditation) defended by the Institution.

  11. A cognitive behavioral course for at-risk senior nursing students preparing to take the NCLEX. (United States)

    Poorman, Susan G; Mastorovich, Melissa L; Liberto, Terri L; Gerwick, Michele


    For some nursing students, the stress of preparing for and taking the NCLEX can lead to maladaptive behaviors such as poor test performance and inadequate preparation. A different approach to NCLEX preparation for at-risk seniors is described. A 3-credit course that combines cognitive behavioral techniques, metacognitive strategies, test-taking strategies, and simulated NCLEX experience with practice questions is presented. Students also develop an individualized plan of preparation from graduation until they take the NCLEX.

  12. The design process of a multimodal module that synthesized knowledge across nursing courses. (United States)

    Wolf, Linda; Rutar, Pamela; Delgado, Cheryl; Niederriter, Joan


    Nursing faculty are being challenged to increase the use of technology in the classroom. Use of technology addresses multiple learning styles, increases student engagement, encourages active learning and improves students' attention. Evaluate student satisfaction to a faculty designed multimedia teaching strategy. Cross sectional design with data collected over six semesters from six cohorts of nursing students. An urban university in the Midwest United States. 154 sophomore generic and accelerated BSN students enrolled in Fundamentals of Nursing; Ninety-nine participants were female (66.9%) and 49 (31.8%) were male. Eighty-three percent were less than 20years to 30years in age. A multimedia teaching strategy developed by three faculty integrating narrated case study, questioning and animation of skills and pathophysiology was implemented during the class session on infection control. At the conclusion, questionnaires were distributed to collect evaluation data. 120 students (77.9%) stated that the animated pathophysiology helped them understand the pathophysiological processes better than lecture alone. When combined with lecture, 121 students or 78.6% reported a better understanding of the material than if presented as lecture alone. 123 (79.9%) of the students stated that watching the animated video improved their understanding of the lecture content. As stated by one student, "I liked the visualization because it helped me further understand the material." 104 (67.5%) stated that presenting course content from multiple courses into one format facilitated the importance of these courses; "I liked that different aspect[s] of nursing were brought together." Use of multimedia in the classroom engages students in the learning process by actively involving students in the learning process as well as facilitating the delivery of difficult course content. Overall, students voiced a preference for all instructional materials to be presented in an animated format

  13. A Novel Approach to Surgical Instructions for Scrub Nurses by Using See-Through-Type Head-Mounted Display. (United States)

    Yoshida, Soichiro; Sasaki, Asami; Sato, Chikage; Yamazaki, Mutsuko; Takayasu, Junya; Tanaka, Naofumi; Okabayashi, Norie; Hirano, Hiromi; Saito, Kazutaka; Fujii, Yasuhisa; Kihara, Kazunori


    In order to facilitate assists in surgical procedure, it is important for scrub nurses to understand the operation procedure and to share the operation status with attending surgeons. The potential utility of head-mounted display as a new imaging monitor has been proposed in the medical field. This study prospectively evaluated the usefulness of see-through-type head-mounted display as a novel intraoperative instructional tool for scrub nurses. From January to March 2014, scrub nurses who attended gasless laparoendoscopic single-port radical nephrectomy and radical prostatectomy wore the monocular see-through-type head-mounted display (AiRScouter; Brother Industries Ltd, Nagoya, Japan) displaying the instruction of the operation procedure through a crystal panel in front of the eye. Following the operation, the participants completed an anonymous questionnaire, which evaluated the image quality of the head-mounted display, the helpfulness of the head-mounted display to understand the operation procedure, and adverse effects caused by the head-mounted display. Fifteen nurses were eligible for the analysis. The intraoperative use of the head-mounted display could help scrub nurses to understand the surgical procedure and to hand out the instruments for the operation with no major head-mounted-display wear-related adverse event. This novel approach to support scrub nurses will help facilitate technical and nontechnical skills during surgery.

  14. Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical unit. (United States)

    Watkins, Terri; Whisman, Lynn; Booker, Pamela


    Evaluate continuous vital sign surveillance as a tool to improve patient safety in the medical/surgical unit. Failure-to-rescue is an important measure of hospital quality. Patient deterioration is often preceded by changes in vital signs. However, continuous multi-parameter vital sign monitoring may decrease patient safety with an abundance of unnecessary alarms. Prospective observational study at two geographically disperse hospitals in a single hospital system. A multi-parameter vital sign monitoring system was installed in a medical/surgical unit in Utah and one in Alabama providing continuous display of SpO2, heart rate, blood pressure and respiration rate on a central station. Alarm thresholds and time to alert annunciations were set based on prior analysis of the distribution of each vital sign. At the end of 4 weeks, nurses completed a survey on their experience. An average alert per patient, per day was determined retrospectively from the saved vital signs data and knowledge of the alarm settings. Ninety-two per cent of the nurses agreed that the number of alarms and alerts were appropriate; 54% strongly agreed. On average, both units experienced 10·8 alarms per patient, per day. One hundred per cent agreed the monitor provided valuable patient data that increased patient safety; 79% strongly agreed. Continuous, multi-parameter patient monitoring could be performed on medical/surgical units with a small and appropriate level of alarms. Continuous vital sign assessment may have initiated nursing interventions that prevented failure-to-rescue events. Nurses surveyed unanimously agreed that continuous vital sign surveillance will help enhance patient safety. Nursing response to abnormal vital signs is one of the most important levers in patient safety, by providing timely recognition of early clinical deterioration. This occurs through diligent nursing surveillance, involving assessment, interpretation of data, recognition of a problem and meaningful

  15. Video-based self-assessment: implementation and evaluation in an undergraduate nursing course. (United States)

    Yoo, M S; Son, Y J; Kim, Y S; Park, J H


    This research was performed to investigate the effects of video-based self-assessment on the ability of nursing students to accurately measure vital signs, their communication skills, and their satisfaction. This research was conducted between March 2007 and June 2007 as a quasi-experimental control-group, pretest-posttest design. The study population was composed of 40 second-year student nurses who enrolled in a fundamentals of nursing course of a college of nursing, Ajou University in Korea. Results of the research indicate that there was a statistically significant difference in exam scores for assessing long-term memory video-review group demonstrating higher scores. Student satisfaction was also significantly higher in the video-review group than in the control group. These results may suggest video-based self-assessment is a beneficial and effective instructional method of training undergraduate nursing students to develop awareness of their strengths and weaknesses, and to improve their clinical and communication skills.

  16. Development, implementation, and effects of an integrated web-based teaching model in a nursing ethics course. (United States)

    Chao, S-Y; Chang, Y-C; Yang, S C; Clark, M J


    Ethical competence, which is reflected in the ability to detect ethical challenges in clinical situations and engage in deliberate thinking on ethical actions, is one of the core competencies of nursing practice. The purpose of this study was to develop and implement an interactive situational e-learning system, integrating nursing ethical decisions into a nursing ethics course, and to evaluate the effects of this course on student nurses' ethical decision-making competence. The project was designed to be carried out in two phases. In the first phase, an interactive situated e-learning system was developed and integrated into the nursing ethics course. The second phase involved implementing the course and evaluating its effects in a quasi-experimental study. The course intervention was designed for 2h per week over one semester (18weeks). A total of 100 two-year technical college nursing students in their second year of the program participated in the study, with 51 in the experimental group and 49 in the control group. After completing the course, the students in the experimental group showed significant improvement in nursing ethical decision-making competence, including skills in "raising questions," "recognizing differences," "comparing differences," "self-dialogue," "taking action," and "identifying the implications of decisions made," compared to their performance prior to the class. After controlling for factors influencing learning effects, students in the experimental group showed superiority to those in the control group in the competency of "recognizing differences." The students in the experimental group reported that the course pushed them to search for and collect information needed to resolve the ethical dilemma. The interactive situational e-learning system developed by our project was helpful in developing the students' competence in ethical reasoning. The e-learning system and the situational teaching materials used in this study may be applicable

  17. Compassion fatigue, moral distress, and work engagement in surgical intensive care unit trauma nurses: a pilot study. (United States)

    Mason, Virginia M; Leslie, Gail; Clark, Kathleen; Lyons, Pat; Walke, Erica; Butler, Christina; Griffin, Martha


    Preparation for replacing the large proportion of staff nurses reaching retirement age in the next few decades in the United States is essential to continue delivering high-quality nursing care and improving patient outcomes. Retaining experienced critical care nurses is imperative to successfully implementing the orientation of new inexperienced critical care nurses. It is important to understand factors that affect work engagement to develop strategies that enhance nurse retention and improve the quality of patient care. Nurses' experience of moral distress has been measured in medical intensive care units but not in surgical trauma care units, where nurses are exposed to patients and families faced with sudden life-threatening, life-changing patient consequences.This pilot study is a nonexperimental, descriptive, correlational design to examine the effect of compassion satisfaction, compassion fatigue, moral distress, and level of nursing education on critical care nurses' work engagement. This is a partial replication of Lawrence's dissertation. The study also asked nurses to describe sources of moral distress and self-care strategies for coping with stress. This was used to identify qualitative themes about the nurse experiences. Jean Watson's theory of human caring serves as a framework to bring meaning and focus to the nursing-patient caring relationship.A convenience sample of 26 of 34 eligible experienced surgical intensive care unit trauma nurses responded to this survey, indicating a 77% response rate. Twenty-seven percent of the nurses scored high, and 73% scored average on compassion satisfaction. On compassion fatigue, 58% scored average on burnout and 42% scored low. On the secondary traumatic stress subscale, 38% scored average, and 62% scored low. The mean moral distress situations subscale score was 3.4, which is elevated. The mean 9-item Utrecht Work Engagement Scale total score, measuring work engagement, was 3.8, which is considered low

  18. Development of a multidisciplinary course in cultural competence for nursing and human service professions. (United States)

    Munoz, Cora C; DoBroka, Cheryl Conrad; Mohammad, Saleem


    A multidisciplinary teaching model was used to develop a pilot course for students in the human service professions of nursing, education, and social work to gain additional knowledge and skills in providing diverse clients with culturally appropriate services during field and clinical experiences. This article focuses on the process of developing a multidisciplinary course in cultural competence that is consistent with a university mission to prepare students for leadership and service in an increasingly diverse society. Using the theoretical framework of Campinha-Bacote's process of cultural competence and the six developmental stages of intercultural competence in Bennett's developmental model of intercultural sensitivity, the course content covered the five components of cultural awareness, cultural knowledge, cultural skills, cultural encounters, and cultural desire. Students' written reflections indicated growth in acquisition of cultural knowledge, skills, and desire. Faculty collaboration across disciplines included the benefits of an enriched knowledge base and shared scholarship.

  19. The effects of an online basic life support course on undergraduate nursing students' learning. (United States)

    Tobase, Lucia; Peres, Heloisa H C; Gianotto-Oliveira, Renan; Smith, Nicole; Polastri, Thatiane F; Timerman, Sergio


    To describe learning outcomes of undergraduate nursing students following an online basic life support course (BLS). An online BLS course was developed and administered to 94 nursing students. Pre- and post-tests were used to assess theoretical learning. Checklist simulations and feedback devices were used to assess the cardiopulmonary resuscitation (CPR) skills of the 62 students who completed the course. A paired t-test revealed a significant increase in learning [pre-test (6.4 ± 1.61), post-test (9.3 ± 0.82), p < 0.001]. The increase in the average grade after taking the online course was significant (p<0.001). No learning differences (p=0.475) had been observed between 1st and 2nd year (9.20 ± 1.60), and between 3rd and 4th year (9.67 ± 0.61) students. A CPR simulation was performed after completing the course: students checked for a response (90%), exposed the chest (98%), checked for breathing (97%), called emergency services (76%), requested for a defibrillator (92%), checked for a pulse (77%), positioned their hands properly (87%), performed 30 compressions/cycle (95%), performed compressions of at least 5 cm depth (89%), released the chest (90%), applied two breaths (97%), used the automated external defibrillator (97%), and positioned the pads (100%). The online course was an effective method for teaching and learning key BLS skills wherein students were able to accurately apply BLS procedures during the CPR simulation. This short-term online training, which likely improves learning and self-efficacy in BLS providers, can be used for the continuing education of health professionals.

  20. Design and implementation of a proficiency-based, structured endoscopy course for medical students applying for a surgical specialty

    Directory of Open Access Journals (Sweden)

    De Win G


    Full Text Available Gunter De Win,1,2 Siska Van Bruwaene,1 Christopher Allen,3 Dirk De Ridder2 1Centre for Surgical Technologies, 2Department of Urology, University Hospitals, KU Leuven, Leuven, Belgium; 3School of Arts and Sciences, University of Pennsylvania, PA, USA Background: Surgical simulation is becoming increasingly important in surgical education. Despite the important work done on simulators, simulator model development, and simulator assessment methodologies, there is a need for development of integrated simulators in the curriculum. In this paper, we describe the design of our evidence-based preclinical training program for medical students applying for a surgical career at the Centre for Surgical Technologies. Methods: Twenty-two students participated in this training program. During their final months as medical students, they received structured, proficiency-based endoscopy training. The total amount of mentored training was 18 hours and the training was organized into three training blocks. The first block focused on psychomotor training, the second block focused on laparoscopic stitching and suturing, and the third block on laparoscopic dissection techniques and hemostasis. Deliberate practice was allowed and students had to show proficiency before proceeding to the next training block. Students’ psychomotor abilities were tested before the course and after each training block. At the beginning of their careers as surgical registrars, their performance on a laparoscopic suturing task was compared with that of registrars from the previous year who did not have this training course. Student opinions about this course were evaluated using a visual analog scale. Results: All students rated the training course as useful and their psychomotor abilities improved markedly. All students performed deliberate practice, and those who participated in this course scored significantly (P < 0.0001 better on the laparoscopic suturing task than first year

  1. Nursing: Registered Nurses (United States)

    ... a diploma from an approved nursing program. Registered nurses also must be licensed. Education In all nursing education programs, students take courses in anatomy, physiology, microbiology, chemistry, nutrition, psychology, and other social and ...

  2. Impact of an Interprofessional Communication Course on Nursing, Medical, and Pharmacy Students’ Communication Skill Self-Efficacy Beliefs



    Objective. To describe an interprofessional communication course in an academic health sciences center and to evaluate and compare interpersonal and interprofessional communication self-efficacy beliefs of medical, nursing, and pharmacy students before and after course participation, using Bandura’s self-efficacy theory as a guiding framework.

  3. Development of the Veterans Healthcare Administration (VHA) Ophthalmic Surgical Outcome Database (OSOD) project and the role of ophthalmic nurse reviewers. (United States)

    Lara-Smalling, Agueda; Cakiner-Egilmez, Tulay; Miller, Dawn; Redshirt, Ella; Williams, Dale


    Currently, ophthalmic surgical cases are not included in the Veterans Administration Surgical Quality Improvement Project data collection. Furthermore, there is no comprehensive protocol in the health system for prospectively measuring outcomes for eye surgery in terms of safety and quality. There are 400,000 operative cases in the system per year. Of those, 48,000 (12%) are ophthalmic surgical cases, with 85% (41,000) of those being cataract cases. The Ophthalmic Surgical Outcome Database Pilot Project was developed to incorporate ophthalmology into VASQIP, thus evaluating risk factors and improving cataract surgical outcomes. Nurse reviewers facilitate the monitoring and measuring of these outcomes. Since its inception in 1778, the Veterans Administration (VA) Health System has provided comprehensive healthcare to millions of deserving veterans throughout the U.S. and its territories. Historically, the quality of healthcare provided by the VA has been the main focus of discussion because it did not meet a standard of care comparable to that of the private sector. Information regarding quality of healthcare services and outcomes data had been unavailable until 1986, when Congress mandated the VA to compare its surgical outcomes to those of the private sector (PL-99-166). 1 Risk adjustment of VA surgical outcomes began in 1987 with the Continuous Improvement in Cardiac Surgery Program (CICSP) in which cardiac surgical outcomes were reported and evaluated. 2 Between 1991 and 1993, the National VA Surgical Risk Study (NVASRS) initiated a validated risk-adjustment model for predicting surgical outcomes and comparative assessment of the quality of surgical care in 44 VA medical centers. 3 The success of NVASRS encouraged the VA to establish an ongoing program for monitoring and improving the quality of surgical care, thus developing the National Surgical Quality Improvement Program (NSQIP) in 1994. 4 According to a prospective study conducted between 1991-1997 in 123

  4. Nursing students’ experiences, perceptions and behavior in a flipped-classroom anatomy and physiology course

    DEFF Research Database (Denmark)

    Mikkelsen, Thomas Raundahl


    Objective: The aim of this study was to explore nursing students’ experiences, perceptions and behavior during a course on kidney and urinary system anatomy and physiology designed according to the flipped-classroom approach. In flipped-classroom teaching, students prepare for class by engaging...... with teacher-produced learning material, typically videos. This frees up time in class, which can instead be spent on various student-centered, active-learning activities. Only very few studies on the use of flipped classroom in nursing education have been published. Methods: Videos and active...... believed that the videos were better than face-to-face lectures with regard to learning outcome, 56% felt they were of equal benefit, and only 18% benefited most from face-to-face lectures. Only a small minority (18%) preferred traditional teaching over flipped classroom teaching, 41% preferred flipped...

  5. The successful use of problem-based learning in an online nurse practitioner course. (United States)

    Rounds, Linda R; Rappaport, Bethany A


    The development of technology and online education has opened the door to creative use of new and existing teaching methodologies. The authors describe how they used problem-based learning in an online course as a method for teaching clinical decision making to nurse practitioner students. The close match between problem-based learning and the characteristics of adult learners and successful distance learners is outlined as support for use of this methodology. In addition, the authors describe the challenges, rewards, and lessons learned in this innovative approach to online education.

  6. A pilot program to improve nursing and surgical intern collaboration: Lessons learned from a mixed-methods study. (United States)

    Raparla, Neha; Davis, Diane; Shumaker, Daria; Kumar, Anagha; Hafiz, Shabnam; Sava, Jack; Adams, Katie; Fitzgibbons, Shimae C


    Inter-professional collaboration is an integral component of a successful healthcare team. We sought to evaluate the impact of nursing student participation in a one-day intensive inter-professional education (IPE) training session with surgical interns on participant attitudes toward inter-professional collaboration. Following IRB approval, pre and post IPE session survey responses were compared to determine the impact on participant attitudes toward inter-professional collaboration. Pre and post session semi-structured interviews were transcribed and analyzed to identify relevant themes. Surgical interns (n = 38) more than nursing students (n = 11), demonstrated a measurable improvement in attitude towards 'collaboration and shared education' (interns: median score pre = 26, post = 28, p = 0.0004; nursing student: median score pre = 27, post = 28, p = 0.02). Qualitative analysis of interviews identified major themes that supplemented this finding. An eight hour, one day IPE session has a positive impact on collaborative attitudes and supports the case for increased inter-professional education amongst interns and nursing students. Copyright © 2016 Elsevier Inc. All rights reserved.

  7. Development of the Basic Knowledge Assessment Tool for Medical-Surgical Nursing (MED-SURG BKAT) © and implications for in-service educators and managers. (United States)

    Toth, Jean


    BACKGROUND OF THE PROBLEM: Medical-surgical nursing is now the largest specialty in acute care, and needs an objective measure of basic knowledge necessary to provide safe care to patients. The Joint Commission on Accreditation of Healthcare Organizations noted that healthcare organizations have in the past relied on education and experience to support competence, but an increasing number are seeking objective measures of a nurse's knowledge that is required for safe practice. The American Nurses Association adds that safe practice is both a professional and a moral responsibility. A review of the literature failed to locate a standardized test of basic knowledge in medical-surgical nursing. In-service educators and managers need such a test to facilitate orientation programs, and as a way to safely decrease the length of orientation for new employees with previous experience in medical-surgical nursing. The purpose of the study was to develop a valid and reliable test to measure basic knowledge in medical-surgical nursing. The Basic Knowledge Assessment Tool for Medical-Surgical nursing was developed with support for its validity and reliability. © 2011 Wiley Periodicals, Inc.

  8. Nurse Level of Education, Quality of Care and Patient Safety in the Medical and Surgical Wards in Malaysian Private Hospitals: A Cross-sectional Study. (United States)

    Abdul Rahman, Hamzah; Jarrar, Mu'taman; Don, Mohammad Sobri


    Nursing knowledge and skills are required to sustain quality of care and patient safety. The numbers of nurses with Bachelor degrees in Malaysia are very limited. This study aims to predict the impact of nurse level of education on quality of care and patient safety in the medical and surgical wards in Malaysian private hospitals. A cross-sectional survey by questionnaire was conducted. A total 652 nurses working in the medical and surgical wards in 12 private hospitals were participated in the study. Multistage stratified simple random sampling performed to invite nurses working in small size (less than 100 beds), medium size (100-199 beds) and large size (over than 200) hospitals to participate in the study. This allowed nurses from all shifts to participate in this study. Nurses with higher education were not significantly associated with both quality of care and patient safety. However, a total 355 (60.9%) of respondents participated in this study were working in teaching hospitals. Teaching hospitals offer training for all newly appointed staff. They also provide general orientation programs and training to outline the policies, procedures of the nurses' roles and responsibilities. This made the variances between the Bachelor and Diploma nurses not significantly associated with the outcomes of care. Nursing educational level was not associated with the outcomes of care in Malaysian private hospitals. However, training programs and the general nursing orientation programs for nurses in Malaysia can help to upgrade the Diploma-level nurses. Training programs can increase their self confidence, knowledge, critical thinking ability and improve their interpersonal skills. So, it can be concluded that better education and training for a medical and surgical wards' nurses is required for satisfying client expectations and sustaining the outcomes of patient care.

  9. Impact of a stand-alone course in gerontological nursing on undergraduate nursing students' perceptions of working with older adults: A Quasi-experimental study. (United States)

    Koehler, Amy Reitmaier; Davies, Susan; Smith, Linda Reveling; Hooks, Tisha; Schanke, Hailee; Loeffler, April; Carr, Courtney; Ratzlaff, Nicole


    With an aging population, it is critical that nurses are educated and prepared to offer quality healthcare to this client group. Incorporating gerontology content into nursing curricula and addressing students' perceptions and career choices in relation to working with older adults are important faculty concerns. To examine the impact of a stand-alone course in gerontological nursing on undergraduate nursing students' perceptions of working with older adults and career intentions. Quasi-experimental, pre- and post-test design. Medium-sized state university in the Mid Western United States PARTICIPANTS: Data were collected from three student cohorts during the spring semesters of 2012 (n=98), 2013 (n=80) and 2014 (n=88) for a total of N=266 with an average response rate of 85%. A survey instrument was administered via Qualtrics and completed by students prior to, and following completion of the course. There was an overall significant increase (p=0.000) in positive perceptions of working with older adults among nursing students following completion of the course. The majority of participants (83.5%) reported having previous experience with older adults. Those with previous experience had higher perception scores at pre-test than those without (p=0.000). Post-test scores showed no significant difference between these two groups, with both groups having increased perception scores (p=0.120). Student preferences for working with different age groups suggested an overall increase in preference for working with older adults following the course. A course in gerontological nursing, incorporating learning partnerships with community dwelling older adults, promotes positive perceptions of working with older adults, independently of the quality of prior experience. There was some evidence that students changed their preferences of working with different age groups in favor of working with older adults. Further research should be conducted to determine the mechanisms through

  10. Partnering to meet training needs: a communicable-disease continuing education course for public health nurses in North Carolina. (United States)

    Alexander, Lorraine K; Dail, Kathy; Horney, Jennifer A; Davis, Mary V; Wallace, John W; Maillard, Jean-Marie; MacDonald, Pia


    In 2004, the General Communicable Disease Control Branch of the North Carolina Division of Public Health and the North Carolina Center for Public Health Preparedness partnered to create a free continuing education course in communicable-disease surveillance and outbreak investigations for public health nurses. The course was a competency-based curriculum with 14 weeks of Internet-based instruction, culminating in a two-day classroom-based skills demonstration. In spring 2006, the course became mandatory for all public health nurses who spend at least three-fourths of their time on tasks related to communicable diseases. As of December 2006, 177 nurses specializing in communicable diseases from 74 North Carolina counties had completed the course. Evaluations indicated that participants showed statistically significant improvements in self-perceived confidence to perform competencies addressed by the course. This course has become a successful model that combines academic expertise in curriculum development and teaching technologies with practical expertise in course content and audience needs. Through a combination of Internet and classroom instruction, this course has delivered competency-based training to the public health professionals who perform as frontline epidemiologists throughout North Carolina.

  11. The comprehensive examination: a viable master's of science in nursing capstone course. (United States)

    Oehrtman, Sandra Jean; Smolen, Dianne; Hoblet, Karen; Phillips, Kelly A


    The purpose of this article was to describe the process of how The University of Toledo College of Nursing developed the comprehensive examination as one capstone option to fulfill the requirements of a master's of science in nursing degree. Based on Keating's frame factors model, a review of existing literature, and an informal review of master's programs in nursing in the geographic area, an assessment was made of the viability of offering a comprehensive examination as a capstone experience. Increased student enrollment, need for flexible courses, faculty and student demographics, and institutional and national accreditation requirements were some of the factors that led to the decision to develop a comprehensive examination as a capstone option. The comprehensive examination has proven to be an educationally sound capstone option that was different from the traditional thesis or scholarly project. Benefits of the comprehensive examination have included increased faculty collegiality in writing and reading questions and answers, student satisfaction as evidenced by their evaluative written and verbal comments, and improved utilization of faculty related to workload and overall resources.

  12. Digital resources for nursing education: Open courseware and massive open online courses

    Directory of Open Access Journals (Sweden)

    Valerie Swigart


    Full Text Available Open Courseware (OCW and massive open online courses (MOOCs are teaching and learning resources that are easily accessible to anyone with an Internet connection. OCW is digitally published learning content including full and partial courses (syllabi, outlines, lectures in pdf or video, slides, reference lists, etc., simulations, animations, tutorials, drills and practices, modules, podcasts, case studies, and quizzes. This content is free and can be adopted or adapted to the user's needs. MOOCs are online learning experiences taught by university professors using conventional educational tools including video lectures, interactive modules, assignments, study materials, discussion boards, quizzes and tests. MOOCs are offered free or at low cost for personal and professional learning, and as a supplement to classroom teaching. Many MOOCs and OCW focus on topics of interest to nursing, particularly to nurse educators. This article provides the reader with a brief history of the development of OCW and MOOCs, conceptual descriptions, and guidance about how to access and use these new online resources.

  13. Nursing students' attendance at learning activities in relation to attainment and passing courses: A prospective quantitative study. (United States)

    Rejnö, Åsa; Nordin, Per; Forsgren, Susanne; Sundell, Yvonne; Rudolfsson, Gudrun


    Students' motivation and ways of engaging in their schoolwork are important for their performance, including passing exams. Attendance at learning activities has also been argued to be of major importance, although no causal relationship with passing exams has been established in nursing education. The aim of this study was to describe the impact of attendance at nonmandatory learning activities on attainment, in terms of passing or failing of exams, in nursing education courses including both mandatory and non-mandatory activities. A prospective quantitative design. The nursing education programme at a Swedish university. Nursing students (n=361) from two courses and four classes within the nursing programme. Attendance was registered at every non-mandatory teaching activity by asking the students to note their attendance on a list. Data such as sex, age, and whether the students had passed the exam were also collected for each course and each semester separately. Increased participation was associated with an increasing proportion of students passing the exam. The chance of passing the exam increased by 13% for every additional learning occasion attended. Logistic regression showed an OR of 5.4 for an attendance of 100%. An increase in attendance gave a higher proportion of exam passes. Encouraging students to attend non-mandatory learning activities could be of value, and potentially contribute to an increased graduation rate for nursing students. Copyright © 2016 Elsevier Ltd. All rights reserved.

  14. New type of anaesthesia with sevofluran improves surgical and post-surgical course of burns treatment (IGA 6116/2). (United States)

    Málek, J; Simánková, E; Jandová, J; Broz, L


    The objectives of this open-perspective clinical study were to test the effect of a new type of anaesthesia using sevofluran during surgical treatment of patients with burns, and to compare it with that of ketamin, at present the most frequently used anaesthetic. The study, conceived as a pilot study, was performed on 10 paediatric and 8 adult patients with 2nd degree burns covering between 7% and 35% of body surface. Owing to highly significant differences in parameters in favour of sevofluran, it was recommended by our ethical committee not to increase the number of patients. The parameters considered were ease of induction, undesirable effects, span of time before oral administration of liquids. Daily uptake of energy was measured for both types of anaesthetics in another group of 10 patients. In adult patients the two anaesthetics, ketamin versus sevofluran, differed in terms of incidence of unrest during surgery (ketamin 50% vs. sevofluran 0%, p ketamin (1645 kJ higher on the average, p < 0.05). Based on these results, sevofluran was introduced to burns surgery as a routine anaesthetic.

  15. Evaluating a nursing communication skills training course: The relationships between self-rated ability, satisfaction, and actual performance. (United States)

    Mullan, Barbara A; Kothe, Emily J


    Effective communication is a vital component of nursing care, however, nurses often lack the skills to communicate with patients, carers and other health care professionals. Communication skills training programs are frequently used to develop these skills. However, there is a paucity of data on how best to evaluate such courses. The aim of the current study was to evaluate the relationship between student self rating of their own ability and their satisfaction with a nurse training course as compared with an objective measure of communication skills. 209 first year nursing students completed a communication skills program. Both qualitative and quantitative data were collected and associations between measures were investigated. Paired samples t-tests showed significant improvement in self-rated ability over the course of the program. Students generally were very satisfied with the course which was reflected in both qualitative and quantitative measures. However, neither self-rated ability nor satisfaction was significantly correlated with the objective measure of performance, but self-rated ability and satisfaction were highly correlated with one another. The importance of these findings is discussed and implications for nurse education are proposed.

  16. Class size as related to the use of technology, educational practices, and outcomes in Web-based nursing courses. (United States)

    Burruss, Nancy M; Billings, Diane M; Brownrigg, Vicki; Skiba, Diane J; Connors, Helen R


    With the expanding numbers of nursing students enrolled in Web-based courses and the shortage of faculty, class sizes are increasing. This exploratory descriptive study examined class size in relation to the use of technology and to particular educational practices and outcomes. The sample consisted of undergraduate (n = 265) and graduate (n = 863) students enrolled in fully Web-based nursing courses. The Evaluating Educational Uses of Web-based Courses in Nursing survey (Billings, D., Connors, H., Skiba, D. (2001). Benchmarking best practices in Web-based nursing courses. Advances in Nursing Science, 23, 41--52) and the Social Presence Scale (Gunawardena, C. N., Zittle, F. J. (1997). Social presence as a predictor of satisfaction within a computer-mediated conferencing environment. The American Journal of Distance Education, 11, 9-26.) were used to gather data about the study variables. Class sizes were defined as very small (1 to 10 students), small (11 to 20 students), medium (21 to 30 students), large (31 to 40 students), and very large (41 students and above). Descriptive and inferential statistics were used to analyze the data. There were significant differences by class size in students' perceptions of active participation in learning, student-faculty interaction, peer interaction, and connectedness. Some differences by class size between undergraduate and graduate students were also found, and these require further study.

  17. The Impact of a Reflective Thinking Intervention on Nursing Students in a Child and Family Nursing Course (United States)

    Becherer, Vicky H.


    With the ever-changing healthcare systems, nursing students need to think at a high level by applying their knowledge from theory to the clinical setting by prioritizing, delegating, and problem solving to provide safe, competent, quality nursing care. Using action research, nursing students participated in R.A.V.E. (Reflective Thinking Allows…

  18. The Impact of a Reflective Thinking Intervention on Nursing Students in a Child and Family Nursing Course (United States)

    Becherer, Vicky H.


    With the ever-changing healthcare systems, nursing students need to think at a high level by applying their knowledge from theory to the clinical setting by prioritizing, delegating, and problem solving to provide safe, competent, quality nursing care. Using action research, nursing students participated in R.A.V.E. (Reflective Thinking Allows…

  19. Development and evaluation of a learner-centered training course on communication skills for baccalaureate nursing students. (United States)

    Lau, Ying; Wang, Wenru


    There is no standardized or formal communication skills training in the current nursing curriculum in Macao, China. To develop and evaluate a learner-centered communication skills training course. Both qualitative and quantitative designs were used in two separate stages. A randomized sample and a convenience sample were taken from students on a four-year bachelor's degree program at a public institute in Macao. Stage I consisted of developing a learner-centered communication skills training course using four focus groups (n=32). Stage II evaluated the training's efficacy by comparing communication skills, clinical interaction, interpersonal dysfunction, and social problem-solving abilities using a quasi-experimental longitudinal pre-post design among 62 nursing students. A course evaluation form was also used. Content analysis was used to evaluate the essential themes in order to develop the specific content and teaching strategies of the course. Paired t-tests and Wilcoxon signed-rank tests showed significant improvement in all post-training scores for communication ability, content of communication, and handling of communication barriers. According to the mean scores of the course evaluation form, students were generally very satisfied with the course: 6.11 to 6.74 on a scale of 1 to 7. This study showed that the course was effective in improving communication skills, especially in terms of the content and the handling of communication barriers. The course filled an important gap in the training needs of nursing students in Macao. The importance of these findings and their implications for nursing education are discussed. Copyright © 2013 Elsevier Ltd. All rights reserved.

  20. Faculty teaching time: a comparison of web-based and face-to-face graduate nursing courses. (United States)

    Andersen, Katherine M; Avery, Melissa D


    Web-based education brings a new dimension to the issue of measuring faculty workload. Current literature reflects instructor concerns related to the time required to teach web-based courses (McAlpine, Lockerbie, Ramsay & Beaman 2002; Sellani & Harrington, 2002; Smith, Ferguson & Caris, 2001). This descriptive, comparative study seeks to determine the time required to teach web-based graduate nursing courses and compare that to teaching similar courses in the face-to-face setting. Utilizing time records previously collected as part of a federally funded grant, data from 11 web-based and five face-to-face graduate level nursing courses were analyzed. Although a statistically significant difference in teaching time requirements was not demonstrated, several interesting trends did appear. Examples include differences related to preparation time and the division of teacher time while teaching web-based as opposed to face-to-face courses. Future research and continued data collection related to faculty workload and time usage will be needed as web-based courses become a growing part of graduate nursing education.

  1. Perceived stress and coping strategies among Jordanian nursing students during clinical practice in psychiatric/mental health courses. (United States)

    Al-Zayyat, Abdulkarim Subhi; Al-Gamal, Ekhlas


    Clinical practice in the psychiatric/mental health nursing (PMHN) field is considered a highly-stressful experience for nursing students. The purpose of the present study was to identify the degrees of stress, the types of stressors, and coping strategies perceived by undergraduate nursing students during their clinical practice in PMHN courses. A descriptive, longitudinal design was used. Sixty-five students registered in PMHN clinical courses were recruited from five Jordanian universities using a systematic random-sampling method. Data collection was conducted in the second semester of the 2012-2013 academic year at two points of time: pre-PMHN clinical training and post-PMHN training. The Basic Information Questionnaire, Perceived Stress Scale, and Coping Behavior Inventory were administered. Students' ages ranged from 20 to 25 years. The findings illustrate that the highest reported types of stressors at both data-collection times were taking care of patients, stress related to teachers and nursing staff, and from assignments and workloads. The most utilized coping strategy at both data-collection times was problem solving. The findings of the present study are useful for clinical educators in identifying nursing students' stressors, easing their learning in the clinical setting, and establishing an efficient PMHN course programme.

  2. Respect for privacy by nurses from the perspective of the elderly hospitalized in internal and surgical wards

    Directory of Open Access Journals (Sweden)

    Marzieh Zihaghi


    Full Text Available Background: Respect for privacy is the right of all patients, including the elderly, and lack of respect for patients could be associated with increased anxiety, stress, lack of confidence in hospital personnel, refusal of physical examination, and impaired recovery. This study aimed to evaluate respect for privacy by nurses from the perspective of the elderly hospitalized in internal and surgical wards. Methods: This cross-sectional study was conducted on the elderly hospitalized in internal and surgical wards of hospitals affiliated to Zahedan University of Medical Sciences, Zahedan, Iran, in 2015. In total, 132 patients were selected through convenience sampling. Data was collected using the researcher-made questionnaire of respect for privacy, reliability and validity of which were confirmed. Data analysis was performed in SPSS, version 16, using descriptive statistics, Mann-Whitney U tests, and Spearman’s correlation coefficient. Results: In this study, mean score of respect for privacy of patients by nurses was favorable in 70.4% of the cases. In terms of physical and psycho-social dimensions of privacy, 81.1% and 73.4% of the cases were at an acceptable level, respectively. Regarding information dimension of privacy, 84.8% of the cases were at a moderate level. A higher level of respect for privacy was reported by elderly female patients (104.24±13.7, compared to male elderlies (109.13±60.62; P=0.013. Moreover, a negative significant correlation was observed between age of the elderly and respect for privacy by nurses (P<0.001, r=-0.37. Conclusion: According to the results of this study, respect for the elderly was reported to be at a favorable level for physical and psycho-social dimensions. Nevertheless, information dimension of privacy was not acceptable. Therefore, it is recommended that necessary educational programs be performed for nurses.

  3. [Digital educational materials in nursing: assessment by professors from an undergraduate course]. (United States)

    Cogo, Ana Luísa Petersen; Pedro, Eva Néri Rubim; da Silva, Ana Paula Scheffer Schell; Schatkoski, Aline Modelski; Catalan, Vanessa Menezes; Alves, Rosa Helena Kreutz


    This study addresses the use of digital learning materials in the format of hypertext, educational games and simulations about oxygen therapy with professors of an Undergraduate Nursing Course. It is a cross-sectional exploratory study that was carried out at the Federal University of Rio Grande do Sul in 2006 with 10 intentionally selected professors. Data collection was performed by means of a questionnaire, using a Likert scale to assess the suitability of the content, visual presentation and use of learning materials. Descriptive statistics was used to organize and process the data. Results showed that the professors approved of the presentation of educational materials, they agreed with the suitability of the contents presented and with using the materials with the content regarding oxygen therapy. There was no significant relation between the professors' opinion and their age group, nor with their computer technology knowledge, their time in teaching and the addressed contents.

  4. Students in a nurse technician course and their motivation for working in the field

    Directory of Open Access Journals (Sweden)

    Maria José Sanches Marin


    Full Text Available The present study aims at analyzing the motivations of students in a nurse technician course for working in the health field. It is an exploratory study conducted with 18 students at a high school institution, through an open-ended questionnaire about their motivations for working in the field. The data were analyzed using the thematic analysis technique. The interviewees indicate that their motivation for such work is due to the feeling of accomplishment and professional responsibility, as well as external incentives. On the other hand, they point to the lack of options for reaching higher professional levels and the personal fatigue of being exposed to suffering. Thus, they experience both suffering and pleasure. Based on these findings, it is important to adopt measures to incentivize their professional development and improve working conditions. doi: 10.5216/ree.v16i2.20827.

  5. The use of portfólios in university pedagogy: a experience in nursing courses

    Directory of Open Access Journals (Sweden)

    Mara Regina Lemes de Sordi


    Full Text Available The experience of building a matrix for analysing portfolios in a course of study with a Bachelor's Degree in Nursing is described, highlighting multiple and mutual learnings of the process. One of the challenges is to potentiate the portfolios use, avoiding that it suffers from a subjectivism that hampers the existence of a dialogue between student and teacher which needs evidence, as without which the educational dimension of assessment is weakened. The study systematizes principles which guarantee a logic of innovative assessment constituting itself as an educational resource for both teachers and students involved in the process, thus contributing to the exercise of reflection upon the compiled and produced material in the portfolio.

  6. Portable Video Media Versus Standard Verbal Communication in Surgical Information Delivery to Nurses: A Prospective Multicenter, Randomized Controlled Crossover Trial. (United States)

    Kam, Jonathan; Ainsworth, Hannah; Handmer, Marcus; Louie-Johnsun, Mark; Winter, Matthew


    Continuing education of health professionals is important for delivery of quality health care. Surgical nurses are often required to understand surgical procedures. Nurses need to be aware of the expected outcomes and recognize potential complications of such procedures during their daily work. Traditional educational methods, such as conferences and tutorials or informal education at the bedside, have many drawbacks for delivery of this information in a universal, standardized, and timely manner. The rapid uptake of portable media devices makes portable video media (PVM) a potential alternative to current educational methods. To compare PVM to standard verbal communication (SVC) for surgical information delivery and educational training for nurses and evaluate its impact on knowledge acquisition and participant satisfaction. Prospective, multicenter, randomized controlled crossover trial. Two hospitals: Gosford District Hospital and Wyong Hospital. Seventy-two nursing staff (36 at each site). Information delivery via PVM--7-minute video compared to information delivered via SVC. Knowledge acquisition was measured by a 32-point questionnaire, and satisfaction with the method of education delivery was measured using the validated Client Satisfaction Questionnaire (CSQ-8). Knowledge acquisition was higher via PVM compared to SVC 25.9 (95% confidence interval [CI] 25.2-26.6) versus 24.3 (95% CI 23.5-25.1), p = .004. Participant satisfaction was higher with PVM 29.5 (95% CI 28.3-30.7) versus 26.5 (95% CI 25.1-27.9), p = .003. Following information delivery via SVC, participants had a 6% increase in knowledge scores, 24.3 (95% CI 23.5-25.1) versus 25.7 (95% CI 24.9-26.5) p = .001, and a 13% increase in satisfaction scores, 26.5 (95% CI 25.1-27.9) versus 29.9 (95% CI 28.8-31.0) p information delivery via PVM. PVM provides a novel method for providing education to nurses that improves knowledge retention and satisfaction with the educational process. © 2016 Sigma Theta

  7. Online teaching and learning in a graduate course In nursing education

    Directory of Open Access Journals (Sweden)

    NS Gwele


    Full Text Available Information technology has a potential to be the answer to one of Africa’s most pressing problems- providing education to a number of geographically dispersed learners, who currently have to leave their countries for a number of years in order to pursue their studies elsewhere. The School of Nursing at the University of Natal launched an online graduate course in nursing education at the beginning of the year 2000 for the first time as part of a masters degree programme. A number of lessons have been learned from this experience. Firstly, it took too long to arrive at ‘closure’ on discussion of any one particular theme. There seemed to be a perpetual feeling of never “completing” teaching/learning tasks. Ordinarily, in a face-to-face (f2f classroom, a particular theme or topic is scheduled for a particular lecture period. More often than not, whether clarity and/or resolution has been attained, the discussion moves on to the next theme, or topic. This has not been easy to do in computer mediated communication (CMC. The students’ contributions, however, seemed more thought out and more focused than had been the case in the f2f classes. Secondly, the essentiality/importance of structure became apparent very early. After an initial tentative and slow start, once the students felt comfortable with the computer “classroom” , the bulletin board was flooded with messages, necessitating re-thinking the original structure.

  8. The course of apraxia and ADL functioning in left hemisphere stroke patients treated in rehabilitation centres and nursing homes

    NARCIS (Netherlands)

    Donkervoort, Mireille; Dekker, Joost; Deelman, Bet-To


    Objective: To study the course of apraxia and daily life functioning ADL) in left hemisphere stroke patients with apraxia. Design: Prospective cohort study. Setting: Rehabilitation centres and nursing homes. Subjects: One hundred and eight left hemisphere stroke patients with apraxia, hospitalized i

  9. The course of apraxia and ADL functioning in left hemisphere stroke patients treated in rehabilitation centres and nursing homes.

    NARCIS (Netherlands)

    Donkervoort, M.; Dekker, J.; Deelman, B.


    OBJECTIVE: To study the course of apraxia and daily life functioning (ADL) in left hemisphere stroke patients with apraxia. DESIGN: Prospective cohort study. SETTING: Rehabilitation centres and nursing homes. SUBJECTS: One hundred and eight left hemisphere stroke patients with apraxia, hospitalized

  10. The effect of an e-learning course on nursing staff?s knowledge of delirium: a before-and-after study


    Van de Steeg, Lotte; IJkema, Roelie; Wagner, Cordula; Langelaan, Maaike


    Background Delirium is a common condition in hospitalized patients, associated with adverse outcomes such as longer hospital stay, functional decline and higher mortality, as well as higher rates of nursing home placement. Nurses often fail to recognize delirium in hospitalized patients, which might be due to a lack of knowledge of delirium diagnosis and treatment. The objective of the study was to test the effectiveness of an e-learning course on nurses? delirium knowledge, describe nursing ...

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

    Directory of Open Access Journals (Sweden)

    Huimin Xiao


    Conclusion: Surgical-medicine nursing, Community health care, Computer basics and clinical internships are beneficial in assisting students and educators to identify the risk of students' performance in the NQEX-RPN.

  12. Advances in Pediatric Surgical Education: A Critical Appraisal of Two Consecutive Minimally Invasive Pediatric Surgery Training Courses. (United States)

    Gause, Colin D; Hsiung, Grace; Schwab, Ben; Clifton, Matthew; Harmon, Carroll M; Barsness, Katherine A


    Mandates for improved patient safety and increasing work hour restrictions have resulted in changes in surgical education. Educational courses increasingly must meet those needs. We sought to determine the experience, skill level, and the impact of simulation-based education (SBE) on two cohorts of pediatric surgery trainees. After Institutional Review Board (IRB) exempt determination, a retrospective review was performed of evaluations for an annual advanced minimally invasive surgery (MIS) course over 2 consecutive years. The courses included didactic content and hands-on skills training. Simulation included neonatal/infant models for rigid bronchoscopy-airway foreign body retrieval, laparoscopic common bile duct exploration, and real tissue diaphragmatic hernia (DH), duodenal atresia (DA), pulmonary lobectomy, and tracheoesophageal fistula models. Categorical data were analyzed with chi-squared analyses with t-tests for continuous data. Participants had limited prior advanced neonatal MIS experience, with 1.95 ± 2.84 and 1.16 ± 1.54 prior cases in the 2014 and 2015 cohorts, respectively. The 2015 cohort had significantly less previous experience in lobectomy (P = .04) and overall advanced MIS (P = .007). Before both courses, a significant percentage of participants were not comfortable with DH repair (39%-42%), DA repair (50%-74%), lobectomy (34%-43%), and tracheoesophageal fistula repair (54%-81%). After course completion, > 60% of participants reported improvement in comfort with procedures and over 90% reported that the course significantly improved their perceived ability to perform each operation safely. Pediatric surgery trainees continue to have limited exposure to advanced MIS during clinical training. SBE results in significant improvement in both cognitive knowledge and trainee comfort with safe operative techniques for advanced MIS.

  13. Correlates of Stress and Coping among Jordanian Nursing Students during Clinical Practice in Psychiatric/Mental Health Course. (United States)

    Alzayyat, Abdulkarim; Al-Gamal, Ekhlas


    Training in psychiatric settings is stressful for nursing students. The purpose of this study was to examine the correlations between the students' characteristics, their stress degrees, stressors and types of coping strategies they experience during training in psychiatric course. A descriptive, correlational, longitudinal design was used. Sixty-five undergraduate nursing students were recruited randomly from five Jordanian universities. Self-report questionnaires were administered at the second semester of the 2012-2013 academic year. The findings showed that students who utilized avoidance or transference strategies reported high stress degrees. Moreover, the results showed that those students who were in the fourth year, with a low family income, who avoid extracurricular activities, with a low academic grade or who registered in other clinical course(s) reported high stress degrees. These findings present a worthy data for the clinical instructors that facilitate students training in psychiatric settings and promote their psychosocial well-being. Copyright © 2014 John Wiley & Sons, Ltd.

  14. Child Psychiatric Nursing Option. (United States)

    Koehler, Mary Frances


    Describes a course at the Indiana University School of Nursing which allows senior students in a baccalaureate nursing program to concentrate on emotionally disturbed children in an advanced nursing course. Discusses course philosophy, clinical experiences, and program results. (CT)

  15. Evaluation of self-regulatory online learning in a blended course for post-registration nursing students in Taiwan. (United States)

    Chen, Shu-Wen; Stocker, Joel; Wang, Ruey-Hsia; Chung, Yueh-Chin; Chen, Mei-Fang


    Online learning has become a common means of enhancing face-to-face classroom learning and is at the center of most collaborative, multimedia educational environments. There is some evidence that students' self-regulatory (SR) learning can be facilitated in a web-based learning environment, but studies of the effectiveness of self-directed online courses for post-registration nursing students have been few, and the results have been inconclusive. This study qualitatively examined the ways in which adding an online, asynchronous learning component to a nursing course might facilitate post-registration nursing students' self-regulatory learning. Learners' asynchronous communication on an online bulletin board comprised the qualitative dataset. Content related to their e-learning activities and experiences was extracted and generalized in order to examine the possible effects of this online interaction on SR learning. The themes that emerged indicated that students practiced SR learning skills through their online peer interaction. We propose several strategies for facilitating a self-regulatory learning environment based on these results from a course for post-registration nursing students in Taiwan.

  16. Exploring the relationships between teaching, approaches to learning and critical thinking in a problem-based learning foundation nursing course. (United States)

    Martyn, Julie; Terwijn, Ruth; Kek, Megan Y C A; Huijser, Henk


    Undergraduate nursing programmes are responsible for providing teaching and learning that develops students' knowledge, skills and attitudes in alignment with contemporary nursing standards and healthcare demands. Problem-based learning (PBL) as a pedagogy uses authentic artefacts reflecting real-world situations for students to practice problem-solving skills through collaboration with their peers. PBL was introduced in a foundation nursing course delivered in a regional university in Queensland, Australia. This paper presents the findings of a study exploring the relationships between nursing students' individual characteristics and perceptions of learning environments, teaching in PBL mode, approaches to learning, and critical thinking skill readiness. The study was guided by an ecological perspective designed to examine nursing students' ecological environments and the influences of those environments on their approaches to learning, and on critical thinking skill readiness. The results, through hierarchical linear modelling, revealed that aspects of the PBL approach to teaching influenced the approaches to learning students adopt, and thus their critical thinking skill readiness. Implications for teaching in undergraduate nursing programmes are discussed. Copyright © 2013 Elsevier Ltd. All rights reserved.

  17. Peer-to-peer nursing rounds and hospital-acquired pressure ulcer prevalence in a surgical intensive care unit: a quality improvement project. (United States)

    Kelleher, Alyson Dare; Moorer, Amanda; Makic, MaryBeth Flynn


    We conducted a quality improvement project in order to evaluate the effect of nurse-to-nurse bedside "rounding" as a strategy to decrease hospital-acquired pressure ulcers (HAPU) in a surgical intensive care unit. We instituted weekly peer-to-peer bedside skin rounds in a 17-bed surgical intensive care unit. Two nurses were identified as skin champions and trained by the hospital's certified WOC nurse to conduct skin rounds. The skin champion nurses conducted weekly peer-to-peer rounds that included discussions about key elements of our patients' skin status including current Braden Scale for Pressure Sore Risk score, and implementation of specific interventions related to subscale risk assessment. If a pressure ulcer was present, the current action plan was reevaluated for effectiveness. Quarterly HAPU prevalence studies were conducted from January 2008 to December 2010. Nineteen patients experienced a HAPU: 17 were located on the coccyx and 2 on the heel. Ten ulcers were classified as stage II, 3 PU were stage IV, 5 were deemed unstageable, and 1 was classified as a deep tissue injury. The frequency of preventive interventions rose during our quality improvement project. Specifically, the use of prevention surfaces increased 92%, repositioning increased 30%, nutrition interventions increased 77%, and moisture management increased 100%. Prior to focused nursing rounds, the highest HAPU prevalence rate was 27%. After implementing focused nursing rounds, HAPU rates trended down and were 0% for 3 consecutive quarters.

  18. Development and evaluation of the e-learning teaching materials for surgical nursing training. (United States)

    Matsuda, Yoshimi; Takeuchi, Tomiko; Takahashi, Yukiko; Ozawa, Kazuhiro; Nishimoto, Yutaka; Terauti, Hidemasa


    We investigated e-learning teaching materials with a questionnaire for 55 nursing students. Students thought the materials easy to use. In addition, the teaching materials which we developed gave them the confidence of thinking, "I can do it". We affect training by imaging a nursing procedure and think anxiety to training to be be relieved. However, load of PC became high in these teaching materials to display of two motion pictures simultaneously in one screen, so it would be necessary to produce the teaching materials considered transmission rate.

  19. Setting a course: a critical review of the literature on nurse leadership in Australia. (United States)

    Hurley, John; Hutchinson, Marie


    Nurse leadership capability that is constructed, nurtured and supported from pre-registration level into the mature career stages intuitively appears to offer benefit for all health stakeholders. Literature suggests such effective nurse leadership impacts positively on not only the quality of clinical care, but also the working environment in which nursing is conducted. Yet a coordinated strategic impetus to develop this leadership capability throughout the nursing profession in Australia remains elusive to quantify. Australia produces many outstanding nurse leaders despite this apparent lack of strategic direction, and yet perhaps due to this lack of cohesive direction nursing leadership is arguably not embedded within and across the culture of the profession; or within health organizations generally. This paper seeks to critically explore the recent literature on nursing leadership in Australia, and to highlight the necessity to strengthen leadership capability across the stratified layers of the nursing workforce.

  20. Capturing intergenerativity: the use of student reflective journals to identify learning within an undergraduate course in gerontological nursing. (United States)

    Davies, Susan M; Reitmaier, Amy B; Smith, Linda Reveling; Mangan-Danckwart, Deborah


    The benefits of intergenerational contact between older and young adults have been demonstrated; yet, nursing programs have underexplored the potential of such relationships for enhancing student learning. This article presents an analysis of student reflective journals as part of an evaluation of an undergraduate gerontological nursing course. The course aims to create positive learning experiences by involving older adults as partners in student learning. Older adults are recruited to receive visits from a designated student to share aspects of their life and experiences. Students write reflective journals based on these visits as a method of evaluating their learning. A framework analysis of 80 journals completed by 59 students identified four major themes representing the impact of these visits on student learning: becoming aware, making connections, seeing the unique person, and valuing intergenerational relationships. The analysis suggests the relevance of the concept of intergenerativity in illuminating shared benefits of the practicum experience.

  1. [Learning vein puncture using digital educational material in a Nursing Undergraduate Course]. (United States)

    da Silva, Ana Paula Scheffer Schell; Cogo, Ana Luisa Petersen


    This exploratory descriptive study aimed at assessing the performance of undergraduate students in the fourth year of the Nursing course to carry out a vein puncture technique with the support of three digital educational materials--hypertext, educational games, and simulations. The sample consisted of 37 students, who had studied the digital material in an IT laboratory and had carried out the procedure of peripheral vein puncture in training laboratory. Ten stages considered essential for the accomplishment of the procedure were observed, and an assessment form of the educational materials was analyzed. Thirty three (89.19%) subjects had never done vein puncture, and 27 (72.97%) correctly performed five or more stages of the procedure. As to visualizing and saving the educational materials in the computer, 12 (32.44%) and 15 (40.54%) students, respectively, said to have had some kind of difficulty. According to 91.90% of the students, the material aided their learning process, which demonstrates this learning tool can be explored and more frequently used.

  2. Implementation of the essential elements of service learning in three nursing courses. (United States)

    Bittle, Mary; Duggleby, Wendy; Ellison, Patty


    The students' creativity, enthusiasm, energy, and excellent planning skills made a tremendously positive impression on the community agencies that participated in this project. The students applied principles of: Epidemiology, including collecting meaningful descriptive data. Community and family intervention. Community partnerships. Leadership. Cultural competence. As students visited the homes of families of different ethnic and socioeconomic status than themselves, perhaps the most poignant outcome was the opportunity for students to experience cultural sensitivity, relativity, and accommodation-Implementing the essential elements of service learning provided the foundation for a successful service learning experience. It took the time, energy, and commitment of all involved, but the end result was an educational experience that benefited students, faculty, and the community. Service learning presents an effective, unique, and valuable means for nursing students to master the objectives of community health, leadership and management, and pediatrics courses, and to prepare to function in a health care environment that demands partnering with the community to use resources more effectively to promote public well-being.

  3. A pilot study on conducting mobile learning activities for clinical nursing courses based on the repertory grid approach. (United States)

    Wu, Po-Han; Hwang, Gwo-Jen; Tsai, Chin-Chung; Chen, Ya-Chun; Huang, Yueh-Min


    In clinical nursing courses, students are trained to identify the status of the target patients. The mastery of such ability and skills is very important since patients frequently need to be cared for immediately. In this pilot study, a repertory grid-oriented clinical mobile learning system is developed for a nursing training program. With the assistance of the mobile learning system, the nursing school students are able to learn in an authentic learning scenario, in which they can physically face the target patients, with the personal guidance and supplementary materials from the learning system to support them. To show the effectiveness of this innovative approach, an experiment has been conducted on the "respiratory system" unit of a nursing course. The experimental results show that the innovative approach is helpful to students in improving their learning achievements. Moreover, from the questionnaire surveys, it was found that most students showed favorable attitudes toward the usage of the mobile learning system and their participation in the training program. Copyright © 2010 Elsevier Ltd. All rights reserved.

  4. Study Weariness of Vocational College Students and Reform of the Teaching Mode in Nursing Basic Technology Course

    Institute of Scientific and Technical Information of China (English)

    Fei-Cheng Cai; Hai-Fang Xi


    Objective:As part of an investigation and analysis of the study weariness of nursing vocational college students,the authors attempted to reform the teaching mode of a Nursing Basic Technology course to solve the problem of study weariness in vocational college students.Methods:The authors designed student questionnaires to investigate study weariness in 128 nursing vocational college students.Results:Of the 128 students,58 were tired of study,accounting for 45.3%;40 students often had weariness,accounting for 31.3%;and 71 students had moderate or severe weariness,accounting for 55.5%.Seventy-five students played on their mobile phone when they were tired of studying.Conclusions:The study weariness of vocational college students is a common phenomenon that has been developing rapidly.There are many factors that cause study weariness of professional college students.The students believe that the traditional teaching method is the main reason for study weariness.Reform of the teaching mode in a Nursing Basic Technology course effectively solved the learning problems of vocational college students.Teaching experiments for reform may have marked effects,and they are worthy of promoting.

  5. The perceived benefits of belonging to an extra curricular group within a pre-registration nursing course. (United States)

    Gerrard, Sabina; Billington, John


    This study describes a qualitative research design that focuses on nursing students who were aligned to different extra-curricular groups (a student representative committee, a Nurses' Day Committee and a magazine editorial team) within the School of Health. The study explores the nursing students' experiences and perceptions of belonging to an extra-curricular group within a pre-registration nursing course. Data were collected using focus groups. The findings of this study suggest that students who are members of extra-curricular groups perceive group membership to have many positive benefits. The findings were grouped into three main themes namely: employability, retention and personal gain. The findings suggest that students are clearly aware of their career development and expressed how group membership meant they were able to develop skills around employability. Students highlighted that they gained support and built lasting relationships through the groups which supported and reassured them which it was felt enabled them to progress successfully through the course. These themes reinforce the value of having established groups within a pre-registration curriculum.

  6. Effects of Discipline-based Career Course on Nursing Students' Career Search Self-efficacy, Career Preparation Behavior, and Perceptions of Career Barriers

    Directory of Open Access Journals (Sweden)

    Soonjoo Park, RN, PhD


    Conclusions: The discipline-based career course was effective in decreasing perceptions of career barriers and increasing career search self-efficacy and career preparation behavior among nursing students.

  7. The construction and validation of an instrument for the assessment of graduates of undergraduate nursing courses. (United States)

    Vieira, Maria Aparecida; Ohara, Conceição Vieira da Silva; Domenico, Edvane Birelo Lopes de


    to construct an instrument for the assessment of graduates of undergraduate nursing courses and to validate this instrument through the consensus of specialists. methodological study. In order to elaborate the instrument, documental analysis and a literature review were undertaken. Validation took place through use of the Delphi Conference, between September 2012 and September 2013, in which 36 specialists from Brazilian Nursing participated. In order to analyze reliability, the Cronbach alpha coefficient, the item/total correlation, and the Pearson correlation coefficient were calculated. the instrument was constructed with the participation of specialist nurses representing all regions of Brazil, with experience in lecturing and research. The first Delphi round led to changes in the first instrument, which was restructured and submitted to another round, with a response rate of 94.44%. In the second round, the instrument was validated with a Cronbach alpha of 0.75. the final instrument possessed three dimensions related to the characterization of the graduate, insertion in the job market, and evaluation of the professional training process. This instrument may be used across the territory of Brazil as it is based on the curricular guidelines and contributes to the process of regulation of the quality of the undergraduate courses in Nursing. construir um instrumento para a avaliação de egressos de cursos de graduação em enfermagem e validar esse instrumento pelo consenso de especialistas. estudo metodológico. Para a elaboração do instrumento, realizou-se análise documental e revisão de literatura. A validação ocorreu por Conferência Delphi, entre setembro de 2012 e setembro de 2013, da qual participaram 36 especialistas da Enfermagem brasileira. Para a análise de confiabilidade, calculou-se o coeficiente alfa de Cronbach, a correlação item/total e o coeficiente de correlação de Pearson. o instrumento foi construído com a participação de

  8. Transformation of admission interview to documentation for nursing practice

    DEFF Research Database (Denmark)

    Højskov, Ida E; Glasdam, Stinne


    by Ricoeur was conducted and consisted of five taped admission interviews, along with the written patient documentation subsequently worked out by the nurse. The findings were presented in four constructed themes: Admission interviews are the nurse's room rather than the patient's; Information on a surgical......The admission interview is usually the first structured meeting between patient and nurse. The interview serves as the basis for personalised nursing and care planning and is the starting point for the clinic's documentation of the patient and his course of treatment. In this way, admission...... interviews constitute a basis for reporting by each nurse on the patient to nursing colleagues. This study examined how, by means of the admission interview, nurses constructed written documentation of the patient and his course of treatment for use by fellow nurses. A qualitative case study inspired...

  9. Evaluation of short-course radiotherapy followed by neoadjuvant bevacizumab, capecitabine, and oxaliplatin and subsequent radical surgical treatment in primary stage IV rectal cancer

    NARCIS (Netherlands)

    Dijk, T.H. van; Tamas, K.; Beukema, J.C.; Beets, G.L.; Gelderblom, A.J.; Jong, K.P. de; Nagtegaal, I.D.; Rutten, H.J.; Velde, C.J. van de; Wiggers, T.; Hospers, G.A.; Havenga, K.


    BACKGROUND: To evaluate the efficacy and tolerability of preoperative short-course radiotherapy followed by capecitabine and oxaliplatin treatment in combination with bevacizumab and subsequent radical surgical treatment of all tumor sites in patients with stage IV rectal cancer. PATIENTS AND

  10. Effects of high-fidelity patient simulation led clinical reasoning course: Focused on nursing core competencies, problem solving, and academic self-efficacy. (United States)

    Lee, JuHee; Lee, Yoonju; Lee, Senah; Bae, Juyeon


    To examine the effects of high-fidelity patient simulation (HFPS) led clinical reasoning course among undergraduate nursing students. A quasi-experimental study of non-equivalent control group pretest-post test design was applied. A total of 49 senior nursing students participated in this study. The experimental group consisted of the students who took the "clinical reasoning" course (n = 23) while the control group consisted of students who did not (n = 26). Self-administered scales including the nursing core competencies, problem solving, academic self-efficacy, and Kolb learning style inventory were analyzed quantitatively using SPSS version 20.0. Data analysis was conducted using one-way ancova due to a significant difference in nursing core competencies between the experimental group and control group. There was a significant improvement in nursing core competencies in the experimental group (F = 7.747, P = 0.008). The scores of problem solving and academic self-efficacy were higher in the experimental group after the HFPS led clinical reasoning course without statistical difference. There is a need for the development of effective instructional methods to improve learning outcomes in nursing education. Future research is needed related to simulation education as well as management strategies so that learning outcomes can be achieved within different students' learning style. © 2015 The Authors. Japan Journal of Nursing Science © 2015 Japan Academy of Nursing Science.

  11. Nursing students' preferences of strategies surrounding cinenurducation in a first year child growth and development courses: A mixed methods study. (United States)

    Oh, Jina; Steefel, Lorraine


    Use of film in the classroom (cinenurducation) promotes nursing students' motivation and understanding of concepts about child growth and development; however, consensus has not been reached regarding students' preferred strategies and what they view as effective. To identify nursing students' preferences for pedagogical strategies surrounding film use in a Child Growth and Development course. A mixed methods study encompassing a concurrent triangulation strategy was undertaken. Eighty-three students attending the first year nursing class in the fall semester 2012 at a private University in South Korea participated. Films or film clips were shown either before or after pedagogical strategies including lecture, presentation, personal essay, group report, or group discussion, followed by a questionnaire to assess student preferences and their opinions on the impact of strategies on motivation and learning. A focus group with 10 participants provided their opinions. Although the preference for the time when films were watched showed no significant difference (t=.388, p=.699), participants preferred the following pedagogical methods: watching films with a group, saying this was more effective compared to watching films alone (t=5.488, pChild Growth and Development course. Copyright © 2015 Elsevier Ltd. All rights reserved.

  12. Factors Associated With Nursing Students' Resilience: Communication Skills Course, Use of Social Media and Satisfaction With Clinical Placement. (United States)

    Sigalit, Warshawski; Sivia, Barnoy; Michal, Itzhaki

    The purpose of this study was to explore the (a) associations between students' personal and group resilience to their utilization of social networking platforms and formally taught communication skills, (b) students' personal and clinical characteristics that are related to personal and group resilience and the perceived helpfulness of communication course, and (c) factors that contribute to students' satisfaction with their clinical placement. Data were collected from 149 second year nursing students learning in a major university in the country of Israel with the use of a self-administered structured questionnaire. Students' satisfaction from their clinical placement was measured using 1 open-ended question, analyzed through qualitative methods. Results demonstrated positive correlations between students' use of social networking to their personal and group resilience (Pcommunication course (Pnetworking can and should be used as a learning tool to promote resilience among nursing students. Faculty and nurse managers should be aware of the central role of the clinical instructor and initiate collaborative and supporting initiatives. Copyright © 2016 Elsevier Inc. All rights reserved.

  13. Let's talk about society: A Critical Discourse Analysis of sociology courses in pre-registration nursing. (United States)

    Koch, Tomas F; Leal, Valentina J; Ayala, Ricardo A


    The discussion of teaching and learning in nursing has been prolific. Whereas most of the debate tends to focus on core contents of nursing programmes, little has been discussed about the teaching in 'supporting subjects' with relevance to both nursing education and nursing practice. This article offers a perspective on sociology scholarship for applied professions by using the case of nursing programmes. Syllabus is a rich source of data, and in its representational capacity it becomes both a discursive construction and a vehicle of ideology. Accordingly, we present a Critical Discourse Analysis of syllabi of nursing schools in Chile as to identify core contents and ideologies, and implied challenges for nursing education. We argue that while the syllabus as a discourse discloses a significant cleavage, the biggest challenge is precisely to challenge the ideologies constructed by and embedded in the syllabi. Our reflection thus points to a better interdisciplinary dialogue as to enhance the actual contribution of sociology to nursing. Copyright © 2015 Elsevier Ltd. All rights reserved.

  14. Can Genetics and Genomics Nursing Competencies Be Successfully Taught in a Prenursing Microbiology Course? (United States)

    Shuster, Michele


    In recognition of the entry into the era of personalized medicine, a new set of genetics and genomics competencies for nurses was introduced in 2006. Since then, there have been a number of reports about the critical importance of these competencies for nursing practices and about the challenges of addressing these competencies in the preservice…

  15. Can Genetics and Genomics Nursing Competencies Be Successfully Taught in a Prenursing Microbiology Course? (United States)

    Shuster, Michele


    In recognition of the entry into the era of personalized medicine, a new set of genetics and genomics competencies for nurses was introduced in 2006. Since then, there have been a number of reports about the critical importance of these competencies for nursing practices and about the challenges of addressing these competencies in the preservice…

  16. The Design and Implementation of Authentic Learning with Mobile Technology in Vocational Nursing Practice Course (United States)

    Pu, Ying-Hung; Wu, Ting-Ting; Chiu, Po-Sheng; Huang, Yueh-Min


    In recent years, along with the development of mobile technology, vocational nursing education has improved greatly. In light of this emerging mobile technology, it brings the clinical practice of vocational nursing education closer to authentic learning than ever. In fact, some studies revealed that learners' learn states and learning outcomes…

  17. Teaching Physiologic Birth in Maternal–Newborn Courses in Undergraduate Nursing Programs: Current Challenges (United States)

    Birkhead, Ana C. Sanchez; Callister, Lynn Clark; Fletcher, Nicole; Holt, Allison; Curtis, Samantha


    For low-risk childbearing women, fewer technological interventions are associated with better physical and psychosocial outcomes; yet, the number of unmedicated physiologic births is decreasing. As a result, fewer undergraduate nursing students experience caring for women who choose physiologic birth, which presents a challenge for nurse educators and implications for preparing students to provide appropriate care for all childbearing women after the students graduate. This exploratory descriptive qualitative study was conducted among 150 randomly selected undergraduate nursing programs in the United States to explore the challenges of educating nursing students about low-intervention birth. Four themes described current challenges: lack of placement opportunities, education versus clinical practice, evidence-based support of physiologic birth, and the need for more research on pedagogical strategies that effectively educate future nurses to advocate for minimal intervention birth options for all women. PMID:23730128

  18. Variation in cancer surgical outcomes associated with physician and nurse staffing: a retrospective observational study using the Japanese Diagnosis Procedure Combination Database

    Directory of Open Access Journals (Sweden)

    Yasunaga Hideo


    Full Text Available Abstract Background Little is known about the effects of professional staffing on cancer surgical outcomes. The present study aimed to investigate the association between cancer surgical outcomes and physician/nurse staffing in relation to hospital volume. Methods We analyzed 131,394 patients undergoing lung lobectomy, esophagectomy, gastrectomy, colorectal surgery, hepatectomy or pancreatectomy for cancer between July and December, 2007–2008, using the Japanese Diagnosis Procedure Combination database linked to the Survey of Medical Institutions data. Physician-to-bed ratio (PBR and nurse-to-bed ratio (NBR were determined for each hospital. Hospital volume was categorized into low, medium and high for each of six cancer surgeries. Failure to rescue (FTR was defined as a proportion of inhospital deaths among those with postoperative complications. Multi-level logistic regression analysis was performed to examine the association between physician/nurse staffing and FTR, adjusting for patient characteristics and hospital volume. Results Overall inhospital mortality was 1.8%, postoperative complication rate was 15.2%, and FTR rate was 11.9%. After adjustment for hospital volume, FTR rate in the group with high PBR (≥19.7 physicians per 100 beds and high NBR (≥77.0 nurses per 100 beds was significantly lower than that in the group with low PBR ( Conclusions Well-staffed hospitals confer a benefit for cancer surgical patients regarding reduced FTR, irrespective of hospital volume. These results suggest that consolidation of surgical centers linked with migration of medical professionals may improve the quality of cancer surgical management.

  19. Nursing expertise: a course of ambiguity and evolution in a concept. (United States)

    Hutchinson, Marie; Higson, Mary; Cleary, Michelle; Jackson, Debra


    In this article, we clarify and describe the nature of nursing expertise and provide a framework to guide its identification and further development. To have utility and rigour, concept-driven research and theories of practice require underlying concepts that are robust, valid and reliable. Advancing understanding of a concept requires careful attention to explicating its knowledge, metaphors and conceptual meaning. Examining the concepts and metaphors of nursing expertise, and how they have been interpreted into the nursing discourse, we aimed to synthesise definitions and similarities between concepts and elicit the defining characteristics and properties of nursing expertise. In clarifying the concept, we sought to move beyond the ambiguity that currently surrounds expertise in nursing and unravel it to make explicit the characteristics of nursing expertise from published peer-reviewed studies and structured literature synthesis. Findings indicate a lack of clarity surrounding the use of the term expertise. Traditional reliance upon intuition as a way of explaining expert performance is slowly evolving. Emerging from the analysis is a picture of expertise as the relationship between networks of contextual reasoning, understanding and practice. Striking absences in the discourse include limited explication of ethical reasoning and theorising a broader interpretation of expertise reflective of contemporary forms of nursing.


    Directory of Open Access Journals (Sweden)

    Grażyna Nowak-Starz


    Full Text Available Nursing is one of the professions where chronic stress is an inseparable characteristic and stems from the very nature of the profession itself. The job of a nurse involves particular mental burdens. The source of these is another person, one who has most often found themselves in an extreme situation. A nurse carries out her/his duties in a state of strong and long-lasting emotional strain. Inappropriate coping with stress and a lack of support from others in difficult situations leads to the development of burnout syndrome. This syndrome not only lowers, to a great extent, the quality of performed work but also prevents nurses from further professional development. Aims : The aim of the following paper is to evaluate the influence of stress connected with the professional work of a nurse on the occurrence of burnout syndrome. Material and methodology : Research was conducted on a group of 103 nurses working at eight hospital wards (surgical and medical treatment at the District Hospital in Lipsko. The research tool was a questionnaire of the author’s own devise, which contained 34 questions. Results : Among the examined nurses, 90% concluded that their professional work has a negative impact on their family life and they pointed to their own occupational burnout. Nurses who carried negative emotions over from work to their homes significantly more often showed a lack of satisfaction from their job and signs of occupational burnout. A substantial percentage of the participants considered shift-work and the professional position held to be a detrimental factor in the process of occupational burnout. Conclusion : The nurses were to a large extent exposed to mental burdens having a negative impact on their work. The vast majority of the respondents felt satisfaction from their job but a significant percentage of the respondents admitted to suffering from symptoms of chronic stress and exhaustion, which may indicate a lack of any support from co

  1. Attrition and success rates of accelerated students in nursing courses: a systematic review


    Doggrell, Sheila Anne; Schaffer, Sally


    Background There is a comprehensive literature on the academic outcomes (attrition and success) of students in traditional/baccalaureate nursing programs, but much less is known about the academic outcomes of students in accelerated nursing programs. The aim of this systematic review is to report on the attrition and success rates (either internal examination or NCLEX-RN) of accelerated students, compared to traditional students. Methods For the systematic review, the databases (Pubmed, Cinah...

  2. Nutrition for Nurses: Nursing 245. (United States)

    Palermo, Karen R.

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

  3. Applying constructivism to nursing education in cultural competence: a course that bears repeating. (United States)

    Hunter, Jennifer L


    A graduate course on culture, diversity, and cultural competence was developed based on constructivist learning theory and Campinha-Bacote's constructs of cultural awareness, knowledge, skill, and encounters. The epistemology, structure, assignments, and activities used in both online and classroom courses were highly effective and well received by the students. Student course evaluations and outcome assessments of students' cultural competence levels, as compared to precourse levels, provided supportive evidence that the course design produced intended outcomes. Course resources are shared, making them available for use by others in cultural competence education.

  4. 论外科新上岗护士职业压力及应对措施%On occupational stresses of surgical new nurses and coping measures

    Institute of Scientific and Technical Information of China (English)

    徐文; 聂平


    本文分析了外科新上岗护士职业压力产生的原因,并从加强岗位培训、提高护理操作技能、定期予以心理辅导、加强法律法规知识培训等方面提出了缓解职业压力的措施,以保障外科新上岗护士的心身健康,确保医疗安全和护理质量。%In this paper the causes of occupational stresses of surgical new nurses are analyzed and measures relieving occupational stresses raised from the strengthen of on‐the‐job training , improvement of nursing manipulation skill , regular psychological counseling and the strengthen of laws and regulations knowledge training and so on in order to ensure psychosomatic health of surgical new employed nurses , medical safety and nursing quality .

  5. [Systematization of nursing assistance to patients with diabetes mellitus and chronic renal failure]. (United States)

    Mascarenhas, Nildo Batista; Pereira, Álvaro; da Silva, Rudval Souza; da Silva, Mary Gomes


    This is a clinical case study developed during the practical activities of the discipline Surgical Clinical Nursing I, of course of Graduation in Nursing of a public university of Bahia State, that aimed to report the application of the Systematization of Nursing Assistance in the assistance to a client whit Diabetes Mellitus and Chronic Renal Insufficiency. With the development of the study, especially after the positive improvement of the client, face to assistance planned and implemented and considering the reflections that emerged, it was possible to evidence the need for interface between Systematization of Nursing Assistance, the nursing staff and client in the care process, at the excellence and uniqueness of nursing care.

  6. 护理管理中绩效考核的应用及价值评析%Application and Value of Performance Evaluation in Surgical Nursing Management

    Institute of Scientific and Technical Information of China (English)



    Objective To analyze the application effect and value of performance appraisal in surgical nursing management.Methods Our hospital began to implement performance appraisal in the process of nursing management since April 2015,the effect of nursing management in the six months before and after the implementation of performance appraisal (October 2014 to March 2015,April 2015 to October 2015), the effect of nursing management were evaluated and compared. Results Six months after the implementation of the performance appraisal, the nursing quality management scores,nursing document management scores,ward management scores,hospital infection scores and patient satisfaction scores were significantly improved,compared with the performance before the implementation of the comparison were statisticaly significant differences(P<0.05).Conclusion The application of performance appraisal in surgical nursing management is conducive to improving the quality of nursing and the overal level of nursing.%目的:分析研究护理管理中绩效考核的应用效果及价值。方法我院自2015年4月起开始在护理管理过程中实施绩效考核,分别对绩效考核实施前后各半年的时间内(2014年10月~2015年3月、2015年4月~2015年10月)护理管理的效果进行评价和比较。结果绩效考核实施半年后,护理质量管理评分、护理文书管理评分、病房管理评分、医院感染评分、以及患者满意度评分等均显著提高,与绩效考核实施前的比较均有统计学差异(P<0.05)。结论护理管理中绩效考核的应用有利于提高护理质量和整体护理水平。

  7. Nurses' Perceptions of Role, Team Performance, and Education Regarding Resuscitation in the Adult Medical-Surgical Patient. (United States)

    O'Donoghue, Sharon C; DeSanto-Madeya, Susan; Fealy, Natalie; Saba, Christine R; Smith, Stacey; McHugh, Allison T


    The purpose of this study was to explore nurses' perception of their roles, team performance, and educational needs during resuscitation using an electronic survey. Findings provide direction for clinical practice, nursing education, and future research to improve resuscitation care.

  8. Impact of eLearning course on nurses' professional competence in seclusion and restraint practices: 9-month follow-up results of a randomized controlled study (ISRCTN32869544). (United States)

    Kontio, R; Hätönen, H; Joffe, G; Pitkänen, A; Lahti, M; Välimäki, M


    eLearning may facilitate continuing vocational education, but data on the long-term effects of an eLearning course are lacking. The aim of this study was to explore the long-term impact of an eLearning course entitled ePsychNurse.Net on psychiatric nurses' professional competence in practicing seclusion and restraint and on their job satisfaction and general self-efficacy at 9-month follow-up. In a randomized controlled study, 12 wards were randomly assigned to the ePsychNurse.Net (intervention) or training as usual (control). Baseline and 9-month follow-up data on nurses' knowledge of coercion-related legislation, physical restraint and seclusion, their attitudes towards physical restraint and seclusion, job satisfaction and general self-efficacy were analysed for 137 completers (those who participated in the 9-month follow-up assessment). No between-group differences were found on any variable, with the exception of a change in attitude to seclusion in favour of the control group. The findings of the long-term effects did not differ from the immediate outcomes (3-month follow-up) and the improved level of knowledge acquired and further consolidation of that knowledge did not take place in the 6-month period after the 3-month ePsychNurse.Net course. The ePsychNurse.Net should be further developed and its future modifications will require additional studies, probably with some new outcome measures.

  9. Can a Teaching Assistant Experience in a Surgical Anatomy Course Influence the Learning Curve for Nontechnical Skill Development for Surgical Residents? (United States)

    Heidenreich, Mark J.; Musonza, Tashinga; Pawlina, Wojciech; Lachman, Nirusha


    The foundation upon which surgical residents are trained to work comprises more than just critical cognitive, clinical, and technical skill. In an environment where the synchronous application of expertise is vital to patient outcomes, the expectation for optimal functioning within a multidisciplinary team is extremely high. Studies have shown…

  10. Hand hygiene technique quality evaluation in nursing and medicine students of two academic courses 1 (United States)

    Škodová, Manuela; Gimeno-Benítez, Alfredo; Martínez-Redondo, Elena; Morán-Cortés, Juan Francisco; Jiménez-Romano, Ramona; Gimeno-Ortiz, Alfredo


    Abstract Objective: because they are health professionals, nursing and medical students' hands during internships can function as a transmission vehicle for hospital-acquired infections. Method: a descriptive study with nursing and medical degree students on the quality of the hand hygiene technique, which was assessed via a visual test using a hydroalcoholic solution marked with fluorescence and an ultraviolet lamp. Results: 546 students were assessed, 73.8% from medicine and 26.2% from nursing. The area of the hand with a proper antiseptic distribution was the palm (92.9%); areas not properly scrubbed were the thumbs (55.1%). 24.7% was very good in both hands, 29.8% was good, 25.1% was fair, and 20.3% was poor. The worst assessed were the male, nursing and first year students. There were no significant differences in the age groups. Conclusions: hand hygiene technique is not applied efficiently. Education plays a key role in setting a good practice base in hand hygiene, theoretical knowledge, and in skill development, as well as good practice reinforcement. PMID:26444174

  11. Faculty Integrity and Its Contribution to the Culture of Integrity in Online Nursing Courses (United States)

    Smith, Michael J.


    In higher education there exists a growing concern about the potential for student cheating in online programs. At the same time, online nursing programs are increasing in number. While there is clarity about how educators perceive and experience a lack of student integrity, there is little clarity about how educators define and experience the…

  12. The NCLEX-RN examination: charting the course of nursing practice. (United States)

    Wendt, Anne


    The author describes the changes in the 2004 NCLEX-RN(R) Test Plan and provides information about the alternate item formats that are being developed for the NCLEX examination. Nursing educators will learn details about the new test plan and review sample alternate items. Information from this article can be used for curriculum review and to prepare students to take the NCLEX examination.

  13. Can a Web-Based Course Improve Communicative Competence of Foreign-Born Nurses? (United States)

    Van Schaik, Eileen; Lynch, Emily M.; Stoner, Susan A.; Sikorski, Lorna D.


    In the years since World War II, the United States has grown increasingly dependent on foreign-born healthcare personnel at all levels of the healthcare system. Foreign-born nurses report that while they may feel clinically competent, they often feel unprepared for the use of English in the healthcare setting (Davis & Nichols, 2002; Guttman,…

  14. Hand hygiene technique quality evaluation in nursing and medicine students of two academic courses

    Directory of Open Access Journals (Sweden)

    Manuela Škodová


    Full Text Available AbstractObjective: because they are health professionals, nursing and medical students' hands during internships can function as a transmission vehicle for hospital-acquired infections.Method: a descriptive study with nursing and medical degree students on the quality of the hand hygiene technique, which was assessed via a visual test using a hydroalcoholic solution marked with fluorescence and an ultraviolet lamp.Results: 546 students were assessed, 73.8% from medicine and 26.2% from nursing. The area of the hand with a proper antiseptic distribution was the palm (92.9%; areas not properly scrubbed were the thumbs (55.1%. 24.7% was very good in both hands, 29.8% was good, 25.1% was fair, and 20.3% was poor. The worst assessed were the male, nursing and first year students. There were no significant differences in the age groups.Conclusions: hand hygiene technique is not applied efficiently. Education plays a key role in setting a good practice base in hand hygiene, theoretical knowledge, and in skill development, as well as good practice reinforcement.

  15. 外科患者常见心理分析及护理对策%The mental analysis and nursing counter measurement of surgical patients

    Institute of Scientific and Technical Information of China (English)

    朱如意; 贾国荣


    通过研究外科患者存在的心理问题,给患者提供相应的心理护理,观察心理护理与疾病康复之间的关系.应用发放调查问卷的研究方法,收集外科患者面对各种应激出现的心理反应.不同年龄、不同性别的外科患者存在着不同程度的负面心理反应,通过因地制宜地实施心理护理,患者满意度大幅度增加,生活质量显著提高.心理护理在外科患者的整个护理过程中起着重要的作用.%To supply corresponding mental nursing for patients by investigating their psychic mattem, and to observe the relationshiop between mental nursing and recovery from illness. We collect all kinds of psychic reac-lions of patients under various kinds stress by questionnaires, and next to analyse the results. Surgical patients in different sex and age have different negtive mental reactions,such as helplessnees,gloomy,horror,anger and despair et al. Results show us that satisfactional degree and quality of life of patients increased significantly after providing specific mental nursing to different patients with various mental matters compared with the groups who had not ob-tain enough mental nursing. Mental nursing play an important role in complete care program of surgical patients.

  16. 加强外科护理管理有效预防医院感染%Strengthening surgical nursing management to prevent nosocomial infection

    Institute of Scientific and Technical Information of China (English)

    孙国芳; 叶兰英


    OBJECTIVE To discuss the importance of nursing management in nosocomial infection management and preventive measures. METHODS The sound and surgical nursing management system was established) the management and the training hospital infection were strengthened; strict disinfection and correct aseptic operation were performed) strict hand-washing system was implemented) surgical incision infection was prevented) antimicrobial drug was rationally used. RESULTS After management by the head nurse and better understarding the relevant knowledge and technology the hospital infection were greatly reduced the hospital. CONCLUSION Nursing management is an important part in nosocomial infection management, to strengthen the nursing management is the key to reduce and control nosocomial infection.%目的 探讨护理管理在医院感染管理中的重要性及预防医院感染的措施.方法建立完善的外科护理管理制度;充分发挥护士长的管理作用;加强医院感染知识的培训;强化控制感染意识;严格消毒,正确无菌操作;减少侵入性操作;严格洗手制度;预防手术切口感染;合理使用抗菌药物.结果通过护士长的管理及护理人员对预防医院感染的正确认识,掌握各项有关知识和技术,可以大幅度减少医院感染的发生.结论 护理管理是医院感染管理中的重要组成部分,加强外科护理管理工作是降低和控制医院感染的关键.

  17. The use of team-based learning in a second year undergraduate pre-registration nursing course on evidence-informed decision making. (United States)

    Morris, Jenny


    More engaging teaching and learning strategies are needed to teach research-related courses to pre-registration nursing students. Team-based learning was implemented within a second year pre-registration nursing evidence-informed decision making course. Results from a questionnaire survey indicated that 70% believed team-based learning was appropriate for the course, 60% that it was an effective and motivating learning strategy, and 54% recommended using team-based learning in other courses. The results from ten student interviews illustrated the positive way in which team-based learning was perceived, and how the students thought it contributed to their learning. Test results were improved with an increase in the numbers of students achieving 70% or higher; and higher scores for students in the lowest quartile. Team-based learning was shown to be an effective strategy that preserved the benefits of small group teaching with large student groups.

  18. Nursing of laparoscopic surgical in treatment of patients with ectopic pregnancy%腹腔镜手术治疗宫外孕患者的护理

    Institute of Scientific and Technical Information of China (English)



    Objective:To investigate nursing interventions of patients with ectopic pregnancy in treatment with laparoscopic surgery.Methods:252 cases of laparoscopic surgical treatment of patients with ectopic pregnancy give comprehensive nursing measures,includ emergency care,psychological care,surgical care and discharge instructions.Results:Patients with ectopic pregnancy in this group were all discharged with no serious complication.Conclusion:Positive and complete clinical nursing measures are important to enhance the success rate of laparoscopic surgery,as well as to improve postoperative rehabilitation for patients with ectopic pregnancy.%目的:探讨腹腔镜手术治疗宫外孕患者的护理措施.方法:对行腹腔镜手术治疗的252例宫外孕患者给予完善的护理措施,包括急救护理、心理护理、手术护理及出院指导.结果:本组宫外孕患者均痊愈出院,未发生严重并发症.结论:积极、完善的临床护理措施对提高腹腔镜手术成功率、促进宫外孕患者术后康复具有重要意义.

  19. Critical incidents in the teaching-learning process of a nursing course through the perception of students and faculty. (United States)

    Zani, Adriana Valongo; Nogueira, Maria Suely


    The teaching-learning process is complex and leaves many question marks, mainly when one thinks about quality. Therefore, this study aims at identifying factors that interfere positively or negatively in the teaching-learning process, through the perspective of students and faculty of the Nursing course at the Universidade Norte do Paraná- UNOPAR. This descriptive study with a qualitative approach was carried out through the critical incidents technique. Thirty-six faculty and 140 students participated. Data analysis revealed that the students mentioned 435 critical incidents related to the category faculty behavior, being 317 negative references and 118 positive. According to the faculty members' reports, the category interaction with the group produced 58 references, being 10 positive and 48 negative. An adequate teaching-learning process requires good faculty-student and student-student relationships, favoring good interaction and efficient learning.

  20. Effects of public health nursing participation in selected academic courses on self-reported functions and competencies: a collaborative pilot study. (United States)

    Lundy, K S; Bender, K W; Powell, C


    A profile of the education levels of practicing public health nurses (PHNs) in Mississippi in 1988 indicated that 71% of those nurses were prepared in associate degree or diploma programs. Since these programs typically do not provide formal academic courses in community health nursing, nurses currently enter the workplace with insufficient preparation for this increasingly complex role. A collaborative pilot study between the agency and a state-supported school of nursing evaluated the impact of participating in selected components of an academic community health nursing program on the self-reported competencies and functions of beginning PHNs. Twelve PHNs who were employed during six months in the geographic area contiguous to the school were selected to attend 10 classroom sessions on basic topics applicable to the generic PHN role in a southern state. A control group of 12 PHNs hired during the same period of time was also selected. Both groups completed an instrument on functions and competencies before and after the course. A significant difference was seen in certain functions and competencies between attenders and nonattenders.

  1. Effectiveness of the Rural Trauma Team Development Course for Educating Nurses and Other Health Care Providers at Rural Community Hospitals. (United States)

    Zhu, Thein Hlaing; Hollister, Lisa; Scheumann, Christopher; Konger, Jennifer; Opoku, Dazar


    The study evaluates (1) health care provider perception of the Rural Trauma Team Development Course (RTTDC); (2) improvement in acute trauma emergency care knowledge; and (3) early transfer of trauma patients from rural emergency departments (EDs) to a verified trauma center. A 1-day, 8-hour RTTDC was given to 101 nurses and other health care providers from nine rural community hospitals from 2011 to 2013. RTTDC participants completed questionnaires to address objectives (1) and (2). ED and trauma registry data were queried to achieve objective (3) for assessing reduction in ED time (EDT), from patient arrival to decision to transfer and ED length of stay (LOS). The RTTDC was positively perceived by health care providers (96.3% of them completed the program). Significant improvement in 13 of the 19 knowledge items was observed in nurses. Education intervention was an independent predictor in reducing EDT by 28 minutes and 95% confidence interval (CI) [-57, -0.1] at 6 months post-RTTDC, and 29 minutes and 95% CI [-53, -6] at 12 months post-RTTDC. Similar results were observed with ED LOS. The RTTDC is well-perceived as an education program. It improves acute trauma emergency care knowledge in rural health care providers. It promotes early transfer of severely injured patients to a higher level of care.

  2. AANA Journal Course: Update for nurse anesthetists--part-4--transcatheter aortic valve replacement. (United States)

    Contrera, Peggy; Cushing, Mary


    Aortic stenosis is the most frequently acquired heart disease, and the prevalence is rising because of the aging population. If the disease is left untreated, survival in symptomatic patients averages only 2 to 3 years. Surgical aortic valve replacement is the only definitive treatment, yet 30% of elderly patients are not considered candidates because the presence of comorbidities makes the risk of sternotomy and cardiopulmonary bypass prohibitively high. Transcatheter aortic valve replacement (TAVR) is an innovative, high-tech, less invasive alternative. The procedure is usually performed using general anesthesia and a multidisciplinary team from interventional cardiology and cardiothoracic surgery in a "hybrid" operating environment with advanced imaging capabilities. There are 2 major catheter-based approaches to the aortic valve: retrograde percutaneous through the femoral artery and aorta or direct antegrade through a thoracotomy and the left ventricular apex. Apnea and rapid ventricular pacing are used to interrupt cardiac ejection during balloon valvuloplasty and prosthesis implantation. The most significant complications include vascular damage, stroke, paravalvular aortic insufficiency, and heart block. Outcomes studies comparing TAVR with medical management demonstrate improved patient survival, functional status, and quality of life. Currently TAVR is considered the treatment of choice for patients who are not surgical candidates and is a proven alternative for high-risk surgical candidates.

  3. Registered nurses' thoughts on blended learning in a postgraduate course in cancer care--content analyses of web surveys and a focus group interview. (United States)

    Arving, Cecilia; Wadensten, Barbro; Johansson, Birgitta


    Purpose of the research was to describe registered nurses' (RNs) (n = 53) thoughts on the blended learning format in a 'specialist nursing programme in cancer care'. The study was conducted in autumn 2007 and 2008. A content analysis of answers to open-ended questions in a web-based questionnaire and a focus group interview were carried out. The analysis revealed that the RNs appreciated blended learning. The web lectures facilitated learning and gave RNs access to the education at any time. However, according to the RNs, knowledge is gained through interaction between RNs and teachers, and this aspect needed to be improved. The RNs also thought that the content of the seminars on campus should focus on evidence-based nursing knowledge and practical skills, not just taught as stable facts and procedures. The result from the present study could help to improve the design and content of advanced nursing courses using a blended learning format.

  4. Updates on surgical management of advanced gastric cancer: new evidence and trends. Insights from the First International Course on Upper Gastrointestinal Surgery--Varese (Italy), December 2, 2011. (United States)

    Rausei, Stefano; Dionigi, Gianlorenzo; Sano, Takeshi; Sasako, Mitsuru; Biondi, Alberto; Morgagni, Paolo; Garofalo, Alfredo; Boni, Luigi; Frattini, Francesco; D'Ugo, Domenico; Preston, Shaun; Marrelli, Daniele; Degiuli, Maurizio; Capella, Carlo; Sacco, Rosario; Ruspi, Laura; De Manzoni, Giovanni; Roviello, Franco; Pinotti, Graziella; Rovera, Francesca; Noh, Sung Hoon; Coit, Daniel; Dionigi, Renzo


    Between the Ninth International Gastric Cancer Congress (IGCC) in South-Korea (Seoul, 2011) and the Tenth IGCC in Italy (Verona, 2013), the Insubria University organized the First International Course on Upper Gastrointestinal Surgery (Varese, December 2, 2011), with the patronage of Italian Research Group for Gastric Cancer (IRGGC) and the International Gastric Cancer Association (IGCA). The Course was intended to be a comprehensive update and review on advanced gastric cancer (GC) staging and treatment from well-known international experts. Clinical, research, and educational aspects of the surgeon's role in the era of stage-adapted therapy were discussed. As highlighted in the meeting, in this final document we summarize and thoroughly analyze (with references only for well-acquired randomized control trials) the new and old open problems in surgical management of advanced GC. Between the Ninth (Seoul, 2011) and the Tenth (Verona,2013) International Gastric Cancer Congress, the First International Course on Upper Gastrointestinal Surgery (Varese, December 2, 2011) was organized by the University of Insubria. This congress received the patronage of the International Gastric Cancer Association and the Italian Research Group for Gastric Cancer. The aim was to discuss open issues in surgical management of advanced gastric malignancies. We considered the opinions of several recognized experts in the field from both the Eastern and Western world, focused on definition problems and oncological and technical issues to define the current principles of advanced gastric cancer (GC) surgery.

  5. An integral nursing education experience: outcomes from a BSN Reiki course. (United States)

    Clark, Carey S


    Reiki is a hands-on healing modality that is practiced to support patients' healing process at more than 800 hospitals in the United States. This article explores the educational outcomes of an RN-BSN Reiki course as an aspect of an integral-holistic curriculum experience.

  6. Investigation and analysis of the current cognition status of anesthesia-related knowledge for surgical nurses%外科护士对麻醉相关知识认知现状调查与分析

    Institute of Scientific and Technical Information of China (English)

    彭琳; 沈祎蕾; 韩文军


    recycling and efficiency are 98.18%.The scores of 324 surgical nurses' anesthesia-related knowledge were (32±14),followed by pre-anesthetic preparation (54±-29),nursing care (31 ±18) and basic conception (18±30).When the knowledge scores were further analyzed by nurses' background characteristics based on one-way analysis of variance,significant difference was found among nurses in terms of education degree,title,age,work years,departments,course training(P<0.05).While multiple regression analysis revealed that age,departments,accepted anesthesia-related course training were principal factors influencing the cognitive status of anesthesia-related knowledge,which can explain 35.6% of the total variance.Conclusions In order to improve the cognitive level and the ability of participating in perianesthesia care,Surgical nurses must be trained with the anesthesia theory and skills according to their department,qualification and educated experience etc.They must be trained systematically to ensure that they could provide more security and professional predictive care for perianesthesia patients.

  7. Using VoiceThread to Promote Collaborative Learning in On-Line Clinical Nurse Leader Courses. (United States)

    Fox, Ola H

    The movement to advance the clinical nurse leader (CNL) as an innovative new role for meeting higher health care quality standards continues with CNL programs offered on-line at colleges and universities nationwide. Collaborative learning activities offer the opportunity for CNL students to gain experience in working together in small groups to negotiate and solve care process problems. The challenge for nurse educators is to provide collaborative learning activities in an asynchronous learning environment that can be considered isolating by default. This article reports on the experiences of 17 CNL students who used VoiceThread, a cloud-based tool that allowed them to communicate asynchronously with one another through voice comments for collaboration and sharing knowledge. Participants identified benefits and drawbacks to using VoiceThread for collaboration as compared to text-based discussion boards. Students reported that the ability to hear the voice of their peers and the instructor helped them feel like they were in a classroom communicating with "real" instructor and peers. Students indicated a preference for on-line classes that used VoiceThread discussions to on-line classes that used only text-based discussion boards.

  8. The Impact of an Educational Intervention on Knowledge and Competency Levels for Students Enrolled in a Forensic Nursing Science Course (United States)

    Drake, Stacy A.


    Forensic nursing is an emerging nursing specialty recognized by the American Nursing Association. However, nurses often do not have the basic knowledge or practical competence to provide the appropriate level of forensic care. The purpose of this study was to determine if differences in knowledge or practical competence existed between students…

  9. AANA journal course: update for nurse anesthetists--refrigerated anesthesia-related medications. (United States)

    Lewis, B


    Medications have strength, expiration date, and storage conditions printed on the medication bottle or package. Some anesthesia medications require refrigeration to maintain the stated strength and safety until the expiration date. These medications may expire in days rather than years when left at room temperature in anesthesia carts or emergency boxes. The following AANA Journal course discusses anesthesia-related medications that require refrigeration and how long potency and safety is maintained out of the refrigerator and provides a chart for future referral.

  10. Anxiety in veterinary surgical students

    DEFF Research Database (Denmark)

    Langebæk, Rikke; Eika, Berit; Jensen, Asger Lundorff


    The surgical educational environment is potentially stressful and this can negatively affect students' learning. The aim of this study was to investigate whether veterinary students' level of anxiety is higher in a surgical course than in a non-surgical course and if pre-surgical training...... in a Surgical Skills Lab (SSL) has an anxiety reducing effect. Investigations were carried out as a comparative study and a parallel group study. Potential participants were fourth-year veterinary students who attended a surgical course (Basic Surgical Skills) and a non-surgical course (Clinical Examination...... and 28 students from 2010). Our results show that anxiety levels in veterinary students are significantly higher in a surgical course than in a non-surgical course (p...

  11. The effects of linguistic modification on ESL students' comprehension of nursing course test items. (United States)

    Bosher, Susan; Bowles, Melissa


    Recent research has indicated that language may be a source of construct-irrelevant variance for non-native speakers of English, or English as a second language (ESL) students, when they take exams. As a result, exams may not accurately measure knowledge of nursing content. One accommodation often used to level the playing field for ESL students is linguistic modification, a process by which the reading load of test items is reduced while the content and integrity of the item are maintained. Research on the effects of linguistic modification has been conducted on examinees in the K-12 population, but is just beginning in other areas. This study describes the collaborative process by which items from a pathophysiology exam were linguistically modified and subsequently evaluated for comprehensibility by ESL students. Findings indicate that in a majority of cases, modification improved examinees' comprehension of test items. Implications for test item writing and future research are discussed.

  12. Textbooks on tap: using electronic books housed in handheld devices in nursing clinical courses. (United States)

    Williams, Margaret G; Dittmer, Arlis


    Changing technology is creating new ways to approach nursing education and practice. Beginning in 2003, using a quasi-experimental design, this project introduced personal digital assistants (PDAs) as a clinical tool to five experimental and control groups of students and faculty. The handheld device, or PDA, was loaded with e-books for clinical practice. Differences in learning styles and preferences emerged during the different phases of the study. Students were quickly able to master the technology and use the device effectively, reporting that they liked the concise nature of the information obtained. No students expressed dissatisfaction or regret at being in the experimental group. Results and implications for clinical practice, education, and library resources are discussed.

  13. Study on Effect of Humanistic Nursing Care on Quality of Thoracic Surgical Nursing%人性化护理对胸外科护理质量影响的研究

    Institute of Scientific and Technical Information of China (English)

    黄文静; 张静芳


    Objective To analyze and explore the effectiveness of humanistic nursing care on patients with thoracic surgery, and to evaluate the application value of humanistic nursing care in improving the quality of thoracic surgical nursing care. Methods A total of 120 inpatients scheduled for thoracic surgery were randomly divided into control group and experiment group (eachn=60) according to the order of admission. Routine nursing care was taken in control group, while additional humanistic nursing care was applied in experiment group. The satisfaction degree, the score of care quality, the average days of hos-pitalization, and the incidence of complications were compared between the two groups. Results As compared with control group, the satisfaction degree and the score of care quality in experiment group were significantly improved, and the differences were statistically significant (P<0.05). The average days of hospitalization and the incidence of complications in experiment group were significantly lower than those in control group, and the differences were statistically significant (P<0.05). Conclusions Applying humanistic nursing care in patients with thoracic surgery can not only improve the nursing quality of medical professionals, but significantly increase the satisfaction degree of patients with thoracic surgery. It has better shown the holistic nursing connotation of "patient - centered nursing", and is worthy of being popularized in thoracic surgical nursing care and other treatments.%目的 分析探讨人性化护理在胸外科手术患者护理中的效果,评价人性化护理在提高胸外科护理质量中的应用价值.方法 胸外科择期手术住院的患者共120例,按入院的先后顺序随机分为对照组60例和试验组60例,对照组进行胸外科手术常规护理,试验组在对照组的基础上加以人性化的护理,对护理后两组患者的满意度、护理质量评分、平均住院天数及并发症的发生率分

  14. Nursing Intervention on Surgical Patients with Enteral Nutrition%外科重症患者肠内营养的护理干预

    Institute of Scientific and Technical Information of China (English)



    目的:探讨外科重症患者肠内营养的护理干预效果。方法收集我院收治的外科重症80例患者资料,将患者随机分为干预组和对照组,各40例。干预组患者给予肠内营养护理干预,对照组患者给予常规护理干预,比较两组患者胃肠功能恢复情况。结果干预组患者的肛门排便时间和排气时间均明显短于对照组,差异均有统计学意义(均P<0.05)。结论外科重症患者给予肠内营养护理有助于补充患者身体所需的营养和能量,增加患者机体的免疫力,避免患者术后因营养不良而给康复带来的影响,促进患者早日康复。%Objective To discuss the effect of surgical patients with enteral nutrition nursing intervention.Methods 80 surgical critical y il patients in our hospital were selected were randomly divided into intervention group and control group,each of 40 cases.The patients in the intervention group were given enteral nutrition nursing intervention,the control group patients were given routine nursing care,compared two groups of gastrointestinal function recovery. Results The after care,patients in the intervention group were anal defecation time and exhaust time were significantly shorter than the control group,the difference was statistical y significant(P<0.05).Conclusion Surgical patients with enteral nutrition nursing intervention is helpfulto supplement the patient body needed nutrients and energy,and increase patients immunity,prevent patients due to malnutrition and to influence rehabilitation brings,and promote an early recovery of patients.

  15. Effects of Discipline-based Career Course on Nursing Students' Career Search Self-efficacy, Career Preparation Behavior, and Perceptions of Career Barriers. (United States)

    Park, Soonjoo


    The purpose of this study was to investigate the effectiveness of a discipline-based career course on perceptions of career barriers, career search self-efficacy, and career preparation behavior of nursing students. Differences in career search self-efficacy and career preparation behavior by the students' levels of career barriers were also examined. The study used a modified one-group, pretest-posttest design. The convenience sample consisted of 154 undergraduate nursing students in a university. The discipline-based career course consisted of eight sessions, and was implemented for 2 hours per session over 8 weeks. The data were collected from May to June in 2012 and 2013 using the following instruments: the Korean Career Indecision Inventory, the Career Search Efficacy Scale, and the Career Preparation Behavior Scale. Descriptive statistics, paired t test, and analysis of covariance were used to analyze the data. Upon the completion of the discipline-based career course, students' perceptions of career barriers decreased and career search self-efficacy and career preparation behavior increased. Career search self-efficacy and career preparation behavior increased in students with both low and high levels of career barriers. The difference between the low and high groups was significant for career search self-efficacy but not for career preparation behavior. The discipline-based career course was effective in decreasing perceptions of career barriers and increasing career search self-efficacy and career preparation behavior among nursing students. Copyright © 2015. Published by Elsevier B.V.

  16. Evaluation of skill achievement levels and practical experiences of public health nursing students before and after the introduction of the public health nursing course as an elective. (United States)

    Suzuki, Yoshimi; Saito, Emiko; Sawai, Minako; Kishi, Emiko; Kakemoto, Satori; Nakada, Harumi; Igarashi, Chiyo; Asahara, Kiyomi


    Objective To equip public health nurses (PHNs) with higher qualifications, PHN education is shifting from an integrated curriculum for PHNs and registered nurses to a specific elective system of undergraduate or postgraduate programs. Most colleges in the special wards of Tokyo introduced the elective system in 2014 before the remaining areas. The outcomes of this must be evaluated. This study aimed to evaluate the achievement levels and practical experiences of PHN students at seven colleges in the special wards before and after introduction of the PHN course as an elective.Method Self-administered, anonymous questionnaires were completed by senior PHN students at seven colleges in the special wards who underwent training in 2013, the last year of an integrated curriculum, and in 2014, the first year of the elective system. The target numbers of participants were 663 in 2013 and 136 in 2014 with 20 students from each school exposed to the elective system. Our study focused on whether they achieved the 98 "technical items of PHN training and achievement levels at the time of graduation" required by the Ministry of Health, Labour and Welfare. The study also determined whether participants obtained practical experience in 15 items developed by the special wards based on the standards set for training.Results In 2013, there were 348 total responses (52.5%) and 310 valid responses. In 2014, there were 136 total responses (88.2%) and 120 valid responses. The average achievement rate at which the student answered, "I was able to arrive at it," at an arrival degree level for the 98 technical items was 72.6% in 2014, an increase compared to the 67.9% obtained in 2013. Moreover, the average practical experience rate at which the student answered, "I was able to have an experience," regarding the 15 items was 85.7% in 2014, which constituted an increase compared to 70.5% attained in 2013. However, the number of items with an achievement rate of more than 80% remained

  17. 断指再植术护理配合与体会%The Surgical Nursing Cooperation and Experience of Severed Finger Replantation

    Institute of Scientific and Technical Information of China (English)

    范晓勇; 郭明琴; 李香玲


    目的:探讨断指再植手术的最佳手术配合方式。方法:对57例断指再植患者(108指)的心理护理、物品器械准备、手术中洗手、巡回护士的配合及术中出现特殊情况的护理配合等进行回顾。结果:经过3个月的随访,其中2例患者(3指)因受伤时间过长、伤口污染严重,术后出现感染,血管破裂导致截指;2例患者(4指)再植成功后因指动脉栓塞无法吻合而截指外,其他患者断指再植全部成活。结论:术前的准备工作、有效的心理护理、术中的精心护理,可以降低发生血管危象的几率;严格执行无菌操作、熟练地护理配合能有效缩短手术的时间,减少伤口感染,提高再植成活率。%Objective:To discuss the optimal surgical nursing cooperation of severed finger replantation. Method:The situations such as the psychological nursing of 57 patients(108 fingers)with severed finger replantation,the preparation of articles and instruments,the cooperation of scrub nurses and circulating nurses during the operation,the surgical nursing cooperation with special situations appeared during the operation were reviewed. Result:By 3 months of follow-up,because of too long injury time and serious wound contamination,infection and angiorrhexis occur in 2 patients(3 fingers)among them after the operation,which lead to cut the severed fingers. 2 patients(4 fingers)had been cut the severed fingers after the successful replantation because the fingers can not match on account of artery embolization. Beyond that,the other patients’severed fingers were all survived after the replantation. Conclusion:The preoperative preparation work,effective psychological nursing and intraoperative meticulous nursing can reduce the probability of vascular crisis. Strictly executing aseptic manipulation and skillfully nursing cooperation can effectively shorten the operation time,reduce the wound infection and improve the

  18. Congenital oval or round window anomaly with or without abnormal facial nerve course: surgical results for 15 ears.

    NARCIS (Netherlands)

    Thomeer, H.G.; Kunst, H.P.; Verbist, B.M.; Cremers, C.W.R.J.


    OBJECTIVES: To describe the audiometric results in a consecutive series of patients with congenital ossicular aplasia (Class 4a) or dysplasia of the oval and/or round window (Class 4b), which might include a possible anomalous course of the facial nerve. STUDY DESIGN: Retrospective chart study.

  19. Application of project courses of nursing skill competition in nursing skill teaching%护理技能大赛项目课程在护理技能教学中的应用

    Institute of Scientific and Technical Information of China (English)

    葛高连; 史玉华


    Objective:To discuss application effects of project courses of nursing skill competition in nursing skill teaching. Methods:Selected higher voca-tional nursing Class 4 Grade 2014 with 52 students as control class,and selected higher vocational nursing Class 3 Grade 2014 with 52 students as experi-mental class. Control class students were taught under traditional teaching mode with unified teaching materials,while experimental class students had project courses of nursing skill competition. Students between both groups were compared for relevant knowledge and operational skill test results. Results:Experi-mental class students got higher scores in relevant knowledge test and operational skill test than control class students( P < 0. 05). Conclusion:Applying project courses of nursing skill competition in nursing skill teaching can improve teaching quality,promote skill operational levels of students,improve their nursing ideas and raise their professional qualities.%目的:探讨护理技能大赛项目课程在护理技能教学中的应用效果。方法:选择2014级高职护理4班52名学生作为对照班,选择2014级高职护理3班52名学生作为试验班,对照班选用统编教材实施传统教学,试验班开展护理技能大赛项目课程教学,比较两组学生相关知识和操作技能考核成绩。结果:试验班学生相关知识考核和操作技能考核成绩均高于对照班(P <0.05)。结论:护理技能大赛项目课程运用于护理技能教学能提高教学质量,促进学生技能操作水平、护理理念和职业素养的提高。

  20. The Effects of a Course on Death and Grief on Nurses' Attitudes toward Dying Patients and Death. (United States)

    Miles, Margaret Shandor


    Nurses who attended the program had a more positive attitude toward death and dying patients. Findings suggest that this kind of program might also be helpful to nurses who do not express a desire to attend such a program and to student nurses. (JAC)

  1. 音乐疗法对手术室护士心理状态的影响%Influence of music therapy on nurses' psychology in surgical department.

    Institute of Scientific and Technical Information of China (English)

    符林秋; 钟文菲; 高星; 许晨耘; 高允锁


    Objective To study the influence of music therapy to nurses' psychology in surgical department.Methods Using two stage cross-over designs method, nurses in surgical department listened to two different musicnational music and western music for 20 minutes before and after operation respectively, SCL-90 scale was used to assess the nurses' psychology before music therapy, the first stage and the second stage after music therapy. Results Before music therapy, the score of the SCL-90 subscales somatization was higher than that in general crowd (1.441±0.440), which indicated that nurses' bodies were uncomfortable; according to variance analysis of the two stage cross-over design material there was no difference between two stage and no difference between two musics.Compared with the score before music therapy, two music in the first stage had significant difference respectively (p<0.001). Conclusion tMusic therapy can improve nurses' psychological state and promote nurses' psychologically more healthy in surgical department.%目的 研究音乐疗法对手术室护士心理状态的影响.方法 采用二阶段交叉设计方法,手术室护士随机分为两组倾听两种音乐-民族音乐和西洋音乐,术前、术后分别倾听20 min,并于音乐治疗前、音乐治疗后第一阶段、第二阶段分别用SCL-90症状自评量表评价手术室护士的心理状态.结果 音乐疗法前SCL-90各因子得分中,躯体化因子得分为(1.441±0.440)分,高于常模,说明护理人员存在身体不适感;根据二阶段交叉设计资料的方差分析,两阶段间SCL-90因子得分差异无统计学意义(F=0.75,P=0.391);两种音乐间SCL-90因子得分差异无统计学意义(F=0.52,P=0.473);第一阶段两组音乐与基线比较P<0.001,差异均有显著统计学意义.结论 音乐疗法可有效改善手术室护理人员的心理状态,促进心理健康.

  2. 围术期心理护理干预对外科手术患者康复的影响%The Effect of Perioperative Psychological Nursing Intervention on Rehabilitation of Surgical Operation Patients

    Institute of Scientific and Technical Information of China (English)

    何洪莉; 陈朝芝


    目的:为了进一步研究和探讨围术期心理护理干预对外科手术患者康复的临床实际影响.方法:选取2010年12月-2013年10月笔者所在医院临床收治的外科手术患者136例为研究对象,随机分为两组,常规护理组采取给予常规护理,心理护理组在此基础上采用心理护理,对两组康复效果进行比较.结果:心理护理组肠鸣音恢复时间、排便时间和住院时间明显低于常规护理组,差异有统计学意义(P<0.05);心理护理组患者的临床护理不满意率低于常规护理组,差异有统计学意义(P<0.05).结论:在临床对外科手术患者实施临床护理干预的实践过程中,在常规护理基础上采用心理护理干预后患者临床康复效果更好.%Objective:To further explore and study the clinical effect of perioperative nursing intervention on rehabilitation of surgical patients. Method:136 cases of surgical patients admitted to our hospital from December 2010 to October 2013 were chosen as the research objects.They were randomly divided into two groups,the traditional nursing group was given traditional nursing,the psychological nursing group was given psychological nursing on the basis of traditional nursing,the rehabilitation effects were compared.Result:The recovery time of bowel sounds,defecating time and hospital stay in the psychological nursing group were lower than those in the traditional nursing group,there were statistical significance(P<0.05).The dissatisfied level of the clinical nursing between the two groups,the dissatisfaction rate in the psychological care group was lower than that in the traditional nursing group,and the difference was statistical significance(P<0.05).Conclusion:In the practice of clinical nursing interventions for surgical patients,the use of psychological nursing intervention on the basis of traditional nursing is better clinical rehabilitation.

  3. Impact of eLearning course on nurses' professional competence in seclusion and restraint practices: a randomized controlled study (ISRCTN32869544). (United States)

    Kontio, R; Lahti, M; Pitkänen, A; Joffe, G; Putkonen, H; Hätönen, H; Katajisto, J; Välimäki, M


    Education on the care of aggressive and disturbed patients is fragmentary. eLearning could ensure the quality of such education, but data on its impact on professional competence in psychiatry are lacking. The aim of this study was to explore the impact of ePsychNurse.Net, an eLearning course, on psychiatric nurses' professional competence in seclusion and restraint and on their job satisfaction and general self-efficacy. In a randomized controlled study, 12 wards were randomly assigned to ePsychNurse.Net (intervention) or education as usual (control). Baseline and 3-month follow-up data on nurses' knowledge of coercion-related legislation, physical restraint and seclusion, their attitudes towards physical restraint and seclusion, job satisfaction and general self-efficacy were analysed for 158 completers. Knowledge (primary outcome) of coercion-related legislation improved in the intervention group, while knowledge of physical restraint improved and knowledge of seclusion remained unchanged in both groups. General self-efficacy improved in the intervention group also attitude to seclusion in the control group. In between-group comparison, attitudes to seclusion (one of secondary outcomes) favoured the control group. Although the ePsychNurse.Net demonstrated only slight advantages over conventional learning, it may be worth further development with, e.g. flexible time schedule and individualized content.

  4. Comparing the effects of problem-based learning and the traditional lecture method on critical thinking skills and metacognitive awareness in nursing students in a critical care nursing course. (United States)

    Gholami, Mohammad; Moghadam, Parastou Kordestani; Mohammadipoor, Fatemeh; Tarahi, Mohammad Javad; Sak, Mandana; Toulabi, Tahereh; Pour, Amir Hossein Hossein


    Problem-based learning (PBL) is a method used to develop cognitive and metacognitive skills in nursing students. The present study was conducted to compare the effects of PBL and the traditional lecture method on critical thinking skills and metacognitive awareness in nursing students in a critical care nursing course. The present study was conducted with a quasi-experimental, single group, pretest-posttest design. A group of third-year nursing students (n=40) were recruited from Khorramabad School of Nursing and Midwifery in the west of Iran. The lecture method was used in one group over the first eight weeks of the first semester and PBL was adopted in the second eight weeks. Standardized self-report questionnaires including The California Critical Thinking Skills Test-B (CCTST-B) and the Metacognitive Awareness Inventory (MAI) were administered before and after the use of each of the instruction methods. Data were analyzed in SPSS using the paired t-test. No significant changes were observed in the students' critical thinking skills and metacognitive awareness after performing the lecture method. However, a significant increase was observed in the overall critical thinking score (P<0.01) and its sub-scales of evaluation and deduction (P<0.05) and in the overall metacognitive awareness score (P<0.001) after performing the PBL method. Copyright © 2016 Elsevier Ltd. All rights reserved.

  5. Effect of Nursing Intervention on Surgical Patients with Sleep Disorders%护理干预对手术患者睡眠障碍的影响

    Institute of Scientific and Technical Information of China (English)

    夏先萍; 张贵清


      Objective TO investigate methods of care to reduce the sleep disorders of surgical patients. Methods 280 cases with surgical patients in our hospital from March 2010 to July 2010 were as the control group,280 cases with surgical patients in our hos-pital from August 2010 to December 2010 were as the experimental group. The control group received normal care, the experimental group carried out the appropriate nursing intervention in addition to normal care. Sleep of two groups were surveyed. Patients with sleep disorders were surveyed the types and causes of sleep disorders with the self-questionnaire. Results The control group had 120 cases with sleep disorders, experimental group had 45 cases with sleep disorders, there was statistically significant differences be-tween the two groups(P0.05). Conclusion Nursing intervention can improve the sleep position of the surgical patients and reduce the incidence of sleep disorders, but it can not effect on the typing of of sleep disorder Significantly.%  目的探讨减轻手术患者睡眠障碍的护理方法.方法选择本院2010年3月~2010年7月的手术患者280例患者为对照组,2010年8月~2010年12月的280例手术患者为实验组.对照组采用常规护理,实验组除常规护理外,进行相应的护理干预.比较2组患者的睡眠状况,并对睡眠障碍的患者采用自拟问卷方式调查睡眠障碍类型及原因.结果对照组出现睡眠障碍120例,实验组睡眠障碍45例,2组比较差异具有统计学意义(P0.05).结论护理干预能改善手术患者的睡眠状况,减少睡眠障碍的发生,但对睡眠障碍分型无明显影响.

  6. Relationship between Course Experience and Learning Style of Nursing Undergraduates in Medical Nursing%护理本科生《内科护理学》课程体验与学习方式的关系研究

    Institute of Scientific and Technical Information of China (English)

    嵇艳; 林征


    Objective To explore the relationship between course experience and learning style of nursing undergraduate in Medical Nursing. Methods Adapted course experience questionnaire and learning process questionnaire were applied to investigate 126 nursing undergraduates and the relationship between course experience and learning style was analyzed with Pearson correlation. Results There was negative relationship between course experience and surface and mechanical approach to learning (P<0.01, P <0.05) while positive relationship between course experience and deep learning motivation (P<0.05). Conclusion Course experience is positively correlated with deep learning style while negatively with surface learning style and it is important to promote nursing undergraduates’ course experience and their deep learning style.%目的:探讨护理本科生在《内科护理学》课程中的课程体验与学习方式的关系。方法采用改编的课程体验问卷和修订的学习过程问卷,对126名护理本科生进行问卷调查,并运用 Pearson 相关性分析探讨课程体验与学习方式的关系。结果良好的教学技能与表层学习负相关(r=-0.188,P<0.05),课程具有较大负担、对记忆的强调与表层学习正相关(r=0.258、r=0.386,P<0.01);课程对一般能力的发展、良好的实践课程体验与学习兴趣和积极性正相关(r=0.218,r=0.218,P<0.05),课程具有较大的负担与学习兴趣和积极性负相关(r=-0.214,P<0.05)。结论护理本科生在《内科护理学》课程中的课程体验与学习方式相关,护理教育者应注重提升学生的课程体验,并促进学生采用深层学习方式。

  7. 在护理学研究生教育中开设循证护理课程的实践和反思%Developing evidence-based nursing course in postgraduate nursing program: practice and reflection

    Institute of Scientific and Technical Information of China (English)

    胡雁; 矫海莲; 徐建鸣; 曹育玲; 张博恒


    Objective To explore the experience of developing evidence-based nursing (EBN) course in postgraduate nursing program in order to improve the quality of course.Methods A comprehensive project on developing EBN course for postgraduate nursing students was initiated in School of Nursing Fudan University.59 postgraduate nursing students in school of nursing, Fudan University were conveniently classified into EBN teaching group (n = 33) and control group (n = 26).The students in the EBN teaching group received 54 credit hours evidence-based nursing education.The teaching and learning experience were reflected through faculty interview and student interview. The teaching and learning outcome were evaluated by self-designed questionnaires.Results Students considered EBN course as a challenge.They experienced both positive and negative feelings during learning EBN.The critical appraisal, data extraction, Meta analysis and evidences utilization were seen as bigger challenges. However, they valued the experience of learning EBN as the opportunity for them to integrate knowledge and skill of literature searching, clinical epidemiology, health statistics, and nursing research into the learning of EBN course. Students in EBN teaching group had significantly higher score on evidence-based nursing knowledge than control group (z = 3.582, P < 0.01).Students in EBN teaching group had significantly higher scores on critical appraisal at post-course than at pre-course(t = 3.674,P < 0.01).Most of the students in EBN teaching group were satisfied with course content, teaching materials and teaching methods.In addition, they proposed constructive suggestions on credit hours and teaching arrangement for further implementing of evidence-based nursing course.Conclusions It is suggested that EBN can be developed as a course in postgraduate nursing program.The knowledge and skills on critical appraisal of literature and conducting systematic review can be improved by learning a

  8. A profile of European ICU nursing. (United States)

    Depasse, B; Pauwels, D; Somers, Y; Vincent, J L


    To evaluate major similarities and major differences between Western European countries in intensive care unit (ICU) nurse staffing, education, training, responsibilities, and initiative. A questionnaire was sent to Western European doctor members of the European Society of Intensive Care Medicine, to be passed on to the nurse-in-charge of their ICU. 156 completed questionnaires were analyzed: 49% were from university hospitals, 26% from university-affiliated hospitals, and 25% from community hospitals; 42% of the hospitals had more than 700 beds, 67% of the ICUs had between 6 and 12 beds, and 54% were mixed medical-surgical units. Among British units, 79% had more than three full-time nursing equivalents (FTE) per ICU bed, while in Sweden 75% of units had less than two FTE/ICU bed. University hospitals had more nursing staff per bed than community hospitals. As regards training, 33% of nurses followed a training course before starting work on the ICU and 64% after starting on the unit, and 85% had easy access to continuing education, particularly in the university hospitals. In an emergency, more than 70% of nurses regularly initiated oxygen administration, mask ventilation, or cardiac massage. In Sweden 100% of nurses and in Switzerland 91% of nurses regularly inserted peripheral intravenous catheters, but only 7% of German nurses did. No German nurses and only 12% of British nurses regularly performed arterial puncture, but in Sweden 75% of nurses regularly did. Even though the number of participants were limited, our questionnaire revealed variations in nurse staffing patterns among European countries and in their systems of training and education. Nurse autonomy also varies widely between countries.

  9. Vertex extradural haematoma with associated lesions--improving clinical course with sudden death. Conservative versus surgical treatment. (United States)

    Balik, V; Sulla, I


    Although precise criteria have not been assessed yet, small haematomas and clinical improvement claim only close observation according to literature. However a question can arise how to advance in patient with vertex epidural haematoma (VEPH) thinner than 10 mm associated with intradural lesions, when his neurological state is improving. The authors present a case of a man who was conservatively treated due to an epidural clot at the vertex associated with intracerebral haematomas, subarachnoid haemorrhage and haemocephalus diagnosed by computed tomography (CT). Despite his neurologically stable condition with slow, but continuous improvement, after few days the patient suddenly died. Authors analyze advantages and disadvantages of conservative vs. surgical treatment of this pathological condition (Fig. 8, Ref. 31). Full Text (Free, PDF)

  10. Attitudes of student nurses enrolled in e-learning course towards academic dishonesty: a descriptive-exploratory study. (United States)

    Tayaben, Jude L


    The author investigated attitudes of nursing students enrolled in e-Learning towards academic dishonesty. The descriptive-exploratory design was used in the conduct of the study. Respondents were randomly selected 36 junior and senior nursing students. It revealed that nursing students perceived as neutral (mean = 2.77, mean = 3.17) in taking responsibility for promoting academic integrity in e-learning. The paraphrasing a sentence from internet source without referencing it (38.89%) got the most form of cheating. Female and level four (4) nursing students revealed as the most cheaters. The reasons not to cheat, nursing students considered punishment, and education or learning (91.67%) got the highest in ranks, and simply wrong (75%) got the lowest rank. Hence, there is a need to look on how to maintain academic honesty among nursing students in and out of the university with respect to e-learning as a means of teaching-learning method.

  11. Nursing 436A: Pediatric Oncology for Nurses. (United States)

    Jackman, Cynthia L.

    A description is provided of "Pediatric Oncology for Nurses," the first in a series of three courses offered to fourth-year nursing students in pediatric oncology. The first section provides a course overview, discusses time assignments, and describes the target student population. Next, a glossary of terms, and lists of course goals, long-range…

  12. Educating Nurse Administrators: One Program's Answer. (United States)

    McCloskey, Joanne C.; And Others


    Describes the master's program in nursing at the University of Iowa, which uses experienced nurse administrators as adjunct faculty members. Discusses core course content, the two-course sequence in nursing administration, and problems with the present curriculum. (CT)

  13. Determining nursing student knowledge, behavior and beliefs for breast cancer and breast self-examination receiving courses with two different approaches. (United States)

    Karadag, Mevlude; Iseri, Ozge; Etikan, Ilker


    This study aimed to determine nursing student knowledge, behavior and beliefs for breast cancer and breast self-examination receiving courses with a traditional lecturing method (TLM) and the Six Thinking Hats method (STHM). The population of the study included a total of 69 second year nursing students, 34 of whom received courses with traditional lecturing and 35 of whom received training with the STHM, an active learning approach. The data of the study were collected pre-training and 15 days and 3 months post-training. The data collection tools were a questionnaire form questioning socio-demographic features, and breast cancer and breast self-examination (BSE) knowledge and the Champion's Health Belief Model Scale. The tests used in data analysis were chi-square, independent samples t-test and paired t-test. The mean knowledge score following traditional lecturing method increased from 9.32 ± 1.82 to 14.41 ± 1.94 (Pstudents trained according to STHM (pstudents trained according to TLM. In both training groups, the knowledge of breast cancer and BSE, and the perception of confidence increased similarly. In order to raise nursing student awareness in breast cancer, either of the traditional lecturing method or the Six Thinking Hats Method can be chosen according to the suitability of the teaching material and resources.

  14. Perceived sense of community, cognitive engagement, and learning outcomes among undergraduate nursing students enrolled in an internet-based learning course. (United States)

    Seckman, Charlotte A


    Internet-based learning environments are a popular instructional delivery method that provides flexibility, easy access, convenience, and self-directed learning. There is concern that Internet-based learning creates a loss of community and lacks the power to fully engage the student, leading to negative learning outcomes. This descriptive, correlational study evaluated the relationship among a perceived sense of community, cognitive engagement, and learner outcomes among undergraduate nursing students enrolled in an Internet-based learning course. A convenience sample of 96 undergraduate nursing students enrolled in an online health informatics course participated in this study. Findings indicated a moderate sense of community and a positive relationship between student engagement and learning outcomes. A variety of group activities such as wikis, blogs, and discussion board were helpful in promoting a sense of community, but students emphasized a desire for more faculty feedback and interaction. Nursing is a collaborative profession where community building is a critical skill; therefore, innovative teaching/learning techniques that promote a sense of belonging and community are needed to improve learning outcomes, prepare students to provide quality patient care, and interact with an interprofessional team.

  15. Assistência de enfermagem perioperatória: ensino em cursos de enfermagem Enseñanza de enfermería perioperatoria en los cursos de Pre grado en enfermería The teaching of the perioperatory nursing assistance in undergraduate courses in Nursing

    Directory of Open Access Journals (Sweden)

    Maria do Carmo Querido Avelar


    Full Text Available Buscou-se no presente estudo, retratar a realidade do ensino da assistência de enfermagem perioperatória, analisando e delineando suas tendências entre docentes de cursos de graduação em enfermagem que ministram esse conteúdo. A assistência de enfermagem perioperatória como processo realizado por profissionais de enfermagem, em uma fase específica de atenção ao paciente, frente ao procedimento anestésico-cirúrgico, envolve estratégias e orientações expressas na práxis do enfermeiro. Aqui o ensino da assistência de enfermagem perioperatória, como atividade dinâmica das ações dos docentes de Enfermagem em Centro Cirúrgico, desenvolvida num processo coletivo, emerge como práxis ritual no mundo do sistema, da razão técnica instrumental, distanciando-se do entendimento consensual, da razão comunicativa e do fomento às alternativas voltadas à práxis social/emancipatória.En el presente estudio se buscó retratar la realidad de la enseñanza de la asistencia de enfermería perioperatoria, analizando y delineando sus tendencias entre los docentes de enfermería perioperatoria. Como proceso realizado por los profesionales de enfermería en una fase específica de atención al paciente frente al procedimiento anestésico-quirúrgico, involucra estrategias y orientaciones expresadas en la praxis del enfermero. Se puede concluir que la enseñanza de la asistencia de enfermería perioperatoria, como actividad dinámica de las acciones de los docentes de Enfermería en Centro Quirúrgico, desarrollada en un proceso colectivo, emerge como praxis ritual en el mundo del sistema, de la razón técnica instrumental, distanciándose del entendimiento consensual de la razón comunicativa y de fomento de alternativas relativas a la praxis social/emancipadora.In the present study, the authors describe the reality of the perioperatory nursing assistance, analyzing and outlining its trends among professors of undergraduate courses in

  16. Changes in Knowledge, Attitudes, and Work Preferences Following Courses in Gerontology among Medical, Nursing, and Social Work Students. (United States)

    Carmel, Sara; And Others


    Completion of Palmore's Facts on Aging Quiz by 127 medical, 52 nursing, and 45 social work students in Israel revealed that nursing and social work students increased knowledge of aging and that no correlation was found among knowledge, attitudes, and work preferences among any group, implying that increased knowledge about aging does not…

  17. The effect of an e-learning course on nursing staff's knowledge of delirium: A before-and-after study

    NARCIS (Netherlands)

    L. Van De Steeg (Lotte); R.I. Jkema (Roelie I); C. Wagner (Cordula); M. Langelaan (Maaike)


    textabstractBackground: Delirium is a common condition in hospitalized patients, associated with adverse outcomes such as longer hospital stay, functional decline and higher mortality, as well as higher rates of nursing home placement. Nurses often fail to recognize delirium in hospitalized

  18. The effect of an e-learning course on nursing staff's knowledge of delirium: A before-and-after study

    NARCIS (Netherlands)

    L. Van De Steeg (Lotte); R.I. Jkema (Roelie I); C. Wagner (Cordula); M. Langelaan (Maaike)


    textabstractBackground: Delirium is a common condition in hospitalized patients, associated with adverse outcomes such as longer hospital stay, functional decline and higher mortality, as well as higher rates of nursing home placement. Nurses often fail to recognize delirium in hospitalized patients

  19. Comparison of Robotic vs. Standard Surgical Procedure on Postoperative Nursing Care of Women Undergoing Total Abdominal Hysterectomy. (United States)

    Best, Janie; Day, Luanne; Ingram, Lori; Musgrave, Barbara; Rushing, Holli; Schooley, Brenda


    This exploratory study was conducted to determine if the postoperative course is different for women undergoing robotic-assisted total abdominal hysterectomy (TAH) compared to women undergoing traditional (open) TAH. This study adds to the evidence regarding potential benefits and complications of robotic-assisted gynecologic surgery, and identifies specific areas for further research.

  20. 外科护士在工作中的危险因素和安全防护%Risk Factors of Surgical Nurses in the Work and Safety Protection

    Institute of Scientific and Technical Information of China (English)

    张丽; 侯晓丽; 张慧培


    The hospital environment is special, there are many safe hidden trouble, the nurse unique working environment and service objectdetermines the nurses often faced all kinds of danger in the work process, in order to improve the nurses' knowledge of the work of risk factors, reduce the occurrence of accident, has very important significance to do the safety protection. The au-thor will study the dangerfactors in the work environment of surgical nurses, and combined with the personal point of view, puts forward some measures of safety protection, the aim is to enhance the ability of identification and protection of surgical nurses' a-bility of risk factors, the surgical nurses in their daily work, from the dangerous factors of poison.%医院环境特殊,存在诸多安全隐患,护士独特的工作环境及服务对象决定了护士在工作过程中常常面临各种各样的危险,为提高护士对工作中危险因素的认识,降低意外事故的发生,做好安全防护具有非常重要的意义。该研究将对外科护士工作环境中存在的危险因素进行研究,并结合个人观点,提出几点安全防护措施,旨在增强外科护士对危险因素的鉴别能力与防护能力,使外科护士在日常工作中,免遭危险因素的荼毒。

  1. Curriculum design and application of nursing safety management course%护理安全管理课程设置及应用

    Institute of Scientific and Technical Information of China (English)

    魏容容; 谢建飞; 钟竹青; 易琦峰; 秦春香; 丁四清


    目的 探讨护理安全管理课程的设置及应用,以提高临床护理人员的安全意识,降低护理人员在临床工作中由于安全意识不足等原因导致的医疗纠纷.方法 以美国护理人员质量安全教育(QSEN)的护理安全培训内容为基本框架,查阅国内外文献,采用专家咨询等方法设置护理安全管理课程,并予以实施.结果 应用安全管理课程对护理人员进行培训后护理人员的安全意识:不良事件上报、患者安全文化感知、护士安全态度3部分均较培训前有显著的改善,差异有统计学意义(P<0.05).结论 系统的安全管理课程设置及培训有助于提高临床护理人员安全意识,为临床护理安全管理提供参考.%Objective To design a safety management course,in order to improve nurses' safety awareness and reduce medical disputes due to lack of safety awareness.Methods Based on the basic framework of nursing safety training in America and in reference of international literatures and expert consultation,a nursing safety management course was formulated and implemented.Results After training by the safety management course,nurses' safety awareness,reporting of adverse events and patient safety culture perception attitudes increased significantly(P<0.05).Conclusion Systematic safety management curriculum and training can improve nurses' safety awareness.

  2. 手术室优质护理对手术部位感染影响的分析%Impact of high-quality nursing on surgical site infections in operating rooms

    Institute of Scientific and Technical Information of China (English)

    张彩霞; 郑建萍; 杨东; 张敏丽; 姚霞


    OBJECTIVE To explore the impact of high-quality nursing on surgical site infections in operating rooms . METHODS In Apr 2012 ,the high-quality nursing was carried out to strengthen the organization and nursing man-agement ,improve nursing quality ,and enhance the environment of the operating rooms as well as the management of surgery ,then the monitoring indicators of control of the surgical site infections in Apr-Sep 2011 and Apr-Sep 2012 were analyzed ,and the quality of control of the surgical site infections was compared between before and after the conduct of high-quality nursing .RESULTS Before the conduct of high-quality nursing ,the surgical site infec-tions occurred in 60 of 6 386 patients who underwent the surgery ,with the infection rate of 0 .94% ;after the con-duct of high-quality nursing ,the surgical site infections occurred in 53 of 7 561 patients who underwent the surger-y ,with the infection rate of 0 .70% .The qualified rates of the surgical hand disinfection ,common hand washing , surveillance of air ,surveillance of object surfaces ,and environmental health were respectively 93 .33% ,86 .67% , 97 .22% ,88 .89% ,and 82 .86% before the conduct of high-quality nursing and were respectively 100 .00% ,and 96 .67% ,100 .00% ,94 .44% ,and 97 .77% after the conduct of high-quality nursing .CONCLUSION The conduct of high-quality nursing can promote the control of surgical site infections in the operating rooms .%目的:探讨手术室开展优质护理对手术部位感染的影响。方法2012年4月手术室开展以加强组织、护理管理,提高护理质量,加强手术室环境及手术管理为重点内容的优质护理服务;对2011年4-9月及2012年4-9月手术部位感染管理的各项监测进行分析,比较开展优质护理服务前后手术部位感染控制的质量。结果开展优质护理活动前,外科手术患者6386例,发生手术部位感染60例,感染率0.94%;开展优质护理

  3. Saúde e educação: cursos alternativos para desenvolvimento do pessoal de enfermagem Health and education: alternative courses for the development of nursing personnel

    Directory of Open Access Journals (Sweden)

    Creusa Guimarães Madeira


    Full Text Available Promover atividades educacionais terapêuticas para o pessoal de enfermagem visando a diminuição do stress, a melhoria do relacionamento interpessoal e a busca do auto-conhecimento, são objetivos dos cursos promovidos pelo Departamento de Enfermagem da FCM e Serviço de Enfermagem em Educação Continuada do Hospital das Clínicas da UNICAMP. Através dos cursos: O Hospital e o Relacionamento Humano; Dança e Criatividade; Yoga e Relaxamento Mental, foram ministradas técnicas de respiração, relaxamento, sensibilização e conscientização corporal e de interpretação teatral. A estratégia empregada foi a "vivência grupal", com participação de atendentes, auxiliares e técnicos de enfermagem e enfermeiras, durante o horário de trabalho, em 15 a 20 encontros por curso. Como instrumento desta pesquisa foram utilizados os "depoimentos individuais", escritos pelos participantes, tendo como metodologia a análise de conteúdo. A avaliação demonstrou que a "Vivência" facilitou o relacionamento entre os membros da equipe de trabalho; abriu, espaço para comunicação efetiva; favoreceu o auto-conhecimento; e ajudou na solução de problemas. Ficou evidente a importância da continuidade de cursos alternativos para auxiliar o funcionário na melhoria da relação consigo mesmo, com o outro, com o trabalho e valorizar a sua saúde/aprendizagem.To promote therapeutic educational activities for nursing personnel in order to decrease stress, to improve interpersonal relations and the search for self-knowledge are the objectives of the courses promoted by the Departament of Nursing of FCM and by The Continued Education Nursing Service of the University Hospital of UNICAMP. Respiration, relaxation, body sensibilization and awareness, and theater interpretation techniques were taught in the following courses: The Hospital and Human Relations, Dance and Creativity, Yoga and Mental Relaxation. The estrategy employed was "group experience", with

  4. 内外科护理学跨专科教学初探%Primary Investigation of Interdisciplinary Teaching in Medical and Surgical Nursing Sciences

    Institute of Scientific and Technical Information of China (English)

    陆萍静; 寇玲; 等


    In order to optimize the teaching content and build a new teaching system, part teaching contents of medical and surgical nursing sciences were taught interdisciplinarily. The results showed that the class hours of interdisciplinary teaching were shortened by 10 hours (12/22) as compared with those of conventional teaching method and the examination records were improved. 83.3% students were satisfactory with this interdisciplinary teaching. 93.3% students considered that their abilities of analyzing and expressing were improved. However, there were 20.0% students not adapting to the interdisciplinary teaching. It was suggested that interdisciplinary teaching of part teaching contents of nursing science was beneficial to the improvement of the students' comprehensive quality, could shorten the class hours and could be used as a complementary teaching method during the subject teaching.%为优化教学内容,构建新的教学体系,对内、外科护理学部分教学内容进行跨专科授课。结果课时较传统教学法缩短10学时(12/22);考试成绩有所提高;83.3%学生对本次教学满意,93.3%学生认为自己分析问题、表达问题的能力有所提高。尚有20.0%学生不太适应这种教学形式。由此认为,护理学科部分内容实行跨专科教学可缩短学时,有利于学生综合素质的提高,可作为分科教学的补充教学方式,互补共存,相得益彰。

  5. The surgical cooperation and nurse strategy in total arch replacement combined with stented elephant trunk implantation%主动脉全弓置换联合支架象鼻手术的手术配合及护理

    Institute of Scientific and Technical Information of China (English)



    Objective To explore the surgical cooperation with traveling nurse in total arch replacement combined with stented elephant trunk implantation for Stanford A aortic dissection, and discuss the nursing strategy in perioperative. Methods The effect of tour nursing with 15 patients who were operated total arch replacement combined with stented elephant trunk implantation in cardiopulmonary bypass, and how to collaborate with traveling nurse better were analyzed. Results All the cases were operated successfully, the cooperation between instrument nurse and traveling nurse were very good, the patients returned to intensive care unit safely after operation. Conclusion The nurse should acquaint the information of patients before operation, know the process of surgery, get fully prepared before surgery, to ensure the surgical process to go smoothly.%目的 探讨主动脉全弓置换联合支架象鼻术治疗主动脉夹层的手术配合及护理.方法 分析15例在体外循环下行主动脉全弓置换联合支架象鼻术手术的器械配合及巡回护理的效果.结果 本组病例均顺利完成手术,术中器械及巡回护士配合达到预期的效果,患者术后安返监护室.结论 手术室护士术前必须充分了解患者的病情,熟悉手术操作过程,做好术前各种准备,术中才能配合默契,有利于手术的顺利进行.

  6. [The role of multi-disciplinary team in the surgical area--at present and in future]. (United States)

    Tomita, Michiko; Sakamoto, Suga


    This article describes four particular tasks of nursing profession and identifies the contribution of nurses within a multi-professional team in the surgical area. The four tasks involve; triage nursing in Emergency Room; allocation of surgical beds; provision of patients' information on a course of surgical treatment prior to hospital admission; and participation in Diagnosis Related Group (DRG). Being responsible for each of these tasks, the nurses play a significant role as mediators between patients and health professionals as well as between the health professionals in order to respond to their patients' needs. This contributes to alleviation of suffering through the diagnosis and surgical treatment, leading to the best ways to recover from major trauma the patients had. In recent years, expanding nursing responsibilities for decision-making in patients' care has been in discussion. However, it is clear that with certain levels of education and practice, nursing profession is able to fill the important roles within the multi-professional team in the surgical area.

  7. [The effect of a scenario-based simulation communication course on improving the communication skills of nurses]. (United States)

    Huang, Ya-Hsuan; Hsieh, Suh-Ing; Hsu, Li-Ling


    Limited disease knowledge is frequently the cause of disease-related anxiety in myocardial infarction patients. The ability to communicate effectively serves multiple purposes in the professional nursing practice. By communicating effectively with myocardial infarction patients, nurses may help reduce their anxiety by keeping them well informed about their disease and teaching them self-care strategies. This research evaluates the communication skills of nurses following scenario-based simulation education in the context of communication with myocardial infarction patients. This study used an experimental design and an educational intervention. The target population comprised nurses of medicine (clinical qualified level N to N2 for nursing) working at a municipal hospital in Taipei City, Taiwan. A total 122 participants were enrolled. Stratified block randomization divided participants into an experimental group and a control group. The experimental group received clinical scenario-based simulation education for communication. The control group received traditional class-based education for communication. Both groups received a pre-test and a Communication Skills Checklist post-test assessment. Results were analyzed using SPSS 17.0 for Windows software. A t-test showed significant increases in communication skills (p communication skills following the education intervention. The results indicate that clinical scenario-based simulation education for communication is significantly more effective than traditional class-based education in enhancing the ability of nurses to communicate effectively with myocardial infarction patients.

  8. Baccalaureate nursing students' experience of dyadic learning in an acute care setting. (United States)

    Trueman, Gregg; Osuji, Joseph; El-Hussein, Mohamed Toufic


    This article describes a unique learning project designed to address the praxis gap between baccalaureate nursing students' clinical learning and theoretic principles of collaborative practice on an acute medical-surgical unit in Canada. The study was framed by the active engagement model to provide second-year nursing students a nontraditional approach to develop their nursing practice. Clinical faculty partnered with medical-surgical nursing staff and eight baccalaureate nursing students to explore the experience of collaborative learning and stakeholders' anticipated learning outcomes while working in dyads. A modified phenomenological approach was used in understanding the experience of dyadic learning through reflective journals, course evaluation data, and a semistructured exit interview for analysis. Four themes were revealed based on students' reflection of their experience: work engagement, relational practice, autonomy, and empowerment. These themes underscore the strengths and opportunities associated with this nontraditional approach to clinical learning. Copyright 2014, SLACK Incorporated.


    African Journals Online (AJOL)

    for people to benefit from widespread genetic/genomic discoveries, nurses must be competent to obtain .... specific diseases, or the thousands of basic biochemical processes that .... all nursing courses; Create a curriculum thread focused on ...

  10. Computer Literacy Needs of Nurse Educators and Nurse Managers


    Arnold, Jean M.; Bauer, Carol A.


    A questionnaire was used to survey the computer literacy needs of 445 nurse educators and nurse managers within a northeastern metropolitan area. There are commonalities and differences between nurse educators and nurse managers regarding advanced computer applications; but both groups expressed an urgent need for continuing nursing education courses at the advanced level.

  11. Effectiveness of asthma principles and practice course in increasing nurse practitioner knowledge and confidence in the use of asthma clinical guidelines. (United States)

    Taylor-Fishwick, Judith C; Okafor, Maureen; Fletcher, Monica


    The Asthma Principle and Practice (APP) course, an evidence-based blended distance-learning educational encounter, was designed to aid in the dissemination of the 2007 asthma clinical guidelines (EPR-3) and priority messages, increase knowledge of content of the guidelines as well as create an environment to enable participants to apply knowledge and skills into clinical practice. Students received a self-study binder 6-week period prior to attendance at an interactive study day. The APP is grounded in adult education principle and practices. A questionnaire was completed before reading the study binder and post study day to measure demographic variables as well as awareness of and changes in knowledge and confidence in key attributes of the clinical guidelines including patient education. The results showed that by taking the APP course confidence levels related to knowledge of asthma and its management increased with specific reference to the asthma clinical guidelines. Confidence in the use of patient education/communication strategies improved as well as the use of pulmonary function tests and the interpretation of test results. Nurse practitioners are an important audience to target in the dissemination of clinical guidelines and benefit from educational materials based on adult education strategies. ©2014 American Association of Nurse Practitioners.

  12. Research on the effect of performance appraisal in surgical nursing management%绩效考核在外科护理管理中的效果研究

    Institute of Scientific and Technical Information of China (English)

    陶小芝; 李承凤


    Objective To study the effect of performance appraisal in surgical nursing management.Methods According to the nursing post develop performance evaluation’s standard,we compared the implementation of nursing quality and nursing service satisfaction performanceof 201 2,before carrying out the effect of performance appraisal with that of 201 3.Results From 201 3 in basic nursing,nursing,hospital infec-tion,critical care,patient satisfaction and nursing documents writing,ward management index scores were higher than 201 2 (P<0.05),nurs-ing errors decreased significantly after the implementation of performance appraisal (P<0.01 ),and nursing service satisfaction performanceof inpatients was improved after the effect of performance appraisal(P<0.05 ).Conclusion Through the implementation of the performance appraisal,the working enthusiasm of nurses,nursing quality,nursing service satisfaction can be improved,reflecting the higherquality service.%目的:研究绩效考核在外科护理管理中的作用效果。方法根据护理岗位制定绩效考核标准,比较2012年和2013年实施绩效考核前后的护理质量和护理服务满意度。结果2013年在基础护理、整体护理、医院感染、危重患者护理、患者满意度和护理文件书写、病房管理等指标得分均高于2012年(P<0.05),绩效考核实施后护理差错明显减少(P<0.01),且绩效考核后住院患者对护理服务满意度也得到提高(P<0.05)。结论通过实施绩效考核,护士工作积极性、护理质量、护理服务满意度都得到提高,进一步体现了优质服务。

  13. [Penal liability from retained foreign body inside the surgical site]. (United States)

    Angiò, L G; Ventura Spagnolo, E; Pirrone, G; Cardia, G


    The Authors focus on the liability of the surgery team members in the case they inadvertently forget behind in the patient's body a foreign object, which causes injuries and/or death. The Authors underline that, according to the current case law regarding medical malpractice, both the main surgeon and their assistant/subordinate are liable for engaging in a markedly imprudent and/or negligent conduct, such as not double-checking scrupulously the surgical site before its closure in order to highlight forgotten foreign bodies. As well, the Authors underline that either the circulator nurse or the theatre nurse can be considered punishable by law when that medical error occurs, even if they are responsible for the count of the instruments used in the course of the surgery. Conversely, the main surgeon and his or her assistant are always directly responsible, due to the fact that the nurses' count procedure represents merely an additional control measure, without substituting at all the check the surgeons must obligatory conduct on the surgical site. Finally, the Authors point out that, as the count procedure is performed by the members of a surgical team, where a hierarchy-based relationship rules, the main surgeon is the liable for any preventable and avoidable adverse event provoked by the nursing staff as a consequence of the objective responsibility due to culpa in eligendo and culpa in vigilando.

  14. Model for Team Training Using the Advanced Trauma Operative Management Course: Pilot Study Analysis. (United States)

    Perkins, R Serene; Lehner, Kathryn A; Armstrong, Randy; Gardiner, Stuart K; Karmy-Jones, Riyad C; Izenberg, Seth D; Long, William B; Wackym, P Ashley


    Education and training of surgeons has traditionally focused on the development of individual knowledge, technical skills, and decision making. Team training with the surgeon's operating room staff has not been prioritized in existing educational paradigms, particularly in trauma surgery. We aimed to determine whether a pilot curriculum for surgical technicians and nurses, based on the American College of Surgeons' Advanced Trauma Operative Management (ATOM) course, would improve staff knowledge if conducted in a team-training environment. Between December 2012 and December 2014, 22 surgical technicians and nurses participated in a curriculum complementary to the ATOM course, consisting of 8 individual 8-hour training sessions designed by and conducted at our institution. Didactic and practical sessions included educational content, hands-on instruction, and alternating role play during 5 system-specific injury scenarios in a simulated operating room environment. A pre- and postcourse examination was administered to participants to assess for improvements in team members' didactic knowledge. Course participants displayed a significant improvement in didactic knowledge after working in a team setting with trauma surgeons during the ATOM course, with a 9-point improvement on the postcourse examination (83%-92%, p = 0.0008). Most participants (90.5%) completing postcourse surveys reported being "highly satisfied" with course content and quality after working in our simulated team-training setting. Team training is critical to improving the knowledge base of surgical technicians and nurses in the trauma operative setting. Improved communication, efficiency, appropriate equipment use, and staff awareness are the desired outcomes when shifting the paradigm from individual to surgical team training so that improved patient outcomes, decreased risk, and cost savings can be achieved. Determine whether a pilot curriculum for surgical technicians and nurses, based on the

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

    Kronk, Rebecca; Weideman, Yvonne


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

  16. The Use of Scaffolding and Interactive Learning Strategies in Online Courses for Working Nurses: Implications for Adult and Online Education (United States)

    Salyers, Vince; Carter, Lorraine; Cairns, Steve; Durrer, Luke


    This paper reviews the foundational literature of contemporary e-learning, with a focus on scaffolding, instructional design, and engagement. These concepts are then considered in two limited case studies, each involving e-learning and adult learners--in particular, nurse-learners. The first case study describes the use of a scaffolding model…

  17. The Use of Scaffolding and Interactive Learning Strategies in Online Courses for Working Nurses: Implications for Adult and Online Education (United States)

    Salyers, Vince; Carter, Lorraine; Cairns, Steve; Durrer, Luke


    This paper reviews the foundational literature of contemporary e-learning, with a focus on scaffolding, instructional design, and engagement. These concepts are then considered in two limited case studies, each involving e-learning and adult learners--in particular, nurse-learners. The first case study describes the use of a scaffolding model…

  18. Transformation of admission interview to documentation for nursing practice. (United States)

    Højskov, Ida E; Glasdam, Stinne


    The admission interview is usually the first structured meeting between patient and nurse. The interview serves as the basis for personalised nursing and care planning and is the starting point for the clinic's documentation of the patient and his course of treatment. In this way, admission interviews constitute a basis for reporting by each nurse on the patient to nursing colleagues. This study examined how, by means of the admission interview, nurses constructed written documentation of the patient and his course of treatment for use by fellow nurses. A qualitative case study inspired by Ricoeur was conducted and consisted of five taped admission interviews, along with the written patient documentation subsequently worked out by the nurse. The findings were presented in four constructed themes: Admission interviews are the nurse's room rather than the patient's; Information on a surgical object; The insignificant but necessary contact; and Abnormalities must be medicated. It is shown how the nurse's documentation was based on the admission interview, the medical record details on the patient (facts that are essential to know in relation to disease and treatment), as well as the nurse's preconception of how to live a good life, with or without disease. Often, the patient tended to become an object in the nurse's report. It is concluded that in practice, the applied documentation system, VIPS, comes to act as the framework for what is important to the nurse to document rather than a tool that enables her to document what is important to the individual patient and his special circumstances and encounter with the health system. © 2013 Nordic College of Caring Science.

  19. Effect of Evidence-based Nursing Model on Survial Quality of Surgical Patients%循证护理模式对外科患者生存质量的影响

    Institute of Scientific and Technical Information of China (English)



    目的:探讨外科患者生存质量的改善过程中,应用循证护理模式的临床效果。方法:将某院2013年6月~2014年6月收治的100例外科患者随机分为观察组与对照组各50例,对照组给予常规护理,观察组给予循证护理模式。结果:对比两组患者护理前后的 HAMD和 HAMA 评分,护理前两组患者评分无明显差异(P>0.05),无统计学意义;护理后,观察组评分明显低于对照组(P<0.05),具有统计学意义。结论:外科患者的护理过程中,应用循证护理模式具有较好效果,值得临床推广。%Objective:To investigate the clinical effect of evidence‐based nursing model in the process of improving the survial quality of surgical patients .Methods:Randomly divide 100 cases of surgical patients re‐ceived in some hospital into observation group and control group ,50 cases for each group .Treating the con‐trol group with usual care while the observation group with evidence‐based nursing .Results:Compare the scores of HAMD and HAMA of the two groups before and after nursing .Before nursing ,the scores of the two groups were not obviously different(P>0 .05) ,it was not statistically significant ,while after nursing , the score of the observation group was obviously lower than that of the control group(P<0 .05) ,it was sta‐tistically significant .Conclusion:It is effective to nurse surgical patients with evidence‐based nursing and it is worthy of clinical promotion .

  20. Preparing nursing students to be competent for future professional practice: applying the team-based learning-teaching strategy. (United States)

    Cheng, Ching-Yu; Liou, Shwu-Ru; Hsu, Tsui-Hua; Pan, Mei-Yu; Liu, Hsiu-Chen; Chang, Chia-Hao


    Team-based learning (TBL) has been used for many years in business and science, but little research has focused on its application in nursing education. This quasi-experimental study was to apply the TBL in four nursing courses at a university in Taiwan and to evaluate its effect on students' learning outcomes and behaviors. Adult health nursing, maternal-child nursing, community health nursing, and medical-surgical nursing were the 4 designated courses for this study. Three hundred ninety-nine students in 2-year registered nurse-bachelor of science in nursing, and regular 4-year nursing programs enrolled in the designated courses were contacted. Three hundred eighty-seven students agreed to participate in the data collection. Results showed that the TBL significantly improved the learning behaviors of students in both programs, including class engagement (p learning (p learning behaviors and academic performance. These learning behaviors are important and beneficial for the students' future professional development. The TBL method can be considered for broader application in nursing education.

  1. Observation of Nursing Intervention on the Prevention of Surgical Wound Infection in Operation Room%护理干预对手术室外科伤口感染的预防效果观察

    Institute of Scientific and Technical Information of China (English)



    目的:分析护理干预对手术室外科伤口感染的预防效果。方法将158例患者分为A、B两组各79例,分别给予护理干预及常规护理,分析两组护理效果。结果A组甲级愈合率高于B组,伤口感染率A组2.5%低于B组13.9%,P<0.05。结论护理干预可预防手术室外科伤口感染。%Objective To analyze the effect of nursing intervention on the prevention of surgical wound infection in operation room. Methods 158 patients were randomly divided into A,B two groups with 79 cases in each group,they were given nursing intervention and routine nursing care,the nursing effect of two groups were analyzed. Results In group A,Class-A healing rate was significantly higher than that of group B,wound infection in group A was 2.5%,lower than that in group B which was 13.9%,P<0.05. Conclusion Nursing intervention can prevent wound infection in operation room.

  2. Evaluating the effect of a clicker in an information literacy course for college nursing students in Taiwan. (United States)

    Lin, Kai-Yin


    In this technology era, information literacy is a global imperative. This is true for nursing students as well because they will have to help patients through operating computerized equipment. The key foundation of learning is concentration. The primary objectiveof this research was to explore the effect of clickers on nursing college students' concentration. The research involved 51 student volunteers and was quasi-experimental, with both a pretest and a posttest design. Student concentration was measured by using Student Concentration Scale in a Classroom-Learning Environment. The results showed that students' learning concentration improved, an outcome that could support integrating clickers into classroom teaching activities, and students' concentration level was better after clickers were used in the teaching process as a whole. Items under the "Concentration Capacity and Concentration Consciousness" category reached a significant level. Based on the analysis of the results, suggestions have been made for teaching and future research.

  3. Practice and Reflection on the Development of Physiology Course with Nursing Specialty of College Level%对专科层次护理专业生理学课程开发的实践与思考

    Institute of Scientific and Technical Information of China (English)

    石波; 杨友谊; 杨蓉


    According to demand for talent in nursing jobs, physiology course on the nursing specialty of junior college in this school was designed and developed by the course group of this school, take the work requirement of nursing post as the main line, selected course content, the school textbook was edited by the course group of this school. The original content of physiology course was deconstructed and Reconstructed,the learning tasks were merged with some other learning tasks, these learning tasks contain some work content of quite high relativity with the nurse. On the teaching mode of problem-centric, the learning tasks were guided by the case or the question inducted, flexible teaching methods and a variety of practical means were taken. Usability of the physiology was enhanced greatly for follow-up courses and demand of nurse job.%根据护理岗位对人才的需求,课程组对本校专科层次的护理专业生理学课程重新进行课程设计和开发,以岗位工作要求为主线,精选课程内容,自编校本教材。对原有生理学课程内容进行解构与重构,把与护士某一工作内容相关程度比较高的学习任务合并在一起。在教学模式上以问题为中心,通过案例或者问题导入引导学习任务,采取灵活多样的教学方法和多种实践手段,大大增强了生理学对后续课和护士岗位需求的实用性。

  4. Nursing care of postoperative incision pain of surgical patients%外科病人术后切口疼痛的护理

    Institute of Scientific and Technical Information of China (English)

    赵艳红; 吕永辉


    随着现代护理观念的更新,术后急性疼痛引起了护理人员的高度重视。疼痛是许多外科病人都要遇到的问题,术后疼痛对病人的生理会产生多方面的不良影响,是术后并发症和死亡率增高的相关因素之一。护理人员已将术后镇痛视为提高病人安全性、促进病人术后早日康复的重要环节,术后急性疼痛的处理已成为护理学的重要组成部分,有效的疼痛护理管理为及时控制和缓解术后疼痛提供了保障。本文对39例外科病人手术后切口观察,按卡诺夫斯荃氏的疼痛分级法,采用同源配对秩和检验,着重了解护理能否改善病人术后切口疼痛。结果表明:护理前患者普遍出现焦虑、忧郁、恐惧等表现,通过适当的心理护理,局部切口的护理和全身护理等减轻疼痛措施实施后,切口疼痛明显下降或消失,护理前后比较有显著性差异, P<0.001。大部分病人变为平静心境,甚至心情愉快,护理前后情绪变化比较有显著性差异,P<0.001.因此,加强术后病人切口疼痛的护理,是行之有效的护理方法,值得我们重视。%With the updated concept of modern nursing, postoperative acute pain caused by a caregiver's attention. Pain is the problem to be encountered in many surgical patients, postoperative pain will produce a wide range of adverse effects on the patient's physical, it is one of the relevant factors of postoperative complications and mortality. Nurses have been deemed analgesia improve patient safety, promote important aspects of the patient's speedy recovery after surgery, postoperative acute pain management has become an important part of nursing, effective pain care management for the timely control and mitigation Postoperative pain provided a guarantee. In this paper, cut to observe the patient after surgery exception 39, Tsuen Graves by Kano's pain grading method, using homologous pairing rank

  5. Nursing Home


    Allocca Hernandez, Giacomo Antonio


    Getting old involves a lot of changes in life. Family and social relations change and mobility can decrease. These variations require new settings, and of course special care. A nursing home is a place dedicated to help with this situation. Sometimes nursing homes can be perceived as mere institutions by society, and even by future residents. Inside, senior citizens are suppose to spend the rest of their lives doing the same activities day after day. How can we improve these days? Archite...

  6. Introducing a Primary Health Care nurse training course at the University of Limpopo: Experiences and views of trainees

    Directory of Open Access Journals (Sweden)

    Peter A. Delobelle


    Full Text Available Background: A new post-basic Primary Health Care (PHC nurse training was piloted at the University of Limpopo in rural South Africa in order to reinforce PHC services and to address the backlog of trained PHC nurses. The training comprised residential and decentralised training modules based on the principles of problem based learning and community based education, and a patient-centred care approach developed in the field of family medicine was applied for acquiring consultation skills. Clinical reasoning was improved through on-site supervision by individual preceptors. Objective: The aim of the study was to describe the satisfaction, experiences and views of trainees in the first year of implementing the new PHC nurse training programme.Method: The study had a descriptive, exploratory and cross-sectional design, and used quantitative and qualitative methods for data collection that included a semi-structured survey questionnaire and focus group discussion. A purposive sample of trainees enrolled in the pilot programme (n = 15 was recruited for this study. Results were analysed quantitatively for the survey questionnaire and content analysis was used for qualitative data.Results: Results revealed trainee satisfaction with the quality of community based visits and classroom lectures and dissatisfaction with on-site supervision and training material. Qualitative findings indicated a need to improve information and communication of supervisors and preceptors, and to provide more training material. Factors related to the work environment were identified as barriers to implement learning, but the use of tools developed in family medicine curricula was perceived as beneficial. Lessons learnt included the need for strong programme coordination and stakeholder commitment, as well as the need to develop a competence framework for PHC nursing.Conclusion: The implementation of a pilot programme for PHC nurse training had the outcomes of trainee

  7. 男护生护理学基础实验兴趣教学%Talking about the interest teaching for the male nursing students in basic nursing's experiment course

    Institute of Scientific and Technical Information of China (English)

    蔡宏亚; 廖少玲


      针对男护生在护理学基础实验课学习中出现的厌学情绪,从专业思想教育和灵活多样的教学方法两方面入手,运用兴趣教学的方法激发他们的求知欲,使男护生在愉悦中接受知识,教学效果较好。%  In view of the male nursing students' weariness appearing in basic nursing's experiment course, we teaching them through two aspects of the professional ideological education and flexible teaching method, using the interest teaching method to arouse their curiosity, so the male nursing students accept the knowledge in pleasure, and the teaching effect is much better.

  8. Do commencing nursing and paramedicine students differ in interprofessional learning and practice attitudes: evaluating course, socio-demographic and individual personality effects. (United States)

    Hallam, Karen T; Livesay, Karen; Morda, Romana; Sharples, Jenny; Jones, Andi; de Courten, Maximilian


    Interprofessional education (IPE) requires health students to learn with, from and about each other in order to develop a modern workforce with client-centred care at its core. Despite the client centred focus of IPE, training programs often utilize standard approaches across student cohorts without consideration of discipline, sociodemographic and personality variability that attract students to different health disciplines. Knowing the students who engage in IPE to tailor training may prove as beneficial as knowing the client to delivered individualized client centred care in interprofessional practice (IPP). This research investigates whether students commencing undergraduate nursing and paramedicine degrees ener training with existing demographic and personality differences and, if these are associated with different attitudes towards health care teams and interprofessional education. This online study recruited 160 nursing and 50 paramedicine students in their first week of their undergraduate course. Students completed questionnaires regarding their background, personality (General Perceived Self Esteem Scale, International Mini Markers) and the attitudes towards health care teams scale (ATHCTS) and interprofessional education perception scale (IEPS). Results show that commencing nursing and paramedicine students are demographically different on education, gender, speaking a language other than English at home (LOTE) and their own experience with healthcare. The results further demonstrate that LOTE, discipline being studied and personality factors play a role in perceptions regarding interprofessional training whilst discipline being studied impacted on attitudes towards health care teams in the workforce. These results highlight a number of existing personal and psychological differences between individuals who choose to train in these selected professions. This suggests a need for tertiary education IPE programs to move towards tailoring their education to

  9. The application of two-trail teaching mode of PBL combining with CBL in surgical nursing%PBL结合CBL双轨式教学在《外科护理学》教学中的应用

    Institute of Scientific and Technical Information of China (English)

    岳琳; 牟绍玉


    目的:探索PBL结合CBL双轨式教学方法应用于《外科护理学》的教学效果,进一步提高教学质量。方法:将二年级护理专科学生随机分成实验组和对照组,对《外科护理学》中"创伤性疾病病人的护理"内容在实验组采取PBL与CBL相结合方式教学,对照组采取传统讲授方式授课。课程结束后,分别对学生的理论知识、实践技能、综合素质进行评价。结果:实验组学生理论及实践技能考核成绩优于对照组。学生和教学督导员调查反馈提示:对提高学生自学能力、促进团结协作、激发学习兴趣方面实验组显著优于对照组(P〈0.01)。结论:CBL科护理学》教学中使用PBL结合CBL双轨式教学方法,学生满意度高,教学效果好。%Objective:To explore the teaching effect for surgical nursing by applying two-trail mode of PBL combining with CBL,and to improve teaching quality.Methods: Sophomores ina junior nursing college were randomly selected and divided into two groups,the experimental group and the controlled group.The experimental group was taught by PBL combining with CBL for Caring Patients with Traumatic Problems in Surgical Nursing,compared with the control led group(traditional teaching method).And students' relevant/relevant theory knowledge,practical skills and comprehensive quality were evaluated.Results: There was significant difference between the experiment group and the controlled group in the evaluated outcoming of knowledge on surgical nursing theory and skills,and in the feedbacks from students and teaching supervisors(on students' independent-study ability,cooperation,and learning interest)(P0.01).Conclusion: Two-trail teaching mode of PBL combining with CBL in Surgical Nursing can obtain students' satisfaction and achieve teaching effect.

  10. 外科护理实践课综合性实验教学体系的设计与实施%Design and implementation of comprehensive lab teaching system for surgical nursing practice

    Institute of Scientific and Technical Information of China (English)

    丛小玲; 杨艺; 许苏飞; 李路寰; 沈娟


    目的 在外科护理实践教学中探索开展综合性实验教学的方法.方法 选取2010级三年制高职护生4个班共198人为实验班,在外科护理实践课开展综合性实验共7次24学时;根据教学要求,教师编辑病例,提出问题并设计临床模拟场景,护生分组进行角色扮演,完成实践教学任务.2009级护生共196人为对照班采用常规实验教学方法.结果 两组外科护理学理论及实践成绩比较,差异有统计学意义(均P<0.01).实验班90%以上的护生认为可提高对知识的综合性应用能力,提高学习兴趣,有利于护生团队协作能力、组织能力、沟通能力的培养.结论 外科护理实践课开展综合性实验有利于提高护生的学习兴趣和培养护生临床综合能力.%Objective To explore a method to conduct comprehensive lab teaching of surgical nursing practice. Methods Four classes totaling 198 nursing students on a three-year vocational program and admitted in 2010 were taken as the experimental group. These classes had 7 surgical nursing practice sessions by comprehensive lab teaching, 24 periods in total. According to the teaching requirements, the teachers edited cases, asked questions and designed clinical scenarios. The students were asked to do role plays and accomplish lab-based practice tasks. On the contrary, 196 nursing students admitted in 2009 had their surgical nursing practice sessions by conventional teaching methods. Results There were significant differences between the two groups in the results of surgical nursing theory and lab tests (P<0. 01 for both). More than 90% of the students in the experimental group believed that the comprehensive lab teaching system helped improve their comprehensive applicability of knowledge, enhance learning interest and cultivate the capacity of team cooperation, organization and communication. Conclusion Conducting comprehensive lab teaching in surgical nursing practice sessions can improve

  11. Analysis of stress-causing factors in the final undergraduate year of the nursing course - doi 10.4025/actascihealthsci.v34i2.9209

    Directory of Open Access Journals (Sweden)

    Marcos Hirata Soares


    Full Text Available An exploratory and descriptive study that analyzed the intensity of stress caused by different situations is provided. The sample consisted of 47 final-year nursing students at the State University of Londrina and was carried out between July and September 2009. Data, obtained by a seven-item visual analogue scale and by a single open question on the perception of other stress sources, were analyzed through rating scores and resulted in a data table. Most students were rated at intensity 3 (38.3% and 4 (36.2%, or rather, maximum overload stress for academic studies. Lack of leisure time and fear of unemployment after graduation were regarded as stress-causing situations, coupled to a feeling of being unprepared to exercise one’s profession. Financial difficulties led to lower intensity but medium-significance factors for stress development. Interpersonal relationships received the lowest intensity scores. Results indicated future changes in the curriculum of the nursing course to minimize the suffering and harm to the students’ mental health and to provide the full development of their emotional maturity.  

  12. The Development, Field Testing and Evaluation of Three Hierarchies of Behaviorally Stated Objectives for the Chemistry Content of a Course of Instruction in Physical Science for Pre-Service Nursing Students. (United States)

    Love, Robert Alden

    The purpose of this research was to develop hierarchies of behavioral objectives for the chemistry content of a one-semester course in physical science for preservice associate degree nursing students. Each of three content objectives was expressed by a series of behaviorally stated objectives which included a terminal objective for a unit of…

  13. 外科护理不良事件发生原因及防范措施分析%Causes and Preventive Measures of Nursing Adverse Events in Surgical Departments

    Institute of Scientific and Technical Information of China (English)



    Objective To investigate and explore the causes and preventive measures of nursing adverse events in surgical departments. Methods From February 2013 to January 2016, 2 500 patients treated in our hospital were chosen, nursing adverse events during the surgical hospitalization of all patients were analyzed. Results There were 90 cases of nursing adverse events with the rate of 3.6%, including 40 cases of pressure sores, 20 cases of catheter loss, 20 cases of fall and 10 case of aspiration, which had been corrected after symptomatic treatment. Conclusion Surgical nursing adverse events of occurrence causes more has related to nursing management factors and the patient's own. so that nursing can obtain healthy, steady and sustainable development.%目的调查与探讨外科护理不良事件发生原因及防范措施。方法选取2013年2月~2016年1月我院外科进行诊治的2500例患者,记录所有患者在外科住院期间发生的护理不良事件,并分析其成因。结果发生护理不良事件90例,发生率为3.6%,其中压疮40例,导管脱落20例,跌倒20例,误吸10例,都经过对症处理后纠正。结论外科护理不良事件的发生原因多与护理管理因素和患者自身有关,外科护理不良事件的发生原因多与护理管理因素和患者自身有关,在临床上要积极管理,从而使护理工作健康、稳步、持续发展。

  14. 大理州外科护士专业自我概念的现状分析%Status Analysis of Professional Self-concept of Surgical Nurses in Dali Prefecture

    Institute of Scientific and Technical Information of China (English)

    赵媛; 和晓凤; 夏琳娟


    〔Abstract〕Objective:To investigate the current status of professional self-concept of surgical nurses in Dali prefecture. Methods:Through convenient sampling, a self-madequestionnaire and the Chinese version of professional self-concept of nurses instrument (PSCNI)were used to survey 240 surgical nurses in one comprehensive hospital in Dali. Results:The mean score of professional self-concept of nurses in Dali prefecture was(82.92 ± 10.86)and the total average level was(2.76 ± 0.39). The score of skill dimension is the highest, while the score of satisfaction dimension is the lowest. Conclusion: Surgical nurses in Dali prefecture showed positive professional attitude, however their job satisfaction should be paid more attention to. Hospitals ought to take measures to improve the job satisfaction and professional self-concept, and the quality of nursing.%目的:调查大理州外科护士专业自我概念水平。方法:应用便利抽样法,以一般资料调查表、中文版护士专业自我概念量表对大理州某综合性医院的240名外科护士进行调查,并对调查结果进行分析。结果:大理州外科护士专业自我概念总分为(82.92±10.86)分,总均分(2.76±0.39)分,技能维度得分最高,满意度维度得分最低。结论:大理州外科护士总体具有积极的专业态度,但工作满意需得到重视,医院应采取措施提高外科护士工作满意度和专业自我概念水平,增进护理质量。

  15. Competências gerenciais do enfermeiro nas perspectivas de um curso de graduação de enfermagem e do mercado de trabalho Nurse managerial competencies from the perspectives of an undergraduate nursing course and of the work market

    Directory of Open Access Journals (Sweden)

    Aida Maris Peres


    Full Text Available A formação de competências gerenciais do enfermeiro e conteúdos de disciplinas de Administração em Enfermagem motivaram reflexões sobre as relações entre o projeto político-pedagógico de um curso de graduação e o perfil do egresso proposto nas Diretrizes Curriculares Nacionais com o mercado de trabalho de enfermeiros em Curitiba, no Paraná. Na pesquisa descritivo-exploratória e qualitativa, objetivou-se apontar convergências e divergências entre as expectativas identificadas no projeto político-pedagógico e as de gerentes que contratam enfermeiros. As políticas de educação e de saúde no Brasil foram apresentadas como determinantes de modelos de formação e de ensino de Administração, na área de enfermagem. A análise hermenêutico-dialética das competências gerenciais esperadas nos âmbitos do ensino e do mercado de trabalho norteou-se pelos eixos dos determinantes: da dimensão estrutural, que abrangem essas políticas; da dimensão particular, representada pelo mercado de trabalho local e pela instituição de ensino; e da dimensão singular, pertinentes ao âmbito do ensino de Administração em Enfermagem. Os resultados mostram a necessidade de o ensino estreitar relações com o mercado de trabalho, no sentido de ampliar a valorização de competências gerenciais do enfermeiro para além da dimensão técnica, contemplando as dimensões: comunicativas, ética, política e de desenvolvimento da cidadania.Developing nurse managerial competencies and Nursing Administration syllabuses led to reflections on the relationship between a political and pedagogical project for a graduate course and the profile of those who graduate from it, as proposed in the National Curricular Guidelines, and the nurse work market in Curitiba, in the Brazilian state of Paraná. The purpose of the descriptive-exploratory and qualitative survey was to identify convergences and divergences between the expectations identified in the

  16. Preferred information sources for clinical practice by nurses

    Directory of Open Access Journals (Sweden)

    Figen Çalışkan


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

  17. By the "high quality nursing service demonstration project" as a turning point, exploring the application of implementing accountability nursing mode in pediatric surgical ward%以优质护理服务示范工程为契机探索责任包干制护理模式在儿外科病房的应用

    Institute of Scientific and Technical Information of China (English)

    贺琳晰; 赵璠; 范玲


    Objective To explore the application effect of implementing the accountability nursing mode in pediatric surgical ward.Methods On the basis of the transformation of nursing concept and the improving of understanding of "High Quality Nursing Service Demonstration Project" activities,strengthening basic nursing,establishing two-level nurse management framework,implementing the accountability nursing mode.The satisfaction degree of children's parents before and after the implementation was compared.Results The satisfaction degree of children's parents after the implementation of accountability nursing mode significantly improved.Conclusions After implementing accountability nursing mode in pediatric surgical ward,the satisfaction degree of children's parents improved,the harmonious development of nurse-patient relationship was promoted,the professional identity of nursing personnel was enhanced,and guaranteed the continuous improvement of quality of care.%目的 探讨儿外科病房实施责任包干制护理模式的效果.方法 以我院儿外科全体护理人员为研究对象,在转变护理理念,提高护士对“优质护理服务示范工程”活动的认识的基础上,实施了加强基础护理、建立能级护士管理构架、实行责任包干制等措施.比较实施前后患儿家长的满意度.结果 实施责任包干制护理模式后患儿家长对护理服务的满意度显著提高.结论 在儿外科病房实施责任包干制护理模式后,提高了患儿家长满意度,促进了医护关系和谐发展,增强了护理人员职业认同感,保证了护理质量的持续改进.

  18. Abortion - surgical (United States)

    Suction curettage; Surgical abortion; Elective abortion - surgical; Therapeutic abortion - surgical ... Surgical abortion involves dilating the opening to the uterus (cervix) and placing a small suction tube into the uterus. ...

  19. Cardiovascular nursing in Israel. (United States)

    Blaer, Yosef; Rosenberg, Orit; Reisin, Leonardo


    Cardiovascular (CV) nursing as an entity in Israel dates back to 1952, when the nurses in Tel-Hashomer hospital took care of postoperative heart surgery patients. The first intensive cardiac care units (ICCUs) were established in 1971. In 1982, the first ICCU course was established in Tel-Hashomer hospital nursing school. Today, most of the nursing staff in Israels ICCUs are graduates of ICCU courses. The nurses professional society, the Society for Nursing of Israel, was established in 1947. In 1989 the Society for Advancement of Cardiac Nursing in Israel (SACN) was established. The main goals of the society were: the exchange of CV nursing knowledge, CV nursing research, CV nursing education in nursing schools, education of nurses in other departments in the care of the cardiac patient, and CV nursing education in the community. The CV nurse takes a large role in the total care of the cardiac patient, which includes rehabilitation within the hospital and in the ambulatory setting and coordination of nursing in national and international multicenter clinical trials. In collaboration with the Ministry of Health Nursing Division, Israeli CV nurses participate in national and international projects to: develop and upgrade nursing education; train new CV nurses; develop, review, and revise nursing protocols and guidelines; and establish new, more advanced ICCUs in underdeveloped areas within Israel and around the world. Our vision for the future development of CV nursing in Israel includes coordination and management roles in the hospital setting, and the establishment and management of home-care programs. Copyright 2003 CHF, Inc.

  20. [The use of a Nursing Model (NM) for nursing administration offers direct and indirect benefits for patients as for nurses. Depending the chosen NM, the concepts of person, health, nursing and environment are very different. Each NM has its special vision of the practice of nursing. The study investigated whether the Chief Nursing Officers (CNO) of the bilingual and French speaking Belgian hospitals integrate Nursing Models in the politics of their department. A quantitative descriptive and correlational survey was conducted. 97.5 % of the concerned CNO (78/80) participated to the research. It appears that a Nursing Model underlies the action of the nursing department in only 38 % of the departments (30/78). Where a Nursing Model is used, it is explicitly communicated to staff (26/30). Among the Models used, that of Virginia Henderson dominates (26/30). The seniority of the CNO in its function as well as variables related to educational courses and clinical context appear to influence the results. The Nursing Models of the paradigm of transformation remain rarely used. A qualitative research would be relevant to deepen the understanding of the experience of CNO related to Nursing Models. (United States)

    Lecocq, Dan; Lefebvre, Hélène; Bachelet, Lucie; Berrabah, Ouassinia; Dyikpanu, David; Martin, Daniel; Siddu, Damien; Mengal, Yves; Pirson, Magali


    The use of a Nursing Model (NM) for nursing administration offers direct and indirect benefits for patients as for nurses. Depending the chosen NM, the concepts of person, health, nursing and environment are very different. Each NM has its special vision of the practice of nursing. The study investigated whether the Chief Nursing Officers (CNO) of the bilingual and French speaking Belgian hospitals integrate Nursing Models in the politics of their department. A quantitative descriptive and correlational survey was conducted. 97.5 % of the concerned CNO (78/80) participated to the research. It appears that a Nursing Model underlies the action of the nursing department in only 38 % of the departments (30/78). Where a Nursing Model is used, it is explicitly communicated to staff (26/30). Among the Models used, that of Virginia Henderson dominates (26/30). The seniority of the CNO in its function as well as variables related to educational courses and clinical context appear to influence the results. The Nursing Models of the paradigm of transformation remain rarely used. A qualitative research would be relevant to deepen the understanding of the experience of CNO related to Nursing Models.

  1. Nursing practice environment and outcomes for oncology nursing. (United States)

    Shang, Jingjing; Friese, Christopher R; Wu, Evan; Aiken, Linda H


    It is commonly assumed that oncology nurses experience high job-related burnout and high turnover because their work involves inherent stressors such as caring for patients with serious and often life-threatening illness. The objectives of this study were to examine the differences in outcomes such as job dissatisfaction and burnout between oncology nurses and medical-surgical nurses, and to identify factors that affect oncology nurse outcomes. A secondary analysis of nurse survey data collected in 2006 including 4047 nurses from 282 hospitals in 3 states was performed; t test and χ2 test compared differences between oncology nurses and medical-surgical nurses in nurse outcomes and their assessments of nurse practice environment, as measured by the Practice Environment Scale of the Nursing Work Index. Logistic regression models estimated the effect of nurse practice environment on 4 nurse-reported outcomes: burnout, job dissatisfaction, intention to leave the current position, and perceived quality of care. Oncology nurses reported favorable practice environments and better outcomes than did medical-surgical nurses. All 4 subscales of the Practice Environment Scale of the Nursing Work Index studied were significantly associated with outcomes. Specifically, nurses who reported favorable nursing foundations for quality of care (eg, active in-service or preceptorship programs) were less likely to report burnout and leave their current position. Better practice environments, including nurse foundations for quality care, can help to achieve optimal nurse outcomes. Improving hospital practice environments holds significant potential to improve nurse well-being, retention, and quality of care. Specifically, hospitals should consider preceptor programs and continuing education and increase nurses' participation in hospital decision making.

  2. 泌尿外科高龄高危患者的术前护理干预措施%The study of nursing care intervention to the elder urologic patients at high surgical risk before operation

    Institute of Scientific and Technical Information of China (English)

    彭红霞; 陆桂花; 梁玉霞; 邹惠梅


    目的 探讨泌尿外科高龄高危患者术前的护理干预措施.方法 对36例泌尿外科高龄高危患者术前进行的心理行为干预进行回顾性分析.结果 干预后患者术前心理稳定,完全从医行为明显提高,不完全从医行为明显降低,采纳健康行为者明显增多,具有危险行为者明显降低.结论 对泌尿外科高龄高危患者术前进行有计划的心理行为干预,有利于手术的顺利进行和术后康复.%Objective To investigate the effects of nursing care intervention on the elder urologic patients at high surgical risk before operation.Methods This study was designed as a retrospective analysis.Thirty-six cases of the elder urologie patients at high surgical risk were psyeholngical and behavior intervened before operation.Results:After being intervened,the psychology of the patients was stable,patient compliance with doctors and nurses raised and the non-compliance reduced conspicuously.Also the patients who do the healthy action increased and the patients do the dangerous action were reduced apparently.Conclusions:Being nursing care intervention to the elder urologic patients at high surgical risk before operation by plan,it can raising the patients?endurance and is beneficial for patients to get through the operation safely and postoperative rehabilitation.

  3. Patient safety in healthcare preregistration educational curricula: multiple case study-based investigations of eight medicine, nursing, pharmacy and physiotherapy university courses. (United States)

    Cresswell, Kathrin; Howe, Amanda; Steven, Alison; Smith, Pam; Ashcroft, Darren; Fairhurst, Karen; Bradley, Fay; Magnusson, Carin; McArthur, Maggie; Pearson, Pauline; Sheikh, Aziz


    We sought to investigate the formal and informal ways preregistration students from medicine, nursing, pharmacy and the allied healthcare professions learn about patient safety. We drew on Eraut's framework on formal and informal acquisition of professional knowledge to undertake a series of phased theoretically informed, in-depth comparative qualitative case studies of eight university courses. We collected policy and course documentation; interviews and focus groups with educators, students, health service staff, patients and policy makers; and course and work placement observations. Data were analysed thematically extracting emerging themes from different phases of data collection within cases, and then comparing these across cases. We conducted 38 focus groups with a total of 162 participants, undertook 82 observations of practice placements/learning activities and 33 semistructured interviews, and analysed 44 key documents. Patient safety tended to be either implicit in curricula or explicitly identified in a limited number of discrete topic areas. Students were predominantly taught about safety-related issues in isolation, with the consequence of only limited opportunities for interprofessional learning and bridging the gaps between educational, practice and policy contexts. Although patient safety role models were key to student learning in helping to develop and maintain a consistent safety ethos, their numbers were limited. Consideration needs to be given to the appointment of curriculum leads for patient safety who should be encouraged to work strategically across disciplines and topic areas; development of stronger links with organisational systems to promote student engagement with organisation-based patient safety practice; and role models should help students to make connections between theoretical considerations and routine clinical care.

  4. [Reading nursing Literature in English: new inputs for practicing nurses]. (United States)

    von Klitzing, Waltraut; Stoll, Hansruedi; Trachsel, Edith; Aldorf, Kurt; Bernhard, Annelis; Eze, Germaine; Spirig, Rebecca


    A prerequisite to providing evidence-based care is the ability to comprehend the nursing research literature, most of which is published in English. To facilitate this understanding, a course on "reading the research literature for evidence-based practice in English" was developed by an interdisciplinary team for staff nurses at the University Hospital Basel. The pilot course was offered to nurses who specialized in cancer care. It was led by the oncology Advanced Practice Nurse (APN) from the Department of Medicine. Research articles focusing on the management of chronic illness and cancer pain management were assigned and read. The course consisted of ten 90 minute lessons. The evaluation was designed to address the following questions: 1. Did participation in the course improve the oncology related knowledge of the nurses? 2. Did participation in the course improve the nurses' English language skills? 3. At what level of difficulty did the nurse participants perceive the course to be? 4. Were course participants able to use their newly acquired knowledge to teach their nursing colleagues on the ward? The course evaluation demonstrated that the 15 participants significantly improved their oncology knowledge through this process but that their English skills did not improve. The participants were able to present lectures on their wards based on the course literature, which were positively evaluated by their colleagues and the APN course leader. The participants perceived the course as being sophisticated but also effective at demonstrating the use of English-language research literature for one's own nursing practice.

  5. 手术室优质护理对手术部位感染影响的分析%Analysis of the Impact of the Operating Room Nursing Quality on Surgical Site Infection

    Institute of Scientific and Technical Information of China (English)



    Objective:Analyze the influence of the operating room nursing quality to surgical site infection.Methods:Since March 2012,our hospital began the implementation of formal quality of nursing, and improved the quality of nursing by the behavior of strengthening supervision,optimizing the environment of the operating room and standard operation,such as behavior.Make the results of the manageG ment of surgical site monitoring to our hospital in March 2012 to August 2013 as the research object,analyze the operating room nursing quality to the influence of surgical site infection.Result:Before impleG menting high quality nursing,the hospital surgery patients with surgical site infection rate was 1.36%;With a high quality nursing after implementation,surgery surgical site infection control within 0.63%. Before implement high quality nursing,surgical hand disinfection percent of pass is 92.1%;Ordinary washing percent of pass is 88.4%;Air disinfection qualified rate 93.3%;An object's surface monitoring percent of pass is 90.6%;Environmental health percent of pass is 95.2%.After the implementation of high quality nursing,surgical hand disinfection percent of pass is 100%;Ordinary washing,percent of pass is 98.7%;Air disinfection qualified rate 100%;An object's surface monitoring percent of pass is 96.4%;Environmental health percent of pass is 98.8%.Conclusion:The implementation of the operating room nursing quality can ef ectively reduce the surgical site infections,and create favorable conditions for surgical site infection control work,it is suitable for clinical application.%目的::分析手术室优质护理对手术部位感染的影响.方法:我院自2012年3月起,正式实施优质护理,通过加强监管力度、改善护理行为、优化手术室环境、规范手术操作等行为,提高护理质量.将我院2012年3月~2013年8月,手术部位管理的监测结果作为研究对象,分析总结手术室优质护理对手术部位感染的影

  6. 143例达芬奇外科手术系统甲状腺癌根治术护理配合%Nursing cooperation of 143 patients with Da Vinci's surgical operation system for thyroid cancer

    Institute of Scientific and Technical Information of China (English)

    田秀; 王小霞


    报告了143例达芬奇外科手术系统甲状腺癌根治术的护理配合体会。术前充分的手术准备,熟练掌握达芬奇机器人的各部分构造和使用程序,熟悉机器人专用器械的使用,了解手术入路和术中操作要点,才能高质量的完成手术配合。%Report the nursing cooperation of 143 patients with Da Vinci surgical operation system. Preoperative adequate surgical preparation, master of the Da Vinci robot in each part of the structure and the use of the procedure, familiar with the use of special apparatus used for robot, understanding operative road and operation points, to high quality completion of operation cooperation.

  7. 本科护生学习《涉外护理概况》课程的体验研究%Study on the learning experience of undergraduate nursing students participating in the course of the general situation of foreign nursing

    Institute of Scientific and Technical Information of China (English)

    张艳; 段艳丹; 张建阁; 韩二环


    目的 了解本科护生参与《涉外护理概况》选修课课程学习后的真实感受,以期为进一步的护理高等教育改革提供参考依据.方法 采用质性研究中的现象学研究法,对选修《涉外护理概况》课程的10名二年级和6名三年级本科护生就学习本课程后的真实感受进行面对面深度访谈,对访谈资料进行整理、分析提炼.结果 《涉外护理概况》课程激起了护生对跨国护理的向往,深化了护生对护理专业的认知,并促进了护生感悟人文精神.结论 教师的"叙事教育"提高了护生的职业认同感;情景式案例剖析增强了护生的文化敏感性;"反思报告+小组合作"作业促进护生反思专业信念.%Objective To understand the true feelings of the undergraduate nursing students after taking the elective course of the general situation of foreign nursing and provide reference for nursing higher education reform further.Methods The phenomenological qualitative research method was used and face to face in-depth interview was taken on 10 sophomore and 6 junior undergraduates about their feelings after taking the course of the general situation of foreign nursing.The interview data were sorted, analyzed and refined.Results The general situation of foreign nursing had aroused the yearning of nursing students on multinational nursing, deepen the cognition of nursing students on nursing specialty and also promoted the nursing students' perception of humanistic spirit.Conclusions The narrative educational which the teachers used in this course improves the professional cognition of nursing students.Situational case analysis is helpful to cultivate cultural sensitivity of students.The assessment method, "personal reflection report & group cooperation", helps strengthen nursing students to rethink their own professional faith.

  8. 全程健康教育模式在糖尿病护理管理中的作用%Effect of whole course health education model in the nursing management of diabetes

    Institute of Scientific and Technical Information of China (English)



    Objective:To explore the effect of whole course health education model in the nursing management of diabetes. Methods:84 patients with diabetes were selected,they were randomly divided into the observation group and the control group,the control group was given conventional health education,the observation group was given whole course health education model,we compared the nursing effect of two groups.Results:In the observation group,the overall effect of nursing management was significantly better than the control group(P<0.05).Conclusion:The effect of whole course health education model in the nursing management of diabetes was significant.%目的:探讨全程健康教育模式在糖尿病护理管理中的作用。方法:收治糖尿病患者84例,随机分为观察组和对照组,对照组采用常规健康教育,观察组采用全程健康教育模式,比较两组护理效果。结果:观察组护理管理的整体效果明显优于对照组(P<0.05)。结论:全程健康教育模式在糖尿病护理管理中的作用显著。

  9. Nursing Practice Environment and Outcomes for Oncology Nursing (United States)

    Shang, Jingjing; Friese, Christopher R.; Wu, Evan; Aiken, Linda H.


    Background It is commonly assumed that oncology nurses experience high job-related burnout and high turnover because their work involves inherent stressors such as caring for patients with serious and often life-threatening illness. Objectives The objectives of this study were to examine the differences in outcomes such as job dissatisfaction and burnout between oncology nurses and medical-surgical nurses, and to identify factors that affect oncology nurse outcomes. Methods A secondary analysis of nurse survey data collected in 2006 including 4047 nurses from 282 hospitals in 3 states was performed; t test and χ2 test compared differences between oncology nurses and medical-surgical nurses in nurse outcomes and their assessments of nurse practice environment, as measured by the Practice Environment Scale of the Nursing Work Index. Logistic regression models estimated the effect of nurse practice environment on 4 nurse-reported outcomes: burnout, job dissatisfaction, intention to leave the current position, and perceived quality of care. Results Oncology nurses reported favorable practice environments and better outcomes than did medical-surgical nurses. All 4 subscales of the Practice Environment Scale of the Nursing Work Index studied were significantly associated with outcomes. Specifically, nurses who reported favorable nursing foundations for quality of care (eg, active in-service or preceptorship programs) were less likely to report burnout and leave their current position. Conclusions Better practice environments, including nurse foundations for quality care, can help to achieve optimal nurse outcomes. Implications for Practice Improving hospital practice environments holds significant potential to improve nurse well-being, retention, and quality of care. Specifically, hospitals should consider preceptor programs and continuing education and increase nurses’ participation in hospital decision making. PMID:22751101

  10. 《护理人际沟通》课程教学及评价研究进展%Research progress on teaching and evaluation on "nursing interpersonal communication"course

    Institute of Scientific and Technical Information of China (English)

    潘红; 袁晓玲


    介绍了《护理人际沟通》课程设置及教学形式,从调查评价量表、客观标准化临床考试及图片、视频、录音方面对护生沟通能力评价研究进展进行了综述.%It introduced the course setting and teaching form of "Nursing interpersonal communication",and reviewed the research progress on communication ability evaluation of nursing students from the aspects of the investigation evaluation scale,objective standardized clinical examination,pictures, video and sound.



    Grażyna Nowak-Starz; Barbara Kozak; Kazimiera Zdziebło


    Nursing is one of the professions where chronic stress is an inseparable characteristic and stems from the very nature of the profession itself. The job of a nurse involves particular mental burdens. The source of these is another person, one who has most often found themselves in an extreme situation. A nurse carries out her/his duties in a state of strong and long-lasting emotional strain. Inappropriate coping with stress and a lack of support from others in difficult situations leads to th...

  12. Utilization of the Nursing Process to Foster Clinical Reasoning During a Simulation Experience

    Directory of Open Access Journals (Sweden)

    Amanda Lambie


    Full Text Available Nursing practice includes complex reasoning and multifaceted decision making with minimal standardized guidance in how to evaluate this phenomenon among nursing students. Learning outcomes related to the clinical reasoning process among novice baccalaureate nursing students during a simulation experience were evaluated. Nursing process records were utilized to evaluate and foster the development of clinical reasoning in a high-fidelity medical-surgical simulation experience. Students were unable to describe and process pertinent patient information appropriately prior to the simulation experience. Students’ ability to identify pertinent patient cues and plan appropriate patient care improved following the simulation. The learning activity afforded a structured opportunity to identify cues, prioritize the proper course of nursing interventions, and engage in collaboration among peers. The simulation experience provides faculty insight into the students’ clinical reasoning processes, while providing students with a clear framework for successfully accomplishing learning outcomes.

  13. Collaborative testing as a learning strategy in nursing education. (United States)

    Sandahl, Sheryl S


    A primary goal of nursing education is to prepare nurses to work collaboratively as members of interprofessional health care teams on behalf of patients. Collaborative testing is a collaborative learning strategy used to foster knowledge development, critical thinking in decision making, and group processing skills. This study incorporated a quasi-experimental design with a comparison group to examine the effect of collaborative testing as a learning strategy on student learning and retention of course content as well as group process skills and student perceptions of their learning and anxiety. The setting was a baccalaureate nursing program; the sample consisted of two groups of senior students enrolled in Medical-Surgical Nursing II. Student learning, as measured by unit examination scores, was greater for students taking examinations collaboratively compared to individually. Retention of course content, as measured by final examination scores, was not greater for students taking examinations collaboratively compared to individually. Student perceptions were overwhelmingly positive, with students reporting increased learning as a result of the collaborative testing experiences. Despite the lack of data to support increased retention, collaborative testing may be a learning strategy worth implementing in nursing education. Students reported more positive interactions and collaboration with their peers, skills required by the professional nurse.

  14. Practice of Adult Nursing to train health education ability of nursing students in surgical nursing teaching%《成人护理》外科护理教学中培养护生健康教育能力的实践与体会

    Institute of Scientific and Technical Information of China (English)

    杨艺; 丛小玲; 许苏飞


    目的 探讨在外科疾病病人护理教学中,对健康教育内容的教学方法进行改革的效果.方法 选择4 个3 年制护理大专班中的1 个班48 名护生为实验组,采取病例教学、情境教学、合作学习等多种教学方法;其余3 个班共142 名护生为对照组,采用传统讲授法讲授.两组护生均选择中3 种外科疾病的健康教育部分,并比较两组护生的学习效果.结果 实验组护生对教学方法的评价在提高学习兴趣、增强学习主动性、加强对知识的理解和记忆、提高自学能力、锻炼沟通表达能力等方面均优于对照组(P<0.01 或P<0.05).实验组护生理论成绩高于对照组(P<0.05).结论 在外科护理健康教育的教学中,利用临床病例、采用情境教学及合作学习等方法,有利于促进护生健康教育能力的提高.%Objective To explore the effects of the reform of health education methods in surgical nursing teaching. Method Forty - eight nursing students in one class were enrolled as the experimental group,and the variety of teaching methods such as case teaching,situational teaching and cooperative learning were applied in the group. And atotal of 142 students in the other 3 classes were recruited as the control group,and the traditional teaching methods were used in it. The teaching contents for the two groups were about health education of 3 surgical diseases, and the effects were compared between the two groups. Results The evaluation results in improving learning interest,enhancing learning motivation,reinforcing understanding of knowledge and memory,improving self - learning and strengthening communication skills in the experimental group were better than the control group. The score of theoretical test in the experimental group was higher than the control group. The differences were statistically significant P < 0.01 or P < 0.05). Conclusion Application of variety teaching methods of case teaching, situational teaching and

  15. Improving Nurse-Physician Teamwork: A Multidisciplinary Collaboration. (United States)

    Streeton, Abigail; Bisbey, Cindy; O'Neill, Carrie; Allen, Danielle; O'Hara, Sara; Weinhold, Megan; Miller, Jenna; Bursiek, April; Grubbs, Pamela


    Nurses surveyed on an inpatient gynecology surgical unit suggested communication and teamwork between nurses and physicians could be improved. To enhance teamwork, a multidisciplinary collaboration committee of nurses and physicians was created.

  16. Surgical Assisting (United States)

    ... Insert and remove Foley urinary bladder catheter Place pneumatic tourniquet Confirm procedure with surgeon Drape patient within ... Technology and Surgical Assisting (NBSTSA) offers the CertifiedSurgical First Assistant (CSFA) credential, and the National Surgical Assistant ...

  17. Protestant ethics in ER nurses and doctors' training. Some acquisitions and considerations before and after a training course

    Directory of Open Access Journals (Sweden)

    Massimo Pesenti Campagnoni


    Full Text Available The article explores some of the preliminary reasons for and effectsof a training course on “Institutional, organisational and professionalidentification processes”, carried out at Aosta local HealthAuthority Accident and Emergency Dept. The article is based onthe analysis of a number of critical points that emerged ex ante,in itinere ed ex post regarding a complex and rarely examined topic,focusing on how training makes it possible to explore latentaspects of the organisation. The use of an appropriate methodologyhas revealed explicit requests for greater attention to typicallyorganisational aspects, which are typically neglected in the PublicServices. The hypothesis put forward is that the same dimensionscould provide a focus for research and productive application. Thearticle suggests that methodologies and instruments developed inthe public sector achieved an adequate degree of managerial knowledge to be “translated” into a National Health Service Accidentand Emergency Department setting.

  18. The Practice of Informatization Management in Surgical Outpatient Nursing Service Process%信息化管理在外科门诊护理服务流程中的实践

    Institute of Scientific and Technical Information of China (English)



    Taking Shengjing Hospital of China Medical University as an example, informatization management measures are applied to outpatient surgical nursing process, including one-card-through outpatient information diagnosis and treatment model, cell-phone APP clinical message diagnosis and treatment model, electronic queuing system, sub-period and multi-channel reserved registration, medical material receiving, online reporting of the repair work, so as to optimize nursing service process, increase effective treatment time, improve efficiency and quality of nursing service.%以中国医科大学附属盛京医院为例,将一卡通门诊信息诊疗模式、手机APP门诊信息诊疗模式、电子排队叫号系统、分时段多途径预约挂号、物资请领、网上报修等信息化管理措施应用于外科门诊护理服务流程中,从而优化护理服务流程,提高患者有效就诊时间,提升护理服务效率和质量。

  19. Content Analysis of Student Essays after Attending a Problem-Based Learning Course: Facilitating the Development of Critical Thinking and Communication Skills in Japanese Nursing Students. (United States)

    Itatani, Tomoya; Nagata, Kyoko; Yanagihara, Kiyoko; Tabuchi, Noriko


    The importance of active learning has continued to increase in Japan. The authors conducted classes for first-year students who entered the nursing program using the problem-based learning method which is a kind of active learning. Students discussed social topics in classes. The purposes of this study were to analyze the post-class essay, describe logical and critical thinking after attended a Problem-Based Learning (PBL) course. The authors used Mayring's methodology for qualitative content analysis and text mining. In the description about the skills required to resolve social issues, seven categories were extracted: (recognition of diverse social issues), (attitudes about resolving social issues), (discerning the root cause), (multi-lateral information processing skills), (making a path to resolve issues), (processivity in dealing with issues), and (reflecting). In the description about communication, five categories were extracted: (simple statement), (robust theories), (respecting the opponent), (communication skills), and (attractive presentations). As the result of text mining, the words extracted more than 100 times included "issue," "society," "resolve," "myself," "ability," "opinion," and "information." Education using PBL could be an effective means of improving skills that students described, and communication in general. Some students felt difficulty of communication resulting from characteristics of Japanese.

  20. Peri-operative Nursing Experience of Lung Cancer Surgery with da Vinci S Surgical System%达芬奇机器人肺癌手术的围术期护理体会

    Institute of Scientific and Technical Information of China (English)

    王静; 王伟欣; 刘娇; 王菲菲; 吴琼


    Objective Summarizing the peri-operative nursing experience of lung cancer surgery with da Vinci S Surgical System, to explore the nursing methods. Methods To analyze the 171 cases with lung cancer who underwent surgical treatment with da Vinci S Surgical System from March 2012 to March 2015. All cases were to strengthen preoperative education and explain the superiority of robotic surgery, and enhance their self-confidence and sense of security, guide to cough and deep breathing exercises,improve the preoperative preparation.At the same time, enhance the observation of postoperative vital signs and the nursing of respiratory ang pain. Instructing patients to active early, to promote the recovery of lung function.Results All patients were successfully completed surgery, recovery well, without recurrence.Conclusion The da Vinci S Surgical System can be safely used for the treatment of lung cancer surgery with smaller trauma, faster recovery, less pain.Having the correct nursing intervention measures, strengthening peri-operative nursing, close observation condition changes, is very important to promote patients recovery early.%目的:总结达芬奇机器人肺癌手术的围手术期护理经验,探讨护理方法及体会。方法回顾性分析2012年3月至2015年3月我院171例肺癌患者行达芬奇机器人手术的临床资料。对上述患者进行术前相关知识宣教,讲解机器人手术的优越性,增强其自信心与安全感,指导有效咳嗽和深呼吸锻炼,完善术前准备工作;术后早期密切监测生命体征,做好呼吸系统护理、疼痛护理,嘱患者早期活动,促进肺功能恢复。结果171例患者均顺利完成手术,术后恢复良好,无并发症发生,痊愈出院。结论达芬奇机器人肺癌手术安全可行,创伤小,恢复快,痛苦小,正确的护理干预措施,加强围手术期护理,严密观察病情变化,是促进患者早日康复的有利保证。

  1. Surgical patients' needs and actual utilization of community nursing services%手术出院患者社区护理需求与实际利用状况

    Institute of Scientific and Technical Information of China (English)

    张玉萍; 黄素芳; 李秀云


    Objective To investigate the surgical patients' needs of community nursing services and actual utilization within one week of out hospital. Methods Sampled 257 adults surgical patients from certain general hospital, interviewed them by self-designed queostionnair to know their needs of community nursing services and actual utilization within one week after out of hospital. Results There were 96% pa-tients required community nursing services at the point of discharge. The content of services needs included dise ases cares, health teaching and prevention services. Different moded of community nursing cares were required. The actual utilization rate within one week was 16.5%, there were 54.5% and 63.6% of patients received wound care and medication administration separately, which were mainly provided by center visit. Conclusions There is a contradiction between the needs and actual utilization of com-munity nursing services. It is meaningful to enhance the utilization rate, extend the content and perfect the modes of community nursing services so as to satisfy discharged surgical patients' needs.%目的 调查手术患者出院时社区护理服务需求及出院1周内实际利用社区护理服务的状况.方法 采用整群抽样的方法选取某综合医院257例手术患者为研究对象,运用自制调查表,在患者出院当日调查社区护理服务需求情况,在患者出院1周时电话随访社区护理服务实际利用情况.结果 96.0%的手术患者出院时存在社区护理需求;需求的社区护理服务项目涉及疾病护理、健康指导及预防保健类服务;需求多种服务方式.出院1周内社区护理实际利用率为16.5%;分别有54.5%和63.6%的患者利用了伤口护理和给药护理服务,服务内容以疾病护理为主,服务方式以社区卫生服务中心(站)护理为主.结论 手术出院患者对社区护理服务的需求状况与实际利用情况两者存在矛盾.积极开展手术患者社区护理服

  2. Investigation of knowledge structure and knowledge requirement of udergraduate course nursing teachers in Heilongjiang Province%黑龙江省本科教育护理教师知识结构与知识需求的调查

    Institute of Scientific and Technical Information of China (English)

    代秀红; 赵秋利; 李敏


    Objective To identify knowledge structure and knowledge requirement of undergradu-ate course nursing teachers in our province, and offer corresponding training suggestions to construct teaching staff with reasonable knowledge structure. Methods The author adopted investigation method by giving questionnaire to 181 nursing teachers that assumed undergraduate course nursing education, the main content included general circumstance, knowledge structure and knowledge requirement of un-dergraduate course nursing teachers in Heilongjiang province. Results Nursing teachers in the fields of knowledge all had low score items, they most lacked foreign languages and expertise knowledge, the ur-gent need was to improve teaching theory and practice of teaching ability. Conclusions Nursing teach-ers possess some weak links in all areas of knowledge to different' extent, and the knowledge structure needs to be further improved. The college leaders should provide targeted training combined with nursing teachers' knowledge needs.%目的 明确我省护理本科教育护理教师的知识结构及知识需求,为构建知识结构合理的教师队伍提出合理化建议.方法 采用问卷调查法对我省承担护理本科教育的181名护理教师进行调查,调查的主要内容包括黑龙江省本科教育护理教师的一般状况、知识结构和知识需求.结果 护理教师在各知识领域都有得分偏低的项目,最缺少的是外语知识和专业知识,急需提高的是教学理论和教学实践能力.结论 护理教师在各知识领域不同程度地存在着某些薄弱的环节,知识结构需进一步完善.各院校领导应结合护理教师的知识需求,为其提供有针对性的培训.

  3. Does nursing assistant certification increase nursing student's confidence level of basic nursing care when entering a nursing program? (United States)

    Stombaugh, Angie; Judd, Andrea


    The purpose of this study was to explore nursing student's confidence level with basic nursing care when entering the nursing program after implementation of required nursing assistant certification for program admission. In addition, the relationship between being employed as a nursing assistant and confidence level with basic nursing care when entering the nursing program was explored. A Likert-scale survey assessing confidence levels of basic nursing care was sent to 156 nursing students admitted to a nursing program prior to their first nursing course. Confidence level with nursing skills, nursing assistant employment, and length of nursing assistant employment were assessed. Students were most confident in hand washing (M = 5.87, SD = 0.36), gloving and gowning (M =5.46, SD = 0.75), making an unoccupied bed (M = 5.38, SD = 0.88), and oral temperature (M = 5.30, SD = 0.87). Students were least confident in the fitting for cane (M = 1.74, SD = 1.16) and ambulation with crutches on steps (M =1.81, SD = 1.27). Nursing assistant employment increased student confidence with basic nursing care. Nursing programs cannot assume that students are prepared in basic nursing care based on a nursing assistant certification. © 2014.

  4. 情景教学法在中职外科护理学实训课中的应用%Application of scene teaching method in the secondary surgical nursing training class

    Institute of Scientific and Technical Information of China (English)

    李陟; 凌志杰


    目的:探讨情景教学法在外科护理学实训课教学中的应用效果。方法:从2013级3年制护理专业中随机抽取10个班,每班50人,共500名中职生。分为两组,对照组250名采用传统教学法,实验组250名采用情景教学法,建立以中职生为主体的实训课情景教学格局,即通过语言、实物及多媒体来设置教学情景。结果:实验组学生的理论考核成绩与实践技能考核成绩均高于对照组,差异具有统计学意义(P <0.05)。教学满意度调查结果显示:实验组明显好于对照组。(P <0.05)。结论:运用情景教学法进行外科护理学实训课教学有利于提高中职生的学习兴趣、学习效率、知识应用及技能操作等综合能力。%Objective:To investigate the effects of the scene teaching method in nursing practical teach-ing for Surgical Nursing .Methods:A total of 500 secondary vocational students of 10 classes were randomly selected for the study,and divided into two groups.The control group of 250 students were trained with the traditional teaching method,the experimental group of 250 students received the scene teaching method.The teaching situation of practical teaching pattern was established through language,physical and multimedia in-cluding.Results:The performance of the students in the experimental group was significantly higher than that in the control group,and the difference was statistically significant (P <0.05).The results of teaching satis-faction survey of the experimental group was significantly better than the control group.(P <0.05).Con-clusion:Application of scene teaching method in nursing practical teaching for Surgical Nursing can improve the learning interest,learning efficiency,knowledge and skills of the students.



    Dulce Maria Mafra Oliveira; Eliane Fonseca Linhares; Rosália Teixeira de Araújo; Zulmerinda Meira de Oliveira


    With the reform of the curriculum happened in the Nursing Course, the discipline Maternal Infantile Nursing was dismembered in: Nursing in Attention to the Child's Health and of the Adolescent and Nursing in Attention to the Woman's Health. In this study aimed to know the expectations of the nursing students concerning the discipline Nursing in Attention to the Woman's Health. It is an exploratory qualitative study. We had as informers nursing students that would study th...

  6. A consistent course of events or a series of coincidences: nursing in Poland from the 19(th) to the 21(st) century. (United States)

    Majda, Anna; Ziarko, Ewa; Zalewska-Puchała, Joanna


    The development of nursing began in Poland much later than it did elsewhere, for instance in the United Kingdom, the United States, or Germany, and it came up against difficult conditions. After a brief twenty-year period of development between 1918 and 1939, it almost stalled during the war (1939-45), only to be followed by nearly twenty years of chaos. Nursing started to come out of this difficult period at the beginning of the 1960s. The turn of the 21st century saw the emergence of extensive professional development and training opportunities for nurses. This change was brought about as much by political, social and economic issues, health care requirements, and the advancement of science, medicine, the birth of humanitarism, the growth of the feminist movement, the European Agreement on the Instruction and Education of Nurses, the WHO European Strategy for Nursing and Midwifery Education, the Bologna declaration, as well as the activities undertaken by the European Union, the International Council of Nurses, the American and Polish Red Cross, the Rockefeller Foundation, the Polish Association of Nurses, and the professional self-governing body. The transformation of nursing into an independent profession was further boosted by physicians deeply involved in the issue and female pioneers of nursing.

  7. Investigation and Analysis of Effect of Surgical Nursing Management to Control of Hospital Infection%外科护理管理控制医院感染效果的调查分析

    Institute of Scientific and Technical Information of China (English)

    曲佳; 杨巍


    Objective To investigate effect of the surgical nursing management and control hospital infection. Methods Pa_tients admitted to our hospital 150 cases of surgical research object, according to the order of treatment were divided into control and study groups each of 75 patients in the control group were treated with routine care, nursing management study group to strengthen nursing in the control group, based on the investigation and difference of two hospital infection rates and patient satisfaction between whether or not statistically significant. Results The control group 75 patients, 8 patients during hospitalization occurred nosocomial infection, infection rate was 10.67%, 66 cases of patient satisfaction, satisfaction was 88.00%;75 patients in the study group, only one patient during hospitalization occurred hospital infection, the infection rate was 1.33%, 73 cases of patient satisfaction, satisfaction was 97.33%, and the difference between the two groups of patients the hospital infection rate between satisfaction were statistically significant (P<0.05), hospital infection rate in the control group in the study group, the study group is lower than satisfaction. Conclusion Surgical strengthen routine nursing care on the basis of management conducive to the prevention and control of hospital infection, improve nursing satisfaction, should be widely applied.%目的:了解外科护理管理控制医院感染的效果。方法收集该院2013—2015年收治的150例外科患者为研究对象,按照就诊顺序分为对照组和研究组各75例患者,对照组患者给予常规护理,研究组在对照组护理措施基础上加强护理管理,调查并分析两组患者医院感染率和满意度之间的差异是否具有统计学意义。结果对照组75例患者中,住院期间有8例患者出现医院感染,感染率为10.67%,66例患者满意,满意度为88.00%;研究组75例患者中,住院期间仅有1例患者出现医院感染,感染率为1

  8. [Planning and application of a valutation methodology in UNI EN ISO 9001:2000 quality system, for the analysis satisfaction level of third-year student University of Bologna, Bachelor of Nursing Course, CRI School of Nursing formative section]. (United States)

    Bernardi, M G; Scalorbi, Sandra; Burrai, Francesco


    The quality of nursing assistance is closely related to the quality of training. In the certification UNI EN ISO 9001:2000 in 2004 of the Bologna nursing school regarding Planning and performance of theoretical-practical nursing training a continual improvement of the product/service is implicit. A method was therefore devised to evaluate the degree of satisfaction in third-year nursing students in Bologna which demonstrated a medium/high level of satisfaction regarding all teaching-related procedures. By monitoring satisfaction levels , it is possible to identify any critical areas and to implement improvement where needed.

  9. The Enigma of Graduate Nursing Education: Advanced Generalist? Specialist? (United States)

    Reed, Suellen B.; Hoffman, Sharon E.


    To pin down the appropriate parameters for graduate nursing education, the authors say we must explore the meanings of advanced generalist and specialist. They discuss the focus, scope, and depth of the community health major, psychiatric mental health nursing, nursing care of children, maternity nursing, medical-surgical nursing, and nursing…

  10. 外科护理学教学中教学做一体化教学模式的实践探究%Practice and Exploration of the Integrated Teaching Mode in the Teaching of Surgical Nursing

    Institute of Scientific and Technical Information of China (English)

    李瑞敏; 田克锋


    目的:探析外科护理学教学中教学做一体化教学模式的实践效果。方法采用随机平行对照方法,将80例外科护理学专业学生随机分成观察组与对照组,各40例。对照组给予传统教学模式,观察组给予教学做一体化教学模式,对比两组教学效果。结果观察组理论考核和技能考核成绩优于对照组。结论应用教学做一体化教学模式,可以充分调动学生学习的积极性,活跃课堂气氛,提高学生的理论成绩与技能水平。%Objective To probe into the practice effect of the integrated teaching mode in the teaching of surgical nursing. Methods 80 cases of surgical nursing students were randomly divided into the observation group and the control group based on random flat control method , 40 cases in each group. The control group was given the traditional teaching mode, while the observation group was given the teaching model, and compared the effect of the two groups.Results The theory and skill examination result of observation group were better than the control groupConclusion The application of the teaching model of integration can fully mobilize the enthusiasm of students learning, active classroom atmosphere, signiifcantly improve the students' academic achievement and skill level.

  11. Emergency Nurses Association (United States)

    ... TNCC TNCC 1-Day Renewal ENPC CEN Online Review Course ADVANTICE Free CE Emergency Nursing 2017 CNE Application and Approval Process Partner Products Government Relations Public Policy Agenda Federal News EN411 Practice Resources Resource ...

  12. 外科护士术后疼痛管理的扎根理论研究%Research in grounded theory of postoperative pain management among the surgical nurses

    Institute of Scientific and Technical Information of China (English)

    叶胜男; 周媛媛


    Objective To find out the nurse's cognitive level of the postoperative pain management and its relevant elements,and influence of intervention measures on their postoperative pain management,so that can provide a theoretic basis for a more effective postoperative pain management.Methods The grounded theory research method taken from qualitative research Was mainly used,and triangulation was applied in collecting the information,such as observational method,interviewing method among nurses and collecting questionnaire among nurses and patients.In addition,the information was analyzed by using the constant tomparative method,generalized the relative elements influencing the postoperative pain managemen,summarized the intervention measure.In the end.analyzed comparatively the change of the nurses'knowledge and behavior of the postoperative pain management before and after intervention.Results Surgical nurses'knowledge and behavior of the postoperative pain management was improved in various degrees.The difference of the data has statistical significance.Satisfaction degree of patients improved and the theoretical model included conceptual structure,contributory factors and results.Conclusions The advance of the surgical nurse's self-awareness can improve the level of the postoperative pain management.%目的 了解外科护士对术后疼痛管理的认知水平及相关影响因素,以及干预措施对其的影响,为外科护士进行更为有效的术后疼痛管理提供理论依据.方法 主要运用质性研究中的扎根理论研究,以三角交叉检视法对资料进行收集,包括护士的深度访谈和观察以及护士和患者问卷调查等资料收集,共回收患者问卷98份,护士问卷25份.运用持续比较方式进行资料分析,归纳出影响护士术后疼痛管理的相关因素,并予以干预措施,交叉对比分析干预前后外科护士疼痛管理知识水平和行为的改变情况.结果 干预后外科护士术后疼痛管

  13. Design for the course of nursing English based on the investigation of needs for nursing English in high-end medical institutions in China%高端医疗机构护理英语需求的调查与课程设计

    Institute of Scientific and Technical Information of China (English)

    雷慧; 郭奕嫱; 杨坤宝; 杨玉香; 马桂云


    Objective To analyze and consider the design for nursing English course through the investigation of demands for nursing English in 6 domestic high-end medical institutions.Methods Firstly,a face-to-face discussion was held with 10 experts in nursing management from above-mentioned institutions,field notes were made and themes were refined afterwards.Then,111 nurses were investigated in the 6 hospitals using purposive sampling method by filling questionnaire.Results In the teaching content,77 kinds of diseases were involved,including 27 most common ones; on the aspect of teaching methods and skills,90.1% of the nurses recommended "situational dialogue",72.1% in favor of "case teaching",92.8% believed that nursing English course should cultivate students' "communication skills"; Its teaching emphasis in turn included "vocabulary","communication capability","nursing knowledge" (89.2%,88.3%,73.0%).Conclusions The objective of nursing English course should focus on cultivating nurse students' applied capability including listening,reading,speaking and written English.The textbook of nursing English should be written based on the characteristics of common diseases in the hospital stressing on nursing knowledge,vocabulary and communication skills.Teaching method of nursing English should consider the situational teaching model in hospital nursing English.%目的 通过调查国内6家高端医疗机构的护士对护理英语的需求情况,分析和思考护理英语的课程设计.方法 首先采用座谈法,与10名上述医院的护理管理专家进行面对面的座谈,现场笔录,会后提炼主题.然后采用目的抽样法对上述6家医疗机构的111名护士进行问卷调查.结果 在教学内容上,问卷涉及的77种疾病中,其中27种临床最常见;在教学方法和能力培养方面,90.1%的护士推荐“情境对话练习”,72.1%赞成“案例教学法”,92.8%认为护理英语课程应培养学生的“交流沟通能

  14. Mapping nursing program activities to nursing informatics competencies. (United States)

    Jones, Kamas; Kapsandoy, Seraphine; Macintosh, Christopher; Wyckoff, Anastasis


    In order to facilitate the incorporation of Informatics competencies into nursing curricula, this group analyzed the course content of three BSN level nursing classes and correlated appropriate competencies to the course content. The two main areas of focus were competencies already used and competencies easily incorporated.

  15. (United States)


    1 Nurses who have taken part in Widening Access Training scheme courses may be eligible for national insurance and tax rebates. One nurse received a rebate of £6,000, according to . Read more:

  16. An Analysis of Navy Nurse Corps Accession Sources (United States)


    and serve in a variety of different fields, including medical and surgical nursing, emergency/ trauma nursing, critical care nursing, mental health...553 448 445 105 123% 1920 Maternal Infant 205 3 202 142 142 60 142% 1922 Pediatric Nursing 63 2 61 40 40 21 153% 1930 Psychiatric Nursing 72 1 71 48...48 23 148% 1940 Community Health 20 1 19 37 37 (18) 51% 1945 ER/ Trauma Nursing Community 243 4 239 180 180 59 133% 1950 Perioperative Nursing

  17. Evaluation of Learning in Oncology of Undergraduate Nursing with the Use of Concept Mapping. (United States)

    Trevisani, Mariane; Cohrs, Cibelli Rizzo; de Lara Soares, Mariângela Abate; Duarte, José Marcio; Mancini, Felipe; Pisa, Ivan Torres; De Domenico, Edvane Birelo Lopes


    This study aims to identify whether the use of concept mapping (CM) strategy assists a student to extend and revise their expertise in oncology and analyze the abilities developed in a student in order to go through theoretical to practical knowledge. This study is descriptive and qualitative, with 20 undergraduate students of the Undergraduate Nursing Course of Paulista School of Nursing of Federal University of São Paulo, Brazil. The critical incident technique and content analysis were used. There were 12 categories represented by facilities, difficulties, and learning applicability in oncology provided by CM strategy during the surgical and clinical nursing discipline. The graphics resource, CMapTools®, and the clinical case data arranged in mapping for resolution generated an active search and exercise of self-learning in oncology. Despite the challenges of the use of CM as a teaching strategy-pedagogical, the results suggested an increase of autonomy and clinical reasoning in nursing practice.

  18. Surgical Positioning: Evidence for Nursing Care Posicionamiento quirúrgico: evidencias para el cuidado de enfermería Posicionamento cirúrgico: evidências para o cuidado de enfermagem

    Directory of Open Access Journals (Sweden)

    Camila Mendonça de Moraes Lopes


    Full Text Available The goal of surgical positioning is to promote access to the surgical site. It should be carried out correctly to ensure patient safety and prevent complications. This integrative literature review aimed to search for and evaluate available evidences in literature about nursing care related to surgical positioning of adult patients in the intraoperative period. Pubmed, Cinahl and Lilacs databases were used for the selection of the articles. The sample consisted of 20 articles. The synthesis of the available evidence showed that included studies focused on three main topics: risk factors for developing complications, complications due to surgical positioning and nursing care related to surgical positioning. Among the gaps in the research theme, the need to conduct studies on effective devices for each type of surgical position is highlighted.El posicionamiento quirúrgico tiene como principal finalidad promover el acceso al sitio quirúrgico y debe ser realizado de forma correcta para garantizar la seguridad del paciente y prevenir complicaciones. El presente estudio tuvo como objetivo buscar y evaluar las evidencias disponibles en la literatura sobre los cuidados de enfermería, relacionados al posicionamiento quirúrgico del paciente adulto en el período intraoperatorio. El método de investigación adoptado fue la revisión integradora de la literatura. Para la selección de los artículos, se utilizaron las bases de datos PubMed, Cinahl y Lilacs. La muestra se constituyó de 20 artículos. En la síntesis de las evidencias se constató que los artículos incluidos enfocaron tres tópicos principales, que son: los factores de riesgo para el desarrollo de complicaciones, las complicaciones provenientes del posicionamiento quirúrgico y los cuidados de enfermería relacionados al posicionamiento quirúrgico. Entre los vacíos del tema investigado, se destaca la necesidad de conducir estudios sobre dispositivos eficaces para cada tipo de posici

  19. A community-wide RN refresher course: a collaborative success. (United States)

    White, J; Poirrier, G P


    By combining forces, nurse educators and practitioners developed a unique RN refresher course that provided a supportive environment for successful reentry into professional nursing practice. Nursing faculty and administrators from a baccalaureate nursing program collaborated with nursing clinicians from seven acute care hospitals to meet the assessed needs of community nurses for reentry programs. The collaborative effort provided accessible courses at lower costs with qualified faculty and a variety of clinical practice experiences for nurses areawide. This article describes the planning, development, implementation, and analysis of this successful areawide RN refresher course.

  20. 加速康复外科护理在胆囊切除患者护理中的应用效果%Accelerating rehabilitation surgical nursing in care of patients undergoing cholecystectomy

    Institute of Scientific and Technical Information of China (English)

    周丽媚; 陈萍英; 吴桂兰; 黄妙玲; 陈颜波


    Objective To explore the effect of accelerating rehabilitation surgical nursing in the care of patients undergoing cholecystectomy.Methods 120 patients undergoing cholecystectomy at our department from January, 2013 to March, 2015 were selected and randomly divide into an observation group and a control group, 60 cases for each group. The control group were conventional nursed. The observation group received accelerating rehabilitation surgical nursing. The curative effect, incidence of complications, satisfaction degree, and comfort degree were observed in both groups.Results The hospitalization time, time to get off bed, and time to take food were obviously shorter, the cost of hospitalization, satisfaction degree, and comfort degree were signiifcantly higher in the observation group than in the control group, with statistical differences (P<0.05). The incidence of complications was 5.17% in the observation group and 16.17% in the control group, with a statistical difference (P<0.05).Conclusion Accelerating rehabilitation surgical nursing for patients undergoing cholecystectomy can signiifcantly shorten hospital stay, time to get off bed, and time to take food, reduce patient hospitalization cost, lower the incidence of complications, and increase satisfaction degree and comfort degree and is worth for clinical reference and application.%目的:探究加速康复外科护理在胆囊切除患者护理中的应用效果。方法选取2013年1月至2015年3月我院肝胆外科收治的120例行胆囊切除术患者为研究对象,随机分为观察组和对照组,每组60例。对照组采用常规护理,观察组采用加速康复外科护理,观察两组患者术后疗效、并发症并调查患者满意度和舒适度。结果观察组住院时间、下床活动时间、进食时间及住院费用明显少于对照组,比较差异有统计学意义(P<0.05);观察组并发症发生率为5.17%明显低于对照组16.17%并发症发生率,

  1. Innovation in nursing education

    Directory of Open Access Journals (Sweden)

    Satı Dil


    Full Text Available Higher education programs work to expand their educational capacities by applying innovative strategies to meet future labor needs in all over the world. Nursing educators report that innovation required for the radical changes in nursing curriculum. Among the most important reasons for this requirements are showed that more than content to be installed on existing curriculum, repeating the same content on different courses, not taking into account the issues which the students want to learn by nursing educators, not enough supporting the innovative approaches and the use of electronic learning tools. In the litarature of nursing education innovation is provided by producting new knowledge and skills or replacing nursing curriculum. In this changing curriculum, educators not only the person who directs the course but also work to improve students’ intellectual and critical thinking, clinical decision making and care giving skills. To educate qualified nurses for meeting the expectations of globalizing world, implementing innovative strategies to nursing education has become mandatory. The purpose of this study is emphasizing the importance of two factors for the development of nursing education by using innovative strategies. These factors are, developing common educational strategic plans for the common future vision by higher nursing education institues and integration the innovative strategies on the nursing curriculum which supports developing the students’ professional knowledge and skills.

  2. 全程护理对骨质疏松性腰背痛患者ODI值及预后的影响%Effect of the whole course nursing care on ODI value and prognosis of patients with osteoporotic backache

    Institute of Scientific and Technical Information of China (English)



    目的:探讨全程护理对骨质疏松性腰背痛患者ODI值及预后的影响.方法:将110例骨质疏松性腰背痛患者随机分为观察组和对照组各55例,观察组采取抗骨质疏松治疗、系统腰背肌锻炼和健康教育等长期全程护理,对照组采取基础护理干预,并定期随访.结果:观察组在Oswestry功能障碍指数(ODI值)、腰背肌力、疼痛加重次数等方面均优于对照组(P<0.05).结论:对骨质疏松性腰背痛患者进行长期全程护理干预可以缓解腰背疼痛,改善其生活质量.%Objective: To explore the effect of the whole course nursing care on ODI value and prognosis of patients with osteoporotic backache. Methods: 110 patients with osteoporotic backache were randomly divided into an observation group and a control group ( 55 cases in each group ). The patients in the observation group received anti osteoporosis treatment and systematic long - term whole course nursing care including low back muscle exercise and health education and the patients in the control group received basic nursing intervention and the regular follow - up was conducted. Results: Oswestry disability index ( ODI ) ,low back muscle strength and frequency of aggravation of pain were better and fewer in the observation group than the control group ( P <0. 05 ). Conclusion: The long - term nursing intervention can alleviate the pain of patients with osteoporotic backache and improve their quality of life.

  3. Logistic Regression Analysis and Nursing Interven-tions for High-risk Factors for Pressure Sores in Pa-tients in a Surgical Intensive Care Unit

    Institute of Scientific and Technical Information of China (English)

    Xin-Ran Wang∗; Bin-Ru Han


    Objective: To investigate the risk factors related to the development of pressure sores in critically ill surgical patients and to establish a basis for the formulation of effective precautions. Methods: A questionnaire regarding the factors for pressure sores in critically ill surgical patients was created using a case control study with reference to the pertinent literature. After being exam-ined and validated by experts, the questionnaire was used to collect data about critically ill surgical patients in a grade A tertiary hospital. Among the 47 patients enrolled into the study, the 14 who developed nosocomial pressure sores were allocated to the pressure sore group, and the remaining 33 patients who met the inclusion criteria and did not exhibit pressure sores were allocated to the control group. Univariate and multivariate logistic regression analyses were employed to examine the differences in 22 indicators between the two groups in an attempt to identify the risk factors for pressure sores. Results: According to the univariate analyses, the maximum value of lactic acid in the arterial blood, the number of days of norepinephrine use, the number of days of mechanical ventilation, the number of days of blood purification, and the number of days of bowel incontinence were sta-tistically greater in the pressure sore group than in the control group ( P Conclusions: The best method for preventing and control pressure sores in surgical critically ill patients is to strongly emphasize the duration of the critical status and to give special attention to patients in a continuous state of shock. The adoption of measures specific to high-risk patient groups and risk factors, including the active control of primary diseases and the application of de-compression measures during the treatment of the patients, are helpful for improving the quality of care in the prevention and control of pressure sores in critically ill patients.

  4. Nursing Analysis of Surgical Treatment of Ovarian Cancer Patient%卵巢肿瘤患者手术治疗的护理分析

    Institute of Scientific and Technical Information of China (English)

    王强; 张奕坚


    ObjectiveTo study the operation ovarian tumor clinical nursing methods in order to improve the patient's quality of life.Methods To analysis the 50 cases of patients with ovarian tumor surgery nursing data.Results The surgery of ovarian benign tumor could cut the respectable tumors or the ipsilateral ovary, the prognosis is good; laparoscopic surgery had a greater advantage than open surgery.Conclusion Actively cooperate with treatment, anxiety relief; correcting nutritional disorders, mood stabilizers in order to correctly treat diseases, and strengthen confidence in the proper treatment had played an important significance in improving efficiency and quality of the nursing care.%目的:探讨卵巢肿瘤患者临床手术治疗护理方法,提高患者的生活质量。方法对50例卵巢肿瘤患者的手术治疗护理资料进行分析。结果卵巢良性肿瘤手术可切除肿瘤或患侧卵巢,预后良好;腹腔镜手术较比开腹手术治疗有较大优势。结论主动配合治疗,焦虑减轻。纠正营养失调,患者情绪稳定,能正确对待疾病,坚定治疗信心。对提高护理工作效率和质量有着重要意义。

  5. Influence of airway management strategy on "no-flow-time" during an "Advanced life support course" for intensive care nurses – A single rescuer resuscitation manikin study

    Directory of Open Access Journals (Sweden)

    Bahr Jan


    Full Text Available Abstract Background In 1999, the laryngeal tube (VBM Medizintechnik, Sulz, Germany was introduced as a new supraglottic airway. It was designed to allow either spontaneous breathing or controlled ventilation during anaesthesia; additionally it may serve as an alternative to endotracheal intubation, or bag-mask ventilation during resuscitation. Several variations of this supraglottic airway exist. In our study, we compared ventilation with the laryngeal tube suction for single use (LTS-D and a bag-mask device. One of the main points of the revised ERC 2005 guidelines is a low no-flow-time (NFT. The NFT is defined as the time during which no chest compression occurs. Traditionally during the first few minutes of resuscitation NFT is very high. We evaluated the hypothesis that utilization of the LTS-D could reduce the NFT compared to bag-mask ventilation (BMV during simulated cardiac arrest in a single rescuer manikin study. Methods Participants were studied during a one day advanced life support (ALS course. Two scenarios of arrhythmias requiring defibrillation were simulated in a manikin. One scenario required subjects to establish the airway with a LTS-D; alternatively, the second scenario required them to use BMV. The scenario duration was 430 seconds for the LTS-D scenario, and 420 seconds for the BMV scenario, respectively. Experienced ICU nurses were recruited as study subjects. Participants were randomly assigned to one of the two groups first (LTS-D and BMV to establish the airway. Endpoints were the total NFT during the scenario, the successful airway management using the respective device, and participants' preference of one of the two strategies for airway management. Results Utilization of the LTS-D reduced NFT significantly (p Conclusion In our manikin study, NFT was reduced significantly when using LTS-D compared to BMV. During cardiac arrest, the LTS-D might be a good alternative to BMV for providing and maintaining a patent airway

  6. 重型颅脑损伤术后早期康复护理%Early rehabilitation nursing after surgical treatment of severe cranial injury

    Institute of Scientific and Technical Information of China (English)

    李永红; 赵梅; 王婷婷


    @@ INTRODUCTION With developing of modern life, increasing of vehicles, incidence ofcranial injury is increasing and severe cranial injury is the mostcommon and severe. Because the age of injured patients is youmg,life quality will be influenced seriously if rehabilitation in maximaldegree can' t be achieved after operation that is a heavy load to thefamily and society. From September 1999, our department begaurehabilitation nursing in early stage for patients with severe cranialinjury. 60 patients with GLS score at 6- 8 were analyzed in thisarticle.

  7. How do nursing students perceive substance abusing nurses? (United States)

    Boulton, Martha A; Nosek, Laura J


    Substance abuse among nurses was recognized by nurse leaders and professional nursing organizations as a growing threat to patient safety and to the health of the abusing nurse more than 30years ago. Although numerous studies on nurse impairment were published in the 1980s and 1990s, there was minimal focus on student nurses' perceptions about impaired nurses and less research has been published more recently, despite a growing rate of substance abuse. A quasi-experimental study to explore the perceptions of student nurses toward nurses who are chemically dependent was conducted using a two-group, pretest-posttest design. The Perception of Nurse Impairment Inventory (PNII) was completed by student nurses at the beginning of their junior course work, prior to formal education about substance abuse. The PNII was repeated after the students received substance abuse education. The PNII was also completed by a control group of sophomore student nurses who did not receive the formal substance abuse education. A repeated measures analysis of variance was used to measure the differences between the two groups of students. Students who received the education chose more compassionate responses on the PNII and were more likely to respond that an impaired nurse's supervisor is responsible for supporting and guiding the impaired nurse to access professional care. Discrepancies in study findings about the efficacy of education for effecting positive attitudes of student nurses toward impaired nurses may be related to the length and type of the education.

  8. 建构主义视野下《护理学基础》精品课程的建设与效果%Establishment of the excellent course Fundamental of Nursing under constructivist perspective theory

    Institute of Scientific and Technical Information of China (English)

    杨晓; 刘成凤; 高鹏; 杨瑞贞; 顾琳琳; 赵光远


    Objective To explore the effects of the excellent course Fundamental of Nursing under constructivist perspective theory. Methods The excellent course Fundamental of Nursing was established based on constructivist perspective theory and implemented in the experimental group, and compared with the control group received traditional teaching. Results Among the experimental group,more lhan 85.00% of students believed that the new leaching methods under constructivist perspective could enhance their interest in the course,promote their willingness to participate actively in class activities,deepen their understanding and memory of the contents, strengthen their team spirit and improve their overall capability. The theory and skills scores in the experimental group were higher than those in the control group ( P <0. 01). Conclusion The establishment of excellent course Fundamental of Nursing under constructivist perspective theory can promote the quality of teaching and enhance the training of nursing students.%目的 探讨建构主义理论指导《护理学基础》精品课程建设的实践与效果.方法 实验组在建构主义理论指导下进行《护理学基础》精品课程建设并实施教学,与采用传统方法教学的对照组进行比较.结果 85.00%以上的学生认为建构主义理论指导下的教学方法能提高学生学习的主动性和积极性、激发学习兴趣、加深对知识的理解和记忆、提高各方面的能力、增强团队合作精神;实验组学生的理论成绩、操作考核成绩均高于对照组(P<0.01).结论 建构主义理论指导下的《护理学基础》精品课程建设促进了《护理学基础》教学质量的提高和护理人才的培养.

  9. Good nurse, bad nurse.... (United States)

    Alavi, C; Cattoni, J


    The construction of the nursing subject is discussed. The paper takes a historical perspective, arguing that the range of speaking positions available to the nurse is limited by gender, class and education. It evaluates the position of nursing in the university, showing how this also has propensity to limit the development of the nursing profession.

  10. Nursing Instructors Must Also Teach Reading and Study Skills (United States)

    White, Hazel L.


    To be successful in nursing courses, students must be able to read and comprehend a large volume of information. This requires different types of reading and study skills from other courses to which they have been exposed. The formal teaching of these skills in a nursing course takes second place to the teaching of required nursing skills. Because…

  11. Training the trainer: An educational course for training pain nursing specialists supported by the International Association for the Study of Pain (IASP). (United States)

    Cui, Jing; Zhou, Lingjun; Zhang, Lingjuan; Li, Li; Zhao, Jijun


    To train pain nursing specialists through a pain education program, 20 nurses from six hospitals in Shanghai Province and seven in six provinces of China received the training of 2-month pain education and 4-month clinical practice. This nonrandomized pilot study examined the results of tests before and after the program, case report evaluations, future plan evaluations, clinical practice, and satisfaction questionnaire. After the program, the score of the test increased significantly compared with that before the program (44.1 ± 3.19; paired-sample t = 10.363; p < .0001). All of the participants thought that the program had broadened their vision, 19 (95%) thought that the program had raised the level of their theoretical knowledge in pain management, 17 (85%) thought that the program had improved their skills in clinical practice, and 15 (75%) thought that the program had played a role in enhancing their research abilities. Considering the whole program, most students (n = 17; 85%) were quite satisfied, and 3 (15%) were simply satisfied. By content analysis of the opening questions, we found that the participants had deeper and broader ideas about nurses' role and pain nursing specialists' responsibilities in pain management. The program improved nurses' attitudes, knowledge, and skills in pain management. The participants recognized pain nursing specialists' responsibilities in pain management more clearly.

  12. Electronic nursing care reminders: implications for nursing leaders. (United States)

    Piscotty, Ronald J; Kalisch, Beatrice; Gracey-Thomas, Angel; Yarandi, Hossein


    The aim of this study is to report the results of a replication study of the relationship between self-reported nursing care reminder (NCR) use and missed nursing care. A descriptive cross-sectional correlational design was used. The sample (N = 124) was composed of medical/surgical and ICU RNs working on acute care hospital units in a large Midwestern teaching hospital. The MISSCARE Survey, Nursing Care Reminders Usage Survey, and the Impact of Health Care Information Technology Survey were used to collect data. Adjusted hierarchical multiple regression was used to determine study outcomes. Nurses who use NCRs more frequently have decreased reports of missed nursing care. Nurses who perceive the impact of healthcare technology as positive on their practice also have decreased missed nursing care. The results of this study suggest that NCRs are an effective intervention to decrease missed nursing care in acute care hospitals.

  13. Combination short-course preoperative irradiation, surgical resection, and reduced-field high-dose postoperative irradiation in the treatment of tumors involving the bone. (United States)

    Wagner, Timothy D; Kobayashi, Wendy; Dean, Susan; Goldberg, Saveli I; Kirsch, David G; Suit, Herman D; Hornicek, Francis J; Pedlow, Francis X; Raskin, Kevin A; Springfield, Dempsey S; Yoon, Sam S; Gebhardt, Marc C; Mankin, Henry J; Delaney, Thomas F


    To assess the feasibility and outcomes of combination short-course preoperative radiation, resection, and reduced-field (tumor bed without operative field coverage) high-dose postoperative radiation for patients with solid tumors mainly involving the spine and pelvis. Between 1982 and 2006, a total of 48 patients were treated using this treatment strategy for solid tumors involving bone. Radiation treatments used both photons and protons. Of those treated, 52% had chordoma, 31% had chondrosarcoma, 8% had osteosarcoma, and 4% had Ewing's sarcoma, with 71% involving the pelvis/sacrum and 21% elsewhere in the spine. Median preoperative dose was 20 Gy, with a median of 50.4 Gy postoperatively. With 31.8-month median follow-up, the 5-year overall survival (OS) rate is 65%; 5-year disease-free survival (DFS) rate, 53.8%; and 5-year local control (LC) rate, 72%. There were no significant differences in OS, DFS, and LC according to histologic characteristics. Between primary and recurrent disease, there was no significant difference in OS rates (74.4% vs. 51.4%, respectively; p = 0.128), in contrast to DFS (71.5% vs. 18.3%; p = 0.0014) and LC rates (88.9% vs. 30.9%; p = 0.0011) favoring primary disease. After resection, 10 patients experienced delayed wound healing that did not significantly impact on OS, DFS, or LC. This approach is promising for patients with bone sarcomas in which resection will likely yield close/positive margins. It appears to inhibit tumor seeding with an acceptable rate of wound-healing complications. Dose escalation is accomplished without high-dose preoperative radiation (likely associated with higher rates of acute wound healing delays) or large-field postoperative radiation only (likely associated with late normal tissue toxicity). The LC and DFS rates are substantially better for patients with primary than recurrent sarcomas.

  14. Treatment and Nursing Strategy for Patients with Surgical Fracture Plus Pressure Score%外科骨折患者褥疮治疗及护理对策

    Institute of Scientific and Technical Information of China (English)



    Objective: To investigate the efficacy of strengthen the nursing intervention combine with bedsore ointment in the treatment ofⅢ, Ⅳ bedsore. To study the prevention and nursing methods for patients with fractures plus pressure ulcer.Method:100 cases ofⅢ,Ⅳ bedsore were randomly divided into treatment group (50 cases) and control group (50 cases), the two groups were given the basic nursing , nutrition support care and conventional pressure ulcer prevention method. The treatment group was given bedsore ointment. After treatment, time and pressure ulcer healing efficacy of the two groups were compared.Result:The treatment group total effective rate (100%) was higher than the control group(54.00%)(P<0.05). The pressure ulcer healing time compared between the two groups had statistical significance (P<0.05).Conclusion: Strengthen the nursing intervention combine with bedsore ointment has certain clinical value in the treatment of pressure sores, worthy of promotion.%目的:研究探讨护理干预结合本院研制的褥疮膏治疗Ⅲ度、Ⅳ度褥疮的疗效,并分析褥疮形成原因与护理对策。方法:将100例Ⅲ度、Ⅳ度褥疮患者随机分为实验组(50例)和对照组(50例),两组均给予基础护理、营养支持护理及常规的褥疮防治方法,实验组加用褥疮膏治疗。比较两组疗效及褥疮愈合时间。结果:实验组总有效率达到100%,高于对照组的54.00%(P<0.05);对照组褥疮愈合时间(75.4±16.6)d,实验组为(43.7±13.4)d,两组比较差异具有统计学意义(P<0.05)。结论:护理干预结合褥疮膏在治疗褥疮方面具有一定的临床使用价值,对各种程度的褥疮,尤其是重度褥疮效果确切、简单易行、安全实用、经济实惠,完全可避免手术植皮等,减轻患者各重负担,值得推广。

  15. Teaching Design of Cultivating Nursing Students' Creative Thinking (United States)

    Xi-wen, Liu; Chun-ping, Ni; Rui, Yang; Xiu-chuan, Li; Cheng, Cheng


    Chinese nursing education levels have developed fast over the past few years. Many nursing educators are devoted to the research of nursing teaching. How to cultivate nursing students, creative thinking is one of the principle researches and has received increasing attention. In the course of nursing teaching, we renewed the teaching design based…

  16. Nurses as Technical Writers: What They Need to Know. (United States)

    Spears, Lee A.


    Suggests that acquaintance with nurses' writing would help instructors design assignments for nursing students in basic technical writing courses. Investigates the importance of writing tasks for nurses and describes the most common documents nurses generate, since good writing skills for nurses improve health care delivery and promote…

  17. Investigation and analysis of course setting requirement about adult nursing%成人护理教学课程设置需求的调查与分析

    Institute of Scientific and Technical Information of China (English)

    孙晓莉; 陶荣; 姜元方; 代亚丽


    目的 了解成人护理专升本学生、用人单位护士长对教学内容、授课方式、考核方式、最缺乏的知识和能力及需要加强的专科护理能力方面的评价,为教学改革提供一定理论依据.方法 采用自行设计的调查问卷对成人护理专升本在校生159人、毕业生134人及用人单位护士长97人进行调查.结果 调查对象较认同的授课方式为案例教学;考核方式为传统笔试,实践组织形式为边理论边实习;最缺乏的知识和能力为科研能力;学生最需要加强的专科护理能力为急诊急救护理;用人单位护士长最需要加强的专科护理能力为重症监护.学生对临床管理能力、沟通能力、临床教学能力、健康教育能力、临床教学能力、中医护理技能、中医护理知识、西医护理知识的需求均高于护士长(P<0.01或P<0.05),并且学生认为最需要加强的重症监护和精神科护理能力均高于护士长(P<0.01或P<0.05).结论 成人护理专升本教育仍存在教学内容重复的问题,对于授课方式、考核方式有待进一步调整.%Objective To understand the evaluation of adult nursing students with associated degree up to a bachelors degree and head nurses of hospitals about teaching contents, teaching methods and evaluation methods, the lack of knowledge and ability, and the ability of specialized nursing to be strengthened, thus to provide theoretical support for teaching reform. Methods A self - designed questionnaire was used to investigate 159 adult nursing students, 134 graduates and 97 head nurses. Results The respondents choose case teaching as their appropriate teaching methods,traditional written examination,practicing organization form as the combination of theory and practice, abilities of scientific research as the lack of knowledge and ability, emergency care as the abilities of specialized nursing to be strengthened. The most in need of strengthening the ability

  18. Understanding massively open online courses. (United States)

    Billings, Diane M


    Massively open online courses (MOOCs) are an innovative delivery system for educational offerings. MOOCs have been hailed with optimism for making education accessible to many, but at the same time, they have been criticized for poor participant completion rates. Nurse educators are considering whether and how to use MOOCs; this column explains MOOCs and their advantages and disadvantages for nurse educators.

  19. Predictors of NCLEX-RN success in a baccalaureate nursing program as a foundation for remediation. (United States)

    Daley, Linda K; Kirkpatrick, Bonnie L; Frazier, Susan K; Chung, Misook L; Moser, Debra K


    This study evaluated students' demographic and nursing program variables and standardized test scores to determine whether significant differences existed between students who successfully completed the National Council Licensure Examination for Registered Nurses (NCLEX-RN) and those who were unsuccessful. In addition, the predictive accuracy of two standardized examinations, the Mosby AssessTest and the Health Education Systems, Incorporated (HESI) Exit Examination were compared. Two cohorts of graduating senior nursing students were studied (1999 cohort N = 121; 2000 cohort N = 103). Demographic and nursing program variables were obtained from student records. The Undergraduate Studies Committee provided standardized test scores (Mosby AssessTest in 1999; HESI Exit Examination in 2000). Only two program variables were consistently associated with success on the NCLEX-RN--final course grade for a didactic, senior-level medical-surgical nursing course and cumulative program grade point average. Scores on both standardized tests were significantly different in students who were successful on the NCLEX-RN and those who were not. The HESI Exit Examination demonstrated greater sensitivity, specificity, positive and negative predictive value, and test efficiency, compared with the Mosby AssessTest. Use of program variables and students' standardized test scores may allow faculty to identify students at risk for failing the NCLEX-RN and to provide structured remediation so these students may be successful on the licensing examination and begin their nursing careers.

  20. Practice and Reflection of Theory-Practice Integration in Surgical Nursing Teaching%理实一体化在外科护理教学中的实践与思考

    Institute of Scientific and Technical Information of China (English)



    目的:院探讨理实一体化教学模式在外科护理学教学中的应用效果。方法院随机抽取实验班(54名)和对照班(54名)。对照班采用传统教学方法授课。实验班采用理实一体化教学模式教学,即在模拟环境中边教、边学、边做,师生共同完成教学任务。结果院实验班的理论及综合技能考核成绩均显著高于对照班。结论院理实一体化教学模式有利于提高护生的理论成绩、操作技能及综合能力。%Objective:To investigate the application results of the-ory-practice integrated teaching mode in surgical nursing teach-ing. Method:To randomly select experimental class (54 students) and a control class (54 students). To adopt traditional teaching me-thods in control class and theory-practice integrated teaching mode in experimental class, namely, the teacher and students work together to complete the task of teaching in teaching, learn-ing and doing in a simulated environment. Result:The theoretical and comprehensive skills assessment scores of the experimental class were significantly higher than those of the control class. Conclusion:Theory-practice integrated teaching mode helps im-prove nursing students' theoretical achievements, skills and com-prehensive abilities.

  1. Enfermagem médico-cirúrgica: uma nova abordagem de ensino e sua avaliação pelo aluno Enfermería médico-quirúrgica: una nueva abordaje de enseñanza y su avaliación por el alumno Medical-surgical nursing: a new approach to teaching and evaluation by the student

    Directory of Open Access Journals (Sweden)

    Maria do Carmo Lourenço Haddad


    verbal.This issue is about a teaching methodology developed by the Medical-Surgical subject of Nursing on Graduate Course at Universidade Estadual de Londrina. The teachers used the student-centered teaching process based on interpersonal relationship and problem solving method. The aim was to evaluate the last period of nursing students perception about developing of cognitive, affective and psychomotor abilities when compared with others subjects of nursing course since 1985 until 1990. This method of teaching supplied more integration among theory and practice, more ability in developing library search and oral exposition, besides more active student participation on his apprenticeship process.

  2. Clinical Application of Ethics Care in the Pain Nursing in Surgical Patients%伦理关怀在外科患者术后疼痛护理中的临床应用

    Institute of Scientific and Technical Information of China (English)



    Objective:To study the effect of ethical care on postoperative pain of surgical patients.Method:80 patients with pain after operation in department of general surgery were randomly divided into observation group and control group,each of 40 cases,the observation group were given specific ethical care on the basis of postoperative routine nursing,while the control group were given routine nursing after surgery.Postoperative pain degree and quality of life of two groups were compared.Result:The two groups of Postoperative pain degree and quality of life in the observation group were significantly better than those in the control group(P<0.05). Conclusion:The ethical care can significantly reduce pain and improve the quality of life of patients with surgical postoperative pain.%目的:探讨伦理关怀在外科患者术后疼痛护理中对患者疼痛的影响。方法:将80例普外科手术后疼痛患者随机分为观察组和对照组,各40例,观察组在外科术后常规护理的基础上,还对患者实施针对性地伦理关怀,而对照组只进行外科术后常规护理。比较两组术后疼痛程度分级和对生活质量的影响。结果:治疗组患者经护理后术后疼痛程度和对生活质量影响均明显优于对照组(P<0.05)。结论:伦理关怀在外科术后疼痛患者的护理中能够显著减轻患者的疼痛和改善疼痛患者的生活质量。

  3. Design and Implementation of Higher Vocational Foreign Nursing Professional English Courses Based on Work Situation%基于工作情境的高职涉外护理专业英语课程设计与实施

    Institute of Scientific and Technical Information of China (English)



    Higher vocational foreign nursing professional English curriculum goal is the application of cultivating the students' ability of workplace English. Design and implementation of the work situation of foreign nursing English course based on, is the key of design close to the workplace situation communicative activities, through the simulation of the hospital work environment, the doctor-patient dialogue tasks stimulate students actively participate in the care of English learning, improve the ability of language expression and nursing skills.%高职涉外护理专业英语课程的目标是培养学生职场英语的应用能力。基于工作情境的涉外护理英语课程设计与实施,其关键是设计贴近职场情境的交际活动,通过模拟医院的工作环境、医患对话等任务激发学生积极参与护理英语的学习,有效提高语言表达能力和护理技能。

  4. O ensino de história da enfermagem nos cursos de graduação de Santa Catarina Nursing history education on graduation courses in Santa Catarina

    Directory of Open Access Journals (Sweden)

    Maria Itayra C. de S. Padilha


    Full Text Available Partindo da idéia de que o ensino da história da enfermagem é fundamental para a formação dos alunos do curso de graduação e de que a forma como se ministra o seu conteúdo proporciona ou não a aderência a este conhecimento, esta pesquisa pretende estabelecer uma rede de contatos com todas as escolas de enfermagem de Santa Catarina para traçar um diagnóstico do ensino de história da enfermagem. Este poderá subsidiar a criação de uma política para nortear a reformulação curricular da disciplina, face às necessidades do Estado. A metodologia é qualitativa e a coleta de dados inicial identificou, a partir de 15 escolas de enfermagem do Estado, o modus operandi do desenvolvimento da disciplina ao longo do curso. Uma análise inicial indica que as estratégias educacionais e curriculares são variadas, havendo interfaces entre elas. Percebe-se um avanço relativo à carga horária e às estratégias de ensino-aprendizagem, porém a inserção do conteúdo em questão ainda carece de reflexão coletiva sobre a sua importância no currículo dos cursos.Concerning to the idea that the nursing history education is fundamental to the development of students of graduation course and that the way this instruction is given determines if its content provides or not the adherence to this information, this research aims to establish a network with all Nursing Schools of Santa Catarina to determine a education diagnosis of nursing history education. This may be a subsidy for a policy creation to guide the curricular reformulation of this subject, in view of the State needs. The methodology is qualitative and the initial data collection identified, from 15 nursing schools of the State, the modus operandi of the subject development along the course. An initial analysis indicates that the educational and curricular strategies are varied, and there are interfaces between them. We note an advance related to the grade hours and to learning

  5. 护理主干课程教学渗透职业伦理教育模式的实践性研究%Embedding ethics in the main nursing courses

    Institute of Scientific and Technical Information of China (English)

    曾冬阳; 张彩虹; 曹卫洁; 姜芬; 袁曦


    目的:探讨护理主干课程教学渗透职业伦理教育在教学实践中的效果.方法:采用自行设计问卷对182名护生进行专业教学前后2次职业伦理道德对照调查.结果:实验组与对照组学生职业伦理自评结果有差异( P<0. 05);其影响因素为教学方法使用、教师榜样作用、教学环境影响及教学形式安排.结论:护理主干课程教学中渗透职业伦理教育是一种值得推广的教学模式.%Objective:To find out the effectiveness of embedding ethics in the main nursing courses. Methods:182 nursing students an-swered self-designed questionnaires. Results:results of experimental group were different with those of control group(P<0. 05). The influencing factors include teaching method,teacher role,teaching environment,and teaching format and arrangement. Conclusions:embedding ethics in main courses is a teaching approach worthy of promotion.

  6. Targeted Treatment and Psychological Nursing Measures for Common Surgical Wounds%外科常见伤口的针对性治疗方法及心理护理措施

    Institute of Scientific and Technical Information of China (English)



    Objective To explore the targeted treatment and psychological nursing measures for common surgical wounds.Methods A retrospective review was conducted for the clinical data of 82 patients receiving dressing treatment in our community health service center, and random grouping method was adopted. Routine treatment was offered to the 41 patients in the control group, 41 patients in the observation group, psychological nursing was provided in addition to routine treatment.Results The wounds in patients in both the observation group and the control group were al healed, with the anxiety and pain scores in the observation group significantly lower than those of the control group,P 0.05.Conclusion Psychological nursing taken on the basis of conventional treatment can relieve anxiety and pain in patients.%目的:外科常见伤口的针对性治疗方法及心理护理措施。方法选择在我社区换药治疗的82例患者的临床资料进行回顾性总结,采用随机分组法。对照组的41例患者我们只采取常规治疗方法,在常规治疗方法的基础上,观察组采用心理护理。结果6观察组和对照组患者的伤口均愈合,观察组的焦虑评分及疼痛评分低于对照组,P<0.01,两组伤口的愈合时间相比差异无统计学意义,P>0.05。结论对外科常见的伤口采取常规治疗的基础上采用心理护理,可以缓解患者的焦虑情绪,减轻疼痛感。

  7. 基于综合护理技能培训课程探讨本科护生元认知学习策略和社会技能的培养%Probe into meta cognition learning strategies and social skills training for undergraduate nursing students based on“comprehensive nursing skills training”course

    Institute of Scientific and Technical Information of China (English)

    陶巍巍; 沙丽艳; 陈正女


    Objective:To probe into meta cognition learning strategies and social skills training for undergradu-ate nursing students based on “comprehensive nursing skills training”course.Methods:A total of 7 9 undergrad-uate nursing students in three classes in grade 2012 in Dalian Medical University were selected as observation group from March 2015 to July 2015,and 57 undergraduate nursing students in two classes in grade 2012 were selected as control group from March 2014 to July 2014.“comprehensive training of nursing skills”course was set up in observation group in the sixth semester,and the meta cognition strategy training was assimilated into the teaching method.The students in control group used the traditional teaching plan and lecture teaching meth-od.The usage of meta cognition strategy and social skills in nursing students was evaluated respectively before school and at the end of the semester.Results:There was statistically significant difference in total average score of meta cognition strategies,planning strategies,selective attention strategies and evaluation strategies at the end of the sixth semester between both groups(P<0.05).There was statistically significant difference in total average score of social skills,collaborative attitude display skills and the promotion of expression skills(P<0.05). Conclusion:“Comprehensive nursing skills training”course for nursing undergraduate and the meta cognition strategy teaching into teaching methals were helpful to cultivate nursing students’learning strategies and im-prove their social skills.%[目的]基于综合护理技能培训查找全文删书名号课程探讨护理本科生元认知学习策略和社会技能的培养。[方法]选取2015年3月—2015年7月大连医科大学2012级护理学专业本科3个班79人为观察组,2014年3月—2014年7月2011级2个班57人为对照组,观察组在第六学期增设《护理技能综合培训》课程,在授课方法中融入元认知学习策

  8. Nursing intervention of incision specialist nurse on with surgical incisions of diabetic patients with gastric carcinoma%伤口专科护士对胃癌合并糖尿病患者手术切口的护理干预

    Institute of Scientific and Technical Information of China (English)

    李琴; 徐亚香; 张倩


    目的:探讨伤口专科护士对胃癌合并糖尿病患者切口护理干预效果。方法:对56例胃癌合并糖尿病患者采用伤口专科护士参与管理的方式进行护理。评价患者术后切口感染率和平均住院日。结果:患者术后切口感染率5.36%,平均住院时间(9.03±3.80)d。结论:伤口专科护士的护理干预,可降低胃癌合并糖尿病患者的切口感染率,缩短平均住院日,促进患者康复。%Objective:To discuss the effect of enterostomal therapists′intervention with surgical incisions of diabetic patients with gastric carcinoma .Meth-ods:56 patients with diabetic complication gastric carcinoma cared with wound specialist nurse .To evaluate infection rate of patients′postoperative incisions and their average length of stay.Results:The infection rate of postoperative incisions was 5.36%,and average inhospital time was(9.03 ±3.80) days.Con-clusion:With the nursing of wound specialist nurse,the infection rate of incisions of diabetic patients with gastric carcinoma is effectively decreased ,reduced the average length of stay and promote the rehabilitation of patients .

  9. Bringing nursing to the public. (United States)

    Kazis, Cornelia; Schwendimann, René


    For the past 5 years, an unusual program has been evolving in the University of Basel's Institute of Nursing Science master's program in Basel, Switzerland. A special course designed to help nurses master public communication skills requires students to play the roles of journalist, exhibition curator, conference organizer, radio reporter, and news producer. Two faculty members, an experienced radio and newspaper journalist and a nurse scientist, teach and support the students. By developing their competence in media relations, participants prepare themselves to tackle the course's long-term goal of bringing the nursing profession into the public eye. Copyright 2009, SLACK Incorporated.

  10. Nursing churn and turnover in Australian hospitals: nurses perceptions and suggestions for supportive strategies. (United States)

    Dawson, Angela J; Stasa, Helen; Roche, Michael A; Homer, Caroline S E; Duffield, Christine


    This study aimed to reveal nurses' experiences and perceptions of turnover in Australian hospitals and identify strategies to improve retention, performance and job satisfaction. Nursing turnover is a serious issue that can compromise patient safety, increase health care costs and impact on staff morale. A qualitative design was used to analyze responses from 362 nurses collected from a national survey of nurses from medical and surgical nursing units across 3 Australian States/Territories. A qualitative design was used to analyze responses from 362 nurses collected from a national survey of nurses from medical and surgical nursing units across 3 Australian States/Territories. Key factors affecting nursing turnover were limited career opportunities; poor support; a lack of recognition; and negative staff attitudes. The nursing working environment is characterised by inappropriate skill-mix and inadequate patient-staff ratios; a lack of overseas qualified nurses with appropriate skills; low involvement in decision-making processes; and increased patient demands. These issues impacted upon heavy workloads and stress levels with nurses feeling undervalued and disempowered. Nurses described supportive strategies: improving performance appraisals, responsive preceptorship and flexible employment options. Nursing turnover is influenced by the experiences of nurses. Positive steps can be made towards improving workplace conditions and ensuring nurse retention. Improving performance management and work design are strategies that nurse managers could harness to reduce turnover.

  11. Analysis of surgical intervention populations using generic surgical process models. (United States)

    Neumuth, Thomas; Jannin, Pierre; Schlomberg, Juliane; Meixensberger, Jürgen; Wiedemann, Peter; Burgert, Oliver


    According to differences in patient characteristics, surgical performance, or used surgical technological resources, surgical interventions have high variability. No methods for the generation and comparison of statistical 'mean' surgical procedures are available. The convenience of these models is to provide increased evidence for clinical, technical, and administrative decision-making. Based on several measurements of patient individual surgical treatments, we present a method of how to calculate a statistical 'mean' intervention model, called generic Surgical Process Model (gSPM), from a number of interventions. In a proof-of-concept study, we show how statistical 'mean' procedure courses can be computed and how differences between several of these models can be quantified. Patient individual surgical treatments of 102 cataract interventions from eye surgery were allocated to an ambulatory or inpatient sample, and the gSPMs for each of the samples were computed. Both treatment strategies are exemplary compared for the interventional phase Capsulorhexis. Statistical differences between the gSPMs of ambulatory and inpatient procedures of performance times for surgical activities and activity sequences were identified. Furthermore, the work flow that corresponds to the general recommended clinical treatment was recovered out of the individual Surgical Process Models. The computation of gSPMs is a new approach in medical engineering and medical informatics. It supports increased evidence, e.g. for the application of alternative surgical strategies, investments for surgical technology, optimization protocols, or surgical education. Furthermore, this may be applicable in more technical research fields, as well, such as the development of surgical workflow management systems for the operating room of the future.

  12. Transcultural Nursing in Turkey's Bachelor's of Science Nursing Curricula

    Directory of Open Access Journals (Sweden)

    Gülbu Tanrıverdi


    Full Text Available Aim: The aims of this manuscript are to examine the presence of transcultural Nursing concept and foundations in Turkey's Bachelor's Of Science In Nursing curricula.Methods: Tis study was planned as a descriptive study during the 2004-2005 academic year in Turkey's Bachelor's of Science in Nursing Curricula. The manuscript data were collected by internet, mail, fax and telephone calls. Percentage was used in the statistical evaluation.Results: According to findings none of the 66 Bachelor's of Science in Nursing curriculum programs had "transcultural Nursing" as a required course. There was only one nursing school that did have the course as an elective. However, There was courses like Socio-Anthropology, Medical Anthropology, Health Sociology and Anthropology which has the elements of transcultural nursing concept are included in BSN programs.Conclusions: Based on the findings it is recommended that Turkey's university curriculum programs in Nursing College and Health Colleges to be reevaluated for the inclusion of a transcultural Nursing Course.

  13. Cuidados de enfermagem realizados ao paciente cirúrgico no período pré-operatório Cuidados de enfermería realizados en el paciente quirúrgico en el período preoperatorio Nursing care applied to surgical patient in the pre-surgical period

    Directory of Open Access Journals (Sweden)

    Berendina Elsina Bouwman Christóforo


    orientaciones relacionadas con el procedimiento quirúrgico y con los cuidados de enfermería efectuados. Se percibe que algunos de estos cuidados incomodan a los pacientes, por ejemplo: la colocación de la camisa quirúrgica, la retirada de la ropa íntima y de la prótesis dentaria. En fin, este estudio permitió que se identificasen fragilidades en el cuidado del paciente quirúrgico, en el sentido de contribuir para la reflexión sobre la necesidad de introducir cambios en las prácticas de la enfermería en el ambiente hospitalario.This is a descriptive, cross-sectional, qualitative study performed at the surgical units of two hospitals in the city of Ponta Grossa. The purpose was to characterize the nursing care provided to patients in the pre-surgical period of elective surgeries. The studied population, chosen as a convenience sample, consisted of 129 patients, aged 18 to 70 years. Data collection was performed through structured interviews carried out at the hospital after the surgery. The results show that the care provided is mainly focused on the physical preparation of the patient, in which few instructions are provided about the surgical procedure and the nursing care delivered. It was also observed that some types of nursing care embarrass the patients, such as wearing the surgical gown and removing their underwear and dental prosthetics. Eventually, this study allowed for the identification of weaknesses in the care provided to the surgical patients, so as to contribute for the reflection about the need to make changes in the nursing practices performed in the hospital.

  14. Evaluating the Use of Streaming Video To Support Student Learning in a First-Year Life Sciences Course for Student Nurses. (United States)

    Green, Sue M.; Voegeli, David; Harrison, Maureen; Phillips, Jackie; Knowles, Jess; Weaver, Mike; Shepard, Kerry


    Nursing students (n=656) used streaming videos on immune, endocrine, and neurological systems using Blackboard software. Of students who viewed all three, 32% found access easy, 59% enjoyed them, and 25% felt very confident in their learning. Results were consistent across three different types and embedding methods. Technical and access problems…

  15. Effect of application of the whole course nursing service in emergency treatment of critically ill patients%急诊危重患者抢救中应用全程护理服务的效果探析

    Institute of Scientific and Technical Information of China (English)



    Objective To study and discuss the effect of the whole course nursing service in emergency treatment of critically ill patients in emergency department. Methods From January2013 to December 2015, selected 100 cases of emergency rescue of critically ill patients in emergency department as the research object, the patients were divided into control group and observation group, 50 cases in each group. The control group was given routine emergency treatment, and the observation group was given the whole course nursing. Compared the two groups of patients with the success rate of rescue, rescue time, and then on the family of the two groups of nursing satisfaction, anxiety score and uncertainty of illness scores were compared. Results The success rate of the observation group was 92%, compared with 76% in the control group was significantly higher( P<0.05) , and the observation group was significantly shorter than the control group ( P<0. 05 ) . The scores of anxiety and uncertainty of illness in the family of the observation group were significantly lower than those in the control group ( P<0.05) . The nursing satisfaction rate of the observation group was 94%, which was significantly higher than that of the control group ( P<0.05) . Conclusions The implementation of the whole course nursing in the rescue process of emergency patients, can effectively ensure the smooth of patients in emergency, and improve the success rate of rescue, meanwhile, can effectively alleviate the negative emotions of the family members of patients, and improve satisfaction of family members of patients to nursing service.%目的:研究并探讨急诊危重患者抢救中应用全程护理服务的效果。方法选取2013年1月至2015年12月实施急诊抢救的急诊危重患者100例作为研究的对象,采取随机数字表法将患者分为对照组和观察组,每组50例。对照组实施常规急诊抢救护理,观察组实施全程护理。比较两组患者的抢救成

  16. Humanización de la Atención de Enfermería en el Quirófano Humanization of caring: Nursing at Surgical Center

    Directory of Open Access Journals (Sweden)

    Carolina Heluy de Castro


    Full Text Available En el quirófano, muchas veces, la atención al paciente es impersonal y, naturalmente, los problemas individuales son ignorados. El estudio pretende identificar lo que representa la humanización para los profesionales y su relación con la satisfacción del paciente de este quirófano, a través del contacto directo con ellos. Probablemente, una atención humanizada es el primer paso para alcanzar el éxito y la calidad asistencial en los servicios de salud.Often, in surgical center, patient´s attendance is impersonal and, naturally, peculiar problems are unawarred. The aim of this study is to recognize professionals and their relationship with patients´satisfaction representing around humanization, an in-depth direct contact with sanitary staff and patients at those operating rooms. Probably, a humanization of caring is the first steep to reach success and quality of attendance in the health services.

  17. Surgical Navigation

    DEFF Research Database (Denmark)

    Azarmehr, Iman; Stokbro, Kasper; Bell, R. Bryan


    were identified in the field of traumatology. Treatment of complex orbital fractures was considerably improved by the use of SN compared with traditionally treated control groups. Conclusions: SN seems to be a very promising addition to the surgical toolkit. Planning details of the surgical procedure...... in a 3-dimensional virtual environment and execution with real-time guidance can significantly improve precision. Among factors to be considered are the financial investments necessary and the learning curve....

  18. 基于案例的行动导向学习模式在高职护理专业外科护理学课程中的运用%Case-based action-oriented learning model in advanced vocational nursing education of Surgical Nursing

    Institute of Scientific and Technical Information of China (English)

    高薇; 孙静; 徐莉; 卢玉仙


    目的:评价基于案例的行动导向学习模式在高职护理专业外科护理学课程教学中的应用效果。方法选取盐城卫生职业技术学院2013级护理专业的两个班级学生,观察组51名,对照组53名。观察组采用基于案例的行动导向学习模式,对照组采用传统教学法。比较两组学生综合考核成绩及自主学习能力情况。结果观察组学生操作技能、分析问题、沟通技能、团队协作共4个方面成绩优于对照组,差异有统计学意义( P<0.05);观察组学生的自主学习能力总分及自我管理、学习合作、信息素质维度得分明显高于对照组,差异有统计学意义( P<0.05)。结论基于案例的行动导向学习模式在高职护理专业外科护理学课程中的运用,能够有效地提高学生的综合能力,同时提高了学生的自我管理和信息收集能力以及学习合作能力。%Objective To evaluate effect of case-based action-oriented learning mode based on cases in advanced vocational nursing education of Surgical Nursing. Methods A total of 103 nursing students from two classes enrolled in 2013 were selected and divided into experimental group ( 51 ) and control group ( 53 ) . Students in experimental group were taught in action-oriented learning mode based on cases, while those in control group received traditional teaching. Students′ performance in theory and practice combination and self-learning ability were compared between two groups. Results Students in experimental group significantly performed better in operating skills, problem analysis, communication skills and team skills (P<0.05) than those in control group. Overall score of self-learning ability and score in the dimension of self-management, cooperative learning, information literacy in experimental group were significantly higher than that in control group (P<0.05). Conclusions Application of case-based action-oriented learning mode based on cases

  19. Gilligan: a voice for nursing? (United States)

    Harbison, J


    The current reform of nursing education is resulting in major changes in the curricula of colleges of nursing. For the first time, ethical and moral issues are being seen as an important theme underpinning the entire course. The moral theorist with whose work most nurse teachers are acquainted is Kohlberg. In this paper, it is suggested that his work, and the conventions of morality which he exemplifies, may not be the most appropriate from which to address the moral issues facing the nurse. The author suggests that the work of Carol Gilligan of Harvard university is of great significance, not only for nurses involved in the teaching of ethics, but for all nurses. Gilligan's emphasis on caring and relationships accords with the common experience of the nurse, and echoes the current revival of interest within nursing in examining, and valuing, the phenomenon of caring.

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

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


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

  1. Three phases of disaster relief in Haiti--pediatric surgical care on board the United States Naval Ship Comfort. (United States)

    Walk, Ryan M; Donahue, Timothy F; Sharpe, Richard P; Safford, Shawn D


    On January 12, 2010, Haiti experienced the western hemisphere's worst-ever natural disaster. Within 24 hours, the United States Naval Ship Comfort received orders to respond, and a group of more than 500 physicians, nurses, and staff undertook the largest and most rapid triage and treatment since the inception of hospital ships. These data represent pediatric surgical patients treated aboard the United States Naval Ship Comfort between January 19 and February 27, 2010. Prospective databases managed by patient administration, radiology, blood bank, laboratory services, and surgical services were combined to create an overall patient care database that was retrospectively reviewed for this analysis. Two hundred thirty-seven pediatric surgical patients were treated, representing 27% of the total patient population. These patients underwent a total of 213 operations composed of 243 unique procedures. Orthopedic procedures represented 71% of the total caseload. Patients returned to the operating room up to 11 times and required up to 28 days for completion of surgical management. This represents the largest cohort of pediatric surgical patients in an earthquake response. Our analysis provides a model for anticipating surgical caseload, injury patterns, and duration of surgical course in preparing for future disaster response missions. Moreover, we propose a 3-phased response to disaster medicine that has not been previously described. Published by Elsevier Inc.

  2. 外科住院患者护理安全影响因素调查及分析%InvestigationandAnalysisonNursingSafetyFactorsofSurgicalHospitalPatients

    Institute of Scientific and Technical Information of China (English)

    邹文妹; 黄俊喜; 毛君晓; 熊云珑; 刘琼玲; 刘贤英; 邱志英


    Objective To investigate the nursing safety factors of surgical hospital patients in order to provide reference for taking preventive measures. Methods Our sixty cases of surgical nursing staff and patients with family members from August 2010 to August 2012 were surveyed by the self-made general data questionnaire according to the literature review in order to investigate the nursing safety factors of surgical hospital patients, and then we put forward speciifc measures. Results The dimension scores of nursing safety factors of surgical hospital patients were as follows: the nurse quality and ability, clinical nursing work and internal environment, the place for clinical nursing, organization and management, patient, care worker. Conclusion The nursing safety of surgical hospital patients are affected by various factors. In daily work, we can take the corresponding measures to strengthen the surgery in hospital patient care and safety management, and improve the prognosis of patients.%  目的 探讨外科住院患者护理安全影响因素,为针对性的采取预防对策提供参考依据。方法 采用根据相关文献制定的护理安全影响因素调查问卷调查随机抽取2011年1月至2012年12月我院60例外科护理人员和60例患者家属,探讨外科住院患者护理安全影响因素,并提出针对性的预防干预措施。结果 外科护理人员和患者家属外科住院患者护理安全影响因素各维度得分依次为:护士素质与能力、护理工作内部环境、临床工作场所、组织管理、患者、照护人员。结论 外科住院患者护理安全受多方面因素的影响,我们在临床医疗过程

  3. Evaluation of adherence to measures for the prevention of surgical site infections by the surgical team


    Adriana Cristina de Oliveira; Camila Sarmento Gama


    AbstractOBJECTIVEEvaluate pre- and intraoperative practices adopted by medical and nursing teams for the prevention of surgical infections.METHODA prospective study carried out in the period of April to May 2013, in a surgical center of a university hospital in Belo Horizonte, Minas Gerais.RESULTS18 surgeries were followed and 214 surgical gloves were analyzed, of which 23 (10.7%) had postoperative glove perforation detected, with 52.2% being perceived by users. Hair removal was performed on ...

  4. A experiência de cuidar do paciente cirúrgico: as percepção dos alunos de um curso de graduação em enfermagem The experience of care for the surgical patient: the nursing students' perceptions

    Directory of Open Access Journals (Sweden)

    Flávia Tatiana Pedrolo


    Full Text Available Este estudo teve como objetivo apreender as percepções que os alunos de graduação de enfermagem têm do ato de cuidar do paciente cirúrgico. Foi utilizada a metodologia qualitativa e os dados foram coletados por entrevistas semi-estruturadas, A análise dos dados identificou as categorias: caracterização do paciente cirúrgico, habilidades necessárias para o cuidar, dificuldades para o cuidar, resultados percebidos quanto à aprendizagem do cuidar. As categorias foram integradas no tema "vencer a cultura do cuidar do paciente cirúrgico", pelo qual apreendemos que a experiência é influenciada pelos valores, conhecimentos e crenças da cultura da enfermagem cirúrgica, encontradas no cotidiano da assistência e na literatura.The purpose of this study was to apprehend the nursing students' perceptions about the experience of caring for the surgical patient. Using the qualitative methodology the authors identified the categories: the characterization of the surgical patient, the skills to care, the difficulties to care and the perceptible outcomes of the learning to care. The categories were integrated into the theme "To win the culture of care of the surgical patient". The results evidence the great cultural influence of values, knowledge and believes of surgical nursing met in the practical context and in the literature.

  5. Nursing Supplies (United States)

    ... Stages Listen Español Text Size Email Print Share Nursing Supplies Page Content Article Body Throughout most of ... budget. (Nursing equipment also makes wonderful baby gifts.) Nursing Bras A well-made nursing bra that comfortably ...

  6. Effects of nurse home-visiting on maternal life course and child development: age 6 follow-up results of a randomized trial. (United States)

    Olds, David L; Kitzman, Harriet; Cole, Robert; Robinson, JoAnn; Sidora, Kimberly; Luckey, Dennis W; Henderson, Charles R; Hanks, Carole; Bondy, Jessica; Holmberg, John


    To test, with an urban, primarily black sample, the effects of prenatal and infancy home visits by nurses on mothers' fertility and economic self-sufficiency and the academic and behavioral adjustment of their children as the children finished kindergarten, near their sixth birthday. We conducted a randomized, controlled trial of a program of prenatal and infancy home-visiting in a public system of obstetric and pediatric care in Memphis, Tennessee. A total of 743 primarily black women at or =2 sociodemographic risk characteristics (unmarried, violence, current partner's educational level, or behavioral problems attributable to the use of alcohol or drugs. This program of prenatal and infancy home-visiting by nurses continued to improve the lives of women and children at child age 6 years, 4 years after the program ended.

  7. Why the history of nursing ethics matters. (United States)

    Fowler, Marsha D


    Modern American nursing has an extensive ethical heritage literature that extends from the 1870s to 1965 when the American Nurses Association issued a policy paper that called for moving nursing education out of hospital diploma programs and into colleges and universities. One consequence of this move was the dispersion of nursing libraries and the loss of nursing ethics textbooks, as they were largely not brought over into the college libraries. In addition to approximately 100 nursing ethics textbooks, the nursing ethics heritage literature also includes hundreds of journal articles that are often made less accessible in modern databases that concentrate on the past 20 or 30 years. A second consequence of nursing's movement into colleges and universities is that ethics was no longer taught by nursing faculty, but becomes separated and placed as a discrete ethics (later bioethics) course in departments of philosophy or theology. These courses were medically identified and rarely incorporated authentic nursing content. This shift in nursing education occurs contemporaneously with the rise of the field of bioethics. Bioethics is rapidly embraced by nursing, and as it develops within nursing, it fails to incorporate the rich ethical heritage, history, and literature of nursing prior to the development of the field of bioethics. This creates a radical disjunction in nursing's ethics; a failure to more adequately explore the moral identity of nursing; the development of an ethics with a lack of fit with nursing's ethical history, literature, and theory; a neglect of nursing's ideal of service; a diminution of the scope and richness of nursing ethics as social ethics; and a loss of nursing ethical heritage of social justice activism and education. We must reclaim nursing's rich and capacious ethics heritage literature; the history of nursing ethics matters profoundly.

  8. Fundamentals of surgical research course: research presentations. (United States)

    Mayer, Kathrin


    The effective communication of research outcomes is a skill that can be learned. To make the greatest impact, it is imperative to know your audience. Oral communication is a highly effective means for dissemination of new information. The preparation of a research presentation requires significant time. The researcher must determine the key messages to be delivered and plan the presentation accordingly. High quality visual aids can impress your audience and, in combination with a succinct oral presentation, can increase retention of the material. In addition to the communication of the raw scientific data and results, the importance of stance, appearance, voice, and eye contact necessary to engage your audience should not be overlooked.

  9. 全程专业化个案管理模式在乳腺癌患者护理中的作用%Effects of Whole Course Professional Case Management in Breast Cancer Nursing

    Institute of Scientific and Technical Information of China (English)

    方琼; 裴艳; 刘佳琳; 张男; 秦嫣雯; 董晓晶; 吴蓓雯


    Objective To explore the methods and effects of whole course case management in breast cancer patients, so as to make efficient use of the medical resources and provide the reference for specialist nursing development. Methods Based on fully prepared health education materials, case management was practiced on breast cancer patients for 6 months by specialist breast nurses,including providing specialist information for patients and their families,taking psychological support,practicing clinical nursing and coordination among different disciplinaries. Results From January to June 2011,379 breast cancer cases were managed. The specialist breast nurses provided professional consultation for more than 800 times, telephone consultation for 4186 minutes,message consultation 1236 times and internet consultation 52 times. Compared with the same period in 2010, the average number of hospitalization days of breast cancer patients was reduced by 27% ,the numbers of patients selection for reserving breast and breast-reconstruction surgery,the number of PICC catheter,and outpatient dressing cases were significantly increased. The satisfactory rate was increased from 95. 6% to 97. 8%. Conclusion Case management for breast cancer patients serves as a nursing mode for multidisciplinary tumor treatments, which may fully embody the whole course,individualized and specialized nursing connotation for breast cancer patients.%目的 探索乳腺癌患者全程专业化个案管理模式的实施方法及效果,为有效利用医疗资源、促进专科护理发展提供参考.方法 2011年1-6月,在完善宣教材料和准备工作的基础上,由接受过专业培训的乳腺专科护士对在瑞金医院住院的乳腺癌患者379例,实施为期6个月的个案化管理,内容涉及为患者及家属提供专业的信息、心理支持、直接护理以及多学科间协调等高级护理服务.结果 2011年1-6月共接收乳腺癌个案379例,完成专业咨询近800

  10. Application of self-directed exploration in teaching of nursing skills course%自主探究法在护理技能实训教学中的应用

    Institute of Scientific and Technical Information of China (English)



    目的 评价自主探究法在护理技能实训教学中的应用效果. 方法 将2009级高职护理大专班学生118人分为实验班(60人)与对照班(58人).对照班采用常规教学方法,即先由教师操作示范并详细讲解操作细节,然后由学生进行操作练习,教师巡回指导并最后总结;实验班采用自主探究法教学,即每次课前将学生分组,采取个人自学预习相关实训项目、小组边模拟操作边讨论交流、全班讨论、教师总结规范操作相结合方法进行教学. 结果 实验班学生的技能考试成绩显著优于对照班(均P<0.01),实训室出勤人次高于对照班. 结论 在护理技能实训教学中引进自主探究教学法,能充分体现学生的学习主体地位,激发学习兴趣和热情,提高护理实训教学效果.%Objective To assess the effect of applying self-directed exploration in teaching of nursing skills course.Methods Totally,118 students admitted to a junior nursing college in 2009 were randomized into an experimental class (n= 60) and a control class (n=58).The control class adopted conventional teaching method: firstly,teachers demonstrated the nursing procedures step by step and explained the key points, then students practised the procedures themselves and teachers provided guidance and made final evaluation.The experimental class adopted self-directed exploration methods: firstly students were divided into several smaller groups; then each group studied the procedures; thirdly, they performed procedures simulatively and all of them convened to have a discussion about the performance of the procedures; finally, the teacher made a summery and demonstrade standard procedures.Results The experimental class had higher scores in nursing skill tests than the control class(P<0.01 for all), and the attendance rates of experimental class were higher than that of the control class.Conclusion Application of self-directed exploration in the teaching of nursing

  11. Úlcera venosa e terapia compressiva para enfermeiros: desenvolvimento de curso online Úlcera venosa y terapia compresiva para enfermeros: desarrollo de un curso online Venous ulcer and compression therapy for nurses: development of online course

    Directory of Open Access Journals (Sweden)

    Fernanda Mateus Queiroz


    Full Text Available OBJETIVO: Descrever a elaboração de um curso on-line sobre úlcera venosa, com enfoque em terapia compressiva, para capacitação de enfermeiros. MÉTODOS: O desenvolvimento do curso on-line seguiu as fases de análise, design, desenvolvimento, implementação e avaliação, baseadas no design instrucional contextualizado. RESULTADOS: O curso dividiu-se em dez módulos estruturados no ambiente virtual de aprendizagem Moodle. Caracterizou-se por uma proposta construtivista, visando ampliar a participação do aluno, disponibilizar as principais referências, revisões e consensos, bem como utilizar objetos multimídia e recursos didáticos interativos. CONCLUSÃO: O curso possibilita a capacitação profissional do enfermeiro em terapia compressiva de maneira inovadora, flexível, interativa em diversos ambientes de cuidado.OBJETIVO: Describir la elaboración de un curso online sobre úlcera venosa, con enfoque en terapia compresiva, para la capacitación de enfermeros. MÉTODOS: El curso online se desarrolló siguiendo las fases de análisis, diseño, desarrollo, implementación y evaluación, basadas en el diseño instruccional contextualizado. RESULTADOS: El curso se dividió en diez módulos estructurados en el ambiente virtual de aprendizaje Moodle. Se caracterizó por una propuesta constructivista, pretendiendo ampliar la participación del alumno, poner a disposición las principales referencias, revisiones y consensos, así como utilizar objetos multimedia y recursos didácticos interactivos. CONCLUSIÓN: El curso permite la capacitación profesional del enfermero en terapia compresiva de manera innovadora, flexible, interactiva en diversos ambientes de cuidado.OBJECTIVE: To describe the development of an online course about venous ulcer, with a focus on compression therapy, for the educating of nurses. METHODS: The development of an online course followed the phases of analysis, design, development, implementation and evaluation, based

  12. Prevention of medical disputes during labor course from the point of maternity nurses%从助产士角度探讨产程中医疗纠纷的防范

    Institute of Scientific and Technical Information of China (English)



    目的 从助产士角度探讨产程中医疗纠纷的防范.方法 对近4年来的助产过程的不良事件进行归类、分析,并提出管理对策. 结果 助产士在产程的观察和处理中容易导致医疗纠纷的原因有:工作责任心不强、违反操作常规、技术不过关、护患沟通不到位、语言欠规范等. 结论 加强助产士的职业道德教育和从业风险教育、规范服务行为,同时加强规范化管理、把好环节质量关、加大质控力度是做好产程中医疗纠纷防范的主要措施.%Objective To explore prevention of medical disputes during labor course from the point of maternity nurses. Methods Adverse events during labor course in delivery rooms of our hos-pital in recent 4 years were classified,analyzed and coping methods were raised. Results Factors that led to medical disputes during the observation and handling of labor course included poor working re-sponsibility, violation of routine operation,low-level technology,non smooth communication and non standardized language. Conclusions The main measures for prevention of medical disputes during labor course include reinforcement of professional ethics education and professional risk education, nor-malization of service behavior and management,to strengthen quality of each process and increase quali-ty control degree.

  13. New horizons: Australian nurses at work in World War I. (United States)

    Harris, Kirsty


    More than 3000 nurses from Australia served with the Australian Army Nursing Service or the British nursing services during World War I. These nurses served in various theatres of war including Egypt, France, India, Greece, Italy and England. They worked in numerous roles including as a surgical team nurse close to the front working under fire; nursing on hospital ships carrying the sick and wounded; or managing hospital wards overrun with patients whilst dealing with a lack of hospital necessities. The skills and roles needed to be a military nurse significantly differed to the skills required to nurse in Australia.

  14. Study on the improvement of job competency among nursing students from the aspect of reforming the Fundamental Nursing courses%以基础护理学课程改革为切入点探讨提高护生职业胜任力的培养

    Institute of Scientific and Technical Information of China (English)

    陶巍巍; 丁淑贞; 孙雪洁; 李丹; 付馨瑶


    Objective To explore the effect on job competency by reforming Fundamental Nursing courses among undergraduate nursing students.Methods 86 nursing undergraduates in Grade 2011 were recruited as the control group receiving conventional teaching method,while 119 students in Grade 2012 were recruited as the experimental group receiving reform of fundamental nursing courses.The teaching outcomes were evaluated by using Job Competence of Nursing Students Evaluation Form and Medical education environment measurement table.Results The reform of fundamental nursing courses had significantly elevated all the aspects of professional competency among nursing undergraduates (P<0.01),including personal traits,clinical ability,communication,critical thinking,specialty construction[(35.71 ± 3.82) vs.(33.41 ± 4.77),(55.29 ± 8.29) vs.(43.93 ± 8.68),(22.19 ± 2.71) vs.(19.88 ± 2.96),(16.83 ± 2.85) vs.(14.37 ± 2.71),(37.78 ± 6.31) vs.(32.42 ± 5.72)].Meanwhile,three dimensions of medical education environment for nursing students were also improved,including the student's perception of the teacher,self academic perception,self social perception [(35.23 ±5.72) vs.(31.28 6..22),(21.42 ±4.19) vs.(23.42 ±3.53),(19.44 ± 3.86) vs.(18.19 ± 3.47),t=-4.523、-3.503、-2.308,P<0.01 or 0.05)].However,there was no significant differences in the aspects of learning perception,environment perception,and the total score of medical education environment (t=-1.866、0.725、-1.705,P>0.05).Conclusions The professional competence and parts of the teaching environment around the nursing students have been elevated through the reform of Fundamental Nursing course.The reform also laid a solid foundation for the employment of nursing students.%目的 通过对护理本科基础护理学课程进行改革,探讨提高护理学专业本科生毕业前的职业胜任力.方法 以2011级护理学专业本科生3个班86人作为对照组,采取传统教学方式;以2012级本科生4

  15. The relationship between electronic nursing care reminders and missed nursing care. (United States)

    Piscotty, Ronald J; Kalisch, Beatrice


    The purpose of the study was to explore relationships between nurses' perceptions of the impact of health information technology on their clinical practice in the acute care setting, their use of electronic nursing care reminders, and episodes of missed nursing care. The study aims were accomplished with a descriptive design using adjusted correlations. A convenience sample (N = 165) of medical and/or surgical, intensive care, and intermediate care RNs working on acute care hospital units participated in the study. Nurses from 19 eligible nursing units were invited to participate. Adjusted relationships using hierarchical multiple regression analyses indicated significant negative relationships between missed nursing care and nursing care reminders and perceptions of health information technology. The adjusted correlations support the hypotheses that there is a relationship between nursing care reminder usage and missed nursing care and a relationship between health information technology and missed nursing care. The relationships are negative, indicating that nurses who rate higher levels of reminder usage and health information technology have decreased reports of missed nursing care. The study found a significant relationship between nursing care reminders usage and decreased amounts of missed nursing care. The findings can be used in a variety of improvement endeavors, such as encouraging nurses to utilize nursing care reminders, aid information system designers when designing nursing care reminders, and assist healthcare organizations in assessing the impact of technology on nursing practice.

  16. Teaching surgical exposures to undergraduate medical students: an integration concept for anatomical and surgical education. (United States)

    Hammer, Niels; Hepp, Pierre; Löffler, Sabine; Schleifenbaum, Stefan; Steinke, Hanno; Klima, Stefan


    Decreasing numbers of students are interested in starting a surgical career, posing substantial challenges to patient care in the next years. The anatomy course is one of the key subjects in medical training, especially in surgical disciplines. Innovative teaching concepts that integrate surgically relevant anatomy and manual dexterity might help boost student interest in surgery. A preclinical workshop entitled "Surgical exposures" was developed. A team of anatomists and surgeons introduced the surgical exposures, demonstrating the procedures on Thiel-fixed body donors. Following this introduction, students practiced the exposures in an operating room-like manner. A six-point Likert scale was used to evaluate the workshop and to compare it to the first-year dissection course. The overall evaluation result for the surgical exposures was excellent, proving to be a significantly better result when compared to the first-year dissection course. The students were more satisfied with the teaching time invested by the peers and regarded the workshop as clinically highly relevant. Furthermore, they felt that questions were addressed better and that the overall atmosphere was better than in the gross anatomy course. Subject to criticism was the course size and practicing time in both cases. The surgical exposures workshop provides preclinical students with clinically relevant anatomy and manual dexterity. It may positively influence the decision to follow a surgical career. This course, however, requires extensive teaching resources. The given concept may help implement practical medical skills in the preclinical curriculum, strengthening the professional identity of surgeons and anatomists.

  17. Patient hand hygiene practices in surgical patients. (United States)

    Ardizzone, Laura L; Smolowitz, Janice; Kline, Nancy; Thom, Bridgette; Larson, Elaine L


    Little is known about the hand hygiene practices of surgical patients. Most of the research has been directed at the health care worker, and this may discount the role that hand hygiene of the surgical patient might play in surgical site infections. A quasiexperimental, pretest/post-test study was conducted in which patients (n = 72) and nurses (n = 42) were interviewed to examine perceptions and knowledge about patient hand hygiene. Concurrently, observations were conducted to determine whether surgical patients were offered assistance by the nursing staff. Following an initial observation period, nursing staff received an educational session regarding general hand hygiene information and observation results. One month after the education session, patient/nurse dyads were observed for an additional 6 weeks to determine the impact of the educational intervention. Eighty observations, 72 patient interviews, and 42 nurse interviews were completed preintervention, and 83 observations were completed postintervention. In response to the survey, more than half of patients (n = 41, 55%) reported that they were not offered the opportunity to clean their hands, but a majority of the nursing staff reported (n = 25, 60%) that they offered patients the opportunity to clean their hands. Prior to the educational intervention, nursing staff assisted patients in 14 of 81 hand hygiene opportunities. Following the intervention, nursing staff assisted patients 37 out of 83 opportunities (17.3% vs 44.6%, respectively, [χ(2)1 = 13.008, P = .0003]). This study suggests that efforts to increase hand hygiene should be directed toward patients as well as health care workers. Copyright © 2013 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Mosby, Inc. All rights reserved.

  18. Effects of Teaching Critical Thinking within an Integrated Nursing Curriculum (United States)

    Brown Basone', Lauren


    Nursing students need to think critically in order to pass their nursing courses and the critical thinking portion of the national licensure exam. To improve students' critical thinking skills, a nursing program in the southern United States recently required that 4th semester students take a 1-credit critical thinking course. This study evaluated…

  19. Surgical Training in the Netherlands

    NARCIS (Netherlands)

    Borel Rinkes, I.H.M.; Gouma, D.J.; Hamming, J.F.


    Surgical training in the Netherlands has traditionally been characterized by learning on the job under the classic master-trainee doctrine. Over the past decades, it has become regionally organized with intensive structural training courses, and a peer-based quality control system. Recently, the nat

  20. Preoperative skin preparation with 2% chlorhexidine as a factor in the prevention of surgical site infection

    Directory of Open Access Journals (Sweden)

    Evelyn Solano Castro


    Full Text Available The results of secondary research that refers to preoperative skin preparation with antiseptic chlorhexidine 2% are presented. Surgical Site Infections are one of the most common complications in surgical procedures are associated with significant morbidity and mortality in the user and are the third -associated infection more frequent in the health care . Steps of clinical practice based on evidence were applied, considering in the first instance a question in PICO format, then a search for information in databases recommended in the Course of Clinical Nursing Practice Evidence-Based, taught by the program for Collaborative Research in Evidence-Based Nursing of Costa Rica ( CIEBE -CR . The PubMed database and Cochrane LIBRARY was consulted, National Center for Biotechnology Information ( NCBI, Google Scholar, CINAHL (cummulative Index of Nursing and Allied Health Literature. SCIELO (Scientific Electronic Library on line . 22 documents were recovered, but only three were selected because had methodological rigor. For the critical analysis Critical Reading Sheets 2.0 ( FLC software was used. Was concluded that 2% chlorhexidine, is the best choice for preoperative skin preparation antiseptic, however, it is necessary to conduct further studies in order to determine which is the correct way in strength, frequency, technical and adverse effects in the pediatric population.

  1. Trajetória e tendências dos cursos de enfermagem no Brasil Trayectoria y tendencias de los cursos de graduación en enfermería en Brasil Trajectory and trends of Brazilian nursing diploma courses

    Directory of Open Access Journals (Sweden)

    Elizabeth Teixeira


    Full Text Available O texto analisa a trajetória da educação em enfermagem no Brasil; analisa as tendências dos cursos de graduação (1991-2004 e traça um perfil do estudante de graduação de enfermagem que participou do Exame Nacional de Cursos (ENADE, em 2004. Para traçar o referido perfil são utilizados 18 indicadores sócio-familiares e acadêmicos dos respondentes do questionário do aluno. Apontam-se algumas perspectivas e desafios à educação em enfermagem no país, com vistas a subsidiar educadores e educandos na sua prática acadêmica.El texto analiza el camino de la educación de enfermeria en Brasil y las tendencias de los cursos del grado (1991-2004 y polilla un perfil del estudiante graduación en enfermeria han participado en el Examen Nacional de Cursos (ENADE, en 2004. Para dibujar el referido 18 indicadores del compañero-familia y los respondentes al perfil de los académicos de la encuesta del estudiante ellos se usan. Se apuntan un poco de perspectivas y desafíos a la educación em enfermería en el país, con las vistas para subvencionar a educadores y estudiantes en el his/her la práctica académica.The text analyzes the path of the education in nursing in Brazil and analyzes the trends of the diploma courses (1991-2004 and describes a profile of the nursing graduation students that participated in the National Exam of Courses (ENADE, in 2004. To draw the referred profile 18 partner-family indicators and the respondents of the student's questionnaire academics they used. Some perspectives and challenges are pointed to the education in nursing in the country, with views to subsidize educators and students in his/her academic practice.

  2. Graduate entry nurses' initial perspectives on nursing: Content analysis of open-ended survey questions. (United States)

    McKenna, Lisa; Brooks, Ingrid; Vanderheide, Rebecca


    Graduate entry nursing courses offer individuals with prior degrees the opportunity to gain nursing qualifications and facilitate career change. While it is known that accelerated graduate entry courses are increasingly popular, the perceptions of nursing held by such individuals and the influence this has on those seeking to enter the profession are less clearly understood. To explore graduate entry nursing students' perceptions of nursing on entering their pre-registration course. A descriptive design utilising cross-section survey with two open-ended questions: What do you believe the role of the nurse is? What things have influenced that view? were asked. Demographic data were analysed using descriptive frequencies, while the two open-ended questions were analysed using summative content analysis. One university-based postgraduate graduate entry nursing course in Australia PARTICIPANTS: Eight cohorts (n=286) commencing students with prior degrees other than nursing. The course attracts students from diverse backgrounds. Exposure to nursing and nurses, either as a consumer of health care or other health care role, plays a primary role in influencing career change. However, similar to those found with school leavers, there remains much misinformation about nurses' roles for students in these courses. Most identify the role of caring in nursing. For some, media representations are the only information sources. Graduate entry courses offer opportunities to attract new nurses and contribute to addressing workforce shortages. However, there is still a lack of knowledge of nursing roles among students on entry. More work is required by the profession to ensure nursing is accurately and positively represented to the community. Crown Copyright © 2016. Published by Elsevier Ltd. All rights reserved.

  3. Intraoperative monitoring technician: a new member of the surgical team. (United States)

    Brown, Molly S; Brown, Debra S


    As surgery needs have increased, the traditional surgical team has expanded to include personnel from radiology and perfusion services. A new surgical team member, the intraoperative monitoring technician, is needed to perform intraoperative monitoring during procedures that carry a higher risk of central and peripheral nerve injury. Including the intraoperative monitoring technician on the surgical team can create challenges, including surgical delays and anesthesia care considerations. When the surgical team members, including the surgeon, anesthesia care provider, and circulating nurse, understand and facilitate this new staff member's responsibilities, the technician is able to perform monitoring functions that promote the smooth flow of the surgical procedure and positive patient outcomes.

  4. Managing anxiety in the elective surgical patient. (United States)

    Pritchard, Michael John

    Patients coming into hospital can suffer a great deal of anxiety--Mathews et al (1981) suggested patients who undergo surgery experience acute psychological distress in the pre-operative period. These fears manifest themselves as uncertainty, loss of control and decreased self-esteem, anticipation of postoperative pain, and fear of separation from family (Egan et al, 1992; Asilioglu and Celik, 2004). As technical advances and improved anaesthetic techniques become available to the NHS, the ability to offer day surgery to a wider patient population is increasing. In fact Bernier et al (2003) and Elliott et al (2003) have suggested that 60% of future operations will be day procedures. This means as health-care professionals, nurses will have shorter time available not only to identify patients who may be experiencing anxiety, but also to offer them the support they need to cope with the surgery. Anxiety can have a profound effect on patients--it affects them in a variety of ways, from ignoring the illness, which could have a serious impact on the patient's life, to the constant demand for attention which can take the nurse away from the care of other patients on the ward (Thomas et al, 1995). Recently, there has been increasing interest in the possible influences of properative anxiety on the course and outcome of surgical procedures and the potential benefits of anxiety-reducing interventions (Markland et al, 1993). Caumo et al (2001) suggested that pre-operative management of a patients anxiety would be improved if health-care professionals had more knowledge about the potential predictors of pre-operative anxiety.

  5. The role of the surgical care practitioner within the surgical team. (United States)

    Quick, Julie

    Changes to the surgical workforce and the continued development of health policy have perpetuated the requirement for innovative perioperative roles. The surgical care practitioner is a nurse or allied health professional who works within a surgical team and has advanced perioperative skills, including the ability to undertake surgical interventions.With only limited literature evaluating this role, any benefits of their inclusion to a surgical team are largely anecdotal. This article presents the findings of an autoethnographic inquiry that explored the experiences of surgical team members who worked with the nurse researcher in her role as surgical care practitioner. Surgeons identified the provision of a knowledgeable, competent assistant and operator who enhanced patient care, helped maintain surgical services and supported the training of junior doctors. The professional, ethical and legal obligations of advanced perioperative practice were upheld. Interprofessional collaboration was improved, as was service provision. This further enhanced the patient experience. The traditional viewpoint that nurses who undertake tasks previously associated with medicine should be working to the standard of a doctor is challenged but requires further examination.

  6. Nuclear education in public health and nursing

    Energy Technology Data Exchange (ETDEWEB)

    Winder, A.E.; Stanitis, M.A.


    Twenty-three public health schools and 492 university schools of nursing were surveyed to gather specific information on educational programs related to nuclear war. Twenty public health schools and 240 nursing schools responded. Nuclear war-related content was most likely to appear in disaster nursing and in environmental health courses. Three schools of public health report that they currently offer elective courses on nuclear war. Innovative curricula included political action projects for nuclear war prevention.

  7. Awareness and attitudes of Turkish nursing students towards research and development in nursing. (United States)

    Gerçek, Emine; Okursoy, Algın; Dal, Nursel Alp


    The research course in nursing is included in almost all nursing curricula in national and international scales. To compare awareness and attitudes of Turkish nursing students towards research and development in nursing. This study had descriptive and cross-sectional research design. The research sampling is consisted of 390 senior students studying during the 2013-2014 academic year in six schools of health in six different geographical regions in Turkey. The Personal Identification Form and Nursing Students' Attitudes to and Awareness of Research and Development within Nursing Scale were utilized in data collection. It was determined that there is difference between awareness and attitude scores of nursing students from six different schools towards research and development in nursing according to their schools and background. It can be suggested that initiatives to increase awareness of students at nursing schools towards research course must be planned. Copyright © 2016 Elsevier Ltd. All rights reserved.

  8. 护理学本科综合实验课程的构建与实施%Construction and practice of the comprehensive experimental course for undergraduate nursing students

    Institute of Scientific and Technical Information of China (English)

    朱宁宁; 谢晖; 孙婷; 李娜


    目的:探讨护理学本科综合实验课程的构建方法与实施效果。方法构建了一门以临床路径为主线,以任务驱动法、情境教学法、小组合作学习为主要教学方法,以形成性评价为主要考核方法的护理学本科综合实验课程并实施,通过对学习该课程的60名2010级护理本科生进行焦点小组访谈,评价教学效果。结果学生对课程的教学方法、学生参与方式和考核评价给予肯定的同时,也指出教学中存在的问题。结论该课程能够达到学科融合和培养学生胜任力的作用,今后在教学计划和小组评价方式上进一步完善,以更好实现培养目标。%Objective To explore the construction methods and implementation results of a comprehensive exper-imental course for undergraduate nursing students. Methods A comprehensive experimental course was built which using clinical pathways as the construction pattern,task-driving,situational teaching and team cooperation as main teaching methods,formative evaluation as assessment method. The teaching outcomes were evaluated by focus group interviews among 60 nursing students in Grade 2010. Results The students showed acceptance on the teaching and assessment methods. Meanwhile,they proposed some problems in teaching. Conclusion This course can achieve the role of subject amalgamation and competency-based education. It is suggested to further improve the teaching plan and group evaluation method to achieve educational objectives better.

  9. rapid assessment of cataract surgical coverage in rural zululand

    African Journals Online (AJOL)

    Cataract surgical coverage (CSC) is a population-based index describing the proportion of ... visual acuity assessed by the nursing assistant using a modified Snellen 'E' .... Additional benefits of this procedure are high profile advertising of the ...

  10. What's funny about nursing? (United States)

    Pierlot, D; Warelow, P J


    The authors examine the topic of humour and argue that humour is needed as one of many skills within the nurse patient relationship. We advance the view that humour has been well researched as an agent of therapeutic value and as a communication tool which helps to relieve stress, but, to date is not used to its fullest potential and tends therefore to be underestimated in both general and psychiatric nursing areas. Humour has benefits for both the nurse and the patient having psychological benefits and a vast array of physiological advantages and is regarded by those who use it as a social lubricant acting as a positive in nurse patient relationships. We also argue that it is essential that nurses know when to use humour as timing and appropriateness is imperative in order for it to be most effective. Humour can be used in all areas of clinical nursing practice and may prove useful in being a reliable predictor over the course of a patient's illness. The use of humour can help improve the nurse-patient relationship by initially breaking the ice between nurse and patient. This alternative mode of delivery can then be foundational to other areas of the nurse patient relationship such as self-disclosure, the enhancement of learning and relieving stress. Furthermore, it helps to facilitate and promote mutual health and well being for both the patient and the nurse. The usage of humour in psychiatric nurse settings is discussed and the benefits to both the patients and their staff are outlined as being of immense therapeutic value. The literature perhaps tends to skirt around these benefits somewhat, as psychiatry and laughter in partnership are not really considered important discursive topics.

  11. 抛锚式教学法在本科生《护理研究》教学中的应用效果%The application of anchored instruction in the course ofNursing Research for undergraduate nursing students

    Institute of Scientific and Technical Information of China (English)

    王轶; 王志稳; 吴雪; 武杰; 王艳


    目的:从学生的角度评价抛锚式教学法在本科生《护理研究》教学中的应用效果。方法:对24名护理本科生在《护理研究》部分章节中实施抛锚式教学法,选取17名学生进行半结构式访谈,了解学生对该教学法的评价。结果:学生反映抛锚式教学法有助于调动学生的自主性和积极性,扎实掌握科研知识,开拓思维形成科研思路,提高综合能力;但在实施中也存在小组学习时间难以保障,学习交流不够充分,知识运用不够熟练等问题,并提出相应建议。结论:与传统教学法相比,抛锚式教学法在提高学习效果和学生综合能力方面具有一定优势,但实施过程中也存在一些问题,须进一步优化抛锚式教学法的实施,改善其应用效果。%Objective: To evaluate the effect of anchored instruction in the course ofNursing Research for undergraduate nursing students. Methods: Anchored instruction was applied in the course ofNursing Research among 24 nursing undergraduates. The outcomes were evaluated by semi-structured interviews of 17 students. Results: Students reported that anchored instruction could improve their autonomous and active learning, facilitate their study of knowledge about research, guide their research ideas, and improve their comprehensive abilities. However, students also proposed some problems and suggestions in the implementation of anchored instruction, such as time pressure, insufifcient communication among group members and different groups, unskilled application of knowledge. Conclusion: Compared with traditional instruction, anchored instruction has advantages in improving learning outcomes and students' comprehensive abilities, but also exists some problems. It is suggested to further optimize the implementation of anchored instruction.

  12. Big Data and Perioperative Nursing. (United States)

    Westra, Bonnie L; Peterson, Jessica J


    Big data are large volumes of digital data that can be collected from disparate sources and are challenging to analyze. These data are often described with the five "Vs": volume, velocity, variety, veracity, and value. Perioperative nurses contribute to big data through documentation in the electronic health record during routine surgical care, and these data have implications for clinical decision making, administrative decisions, quality improvement, and big data science. This article explores methods to improve the quality of perioperative nursing data and provides examples of how these data can be combined with broader nursing data for quality improvement. We also discuss a national action plan for nursing knowledge and big data science and how perioperative nurses can engage in collaborative actions to transform health care. Standardized perioperative nursing data has the potential to affect care far beyond the original patient. Copyright © 2016 AORN, Inc. Published by Elsevier Inc. All rights reserved.

  13. Enhancing assertiveness in district nurse specialist practice


    Green, J.


    District nurse (DN) care delivery has undergone substantial change in recent years due to changing demographics and service delivery demands that have called for a move of care delivery from secondary to primary care. The title District Nurse is recorded with the Nursing and Midwifery Council (NMC) on completion of the Specialist Practice Qualification in District Nursing (SPQ DN), which purports to be a 'transformational' course that prepares future caseload holders to manage their team and ...

  14. Presurgical stress: Nursing and psychological interventions

    Directory of Open Access Journals (Sweden)

    Antigoni Fountouki


    Full Text Available Feelings of ambivalence, melancholy, despair and fear are usual psychological reactions prior to a surgical intervention. Αim: the main aim of this review is a comprehensive presentation of pre-operative anxiety as well as the analysis of the effectiveness of relevant nursing and psychological interventions. A secondary aim was to highlight the role of the nurse in treating pre-operative anxiety. Method: A search in Greek and international databases (IATROTEK, PubMed, CINAHL was conducted. The search strategy combined the following key word: preoperative anxiety, nursing, psychological support. Initially, 123 articles were identified (general articles, clinical studies, reviews, and meta-analysis and after adjustments for duplicate results, the final material of this review were 38 selected articles published during the last decade. Results: Many studies demonstrate the usefulness of preoperative preparation through specialized information and social support interventions in relation to post-surgery adaptation process. The use of methods and strategies that enable the individual to reduce stress and handle the highly-stressing dimensions of the impending surgery have also been proposed. Finally, various psychotherapeutic interventions and other specialized techniques of crisis management as measures to address both the pre-operative anxiety and stress brought about by the disease have also successfully been implemented. Conclusions: The preoperative clinical care must include the systematic treatment of pre-operative anxiety through specialized information. However, behavioral or cognitive interventions that facilitate self-control appear to be more effective and have significant influence on the patient’s postoperative course. Training and education of nurses should be sufficient and part of their continuing education.

  15. Final Narrative Report on Nursing Ethics at Delta College. (United States)

    Pfeiffer, Raymond S.

    This four-part report describes a project undertaken by Delta College to implement two required bioethics courses for nursing students: an introductory course in ethical theories and an advanced course in applications of these theories in nursing. After Part I relates how funding for the project was secured and used, Part II delineates the…

  16. Surgical checklists: the human factor.

    LENUS (Irish Health Repository)

    O Connor, Paul


    BACKGROUND: Surgical checklists has been shown to improve patient safety and teamwork in the operating theatre. However, despite the known benefits of the use of checklists in surgery, in some cases the practical implementation has been found to be less than universal. A questionnaire methodology was used to quantitatively evaluate the attitudes of theatre staff towards a modified version of the World Health Organisation (WHO) surgical checklist with relation to: beliefs about levels of compliance and support, impact on patient safety and teamwork, and barriers to the use of the checklist. METHODS: Using the theory of planned behaviour as a framework, 14 semi-structured interviews were conducted with theatre personnel regarding their attitudes towards, and levels of compliance with, a checklist. Based upon the interviews, a 27-item questionnaire was developed and distribute to all theatre personnel in an Irish hospital. RESULTS: Responses were obtained from 107 theatre staff (42.6% response rate). Particularly for nurses, the overall attitudes towards the effect of the checklist on safety and teamworking were positive. However, there was a lack of rigour with which the checklist was being applied. Nurses were significantly more sensitive to the barriers to the use of the checklist than anaesthetists or surgeons. Moreover, anaesthetists were not as positively disposed to the surgical checklist as surgeons and nurse. This finding was attributed to the tendency for the checklist to be completed during a period of high workload for the anaesthetists, resulting in a lack of engagement with the process. CONCLUSION: In order to improve the rigour with which the surgical checklist is applied, there is a need for: the involvement of all members of the theatre team in the checklist process, demonstrated support for the checklist from senior personnel, on-going education and training, and barriers to the implementation of the checklist to be addressed.

  17. Academic and nursing aptitude and the NCLEX-RN in baccalaureate programs. (United States)

    McCarthy, Mary Ann; Harris, Debra; Tracz, Susan M


    Accurately predicting NCLEX-RN® success has a positive impact on all nursing education stakeholders. This study focused on the ability to predict NCLEX-RN pass rates on the basis of prenursing academic aptitude variables and the Assessment Technologies Institute (ATI) nursing aptitude program. The ATI predictors were the Test of Essential Academic Skills (TEAS) and fi ve ATI subject tests: Fundamentals, Medical Surgical, Nursing Care of Children, Mental Health, and Maternal Newborn. The prenursing variables comprised the prenursing grade point average, a prerequisite communication course, and the ATI TEAS composite subscores of TEAS Reading, TEAS Math, TEAS Science, and TEAS English. This study included participants from four baccalaureate nursing programs in the California State University system. Results of canonical correlation, multiple linear regression, and logistic regression revealed a significant correlation among prenursing, ATI scores, and NCLEXRN fi rst-try pass rates. Prediction of NCLEX-RN success rate using standardized testing data was supported, with the strongest predictors being the ATI Medical Surgical and ATI Mental Health tests.

  18. Guide for Instructors of Practical Nursing in South Carolina, Phase 2. (United States)

    Clemson Univ., SC. Vocational Education Media Center.

    The South Carolina Department of Education has printed an instruction manual for teacher use in schools of nursing. The guide covers the areas of medical surgical nursing, diagnosis of disease, dealing with the surgical patient, care of the aged, rehabilitation and chronic illness, nursing the cancer patient, gynecological disorders, respiratory…

  19. Nursing, Nursing Education, and Anxiety. (United States)

    Biggers, Thompson; And Others

    In response to the current crisis in the field of nursing, a study examined nursing students' perceived work-related stress and differences among associate degree, diploma, and baccalaureate nursing programs in their preparation of nursing students. The 171 subjects, representing the three different nursing programs, completed a questionnaire…

  20. Supporting staff nurses to train as community specialist district nurse practitioners. (United States)

    Elliott, Lorraine

    The removal of district nurses from the Nursing and Midwifery Council's recognised specialist practitioner list has resulted in many employers not commissioning district nurse courses and a lack of clarity about the skills required to be a team leader. This article discusses a practice development initiative to support learning through a practice based competency programme, to develop skills of local staff members.

  1. Engaging millennial learners: Effectiveness of personal response system technology with nursing students in small and large classrooms. (United States)

    Revell, Susan M Hunter; McCurry, Mary K


    Nurse educators must explore innovative technologies that make the most of the characteristics and learning styles of millennial learners. These students are comfortable with technology and prefer interactive classrooms with individual feedback and peer collaboration. This study evaluated the perceived effectiveness of personal response system (PRS) technology in enhancing student learning in small and large classrooms. PRS technology was integrated into two undergraduate courses, nursing research (n = 33) and junior medical-surgical nursing (n = 116). Multiple-choice, true-false, NCLEX-RN alternate format, and reading quiz questions were incorporated within didactic PowerPoint presentations. Data analysis of Likert-type and open-response questions supported the use of PRS technology as an effective strategy for educating millennial learners in both small and large classrooms. PRS technology promotes active learning, increases participation, and provides students and faculty with immediate feedback that reflects comprehension of content and increases faculty-student interaction.

  2. Seguimento dos enfermeiros egressos dos cursos de especialização em enfermagem em cuidados intensivos Seguimiento de los enfermeros egresos de los cursos de especialización en enfermería en cuidados intensivos Following up nurses that finished the specialization course on nursing in intensive care

    Directory of Open Access Journals (Sweden)

    Verlaine Andrade


    Full Text Available O presente estudo busca analisar a contribuição trazida pelos Cursos de Especialização em Cuidados Intensivos realizados na Escola de Enfermagem da USP, cujos objetivos foram: 1 caracterizar a trajetória dos enfermeiros quanto à continuidade do trabalho em UTI; 2 avaliar a contribuição oferecida pelo curso. A população foi composta por 38 enfermeiros egressos, sendo que, destes, 60,5% não mais atuavam na UTI, devido ao fato de assumirem outro cargo na instituição e apresentarem problemas pessoais diversos. Quanto à contribuição oferecida pelo curso, a principal avaliação recaiu na aquisição de conhecimentos (91,7%. No entanto, 74,2% dos enfermeiros afirmaram que o curso não contribuiu para o aumento salarial, o que não os têm impedido de investir no seu aperfeiçoamento profissional.Este estudio busca analizar la contribución de los Cursos de Especialización en Cuidados Intensivos ofrecidos por la Escuela de Enfermería de la Universidad de São Paulo. Los objetivos fueron: 1 caracterizar la trayectoria de los enfermeros en cuanto a la continuidad del trabajo en Unidade de Tratamiento Intensivo (UTI; 2 evaluar la contribución ofrecida por el Curso. La población fue de 38 enfermeros egresados de los Cursos, el 60,5% no estaban trabajando en UTI por estar ejerciendo otro cargo y también por problemas personales. En cuanto a la contribución ofrecida por el Curso, el principal resultado de la evaluación apunta para la aquisición de conocimientos (91,7%, el 74,2% de los enfermeros dijeron que el Curso no contribuyó para la mejoría de la remuneración; sin embargo, eso no constituyó motivo para que esos enfermeros dejaran de invertir en el progreso profesional.The purpose of this study was to analyse the contribution of the Extension Courses in the Intensive Care held at the Nursing School from USP, with the aim to: 1 Follow up nurses in their work at the ICU. 2 Evaluate the contribution offered by the course. The

  3. Discussion on the construction of MOOC course in obstetric and gynecological nursing teach-ing%妇产科护理学课程慕课建设探讨

    Institute of Scientific and Technical Information of China (English)



    重庆医科大学为适应信息化教学新要求,以培养具有良好评判思维能力及岗位胜任力的新型护理人才为目标,以课程建设为突破口,探索妇产科护理学课程慕课建设与应用。通过慕课网络平台为学生提供丰富教学资源,让学生课前完成自主学习、互动讨论、试题出错率检测与反馈,为教师设计翻转课堂教学提供依据。利用慕课实施混合教学,逐步培养学生自主学习能力。%To meet the new requirements of modern information education, and to achieve the goal of developing a new type of nursing talents with good judgment thinking ability and post compe-tency, Chongqing Medical University explored the construction and application of nursing courses in obstetrics and Gynecology. By means of MOOC network platform, we provided students with rich teach-ing resources, so that students could complete their own learning, interactive discussion, examination questions and feedback, to provide the basis for teachers designing the teaching of flipped classroom. We also used the MOOC class to implement the mixed teaching, and gradually develop students' au-tonomous learning ability.

  4. Professional communication competences of nurses. (United States)

    Włoszczak-Szubzda, Anna; Jarosz, Mirosław Jerzy


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

  5. Kolb经验学习理论在“外科护理学”教学活动中应用的效果评价%Application of Kolb experience learning theory in Surgical Nursing teaching

    Institute of Scientific and Technical Information of China (English)

    刘燕南; 彭艾莉; 姚珺; 岳琳; 谌绍林


    目的 探讨Kolb经验学习理论在“外科护理学”教学中的应用效果.方法 便利抽取2012级护理专业2个大班120人为研究对象,随机分为2组,对照组实施传统教学,观察组实施基于Kolb经验学习理论的教学模式,实验结束后,采用理论考试、实践考核、问卷调查对教学实效性进行评价.结果 2组学生的理论考试成绩、实践考核成绩和学习效果各维度比较差异有统计学意义.结论 基于Kolb经验学习理论的“外科护理学”教学模式的开展能提高学生的学习兴趣和学习效果,利于教学改革的实施.%Objective To investigate the effect of the Kolb experience learning theory applied in Surgical Nursing teaching.Methods 120 students were selected randomly and were divided into 2 groups,the observation group operated the teaching mode based on the Kolb experience learning theory,the control group operated traditional teaching.After the experiment,using the theory test,the skill test,the questionnaire survey to evaluate the teaching effectiveness.Results The two groups showed statistical difference in theory exam results,learning effect of each dimension and evaluation of teaching effect.Conclusions The teaching mode based on the Kolb experience learning theory can improve the students' interest in learning and study effect,and push forward the reform of teaching implementatiou.

  6. 应用持续质量改进减少外科护士锐器伤的发生率%To reduce incidence of sharp instrument injury in surgical nurses by using continuous quality improvement

    Institute of Scientific and Technical Information of China (English)

    余儒; 黄爱微; 谢少华; 李艳艳; 赵秀芬; 陈丽芬


    OBJECTIVE To evaluate the effect of using continues quality improvement (CQI) to reduce the incidence of sharp instrument injury in surgical nurses. METHODS The PDCA (plan-do-check-act) cycle was used to execute the CQI. The precautions were stressed, the process of administration and prevention was paid attention to. The guide line was made and executed to reduce the incidence of sharp instrument injury. RESULTS After practicing the CQI for 1 year, the ratio of injury (by ampoule) decreased from 92.9% to 60.7%; the frequency of sharp instrument injury (except the injury by ampoule) decreased form 2.32 times per person to 1.46 times per person. CONCLUSION Applying the CQI and more prevention measures can reduce the incidence of sharp instrument injury, consequently decrease the incidence of occupational infection and blood transmitted diseases.%目的 通过持续质量改进的实施与效果评价,减少外科护士锐器伤的发生率.方法 应用PDCA循环进行持续质量改进,强调预防为主,注重过程管理,设定并执行减少外科护士锐器伤发生率的流程.结果 经过1年的实践,护士发生安瓿破裂致伤所占总人数比例由92.9%降至60.7%;护士发生锐器伤(除外安瓿裂伤)人均次数由2.3次降至1.5次.结论应用持续质量改进的方法,采取预防为主、注重过程管理,能减少护士锐器伤的发生率从而减少了职业感染的机会及降低血源性传播疾病的发生率.

  7. [Nursing: idealism and realism. Perspectives of nursing students on the nursing profession]. (United States)

    Oguisso, T; Seki, L K; de Araujo, G L; Shibuya, C A; Speciale, C; Trovó, M M


    Exploratory and descriptive study with the following objectives: to identify the nursing students' feelings related to the undergraduate course and their perception towards the nursing profession. After the four-year course, 57.4% of students perceived nursing in a positive way as a profession for the future, valued, recognised, compensating even with some limitations. However, 25% of students still perceived nursing as a mechanical, manual and sacrificed profession, with a limited scientific vision and with a gap between theory and practice and as a consequence a lower recognition by the society. If current trends are maintained, the nurse's value would be much greater in the next decades within the Brazilian society according to 61% of respondents.

  8. Practicing Self-Care for Nurses: A Nursing Program Initiative. (United States)

    Blum, Cynthia A


    Self-care is imperative to personal health, sustenance to continue to care for others, and professional growth. This article briefly reviews stressors common to students and nurses and the importance of practicing self-care to combat stress and promote health in practice. Florida Atlantic University offers a course for all levels of undergraduate nursing students called Caring for Self. The course, supported by principles of Adult Learning Theory, focuses on guiding the nurse to practice and model self-care. The author describes the evolution of this self-care initiative by discussing the needs assessment, course description and strategies, examples of course activities, and an exemplar of student impact. The conclusion offers discussion of challenges and lessons noted by faculty and students.

  9. Academic Master's courses in the field of Nursing: an analysis of course load Cursos de maestría académica en el área de enfermería: análisis de la carga horaria Cursos de mestrado acadêmico na área de enfermagem: análise da carga horária

    Directory of Open Access Journals (Sweden)

    Maria Lúcia do Carmo Cruz Robazzi


    Full Text Available OBJECTIVE: to identify, among the Academic Master's courses, run by Brazilian post-graduate nursing programs, analyzed in the three-yearly evaluation (2007-2009 of the Coordination for the Improvement of Higher Education Personnel (CAPES, the course load stated by the programs for training Master's degree students. METHOD: a descriptive, quantitative, documental study, with data collected in July 2010, through consulting the above-mentioned Coordination's reports in the item "Programs' Proposals", in the Table of Indicators, available on the Internet. RESULTS: discrepancies were found between the course loads of the 32 Academic Master's courses in the different regions of Brazil, with the smallest having a course load of 315 hours and the largest, 1530 hours. CONCLUSIONS: greater discussion is needed about the course load necessary for training the competencies and skills for the profile desired for the students on graduating from the course. The study provides advances in nursing knowledge, as previous investigations on the same issue were not identified. It is hoped that Academic Master's courses in nursing may see themselves in this process and may review their pedagogical decisions in the light of the new models of training/qualification of nursing professionals, centered in science, technology and innovation in the area.OBJETIVO: identificar, entre los cursos de Maestría Académico de los programas de posgrado brasileños en enfermería, analizados por ocasión de la evaluación trienal (2007-2009 de la Coordinación de Perfeccionamiento de Personal de Nivel Superior, la carga horaria informada por los programas para la formación del maestro. MÉTODO: estudio descriptivo, cuantitativo, documental, con datos colectados en julio de 2010, mediante consulta a los informes de la citada Coordinación, en el ítem "Propuestas de los Programas", de los Cuadernos de Indicadores, disponibles en la Web. RESULTADOS: fueron encontradas discrepancias

  10. 小组式案例教学法在护理伦理课程中的应用探索%The Application of Group Case Teaching Method in the Course of Nursing Ethics

    Institute of Scientific and Technical Information of China (English)



    目的 探索小组式案例教学法在护理伦理学课程中的应用. 方法 选取该校2013级79人为对照组,2014级护理专升本57名学生为实验组.实验组采用小组式案例教学法和传统教学方法相结合的方式,对照组采用传统教学法.教学结束后进行理论考核.结果 数据结果显示,实验组成绩优异者即高于90分的学生比例明显提高,P=0.044,P<0.05,差异具有统计学意义. 实验组成绩良好者即80~90分比例提高,P=0.006,P<0.01,差异具有统计学意义. 结论 小组式案例教学法激发了学生的学习兴趣,提高了学生的自学能力、多媒体运用能力及团结协作能力,适用于护理伦理学的教学,教学效果优于传统教学模式.%Objective Explore the application of case teaching method in the course of nursing ethics. Methods 2013 grade 79 students in our school were selected as the control group, and 2014 grade nursing students were selected as the experi-mental group. In the experimental group, the combination of group case teaching method and traditional teaching method, the control group used the traditional teaching method. After the teaching, the theoretical assessment. Results According to results proprtion of students higher than 90 points in the experimental group increased obviously,P=0.044,P<0.05,there was statistical significance. The experimental compositon of good performance 80~90 points percentage increased P=0.006,P<0.01,the difference was signifcant with tatistical significance. ConclusionNew teaching method can stimulate students' inter-est in learning, improve students' self-learning ability, the ability of multimedia application and unity and cooperation abili-ty. It can be applied to the teaching of nursing ethics. The teaching effect is better than the traditional teaching model.

  11. 护理临床课程高仿真情景模拟教学实施过程的质性研究%Performing high-fidelity simulation teaching on nursing clinical courses:a qualitative study

    Institute of Scientific and Technical Information of China (English)

    肖树芹; 许亚红; 王艳玲


    目的:从教师视角下探讨护理临床课程高仿真情景模拟教学实施的过程。方法采用半结构访谈的方法对10名授课教师针对仿真情景教学过程中的问题和感受进行访谈,采用内容分析法进行资料分析。结果仿真教学对学生解决临床问题的能力、动手能力、批判性思维等能力有较好的培养,教师付出时间精力较多,教学中的各个环节仍存在改善的空间,尤其是病情观察的仿真环境设置、健康教育的形式、教师的引导性反馈需要进一步改善提高,教学组织过程的细节需要进一步规范。结论高仿真情景模拟教学有助于学生能力的培养,但实施的过程仍需进一步精益求精。%Objective To explore the implementation process of high-fidelity simulation teaching on nursing clinical courses at teachers′perspectives.Methods A total of 1 0 teachers were interviewed on the problems and feelings of the high-fidelity simulation teaching via semi-structured interviews.The data was analyzed by content analysis.Results The high-fidelity simulation teaching was effective on ability of clinical problem resolving,manipulative skills,critical thinking for nursing students.Teachers spended much time on the classes and different processes needed improvement.More time and attentions needed to be paid for teachers to enhance the quality of high-fidelity simulation teaching through improving settings of clinical observation, health education and directed debriefing.Standard teaching process of high-fidelity simulation teaching should be established.Conclusions The high-fidelity simulation is effective in improving the ability of nursing students, but teaching processes need to be standardized and improved.

  12. Nursing student and professor perceptions and assessments of the achievement of practicum competencies: A mixed method approach. (United States)

    Fuentes-Pumarola, Concepció; Ballester-Ferrando, David; Gelabert-Vilella, Sandra; Bosch-Farré, Cristina; Malagón-Aguilera, M Carme; Rascón-Hernán, Carolina; Bonmatí-Tomàs, Anna; Fernandez-Peña, Rosario


    Within the context of the European Higher Education Area's requirement of competency-based assessments, the objective of the present study was to evaluate the Nursing Degree Practicum experience at the University of Girona (Spain) and ascertain student and faculty perceptions of the degree of competency achieved as a result of the practicum. This cross-sectional, descriptive, study combined quantitative analysis of a questionnaire and qualitative analysis of focus group comments. In the quantitative part of the study, 163 fourth-year nursing students completed the questionnaire; the qualitative analysis was derived from a focus group of 5 students and 5 professors. On the questionnaire, overall practicum evaluation was 8.39 on a 10-point Likert scale; scores evaluating the nurse mentor/instructor and nursing professor were 8.43 and 7.98, respectively. The geriatrics practicum experience received the lowest overall score (7.81), while the surgical practicum received the lowest score on the adequacy of knowledge acquired in the classroom in previous courses (5.54). The best scores were earned by the mental health and intensive/emergency care practicum experiences (a mean of 9.05 and 8.70, respectively). Students and professors in the focus group agreed that the practicum met the Nursing degree program's competency goals, highlighting practical activity as the best methodology to evaluate competencies. Participants highlighted the importance of reflective practice and the role of the nurse mentor/instructor in student learning, and indicated that it is essential for the university and the health care centers where students take practicum courses to maintain a strong relationship and good communication. Finally, feedback from the nurse mentor/instructor and Nursing professor was very important to students, both to motivate them and to help them learn.

  13. Cholecystectomy: Surgical Removal of the Gallbladder (United States)

    ... including complete blood count ● ●Liver function tests ● ●Coagulation profile ● ●Abdominal ultrasound is the most common study for ... Death Open 0.8% Laparoscopic 0.1% Your surgical team will review for possible ... to nursing or rehabilitation facility Open 5.4% Laparoscopic 0. ...

  14. Medical-Surgical II. Teacher Edition. (United States)

    Oklahoma State Dept. of Vocational and Technical Education, Stillwater. Curriculum and Instructional Materials Center.

    This publication is designed to provide students with the knowledge they need to pursue a career in medical-surgical nursing. Fifteen units are provided. Each instructional unit includes some or all of the basic components of a unit of instruction: performance objectives, suggested activities for the teacher, information sheets, job sheets,…

  15. Medical-Surgical I. Teacher Edition. (United States)

    Oklahoma State Dept. of Vocational and Technical Education, Stillwater. Curriculum and Instructional Materials Center.

    This publication is designed to provide students with the knowledge they need to pursue a career in medical-surgical nursing. Eight units are provided. Each instructional unit includes some or all of the basic components of a unit of instruction: performance objectives, suggested activities for the teacher, information sheets, job sheets, written…

  16. 说课在内科护理学教学中的应用研究%Application of teacher's presenting a teaching plan in front of peers to the course of Medical Nursing

    Institute of Scientific and Technical Information of China (English)

    丁燕; 罗永富; 刘杰; 曾慧; 唐凤萍; 李欣


    目的 探讨说课在大专内科护理学教学中的应用效果.方法 以2009级64名学生为实验组,2008级65名学生为对照组.实验组于每次内科护理学理论授课前进行以教研室为单位组织的说课,每次约20 min;对照组采用传统教学法.结果 实验组理论、实践成绩及学生对教学效果的评价显著优于对照组(均P<0.01).结论 说课考查了教师教学理念和课程开发的设计与实施能力,对于优化内科护理课堂教学,提高教学效果,提高教师的素质具有十分重要的意义.%Objective To explore the effects of teacher s presenting a teaching plan in front of peers prior to each lecture in teaching of the course of Medical Nursing. Methods Sixty-four students of Grade 2009 were treated as the experimental group and 65 students of Grade 2008 as the controls. For the experimental group, teachers present a teaching plan to peers for 20 minutes prior to lectures, and then teaching was provided. The controls received conventional teaching. Results The test scores of theory and skills, and students' evaluation of teaching effect in the experimental group were significantly higher than those in the control group (P< 0. 01 for all). Conclusion Teacher s presnetation of a teaching plan before each lecture evaluates teachers teaching concept, and skills of curriculum development and teaching practice. It can optimize teaching of the course of Medical Nursing, and improve teaching effect and teachers' quality.

  17. Emotions in veterinary surgical students

    DEFF Research Database (Denmark)

    Langebæk, Rikke; Eika, Berit; Pedersen, Lene Tanggaard


    A surgical educational environment is potentially stressful and can negatively affect students' learning. The aim of the present study was to investigate the emotions experienced by veterinary students in relation to their first encounter with live-animal surgery and to identify possible sources...... of positive and negative emotions, respectively. During a Basic Surgical Skills course, 155 veterinary fourth-year students completed a survey. Of these, 26 students additionally participated in individual semi-structured interviews. The results of the study show that students often experienced a combination...

  18. From experience to integration: the arts in nursing education. (United States)

    McCaffrey, Ruth; Purnell, Marguerite


    Exploring the expressive arts within nursing education promotes understanding of what it means to be human and allows students to communicate with patients in unique and meaningful ways. "Arts in Healing," a three-credit elective course designed to provide experiences in creating and appreciating different art forms and to illuminate the healing elements in each, was offered in both the graduate and undergraduate nursing programs. Students at all levels, including pre-nursing, participated together. The article provides a course description and objectives and discusses implications for nurse educators. Examples of how nurses integrated what they learned from the course into their own practice are provided.

  19. Nursing students' attitudes toward science in the nursing curricula (United States)

    Maroo, Jill Deanne

    The nursing profession combines the art of caregiving with scientific concepts. Nursing students need to learn science in order to start in a nursing program. However, previous research showed that students left the nursing program, stating it included too much science (Andrew et al., 2008). Research has shown a correlation between students' attitudes and their performance in a subject (Osborne, Simon, & Collins, 2003). However, little research exists on the overall attitude of nursing students toward science. At the time of my study there existed no large scale quantitative study on my topic. The purpose of my study was to identify potential obstacles nursing students face, specifically, attitude and motivation toward learning science. According to research the nation will soon face a nursing shortage and students cite the science content as a reason for not completing the nursing program. My study explored nursing students' attitudes toward science and reasons these students are motivated to learn science. I ran a nationwide mixed methods approach with 1,402 participants for the quantitative portion and 4 participants for the qualitative portion. I validated a questionnaire in order to explore nursing students' attitudes toward science, discovered five different attitude scales in that questionnaire and determined what demographic factors provided a statistically significant prediction of a student's score. In addition, I discovered no statistical difference in attitude exists between students who have the option of taking nursing specific courses and those who do not have that option. I discovered in the qualitative interviews that students feel science is necessary in nursing but do not feel nurses are scientists. My study gives a baseline of the current attitude of nursing students toward science and why these students feel the need to learn the science.

  20. AANA journal course. Update for nurse anesthetists--part 4--life in the balance: the role of serpins in disease genesis and prevention. (United States)

    Aker, John; Biddle, Chuck


    Complex biological systems are often shaped and maintained by opposing forces. A relevant biological example is the delicate balance between proteases and their inhibitors. Serine proteases contain a serine residue in the active site of the molecule that is essential to the activity of the enzyme. Protease inhibitors limit the activity of proteases in the body. As examples, aprotinin (Trasylol), a serine protease inhibitor, and aminocaproic acid (Amicar), a lysine protease inhibitor, are used to decrease the rate of fibrinolysis and have recently been the subject of considerable controversy in the literature regarding safety and efficacy. This AANA journal course reviews 2 common examples of protease inhibitor disorders, angioedema and a form of emphysema, that are of particular anesthetic relevance.