Sample records for writing-as rediscovering nursing

  1. Rediscovering the Art of Nursing to Enhance Nursing Practice. (United States)

    Henry, Deborah


    There is wide agreement that nursing practice is a combination of art and science. While the science is easily found in nursing education, research, and practice, the art is overshadowed. Philosophical and theoretical discussions on the art of nursing are plentiful, but research demonstrating its importance to nursing practice is lacking. In this article, the nature of nursing is explored separate from science, and a comprehensive exploration of the literature on the art of nursing is presented. Three themes concerning the art of nursing are identified and discussed, including implications for research, practice, and education.

  2. Meeting the mother man: rediscovering Walt Whitman, writer and nurse. (United States)

    Macduff, C


    Despite a long history of men working as nurses, there is a dearth of prominent male role models in nursing history. This article reevaluates the legacy left for nursing by Walt Whitman, the famous American writer who spent three years visiting hospitals and doing voluntary nursing work during the American Civil War. Whitman's nursing practice and beliefs are examined in historical context. His motivation is also explored and related to current perspectives on males in nursing. Whitman emerges as a singular man with a talent for caring and communicating its value. He is posited as a significant figure in the history of males in nursing, whose status as a gay archetype required further research. His writings comprise a substantial legacy for the whole nursing community.

  3. Rediscovering Fuller

    NARCIS (Netherlands)

    Witteveen, Willem; Burg, van der Wibren


    Lon Fuller, one of the great American jurists of this century, is often remembered only for his stand on the morality of law in the Fuller-Hart debate. Rediscovering Fuller considers the full range of Fuller's writings, from his early engagement with legal fictions and his critique of legal

  4. Intergenerational Groups: Rediscovering our Legacy


    Scott P. Anstadt; Deb Byster


    Intergenerational groups are a community-based group concept designed to engage and mobilize often untapped resources of older adults in effective interaction with younger populations. These groups support an atmosphere of synergistic interaction. Members of each generation share reflections on interpersonal strengths and capacities and rediscover emotional and spiritual anchors and bonding. Illustrated here is Community Connections (CC), developed using the phase driven participatory culture...

  5. Intergenerational Groups: Rediscovering our Legacy

    Directory of Open Access Journals (Sweden)

    Scott P. Anstadt


    Full Text Available Intergenerational groups are a community-based group concept designed to engage and mobilize often untapped resources of older adults in effective interaction with younger populations. These groups support an atmosphere of synergistic interaction. Members of each generation share reflections on interpersonal strengths and capacities and rediscover emotional and spiritual anchors and bonding. Illustrated here is Community Connections (CC, developed using the phase driven participatory culture-specific intervention model (PCSIM; Nastasi, Moore & Varjas, 2004 that included self selected local older adults, caregivers, and multicultural exchange students. The program was structured to offer mutual opportunities for activities built around exchanging cultural and life experiences. The goals were: 1 to reduce social isolation due to age, culture, or disability 2 for international students to practice English and learn about local cultural traditions, and 3 to build intergenerational ‘extended family’ relationships.

  6. Use of letter writing as a means of integrating an altered body image: a case study. (United States)

    Rancour, Patricia; Brauer, Kathryn


    To describe the use of letter writing as a technique to assist patients in adjusting to an altered body image after dramatic cancer treatment. Published articles and books. Gestalt therapy, psychosynthesis, and journaling techniques evolve into a technique that can assist patients who are challenged to accept altered body parts. Described in a case study presentation, letter writing was found to assist female patients with recurrent breast cancer in adjusting to reconstruction of lost breasts. Nurses can use letter writing as a means of assisting patients through the grief process associated with body image alterations.

  7. Rediscovering traditional parenthood: 1994-95 summative evaluation

    National Research Council Canada - National Science Library


    Report evaluates the Skookum Jim Frienship Centre's "Rediscovering Traditional Parenthood Project" which focused on improving the health and quality of life for the First Nation people by providing...

  8. Rediscovering community--reflections after Hurricane Sandy. (United States)

    See, Sharon


    Hoboken, New Jersey, is a town of 50,000 residents located across the Hudson River from New York City. Most of Hoboken's infrastructure was compromised during Hurricane Sandy as a result of flooding and power outages that rendered many businesses inoperable, including all of the pharmacies in town. Despite a focus on emergency preparedness since Hurricane Katrina and 9/11, there were no contingencies in place to facilitate and assess the medication needs of the community in the event of a natural disaster. This essay describes how the author rediscovered the meaning of community, and through working with colleagues in other health care disciplines and non-health care volunteers, provided care to patients in suboptimal circumstances.

  9. Modern methods rediscover deep gas. [Texas

    Energy Technology Data Exchange (ETDEWEB)

    McDonald, J.S.


    In 1973, Northern Natural Gas (NNG) Co.'s Midland exploration and production district acquired a 7-section lease block on a Devonian-Montoya prospect suggested by trend geology and limited seismic data. This acreage block was 2 miles west of the abandoned Hershey field, and included acreage on which the Devonian was tested at noncommercial rates in 1962. Additional seismic data confirmed the presence of a drillable prospect on NNG's acreage block. Engineering analyses of the reservoir characteristics suggested that modern completion and treatment techniques would result in a commercial producer. NNG's management approved the expenditure and the first well was spudded in April, 1977. This well, the No. 1 Hershenson, was completed in Sept., 1977 as the discovery well in the Hershey West (Devonian-Montoya) field for a calculated open flow potential (CAOFP) of 20.5 mmcfd dry gas from perforations at 15,445 to 16,017 ft. The confirmation well, No. 1 Hershenson 6, was spudded in May, 1978, and completed in Oct., 1978, for a CAOFP of 86.3 mmcfd from perforations at 16,000 to 16,624 ft. A third well, No. 1 Maddox-Willbanks 15, was spudded in Nov., 1978. Rediscovered field potential justified construction of a gas processing plant and a 16-mile pipeline.

  10. Writing as an instrument for learning | van der Westhuizen ...

    African Journals Online (AJOL)

    This article explores the value of writing as an instrument for learning in academic disciplines. The purpose is to describe how forms of writing are related to learning purposes, and to advance a pedagogy of writing-for-learning based on a literature review and anecdotal evidence on the use of freewriting in university ...

  11. Teachers' challenges in the understanding of creative writing as ...

    African Journals Online (AJOL)

    This paper reports on a research that explored teachers' challenges in the understanding of creative writing as dictated by policy documents governing the teaching of English. The study was quantitative in nature. A random sample of three hundred learners and seventy five teachers participated in the study. The SPSS 14 ...

  12. Teachers' implementation of writing as a process in English ...

    African Journals Online (AJOL)

    This descriptive study investigated teachers' implementation of writing as a process in English classrooms of Ghimbi Preparatory School. To this effect, two basic research questions were raised. To deal with these research questions, observation, questionnaire and interview were used. One hundred and twenty students ...

  13. Journal Writing as Taking Ownership of Internship Experiences (United States)

    Bowen, Tracey


    Many disciplines employ journal writing as a tool for students to record and reflect on their learning experiences. In the internship program in Communications Culture and Information Technology at the University of Toronto Mississauga students experience the transfer of classroom theory to practice in the "real" work world during a once…

  14. Re-Discovering Mendel: The Case of Carl Correns (United States)

    Rheinberger, Hans-Jörg


    Carl Erich Correns (1864-1933) is remembered in the annals of science as one of the three botanists who re-discovered Mendel's laws. He can also, however, be regarded as one of the founding figures of classical genetics in Germany. Between 1894 and 1899 he carried out the crossing experiments with corn and peas that led to the re-statement of…

  15. Two 'extinct' trees rediscovered near Kilwa, Tanzania | Clarke ...

    African Journals Online (AJOL)

    Preliminary botanical explorations in the little-known Namatimbili–Ngarama forest block located some 35 km inland of Kilwa in south-east Tanzania have rediscovered and further confirmed the presence of two tree species, Erythrina schliebenii Harms and Karomia gigas (Faden) Verdc., that were previously thought to have ...

  16. Re-discovering indigenous knowledge – Ulwazi Lwemveli for ...

    African Journals Online (AJOL)

    Application of this knowledge in specific different areas continues to be part of practices in these communities, albeit with challenges imposed by systems of colonial education and religion, apartheid and the emerging global knowledge economy. Therefore, the imperative to re-discover and re-store IK cannot be ...


    Directory of Open Access Journals (Sweden)

    Szabo Csaba


    Full Text Available Recently, an important Mithraic relief was rediscovered and republished by the author of these lines in collaboration with George Bounegru and Victor Sava. The relief, known in the literature as CIMRM 1938 was for a long time considered a „disappeared” monument, the only laconic description being that of Marteen J. Vermaseren from his monumental corpus. Due to the recently rediscovered photographs of the relief and the detailed analysis of the correspondence between Béla Cserni and Franz Cumont, the CIMRM 1938 is now became available for further research. In this article, I will add some further historiographic and iconographic notes on one of the biggest Mithraic reliefs found in Dacia, solving also another mysterious piece in Vermaseren’s catalogue, the CIMRM 1986. The article is also the first publication of Béla Cserni’s photograph about the relief.


    Directory of Open Access Journals (Sweden)

    Ana Carolina de Oliveira Salgueiro de Moura


    Full Text Available This article discusses the writing as a way to contribute to learning processes in distance education. With this intention, it approaches the writing while experience as a process of conversation, a stir emotion which becomes language and generate structural changes, created by the conviviality of writing space and treat this process as autonomous and creative. Endless are the possibilities of the contexts of writing, but in this research the focus of analysis is the writings of the teacher-students of Specialization in Information and Communication Technologies in Education, which takes place by distance. It is used Qualitative Textual Analysis as a way to evidence the experience with writing of the teacher-students and is composed a metatext in which the encounters of those writings with the comprehensions woven by the authors are identified from the theoretical support that enables the explanatory argument of the analysis.

  19. Innovation Through Tradition: Rediscovering the "Humanist" in the Medical Humanities. (United States)

    Kutac, Julie; Osipov, Rimma; Childress, Andrew


    Throughout its fifty-year history, the role of the medical humanist and even the name "medical humanities" has remained raw, dynamic and contested. What do we mean when we call ourselves "humanists" and our practice "medical humanities?" To address these questions, we turn to the concept of origin narratives. After explaining the value of these stories, we focus on one particularly rich origin narrative of the medical humanities by telling the story of how a group of educators, ethicists, and scholars struggling to define their relatively new field rediscovered the studia humanitatis, a Renaissance curriculum for learning and teaching. Our origin narrative is composed of two intertwined stories-the history of the studia humanitatis itself and the story of the scholars who rediscovered it. We argue that as an origin narrative the studia humanitatis grounds the medical humanities as both an engaged moral practice and pedagogical project. In the latter part of the paper, we use this origin narrative to show how medical humanists working in translational science can use their understanding of their historical roots to do meaningful work in the world.

  20. Re-discovering Mendel: The Case of Carl Correns (United States)

    Rheinberger, Hans-Jörg


    Carl Erich Correns (1864-1933) is remembered in the annals of science as one of the three botanists who re-discovered Mendel's laws. He can also, however, be regarded as one of the founding figures of classical genetics in Germany. Between 1894 and 1899 he carried out the crossing experiments with corn and peas that led to the re-statement of Gregor Mendel's (1822-1884) results. Between 1900 and 1910, he explored the complications of these laws, including the coupling of factors due to their chromosomal location and the inheritance of sex, in a great number of plant species. In later years Correns became interested in and experimented on phenomena of extra-nuclear inheritance.

  1. Journal Writing as a Way to Know Culture: Insights from a Travel Study Abroad Program (United States)

    Craig, Cheryl J.; Zou, Yali; Poimbeauf, Rita


    In this work, we explore journal writing as a way to come to know culture, particularly cultural phenomenon, vastly different from one's own firmly held and enacted beliefs. In this research, we accept the premise that writing is a way of knowing and adopt journal writing as a tool through which students can explore the knowledge they have…

  2. "Creative Writing as Freedom, Education as Exploration": Creative Writing as Literary and Visual Arts Pedagogy in the First Year Teacher-Education Experience (United States)

    Anae, Nicole


    The themed presentation at the Sydney Writers' Festival on May 25, 2013 entitled "Creative Writing as Freedom, Education as Exploration" brought together three key players in a discussion about imaginative freedom, and the evidence suggesting that the impact of creativity and creative writing on young minds held long lasting, ongoing…

  3. Rediscovering ancient glass technologies through the examination of opacifier crystals (United States)

    Lahlil, S.; Biron, I.; Galoisy, L.; Morin, G.


    The aim of the study is to understand how antimonate opacifying crystals were obtained throughout history. Two archaeological glass productions opacified with calcium and lead antimonates are studied in this paper, in order to rediscover ancient opaque glass technologies: Roman mosaic tesserae (1st cent. B.C. 4th cent. A.D.) and Nevers lampworking glass (18th cent. A.D.). The fine examination of crystalline phases and of the vitreous matrix is undertaken using various and complementary techniques. Results are compared with a modern reference production, for which the technological process is well known. We demonstrate that Ca-antimonate opacifiers in Roman mosaic tesserae, as well as in Nevers lampworking glass, were obtained by in situ crystallization. Nevertheless, Roman and Nevers glass would have undergone different firing processes. We propose that the addition of previously synthesized crystals or the use of “anime” could be the process used to obtain Pb-antimonate opacified glass, for both productions studied. We demonstrate that CaO, PbO and Sb2O3 concentrations in the bulk compositions and in the matrices, and their evolution with the crystallinity ratio, offer robust criteria for the distinction of the opacification process used. Also, the different crystalline structures help to provide information on the experimental conditions.

  4. Ochthebius ( s.str .) capicola (Coleoptera) re-discovered in the Cape ...

    African Journals Online (AJOL)

    New distributional records and ecological observations are presented for the Cape endemic hydraenid Ochthebius capicola. Considered extinct on the Cape Peninsula, the species has been re-discovered at two adjacent locations as well as at a new site in Tsitsikamma National Park, Eastern Cape. New species ...

  5. Calliergon megalophyllum rediscovered in the Netherlands after 50 years: comparison to Swedish habitats

    NARCIS (Netherlands)

    Kooijman, A.; Hedenäs, L.; Mettrop, I.; Cusell, C.


    The moss Calliergon megalophyllum is rediscovered in the Netherlands after approximately 50 years of absence, in a location different from before: National Park Weerribben-Wieden. This is a Natura 2000 wetland area, and a Dutch hotspot for rich-fen bryophytes. The species was growing in a fen pool.

  6. Natural history and conservation of the rediscovered Hula painted frog, Latonia nigriventer

    NARCIS (Netherlands)

    Bina Perl, R.G.; Gafny, S.; Malka, Y.; Renan, S.; Woodhams, D.C.; Rollins-Smith, L.; Pask, J.D.; Bletz, M.C.; Geffen, E.; Vences, M.


    Dramatic global amphibian declines have recently led to an increased concern for many species of this animal class. The enigmatic Hula painted frog (Latonia nigriventer), the first amphibian to be declared extinct but unexpectedly rediscovered in 2011, has remained one of the rarest and most poorly

  7. Bilingual Writing as an Act of Identity: Sign-Making in Multiple Scripts (United States)

    Kabuto, Bobbie


    This article explores early bilingual script writing as an act of identity. Using multiple theoretical perspectives related to social semiotics and social constructivist perspectives on identity and writing, the research presented in this article is based on a case study of an early biliterate learner of Japanese and English from the ages of 3-7.…

  8. Writing as a Social Process: A Theoretical Foundation for Writing Centers? (United States)

    Ede, Lisa


    Recounts the author's involvement in a writing center, noting a dichotomy between composition theory and pedagogical practice. Asserts that writing center directors and teachers need to place their work in a theoretical context, building on theories of collaborative learning and theories of writing as a social process. (MM)

  9. Concept mapping and text writing as learning tools in problem-oriented learning

    NARCIS (Netherlands)

    Fürstenau, B.; Kneppers, L.; Dekker, R.; Cañas, A.J.; Novak, J.D.; Vanhaer, J.


    In two studies we investigated whether concept mapping or summary writing better support students while learning from authentic problems in the field of business. We interpret concept mapping and summary writing as elaboration tools aiming at helping students to understand new information, and to

  10. Redescobrindo o Centro de Memória da Escola de Enfermagem de Ribeirão Preto: relato de experiência Redescubriendo el Centro de Memoria de la Escuela de Enfermería de Ribeirão Preto: un relato de experiencia Rediscovering the Memory Center at the Ribeirão Preto College of Nursing: an experience report

    Directory of Open Access Journals (Sweden)

    Luciana Barizon Luchesi


    Full Text Available Por meio de relato de experiência, apresenta-se a atuação de um grupo de docentes e alunos no processo de reorganização do Centro de Memória da Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo no triênio 2002-2005. Após o resgate da criação do referido Centro, aborda-se sobre os procedimentos e atividades desenvolvidos na reorganização do Centro, em termos de coleção fotográfica, capacitação do grupo, promoção de eventos e inserção de atividades práticas para estimular o interesse dos alunos pela História da Enfermagem.Por medio de la narración de experiencias se presentan las actividades de un grupo de docentes y alumnos en proceso de reorganización del Centro de Memoria de la Escuela de Enfermería de Ribeirão Preto de la Universidad de "São Paulo" en el trienio 2002-2005. Posterior a la recuperación de la creación del Centro, se trató sobre los procedimientos y actividades desarrolladas en su reorganización, en términos de colección fotográfica, capacitación grupal, promoción de eventos e introducción de actividades prácticas para estimular el interés de los estudiantes por la historia de enfermería.Through an experience report is presented the performance of a group of professors and students in the process of reorganization of the Memory Center of the Ribeirão Preto College of Nursing from University of São Paulo in the period of 2002-2005. After the rescue of creation of the related Center, it is approached the procedures and activities developed in the reorganization of the Center, in terms of photographic collection, group qualification, promotion of events and insertion of practical activities to stimulate the students interest for the History of nursing.

  11. O cuidado na perspectiva de Leonardo Boff, uma personalidade a ser (redescoberta na enfermagem El cuidado según la perspectiva de Leonardo Boff, una personalidad a ser re-descubierta en la enfermería The care according to Leonardo Boff's perspective, a personality to be rediscovered in nursing

    Directory of Open Access Journals (Sweden)

    Luzia Wilma Santana da Silva


    aims to know/understand the care broached by the author for the ontological and epistemological fundamentation of care in nursing. The resullt of this one, has been a vigilant arouse in the sense to visualize and to implement strategies of adaptation to the proposal of a new paradigm that involves a rescue of human being essence with a manner-of-being-with-the-world that moves through the care.

  12. On the distribution of Rostkovia magellanica (Juncaceae) - a species newly rediscovered in Ecuador

    DEFF Research Database (Denmark)

    Balslev, Henrik


    Rostkovia magellanica has hitherto been considered a species of Patagonia and the subantarctic islands from New Zealand to South Georgia. An old report from Ecuador has been considered erroneous, but it has now been rediscovered there. Brief notes on the ecology of the species are given......, and the possible origin of its distribution is discussed. Long-distance dispersal by birds is suggested as having caused the disjunct distribution on mainland South America....

  13. Developing methodological awareness of reading, thinking and writing as knowledge producing practices

    DEFF Research Database (Denmark)

    Katan, Lina Hauge; Baarts, Charlotte

    in the humanities and social sciences. Still, in the sections on method in academic papers we mostly neglect any mentioning of the ways we go about reading, how we further our thinking and move into first draftings of our texts and later revisionings. Likewise we see reading, writing and thinking omitted from most......Developing methodological awareness among university students about reading, thinking and writing as knowledge producing practices Integrated acts of reading, thinking and writing comprise an extensive and extremely significant part of the learning processes through which we produce knowledge...... text books on method and classes too. As a consequence students have few chances of encountering the practices of reading, thinking and writing depicted as those imperative parts of knowledge making that we as researchers of the humanities and social sciences know them to be. Subsequently students...

  14. A review of creative and expressive writing as a pedagogical tool in medical education. (United States)

    Cowen, Virginia S; Kaufman, Diane; Schoenherr, Lisa


    The act of writing offers an opportunity to foster self-expression and organisational abilities, along with observation and descriptive skills. These soft skills are relevant to clinical thinking and medical practice. Medical school curricula employ pedagogical approaches suitable for assessing medical and clinical knowledge, but teaching methods for soft skills in critical thinking, listening and verbal expression, which are important in patient communication and engagement, may be less formal. Creative and expressive writing that is incorporated into medical school courses or clerkships offers a vehicle for medical students to develop soft skills. The aim of this review was to explore creative and expressive writing as a pedagogical tool in medical schools in relation to outcomes of medical education. This project employed a scoping review approach to gather, evaluate and synthesise reports on the use of creative and expressive writing in US medical education. Ten databases were searched for scholarly articles reporting on creative or expressive writing during medical school. Limitation of the results to activities associated with US medical schools, produced 91 articles. A thematic analysis of the articles was conducted to identify how writing was incorporated into the curriculum. Enthusiasm for writing as a pedagogical tool was identified in 28 editorials and overviews. Quasi-experimental, mixed methods and qualitative studies, primarily writing activities, were aimed at helping students cognitively or emotionally process difficult challenges in medical education, develop a personal identity or reflect on interpersonal skills. The programmes and interventions using creative or expressive writing were largely associated with elective courses or clerkships, and not required courses. Writing was identified as a potentially relevant pedagogical tool, but not included as an essential component of medical school curricula. © 2016 John Wiley & Sons Ltd.

  15. The ethics of personal integrity in leadership and mentorship: a nursing theoretical perspective. (United States)

    Milton, Constance L


    Mentorship has been rediscovered in the professional nursing literature. It is viewed as an integral relationship to be fostered between members of a discipline for the purpose of developing future nurse leaders. Inherent in the relationship are desired qualities or attributes that are to be taught and practiced by professional nurse leaders for the purpose of developing innovative institutional partnerships between healthcare agencies and schools of nursing. In this column, a unique definition of mentorship will be explicated from the human becoming school of thought. Ethical implications of the concept will be explored.

  16. Crotalaria trifoliolata (Leguminosae: Papilionoideae), a previously incompletely known Ethiopian endemic rediscovered after 120 years

    DEFF Research Database (Denmark)

    Friis, Ib; Weber, Odile


    The incompletely known Crotalaria trifoliolata Baker f. (Leguminosae subfam. Papilionoideae) has been rediscovered in the field. For 120 years, it has been known only from a fragmentary holotype with uncertain collecting locality. The habit and height of the plant, the pods and the seeds are here...

  17. Case writing as a vehicle for promoting cultural competency: a retrospective, descriptive qualitative analysis. (United States)

    Foreman, Juron S; Hark, Lisa; DeLisser, Horace M


    A variety of approaches are available that provide cultural competency education for practicing physicians. There is, however, still a need for additional, innovative approaches that address continuing education and professional improvement regarding cultural competency for physicians after their training. To assess the potential impact on established clinicians of writing an extended case narrative on cultural competency. We conducted structured interviews of physician contributors (n = 14) to a book of cases on cultural competency. Authors were invited to contribute to the book based on their experiences as established clinicians, and previous expertise in cultural competency research or education was not required. Because of this, the editors employed a process in which they worked with contributors in a one-on-one manner to develop their case(s). The participants were experienced physicians (all > 10 years since medical school graduation), most of whom were white (64%) and affiliated with an academic medical center (86%). The majority of the contributors (1) reported that writing their case(s) increased their awareness of, and sensitivity to, issues of cultural competency; (2) indicated that the writing of their case(s) changed their approach to patient care and/ or their education of medical students or graduate medical trainees; and (3) would recommend case writing as a vehicle for promoting cultural sensitivity and awareness. Although preliminary, these data suggest that the cultural awareness, sensitivity, and competence of established physicians might be enhanced by a process in which clinicians are facilitated in the writing of cases that address issues of culture that are pertinent to their practice and patient experiences.

  18. Rediscovering Psychopathology

    DEFF Research Database (Denmark)

    Parnas, Josef; Sass, Louis; Zahavi, Dan


    Questions concerning both the ontology and epistemology of the "psychiatric object" (symptoms and signs) should be at the forefront of current concerns of psychiatry as a clinical neuroscience. We argue that neglect of these issues is a crucial source of the stagnation of psychiatric research...... of consciousness or subjectivity, which in turn cannot be treated as a collection of thing-like, mutually independent objects, accessible to context-free, "atheoretical" definitions or unproblematic forms of measurement (as is often assumed in structured interviewing). Adequate and faithful distinctions...... in the phenomenal or experiential realm are therefore a fundamental prerequisite for classification, treatment, and research. This requires a multidisciplinary approach, incorporating (among other things) insights provided by psychology, phenomenological philosophy, and the philosophy of mind....

  19. Rediscovering Fathers. (United States)

    Isaacs, Harold R.


    As divorce, single parenthood, and remarriage have a profound effect on today's American families, the subject of fathers and fatherhood is now attracting major attention from researchers and mass market paperback writers. (Author/GC)

  20. Rediscovering Clusius. How Dutch Commerce Contributed to the Emergence of Modern Science

    Directory of Open Access Journals (Sweden)

    Klaas van Berkel


    Full Text Available H.J. Cook, Matters of exchange. Commerce, medicine, and science in the Dutch Golden AgeRediscovering Clusius. How Dutch Commerce contributed to the Emergence of Modern ScienceIn his highly stimulating book Matters of Exchange. Commerce, Medicine, and Science in the Dutch Golden Age, Harold J. Cook argues that the intellectual activities we call science emerged from ways of knowing that were valued most highly by merchant-rulers. He demonstrates this thesis by describing and analyzing scientific developments in the Dutch Republic. However, both Cook’s one-sided description of the new science and his idealized reconstruction of the mentality of the merchant elite in the Dutch Republic weaken his case considerably. A more ecumenical view of early modern science and a more realistic picture of the values and the conduct of merchants in Europe are needed to bolster an argument that still looks very promising.

  1. Letter Writing as an Intervention in Family Therapy with Adolescents Who Engage in Nonsuicidal Self-Injury (United States)

    Hoffman, Rachel; Hinkle, Michelle Gimenez; Kress, Victoria White


    Family therapy can be an important component of a comprehensive treatment plan when counseling adolescents who engage in nonsuicidal self-injury. The authors provide a rationale for the use of letter writing as a therapeutic intervention when counseling families in which an adolescent engages in nonsuicidal self-injury. Descriptions of types of…

  2. Rediscovering the wound hematoma as a site of hemostasis during major arterial hemorrhage. (United States)

    White, N J; Mehic, E; Wang, X; Chien, D; Lim, E; St John, A E; Stern, S A; Mourad, P D; Rieger, M; Fries, D; Martinowitz, U


    Treatments for major internal bleeding after injury include permissive hypotension to decrease the rate of blood loss, intravenous infusion of plasma or clotting factors to improve clot formation, and rapid surgical hemostasis or arterial embolization to control bleeding vessels. Yet, little is known regarding major internal arterial hemostasis, or how these commonly used treatments might influence hemostasis. (i) To use a swine model of femoral artery bleeding to understand the perivascular hemostatic response to contained arterial hemorrhage. (ii) To directly confirm the association between hemodynamics and bleeding velocity. (iii) To observe the feasibility of delivering an activated clotting factor directly to internal sites of bleeding using a simplified angiographic approach. Ultrasound was used to measure bleeding velocity and in vivo clot formation by elastography in a swine model of contained femoral artery bleeding with fluid resuscitation. A swine model of internal pelvic and axillary artery hemorrhage was also used to demonstrate the feasibility of local delivery of an activated clotting factor. In this model, clots formed slowly within the peri-wound hematoma, but eventually contained the bleeding. Central hemodynamics correlated positively with bleeding velocity. Infusion of recombinant human activated factor VII into the injured artery near the site of major internal hemorrhage in the pelvis and axillae was feasible. We rediscovered that clot formation within the peri-wound hematoma is an integral component of hemostasis and a feasible target for the treatment of major internal bleeding using activated clotting factors delivered using a simplified angiographic approach. © 2015 International Society on Thrombosis and Haemostasis.

  3. Non-celiac gluten sensitivity (NCGS – an old diagnosis recently rediscovered

    Directory of Open Access Journals (Sweden)

    Kamil K. Hozyasz


    Full Text Available Non-celiac gluten sensitivity (NCGS is a newly recognised clinical entity by academic medical professionals, but it is better to consider it an old diagnosis recently rediscovered. The overall prevalence of NCGS in the general population is currently unknown largely because patients often self-diagnose and place themselves on the celiac-type gluten-free diet (GFD without medical supervision. NCGS is an umbrella term and may incorporate different subgroups of patients. Now there is no specific biomarker that can be used to identify the entity. NCGS diagnosis can be reached only by excluding celiac disease and wheat allergy. Symptoms must disappear with the withdrawal of gluten and reappear quickly when gluten is reintroduced. NCGS existence has been recently supported by two expert meetings, however mechanisms by which gluten triggers symptoms, mimicking irritable bowel syndrome and skin rashes, numbness,”foggy mind”, disturbed sleep patterns, have yet to be identified. Knowledge about NCGS natural history and outcome is still lacking. NCNG is the entity awaiting better diagnostics criteria, however a dietary approach for the management of patients with gastrointestinal symptoms and lack of well being no longer seems elusive. There is a growing segment of the population that seeks out gluten-free products because of a wider notion that gluten-free constitutes a healthier option. Major area of concern that must be addressed by medical professionals is the high cost of GFD.

  4. Re-discovering Alessandro Spina’s Transculture/ality in The Young Maronite

    Directory of Open Access Journals (Sweden)

    Arianna Dagnino


    Full Text Available Alessandro Spina, né Basili Shafik Khouzam, was born in Benghazi in 1927 into a family of Maronites from Aleppo and spent most of his life between Libya and Italy, speaking several languages and writing in Italian. He may be described as the “unsung” writer of Italian colonial and post-colonial past in North Africa. Spina’s oeuvre—collected in an omnibus edition, I confini dell’ombra. In terra d’oltremare (Morcelliana—charts the history of Libya from 1911, when Italy invaded the Ottoman province, to 1966, when the country witnessed the economic boom sparked by the petrodollars. The cycle was awarded the Premio Bagutta, Italy’s highest literary accolade. In 2015, Darf Press published in English the first instalment of Spina’s opus with the title The Confines of the Shadows. In Lands Overseas. Spina always refused to be pigeonholed in some literary category and to be labeled as a colonial or postcolonial author. As a matter of fact, his works go beyond the spatial and imaginary boundaries of a given state or genre, emphasizing instead the mixing and collision of languages, cultures, identities, and forms of writing. Reading and re-discovering Spina in a transcultural mode brings to light the striking newness of his literary efforts, in which transnational lived life, creative imagination, and transcultural sensibility are inextricably interlaced.

  5. Rediscovering Beta-2 Microglobulin As a Biomarker across the Spectrum of Kidney Diseases

    Directory of Open Access Journals (Sweden)

    Christos P. Argyropoulos


    Full Text Available There is currently an unmet need for better biomarkers across the spectrum of renal diseases. In this paper, we revisit the role of beta-2 microglobulin (β2M as a biomarker in patients with chronic kidney disease and end-stage renal disease. Prior to reviewing the numerous clinical studies in the area, we describe the basic biology of β2M, focusing in particular on its role in maintaining the serum albumin levels and reclaiming the albumin in tubular fluid through the actions of the neonatal Fc receptor. Disorders of abnormal β2M function arise as a result of altered binding of β2M to its protein cofactors and the clinical manifestations are exemplified by rare human genetic conditions and mice knockouts. We highlight the utility of β2M as a predictor of renal function and clinical outcomes in recent large database studies against predictions made by recently developed whole body population kinetic models. Furthermore, we discuss recent animal data suggesting that contrary to textbook dogma urinary β2M may be a marker for glomerular rather than tubular pathology. We review the existing literature about β2M as a biomarker in patients receiving renal replacement therapy, with particular emphasis on large outcome trials. We note emerging proteomic data suggesting that β2M is a promising marker of chronic allograft nephropathy. Finally, we present data about the role of β2M as a biomarker in a number of non-renal diseases. The goal of this comprehensive review is to direct attention to the multifaceted role of β2M as a biomarker, and its exciting biology in order to propose the next steps required to bring this recently rediscovered biomarker into the twenty-first century.

  6. The innervation of the triangular fibrocartilage complex: nitric acid maceration rediscovered. (United States)

    Gupta, R; Nelson, S D; Baker, J; Jones, N F; Meals, R A


    Injury to the triangular fibrocartilage complex (TFCC) is frequently implicated in the etiology of ulnar-sided wrist pain. This study examines the nervous anatomy of the TFCC using a nitric acid maceration technique and attempts to correlate this information with known tear patterns. Ten fresh frozen cadaveric specimens were studied in detail. Gross dissection of each upper-extremity specimen included removal of all flexor and extensor tendons. After identification and labeling with permanent color of the ulnar nerve, dorsal sensory branch of the ulnar nerve, posterior interosseous nerve, anterior interosseous nerve, and median nerve, an en bloc excision of the distal radioulnar region was performed. Digestion of the soft tissue was performed with nitric acid at sequential concentrations of 50% and 33% for 9 of 10 specimens. The digestion was halted by immersing the specimen in a mixture of 10% formaldehyde and 1% glycerine. After removal of bone, the specimens were fixed in paraffin, sectioned, and stained with hematoxylin and eosin. Nine of the 10 specimens were studied microscopically to determine the contribution of the grossly identified nerves to each zone of the triangular fibrocartilage complex as defined by Palmer's classification of acute TFCC tears. The anterior interosseous, median, and superficial radial nerves did not contribute to the innervation of the TFCC. The intraarticular course of the peripheral nerves could not be defined in the one specimen that was not digested with nitric acid. Nitric acid maceration is a rediscovered technique for identifying the nervous anatomy of soft tissues. The study showed that the triangular fibrocartilage complex is innervated by branches of the posterior interosseous, ulnar, and dorsal sensory ulnar nerves in a fairly consistent manner. Improved treatment of TFCC tears may result from an enhanced understanding of the supporting structures' innervation and mechanical function.

  7. Rediscovering Chirality - Role of S-Metoprolol in Cardiovascular Disease Management. (United States)

    Mohan, Jagdish C; Shah, Siddharth N; Chinchansurkar, Sunny; Dey, Arindam; Jain, Rishi


    The process of drug discovery and development today encompass a myriad of paths for bringing a new therapeutic molecule that has minimal adverse effects and of optimal use to the patient. Chirality was proposed in the direction of providing a purer and safer form of drug [Ex- cetrizine and levocetrizine]. Decades have passed since the introduction of this concept and numerous chiral molecules are in existence in therapeutics, yet somehow this concept has been ignored. This review aims to rediscover the ignored facts about chirality, its benefits and clear some common myths considering the example of S-Metoprolol in the management of Hypertension and other cardiovascular diseases. Relevant articles from Pubmed, Embase, Medline and Google Scholar were searched using the terms "Chiral", "Chirality", "Enantiomers", "Isomers", "Isomerism", "Stereo-chemistry", and "S-Metoprolol". Out of 103 articles found 17 articles mentioning in general about the concept of chirality and articles on study of S-metoprolol in various cardiovascular diseases were then reviewed. Many articles mention about the importance of chirality yet the concept has not been highlighted much. Clear benefits with chiral molecules have been documented for various drug molecules few amongst them being anaesthetics, antihypertensives, antidepressants. Benefits of S-metoprolol over racemate are also clear in terms of responder rates, dose of administration and adverse effects profile in various cardiovascular diseases. Chirality is a good way forward in providing a new drug molecule which is safe with lesser pharmacokinetic and pharmacodynamics variability, lesser side effects and more potent action. S-metoprolol is chirally pure form of racemate metoprolol and has lesser side effects, is safer in patients of COPD and Diabetes who also have hypertension and comparable responder rates at half the doses when compared to racemate.

  8. Parides panthonus jaguarae (Foetterle (Lepidoptera, Papilionidae redescoberto em Minas Gerais, Brasil: sua identidade Parides panthonus jaguarae (Foetterle (Lepidoptera, Papilionidae rediscovered in Minas Gerais, Brazil: his identity

    Directory of Open Access Journals (Sweden)

    Olaf H. H. Mielke


    Full Text Available Parides panthonus jaguarae (Foetterle, 1902 foi redescoberto em Brumadinho, Minas Gerais e é sinonimizado com Parides burchellanus (Westwood, 1872 syn. nov. A primeira é o macho da segunda.Parides panthonus jaguarae (Foetterle, 1902 was rediscovered at Brumadinho, Minas Gerais and is synomyzised with Parides burchellanus (Westwood, 1872 syn. nov. The first is the male of the second.

  9. Writing as collaborative inquiry

    DEFF Research Database (Denmark)

    Frølunde, Lisbeth; Pedersen, Christina Hee; Novak, Martin


    in the not-yet-known. Over the years, we have shared and analyzed personal stories about our collaborative experiences in an on-going reflective learning process. We draw on writing methodologies, including memory-work (Haug, Davies) and collaborative writing such as by Wyatt, Gale, Gannon & Davies. Our...

  10. : Writing as medusa

    Directory of Open Access Journals (Sweden)

    Telma Scherer


    Full Text Available In this paper I’ll offer a personal reading of the short novel Água viva (medusa, or “living water”, in Portuguese from Clarice Lispector, through Helène Cixous statements about the creative process which she explains in her book Three steps in the ladder or writing. Cixous creates the image of a descendent ladder that has three steps: death, dreams and roots. Lispector does the same movement searching her “it”, and composes a radical practice with language that is also an investigation. In order to follow this path of the descendent ladder and analyze the “it” through comparative reading, I’ll bring some of Hilda Hilst’s poems, from her book Poemas malditos, gozozos e devotos and also Sylvia Plath’s, from Ariel, namely “Lady Lazarus”. Hilst constructs a game between obedience and subversion, faith and poetic creation, proposing a complexity of images from the idea of God, transfigured. Plath already brings to the reflection the cyclic recurrence, which is also a kind of all fear letting go. The readings of Hilst and Plath give light, in its own way, to the route undertaken in Cixous trail and enrich the search of the Lispector`s "it".

  11. Writing as Praxis (United States)

    Yagelski, Robert P.


    In 2003, the National Commission on Writing released "The Neglected "R,"" its report on the state of writing instruction in the nation's schools. The report identified an apparent paradox: writing, which the Commission defines as an essential skill for the many that has helped transform the world, is nevertheless increasingly…

  12. Writing as Intention. (United States)

    Gamlin, P. J.

    Focusing on the process by which intentions get expressed in written form, this article presents a theory of communicative competence based on the development of the "part-whole" thinking process. Specific topics discussed in the article are: speech act theory; speech act theory and theories stressing the importance of subject cognition; genetic…

  13. The influence of Masters education on the professional lives of British and German nurses and the further professionalization of nursing. (United States)

    Watkins, Dianne


     This article reports on findings from a qualitative study which explored the influence of a Masters in Nursing on the professional lives of British and German nurses and its role in further professionalizing nursing. A collaborative Masters programme was delivered in the United Kingdom and Germany. This provided an opportunity to study the influence of the programme on the professionalization of nursing in different country contexts. Continuing education is thought to contribute to furthering professionalization. Evidence to support this in the field of nursing is limited. An interpretive research design was used and data were collected via semi-structured interviews with ten German nurses and nine British nurses. Data were collected in the United Kingdom and Germany from August 2006 to February 2007. Interviews were recorded and transcribed, and data were analysed using a template approach with further immersion and crystalization of the data. Nurses' personal and professional confidence improved; research-based evidence was used to underpin changes made to practice; new roles and careers emerged; multi-professional working was enhanced; and nurses rediscovered nursing and championed the profession. A diagram is presented based on the findings. Masters education is at the centre as the catalyst with four interconnecting circles, which depict elements that contribute to professionalization. The diagram highlights overlap and interplay between nurses' increased personal confidence, improved cognitive functioning, evidence-based practice development and enhanced professionalism. Findings support the theory that this Masters in Nursing programme enhanced practice and further professionalization of nursing in both countries. © 2011 Blackwell Publishing Ltd.

  14. Using writing as a vehicle to promote and develop scientific concepts and process skills in fourth-grade students (United States)

    Disimoni, Katherine Cecilia

    The development of conceptual knowledge, particularly at the elementary level, is one area in which researchers and educators have noted remarkable deficiencies. The purpose of this descriptive study was to observe the impact of the use of writing as a thinking tool on the promotion and development of scientific concepts and science process skills in elementary students in the discipline of science. Reports from some of the publications for science research and educational progress cited the direct links of writing effectiveness to the development of skills in critical thinking. The study consisted of 12 fourth-grade students in the control group and their 12 fourth-grade counterparts in the experimental group. The treatment for the study was the use of learning logs by the experimental group to record their written responses to predesigned prompts related to hands-on science experiences during the intervention period. Their counterparts did no writing. Statistical measures used were Student's t tests to determine if significance was present. A pretest and posttest were given that involved written responses to the same prompt. Three judges used a specially designed rubric to evaluate and score the writing. Significant differences were found when the scores of the experimental group were analyzed between pretest and posttest. Also, a standardized test to assess basic process skills was administered prior to and after the intervention. There were no statistical differences found in either group to demonstrate that writing effected the development of process skills. The researcher determined that perhaps writing is not the best way to promote process skills. Rather, engaging in science is the best way. These skills are built separately but used in tandem, particularly when learning about science and mathematics. The implications of this study impact upon several areas of education which make up paradigms leading to good practice based on sound theory. These components

  15. Nurses: advocates for nursing. (United States)

    Servodidio, C A


    Based on the nursing literature and my own ophthalmic nursing experience, there appears to be some confusion about how the general public, our colleagues, and physicians view the duties and responsibilities of the profession of nursing. We, as nurses, can serve as advocates for our own profession and educate the public about who we are, how we have achieved our current status and goals, and where we expect to be in the future.

  16. Nursing theories as nursing ontologies. (United States)

    Flaming, Don


    By understanding the constructions of knowledge we currently label nursing theories as nursing ontologies, nurses can perceive these conceptualizations differently. Paul Ricoeur and Stephen White offer a conceptualization of ontology that differs from traditional, realist perspectives because they assume that a person's experience of a phenomenon (e.g., nursing) will change, but also maintain some stability. Discussing nursing ontologies, rather than nursing theories, might increase philosophy's status in nursing and may also more accurately reflect the experience of being a nurse.

  17. Rediscovering the classic osteopathic literature to advance contemporary patient-oriented research: A new look at diabetes mellitus (United States)

    Licciardone, John C


    Patient care experiences represent opportunities for establishing theories, testable hypotheses, and data to assess the potential use of osteopathic manipulative treatment in various disease conditions. The re-analysis of Bandeen's 1949 raw data described herein summarizes the effects of osteopathic manipulative treatment involving pancreatic stimulatory and inhibitory techniques in diabetic and non-diabetic patients seen over a 25-year period of clinical practice. Bandeen's data demonstrate a reduction in blood glucose levels at 30 and 60 minutes following pancreatic stimulation in 150 diabetic patients, and an elevation in blood glucose levels at 30 and 60 minutes following pancreatic inhibition in 40 non-diabetic patients. Such patient-oriented research conducted during the classic era of osteopathy in the United States provides a foundation and data for generating hypotheses about the potential mechanisms of action of osteopathic manipulative treatment. Osteopathic investigators would be well-served to rediscover the classic osteopathic literature to help advance contemporary evidence-based medicine. PMID:18644129

  18. 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…

  19. Nursing: Registered Nurses (United States)

    ... nursing education programs, students take courses in anatomy, physiology, microbiology, chemistry, nutrition, psychology, and other social and ... for healthcare services will increase because of the aging population, given that older people typically have more ...

  20. Transcultural Nursing and Nursing Diagnoses. (United States)

    Geissler, Elaine M.


    Points out the inadequacies of the nursing diagnoses officially sanctioned by the North American Nursing Diagnosis Association for use with culturally diverse patients. Looks at the changes needed to make the defining characteristics more congruent with transcultural nursing. (JOW)

  1. Nursing Homes (United States)

    ... homes have nursing aides and skilled nurses on hand 24 hours a day. Some nursing homes are set up like a hospital. The staff provides medical care, as well as physical, speech and occupational therapy. There might be a nurses' station on each ...

  2. Nurses who work outside nursing. (United States)

    Duffield, Christine; Pallas, Linda O'Brien; Aitken, Leanne M


    The desire to care for people, a family history of professional health care work, and security in career choice are documented reasons for entering nursing. Reasons for leaving include workload, unsafe work environments and harassment. The relationship between these factors and the time nurses spend in the profession has not been explored. This paper reports a study with people who have left nursing, to investigate why they became a nurse, how long they stayed in nursing, and their reasons for leaving. A questionnaire was mailed to Registered Nurses currently working outside nursing, seeking respondents' reasons for entering and leaving nursing, and perceptions of the skills gained from nursing and the ease of adjustment to working in a non-nursing environment. Data analysis included descriptive statistics, exploratory and confirmatory factor analysis, correlational analysis and linear and multiple regression analysis. A model incorporating the factors 'altruistic reasons', 'default choice' and 'stepping stone' explained 36.2% of the variance in reasons for becoming a nurse. A model incorporating the factors 'legal and employer', 'external values and beliefs about nursing', 'professional practice', 'work life/home life' and 'contract requirements' explained 55.4% of the variance in reasons for leaving nursing. Forty-eight per cent of the variance in tenure in nursing practice was explained through personal characteristics of nurses (36%), reasons for becoming a nurse (7%) and reasons for leaving (6%). The reasons why nurses entered or left the profession were varied and complex. While personal characteristics accounted for a large component of tenure in nursing, those managing the nursing workforce should consider professional practice issues and the balance between work life and home life.

  3. Gerontological Nursing


    Tyra J. Withers


    The core idea of this literature is to explain a summarized point of view regarding the gerontological nursing and its present condition in our society. The literature will explain the clear definition and at the same time will point out the core ideas that can help the administrators to increase the interest of nursing students in gerontological nursing

  4. 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…

  5. Nursing: What's a Nurse Practitioner? (United States)

    ... for kids. Nurse practitioners (also referred to as advanced practice nurses, or APNs) have a master's degree in nursing (MS or MSN) and board certification in their specialty. For example, a pediatric NP has advanced education, skills, and training in caring for infants, ...

  6. Rediscovering vitamin D

    African Journals Online (AJOL)


    Nov 8, 2010 ... as rickets in children and osteomalacia in adults. In the. 1940s it became mandatory in the United States to fortify milk with vitamin D3, which resulted in a dramatic decline in the incidence of rickets. Consequently, most of the early research focused on the role of vitamin D in regulating calcium balance ...

  7. Rediscovering market segmentation. (United States)

    Yankelovich, Daniel; Meer, David


    In 1964, Daniel Yankelovich introduced in the pages of HBR the concept of nondemographic segmentation, by which he meant the classification of consumers according to criteria other than age, residence, income, and such. The predictive power of marketing studies based on demographics was no longer strong enough to serve as a basis for marketing strategy, he argued. Buying patterns had become far better guides to consumers' future purchases. In addition, properly constructed nondemographic segmentations could help companies determine which products to develop, which distribution channels to sell them in, how much to charge for them, and how to advertise them. But more than 40 years later, nondemographic segmentation has become just as unenlightening as demographic segmentation had been. Today, the technique is used almost exclusively to fulfill the needs of advertising, which it serves mainly by populating commercials with characters that viewers can identify with. It is true that psychographic types like "High-Tech Harry" and "Joe Six-Pack" may capture some truth about real people's lifestyles, attitudes, self-image, and aspirations. But they are no better than demographics at predicting purchase behavior. Thus they give corporate decision makers very little idea of how to keep customers or capture new ones. Now, Daniel Yankelovich returns to these pages, with consultant David Meer, to argue the case for a broad view of nondemographic segmentation. They describe the elements of a smart segmentation strategy, explaining how segmentations meant to strengthen brand identity differ from those capable of telling a company which markets it should enter and what goods to make. And they introduce their "gravity of decision spectrum", a tool that focuses on the form of consumer behavior that should be of the greatest interest to marketers--the importance that consumers place on a product or product category.

  8. Rediscovering the scientific ethos

    DEFF Research Database (Denmark)

    Djørup, Stine

    The doctoral dissertation discusses some of the moral standards of good scientific practice that areunderexposed in the literature. In particular, attempts are made to correct the conceptual confusionsurrounding the norm of 'disinterestedness' in science (‘uhildethed’), and the norm of scientific...

  9. Rediscovering vitamin D

    Directory of Open Access Journals (Sweden)

    Nasr Anaizi


    Full Text Available Over the past 2 years there has been a radical change in standard clinical practice with respect to vitamin D. As a result of a growing body of knowledgeable physicians are assessing the vitamin D nutritional status of their patients and prescribing aggressive repletion regimens of a vitamin D supplement. The present paper summarizes some basic information about this essential nutrient and reviews some of the more recent data implicating vitamin D deficiency in disease etiology with an emphasis on cardiovascular disease and cancer. Finally a rational approach to the dosing of vitamin D in different patient populations is provided.

  10. Rediscovering Differential Psychology? (United States)

    Takooshian, Harold


    Comments on the original article, "Many forms of culture," by A. B. Cohen. Cohen offered an eye-opening review of how culture means much more than ethnicity within a nation or differences between nations. After developing a much-expanded definition of culture, he concluded, "I have lamented the fact that psychology has focused on some important…

  11. Rediscovering Interwar American Theorists (United States)


    shouldering much more than her share of the load for the last year. To my daughters , Bella and Cailyn, thank you for your patience and providing me the time...the daughter of Arthur L. Wagner. Wagner was the Director of the Military Arts Department at Fort Leavenworth from 1892 to 1896.23 Wagner authored...officers. Due to Naylor’s knowledge of theory and history, and the influence of his father -in-law, Naylor spent five years as an instructor of strategy

  12. Rediscovering tactile agnosia. (United States)

    Caselli, R J


    Eighty-four patients with damage to various levels of the nervous system, ranging from the peripheral nerves to the cerebral cortex, underwent somesthetic assessment in order to determine the degree to which basic and complex perceptual and motor disorders affect tactile object recognition (TOR) and to determine whether TOR can be impaired in the absence of more basic sensorimotor imperception. The results suggest that (1) basic and intermediate disorders of somesthetic function impair TOR but are commensurately more severe for any given degree of TOR impairment in patients with peripheral lesions than in patients with cortical lesions; (2) neither hemiparesis nor hemianopia alone precludes normal TOR; (3) hemineglect contributes substantially to TOR impairment; (4) impairment of TOR can occur in the absence of more basic somesthetic dysfunction and constitutes tactile agnosia; (5) tactile agnosia is a subtle, nondisabling disorder that should be distinguished from the nonagnosic, severe and disabling disorder, astereognosis; and (6) tactile agnosia results from unilateral damage to parietotemporal cortices, possibly including the second somatosensory cortex, in either hemisphere.

  13. A psicologia redescobrirá a sexualidade? La psicologia¿ redescubrirá la sexualidad? Will psychology rediscover sexuality?

    Directory of Open Access Journals (Sweden)

    Vera Paiva


    trayectorias de sujetos sexuales. El trabajo de los psicólogos se verá beneficiado en su formación al redescubrir la sexualidad, superar los abordajes psicológicos con pretensiones universalistas, por lo menos en el dominio sexual.Common sense designates the psychologist the most proficient professional to work with sexuality. Rarely, though, we are educating psychologists to work with the sexual life in non-clinical contexts. This article synthesizes a critique of the "sexological" framework, hegemonic throughout the XX century, and argues that the "constructionist" approach, while deconstructing woman's subordination and hetero-normativeness as natural, was validated as an alternative paradigm of great relevance for research and professional practice approaching the sexual sphere. This theoretical framework better understood challenges as the Aids epidemic, especially in contexts of inequality and rights violations; inspired technologies for its prevention based on gender analysis and the understanding of sexual scenarios, scenes, scripts and trajectories by sexual subjects. Psychologists practice will benefit from rediscovering sexuality, surpassing approaches based on personal values, rethinking the sexological and psychological approaches that aim at universalism, at least on the sexuality domain.

  14. Eva Luna: Writing as History

    Directory of Open Access Journals (Sweden)

    Lynne Diamond-Nigh


    Full Text Available The Bildungsroman of Eva Luna's development as a writer reflects—in a somewhat fragmented manner—important developments in Latin American literary history. Her personal quest was paralleled by an aesthetic quest, manifested in the trying on and taking off of various genres, literary movements and myths characteristic of Latin America; she even goes so far as to allude explicitly to specific authors and their individual works. Although some of these are simply lightheartedly parodied, others are reworked and reinterpreted in the light of the feminist enterprise of the past twenty-five years. Eva Luna transgresses fundamentally by having an intellectually strong, sexual, nurturing, very feminine protagonist, setting up an initial rupture with the dichotomy so clearly demarcated by Octavio Paz between "the mother and the whore." Four primary categories suggest themselves: myth and the mythic consciousness; magical realism; Boom writers; and then a miscellaneous grouping that subsumes a host of other significant literatures and literary themes: the picaresque, the neo-romantic, novels of the dictators, the ever-present conflict between civilization and barbarism, and testimonial literature.

  15. Rediscovering Antiquity: Karl Weber and the Excavation of Herculaneum, Pompeii, and Stabiae, by C.C. Parslow. Cambridge University Press, 1995

    Directory of Open Access Journals (Sweden)

    James E. Snead


    Full Text Available Rediscovering Antiquity is an example of the genre of historical writing which seeks to recast the careers of little-known figures who have fallen into obscurity. This is typically intended to move them and their work into the proper "lineage," that is, the select group of ancestral figures from which modern practices are derived. Parslow is interested in the 18th century excavations of the Vesuvian cities, which, he argues, have been misunderstood by historians of archaeology. Indeed, common sources, such as Daniel (1981:55, describe the initial explorations of Pompeii, Herculaneum, and Stabiae, sponsored by the Bourbon kings of Naples as "...treasure hunts and not serious excavations." While the Roman artifacts removed from the sites are credited with spurring interest in antiquity in Enlightenment Europe, modern scholars have until now devoted little attention to the means through which they were recovered.

  16. Nursing Revalidation


    Cannon, F; McCutcheon, K.


    This article details the Nursing and Midwifery Council revalidation requirements essential for all registered nurses and midwives in the United Kingdom. Nursing revalidation is effective from April 2016 and is built on the pre-existing Post-registration education and practice. Unlike the previous process, revalidation provides a more robust system which is clearly linked to the Code and should assist towards the delivery of quality and safe effective care

  17. Fostering nursing ethics for practical nursing


    森田, 敏子; モリタ, トシコ; Morita, Toshiko


    Higher nursing ethics can raise nursing quality. The author attempts to define theproblem from the seedling of sensibility in practical nursing and focuses on the clinical environment surrounding nursing ethics from its pedagogical and historicalaspects. On the basis of these standpoints, the author discusses issues on the practical nursing as a practitioner of nursing ethics.

  18. Nurse crop (United States)

    Wayne D. Shepperd; John R. Jones


    In forestry, a nurse crop generally is a crop of trees or shrubs that fosters the development of another tree species, usually by protecting the second species, during its youth, from frost, insolation, or wind (Ford-Robertson 1971). Aspen may be a nurse crop for shade-tolerant tree species that do not become established in full sunlight (e.g., Engelmann spruce)....

  19. "Nurse's cramp"

    DEFF Research Database (Denmark)

    Jepsen, Jørgen Riis


    Calculating the number of tablets or capsules to administer to patients is one of the most common tasks that a nurse is required to make. Home care and nursing home staff may dose tablets for clients for up to two hours per day. An increasing proportion of tablets are dispensed in blister packs...

  20. Nursing Homes (United States)

    ... to time. At least one-third of nursing home residents have problematic behaviors. These behaviors may include verbal and physical abuse, ... accessible are they? How close is the nursing home to family members? How close is it to the ... is the food like? How much do basic services cost? What ...

  1. Revision of fossil Metretopodidae (Insecta: Ephemeroptera) in Baltic amber-Part 3: Description of two new species of Siphloplecton Clemens, 1915, with notes on the re-discovered lectotype of Siphloplecton macrops (Pictet-Baraban & Hagen, 1856). (United States)

    Staniczek, Arnold H; Godunko, Roman J


    In this contribution, we provide a complementary description of the re-discovered lectotype of Siphloplecton macrops (Pictet-Baraban & Hagen, 1856). Additionally, complementary descriptions of S. barabani Staniczek & Godunko, 2012 and S. picteti Staniczek & Godunko, 2012 based on new material are given. Two new species, S. sartorii sp. nov. and S. gattolliati sp. nov., are described from male imagines and attributed to two newly defined species groups within Siphloplecton.


    Directory of Open Access Journals (Sweden)

    Ríos González Gabriela


    Full Text Available Resumen:Este artículo es resultado de una investigación realizada con una muestra representativa de 512 estudiantes de último año de colegio en Costa Rica; en la que se utilizó la metodología de disponibilidad léxica por medio de encuestas, tiene como objetivo primordial demostrar que la manera de pronunciar influye en la escritura y, por lo tanto, también en la ortografía. Una vez procesados los datos llegamos a la conclusión que existen sonidos que oralmente solemos pronunciarlos de determinada manera, pero su escritura es de otra. No obstante, los jóvenes no saben discernir entre la oralidad y la escritura y, por desconocimiento de la lengua, escriben igual a como pronuncian. Es tarea del docente reforzar estas habilidades lingüísticas para un mejor desempeño académico y profesional de nuestros estudiantes.Abstract: This article is the result of a research made with a representative sample of 512 students of senior year in the high schools in Costa Rica; in which was used the methodology of lexical availability through surveys, as main objective it has to show that the way of pronunciation influence in writing, therefore, also in orthography. Once the data is process we conclude that there are sounds that orally we used to pronunciation in certain way, but it's writing is different. However, youngest do not know how to distinguish between orally and writing, and, by unknowing the language, they write as they pronounce. It's the teacher's homework to reinforce this linguistic skill for better academic and professional performance of our students.

  3. 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...

  4. La escritura emocional como una herramienta para el tratamiento psicológico del tabaquismo Emotional writing as a tool for the psychologic treatment of tobacco smoking

    Directory of Open Access Journals (Sweden)

    Guadalupe Ponciano-Rodríguez


    Full Text Available OBJETIVO: Mostrar la utilidad e importancia de la escritura emocional como parte del tratamiento psicológico para la cesación del tabaquismo. MATERIAL Y MÉTODOS: Se revisaron los expedientes de los pacientes atendidos de 2001 a 2006 en la Clínica Contra el Tabaquismo de la Facultad de Medicina de la UNAM y se eligieron 10 cartas de despedida al cigarrillo. La escritura de este tipo de carta forma parte del tratamiento psicológico del tabaquismo; su realización coincide con la fecha para dejar de fumar, al final de la segunda semana del tratamiento. RESULTADOS: Se presenta el texto completo de 10 cartas escritas por fumadores atendidos en la Clínica. Se eligieron aquellas que muestran la compleja intensidad de la dependencia psicológica que se desarrolla en los fumadores y ponen de manifiesto la importancia de brindar apoyo para la resolución de esta dependencia. CONCLUSIONES: La escritura emocional puede ser una herramienta muy importante en el tratamiento psicológico del tabaquismo, pues permite al fumador expresar y compartir sus pensamientos íntimos y vivencias relacionados con el tabaco y con el tabaquismo.OBJECTIVE: To show the importance and usefulness of emotional writing as a part of the psychological smoking treatment. MATERIAL AND METHODS: The clinical records of all patients who attended the Tobacco Cessation Clinic from 2001 to 2006 were reviewed, ten letters written by the smokers were selected as a way to support intervention to finish with the addiction, the psychologist on charge of the group asked the patients to write this type of letter the day when they have to stop smoking. RESULTS: The content of ten letters written by smokers included in the treatment at the Tobacco Cessation Clinic are shown, these letters were selected based on their representativeness of complexity and deep intensity of the psychological dependence developed by smokers. The content of these letters emphasized the importance of an adequate

  5. Value of intensified nursing


    Frank, Wilhelm; Konta, Brigitte; Prusa, Nina; Raymann, Cornelia


    The concept "intensified nursing" is mentioned in differentiation to concepts of "nursing care" or "nursing" which intensifies resources or patient contact. Especially psychic and social needs of patients are very appreciated in nursing. A similar type of nursing is known under the concept "advanced nursing practice" (ANP) which means, that a specialised, academically trained nurse offers an extended nursing care in which a focus on the published knowledge of evidence based research is made. ...

  6. A escrita como modo de vida: conexões e desdobramentos educacionais Writing as a way of life: educational connections and unfoldings

    Directory of Open Access Journals (Sweden)

    Julio Groppa Aquino


    in these contexts. This means that, within the procedures of writing, superlative forces are in battle, both in the sense of the unifying attack of the subjectivation modes implied therein, and in the direction of a radical transfiguration of these same modes aiming at their multiplication. Deepening the theoretical discussion, the text approaches the question of self writing, as formulated by Foucault, as a disproportionate sculptural effort in favor of a subjective dispersion, rarefaction and, then, elision. Next, three recurring arguments about school writing are analytically questioned: its categorization in genres, its examining function, and its subordination to reading. With this critical examination, the purpose is to destabilize the bases for justifying a kind of representational and scientificist appropriation of the school writing activities, as well as to conjure up scenarios divergent from the mainstream. Lastly, it is also an objective here to view writing as a circumstance propitious to the existential styling of the writer, having in mind, with Foucault, the indispensible effort of resistance and ethical self-creation in the face of the subjectivation games typical of school practices. It is the inextricable movement of difference and variation that a writing liberated from the pedagogical conventions of the time affords and, at the same time, demands of all those who pursue it.

  7. Liaison nursing. (United States)

    Howard, J S


    In reviewing my efforts to clarify the role of the nurse clinician as a psychiatric consultant in a hospital setting, I came away with many impressions. Inherent in my search was a desire to experiment with various means of providing nursing service and much of my time was spent examining the collaborative aspects of the nursing role that would add greater depth to patient care. This involved role experimentation and allowed me the opportunity to develop my role within the context of the guidelines of community organization and consultation in a hospital setting. Although much of the time I found that the liaison role has been aimed at the supportive level, I have also discovered that as I developed security in the role wherein I could function in new and more independent ways--the parameters of the role expanded. Whereas initially I envisioned working only with nursing staff, I have found myself collaborating with many disciplines and many levels of care givers and I have also been able to function collaboratively with other psychiatric liaison team members. Thus, at this time I see the liaison nurse functioning basically as a coordinator, who, at any time, may assume one or more of the following roles: 1) Integrator; 2) Provider of direct services; 3) Educator and consultant; 4) Change agent.

  8. Nursing Leadership. (United States)

    Crisp, Carol


    Nurse transformational leaders can serve in academic settings and at local, national, international professional nursing organizations and community-based groups. As a transformational leader, nurses can lead in any workplace. According to a study by Stanley (2012), clinical leaders are not sought for their capacity to outline a vision, but for their values and beliefs on display that are easily recognized in their actions. This encompasses the moral component of transformational leadership. It is the APRNs duty to continue to strive towards a better vision for the well-being of all nurses, patients, and colleagues. Autonomous APRNs are happier, healthier, and better prepared to provide the best patient care to their patients. We should not be happy to sit back and let others fight this fight. APRNs need to be on the frontline, leading the way. This is only an insight that I have gained after many frustrating years of cheering our profession and then being made to feel inferior at the same time. Only nurses, who have that nurturing spirit, would hold back if they felt it might hurt others. Don't back off or hold back! It might hurt those that follow!

  9. Nursing Positions (United States)

    ... milk production. Once your milk supply is established, breastfeeding should be on demand — when your baby is hungry — about every 1 to 4 hours. But remember, your infant may feed every hour for a stretch, then ... little one might be nursing for comfort rather than for nourishment. So, how ...

  10. Nursing informatics and nursing ethics

    DEFF Research Database (Denmark)

    Kaltoft, Mette Kjer


    in the clinical-disciplinary landscape. Each sees itself as providing decision support by way of information inputs and ethical insights, respectively. Both have reasons - ideological, professional, institutional - for their task construction, but this simultaneously disables each from engaging fully in the point...... nurses and other health care scientists more clearly identify clinical and other relevant data that can be captured to inform future comparative effectiveness research. 'A prescriptive, theory-based discipline of '(Nursing) Decisionics' expands the Grid for Volunteer Development of TIGER's newly launched...

  11. The use of poetry writing in nurse education: An evaluation. (United States)

    Jack, Kirsten


    Arts based approaches have been used in health education in various ways e.g. to develop emotional awareness, reduce anxiety and stress and assess communication skills. This evaluation aimed to explore the use of poetry writing as a way for undergraduate nursing students to consider their feelings about important practice issues. 42 first year undergraduate nursing students were asked to write a poem which focussed on an important nursing issue e.g. compassion, communication or the therapeutic role of the nurse. They were then asked to read the poem aloud to a small group and discuss its meaning. 60% (n=24) of students reported that the exercise had increased understanding of their chosen subject, 75% (n=30) stated that they had learned something about themselves and 65% (n=26) of students stated that they had enjoyed the poetry writing exercise. Qualitative comments suggested that the use of poetry enabled greater understanding of others' experiences, promoted open and honest reflection on feelings and supported the development of confidence. There is a need for teaching methods which engage and develop students' imagination, if they are going to be adequately prepared for the demands of nursing practice. Poetry writing and discussion supports the development of confidence, therapeutic communication skills and the ability to think creatively. Copyright © 2015 Elsevier Ltd. All rights reserved.

  12. Iranian nursing students? experiences of nursing


    Motlagh, Farzaneh Gholami; Karimi, Mahboubeh; Hasanpour, Marzieh


    Background: The negative attitudes and behaviors of Iranian nursing students impede learning and threaten their progression and retention in nursing programs. The need to understand students? perception and experiences of nursing provide knowledge about effectiveness of nursing education program as well as their professional identity. The purpose of this study was to discover experiences of nursing students. Materials and Methods: In a descriptive, exploratory and qualitative study, twelve se...

  13. Men student nurses: the nursing education experience. (United States)

    Meadus, Robert J; Twomey, J Creina


    This study explored the phenomenon of being a male in a predominately female-concentrated undergraduate baccalaureate nursing program. Men remain a minority within the nursing profession. Nursing scholars have recommended that the profile of nursing needs to change to meet the diversity of the changing population, and the shortfall of the worldwide nursing shortage. However, efforts by nursing schools and other stakeholders have been conservative toward recruitment of men. Using Giorgi's method, 27 students from a collaborative nursing program took part in this qualitative, phenomenological study. Focus groups were undertaken to gather data and to develop descriptions of the experience. Five themes highlighted men students' experience of being in a university nursing program: choosing nursing, becoming a nurse, caring within the nursing role, gender-based stereotypes, and visible/invisible. The experiences of the students revealed issues related to gender bias in nursing education, practice areas, and societal perceptions that nursing is not a suitable career choice for men. Implications for nurse educators and strategies for the recruitment and retention of men nursing students are discussed. © 2011 Wiley Periodicals, Inc.

  14. What Is Nursing Informatics? (United States)

    McGonigle, D.; And Others

    Information technology has developed to the point of providing a means to manage nursing and related health-care data effectively for nursing administrators, educators, practitioners, and researchers. Therefore, the newly recognized area of nursing informatics is important to the nursing profession as a whole. Nursing informatics is defined as the…

  15. Leaders from Nursing's History. (United States)

    Fondiller, Shirley H.; And Others


    Looks at the lives and accomplishments of four leaders in professional nursing: (1) Loretta Ford, who championed the cause of nurse practitioners; (2) Mable Staupers, a pioneer in community health and nursing; (3) Janet Geister, a leader in private nursing; and (4) Isabel Stewart, who led the movement to standardize nursing education. (JOW)

  16. [Nursing certification system in cancer nursing]. (United States)

    Hasegawa, Kumi


    The Japanese Nursing Association (JNA) started an advanced nursing certification system and gave the first certification to certified nurse specialist (CNS) in cancer nursing in 1996. CNS is recognized for excellent nursing practice in a specific area, and for demonstrating six roles: excellent nursing practice, consultation, ethical coordination, education, coordination, and research activities. To receive CNS certification need nurse (or public health nurse or nurse midwife) qualification, master's degree, at least five-years clinical experience, and after that to pass a JNA certification examination. Certified nurse (CN) demonstrates three roles in high level of nursing practice by using matured nursing skills and knowledge, leadership, and consultation in a specific nursing area. CN need nurse qualification, at least fiveyears clinical experience, completing educational program at least 6 months, and passing a JNA certification examination. Both of CNS and CN requier certification renewal every five years. The number of people who get certification of CNS's in cancer nursing become 104, and of CN in cancer nursing area become 942 (chemotherapy 204, palliative care 420, cancer pain 267, breast cancer 51) in 2007. CNS's in cancer nursing activities are not understood broaden, because they have various work positions and activities, and are very few in Japan. But they are considered to be a change agent in cancer health care system. Also they will expand their activity setting. There is a prospect that CNS in cancer nursing will increase in number with nursing graduate school increasing. It shows that we will face some problems, for example educational contents or methods, certification system and so on.

  17. Singapore - The Nursing Scene

    Directory of Open Access Journals (Sweden)

    M.A. Doyle


    Full Text Available In many ways Singapore still bears evidence of the period of British colonialism and the system of nursing service and nursing education is also still greatly influenced by the British system of nursing.

  18. Singapore - The Nursing Scene


    M.A. Doyle


    In many ways Singapore still bears evidence of the period of British colonialism and the system of nursing service and nursing education is also still greatly influenced by the British system of nursing.

  19. Developing nursing care plans. (United States)

    Ballantyne, Helen


    This article aims to enhance nurses' understanding of nursing care plans, reflecting on the past, present and future use of care planning. This involves consideration of the central theories of nursing and discussion of nursing models and the nursing process. An explanation is provided of how theories of nursing may be applied to care planning, in combination with clinical assessment tools, to ensure that care plans are context specific and patient centred.

  20. Nursing specialty and burnout. (United States)

    Browning, Laura; Ryan, Carey S; Thomas, Scott; Greenberg, Martin; Rolniak, Susan


    We examined the relationship between perceived control and burnout among three nursing specialties: nurse practitioners, nurse managers, and emergency nurses. Survey data were collected from 228 nurses from 30 states. Findings indicated that emergency nurses had the least control and the highest burnout, whereas nurse practitioners had the most control and the least burnout. Mediational analyses showed that expected control, hostility, and stressor frequency explained differences between specialties in burnout. The implications of these findings for interventions that reduce burnout and promote nursing retention are discussed.

  1. Transcultural nursing in Australian nursing curricula. (United States)

    Pinikahana, Jaya; Manias, Elizabeth; Happell, Brenda


    As a result of the fact that Australia is a multicultural society with many people who come from non-English speaking backgrounds (NESB), the objective of the present study was to discuss the extent to which transcultural nursing education is incorporated into undergraduate nursing curricula. A survey was undertaken to determine the availability of nursing modules for undergraduate nursing students through Australian university websites on "transcultural nursing" or related modules. Although the inclusion of these modules into nursing education provide an opportunity for nurses to perceive and respond to different patient behaviors in multicultural societies, it is not sufficient to understand the complexity of the health care needs of a multicultural society. The survey findings suggest that many universities have not included transcultural nursing modules in their nursing curricula. To address this problem, more transcultural nursing modules need to be introduced into nursing curricula and nursing academics need to refine their attitudes about the importance of cultural aspects of patient care within nursing education.

  2. Nursing Jobs in Nursing Homes (United States)

    Torpey, Elka Maria


    The need for practical nurses who focus on caring for older people is growing. According to the U.S. Census Bureau, the number of people ages 65 and older is expected to increase from 40 million to 72 million between 2010 and 2030. And the U.S. Bureau of Labor Statistics (BLS) projects that this increasing population will result in job growth for…

  3. Scholarship in nursing: Degree-prepared nurses versus diploma-prepared nurses

    Directory of Open Access Journals (Sweden)

    Lizeth Roets


    Conclusion: The global nursing crisis, nor the nursing profession, will benefit by only training more nurses. The profession and the health care sector need more degree prepared nurses to improve scholarship in nursing.

  4. A Well-Kept Treasure at Depth: Precious Red Coral Rediscovered in Atlantic Deep Coral Gardens (SW Portugal after 300 Years.

    Directory of Open Access Journals (Sweden)

    Joana Boavida

    Full Text Available The highly valuable red coral Corallium rubrum is listed in several Mediterranean Conventions for species protection and management since the 1980s. Yet, the lack of data about its Atlantic distribution has hindered its protection there. This culminated in the recent discovery of poaching activities harvesting tens of kg of coral per day from deep rocky reefs off SW Portugal. Red coral was irregularly exploited in Portugal between the 1200s and 1700s, until the fishery collapsed. Its occurrence has not been reported for the last 300 years.Here we provide the first description of an Atlantic red coral assemblage, recently rediscovered dwelling at 60-100 m depth in southern Portugal. We report a very slow growth rate (0.23 mm year-1, comparable to Mediterranean specimens. In comparison with most of the Mediterranean reports, the population reaches much larger sizes, estimated to be over one century old, and has a more complex coral branch architecture that promotes a rich assemblage of associated species, with boreal and Mediterranean affinities. Atlantic red coral is genetically distinct, yet mitochondrial analyses suggest that red corals from the Atlantic may have introgressed the Mediterranean ones after migration via the Algeria current. Our underwater surveys, using advanced mixed-gas diving, retrieved lost fishing gear in all coral sites. Besides illegal harvesting, the use and loss of fishing gears, particularly nets, by local fisheries are likely sources of direct impacts on these benthic assemblages.We extended the knowledge on the distribution of C. rubrum in the Atlantic, discovered its genetic distinctiveness, and reveal a rich deep-dwelling fauna associated to these coral assemblages. These findings support a barrier role of the Atlantic-Mediterranean transition zone, but reveal also hints of connectivity along its southern margin. The results highlight the genetic and demographic uniqueness of red coral populations from SW Iberia

  5. Nurse Bullying: Impact on Nurses' Health. (United States)

    Sauer, Penny A; McCoy, Thomas P


    Workplace bullying has been experienced by 27% to 80% of nurses who have participated in studies. Bullying behaviors negatively impact the health of nurses. This study examined whether nurses' resilience had an impact on the effects of bullying on the nurse's health. This cross-sectional descriptive study surveyed licensed registered nurses in one state. The sample ( N = 345) was predominately female (89%) and Caucasian (84%), with an average age of 46.6 years. In this sample, 40% of nurses were bullied. Higher incidence of bullying was associated with lower physical health scores ( p = .002) and lower mental health scores ( p = .036). Nurses who are bullied at work experience lower physical and mental health, which can decrease the nurses' quality of life and impede their ability to deliver safe, effective patient care.

  6. Rural nurses

    DEFF Research Database (Denmark)

    Wilson, Rhonda L.; Usher, Kim


    that they align more closely to the developmental and social needs of young people with mental health problems. Design: A mixed methods case study design was used to explore the early mental health care needs of young rural people. Methods: A cross-sectional survey was conducted and data were analysed...... to young people. Conclusions: Non-traditional venues such as community, school and justice settings are ideal places where more convenient first conversations about mental health with young people and their families, and rural nurses should be deployed to these settings. Relevance to Clinical Practice...

  7. Virtually Nursing: Emerging Technologies in Nursing Education. (United States)

    Foronda, Cynthia L; Alfes, Celeste M; Dev, Parvati; Kleinheksel, A J; Nelson, Douglas A; OʼDonnell, John M; Samosky, Joseph T

    Augmented reality and virtual simulation technologies in nursing education are burgeoning. Preliminary evidence suggests that these innovative pedagogical approaches are effective. The aim of this article is to present 6 newly emerged products and systems that may improve nursing education. Technologies may present opportunities to improve teaching efforts, better engage students, and transform nursing education.

  8. Iranian nursing students’ experiences of nursing (United States)

    Motlagh, Farzaneh Gholami; Karimi, Mahboubeh; Hasanpour, Marzieh


    Background: The negative attitudes and behaviors of Iranian nursing students impede learning and threaten their progression and retention in nursing programs. The need to understand students’ perception and experiences of nursing provide knowledge about effectiveness of nursing education program as well as their professional identity. The purpose of this study was to discover experiences of nursing students. Materials and Methods: In a descriptive, exploratory and qualitative study, twelve senior nursing students of Isfahan University of Medical Sciences (School of Nursing and Midwifery) were participated. Data was collected via unstructured in-depth interview, and thematic analysis method was used for analyzing the data. Findings: The findings from this study revealed that the nursing students in Iran experienced altered experiences during their education program as positive and negative. Two major themes were constructed from the thematic analysis of the transcripts: professional dimensions and professional conflicts. Conclusions: Regarding the findings, positive experiences of students have leaded them to acceptance and satisfaction of nursing and negative experiences to rejection and hating of nursing and lack of adaptation with their professional roles. Therefore, it is recommended that revision and improvement in nursing education program is essential to facilitate positive experiences and remove negative experiences of nursing student’s educational environment. PMID:23833591

  9. Oncology Nursing Society (United States)

    ... 21st Century Nursing Leadership , and navigate through the issues of nursing practice that matter most. New to Oncology? Here's ... Nurse Quality-of-Life Issues Quality-of-Life Issues—Oncology ... in Oncology Nursing: Highlights from the ONS 41st Annual Congress Certification ...

  10. Paths to nursing leadership. (United States)

    Bondas, Terese


    The aim was to explore why nurses enter nursing leadership and apply for a management position in health care. The study is part of a research programme in nursing leadership and evidence-based care. Nursing has not invested enough in the development of nursing leadership for the development of patient care. There is scarce research on nurses' motives and reasons for committing themselves to a career in nursing leadership. A strategic sample of 68 Finnish nurse leaders completed a semistructured questionnaire. Analytic induction was applied in an attempt to generate a theory. A theory, Paths to Nursing Leadership, is proposed for further research. Four different paths were found according to variations between the nurse leaders' education, primary commitment and situational factors. They are called the Path of Ideals, the Path of Chance, the Career Path and the Temporary Path. Situational factors and role models of good but also bad nursing leadership besides motivational and educational factors have played a significant role when Finnish nurses have entered nursing leadership. The educational requirements for nurse leaders and recruitment to nursing management positions need serious attention in order to develop a competent nursing leadership.

  11. Intention in Nursing Practice. (United States)

    Sofhauser, Cynthia


    The purpose of this column is to explore the meaning of intention in nursing practice and distinguish it from the concept of intentionality. The notion that nurses engage in a purposeful act of setting intention prior to delivery of nursing care is introduced, and nursing implications for setting intention in practice is offered. © The Author(s) 2015.

  12. Nursing 'takes backward step'. (United States)

    Burton, Veronica


    No one should have any part in the government's plans for associate nurses - or 'nurses on the cheap', as they undoubtedly are. And the plan for nursing degree apprenticeships is a retrograde step. Was the fight for degree-entry nursing a waste of time?

  13. Nursing's Image on Campus. (United States)

    Woolley, Alma S.


    In studying the nurse's image at a liberal arts college, it was found that faculty and administrators view nurses as long-suffering drones. On the whole, the image of nursing was positive, with those who had the most contact with the nursing program having a more enlightened image. (CT)

  14. Remembrance of things past: the utilisation of context dependant and autobiographical recall as means of enhancing reflection on action in nursing. (United States)

    Griffiths, Colin


    Reflection on action is widely accepted as a means of developing an individual's experience and professional and scientific knowledge [Accident and Emergency Nursing 4 (1996) 135]. Reflection can occur when a nursing event is examined and explored which may lead to the individual acquiring new perspectives and new knowledge regarding the event. This paper contends that the exploration of an event in practice can be better understood if viewed in the context of previous similar experiences. A five stage structured process is suggested whereby the nurse intentionally returns to former places and recreates previously experienced affective states with the purpose of accessing context and state dependent memories. These rediscovered remembrances can then serve as the raw material for reflection on nursing problems and dilemmas. A comparison of the current problem with the past experience may lead to new learning and a deepening of the reflective process. The seminal work of Marcel Proust is referred to in order to illustrate the process and examples from practice are also identified.

  15. A nursing theory for nursing leadership. (United States)

    Laurent, C L


    For many years nursing practice has found its foundations in nursing theory. A review of theorists such as D. E. Orem, C. Roy, B. Neumen, V. Henderson, M. E. Rogers and others reveals a focus on the management of patient care, not leadership. This has provided most nurses with a solid foundation in 'management', but little in terms of 'leadership.' In more recent years, theories such as the Deming Management Method, Managers as Developer Model, Shared Governance and Transactional Leadership have been introduced, none of which are nursing theories. This article discusses the conceptualized differences between management and leadership theory arguing that there is a difference between 'leadership and management'. A leadership theory is proposed utilizing Ida J. Orlando's model for nursing. This theory provides a nursing foundation for nursing leaders to utilize both in the management of patient care and in leadership.

  16. Nursing in Turkey. (United States)

    Baumann, Steven L


    The current discussion on the nursing shortage needs to focus as much on nursing job satisfaction and retention as on nursing recruitment and education. Selected aspects of the motivational psychology of Abraham Maslow, Mihaly Csikszentmihalyi, and Frederick Hertzberg are here discussed in light of the challenges-opportunities of nursing in Turkey and elsewhere. Also discussed is an innovative program to support the application of nursing theory and professional development in Toronto, Canada.

  17. Physa mosambiquensis (Clessin, 1886) rediscovered?

    African Journals Online (AJOL)


    Jan 5, 1989 ... moluscos de agua doce de ultramar Portugues. III -. Moluscos de Mo<;ambique. Estudos Ensaios Docum. Ita. Invest. Ultramar 88: 1-394. DUNCAN, c.J. 1958. The anatomy and physiology of the reproductive system of the freshwater snail Physa fontinalis (L.). I. Zool., Lond. l31: 55-84. GERMAIN, L. 1911.

  18. (Re)Discovering University Autonomy

    DEFF Research Database (Denmark)

    This book challenges traditional approach to university autonomy which is based on four pillars: organisational, financial, human resource, and academic. The main thesis is that a fuller understanding of university autonomy can only be obtained through a more holistic view of the complex inter......-relationships between stakeholders and policies which can reinforce and equally pull in opposite directions. The holistic view is expressed in a model of institutional university autonomy that brings together the traditional basic four pillars of autonomy, and five interfaces: government–university; university......–university staff; academic staff–students; university–business; and university–internationalisation. This model is explored through international case studies that give new insights and reinforce our understanding that the issues relating to institutional university autonomy are complex, interactive and genuinely...

  19. (Re)Discovering University Autonomy

    DEFF Research Database (Denmark)

    Reilly, John; Turcan, Romeo V.; Bugaian, Larisa


    discussion of challenges. The other outcome is the extent to which academic colleagues in a wide-range of disciplines and not directly engaged with research on university autonomy may not perceive or engage with the wider autonomy outcomes of their work and as a result their own case studies may not fully...... identify the autonomy impact real or potential. Many academic staff take for granted university autonomy without questioning its sometimes contradictory assumptions and impacts....

  20. Rediscovering Islam in Javanese History


    M.C. Ricklefs


    Developments in our understanding of Javanese history have displaced a previously influential paradigm about the role of Islam in Javanese society. The view that Islam was marginal was exemplified in Van Leur’s description of Islam as ‘a thin, easily flaking glaze’ or Geertz’s observation that ‘It is very hard … for a Javanese to be a “real Moslem”’.  This paradigm implicitly posited an authentic Javanese culture which was essentially pre-Islamic in origin which limited Islamization. Stereoty...

  1. Rediscovering Islam in Javanese History


    M.C. Ricklefs


    Developments in our understanding of Javanese history have displaced a previously influential paradigm about the role of Islam in Javanese society. The view that Islam was marginal was exemplified in Van Leur's description of Islam as ‘a thin, easily flaking glaze' or Geertz's observation that ‘It is very hard … for a Javanese to be a “real Moslem”'. This paradigm implicitly posited an authentic Javanese culture which was essentially pre-Islamic in origin which limited Islamization. Stereoty...

  2. Rediscovering Islam in Javanese History

    Directory of Open Access Journals (Sweden)

    M.C. Ricklefs


    Full Text Available Developments in our understanding of Javanese history have displaced a previously influential paradigm about the role of Islam in Javanese society. The view that Islam was marginal was exemplified in Van Leur’s description of Islam as ‘a thin, easily flaking glaze’ or Geertz’s observation that ‘It is very hard … for a Javanese to be a “real Moslem”’.  This paradigm implicitly posited an authentic Javanese culture which was essentially pre-Islamic in origin which limited Islamization. Stereotypes of Javanese culture and of Islam underlay this paradigm. The previous paradigm was mainly formed during the period of abangan prominence. Subsequent developments in Javanese society and new historical research have led to a rediscovery of the important role of Islam in Javanese history, showing the older paradigm to be false and the stereotypes to be unsustainable.Copyright (c 2014 by SDI. All right reserved.DOI: 10.15408/sdi.v21i3.1216

  3. Rediscovering the Humanities in Ukraine. (United States)

    Chomiak, Martha Bohachevsky


    Reports on the history of Ukraine, particularly the impact of Soviet political and cultural domination. Maintains that many Ukranian scholars currently use the new freedoms of expression to expound on their views rather than conduct true research. (CFR)

  4. Value of intensified nursing

    Directory of Open Access Journals (Sweden)

    Raymann, Cornelia


    Full Text Available The concept "intensified nursing" is mentioned in differentiation to concepts of "nursing care" or "nursing" which intensifies resources or patient contact. Especially psychic and social needs of patients are very appreciated in nursing. A similar type of nursing is known under the concept "advanced nursing practice" (ANP which means, that a specialised, academically trained nurse offers an extended nursing care in which a focus on the published knowledge of evidence based research is made.From the thin literature to this topic a selection of predetermined topics was analysed where at least two articles with a sufficient high methodical quality were available. The selected topic groups were: „Infant and paediatric nursing", "gerontology" and "oncology". Generally the five publications concerning infant and paediatric nursing could conclusive show a benefit of intensified nursing. Further research is still needed to prove intensified nursing care. Two publications could be found to the gerontological intensified nursing; both used an extended nursing model and an enlarged use of resources. Both studies demonstrated a measurable success in the applied parameters. Two studies also could be analysed in the oncological field in which successes were also provable by the applied parameters. The success was given especially in a higher patient satisfaction, one study showed an improved scheduling (time planning of nurses. There was not one article concerning economic questions of intensified nursing care. It has to be taken into account that the financial resources have to be used effectively also in nursing nowadays. It has to be assumed that the costs are driven by increased use of resources. Savings can be achieved, however, in the form of avoided therapies and days in hospital by intensified nursing. The intensified nursing can be considered as similar cost-effective as conventional models of nursing. Ethically it is necessary to consider that the

  5. Meals in nursing homes

    DEFF Research Database (Denmark)

    Kofod, Jens Erik; Birkemose, A.


    Undernutrition is present among 33% of nursing home residents in Denmark. Hence, it is relevant to examine the meal situation at nursing homes to single out factors that may increase or reduce the residents' food intake. in the ongoing Danish nursing home debate it is claimed that a new type...... of nursing home improves the residents' meal situation with a positive effect on nutrition. The aim of this work is to test the general hypothesis that (i) residents appreciate the meal situation in these nursing homes and (ii) nutritional status of the residents is improved in this type of nursing home....... This study was carried out in four Danish nursing homes at various locations in Denmark. The methods used are qualitative interviews and observations at four nursing homes in combination with measurement of body mass index (BMI) at two of the four nursing homes. Undernutrition is defined as a BMI below 20...

  6. Using Nursing Languages in School Nursing Practice. Second Edition (United States)

    Denehy, Janice


    The purpose of this updated manual is to define and describe standardized nursing languages, highlight how nursing languages are a part of the nursing process, and illustrate through case examples how nursing languages are used in school nursing practice. This manual also summarizes the history and development of three nursing classifications, the…

  7. Nursing Home Work Practices and Nursing Assistants' Job Satisfaction (United States)

    Bishop, Christine E.; Squillace, Marie R.; Meagher, Jennifer; Anderson, Wayne L.; Wiener, Joshua M.


    Purpose: To estimate the impact of nursing home work practices, specifically compensation and working conditions, on job satisfaction of nursing assistants employed in nursing homes. Design and Methods: Data are from the 2004 National Nursing Assistant Survey, responses by the nursing assistants' employers to the 2004 National Nursing Home Survey,…

  8. Leadership and nurse retention: the pivotal role of nurse managers. (United States)

    Anthony, Mary K; Standing, Theresa S; Glick, JoAnn; Duffy, Martha; Paschall, Fran; Sauer, Mary R; Sweeney, Denise Kosty; Modic, Mary Beth; Dumpe, Michelle L


    As the link between executives and bedside nurses, nurse managers assume roles that bridge both organizational and professional goals. Nurse retention is one of the many responsibilities that characterize the nurse manager's work. To better understand the pivotal role of nurse managers, the authors describe the views of 32 nurse managers regarding their roles and the characteristics they need to promote retention.

  9. Scholarship in nursing: Degree-prepared nurses versus diploma ...

    African Journals Online (AJOL)

    Background: The nursing profession needs nurses with a higher level of education and not merely more nurses to enhance patient outcomes. To improve quality patient care the nursing discipline needs to be advanced through theory development and knowledge generation, thus graduate nurses. Nursing scholarship ...

  10. The future nursing voice. (United States)

    Tschudin, Verena


    Based on some articles in the journal Nursing Ethics, the author outlines some of the areas of major importance for nursing in the future. These areas--the care of elderly people, long-term home-based care, genetics, international research and conflict and war--demand a new voice of nursing, which is a political voice. The rationale for a political voice is the ICN Code of ethics for nurses and the fourfold responsibilities laid on nurses: to promote health, to prevent illness, to restore health, and to alleviate suffering. Some indications are given on how nurses can engage in political work.

  11. Ensayos argumentativos en inglés como lengua extranjera y su escritura como una práctica social situada: revisión de conceptos EFL argumentative essay writing as a situated-social practice: review of concepts

    Directory of Open Access Journals (Sweden)

    Pedro Antonio Chala

    Full Text Available Resumen Este artículo presenta una discusión sobre las tendencias teóricas que ven la escritura de ensayos argumentativos en inglés lengua extranjera como práctica social situada. Los conceptos que se exploran en este documento constituyen la base de una propuesta de investigación que aborda la escritura argumentativa desde una perspectiva innovadora, social, situada, y basada en la enseñanza de géneros que se puede ver como una alternativa para fomentar la escritura de ensayos en inglés lengua extranjera como una práctica social situada que trascienda los límites del salón de clase. La discusión de los conceptos se visualiza primero desde la teoría de aprendizaje de una segunda lengua y los dominios de la lingüística aplicada que fundamentan la propuesta. Luego se presentan, se exploran y se explican los conceptos centrales; éstos incluyen, primero, la escritura como práctica social situada, segundo, la escritura de ensayos argumentativos como un proceso dinámico de creación, y tercero, el género como acción social situada. Finalmente, el artículo presenta una reflexión sobre cómo estos conceptos se pueden entender e interrelacionar para que la escritura de ensayos argumentativos sea abordada como una práctica de alfabetización que contribuya a la formación de estudiantes de inglés lengua extranjera como escritores reflexivos, críticos y sociales.Abstract This article presents a discussion on the theoretical trends that see EFL argumentative essay writing as a situated social practice. The concepts explored in this paper constitute the basis for a research-based proposal that approaches argumentative writing from an innovative social, situated, and genre-based perspective and that can be viewed as an alternative to encourage EFL essay writing as a social practice in and beyond the classroom bounds. The conceptual discussion is first viewed from the second language learning theory and applied linguistics domains

  12. [Aging nurses. Reorganizing work to retain nurses]. (United States)

    Curchod, Claude


    The nurse population is growing old in most occidental countries. Facing the physical and psychological loud of their job, many nurses aspire to get retired before the legal age. Such a process is likely to increase the present nursing shortage and so to endanger the care access for a part of the population. Different concepts such the Work ability or the Age management have been developed to allow a better response the professionals' needs. Their offer models and tools to redesign the work organization in a way so that nurses would be able to stay at work in good conditions. These approaches require nevertheless a real political and organizational willingness.

  13. Call to Action for Nurses/Nursing

    Directory of Open Access Journals (Sweden)

    Shahirose S. Premji


    Full Text Available The 13 million nurses worldwide constitute most of the global healthcare workforce and are uniquely positioned to engage with others to address disparities in healthcare to achieve the goal of better health for all. A new vision for nurses involves active participation and collaboration with international colleagues across research practice and policy domains. Nursing can embrace new concepts and a new approach—“One World, One Health”—to animate nursing engagement in global health, as it is uniquely positioned to participate in novel ways to improve healthcare for the well-being of the global community. This opinion paper takes a historical and reflective approach to inform and inspire nurses to engage in global health practice, research, and policy to achieve the Sustainable Development Goals. It can be argued that a colonial perspective currently informs scholarship pertaining to nursing global health engagement. The notion of unidirectional relationships where those with resources support training of those less fortunate has dominated the framing of nursing involvement in low- and middle-income countries. This paper suggests moving beyond this conceptualization to a more collaborative and equitable approach that positions nurses as cocreators and brokers of knowledge. We propose two concepts, reverse innovation and two-way learning, to guide global partnerships where nurses are active participants.

  14. Call to Action for Nurses/Nursing (United States)

    Premji, Shahirose S.; Hatfield, Jennifer


    The 13 million nurses worldwide constitute most of the global healthcare workforce and are uniquely positioned to engage with others to address disparities in healthcare to achieve the goal of better health for all. A new vision for nurses involves active participation and collaboration with international colleagues across research practice and policy domains. Nursing can embrace new concepts and a new approach—“One World, One Health”—to animate nursing engagement in global health, as it is uniquely positioned to participate in novel ways to improve healthcare for the well-being of the global community. This opinion paper takes a historical and reflective approach to inform and inspire nurses to engage in global health practice, research, and policy to achieve the Sustainable Development Goals. It can be argued that a colonial perspective currently informs scholarship pertaining to nursing global health engagement. The notion of unidirectional relationships where those with resources support training of those less fortunate has dominated the framing of nursing involvement in low- and middle-income countries. This paper suggests moving beyond this conceptualization to a more collaborative and equitable approach that positions nurses as cocreators and brokers of knowledge. We propose two concepts, reverse innovation and two-way learning, to guide global partnerships where nurses are active participants. PMID:27144160

  15. [Standardized nursing language: the bedrock of computerized nursing records]. (United States)

    Wu, Wan-Ru; Chen, Jih-Yuan; Chen, Chung-Hey


    Taiwan is currently in the initial phase of implementing a nursing information system. In order to successfully achieve effective communications across dispersed and diverse populations, care settings, and locations, standardized language within the nursing profession must be established and promoted. However, standardized nursing language is not well known among Taiwanese nurses. This article introduces the definition of standardized nursing language, the importance of standardized nursing language to the nursing profession, and the relationship between nomenclatures and standardized nursing language. Additionally, twelve language standards recognized by the American Nurse Association and the ICNP (International Classification for Nursing Practice) developed by International Council of Nurses are briefly introduced. In Taiwan, although cross-mapping of ICNP terms with handwritten nursing records has been done, further research must be done to reach practical conclusions. The authors hope this article will help Taiwanese nurses learn more about standardized nursing language and, consequently, contribute more toward the implementation of the nursing information system in Taiwan.

  16. The nurse match instrument: Exploring professional nursing identity and professional nursing values for future nurse recruitment. (United States)

    Mazhindu, Deborah M; Griffiths, Lauren; Pook, Carol; Erskine, Allen; Ellis, Roger; Smith, Fleur


    From April 1st 2015 it will be mandatory for Higher Education Institutions (HEI) in the United Kingdom (UK) providing pre-qualifying health care higher education to use a Values Based Recruitment (VBR) tool, to ensure only the candidates with the "right" personal identity and values commensurate with the Professional Identity of Nursing (PIN) are accepted for nurse education. "Nurse Match" instrument was developed to enhance the recruitment and selection of candidates for pre-qualifying nursing. Action Research into PIN commenced with voluntary, purposive, convenience samples of qualified nurses (n = 30), Service Users (N = 10), postgraduate diploma nurses in mental health (N = 25), third year mental health branch students (N = 20) and adult and child student nurses in years 2 and 3 (N = 20) in Focus Groups. Data collection and analysis occurred concomitantly between July 2013 and October 2014, aided by NVivo 10 software and revealed Key Quality Indicators (KQIs) of the social construction of PIN. Construct development included a literature review spanning the last fifteen years, which identified four main themes; 1. Nursing's ethics and values. 2. Nursing's professional identity and caring. 3. Nursing's emotional intelligence. 4. Nursing's professionalism. Nurse Match offers an evidence-based enhancement to VBR, for future nurse recruitment locally, nationally and internationally. Copyright © 2016 Elsevier Ltd. All rights reserved.

  17. National Nursing Home Survey (United States)

    The National Nursing Home Survey provides includes characteristics such as size of nursing home facilities, ownership, Medicare/Medicaid certification, occupancy rate, number of days of care provided, and expenses.

  18. Exploring improvisation in nursing. (United States)

    Hanley, Mary Anne; Fenton, Mary V


    Improvisation has long been considered a function of music, dance, and the theatre arts. An exploration of the definitions and characteristics of this concept in relation to the art and practice of nursing provide an opportunity to illuminate related qualities within the field of nursing. Nursing has always demonstrated improvisation because it is often required to meet the needs of patients in a rapidly changing environment. However, little has been done to identify improvisation in the practice of nursing or to teach improvisation as a nursing knowledge-based skill. This article strives to explore the concept of improvisation in nursing, to describe the characteristics of improvisation as applied to nursing, and to utilize case studies to illustrate various manifestations of improvisation in nursing practice.

  19. [Nursing motivation leadership]. (United States)

    Chen, Ia-Ling; Hung, Chich-Hsiu


    The concept of "patients treated as guests" is emphasized in today's medical service and patient-center nursing care. However, with rapid changes in health insurance and hospital accreditation systems as well as increasing consumer awareness, the nurse manager must both efficiently relieve the working pressure of nurses and motivate them. However, it would be an extreme challenge for nurse managers to build a team in which each member works in a self-fulfilling work environment and achieves a high quality of care. This article presents several theories and techniques that relate to motivation strategies. These strategies can serve as a guide and a reference for nurse managers to inspire teamwork and raise morale. It can be expected that increasing nurse satisfaction, performance, and care quality will decrease turnover and desertion rates. Hopefully, this article will assist nurse managers to become better leaders and to achieve success in providing efficient services and good of nursing care quality.

  20. Community Nursing Home (CNH) (United States)

    Department of Veterans Affairs — The Community Nursing Home (CNH) database contains a list of all Community Nursing Home facilities under local contract to Veterans Health Administration (VHA). CNH...

  1. Nursing Home Quality Initiative (United States)

    U.S. Department of Health & Human Services — This Nursing Home Quality Initiative (NHQI) website provides consumer and provider information regarding the quality of care in nursing homes. NHQI discusses quality...

  2. American Nephrology Nurses' Association (United States)

    ... Help Join/Renew Jobs Contact Corporate Shop American Nephrology Nurses Association About ANNA Association About ANNA Strategic ... Activities CExpress Events National Events Chapter / Local Events Nephrology Nurses Week ANNA Education Modules CKD Modules Education ...

  3. A nursing bioethics program. (United States)

    Albrizio, M A; Ozuna, J; Mattheis, R; Saunders, J


    In 1985 the Seattle Veterans' Administration Medical Center nursing service implemented a nursing program for bioethics with three goals: (1) to expand the nurse's knowledge of bioethical principles, (2) to develop the nurse's ability and confidence in analyzing bioethical dilemmas, and (3) to increase bioethical application at the bedside. Two psychosocial clinical nurse specialists (CNSs) led this highly successful nursing program that prepared nurses to more actively and responsibly participate in bioethical decision making within the medical center. The program offers an annual workshop for new members, holds a monthly discussion group, conducts a yearly enrichment program, and completes an annual evaluation report. This article describes nursing service bioethics program from planning through evaluation and the role of the CNS as program coordinator, facilitator, and educator in the expanding field of bioethics.

  4. Ageism in nursing. (United States)

    Kagan, Sarah H; Melendez-Torres, G J


    Ageism in health care delivery and nursing poses a fundamental threat to health and society. In this commentary, implications of age discrimination are presented to generate an agenda for action in nursing management. In nations like the United States and the United Kingdom, nursing is an ageing profession caring for an ageing society where age discrimination takes many forms and has broad impact. This commentary critically synthesizes the literature on ageism and relevant data on ageing societies for nurse managers and other leaders. Investigations of ageism suggest that discrimination negatively affects health and results in poor health care experiences. Age discrimination is present in nursing, exacerbating workforce shortages and limiting the use of expertise within the profession. Nursing faces a future for which understanding ageing societies and ageism is essential. An agenda for the future is proposed. Nurse managers possess the power to enact an agenda for combating ageism in health care and nursing. © 2013 John Wiley & Sons Ltd.

  5. Nurse leaders' responsibilities in supporting nurses experiencing difficult situations in clinical nursing. (United States)

    Honkavuo, Leena; Lindström, Unni Å


    To make nurse leaders aware of different kinds of difficult situations in clinical nursing that may cause suffering to nurses and to discuss how nurse leaders can approach and alleviate this suffering. Difficult situations are a part of clinical nursing. Nurses are repeatedly exposed to situations that may cause them suffering and reduce their ability to serve the patients. Data collection was based on a sample of semi-structured face-to-face deep interviews with eight nurses who were encouraged to narrate their lived experiences of difficult situations in clinical nursing. Nurses want to discuss issues connected to nursing and caring science that emerge in clinical nursing with their nurse leaders. Painful memories and thoughts are often related to patients struggling between life and death, the despair of families and friends, and their hovering between hope and hopelessness. The results do not support the notion that nurses would request other kinds of support or debriefing. The mission of nursing is to serve, console and alleviate human suffering. Nurse leaders carry a responsibility to create such evidence-based caring cultures that support the mission of nursing. Nurse leaders' understanding, sympathetic attitude, ethical value basis, personality and ability to discuss are important aspects for nurses. Through the support from nurse leaders, it seems possible to alleviate the nurse's suffering in clinical nursing. Implications for Nursing Management Nurse leaders' support creates a foundation for the nurses' professional development. © 2012 John Wiley & Sons Ltd.

  6. Supporting nurse manager certification. (United States)

    Rees, Susan; Glynn, Michele; Moore, Rebecca; Rankin, Rebecca; Stevens, Linda


    Professional certification is desirable for nursing staff and leaders to demonstrate high levels of knowledge and expertise. Nurse managers can be role models for staff by attaining certification. The organization highlighted in this article developed a process that included an in-house nurse manager certification review course resulting in increased certification rates from 33% to 50% for nurse managers in a 14-month period.

  7. Literary ethnographic writing as sympathetic experiment

    DEFF Research Database (Denmark)

    Dalsgaard, Anne Line

    not propose a radical turn towards literary writing in anthropology. Rather, I suggest that we include the courage of imagination inherent to literature and the accompanying doubt into our existing endeavor, if not for anything else, then for the sake of a more human relationship with our so-called informants....

  8. Creative writing as a medical instrument. (United States)

    Baruch, Jay M


    Listening and responding to patients' stories for over 20 years as an emergency physician has strengthened my appreciation for the many ways that the skills and principles drawn from writing fiction double as necessary clinical skills. The best medicine doesn't work on the wrong story, and the stories patients tell sometimes feel like first drafts-vital and fragile works-in-progress. Increasingly complex health challenges compounded by social, financial, and psychological burdens make for stories that are difficult to articulate and comprehend. In this essay, I argue that healthcare providers need to think like creative writers and the skills and sensitivities necessary to story construction deserve a vital space in medical education. A thorough understanding of story anatomy and the imaginative flexibility to work stories into open spaces serve as antidotes to the reductive nature of clinical decision making and have implications as patient safety and risk management strategies. The examples that I have selected demonstrate how thinking like a creative writer functions at the bedside, providing tools for clinical excellence and empathy. This approach asks that we re-imagine the importance of story in clinical care: from a vehicle to a diagnosis to its place as a critical destination.

  9. Post Impressions: Music Writing as Bent Travelogue

    Directory of Open Access Journals (Sweden)

    Hollis Taylor


    Full Text Available The wind is our universal musician and has been recognized as such for millennia. If the wind can play a fence as an aeolian harp, then a violinist armed with a bow could also cause these gigantic structures to sing. Thus, an American woman and an Australian man set out to explore and perform on the giant musical instruments covering the continent of Australia: fences. This presentation excerpts highlights from the voyage, illuminating the range of sounds to be drawn out of a five-wire fence. Playing fences reveals a sound world that is embedded in the physical reality and the psyche of the culture. In pursuit of their instruments, including the Rabbit-Proof Fence and the 5300-kilometre–long Dingo Fence, the duo travels 40,000 kilometres, engaging with a singing dingo, an auctioneer, an Aboriginal gumleaf virtuoso, bush musicians, the first (now ruined piano in Central Australia, and the School of the Air’s distorted, modulating, phasing white and pink electronic noise. PLEASE NOTE: there are four supplementary files that accompany this contribution. Click on the tab 'Supplementary Files' on the right hand side of the screen when accessing the pdf of the article.

  10. The Lettered City: the writing as Politic

    Directory of Open Access Journals (Sweden)

    Patricio Landaeta Mardones


    Full Text Available The intellectuals, has been pushed by the necessity of justify the link between territorial and civil order, or, occupying a place within the power, they ensured their autonomy, making sensible the imminence of the “ideal city”? We will try to expose the second way, more evident after the expulsion of the empire, when writers essay to discover the signs of the common spirit that formed people's soul

  11. Nurse-led discharge. (United States)

    Page, Carole


    Delayed discharges have financial implications for hospital trusts and cause dissatisfaction for patients and their families. This article looks at nurse-led discharge pathways at Milton Keynes Hospital's ambulatory care unit. It explains how giving nurses the responsibility to discharge has improved the patient experience, made nurses more accountable and saved money for the trust.

  12. Global nursing shortages


    Buchan, James


    Nursing shortages in the United Kingdom and elsewhere have been a repetitive phenomenon, usually due to an increasing demand for nurses outstripping static or a more slowly growing supply. Demand continues to grow, while projections for supply point to actual reductions in the availability of nurses in some developed and developing countries.

  13. Nurses' Attitudes toward Suicide. (United States)

    Alston, Maude H.; Robinson, Beverly H.


    Examined whether nurses' attitudes toward suicide are based on clinical specialty, age, and degree completed. Findings from 184 nurses revealed no significant differences between clinical specialty groups. Age and degree were significant only on Right to Die scale. Older nurses and those with advanced degrees were more likely to agree with…

  14. Marginalization and School Nursing (United States)

    Smith, Julia Ann


    The concept of marginalization was first analyzed by nursing researchers Hall, Stevens, and Meleis. Although nursing literature frequently refers to this concept when addressing "at risk" groups such as the homeless, gays and lesbians, and those infected with HIV/AIDS, the concept can also be applied to nursing. Analysis of current school nursing…

  15. [Nurse prescribing in France]. (United States)

    Brissy, Stéphane


    While the ability to prescribe has long remained outside the scope of nursing practice in France, successive changes to legislation have resulted in the real activities of nurses in this field to be taken into account. This constitutes an evolution in the nursing profession from a legal perspective. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  16. [Training for nurse coordinators in nursing homes]. (United States)

    Martin, Jean-René


    For the last three years, the Poitou-Charentes regional health agency has organised and funded training for nurse coordinators in nursing homes. The training programme, created in partnership with the Poitiers healthcare manager training institute, enables professionals with multiple responsibilities and missions, who deserve greater recognition, to acquire the necessary skills. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  17. 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…

  18. Genomic Competencies for Nursing Practice: Implications for Nursing Leadership. (United States)

    Boyd, Andrea M; Alt-White, Anna C; Anderson, Gwen; Schaa, Kendra L; Kasper, Christine E


    Nurses must have appropriate knowledge and skills to provide safe and effective nursing care in recognition of evolving science. Knowledge of genomics is required to ensure appropriate referral and education of patients who would benefit from genetic services. This article describes the process the Veterans Healthcare Administration's (VHA's) Office of Nursing Services used to determine the nursing genomic competencies appropriate for VHA nurses and identify available resources for educating nurses on these nursing competencies and a strategic plan for long-term implementation.

  19. Nurses' medication work: what do nurses know? (United States)

    Folkmann, Louise; Rankin, Janet


    The aim of this study is to provide an overview of the way that medication work is conceptualised in the literature and introduce a cautionary note into the enthusiasm with which nurses' medication work is currently being reformed. This article is an overview outlining how nurses' medication work is discursively organised and known about authoritatively. There is a great deal of safety and coordination work that nurses undertake in relation to the 'task' of administering medications that remains hidden and misunderstood in the dominant ways that knowledge about medication administration is structured. Technological innovations are eagerly embraced, but we posit that these strategies may be having an impact on nursing work with medications in unknown and potentially deleterious ways. We develop a critical analysis of the discursively limiting frameworks of biomedical science, law, management and safety through which nurses' medication practices are currently framed. This analysis provides insight into the ideologies and power relations that are taken up by nurses. The analytic work presented here informs an institutional ethnographic study that, at the time of this publication, is currently in the first stage of data collection. The study promises to contribute new knowledge about medication work as nurses know it. A discursive paper including a selective critical analysis of the descriptive, theoretical and empirical literature. Databases were searched using the keywords medication work, medication administration and medication error. The enthusiasm with which technological innovations are being introduced must be tempered with equal attention to the impact that this has on nursing work. The way that medication work is conceptualised is constraining and covers over much of what actually happens in everyday nursing practice. Technological innovations change practice, often in unintended or unknown ways. Explicating the actuality of medication work offers an enhanced

  20. Leadership styles in nursing. (United States)

    Cope, Vicki; Murray, Melanie


    Nurses are often asked to think about leadership, particularly in times of rapid change in healthcare, and where questions have been raised about whether leaders and managers have adequate insight into the requirements of care. This article discusses several leadership styles relevant to contemporary healthcare and nursing practice. Nurses who are aware of leadership styles may find this knowledge useful in maintaining a cohesive working environment. Leadership knowledge and skills can be improved through training, where, rather than having to undertake formal leadership roles without adequate preparation, nurses are able to learn, nurture, model and develop effective leadership behaviours, ultimately improving nursing staff retention and enhancing the delivery of safe and effective care.

  1. The future nursing voice




    Based on some articles in the journal Nursing Ethics, the author outlines some of the areas of major importance for nursing in the future. These areas - the care of elderly people, long-term home-based care, genetics, international research and conflict and war - demand a new voice of nursing, which is a political voice. The rationale for a political voice is the ICN Code of ethics for nurses and the fourfold responsibilities laid on nurses: to promote health, to prevent illness, to restore h...

  2. Wildfire Disasters and Nursing. (United States)

    Hanes, Patricia Frohock


    Multiple factors contribute to wildfires in California and other regions: drought, winds, climate change, and spreading urbanization. Little has been done to study the multiple roles of nurses related to wildfire disasters. Major nursing organizations support disaster education for nurses. It is essential for nurses to recognize their roles in each phase of the disaster cycle: mitigation, preparedness, response, and recovery. Skills learned in the US federal all-hazards approach to disasters can then be adapted to more specific disasters, such as wildfires, and issues affecting health care. Nursing has an important role in each phase of the disaster cycle. Copyright © 2016 Elsevier Inc. All rights reserved.

  3. [Homophobia among nursing students]. (United States)

    Campo-Arias, Adalberto; Herazo, Edwin; Cogollo, Zuleima


    Homophobia is defined as a general negative attitude towards homosexual persons, with implications on public health. This fact has been less investigated among nursing students. The objective of this review was to learn about the prevalence of homophobia and its associated variables among nursing students. A systematic review was performed on original articles published in EBSCO, Imbiomed, LILACS, MEDLINE, Ovid, and ProQuest, including articles published between 1998 and 2008 in English, Portuguese and Spanish. Keywords used were homophobia, homosexuality, and nursing students. Descriptive analysis was performed. Eight studies were analyzed. The incidence of homophobia in nursing students is between 7% and 16%. Homophobia is more common among males and religious conservatism people. Homophobia is quite frequent in nursing students. This negative attitude toward homosexuality may affect services and care giving by nursing professions and could have negative implications in nursing practice.

  4. On becoming a Nurse

    DEFF Research Database (Denmark)

    Thrysøe, Lars

      Ph.D. Student: Mlp. Lars Thrysøe   Enrolment: 1 September 2006   Project Title: "On becoming a nurse. A Study on the Expectations of Final Nursing Student And Their Experiences on Becoming Registered Nurses"   Supervisors: Professor Lis Wagner Dr.PH, RN, and Associate Professor Lise Hounsgaard...... students transitioning into their new roles as Registered Nurses, and how their interactions with other health personnel affect their experiences.   Background It is important to gain more knowledge about what characterizes this transition in order to better understand and counteract the current decline...... in number and marginalization of nurses.  National and international studies show that both final year nursing students and new Registered Nurses are unsure about the extent to which they can live up to the expectations set for them by the profession and to those expectations that they have set...

  5. Workplace bullying in nursing. (United States)

    Ovayolu, Ozlem; Ovayolu, Nimet; Karadag, Gulendam


    This research was designed to determine whether nurses are bullied by other staff members and the effects of such behaviors on the nurse victims. This study reports on nurses' interpersonal workplace relationships in a culturally unique environment. The study was conducted with 260 nurses working in three public hospitals. Data were collected using a questionnaire. The majority of nurses were female with bachelor's degrees and reported being assigned duties outside their usual responsibilities, held responsible for coworkers' mistakes, and criticized for job performance although they thought they had done their work properly. Most of the nurses who were bullied experienced health and sleep problems,did not want to go to work, and had communication problems with other staff members. Nearly all of the study nurses received psychological support to solve their problems and believed that the best way to prevent bullying was education.

  6. Iranian nurses self-perception -- factors influencing nursing image. (United States)

    Varaei, Shokoh; Vaismoradi, Mojtaba; Jasper, Melanie; Faghihzadeh, Soghrat


    The purpose of this study was to describe the perspectives of Iranian nurses regarding factors influencing nursing image. Nursing image is closely tied to the nurse's role and identity, influencing clinical performance, job satisfaction and quality of care. Images of nursing and nurses are closely linked to the cultural context in which nursing is practised, hence, this study explores how Iranian nurses perceive the factors that influence their own image. A descriptive study using a survey design was conducted with 220 baccalaureate qualified nurses working in four teaching hospitals in an urban area of Iran. A Nursing Image Questionnaire was used and analysed using descriptive and inferential statistics. In the domains of 'characteristics required for entry to work', 'social role characteristics of nursing' and 'prestige, economic and social status, and self image' the nurses had negative images. 'Reward' and 'opportunity for creativity and originality' were factors that least influenced choosing nursing as a career. The presence of a nurse in the family and working in the hospital had the greatest impact on the establishment of nurses' nursing image. Improving the nursing profession's prestige and social position as well as providing the opportunity for creativity and originality in nursing practice will change the self-image of Iranian nurses, facilitating effective and lasting changes in nursing's image. Nurse managers are well-placed to influence nurses' perceptions of nursing's image. Given the finding that thinking about leaving a job positively correlates with holding a negative nursing image, nurse managers need to consider how they can work effectively with their staff to enhance morale and nurses' experience of their job. © 2012 Blackwell Publishing Ltd.

  7. Nurses' perceptions of temporary nursing service agencies. (United States)

    Sorrentino, E A; Simunek, L A


    Temporary staffing agencies have indeed carved out a role for themselves, and our free enterprise system lends itself to the perpetuation of the entrepreneurial spirit in all: nurses, agencies, and hospitals alike. It is wiser to learn to work with current structure realizing that supply and demand plays an important role in the survival and success of agencies. Although there are problems associated with temporary nursing staffing, they are surmountable. Orientation programs, performance monitoring, ensuring accountability of both nurse and agency are but a few that can enhance utilization and quality of service.

  8. Academic Incivility in Nursing Education (United States)

    Marlow, Sherri


    A well-documented and growing problem impacting the nursing shortage in the United States is the increasing shortage of qualified nursing faculty. Many factors contribute to the nursing faculty shortage such as retirement, dissatisfaction with the nursing faculty role and low salary compensation (American Association of Colleges of Nursing (AACN),…

  9. Promotion or marketing of the nursing profession by nurses. (United States)

    Kagan, I; Biran, E; Telem, L; Steinovitz, N; Alboer, D; Ovadia, K L; Melnikov, S


    In recent years, much effort has been invested all over the world in nurse recruitment and retention. Issues arising in this context are low job satisfaction, the poor public image of nursing and the reluctance of nurses to promote or market their profession. This study aimed to examine factors explaining the marketing of the nursing profession by nurses working at a general tertiary medical centre in Israel. One hundred sixty-nine registered nurses and midwives from five clinical care units completed a structured self-administered questionnaire, measuring (a) professional self-image, (b) job satisfaction, (c) nursing promotional and marketing activity questionnaire, and (d) demographic data. The mean scores for the promotion of nursing were low. Nurses working in an intensive cardiac care unit demonstrated higher levels of promotional behaviour than nurses from other nursing wards in our study. Nurse managers reported higher levels of nursing promotion activity compared with first-line staff nurses. There was a strong significant correlation between job satisfaction and marketing behaviour. Multiple regression analysis shows that 15% of the variance of promoting the nursing profession was explained by job satisfaction and job position. Nurses are not inclined to promote or market their profession to the public or to other professions. The policy on the marketing of nursing is inadequate. A three-level (individual, organizational and national) nursing marketing programme is proposed for implementation by nurse leadership and policy makers. Among proposed steps to improve marketing of the nursing profession are promotion of the image of nursing by the individual nurse in the course of her or his daily activities, formulation and implementation of policies and programmes to promote the image of nursing at the organizational level and drawing up of a long-term programme for promoting or marketing the professional status of nursing at the national level. © 2015

  10. Psychological strain between nurses

    Directory of Open Access Journals (Sweden)

    Andrea Obročníková


    Full Text Available Aim: The aim of the study was to identify differences in perception of work (mental workload among nurses providing acute and chronic nursing care. Design: Study design is cross-sectional and descriptive. Methods: The sample of respondents consisted of 97 nurses working in departments Neurology, Anesthesiology and Intensive Care Unit of the hospital St. James in Bardejov, University Hospital of L. Pasteur in Košice and University Hospital J. A. Reiman in Prešov. To measure psychological strain, Meister's questionnaire for neuropsychological strain was used. Results: Increased psychological strain was observed in nurses providing acute care versus nurses providing chronic care, particularly in job satisfaction, long-term tolerance, time constraints, high responsibility, nervousness, fatigue and satiety. In comparison with the population norm, nurses in acute care achieved significantly higher indicators of factor I (strain and gross score as nurses in neurological care. A statistically significant relationship between psychological stress and age of nurses working in anesthesiology and intensive care departments was confirmed. Nurses with long term practical experience are exposed to intense mental stress (especially in the areas of strain and monotony. Conclusion: The results of our study suggest the reality that variable qualities of work related strain among nurses can lead to physical and emotional exhaustion.

  11. Nursing reality as reflected in nurses' poetry. (United States)

    Oiler, C


    In this discussion, the author has described a technique used in a pilot study where the research aim was to enhance understanding of nurses and their experiences--an understanding achieved from attention to nurses' expressions in poetry. There is a growing interest in qualitative approaches to the study of nursing phenomena and the development of nursing theory (Simms, 1981; Munhall, 1982; Oiler, 1982; Omery, 1983; Swanson and Chenitz, 1982). In fact, many of the techniques and strategies used by helping professionals to know their clients can be adapted in qualitative research procedures. For persons in the helping professions, a qualitative approach is consistent with the therapeutic process of coming to know a client. Human behavior is understood to be an expression of how individuals interpret their worlds. The task of the qualitative researcher is to capture this very process of interpretation in the subject's words, gestures, expressions, acts, and creations.

  12. Motivational incentives of nurses and nursing leadership


    Bakola H.; Zyga S.; Panoutsopoulos G.; Alikari V.


    Introduction: In the health sector which is characterized much more as a "labor intensive" rather than as "capital intensive" human capital is the core for improving efficiency, enhancing productivity and maximizing the quality of service. Purpose: The purpose of this paper is to highlight the need for motivating nurses, presenting a realistic framework of incentives as well as the role of nursing leadership in this. Method: Literature review was carried out based on research and ...

  13. Evidence Based Nursing. A new perspective for Greek Nursing


    Christina Ouzouni; Konstantinos Nakakis


    Despite the fact that nursing research has been developed in Greece, nevertheless the provision of nursing care is not based on current research findings, but rather on the knowledge gained by nurses during their undergraduate education. The transition of medicine in the last decade towards evidence based practice had definitely an impact on the nursing profession.The aim of this article is to briefly present evidence based nursing as a process and perspective to Greek nurses.Method: A litera...

  14. Assessing Nursing Students’ Need to Improve Nursing Education


    F Sharif; M Fooladi


    Background and purpose: Undergraduate education presents a period of transition and growth and requires the ability to adapt to many life changes. Many applicants admitted to a nursing program, but high rates of attrition have been experienced. This study is an attempt to assess the nursing students’ need on their nursing education.Methods: Focus groups were used to investigate nursing student’s perceptions and views on nursing education. The sample consisted of 120 nursing students selected ...

  15. Competency of Graduate Nurses as Perceived by Nurse Preceptors and Nurse Managers (United States)

    Wise, Vanessa


    As newly graduated associate degree nurses (ADN) and baccalaureate degree nurses (BSN) enter into the workforce, they must be equipped to care for a complex patient population; therefore, the purpose of this study was to address the practice expectations and clinical competency of new nurses as perceived by nurse preceptors and nurse managers.…

  16. Nurses' shift reports

    DEFF Research Database (Denmark)

    Buus, Niels; Hoeck, Bente; Hamilton, Bridget Elizabeth


    practices were described as highly conventionalised and locally situated, but with occasional opportunities for improvisation and negotiation between nurses. Finally, shift reports were described as multifunctional meetings, with individual and social effects for nurses and teams. CONCLUSION: Innovations...... in between-shift communications can benefit from this analysis, by providing for the many functions of handovers that are revealed in field studies. RELEVANCE TO CLINICAL PRACTICE: Leaders and practising nurses may consider what are the best opportunities for nurses to work up clinical knowledge......AIMS AND OBJECTIVES: To identify reporting practices that feature in studies of nurses' shift reports across diverse nursing specialities. The objectives were to perform an exhaustive systematic literature search and to critically review the quality and findings of qualitative field studies...

  17. 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.

  18. Spirituality in nursing practice. (United States)

    Rogers, Melanie; Wattis, John


    Spirituality is an important aspect of holistic care that is frequently overlooked. This is because of difficulties in conceptualising spirituality and confusion about how it should be integrated into nursing care. This article explores what is meant by spirituality and spiritually competent practice. It examines attitudes to spirituality, describes factors that might affect the integration of spirituality into nursing care and offers practical guidance to equip nurses to incorporate spirituality into their practice.

  19. Nursing interventions in inpatient psychiatry

    NARCIS (Netherlands)

    Frauenfelder, F.; Muller-Staub, M.; Needham, I.; Achterberg, T. van


    The successful application of the Nursing Interventions Classification (NIC) in inpatient psychiatry depends on whether the classification adequately describes nursing care in this setting. The present study aimed to identify nursing interventions mentioned in journal articles on psychiatric

  20. Preparation for Advanced Nursing Practice. (United States)

    Frik, Seigina M.; Pollock, Susan E.


    Lehman College's graduate nursing program uses theory-based courses to prepare advanced nurse practitioners. Students increase scholarly inquiry skills and clinical decision making; use of nursing conceptual models helped them plan and evaluate their practice. (SK)

  1. Films and nursing education

    Directory of Open Access Journals (Sweden)



    Full Text Available The purpose of this paper is to provide some ideas about the importance of film, with it’s audiovisual narrative, in the nursing education. The use of films during teaching gives the posibility to increase the construction of a professional view.The nursing carreer of Isalud University of Argentina is founded a sistematic work with cinematographic support. In this case are presented different ways of work with cinematographic support in a curricular space of Fundamentals of Nursing of the career of a professional Nurse of the Isalud University.

  2. [Nurses in print]. (United States)


    The paper presents an analysis of the articles on nursing personnel published from September 1989 till June 1990 in the two most widespread newspapers: II Corriere della Sera and La Republica. The nursing profession has been a very important object of nation as well as local chronicles, specifically during the nationwide "nursing emergency." It is striking however to see that nurses themselves are absent as subjects from the debate on the crisis of the profession. It is further underlined that journalists are very rough in their analyses of the cause of professional malaise and in the formulation and discussion of hypotheses for solution.

  3. Nurse manager engagement: what it means to nurse managers and staff nurses. (United States)

    Gray, Linda R; Shirey, Maria R


    To describe what nurse manager engagement means to nurse managers and staff nurses by incorporating an organizational dashboard to document engagement outcomes. Retaining engaged nurse managers is crucial for individual performance and organizational outcomes. However, nurse manager engagement is currently underreported in the literature. Existing data from the 2010 Employee Opinion Survey at the Baylor University Medical Center in Dallas, Texas, were used to measure staff engagement among 28 nurse managers and 1497 staff nurses. The data showed a 21% gap between manager and staff nurse engagement levels, with managers showing higher engagement levels than staff. No clear depiction of nurse manager engagement emerged. Consequently, an expanded definition of nurse manager engagement was developed alongside a beginning dashboard of engagement outcomes. The findings have implications for overcoming barriers that affect staff nurse engagement, improving outcomes, and creating definitions of nurse manager engagement.

  4. Nurses' views of patient participation in nursing care. (United States)

    Tobiano, Georgia; Bucknall, Tracey; Marshall, Andrea; Guinane, Jessica; Chaboyer, Wendy


    To explore nurses' views of patient participation in nursing care on medical wards. Nurses have frequent contact with patients, highlighting their potential role in enabling patient participation. However, some nurses' actions and attitudes act as barriers, failing to achieve core requirements of patient participation. Discovering nurses' views may assist in developing strategies to encourage patient participation in hospitals. Interpretive study. Twenty nurses were recruited from four medical wards, located in two Australian hospitals. In-depth semi-structured interviews were conducted between November 2013-March 2014 and analysed using content analysis. Five categories emerged from the nurses' views. The first category, acknowledging patients as partners, showed nurses respected patients as legitimate participants. In the second category, managing risk, nurses emphasized the need to monitor participation to ensure rules and patient safety were maintained. Enabling participation was the third category, which demonstrated nurses' strategies that enhanced patients' participation. The fourth category was hindering participation; encapsulating nurses' difficulty in engaging patients with certain characteristics. In the final category, realizing participation, nurses believed patients could be involved in physical activities or clinical communication. Nurses have a crucial role in promoting patient participation. Through acknowledging and enabling participation, nurses may facilitate patient participation in a range of nursing activities. The nurse's role in enacting participation is complex, having to accommodate each patient's risks and characteristics, highlighting the need for good assessment skills. Education, policy and research strategies are essential to foster nurses' pivotal role in patient participation. © 2015 John Wiley & Sons Ltd.

  5. Nurse moral disengagement. (United States)

    Fida, Roberta; Tramontano, Carlo; Paciello, Marinella; Kangasniemi, Mari; Sili, Alessandro; Bobbio, Andrea; Barbaranelli, Claudio


    Ethics is a founding component of the nursing profession; however, nurses sometimes find it difficult to constantly adhere to the required ethical standards. There is limited knowledge about the factors that cause a committed nurse to violate standards; moral disengagement, originally developed by Bandura, is an essential variable to consider. This study aimed at developing and validating a nursing moral disengagement scale and investigated how moral disengagement is associated with counterproductive and citizenship behaviour at work. The research comprised a qualitative study and a quantitative study, combining a cross-validation approach and a structural equation model. A total of 60 Italian nurses (63% female) involved in clinical work and enrolled as students in a postgraduate master's programme took part in the qualitative study. In 2012, the researchers recruited 434 nurses (76% female) from different Italian hospitals using a convenience sampling method to take part in the quantitative study. All the organisations involved and the university gave ethical approval; all respondents participated on a voluntary basis and did not receive any form of compensation. The nursing moral disengagement scale comprised a total of 22 items. Results attested the mono-dimensionality of the scale and its good psychometric properties. In addition, results highlighted a significant association between moral disengagement and both counterproductive and citizenship behaviours. Results showed that nurses sometimes resort to moral disengagement in their daily practice, bypassing moral and ethical codes that would normally prevent them from enacting behaviours that violate their norms and protocols. The nursing moral disengagement scale can complement personnel monitoring and assessment procedures already in place and provide additional information to nursing management for designing interventions aimed at increasing compliance with ethical codes by improving the quality of the

  6. Hospital nurses' work motivation. (United States)

    Toode, Kristi; Routasalo, Pirkko; Helminen, Mika; Suominen, Tarja


    The knowledge surrounding nurses' work motivation is currently insufficient, and previous studies have rarely taken into account the role of many influential background factors. This study investigates the motivation of Estonian nurses in hospitals, and how individual and organisational background factors influence their motivation to work. The study is quantitative and cross-sectional. An electronically self-reported questionnaire was used for data collection. The sample comprised of 201 Registered Nurses working in various hospital settings in Estonia. Data were analysed using descriptive statistics, two-sample Wilcoxon rank-sum (Mann-Whitney) test, Kruskal-Wallis equality-of-populations rank test and Spearman's correlation. Both extrinsic and intrinsic motivations were noted among hospital nurses. Nurses were moderately externally motivated (M = 3.63, SD = 0.89) and intrinsically strongly motivated (M = 4.98, SD = 1.03). A nurses' age and the duration of service were positively correlated with one particular area of extrinsic work motivation, namely introjected regulation (p extrinsic motivation (p = 0.016) and intrinsic work motivation (p = 0.004). The findings expand current knowledge of nurses' work motivation by describing the amount and orientation of work motivation among hospital nurses and highlighting background factors which should be taken into account in order to sustain and increase their intrinsic work motivation. The instrument used in the study can be an effective tool for nurse managers to determine a nurse's reasons to work and to choose a proper motivational strategy. Further research and testing of the instrument in different countries and in different contexts of nursing is however required. © 2014 Nordic College of Caring Science.

  7. Comparison of head nurses and practicing nurses in nurse competence assessment


    Bahreini, Masoud; Moattari, Marzieh; Ahmadi, Fazlolah; Kaveh, Mohammad Hosein; Hayatdavoudy, Parichehr; Mirzaei, Mostafa


    BACKGROUND: Nurses play a crucial role in patient-care. Therefore, assessing nurses? clinical competence is essential to achieve qualified and safe care. The aim of this study was to determine and compare the competence assessments made by head nurses and practicing nurses in a university hospital in Iran in 2009. METHODS: A cross-sectional survey was conducted to make comparisons of both self-assessment of nurse competence as well as assessment made by their respective head nurses working in...

  8. Clinical Nursing Records Study (United States)


    effectiveness codes can be used for all controlled substances as well as PRN medications other than controlled substances, e.g., milk of magnesia...7C 270 7.,TAL 1 C,.. .C 1c((.C Uht [- IF MISSING UBSF’VATILNS 576 1-26 Table 27 CLINICAL NURSING RECORDS STUDY "OVERPRINTING THE NURSING DIAGNOSES ONTO

  9. Nursing activities score

    NARCIS (Netherlands)

    Miranda, DR; Nap, R; de Rijk, A; Schaufeli, W; Lapichino, G

    Objectives. The instruments used for measuring nursing workload in the intensive care unit (e.g., Therapeutic Intervention Scoring System-28) are based on therapeutic interventions related to severity of illness. Many nursing activities are not necessarily related to severity of illness, and

  10. The New Nurse Influentials. (United States)

    Kinsey, Dianne C.


    Reports on a survey of 42 nurse leaders, which is compared to a 1977 survey that used the same questionnaire with 71 nurse leaders. Results report the current trends in occupational positions, location, habits, travel, career emphasis, mentor activity, sources of influence, publishing, activism, and research. (CH)

  11. The Impaired Nurse. (United States)

    Morris County Vocational Technical School District, Denville, NJ.

    This mini-course for nurses is intended to establish an atmosphere conducive to the development of personal awareness of the ramifications of alcohol/substance abuse involving the nurse. Contents include the mini-course's goals and objectives, a course outline, copies of 11 handouts and a booklet written to provide information about nurse…

  12. Pediatric Endocrinology Nurses Society (United States)

    ... Springs 2018! Wednesday, May 16, 2018 ​​​​​​​​​​​​​​​​​​​​​​​​​​​ Journal of Pediatric Nursing The Journal of Pediatric Nursing provides original, peer-reviewed research that is ...


    African Journals Online (AJOL)


    Jul 10, 1971 ... We are also very much aware of the rapid strides that have been made in medical science during the past decade and thlS progress definitely affects our nursing pattern. It is impossible for one nurse to be trained in all the aspects reqUIred by the various branches of modern medicine. For example, it is not.

  14. Nursing in the South. (United States)

    Flitter, Hessel H.

    National needs for 1975 have been projected at 450 nurses per 100,000 population. For the South to reach a goal of 300 would require that graduations be increased by 1975 to nearly four times the number graduated in 1966. Practical nurse programs have nearly doubled since 1960; in the last six years, the number of associate degree programs has…

  15. [Nurse anesthetist in France]. (United States)

    Mizuno, Ju; Yann, Douchy; De Almeida, Sylvie; Deckert, Christine; Gauss, Tobias; Bonneville, Claire Tae; Merckx, Paul; Mantz, Jean


    We present the system of nurse anesthetist (Infirmier Anesthésiste Diplômé d'Etat: IADE) in France to the community of Japanese anesthesiologists. This French system with 70 years' history is older than the Japan Society of Anesthesiologists itself. There are 7000 nurse anesthetists in France now and the number of nurse anesthetists increases by 450-500 each year. Training to become a nurse anesthetist requires at least two years' experience as a general nurse and the general nurse must pass an examination after two years' special training in an anesthetistic nurse school to acquire the national certification. The nurse anesthetist's profession is regulated by French law. They work in a team with certified anesthesiologists. They can perform many kinds of anesthetic tasks including tracheal intubation and insertion of arterial catheter under the responsibility and supervision of certified anesthesiologists. The nurse anesthetists are not allowed to perform spinal, epidural, conduction and local anesthesia, although they can maintain these anesthesia and control these methods, e.g., by injecting local anesthetic agents through epidural catheter, following a specified prescription. The nurse anesthetists are not allowed to insert central venous and pulmonary artery catheters, although they can manage them. They are allowed to administer inhalation anesthetic agents, and inject venous anesthetic agents, muscle relaxants, their antagonists, and opioids by their own initiatives, but the decision for the use of catecholamine and emergency drugs is reserved to certified anesthesiologists. The nurse anesthetists perform other tasks preparing and checking anesthetic agents and equipment such as anesthetic machine, monitor, and defibrillator everyday, and sometimes use autologous blood recovery systems. The relationship between the certified anesthesiologist and the nurse anesthetist is marked by mutual respect, confidence and cooperation at each step of the anesthetic


    Directory of Open Access Journals (Sweden)

    K. M. H. Cavalcante


    Full Text Available Aimed to identify and discuss nursing diagnosis present in 50 Case Studies developed by students of graduation nursing of Federal University of Mato Grosso - Campus of Sinop, in a unit of clinical medical. Documentary research that addressed quantitatively the nursing diagnosis proposed using the Taxonomy II of NANDA-I (2009-2011. It was documented 82 different diagnosis, and covered all the 13 domains. The involvement of all the domains and the large variability of diagnoses identified suggested a possible holistic view of patient care and emphasized the individuality of the care plan. However, it may indicate an immaturity of these students, because often different diagnosis are related, and interventions set to one of these can solve the other, so opting for one avoids large health plans. Researchers and professors should conduct investigations and discussions to be identified teaching methods best suited to the teaching of the diagnostic process.

  17. Nursing Supervisors Perception on quality of Nursing Care in Ethiopia

    African Journals Online (AJOL)

    Guided by this perspective, the purpose of this study were to assess (a) any nursing imbalance and shortage and (b) the quality of nursing education and nursing care in Ethiopia. Methods: A cross-sectional approach was utilized. Health department supervisor nurse (or the equivalent) respondents (n= 70) were recruited ...

  18. Nurse managers' role in older nurses' intention to stay. (United States)

    Armstrong-Stassen, Marjorie; Freeman, Michelle; Cameron, Sheila; Rajacic, Dale


    The purpose of this paper is to propose and test a model of the underlying mechanisms linking perceived availability of human resource (HR) practices relevant to older nurses and older nurses' intentions to stay with their hospitals. Quantitative data were collected from randomly selected older registered nurses (N=660) engaged in direct patient care in hospitals in Canada. Structural equation modelling was used to test the hypothesized model. The relationship between perceptions of HR practices (performance evaluation, recognition/respect) and intentions to stay was mediated by the perceived fairness with which nurse managers managed these HR practices and nurse manager satisfaction. When nurse managers were perceived to administer the HR practices fairly (high perceived procedural justice), older nurses were more satisfied with their nurse manager and, in turn, more likely to intend to stay. The cross-sectional research design does not allow determination of causality. It is important that nurse managers receive training to increase their awareness of the needs of older nurses and that nurse managers be educated on how to manage HR practices relevant to older nurses in a fair manner. Equally important is that hospital administrators and HR managers recognize the importance of providing such HR practices and supporting nurse managers in managing these practices. The findings increase the understanding of how HR practices tailored to older nurses are related to the intentions of these nurses to remain with their hospital, and especially the crucial role that first-line nurse managers play in this process.

  19. 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. © 2014.

  20. Family nursing education and family nursing practice in Nigeria. (United States)

    Irinoye, Omolola; Ogunfowokan, Adesola; Olaogun, Adenike


    A survey of six Nigerian nursing program curricula was conducted to determine the extent to which family nursing theory was used as a reference for conceptualizing nursing care in Nigeria. In addition, 25 nurse clinicians were purposely selected from three levels of primary, secondary, and tertiary health care units in Ile-Ife, Nigeria, and were interviewed to determine the extent to which nurses in practice reported using family assessment tools in their practice. The survey of the postgraduate curricula showed that master's and doctorally prepared nurses specializing in community health nursing have a theoretical base in family nursing theory. The limited focus on family nursing theory in basic, postbasic, and first-degree nursing curricula was deemed inadequate to develop the knowledge and skills necessary for all practicing nurses to embrace family-focused care in Nigeria. In nursing practice, families were seen to be involved in nursing care only to the extent of meeting financial and physical care needs of their family members. Findings from this study point to the need for a reorientation of the nursing curricula in Nigeria to include more family nursing theory. Specialized education of family nurse practitioners who would function at all levels of care also is a desirable goal to provide holistic health care to Nigerian families.

  1. Concept caring in nursing

    Directory of Open Access Journals (Sweden)

    Lenka Drahošová


    Full Text Available Aim: The aim of this literature review was to search for qualitative studies focusing on the concept of caring in nursing, to analyse them and to synthesize knowledge that concerns the definition of the concept of caring in nursing from the point of view of nurses and patients. Design: Review. Methods: Qualitative studies were searched for systematically in the electronic databases Academic Search Complete (EBSCO, CINAHL, Medline, Science Direct, and the Wiley Library Online, according to set criteria and defined key words for the period 1970-2015. Seven selected articles were analysed after selection of documents with the aid of a sorting chart. Results: Nurses understand caring in nursing as a relationship with patients which is characterised on the nurses' part by an individual and empathetic approach, attentiveness, experience and sensitivity. Through caring, active communication takes place, providing information which reduces anxiety and leads to the breaking down of barriers. This relationship helps protect patients' autonomy, dignity and comfort. It requires experience on the part of nurses, and it is influenced by the environment. The nurses' personal qualities (what professional knowledge, attitudes and skills they have and their availability, reliability, and emotional and physical support are important to patients. Conclusion: The concept of caring is a content specific interpersonal process which is characterized by the professional knowledge, skills, personal maturity, and interpersonal sensitivity of nurses, which result in the protection, emotional support, and the meeting of bio-psycho-social needs of patients. The results of the overview study could contribute to an explanation and understanding of the nature of caring as a fundamental feature of the discipline of nursing.

  2. Interpersonal trust and empathy in nurse-nurse relationships. (United States)

    Northouse, P G


    The specific purpose of a study that examined interpersonal communication in ongoing nurse-nurse dyads was to ascertain the nature of the relationship between interpersonal trust and empathy in nurse-nurse interaction. Analysis of questionnaire data collected from a sample of 36 diploma school nursing instructors indicated slight correlations between specific trust and general trust and between general trust and empathy. A strong negative correlation was found between specific trust and empathy. Discussion centered on an explanation for the inverse relationship between specific trust and empathy and a proposed model for how trust functions in ongoing nurse-nurse dyads.

  3. The role of nurse educators in grooming future nurse leaders. (United States)

    Sherman, Rose O; Bishop, Mary


    The authors have found in their research that too often our current nurse leaders have "fallen into" their positions, rather than choosing nursing leadership as a career path. With the impending retirements of so many nurse leaders, there is a need for a more proactive approach to ensure the next generation of nurse leaders is ready to assume the leadership of our profession. Guiding the development of a leadership mindset and promoting nursing leadership as a career choice are two important strategies. Nurse educators are in a key position to influence students and start grooming our future nurse leaders. There is no time to waste.

  4. Decisional involvement: staff nurse and nurse manager perceptions. (United States)

    Scherb, Cindy A; Specht, Janet K P; Loes, Jean L; Reed, David


    Enhancing involvement in organizational decisions is one strategy to improve the work environment of registered nurses and to increase their recruitment and retention. Little is known about the type of decision making and the level of involvement nurses desire. This was a descriptive study exploring staff nurse and nurse manager ratings of actual and preferred decisional involvement and differences between staff nurses and nurse managers. A sample of 320 RNs from a Midwestern health care network was surveyed using the Decisional Involvement Scale. Nurse managers and staff nurses had statistically significant differences in their perceptions of who was involved in actual decision making in the areas of unit governance and leadership and collaboration or liaison activities. There were statistically significant differences in preferred decisional involvement between staff nurses and nurse managers in the overall DIS scale and the subscales of unit governance and leadership and quality of support staff practice.

  5. A concept analysis of holistic nursing care in paediatric nursing

    Directory of Open Access Journals (Sweden)

    A.A. Tjale


    Full Text Available Holistic nursing care is widely advocated and is espoused in the philosophy of the South African Nursing Council. This concept is unclear, variously interpreted and poorly understood in paediatric nursing. This study was undertaken to examine the meaning of holistic nursing care and to develop a framework for holistic nursing care, which can be utilised in nurse education settings and in clinical nursing practice in the context of paediatric nursing. A qualitative, interpretive, explorative and contextual research design was used. An evolutionary concept analysis was undertaken to clarify the concept “holistic nursing care” in paediatric nursing in three Johannesburg hospitals. Rodgers’ (1989, 2000 evolutionary method was utilised to analyse the concept.

  6. Critical care nursing. (United States)

    Dracup, K


    The research pertaining to the delivery of nursing care in the ICU was reviewed to describe: the impact of the unit structure and organization, including policies and procedures, on patients, nurses, and families; the process of critical care nursing; the outcomes of critical care nursing; some of the ethical issues germane to the care of the critically ill patient. Although these areas of inquiry are quite diverse, a number of similarities can be identified. The most obvious of the similarities was that, with few exceptions, the studies pertaining to delivery of nursing care were performed by researchers from a variety of disciplines other than nursing, including medicine, psychology, public health, and economics. In many instances, such as the studies of patients' stress experiences in ICUs, these efforts enhanced our knowledge of the phenomena and complemented or replicated the efforts of nurse researchers. Unfortunately, in some areas nurse researchers were quite absent, with the result that the studies lacked a nursing perspective. For example, the large body of knowledge related to the effects of critical care on patient outcome reflected medicine's orientation toward cure. While it is important to measure the effect of nursing care in the ICU on patient survival, the effect of nursing efforts on short- and long-term quality of life, functional status, and health maintenance is also critical and remains unknown. Nurse researchers need to build on the data base already acquired about critical care. Even more important, they need to fashion programs of research focused on the concepts central to the discipline of nursing. A second similarity relates to the increasing quality of the reported research over the past decade. In general, early descriptive studies were conducted in a single critical care unit with a small and often biased sample. These gave way to more carefully designed, multicenter studies, although lack of randomization procedures continued to be

  7. Leveraging data to transform nursing care: insights from nurse leaders. (United States)

    Jeffs, Lianne; Nincic, Vera; White, Peggy; Hayes, Laureen; Lo, Joyce


    A study was undertaken to gain insight into how nurse leaders are influencing the use of performance data to improve nursing care in hospitals. Two themes emerged: getting relevant, reliable, and timely data into the hands of nurses, and the leaders' ability to "connect the dots" in working with different stakeholders. Study findings may inform nurse leaders in their efforts to leverage data to transform nursing care.

  8. Entrepreneurship Psychological Characteristics of Nurses


    Mohammad Reza Dehghanzadeh; Golrasteh Kholasehzadeh; Masoumeh Birjandi; Ensieh Antikchi; Mohamad Reza Sobhan; Hossein Neamatzadeh


    Nurses are full partners with other health care professionals. Until fairly recently the scope of nurses potential in entrepreneurship has not been widely recognized. The present study tries to evaluate entrepreneurship psychological characteristics among nurses. The survey instrument included scales measuring entrepreneurship psychological characteristics including locus of control, need for achievement, risk taking propensity, ambiguity tolerance, and innovation, among nurses in the Shahid ...

  9. Clinical Wisdom among Proficient Nurses

    DEFF Research Database (Denmark)

    Uhrenfeldt, Lisbeth; Hall, Elisabeth


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

  10. Nursing phenomena in inpatient psychiatry

    NARCIS (Netherlands)

    Frauenfelder, F.; Muller-Staub, M.; Needham, I.; Achterberg, T. van


    Little is known about the question if the nursing diagnosis classification of North American Nursing Association-International (NANDA-I) describes the adult inpatient psychiatric nursing care. The present study aimed to identify nursing phenomena mentioned in journal articles about the psychiatric

  11. Nursing in transition in Kyrgyzstan. (United States)

    Pirnazarova, Guljahan; Schlickau, Jane


    Nursing practice and nursing education in Kyrgyzstan are described in this article. Since the breakup of the Soviet Union and the establishment of independence in 1991, health care in Kyrgyzstan has deteriorated. In response to the Manas Health Care Reform program initiated in 1996, nursing education is being upgraded and nurses are being retrained throughout the country.Comparisons of nursing education in Kyrgyzstan with the U.S. and Soviet programs are discussed. Challenges in upgrading nursing education to meet international standards and in obtaining an advanced degree in nursing are explained.

  12. Substance abuse disorders in nurses. (United States)

    Griffith, J


    Substance abuse is a serious concern in the profession of nursing. The American Nurses Association (1997) estimates that 10% to 20% of nurses have substance abuse problems, and that 6% to 8% of registered nurses are impaired due to their abuse of alcohol and other drugs. Chemical dependency is considered a disease that requires treatment. Early identification and treatment of the chemically dependent nurse is important for the safety of the public and for the well-being of the nurse and her profession. This article addresses substance abuse from a biopsychosocial perspective, and includes a description of an approach to treatment and suggestions for the role of nursing administration.

  13. An Integrative Review of Engaging Clinical Nurses in Nursing Research. (United States)

    Scala, Elizabeth; Price, Carrie; Day, Jennifer


    To review the literature for best practices for engaging clinical nurses in nursing research. Review of the research and nonresearch papers published between 2005 and 2015 that answered the evidence-based practice (EBP) question: what are the best practices for engaging clinical nursing staff in nursing research? PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Joanna Briggs Institute, and Cochrane were searched using a combination of controlled vocabulary and key words. Nineteen papers that answered the EBP question were selected for review. It can be difficult to involve clinical nurses in research. There are multiple factors to consider when nursing leadership looks to engage clinical nurses in nursing research. Nurse leaders can take many approaches to engage clinical nurses in research. Each organization must perform its own assessment to identify areas of opportunity. Nursing leadership can take these areas of opportunity to structure a multifaceted approach to support clinical staff in the conduct and dissemination of nursing research. The evidence from this review offers EBP recommendations as well as reports on the gaps in the literature related to best practices for engaging clinical nurses in nursing research. © 2016 Sigma Theta Tau International.

  14. Nursing interventions classification (NIC). (United States)

    Bulechek, G M; McCloskey, J C


    The Nursing Interventions Classification (NIC) is the first comprehensive classification of treatments that nurses perform. It is a standardized language of both nurse-initiated and physician-initiated nursing treatments. An alphabetical listing of 336 interventions was published in a book in May 1992 [Iowa Intervention Project, McCloskey, J. C., & Bulechek, G. M. (eds). Nursing Interventions Classification (NIC). St. Louis: Mosby-Year Book]. Each NIC intervention is composed of a label, a definition, a set of activities that a nurse does to carry out the intervention, and a short list of background readings. NIC interventions include: the physiological (e.g., Acid-Base Management, Airway Suctioning, Pressure Ulcer Care) and the psychosocial (e.g., Anxiety Reduction, Preparatory Sensory Information, Home Maintenance Assistance); illness treatment (e.g., Hyperglycemia Management, Ostomy Care, Shock Management), illness prevention (e.g., Fall Prevention, Infection Protection, Immunization/Vaccination Administration), and health promotion (e.g., Exercise Promotion, Nutrition Management, Smoking Cessation Assistance); and those used for individuals and those for families (e.g., Family Integrity Promotion, Family Support). Most recently, indirect care interventions (e.g., Emergency Cart Checking, Supply Management) have been developed. Research methods used to develop the classification include content analysis, expert survey, focus group review, similarity analysis, and hierarchical cluster analysis. The research, conducted by a large team of investigators at the University of Iowa and supported by the National Institute of Nursing Research, is ongoing. Since the 1992 publication, approximately 50 additional interventions have been developed, a taxonomic structure has been constructed and validated, a feedback and review system has been established and implemented, NIC interventions have been linked to nursing diagnoses, and five clinical agencies are serving as field

  15. The divergent opinions of nurses, nurse managers and nurse directors: the case in Lebanon. (United States)

    Badr, Lina; Rizk, Ursula; Farha, Randa


    The present study provides an overview of the status of the nursing profession in Lebanon and compares and contrasts the opinions of directors, nurse supervisors/managers and nurses regarding the nursing profession and the workplace. There are limited publications concerning the working conditions of nurses in Lebanon, and no studies on the views of directors, supervisors/managers and nurses regarding the priorities of the nursing profession. Such data are necessary to build a sound theoretical basis on which recommendations for improving the nursing profession in Lebanon are made as well as to compare and contrast cross cultural findings. Data were collected from 45 hospitals using a mixed methods design. Qualitative data was obtained from 45 nursing directors whereas quantitative data were collected from 64 nursing supervisors and 624 nurses. Similarities and differences in the opinions of nurses, nurse supervisors/managers and nurse directors regarding critical issues for the nursing profession are discussed and contrasted. Nurses are more likely to be satisfied and committed to their profession when they feel that their opinions are being heard and that their work environment promotes professional advancement.

  16. Nursing Practice Environment and Registered Nurses' Job Satisfaction in Nursing Homes (United States)

    Choi, JiSun; Flynn, Linda; Aiken, Linda H.


    Purpose: Recruiting and retaining registered nurses (RNs) in nursing homes is problematic, and little research is available to guide efforts to make nursing homes a more attractive practice environment for RNs. The purpose of this study was to examine relationships between aspects of the nursing practice environment and job satisfaction among RNs…

  17. Classification systems in nursing : Formalizing nursing knowledge and implications for nursing information systems

    NARCIS (Netherlands)

    Goossen, WTF; Epping, PJMM; Abraham, IL

    The development of nursing information systems (NIS) is often hampered by the fact that nursing lacks a unified nursing terminology and classification system. Currently there exist various initiatives in this area. We address the question as to how current initiatives in the development of nursing

  18. Scholarship in nursing: Degree-prepared nurses versus diploma-prepared nurses

    Directory of Open Access Journals (Sweden)

    Lizeth Roets


    Aim: The aim of this study being reported here was to establish whether degree-prepared nurses in South-Africa partake more often in scholarly activities than diploma-prepared nurses. Method: A cross-sectional descriptive design was used. The population was all professional nurses registered with the South African Nursing Council who obtained either a four year degree or four year diploma in nursing. Data were gathered from 479 respondents, using aself-administrative questionnaire. Results: Three times more nursing educators (n = 19 achieved a degree as first qualification than their colleagues (n = 6 who achieved a diploma as first qualification. All but one (n = 18 nursing educators who obtained a degree as first qualification are educators in the private sector that include both universities as well as nursing colleges of private hospital groups. Data further revealed that most nurse educators and those in managerial positions were degree prepared. More degree prepared nurses than diploma prepared nurses were actively involved in scholarly activities such as research (30,5% compared to 25,5% andimplementing best practice guidelines (62,2% compared to 55,9%. Conclusion: The global nursing crisis, nor the nursing profession, will benefit by only training more nurses. The profession and the health care sector need more degree prepared nurses to improve scholarship in nursing.

  19. Paradigma Baru Manajemen Occupational Health Nursing Dalam Pembelajaran Community of Nursing


    Hardy MN, Syaifoel


    PARADIGMA BARU MANAJEMEN OCCUPATIONAL HEALTH NURSING DALAM PEMBELAJARAN COMMUNITY OF NURSINGNew Paradigm of Occupational Health Nursing In Community NursingSyaifoel Hardy MNPost Grad.Hospital & Healthcare Management Occupational Health Chief Nurse-Qatar Petroleum, member of American Association of Occupational Health Nurse (AAOHN), Registered Nurse of Qatar. ABSTRAKOccupational Health Nurse (OHN) adalah registered nurse yang secara independen mampu mengobservasi serta melakukan assessment te...

  20. Presentation skills for nurses. (United States)

    Foulkes, Mark


    This article emphasises the importance of effective presentation skills. Such skills allow nurses to share knowledge and expertise and to communicate clearly in a range of workplace scenarios. Nurses are increasingly being asked to present in formal and informal situations, such as conferences, poster presentations, job interviews, case reports and ward-based teaching. This article explores the principles underpinning the development of these skills, discusses the situations in which they could be applied and demonstrates how nurses might improve and develop as presenters.

  1. Nursing and genetic biobanks. (United States)

    Sanner, Jennifer E; Yu, Erica; Udtha, Malini; Williams, Pamela Holtzclaw


    Biobanks function as vital components in genetic research, which often requires large disease-based or population-based biospecimens and clinical data to study complex or rare diseases. Genetic biobanks aim to provide resources for translational research focusing on rapidly moving scientific findings from the laboratory into health care practice. The nursing profession must evolve as genetic biobanking practices advance. Nursing involvement in genetic biobanking practices comes with a distinct set of educational, ethical, and practice competencies. In response to these growing competency standards, nursing science developed a conceptual framework and continues to study ethical considerations to guide genetic biobanking initiatives. Copyright © 2013 Elsevier Inc. All rights reserved.

  2. Crisis intervention for nurses. (United States)

    Chase, Emily


    Cancer diagnoses and treatments can be crisis-causing events that overwhelm the usual coping abilities of patients and their families. Oncology nurses constantly are observing and attending to patients' diverse needs, ranging from biomedical to emotional, social, and psychological. Nurses have the chance to be first responders in times of patient crises, as they are in the position to recognize the crisis, respond effectively, and transform the crisis into a pivotal learning experience. This article discusses a way to think about patient and family crises that empowers nurses to respond in a manner appropriate to the cultural context and respectful of the individual space of the patient.

  3. Comparing nurse managers and nurses' perceptions of nurses' self-leadership during capacity building. (United States)

    Jooste, Karien; Cairns, Lindi


    This paper compares the perceptions of nurse managers and nurses about self-leadership of professional nurses while taking ownership of capacity building during unit management. The Nursing Strategy for South Africa states that the competency of nurses is dependent upon factors that lead to capacity building. A quantitative design was followed by conducting a survey. The target population included nurse managers and professional nurses working at an academic public hospital in the Gauteng Province of South Africa. The findings indicate shortcomings in relation to advising professional nurses about self-direction while taking ownership of their daily pressures and stresses associated with unit management. Professional nurses should develop their confidence by focusing on their self-leadership strengths when managing a unit. Recommendations are made to promote self-leadership while taking ownership of nurses during capacity building of unit management. © 2014 John Wiley & Sons Ltd.

  4. Nurse Managers Speak Out About Disruptive Nurse-to-Nurse Relationships. (United States)

    Moore, Linda Weaver; Sublett, Cynthia; Leahy, Cathy


    The purpose of this study is to explore nurse managers' (NMs') perceptions regarding disruptive nurse-to-nurse relationships. Nurse managers play a pivotal role in creating and sustaining healthy practice environments. They must understand how to recognize and confront disruptive nurse relationships that can threaten the health of their units. A qualitative study design using researcher-participant interviews of 13 NMs from 5 institutions provided data regarding NMs' views on nurse relationships. Nurse managers reported how they became aware of disruptive nurse relationships, their strategies for dealing with those relationships, and the impact that confronting disruptive relationships had on them personally. Findings can be helpful to NMs who are faced with addressing disruptive nurse-to-nurse relationships as they endeavor to create and sustain healthy work environments.

  5. Can nurses trust nurses in recovery reentering the workplace? (United States)

    Cook, Lisa M


    To examine the ability of working direct care nurses to trust nurses in recovery from substance use (or abuse) disorders (SUDs) reentering the workplace. A researcher-designed quantitative survey was used to gather data. Nurses said that they've worked with a nurse with SUD at some time in their career. Nurses are willing to trust their recovering colleagues and strongly agree that nurses in recovery should be allowed to return to the healthcare profession. Many nurses don't know how to provide help or where to locate support such as assistance programs or alternative-to-discipline programs for their impaired colleagues. This study adds to the body of knowledge in the crucial issue of addiction in nursing. Healthcare institutions struggle with best practices in assisting nurses in recovery. By examining underlying issues such as trust, a better understanding of how to implement educational programs may emerge.

  6. Emotional intelligence and nursing performance among nursing students. (United States)

    Beauvais, Audrey M; Brady, Noreen; O'Shea, Eileen R; Griffin, Mary T Quinn


    Some scholars have proposed that the educational preparation of nurses can be improved by incorporating emotional intelligence lessons into the nursing curricula. However, the relationship between emotional intelligence and nursing performance in nursing students is unknown. The purpose of the study was to examine this relationship among nursing students. A descriptive correlational design with non-probability sampling methods of 87 nursing students in a university setting was conducted. The variables of focus were emotional intelligence and nursing performance. Emotional intelligence was measured with the Mayer-Salovey-Caruso Emotional Intelligence Test (MSCEIT). Nursing performance was measured using the Six Dimension Scale of Nursing Performance (6-D Scale). The sample was predominately Caucasian (91%), female (93%), mean age 24 years. The mean score for emotional intelligence was 0.53, SD ± 0.06 indicating moderate emotional intelligence. The mean score for nursing performance was 3.14, SD ± 0.40 indicating moderate nursing performance. Emotional intelligence was related to nursing performance. Four of the six nursing performance subscale scores were significantly correlated with the total emotional intelligence scores. Implications for nursing education and clinical practice are discussed. Copyright © 2010 Elsevier Ltd. All rights reserved.

  7. Establishing roles in genetic nursing: interviews with Canadian nurses. (United States)

    Bottorff, Joan L; McCullum, Mary; Balneaves, Lynda G; Esplen, Mary Jane; Carroll, June; Kelly, Mary; Kieffer, Stephanie


    The purpose of this qualitative study was to describe nurses' roles in providing clinical genetic services related to adult onset hereditary disease and factors that influence genetic nursing practice in Canada. The study involved semi-structured telephone interviews with 22 nurses from 5 Canadian provinces with full-time or part-time roles in providing genetic services. The interviews included open-ended questions to elicit descriptions of genetic nursing roles and factors that support and limit opportunities in genetic nursing practice. Thematic analysis of the transcribed interviews revealed that, in addition to genetic counselling, the nurses reported a wide range of roles and responsibilities related to the provision of genetic services that drew directly on their nursing background (e.g., patient assessment, health promotion). Factors identified as supporting genetic nursing roles included nursing background, being part of a multidisciplinary team, and receiving mentorship. Challenges in establishing roles in genetic nursing were related to role ambiguity, lack of recognition of nursing expertise, limited availability of genetics education, isolation, and instability of nursing positions. Recommendations to support the development and expansion of genetic nursing practice were identified. A coordinated national effort among all stakeholders is needed to provide the resources necessary to support the appropriate and effective use of nursing expertise as genetics is integrated into the Canadian health-care system.

  8. Nurse-patient communication barriers in Iranian nursing. (United States)

    Anoosheh, M; Zarkhah, S; Faghihzadeh, S; Vaismoradi, M


    Providing effective communication with patients is an essential aspect of nursing care. Understanding the barriers that inhibit nurse-patient communication can provide an opportunity to eliminate them. To investigate nurse-patient and environment-related communication barriers perceived by patients and nurses in Iranian nursing. A descriptive survey was carried out in three randomly selected educational hospitals in a large urban city in Iran. Data were collected by questionnaire; the study sample consisted of 61 patients and 75 nurses. Participants were asked to rate the importance of each communication barriers item. Finally, data were analysed using descriptive statistics, and to compare the perceived importance of communication barriers between patients and nurses, item means were calculated and the t-test for independent samples was applied. Similarities and differences between the two groups were identified. According to nurses' views, 'heavy nursing workload', 'hard nursing tasks' and 'lack of welfare facilities for nurses' were the main communication barriers. From patients' views, 'unfamiliarity of nurses with dialect', 'having contagious diseases' and 'sex differences between nurses and patients' were determined as the main communication barriers. The shared communication barriers were 'age difference', 'social class difference' and 'having contagious diseases'. It can be concluded that nursing managers and healthcare system planners should focus on eliminating or modifying the barriers stated by the two groups, particularly the shared ones. It is suggested that understanding the cultural aspects of nurse-patient communication barriers in various contexts can help nurses. The study relied on self-report by a limited sample of nurses and patients. The responses should now be tested by a larger sample and then by empirical research into actual practice in order to test whether the nurses' and patients' perceived ideas of communication barriers are

  9. Nursing Home Data Compendium (United States)

    U.S. Department of Health & Human Services — The compendium contains figures and tables presenting data on all Medicare- and Medicaid-certified nursing homes in the United States as well as the residents in...

  10. Nursing Home Compare Data (United States)

    U.S. Department of Health & Human Services — These are the official datasets used on the Nursing Home Compare Website provided by the Centers for Medicare and Medicaid Services. These data allow...

  11. Burnout in nursing residents

    National Research Council Canada - National Science Library

    Franco, Gianfábio Pimentel; de Barros, Alba Lúcia Bottura Leite; Nogueira-Martins, Luiz Antônio; Zeitoun, Sandra Salloum


    .... The aim of this study was to determine the Burnout incidence among Nursing Residents. An investigative, descriptive, analytical, longitudinal-prospective study was conducted with 16 Residents over two years...

  12. Nursing education and learning

    DEFF Research Database (Denmark)

    Sangild Stølen, Karen Marie

    Background: Learning professional skills in the clinic is central to the acquisition of professional competences for future nurses. There are no clear vision of how learning takes place in the clinic and the question is how education in the clinic may lead to the professional skills that enable...... future nurses to take care for patients. Design and setting: The project Learning in Practice was accomplished from 2011 to early 2013, in collaboration between educations of nursing and educational theory educations at UCC North Zealand. The results in this paper is related to the examination...... of the nurse education only. The examination is based on four non-participating observations, four participating observations and three focus group interviews, respectively, four students, four clinical supervisors and four teachers . The clinical context was local hospitals. The data were analyzed...

  13. Skilled Nursing Facility PPS (United States)

    U.S. Department of Health & Human Services — Section 4432(a) of the Balanced Budget Act (BBA) of 1997 modified how payment is made for Medicare skilled nursing facility (SNF) services. Effective with cost...

  14. Nursing Home Compare (United States)

    U.S. Department of Health & Human Services — The data that is used by the Nursing Home Compare tool can be downloaded for public use. This functionality is primarily used by health policy researchers and the...

  15. The drama of nursing. (United States)

    Holmes, C A


    This exploratory paper considers a few possibilities for conceiving nursing as a form of aesthetic praxis. More specifically, drawing on the works of Erving Goffman on dramaturgy, and Elizabeth Burns on theatre, it makes some suggestions concerning nursing as a form of dramatic performance, and briefly attempts to relate this to concepts of praxis drawn from the writings of Hannah Arendt and critical social theorists. In contrast to Goffman's dramaturgy, which stresses the artifice of social relations and suggests a cynical view of human interactions, a critical theory of dramatic praxis introduces a normative dimension in which performance may become self-realizing and emancipatory as it aspires to the status of aesthetic praxis. Conceived in such terms, nursing practice becomes a powerful form of self-expression which has the potential to become liberating for the nurse and the patient.

  16. Smoking habits of nurses

    Directory of Open Access Journals (Sweden)

    E. Jacka


    Full Text Available There is little debate as to the harmful effects of cigarette smoking on health. Most health workers advise their patients to cease the practice. The impact of the advice is however diluted if it is seen to be ignored by the professionals themselves. As nurses play an increasing role in all levels of health care a survey was undertaken to investigate the smoking habits of two groups of nurses - those operating within the community and those working in institutions.

  17. [Nursing care in prison]. (United States)

    Aujard, Ségolène; de Brisoult, Béatrice; Broussard, Daniel; Petitclerc-Roche, Solenne; Lefort, Hugues


    In France, nurses practising in the prison environment work in a health care unit, for somatic care, or in a regional medical-psychological unit for large facilities and psychological care. These units belong to the regional hospitals. Located at the heart of the prison, they cater for prisoner-patients. On the frontline, the nurse has specific autonomy and responsibility in this unique context. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  18. Nurses and burnout syndrome

    Directory of Open Access Journals (Sweden)

    Zarema Obradović


    Full Text Available Introduction: The work of nurses is human. They help people in protection against diseases. Nurses are the largest group of health workers and all problems that appear in the health system are first recognized among them. Burnout syndrome appears among nurses very frequently. We present the leading factors for burnout among nurses in RMC „Dr Safet Mujic“ in Mostar, Bosnia and Herzegovina.Methods: It is a cross sectional descriptive study. We used an anonymous questionnaire with 20 questions. Our sample was random with 30% of all nurses which were working in this Medical Center in January-February 2012.Results: In our study 77.9% nurses work in the hospital. 52% have over 16 years of work experience. 34.6% of examinees are satisfi ed with interpersonal relationships, 31.7 % are satisfi ed with relationships with the superior. Motivation for work have 51% of examinees, a big number comes unwilling on work.For 83.7% overtime work is the reason for dissatisfaction 71.2% examinees think that they can't make progress on work. A high percentage of examinees doesn't think about problems related to work outside working hours, a good sleep have 38.5% and 56.7% wakes up tired. Many of examinees are not satisfiedwith workplace, and 58.7% would like to change it.Conclusion: Nurses employed in RMC „Dr Safet Mujic“ Mostar are exposed to many factors during work which can cause the burnout syndrome. It is necessary to expand the study on a larger group of nurses and to implement the measures for reducing risks of burnout syndrome.

  19. [The shared nursing function]. (United States)

    Fleury, Cynthia

    The Chair of Philosophy at Hôtel-Dieu hospital in Paris, is a place for the sharing of knowledge and recognition. It provides a place where the subjective, institutional and political dimension of care can be considered, by all stakeholders: patients, nurses, families and citizens. The aim is to invent a shared nursing function. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  20. Nursing Education and the Black Nurse ... An Overview

    Directory of Open Access Journals (Sweden)

    J.P. Samson


    Full Text Available In 1907, Cecilia Makiwane passed the final examination for general nurses of the Cape Colonial Medical Council, and on 7 January 1908 became the first Black registered professional nurse in South Africa (1:269. On 31 December 1977 there were 18 362 Black nurses on the registers of the South African Nursing Council3. At the time when a new Health Act (63/1977 and a new Nursing Act (50/1978 have been promulgated, and “Curationis” makes its début, it is well to look at the highlights of the development of nursing education for Blacks during the past 70 years.

  1. Leadership and ethics in nurse-nurse relationships. (United States)

    Milton, Constance L


    Qualities of nursing leadership may be reflected in the patterns of relating illuminated through communications between interdependent members of a discipline and interdisciplinary professional healthcare relationships. Authority and responsibility in leading-following reside with the designated leader. However, there is power with person in situation with the ever-present possibility of conflict. The author in this column will begin a discussion of conflict in nurse-nurse relationships and offer questions for straight thinking regarding the ethics of leading-following situations with nurse-nurse relationships from a humanbecoming nursing theoretical perspective.

  2. Burnout in nursing. (United States)

    Patrick, Kent; Lavery, Judy F


    Previous research has suggested that organisational change can contribute to stress-related outcomes for workers. Burnout, one such stress-related outcome, has been conceptualised as a multidimensional construct consisting of emotional exhaustion, depersonalisation and reduced personal accomplishment. Many health care organisations have undergone substantial organisational change over the last decade. The purpose of this study was to assess levels of burnout in nurses and to ascertain if there were individual or work characteristics that were associated with this syndrome. Randomised survey methodology. Registered nurses (Division 1) in Victoria who were ANF members. A random sample of 574 Victorian ANF nurse members. The assessment of levels of burnout in Victorian ANF nurse members and the identification of individual or work characteristics that may be associated with it. Victorian ANF nurse members exhibited lower depersonalisation and higher personal accomplishment compared to medical and overall normative data. Increasing age and fewer working hours were associated with lower levels of emotional exhaustion and depersonalisation. Working overtime was positively associated with emotional exhaustion however further analyses demonstrated that those who worked overtime voluntarily did not differ from workers not working overtime. However feeling pressured/expected to work overtime was positively associated with emotional exhaustion and depersonalisation. Victorian ANF nurse members were not experiencing high levels of burnout. However the study highlighted the need for health care management to recognise the importance of working reasonable hours and in particular, to understand the potential detrimental effect that having to work pressured or unexpected overtime has on staff.

  3. Nursing care community health

    Directory of Open Access Journals (Sweden)

    Diana Acosta-Salazar


    Full Text Available Process Nursing Care (PAE is a systematic tool that facilitates the scientificity of care in community practice nurse, the application of scientific method in community practice, allows nursing to provide care in logical, systematic and comprehensive reassessing interventions to achieve the proposed results. It began with the valuation of Marjory Gordon Functional Patterns and then at the stage of diagnosis and planning North American Nursing Diagnosis Association (NANDA, Nursing Interventions Classification (NIC and Nursing Outcomes Classification (NOC is interrelate. It is a descriptive and prospective study. Diagnosis was made by applying the instruments measuring scale of the socio-demographic characteristics, symptom questionnaire for early detection of mental disorders in the community and appreciation for functional patterns. The PAE includes more frequent diagnoses, criteria outcomes, indicators, interventions and activities to manage community issues. alteration was evidenced in patterns: Adaptation and Stress Tolerance, Self-perception-Self-concept-, Role-Relationships, sleep and rest and Perception and Health Management. A standardized NANDA-NIC-NOC can provide inter care holistic care from the perspective of community mental health with a degree of scientific nature that frames the professional work projecting the individual, family and community care.

  4. Why history matters to nursing. (United States)

    Holme, Annie


    This paper proposes that poor knowledge and understanding of the history of nursing particularly in the UK influences the media and public analysis of nursing practice. Comparing reports of current poor practice with a 'golden age' of nursing in the past undermines public confidence in today's nursing and nurse education and has the potential to lead to simplistic and flawed policy decisions in response. The lack of detailed knowledge of past nursing practice, experience and values suggests the need for more historical research in this field. A greater critical understanding of nursing history could strengthen and enrich nursing identity and further develop critical thinking skills in nursing students. Copyright © 2015 Elsevier Ltd. All rights reserved.

  5. Model documentation of assessment and nursing diagnosis in the practice of nursing care management for nursing students


    A. Aziz Alimul Hidayat; M. Kes


    Model documentation of assessment and nursing diagnosis in the practice of nursing care management is an integration model in nursing care records, especially records nursing assessment and diagnosis in one format. This model can reduce the duration of the recording in nursing care, and make it easier for students to understand the nursing diagnosis, so that nursing interventions more effective. The purpose of this paper was to describes the form integration documentation of nursing assessmen...

  6. Assessing Nursing Students’ Need to Improve Nursing Education

    Directory of Open Access Journals (Sweden)

    Sharif F


    Full Text Available Background and purpose: Undergraduate education presents a period of transition and growth and requires the ability to adapt to many life changes. Many applicants admitted to a nursing program, but high rates of attrition have been experienced. This study is an attempt to assess the nursing students’ need on their nursing education. Methods: Focus groups were used to investigate nursing student’s perceptions and views on nursing education. The sample consisted of 120 nursing students selected randomly. They were arranged in 12 groups of 10 students. The data analysis of recorded and observed data reached five major themes. Results: Five major themes emerged from data. The quality of clinical nursing instruction, confidence development in nursing practice and training, Iranian social perception of nursing profession, professional socialization through role development and improved clinical expectation and improved study skills. Conclusion: The result of this study helped to identify nursing students’ perception and determined their educational needs. Key words: NURSING EDUCATION, CLINICAL NURSING, NURSING PROFESSION, SOCIAL PERCEPTION

  7. A Framework for Advanced Practice Nursing. (United States)

    Brown, Sarah Jo


    Advanced practice nursing is defined as professional health care focused on clinical services, using a nursing orientation and based on competencies from graduate nursing education. AP nurses are involved in clinical practice, systems management, and health care discourse. (SK)

  8. Caring in Nursing Professional Development. (United States)

    Martin, Mary Brigid


    Caring science has been identified and examined in the discipline of nursing for over 40 years. Within this period, the topic has been analyzed and studied resulting in theories, models, books, and articles published nationally and internationally. Although advancements have been made in caring knowledge development, opportunities to integrate caring science into all aspects of nursing abound, including the specialty of nursing professional development. The focus of this article is to present ways in which nursing professional development specialists may incorporate caring science into practice, using Ray's (2010) Transcultural Caring Dynamics in Nursing and Health Care model as an exceptional exemplar for understanding, awareness, and choice for nurses and patients.

  9. Handbook of clinical nursing practice

    Energy Technology Data Exchange (ETDEWEB)

    Asheervath, J.; Blevins, D.R.


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

  10. Head nurses as middle managers. (United States)

    Johnston, P F


    The relationship between head nurses and their staff nurses influences staff turnover rates and job satisfaction. In this article the author describes the measures taken by the management of Greater Southeast Community Hospital in response to an increasing turnover rate among staff RNs. In recognition of the head nurse role vis-d-vis attrition rates and job satisfaction, head nurses were upgraded to department head status and rigorous head nurse performance standards were developed. These standards required clinical expertise, managerial competence, and accountability. It is the author's contention that clinical practice and staff morale are directly related to a clearly defined head nurse role.

  11. Crosscultural comparison on nursing image. (United States)

    Austin, J K; Champion, V L; Tzeng, O C


    Conceptual ratings for 'Nurse' and 'Feminine' were investigated across 30 language/culture communities. Data were from Osgood's Atlas of Affective Meanings, which contains ratings of 1200 males from each culture on 620 concepts, using Semantic Differentials. The study provides important information regarding the image of nurses crossculturally and the close link between nursing and femininity. In general, both 'Nurse' and Feminine' were perceived to be good and active, yet weak. A crosscultural view of the nurse as impotent may limit nursing's ability to deliver health care.

  12. Challenges facing internationalisation of nursing practice, nurse education and nursing workforce in Australia. (United States)

    Parker, Vicki; McMillan, Margaret


    This paper examines factors that have lead to increasing internationalisation in nursing workforce and nursing education and contends that education and support for nurse managers and nurse academics is required in order to better prepare them for the challenges they will face. There are many benefits to be gained from internationalisation of nursing, the most significant being greater cross-cultural understanding and improved practices in workplaces across countries. However, the way in which nursing and nurses contribute to the international agenda is crucial to maintaining standards of education and nursing care in Australia and in countries with whom Australians collaborate. Internationalisation poses numerous challenges that need to be carefully thought through. This paper seeks to unravel and scrutinize some of the issues central to internationalisation in nursing, particularly in the Australian context.

  13. Insights on the development of TCM nursing


    Zhao, Jun-Qiang; Zhou, Fen; Sun, Ying; Tian, Run-Xi; Adler-Collins, Je Kan; Hao, Yu-Fang


    Background: Traditional Chinese medicine nursing (TCM nursing) is one of the highlights of nursing profession in China, which plays a significant role in Chinese healthcare system. However, bottlenecks exist in TCM nursing development. It’s necessary to explore the discipline connotation and advantages of TCM nursing in nursing education and clinical practice and introduce modern nursing concepts. Methods: We analysis the connotations of TCM nursing, the bottlenecks it faces, and strategie...

  14. Social responsibility of nursing: a global perspective. (United States)

    Tyer-Viola, Lynda; Nicholas, Patrice K; Corless, Inge B; Barry, Donna M; Hoyt, Pamela; Fitzpatrick, Joyce J; Davis, Sheila M


    This study addresses social responsibility in the discipline of nursing and implications for global health. The concept of social responsibility is explicated and its relevance for nursing is examined, grounded in the American Nurses Association Code of Ethics and the International Council of Nurses Code of Ethics. Social justice, human rights, nurse migration, and approaches to nursing education are discussed within the framework of nursing's social responsibility. Strategies for addressing nursing workforce issues and education within a framework of social responsibility are explored.

  15. Characteristics that perinatal nurse managers desire in new nurse hires. (United States)

    Falls, Emily; Hensel, Desiree


    Nursing leaders have proposed that nurses must have the Quality and Safety Education for Nurses (QSEN) competencies to work in complex health care systems. Using the QSEN framework, this study explored what characteristics perinatal nurse managers desired most in new nurses. This study used a survey design and a convenience sample of perinatal nurse managers working in Indiana hospitals (N = 46). Managers were more likely to hire nurses with experience, positive references, and excellent attendance. Of the QSEN competencies, managers looked most for teamwork and collaboration, followed by safety and patient-centered care. In addition to the traditional qualities desired in new nurses, the QSEN competencies are gaining importance among perinatal managers. Copyright 2012, SLACK Incorporated.

  16. Abstract: Duke University School of Nursing's Impact on Nursing and ...

    African Journals Online (AJOL)

    Abstract: Duke University School of Nursing's Impact on Nursing and Midwifery Education in Rwanda. Patricia Moreland, Isabelle Soule, Linda Vanhook, Linda Baxter, Claire McKinley Yoder, Michael V Relf ...

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

    DEFF Research Database (Denmark)

    Bøttcher Berthelsen, Connie; Hølge-Hazelton, Bibi


    's eight-step framework for concept analysis. Results Five defining attributes of nursing research culture in the context of clinical nursing practice were identified: strong monodisciplinary nursing professionalism, academic thinking and socialization, research use as a part of daily nursing practice......, acceptance by colleagues and management and facilitation of resources from management and organization. Conclusion Although the method of concept analysis has been criticized and heavily debated, the development of nursing research cultures based on the defining attributes and antecedents of the concept......Aim To report an analysis of the concept of nursing research culture in the context of clinical nursing practice. Background Nursing research culture should be valued for its contribution to improving patient care and should be considered as a routine hospital activity. However, the demand...

  18. Conformity of nurse prescribing to care needs: nurses' understanding

    National Research Council Canada - National Science Library

    Marília Silveira Faeda; Márcia Galan Perroca


    Submission: 04-07-2016 Approval: 11-02-2016 ABSTRACT Objective: investigate the understanding of nurses on nurse prescribing conformity to the care needs of hospitalized patients and factors associated with that conformity. Method...

  19. Supporting new graduate nurses making the transition to rural nursing practice: views from experienced rural nurses. (United States)

    Lea, Jackie; Cruickshank, Mary


    To present the findings from the experienced rural nurse participants of a larger study that explored the transitional experiences of newly graduated nurses making the role transition in rural health care facilities in Australia. There are specific and unique aspects of rural nursing practice that influence the nature and timing of support for new graduate nurses that have not been explored or acknowledged as influencing the new graduate nurses' experience of transition. Specifically, the difficulties and challenges that experienced rural nurses face in providing effective and timely support for new graduate nurses who are making the transition to rural nursing practice is yet to be explored. Using a qualitative case study framework, this study specifically aimed to investigate and describe the nature and timing of support required during the transition to nursing practice that is specific for the rural context and capacity. Individual in-depth interviews were conducted with 16 experienced rural nurses who, at the time of the study, worked with new graduate nurses in the rural practice environment. The findings from this study showed that the provision of timely on-ward support for new graduates making the transition to rural nursing practice is affected and influenced by the skill mix and staffing allocation within the rural environment. As well, there is a lack of awareness by rural nurses of how to meet the on-ward support needs of new graduate nurses. This study has identified the specific and unique aspects of the rural nurse's role and responsibilities for which the new graduate nurse requires incremental learning and intensive clinical support. The findings can be used by rural health services and experienced rural registered nurses to assist in implementing adequate and timely support for new graduate nurses. © 2015 John Wiley & Sons Ltd.

  20. Nursing workload: a concept analysis. (United States)

    Alghamdi, Mohammed G


    The aim of the present study was to develop a comprehensive understanding of the concept 'workload' within the nursing profession in order to arrive at a clear definition of nursing workload based on the evidence in existing literature. Nursing workload is a common term used in the health literature, but often without specification of its exact meaning. Concept clarification is needed to delineate the meaning of the term 'nursing workload'. A concept analysis was conducted using Walker and Avant's method to clarify the defining attributes of nursing workload. As the subject matter was nursing focused, only one database was searched, the Cumulative Index for Nursing and Allied Health Literature (CINAHL). Articles that did not use 'workload' in the title or abstract were excluded. A model case, contrary case, related case and empirical referents were constructed to clarify the concept and to demonstrate how the workload is captured by the main attributes. The attributes of nursing workload found in the literature fall into five main categories: the amount of nursing time; the level of nursing competency; the weight of direct patient care; the amount of physical exertion; and complexity of care. The attributes were organised according to the leading antecedents, which were identified as the patient, nurse and health institution. Nurse managers need to address the workload issues with regard to the real nature of nursing work; this could increase nurses' productivity, nurses' satisfaction, turnover, work stress and provide sufficient staffing to patient care needs. The concept analysis demonstrated clearly the complexity of the concept and its implications for practice and research. It is believed that the current concept analysis will help to provide a better understanding of nursing workload and contribute towards the standardisation of the nursing workload and the development of a valid and reliable measurement system. © 2016 John Wiley & Sons Ltd.

  1. Professional competence of practising nurses. (United States)

    Numminen, Olivia; Meretoja, Riitta; Isoaho, Hannu; Leino-Kilpi, Helena


    To compare nurse competence in terms of its quality and frequency of action in medical, surgical, paediatric/obstetric/gynaecological and psychiatric clinical fields. One challenge of current health care is to target practising nurses' competencies to optimal use. Therefore, a systematic assessment of nurse competence is justified. Studies using the Nurse Competence Scale have found that nurses' competence is on a good or very good level and it increases with age and work experience. A cross-sectional comparative survey using the Nurse Competence Scale. A purposive sample of 2083 nurses in a major University Hospital in Finland participated in this study in 2007-2008. Descriptive statistics and inferential statistics' anova with Bonferroni correction, and Pearson/Spearman correlation coefficients were used to analyse the data. The overall level of competence of nurses was good, and the quality of action correlated positively with the frequency of action. Nurses in the psychiatric field reached somewhat higher overall mean scores than nurses in other clinical fields. On item level, nurses seemed to be the most competent in actions related to immediate individualised patient care, the maintenance of their own professional competence and commitment to nursing ethics. Age and particularly work experience were positively correlated with the competence. Findings from this large data corroborate previous study results on the category level assessment of nurse competence using the Nurse Competence Scale indicating a good level of competence. On item level, findings revealed more detailed themes of nurse competence, which complements earlier knowledge retrieved from the category level analysis and could be used to target nurses' competencies to even more optimal use. Competence assessment and targeted interventions are recommended as tools for the management for planning nurses' career development and continuing education to ensure competent and motivated work force and

  2. General and professional values of student nurses and nurse educators. (United States)

    Riklikiene, Olga; Karosas, Laima; Kaseliene, Snieguole


    The aim of this study was to explore and compare the self-reported general and professional values in undergraduate student nurses and nurse educators in Lithuania. Contemporary nursing requires strong moral motivation and clear values as nurses confront many ethical dilemas in their practice. Students acquire essential values of the nursing profession through the appropriate role modelling of their educators. Nursing students seek to become capable in providing ethical and professional patient care while their educators attempt to model desired behaviours. A national cross-sectional comparative study was carried out in March 2011. Four-hundred eight respondents participated: 316 undergraduate nursing students and 92 nurse educators. A 57-item questionnaire was delivered to nursing programs at three universities and six colleges. Permission to conduct the study was granted by The Center on Bioethics. Student nurses and their educators rated the general value of altruism equally. Educators, in comparison with students, ranked honesty and intellectualism significantly higher and more often admired truth-telling in any circumstance. Students were more likely to avoid intellectual challenges in reading and placed lower importance on academic qualifications for career advancement. The professional nursing values of honesty, intellectualism and authority were ranked significantly higher by nurse educators than student nurses. The study revealed differences in self-reported general and professional values in undergraduate student nurses and nurse educators. The values of nurse educators were not always stronger than those of students. Positive relationships between particular general and professional values in both students and educators confirmed the link between professional and personal values. © 2017 John Wiley & Sons Ltd.

  3. The continuing quest for parity: HBCU nursing students' perspectives on nursing and nursing education. (United States)

    Talley, Costellia; Talley, Henry; Collins-McNeil, Janice


    The benefits of a diverse nursing workforce are well-recognized, yet, the attainment of a sustainable, competent and diverse nursing workforce continues to be a global challenge. In this qualitative study, we describe nursing students' perceptions on nursing and nursing education at a Historically Black College/University (HBCU). Focus groups were conducted with 16 graduate and undergraduate nursing students. Four themes emerged: communication, lack of resources, support systems and professional socialization. Mentoring and civility were identified as factors important to enhance a diverse workforce. Copyright © 2016 Elsevier Ltd. All rights reserved.

  4. Why do student nurses want to be nurses? (United States)

    Crick, Paula; Perkinton, Louise; Davies, Fiona

    Nursing became an all graduate entry profession in September 2013; this move and the publication of the Francis report have brought the debate around nurse education and nurses' capacity to care into sharper focus. There is much debate over what makes a good nurse and whether graduate nurses lack care and compassion. We asked a cohort of pre-registration student nurses on the first day of their course about their motivations to join the profession, what being a nurse meant to them and which aspects of nursing they valued most. The demographics of the degree student group were similar to those of diploma students. Reasons cited for entering the profession and views on the nurse's role showed that students' motivations and perceptions focused on nursing as a caring rather than a technical profession. The characteristics of the degree students, their strong motivation to care and perception of nursing in altruistic terms contradict the media image of student nurses as being primarily academically, technically and career driven.

  5. Nurse Educators' Leadership Styles and Nurse Graduates' Licensure Passage Rates (United States)

    Miller, Dianna Bailey


    The purpose of this quantitative correlational research study was to examine the relationship between leadership styles of community college nurse educators in Texas and licensure passage rates of nursing community college graduates in Texas. Surveys were conducted to obtain the nurse educators' demographic data. The Multifactor Leadership…

  6. The relationship experiences of professional nurses with nurse ...

    African Journals Online (AJOL)

    This qualitative study was undertaken to explore and describe the experiences of professional nurses in their relationships with nurse managers. Concerns about declining nursing care standards have been expressed in radio newsbulletins, television interviews and newspapers. This decline is thought to come from the ...

  7. Nurse educators and student nurse neophytes' perceptions of good ...

    African Journals Online (AJOL)

    Nurse educators and student nurse neophytes' perceptions of good interaction in the classroom setting. ... The study used probability stratified random sampling to obtain two heterogeneous groups of student participants. Forty first-year student nurses were divided into homogenous subsets of 15 male and 25 female ...

  8. Nursing Supervisors Perception on quality of Nursing Care in Ethiopia

    African Journals Online (AJOL)

    Afcor Jupitor

    hand, and on the other, the country's need for their services and ability to employ, support and ... competence relevant to country needs and ... At the end of the questionnaire information was sought on migration of nurses and the challenges and demands of nursing education and quality of nursing care in each regional.

  9. Nursing Information System (NIS): A Tool for Qualitative Nursing ...

    African Journals Online (AJOL)

    Increasing health care cost, nurse shortages, high patient acuity and the need for more accuracy in care create the need for an effective Nursing Information System. This paper therefore highlights the relevance of NIS in enhancing professional growth and efficiency in nursing practice. It also opens up the anticipated ...

  10. Application of a smartphone nurse call system for nursing care. (United States)

    Chuang, Shu-Ting; Liu, Yi-Fang; Fu, Zi-Xuan; Liu, Kuang-Chung; Chien, Sou-Hsin; Lin, Chin-Lon; Lin, Pi-Yu


    Traditionally, a patient presses the nurse call button and alerts the central nursing station. This system cannot reach the primary care nurse directly. The aim of this study was to apply a new smartphone system through the cloud system and information technology that linked a smartphone and a mobile nursing station for nursing care service. A smartphone and mobile nursing station were integrated into a smartphone nurse call system through the cloud and information technology for better nursing care. Waiting time for a patient to contact the most responsible nurse was reduced from 3.8 min to 6 s. The average time for pharmacists to locate the nurse for medication problem was reduced from 4.2 min to 1.8 min by the new system. After implementation of the smartphone nurse call system, patients received a more rapid response. This improved patients' satisfaction and reduced the number of complaints about longer waiting time due to the shortage of nurses.

  11. Factors influencing disaster nursing core competencies of emergency nurses. (United States)

    Park, Hye-Young; Kim, Ji-Soo


    Emergency nurses are expected to provide required nursing services by using their professional expertise to reduce the risk posed by disasters. Thus, emergency nurses' disaster nursing core competencies are essential for coping with disasters. The purpose of the study reported here was to identify factors influencing the disaster nursing core competencies of emergency nurses. A survey was conducted among 231 emergency nurses working in 12 hospitals in South Korea. Data were collected on disaster-related experience, attitude, knowledge, and disaster nursing core competencies by means of a questionnaire. In multiple regression analysis, disaster-related experience exerted the strongest influence on disaster nursing core competencies, followed by disaster-related knowledge. The explanatory power of these factors was 25.6%, which was statistically significant (F=12.189, pnursing core competencies of emergency nurses could be improved through education and training programs that enhance their disaster preparedness. The nursing profession needs to participate actively in the development of disaster nursing education and training programs. Copyright © 2017 Elsevier Inc. All rights reserved.

  12. Authentication of Nursing 2: Reflective Processes in Nursing

    DEFF Research Database (Denmark)

    Larsen, Kristian; Cox, Helen

    This material has been reproduced and communicated on behalf of Deakin University pursuant to Part VB of the Copyright Act 1968. It is studymaterials produced for HNN706, Authentication of Nursing 2: Reflective Processes in Nursing, which is one of the units offered by the School of Nursing...

  13. Duke University School of Nursing's Impact on Nursing and ...

    African Journals Online (AJOL)

    Duke University School of Nursing's Impact on Nursing and Midwifery. Education in ... 1 University of Rwanda, College of medicine and health sciences Kabgayi school of Nursing and Midwifery,. 2&4 University of ... Lack of knowledge and access to current clinical practice guidelines were identified as barriers to integration.

  14. Choosing and remaining in nursing: Iranian male nurses' perspectives. (United States)

    Zamanzadeh, Vahid; Azadi, Arman; Valizadeh, Leila; Keogh, Brian; Monadi, Morteza; Negarandeh, Reza


    Iranian male nurses' career-choosing practices have not been well investigated. The aim of this study was to explore the reasons why Iranian male nurses choose nursing as a career. In addition it sought to understand the reasons why they remain in nursing. An exploratory descriptive design, employing a qualitative approach was used. Eighteen semi-structured interviews were conducted and analyzed using content analysis. The analysis culminated in the development of three themes which described the participants' motivations for choosing nursing as a career as well as the factors that influenced their decisions to remain in nursing following qualification. Practical motivations such as job security were important factors in choosing nursing. The most common reason for remaining in nursing was desire to care for others, for God's sake. Factors that influenced their decision to leave mainly centered on the public view to nursing as a feminine discipline. However, the nurses in this study believed that nursing was a profession appropriate for both men and women because of gendered nursing care and preferences of patient in Iran.

  15. Husserl, phenomenology and nursing. (United States)

    Paley, J


    Discussions of phenomenological research in nursing consistently appeal to either Husserl or Heidegger in justifying the technical and conceptual resources they deploy. This paper focuses on Husserl, and examines the relationship between his phenomenology and the accounts of it that are to be found in the nursing literature. Three central ideas are given particular attention: the phenomenological reduction, phenomena, and essence. It is argued that nurse researchers largely misunderstand these concepts and that, as a result, their version of Husserl's philosophy bears little resemblance to the original. A further consequence is that the project of identifying the 'essential structure' of a phenomenon, typically adopted by the nurse researchers who cite Husserl as an authority, comes close to being unintelligible. It is suggested that, while the methods used in 'phenomenological' nursing research may still have some legitimacy, they cannot achieve what they are alleged to achieve, and they should be detached from the framework of Husserlian ideas and terminology which is supposed to justify them.

  16. Occupational stressors in nursing

    Directory of Open Access Journals (Sweden)

    N. Nikpeyma


    Full Text Available Background and aimsNursing provides a wide range of potential workplace stressors as it is  a profession that requires a high level of skill, teamworking in a variety of situations and provision  of 24-hour delivery of care .Occupational stress is a major factor of Staff sickness an  absenteeism.This study investigates the main occupational stressors in nursing profession in the  hope of identification and reducing it.MethodsIn this study a questionnaire consisting of three parts:demoghraphic data,the nurses  background and questions about occupational stress from Revised index fulfilled by 140 nurses.ResultsLack of reward for work well done(48/6%, Heavy workload(46/4% ,lack of Participation in decisions (39/3% , poor Control of work place(38/4%and lack of job  development (36/4% have been the main sources of Occupational stress for nurses.chronic  diseases, Night Shift working and working hours were positively associated with occupstional  stress.Conclusion Analysis indicated that effects of work factors on occupational stress are more than demoghraphic data. The findings of this study can assist health service organisations to provide an attractive working climate in order to decrease side effects and consequences of occupational stress. Furthermore, understanding this situation can help to develop coping strategies in order to reduce work-related stress.

  17. Nursing and human freedom. (United States)

    Risjord, Mark


    Debates over how to conceptualize the nursing role were prominent in the nursing literature during the latter part of the twentieth century. There were, broadly, two schools of thought. Writers like Henderson and Orem used the idea of a self-care deficit to understand the nurse as doing for the patient what he or she could not do alone. Later writers found this paternalistic and emphasized the importance of the patient's free will. This essay uses the ideas of positive and negative freedom to explore the differing conceptions of autonomy which are implicit in this debate. The notion of positive freedom has often been criticized as paternalistic, and the criticisms of self-care in the nursing literature echo criticisms from political philosophy. Recent work on relational autonomy and on the relationship between autonomy and identity are used to address these objections. This essay argues for a more nuanced conception of the obligation to support autonomy that includes both positive (freedom to) and negative (freedom from) dimensions. This conception of autonomy provides a moral foundation for conceptualizing nursing in something like Henderson's terms: as involving the duty to expand the patient's capacities. The essay concludes by generalizing the lesson. Respect for autonomy on the part of any health care provider requires both respect for the patient's choices and a commitment to expand the patient's ability to actualize their choices. © 2013 John Wiley & Sons Ltd.

  18. Skilled nursing or rehabilitation facilities (United States)

    ... page: // Skilled nursing or rehabilitation facilities To use the sharing features ... facility. Who Needs to go to a Skilled Nursing or Rehabilitation Facility? Your health care provider may ...

  19. Nurses' perceptions of patient rounding. (United States)

    Neville, Kathleen; Lake, Kristen; LeMunyon, Danielle; Paul, Darilyn; Whitmore, Karen


    This descriptive pilot study explored hospital staff nurses' perceptions toward the practice of patient rounding. Rounding has re-emerged as a standard practice initiative among nurses in hospitals and has been associated with a decrease in call lights and falls, increased patient satisfaction and safety, and quieter nursing units. Regardless of these outcomes, controversy exists among nurses regarding rounding. The Nurses' Perception of Patient Rounding Scale (K. Neville, unpublished manuscript, 2010) was developed to gain an understanding of nurses' perceptions of rounding. Nurses identified rounding as valuable and perceived hourly rounding to be beneficial to patients and families but significantly less beneficial to their own professional practice. Challenges to rounding as a practice include issues of documentation, patient ratios, and skill mix. Findings support the need for further research to address the challenges of patient rounding for nursing.

  20. Ensuring Quality Nursing Home Care (United States)

    ... leadership positions are very important to maintaining quality care in the nursing home. Here are some things to look for ... symptoms, and health problems. May 2013 Ensuring Quality Nursing Home Care Expert information from Healthcare Professionals Who Specialize in ...

  1. Employability of Nursing Care Graduates

    National Research Council Canada - National Science Library

    Barbara Donik; Majda Pajnkihar; Mojca Bernik


    In Slovenia, the higher education institution for nursing started exploring employability opportunities in nursing care in connection with the achievement of competencies from students’ and employers’ point of view...

  2. A goal for nursing education. (United States)

    Marcinkiw, Karen L


    Current trends of an increasingly multicultural society emphasize the need for nursing education programs that effectively address cultural issues. To understand the diverse cultural backgrounds of clients, nurses must strive to be culturally competent. Cultural competence requires the building of cultural awareness, knowledge, skill, encounters, and desire in the nurse. Clients will feel respected, valued, and have a greater desire to achieve mutually agreed upon health care goals if the nurse is culturally competent. Nurse educators can assist nursing students in acquiring cultural competence using a model created by Campinha-Bacote (1999) entitled "The Process of Cultural Competence in the Delivery of Healthcare Services: A Culturally Competent Model of Care". The model contributes to the development of cultural competence in the nursing profession by providing a concrete guide that is useful for teaching and implementing cultural competence in nursing education.

  3. Applying talent management to nursing. (United States)

    Haines, Sue

    To deliver the chief nursing officer for England's vision for compassionate care and embed the 6Cs effectively, the NHS must attract, develop and retain talented nurses with a diverse range of skills. This is particularly important given the predicted shortage of nurses and evidence that NHS providers need to increase skill mix ratios to deliver safe patient care. "Talent management" is increasingly discussed within the health service; we recently asked nurses and student nurses to identify their priorities for talent development. They highlighted the importance of strong ward leadership, effective personal appraisal, clearer career pathways, increased staff engagement and involvement in decision making, as well as a need for greater emphasis on the recognition and reward of nursing achievements. We concluded that these factors are crucial to attracting, retaining and developing talent in nursing. Nurse leaders can learn approaches to developing talent from business and wider healthcare settings.

  4. Retrenchment. How nurse executives cope. (United States)

    Feldman, J; Daly-Gawenda, D


    Changing economic, technicologic, and political conditions have created the need for readjustments in the number of nursing personnel employed by hospitals. The authors examined how nurse executives conducted themselves and managed their personnel during layoffs.

  5. Employability of Nursing Care Graduates

    National Research Council Canada - National Science Library

    Barbara Donik; Majda Pajnkihar; Mojca Bernik


      Starting points: In Slovenia, the higher education institution for nursing started exploring employability opportunities in nursing care in connection with the achievement of competencies from students' and employers' point of view...

  6. The Importance of Nursing Research


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


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

  7. Doctoral specialization in nursing informatics.


    Gassert, C. A.; Mills, M. E.; Heller, B.R.


    A prototype program of doctoral study has been developed at the University of Maryland School of Nursing to prepare students with nursing expertise in the conceptualization and research of computer based information systems in hospitals, industry and other health care organizations. The graduate will be prepared to design effective nursing information systems; create innovative information technology; conduct research regarding integration of technology with nursing practice, administration, ...

  8. Missed Nursing Care in Pediatrics. (United States)

    Lake, Eileen T; de Cordova, Pamela B; Barton, Sharon; Singh, Shweta; Agosto, Paula D; Ely, Beth; Roberts, Kathryn E; Aiken, Linda H


    A growing literature suggests that missed nursing care is common in hospitals and may contribute to poor patient outcomes. There has been scant empirical evidence in pediatric populations. Our objectives were to describe the frequency and patterns of missed nursing care in inpatient pediatric settings and to determine whether missed nursing care is associated with unfavorable work environments and high nurse workloads. A cross-sectional study using registered nurse survey data from 2006 to 2008 was conducted. Data from 2187 NICU, PICU, and general pediatric nurses in 223 hospitals in 4 US states were analyzed. For 12 nursing activities, nurses reported about necessary activities that were not done on their last shift because of time constraints. Nurses reported their patient assignment and rated their work environment. More than half of pediatric nurses had missed care on their previous shift. On average, pediatric nurses missed 1.5 necessary care activities. Missed care was more common in poor versus better work environments (1.9 vs 1.2; P < .01). For 9 of 12 nursing activities, the prevalence of missed care was significantly higher in the poor environments (P < .05). In regression models that controlled for nurse, nursing unit, and hospital characteristics, the odds that a nurse missed care were 40% lower in better environments and increased by 70% for each additional patient. Nurses in inpatient pediatric care settings that care for fewer patients each and practice in a professionally supportive work environment miss care less often, increasing quality of patient care. Copyright © 2017 by the American Academy of Pediatrics.

  9. Feminism and nursing: historical perspectives. (United States)

    Bunting, S; Campbell, J C


    Feminists have often criticized nursing for lack of commitment to women's movements. This article addresses the contradictions and conflicts in the relationship of feminism and nursing from a historical perspective. Different feminist epistemologies, those of enlightened liberal, cultural, and radical feminism, are examined historically and their relevance to nursing is discussed. A reflexive theory, proposed by Harding, is used to conceptualize the differing responses, feminist and nonfeminist, of women and nurses, as alternative reactions to the many types of patriarchy they have encountered.

  10. Attitude of nurses to euthanasia


    Konečná, Petra


    The bachelor thesis "Attitude of nurses to euthanasia" focuses on an understanding of dying, euthanasia and palliative care and their attitude to euthanasia. The work is devided into two parts - a theoretical one and an empirical one. The theoretical part describes the methodology and results of quantitative research by the use of questionaire comparing two specified groups of nurses - hospic care nurses and intensive care nurses. There are summarised findings from the investigation in the co...

  11. Revisiting Nursing Research in Nigeria


    Emelonye A.U; Pitkäaho T; Aregbesola A; Vehviläinen- Julkunen K


    Background: Evidence from a nursing conference convened in Nigeria in 1973 amongst other things implied that Nigerian nurses are not adequately educated and ill-equipped with prerequisite research skills. Four decades after the first and only initiative that examined the capacity and contribution of Nigerian Nurses to health care research, it is therefore pertinent to revisit the state of nursing research in the country. Aim: To review the academic and research preparedness of ...

  12. The ethical enterprise of nursing. (United States)

    Allmark, P


    This paper examines the ethical nature of nursing. Examples are taken from coronary care units. A critical view is taken whereby it is felt that nursing models do not truly reflect this nature. It is suggested that nurses make most ethical decisions without dilemma using intuition. The traditions behind using this intuition are examined. Such normative traditions may be summarized as teleological, deontological and axiological. Lastly, it is suggested that nurses would benefit in several ways from some education in ethics.

  13. Experiences of older people with dementia participating in a high-intensity functional exercise program in nursing homes: "While it's tough, it's useful". (United States)

    Lindelöf, Nina; Lundin-Olsson, Lillemor; Skelton, Dawn A; Lundman, Berit; Rosendahl, Erik


    The objective of the study was to describe the views and experiences of participation in a high-intensity functional exercise (HIFE) program among older people with dementia in nursing homes. The study design was a qualitative interview study with 21 participants (15 women), aged 74-96, and with a Mini-Mental State Examination score of 10-23 at study start. The HIFE-program comprises exercises performed in functional weight-bearing positions and including movements used in everyday tasks. The exercise was individually designed, supervised in small groups in the nursing homes and performed during four months. Interviews were performed directly after exercise sessions and field notes about the sessions were recorded. Qualitative content analysis was used for analyses. The analysis revealed four themes: Exercise is challenging but achievable; Exercise gives pleasure and strength; Exercise evokes body memories; and Togetherness gives comfort, joy, and encouragement. The intense and tailored exercise, adapted to each participant, was perceived as challenging but achievable, and gave pleasure and improvements in mental and bodily strength. Memories of previous physical activities aroused and participants rediscovered bodily capabilities. Importance of individualized and supervised exercise in small groups was emphasized and created feelings of encouragement, safety, and coherence. The findings from the interviews reinforces the positive meaning of intense exercise to older people with moderate to severe dementia in nursing homes. The participants were able to safely adhere to and understand the necessity of the exercise. Providers of exercise should consider the aspects valued by participants, e.g. supervision, individualization, small groups, encouragement, and that exercise involved joy and rediscovery of body competencies.

  14. Marketing in nursing organizations. (United States)

    Chambers, S B


    The purpose of chapter 3 is to provide a conceptual framework for understanding marketing. Although it is often considered to be, marketing is not really a new activity for nursing organizations. What is perhaps new to most nursing organizations is the conduct of marketing activities as a series of interrelated events that are part of a strategic marketing process. The increasingly volatile nursing environment requires a comprehensive approach to marketing. This chapter presents definitions of marketing, the marketing mix, the characteristics of nonprofit marketing, the relationship of strategic planning and strategic marketing, portfolio analysis, and a detailed description of the strategic marketing process. While this chapter focuses on marketing concepts, essential components, and presentation of the strategic marketing process, chapter 4 presents specific methods and techniques for implementing the strategic marketing process.

  15. Nurse-patient collaboration

    DEFF Research Database (Denmark)

    Sørensen, Dorthe; Frederiksen, Kirsten; Groefte, Thorbjoern


    Objectives: This paper provides a theoretical account of nurses’ collaboration with patients with chronic obstructive pulmonary disease during non-invasive ventilation treatment in hospital. Background: Despite strong evidence for the effect of non-invasive ventilation treatment, success remains...... a huge challenge. Nurse-patient collaboration may be vital for treatment tolerance and success. A better understanding of how nurses and patients collaborate during non-invasive ventilation may therefore contribute to improvement in treatment success. Design: A constant comparative classical grounded...... theory. Method: The data comprised sessions of qualitative participant observation during the treatment of 21 patients with non-invasive ventilation that included informal conversations with the nurses and semi-structured interviews with 11 patients after treatment completion. Data were collected...

  16. The Nursing Process

    Directory of Open Access Journals (Sweden)

    M. Hammond


    Full Text Available The essence of the nursing process can be summed up in this quotation by Sir Francis Bacon: “Human knowledge and human powers meet in one; for where the cause is not known the effect cannot be produced.” Arriving at a concise, accurate definition of the nursing process was, for me, an impossible task. It is altogether too vast and too personal a topic to contract down into a niftylooking, we-pay-lip-service-to-it cliché. So what I propose to do is to present my understanding of the nursing process throughout this essay, and then to leave the reader with some overall, general impression of what it all entails.

  17. Drawing in nursing PBL. (United States)

    Chan, Zenobia C Y


    The implementation of art education in nursing is said to have positive effects on nursing students. Most studies applied visual art dialogues or object design, whereas the effectiveness of drawing as a teaching and learning method is rarely examined and discussed. This paper aimed to discuss the potential and effectiveness of drawing as a learning and teaching method. Four drawings which were created by Hong Kong nursing students are demonstrated and the students' perspectives of how drawing enhanced learning are shown in this paper. Topics on drawing as a fun teaching and learning method and the way it can enhance critical thinking and creativity are also discussed. In conclusion, the activity was a great success, and students enjoyed the learning process and reflected positive comments. However, we cannot conclude that drawing is an effective teaching and learning method based on a single paper, therefore more similar studies should be conducted to investigate this method. Copyright © 2012 Elsevier Ltd. All rights reserved.

  18. Exploring nurses' learning

    Directory of Open Access Journals (Sweden)

    Lioba Howatson-Jones


    Full Text Available The aim of this paper is to explore the concept of compelling space for learning. The research presented uses an auto/biographical methodology to explore nurses' learning. Theoretical perspective is drawn from biographical approaches and ideas around development of the self, to examine the nature of people's experience. The argument is advanced, through the narrations of three study participants from a PhD study, that there is a need for nurses to have space to tell their stories of learning and to reconnect with personal experience. The narrations focus upon learning by mistake, developing an interpretive imagination and using biography in teaching and learning and have something to contribute to the development of spaces of learning. This is developed further by considering how biographical method and reflexive responses offer opportunity to find the personal voice and make spaces more compelling and integrative as a different form of pedagogy for nurse education.

  19. Being Human: Transdisciplinarity in Nursing (United States)

    Timmons, Stephen; Edgley, Alison; Meal, Andy; Narayanasamy, Aru


    Nursing as an academic discipline typically draws on a wide range of other disciplines. There is debate about whether this is a sound basis for the discipline, or whether nursing needs to develop a distinctive body of knowledge. The concept of transdisciplinarity, though little discussed in nursing, is of considerable value in understanding…

  20. Revisiting Nursing Research in Nigeria

    African Journals Online (AJOL)


    Aug 18, 2016 ... essential in finding innovative practice and policy health care framework. Nursing research is as old as the ..... hindering nursing research are dealt with, there will still continue to be poor involvement of. Nigeria nurses in .... (Assessed January 20 2014). 17. Nigeria Budget, Tax and economic analysis 2014.

  1. Physical activity among nursing students

    Directory of Open Access Journals (Sweden)

    Cilar Leona


    Full Text Available Introduction. Nurses need to encourage patients to lead a healthy lifestyle, hence it is important that as nursing students they are already aware of the importance of physical activity. The purpose of the study was to investigate the physical activities of nursing students.

  2. Innovating Traditional Nursing Administration Challenges. (United States)

    Joseph, M Lindell; Fowler, Debra


    The evolving and complex practice environment calls for new mindsets among nurse leaders, academics, and nurse innovators to envision innovative ways to manage and optimize traditional tasks and processes in nursing administration. The purpose of this article is to present 3 case studies that used linear programming and simulation to innovate staffing enterprises, financial management of healthcare systems, and curricula development.

  3. Emancipatory Nursing Praxis: A Theory of Social Justice in Nursing. (United States)

    Walter, Robin R

    Emancipatory nursing praxis (ENP) is a middle-range nursing theory of social justice developed from an international, grounded theory study of the critical factors influencing nurses' perceptions of their role in social justice. The ENPs implementing processes (becoming, awakening, engaging, and transforming) and 2 conditional contexts (relational and reflexive) provide an in-depth understanding of the transformative learning process that determines nurse engagement in social justice. Interpretive findings include the voice of Privilege primarily informed ENP theory, the lack of nursing educational and organizational support in social justice role development, and the advocate role should expand to include the role of an ally.

  4. A Concept Analysis of Palliative Care Nursing: Advancing Nursing Theory. (United States)

    Kirkpatrick, Amanda J; Cantrell, Mary Ann; Smeltzer, Suzanne C

    The American Association of Colleges of Nursing specifies that all nurses must be prepared to deliver high-quality palliative care upon entry into practice. To achieve this aim, a clear understanding of palliative care nursing is needed. The Walker and Avant model for concept analysis was used to review and analyze relevant literature from 2000 to 2016. The authors utilized findings of this extensive review to develop a concept model and other practical resources for guiding nurses, educators, and researchers in applying and evaluating competence in the delivery of high-quality palliative nursing care.

  5. Oppression: a concept analysis and implications for nurses and nursing. (United States)

    Dong, Doris; Temple, Beverley


    To synthesize the literature's discussions on oppression and to explore its implications for nurses and nursing. Published literature. Oppression requires a set of norms that are determined by a dominant group and a belief of the inferiority of those outside the dominant group. The attributes of oppression are unjust treatment, the denial of rights, and the dehumanizing of individuals. Nurses and the nursing profession both work with oppressed groups and are themselves an oppressed group. By helping their oppressed and vulnerable patients resist the status quo, nurses will begin resisting their own oppressed environment, which will eventually lead to freedom for their patients and themselves. © 2011 Wiley Periodicals, Inc.

  6. Undergraduate nursing students' compatibility with the nursing profession

    Directory of Open Access Journals (Sweden)

    Dianati Mansur


    Full Text Available Abstract Background The high rate of attrition among nursing students has caused some nursing leaders to think about the necessity of considering students' personality during the process of admission into nursing schools. Due to the lack of studies on Iranian nursing students' personality traits, this study was designed to assess freshmen nursing students' personality characteristics and their compatibility with the demands of the nursing profession. Methods A descriptive study was conducted at Tehran and kashan medical universities and one of the branches of Azad University. Convenience sampling was used and 52 freshmen nursing students were assessed using Holland's Vocational Interests Inventory. Results From the total participants 63.5% were females and 36.5% were males. Based on the Holland's Vocational Interests Inventory 44% did not have appropriate personality characteristics for the nursing profession. 77% of the nursing students participating in the study reported that they lacked information about nursing. Conclusion It seems that personality tests can help to select the best students for nursing schools from those who show good academic capabilities. This would decrease the rate of attrition and could improve the quality of care.

  7. Foreign nurse importation and the supply of native nurses. (United States)

    Cortés, Patricia; Pan, Jessica


    The importation of foreign registered nurses has been used as a strategy to ease nursing shortages in the United States. The effectiveness of this policy depends critically on the long-run response of native nurses. We examine the effects of immigration of foreign-born registered nurses on the long-run employment and occupational choice of native nurses. Using a variety of empirical strategies that exploit the geographical distribution of immigrant nurses across US cities, we find evidence of large displacement effects - over a ten-year period, for every foreign nurse that migrates to a city, between 1 and 2 fewer native nurses are employed in the city. We find similar results using data on nursing board exam-takers at the state level - an increase in the flow of foreign nurses significantly reduces the number of natives sitting for licensure exams in more dependent states relative to less dependent states. Using data on self-reported workplace satisfaction among a sample of California nurses, we find suggestive evidence that part of the displacement effects could be driven by a decline in the perceived quality of the workplace environment. Copyright © 2014 Elsevier B.V. All rights reserved.

  8. Developing nurse educators' computer skills towards proficiency in nursing informatics. (United States)

    Rajalahti, Elina; Heinonen, Jarmo; Saranto, Kaija


    The purpose of this paper is to assess nurse educators' competence development in nursing informatics (NI) and to compare their competence to the NI competence of other healthcare professionals. Electronic health records (EHR) have been in use for many years. However, the adoption of the nursing care plan finally made it possible for nurses in Finland to develop a model for structured documentation with nursing terminology. A total of n = 124 (n = 85 pre-test and n = 39 post-test) participants from Universities of Applied Sciences (UAS), hospitals, hospitals' information management and health centres were surveyed with a e-questionnaire designed to assess the development of their NI competences during the nursing documentation development project. The questionnaire included 145 structured questions and 6 open questions. Data analysis focused on classification and comparison of NI competences through data description and statistical parameters using figures and tables. The basic NI competences of the nurse educators were good at the end of project and the nurse educators had better information literacy and information management competences than other participants. The information retrieval skills varied greatly, but they improved evenly towards the end. The nurse educators mastered better evidence-based nursing and use of nursing process models in their work.

  9. Transformational leadership practices of nurse leaders in professional nursing associations. (United States)

    Ross, Erin J; Fitzpatrick, Joyce J; Click, Elizabeth R; Krouse, Helene J; Clavelle, Joanne T


    This study describes the transformational leadership (TL) practices of nurse leaders in professional nursing associations (PNAs). Professional nursing associations are vehicles to provide educational opportunities for nurses as well as leadership opportunities for members. Little has been published about the leadership practices of PNA members. E-mail surveys of 448 nurse leaders in PNAs were conducted in 2013 using the Leadership Practices Inventory (LPI). The top 2 TL practices of these nurse leaders were enabling others to act and encouraging the heart. Respondents with more leadership training reported higher TL practices. This is the 1st study to describe TL practices of nurse leaders in PNAs. Results of this study show that nurse leaders of PNAs emulate practices of TL. Transformational leaders can mobilize and direct association members in reaching shared values, objectives, and outcomes. Understanding TL practices of nurse leaders in PNAs are important to the future of nursing in order to enable nurses to lead change and advance health through these organizations.

  10. Does Faculty Incivility in Nursing Education Affect Emergency Nursing Practice? (United States)

    Stokes, Pamela

    Incivility in nursing education is a complicated problem which causes disruptions in the learning process and negatively affects future nursing practice. This mixed method research study described incivility as well as incivility's effects through extensive literature review and application of a modified Incivility in Nursing Education (INE) survey. The INE included six demographic items, four quantitative sections, and five open-ended questions. The survey examined emergency nurses' perceptions of incivility and how the experience affected their personal nursing practice. The INE was initially tested in a 2004 pilot study by Dr. Cynthia Clark. For this research study, modifications were made to examine specifically emergency nurse's perceptions of incivility and the effects on their practice. The population was a group of nurses who were members of the emergency nurses association in a Midwestern state. In the quantitative component of the Incivility in Nursing Education (INE) survey, the Likert scale questions indicated that the majority of the participants reported witnessing or experiencing the uncivil behaviors. In the qualitative section of the INE survey, the participants reported that although they have not seen incivility within their own academic career, they had observed faculty incivility with nursing students when the participants were assigned as preceptors as part of their emergency nursing practice.

  11. Quality of Nursing Care Based on Analysis of Nursing Performance and Nurse and Patient Satisfaction


    Muhith, Abdul; Nursalam, Nursalam


    Introduction: Nurses who frequently often contact to patients and most of their time serve patients in 24 hours, have an important role in caring for the patient. Patient satisfaction as quality indicator is the key success for competitiveness of service in hospital. The aim of this research was to develop nursing service quality model based on the nursing performance, nurse and patient satisfaction. Method: The research method used cross sectional study, at 14 wards of Gresik Hospital. Resea...

  12. The future of Turkish nursing 2050: perceptions of nurses and nurse educators. (United States)

    Bodur, G; Kaya, H


    To explore the perceptions of nurses and nurse educators regarding the future of nursing by the year 2050 in Turkey. Social changes, rapid population growth, globalization and worldwide environmental problems will cause greater changes in the field of health and health care in the near future than they have in the past. Undoubtedly, these changes will directly affect nursing. It is important that nurses and nurse educators forecast and direct the future and nursing to benefit from the effects of the changes that will occur in the future. A qualitative descriptive study which employed the use of individual in-depth interviews. The study's sample participants were 21 hospital nurses and 16 nurse educators from universities in Istanbul, Turkey. They undertook individual in-depth interviews during July 2013-July 2014. Thematic analysis was used to analyse the qualitative data. The study revealed that the participants' perceptions were based on the ideas that the future of nursing will be shaped in accordance with changes in humanity, environment and healthcare system, as well as worldwide future trends. Results indicated that participants were aware of the factors that will affect future of nursing and nursing education. Research showed that participants had focused on the near future; they were not forecasting distance future. Also research found that not only future scenarios are needed for nurses, but also three kinds of scenarios are required related to factor such as humanity, environment and healthcare system those effect nurses. Futurists, health policymakers and nurse educators should work collaboratively with each other. © 2017 International Council of Nurses.

  13. Viewpoint: use of King's conceptual system, nursing informatics, and nursing classification systems for global communication. (United States)

    Killeen, Mary B; King, Imogene M


    To propose a common nursing language for communication among members of the nursing community worldwide. The Taxonomy of Nursing Practice, nursing informatics literature, King's Theory of Goal Attainment applied to the nursing process. Several milestones in nursing in the 20th century indicated the need for a universal language for nursing. The nursing process provides a method for synthesis of nursing data, information, and knowledge and is congruent with Imogene King's Theory of Goal Attainment. The authors advocate for a common nursing language (nursing classification and terminology systems) that would unify nurses worldwide. Supported by nursing theory and technology, global communication would be enhanced for nurses and the interdisciplinary teams of which they are a part. Use of Imogene King's Conceptual System and Theory of Goal Attainment and the nursing specialty of Nursing Informatics are examples of nursing theory and technology to frame global communication.

  14. Nurse Engagement in Shared Governance and Patient and Nurse Outcomes (United States)

    Kutney-Lee, Ann; Germack, Hayley; Hatfield, Linda; Kelly, Sharon; Maguire, Patricia; Dierkes, Andrew; Guidice, Mary Del; Aiken, Linda H.


    Objective The objective of this study was to examine differences in nurse engagement in shared governance across hospitals and to determine the relationship between nurse engagement and patient and nurse outcomes. Background There is little empirical evidence examining the relationship between shared governance and patient outcomes. Methods A secondary analysis of linked cross-sectional data was conducted using nurse, hospital, and Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey data. Results Engagement varied widely across hospitals. In hospitals with greater levels of engagement, nurses were significantly less likely to report unfavorable job outcomes and poor ratings of quality and safety. Higher levels of nurse engagement were associated with higher HCAHPS scores. Conclusions A professional practice environment that incorporates shared governance may serve as a valuable intervention for organizations to promote optimal patient and nurse outcomes. PMID:27755212

  15. Nurse Engagement in Shared Governance and Patient and Nurse Outcomes. (United States)

    Kutney-Lee, Ann; Germack, Hayley; Hatfield, Linda; Kelly, Sharon; Maguire, Patricia; Dierkes, Andrew; Del Guidice, Mary; Aiken, Linda H


    The objectives of this study were to examine differences in nurse engagement in shared governance across hospitals and to determine the relationship between nurse engagement and patient and nurse outcomes. There is little empirical evidence examining the relationship between shared governance and patient outcomes. A secondary analysis of linked cross-sectional data was conducted using nurse, hospital, and Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey data. Engagement varied widely across hospitals. In hospitals with greater levels of engagement, nurses were significantly less likely to report unfavorable job outcomes and poor ratings of quality and safety. Higher levels of nurse engagement were associated with higher HCAHPS scores. A professional practice environment that incorporates shared governance may serve as a valuable intervention for organizations to promote optimal patient and nurse outcomes.

  16. Nursing assistant turnover in nursing homes and need satisfaction. (United States)

    Caudill, M; Patrick, M


    1. Level of Maslow's Hierarchy of Needs is basic physiological needs measured by salary, adequate housing, and food. Attainment of these needs increased the length of stay of nursing assistants in nursing homes. 2. Safety and security (level 2) influenced length of stay of nursing assistants. Those with benefits of retirement, vacation, and holiday pay tended to have less turnover. 3. Praise by the patient and family was most important to nursing assistants. Belonging to a peer group and praise by charge nurse also decreased turnover of nursing assistants (level 3). 4. Level 4, self-esteem measured by input into decisions and being able to criticize, increased length of stay of nursing assistants.

  17. Conformity of nurse prescribing to care needs: nurses' understanding. (United States)

    Faeda, Marília Silveira; Perroca, Márcia Galan


    investigate the understanding of nurses on nurse prescribing conformity to the care needs of hospitalized patients and factors associated with that conformity. a descriptive study, with a quantitative approach, was conducted at 20 in-patient units of a teaching hospital in the state of São Paulo. The participants (N=139) answered a semi-structured questionnaire. For 43 (30.9%) nurses, nurse prescribing is always in line with patients' care needs. The fields of body care and elimination, skin and mucosa care and investigation and monitoring were the most frequently addressed. in the perception of most nurses, nurse prescribing does not conform with patients' health heeds. The establishment of strategies to improve prescribing quality is recommended, as well as the development of permanent qualification programs and the systematic use of instruments for assessment of patients' care demands regarding nursing.

  18. Nurse-perceived Patient Adverse Events and Nursing Practice Environment

    Directory of Open Access Journals (Sweden)

    Jeong-Hee Kang


    Full Text Available Objectives: To evaluate the occurrence of patient adverse events in Korean hospitals as perceived by nurses and examine the correlation between patient adverse events with the nurse practice environment at nurse and hospital level. Methods: In total, 3096 nurses working in 60 general inpatient hospital units were included. A two-level logistic regression analysis was performed. Results: At the hospital level, patient adverse events included patient falls (60.5%, nosocomial infections (51.7%, pressure sores (42.6% and medication errors (33.3%. Among the hospital-level explanatory variables associated with the nursing practice environment, ‘physician- nurse relationship’ correlated with medication errors while ‘education for improving quality of care’ affected patient falls. Conclusions: The doctor-nurse relationship and access to education that can improve the quality of care at the hospital level may help decrease the occurrence of patient adverse events.

  19. Nursing instructors' and male nursing students' perceptions of undergraduate, classroom nursing education. (United States)

    Dyck, Jeff M; Oliffe, John; Phinney, Alison; Garrett, Bernie


    Attrition rates of male nursing students exceed those of females yet the experiences of male students in nursing school are poorly understood. This interpretive ethnographic study explored the experiences of male nursing students and female nursing instructors in the context of classroom education. Data collection consisted of participant observation of classroom teaching sessions followed by interviews with six male nursing students who were participants in the classes and six female nursing instructors who taught the classes. Themes resulting from data analysis addressed men's roles in the nursing classroom and the culture of nursing education. The theme of "nursing like a real man" was characterized by men's reliance on roles and behaviours associated with traditional masculinities including leadership, assertiveness and risk-taking. The theme of "masculinities in a feminine place" captured the gendered culture of nursing education which manifested in stereotypes and a sexualized identity, where men saw themselves as accommodated but not integrated. "Diversity between masculine and feminine" communicated the incongruity between men's educational preferences and the techniques that predominate in nursing education. These findings suggest that nursing instructors need to consider gender in their teaching practice, avoid parody or stereotypes of masculinities, and reject assumptions that male students are homogeneous.

  20. Comparison of head nurses and practicing nurses in nurse competence assessment. (United States)

    Bahreini, Masoud; Moattari, Marzieh; Ahmadi, Fazlolah; Kaveh, Mohammad Hosein; Hayatdavoudy, Parichehr; Mirzaei, Mostafa


    Nurses play a crucial role in patient-care. Therefore, assessing nurses' clinical competence is essential to achieve qualified and safe care. The aim of this study was to determine and compare the competence assessments made by head nurses and practicing nurses in a university hospital in Iran in 2009. A cross-sectional survey was conducted to make comparisons of both self-assessment of nurse competence as well as assessment made by their respective head nurses working in a university hospital setting in Iran. The instrument employed for data collection was Nurse Competence Scale (NCS), whose reliability and validity have been previously confirmed. The clinical competence of the nurses in 73 skills under 7 categories was determined based on a Visual Analogue Scale (VAS) (0 to 100). They were also asked to indicate the extent to which their competence was actually used in clinical practice on a four-point scale of Likert. The data was analyzed through descriptive and inferential statistics. Comparison of self-assessment (87.03 ± 10.03) and the assessment done by head nurses (80.15 ± 15.54) showed a significant difference but no precise differences were found between the assessment methods for the frequency of using these competencies. The results of this study indicated no consensus between the nurses owns assessment and their head nurse assessment. Therefore, it is necessary to use a combination of nurses' competence assessment methods in order to reach a more valid and precise conclusion.

  1. Pressure ulcers: knowledge and attitude of nurses and nursing assistants in Belgian nursing homes.

    NARCIS (Netherlands)

    Demarre, L.; Vanderwee, K.; Defloor, T.; Verhaeghe, S.; Schoonhoven, L.; Beeckman, D.


    AIMS: To gain insight into the knowledge and attitudes of nurses and nursing assistants and to study the correlation between knowledge, attitudes and the compliance with the pressure ulcer prevention guidelines provided to residents at risk of pressure ulcers in nursing homes. BACKGROUND: There is a

  2. Clinical nurse specialist assessment of nurses' knowledge of heart failure. (United States)

    Mahramus, Tara L; Penoyer, Daleen Aragon; Sole, Mary Lou; Wilson, Debra; Chamberlain, Lyne; Warrington, William


    Patients' self-management of heart failure (HF) is associated with improved adherence and reduced readmissions. Nurses' knowledge about self-management of HF may influence their ability to adequately perform discharge education. Inadequate nurse knowledge may lead to insufficient patient education, and insufficient education may decrease patients' ability to perform self-management. Prior to developing interventions to improve patient education, clinical nurse specialists should assess nurses' knowledge of HF. The purpose of this study was to determine nurses' knowledge of HF self-management principles. This was a prospective, exploratory, and descriptive online test. There were 3 patient care settings: tertiary care teaching hospital, community hospital, and home healthcare division. The sample was composed of 90 registered nurses who worked directly with patients with HF. Nurses completed an online test of knowledge using the Nurses' Knowledge of Heart Failure Education Principles instrument. Registered nurses (n = 90) completed the knowledge test instrument; their average score was 71% (SD, 10.8%) (range, 20%-90%). The percentage of correct items on each subscale ranged from 63.9% (SD, 30.0) for medications to 83.3% (SD, 25.0) for exercise. Only 8.9% of respondents achieved a passing score of greater than 85%, and a passing score was not associated with any demographic characteristics. Overall, nursing knowledge of HF self-management principles was low. Scores from our nurses were similar to those found in other studies. There is a need to develop interventions to improve nursing knowledge of HF self-management principles. Clinical nurse specialists can be instrumental in developing knowledge interventions for nurses.

  3. 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.

  4. Workplace violence against nursing students and nurses: an Italian experience. (United States)

    Magnavita, Nicola; Heponiemi, Tarja


    Nurses and nursing students are exposed to workplace violence. To compare the characteristics and effects of violence in nursing students and nurses in order to assess the phenomenon and take preventive action. A retrospective survey was conducted in three Italian university schools of nursing. At the end of a lecture, 346 of 349 students agreed to fill out a questionnaire that included domains on violence, mental health, job stress, and organizational justice. This group was compared with 275 nurses from a general hospital (94.2% participation rate). The prevalence of subjects reporting at least one upsetting episode of physical or verbal violence during their lifetime activity in clinical settings was 43% in nurses and 34% in nursing students. Nurses reported more physical assaults (odds ratio [OR] 2.89, 95% confidence interval [CI] 1.35-6.18), threats (OR 2.84, 95% CI 1.39-5.79), and sexual harassment (OR 2.3, 95% CI 1.15-5.54) during the previous 12 months than students. Nurses were mostly assaulted or harassed by patients or their relatives and friends ("external" violence), whereas students often reported verbal and also physical violence on the part of colleagues, staff, and others, including teachers, doctors, and supervisors ("internal" violence). Verbal violence was associated with high levels of psychological problems, as measured by the 12-item version of the General Health Questionnaire, in both students and nurses. Verbal violence was also associated with high job strain, low social support, and low organizational justice, but only among nursing students. Preventive action is urgently needed to control patient-to-worker and worker-to-worker violence in clinical settings. Not only nurses, but also nursing students, would benefit from multilevel programs of violence prevention. © 2011 Sigma Theta Tau International.

  5. Nurses perceptions about the nurse's social role in Greece

    Directory of Open Access Journals (Sweden)

    Lavdaniti M.


    Full Text Available B A C K G R O U N D : There is great evidence in nursing literature about the nurses’ perceptions on their role. Moststudies are focused on nursing practice and the actual role in hospitals, and other skills on basic-, intermediate- andadvanced- level patient care. In Greece, there are no studies examining the social role of nurses and nurses’ perceptionsabout it.A I M : Τo assess how nurses in Greece perceive their social role and investigate the factors influencing their social role.M A T E R I A L - M E T H O D : 342 nurses working in hospitals in the wider area of Thessaloniki were recruited inthis study. Data collection was carried out through one self-completed questionnaire developed by the researchers.R E S U L T S : 47.5% (n=162 agreed that society expects from nurses a particular behaviour, and almost half of theparticipants [51.8% (n=176] totally agreed that nurses are practicing a ‘litourgima’. 49.1% (n=165 agreed that nursesare health educators in society and another 46.3% (n=157 totally agreed that nurses undertake actions in order toeliminate patient discrimination. 47.6% (n=160 of the participants totally agreed that nurses should be dedicated toquality improvement and 40.9% of the sample (n=138 agreed that nurses should provide care during an epidemicwhile 41.3% totally agreed that nurses execute duties of other professionals. 45.7% (n=155 totally agreed that nursesshouldn’t deny care for patients with infectious diseases. A high percentage of nurses (60.1%, n=197 agreed that apart of the nursing role is patient advocacy.C O N C L U S I O N S : The findings of the present study indicate the importance of nurses’ social role, which mayallow them to empower patients to further recognize the role of nursing during hospitalization.

  6. On the humanities of nursing. (United States)

    Lazenby, Mark


    The author contends that the present state of nursing research, as focused on studies that produce the sort of positivistic evidence espoused by the evidence-based medicine movement, emphasizes something other than the goals of nursing. This emphasis has distorted nursing practice by focusing on the ostensibly quantifiable. Using Virginia Henderson's classic definition of nursing and the work of the philosopher Martha Nussbaum, the author argues for the centrality of the human experience in the practice and the research of nursing. Copyright © 2013 Elsevier Inc. All rights reserved.

  7. The task of nursing ethics.


    Melia, K M


    This paper raises the questions: 'What do we expect from nursing ethics?' and 'Is the literature of nursing ethics any different from that of medical ethics?' It is suggested that rather than develop nursing ethics as a separate field writers in nursing ethics should take a lead in making the patient the central focus of health care ethics. The case is made for empirical work in health care ethics and it is suggested that a good way of setting about this is to ask practising nurses about the ...

  8. Reflections on strategic nurse leadership. (United States)

    White, Jean


    This paper sets out some personal reflections by the Chief Nursing Officer for Wales on the challenges facing nurses and midwives as they undertake strategic leadership roles in NHS organisations. The paper looks at the national approach taken in Wales where behavioural competencies for executive nurse directors have been implemented. It considers the implications of the breadth of responsibilities executive nurse directors have and the importance of developing and supporting middle grade nurse managers and clinical directors. It concludes by looking at who is responsible for care within an organisation. © 2012 Blackwell Publishing Ltd.

  9. Humanized nursing service in the operating room

    Directory of Open Access Journals (Sweden)

    Cui-ping MU


    Full Text Available Objective: To improve the quality of nursing service. Methods: To improve nursing service of the aspects of nursing environment, nursing intervention and nursing aesthetics. Results: To achieve the goal that patient satisfaction rate was 100% and to stimulate the enthusiasm of the medical staff. Conclusion: Humanized nursing service is an effective method of improving efficiency and quality of nursing in the operating room.

  10. Nursing in the United States of America


    Lambert, Vickie A.


    Nursing in the United States of America is a diverse and challenging profession. A number of educational programs exist that allow the nurse to obtain not only a basic education in nursing, but also advanced degrees in nursing at both the master's and doctoral level of preparation. Practice sites for nurses are numerous and varied, as are the areas of specialization. The annual salary a nurse earns is determined by the nurse's level of educational preparation, job title and responsibilities, ...

  11. Clinical intervention research in nursing. (United States)

    Forbes, Angus


    As a healthcare profession nursing has a duty to develop practices that contribute to the health and well being of patients. The aim of this paper is to discuss current issues in clinical research within nursing. The paper defines clinical interventions research as a theoretically based, integrated and sequential approach to clinical knowledge generation. The paper provides specific criteria for defining a clinical intervention together with an overview of the stages involved in clinical research from problem identification to implementing knowledge in practice. The paper also explored the extent to which nursing research was focussed on clinical issues, through a snapshot review of all the original research papers in Europe's three leading nursing research journals. In total of 517 different papers were included and classified in the review. Of these 88% (n=455) were classified as non-clinical intervention and 12% (n=62) as clinical intervention studies. The paper examined the intervention studies in detail examining: the underpinning theory; linkage to previous (pre-clinical) work; evidence of granularity; protocol clarity (generalisable and parsimonious); the phase of knowledge development; and evidence of safety (adverse event reporting). The paper discusses some of the shortcomings of interventions research in nursing and suggests a number of ideas to help address these problems, including: a consensus statement on interventions research in nursing; a register of nursing intervention studies; the need for nursing to develop clinical research areas in which to develop potential interventions (nursing laboratories); and a call for nursing researchers to publish more research in nursing specific journals.

  12. Nurse Scheduling Using Genetic Algorithm

    Directory of Open Access Journals (Sweden)

    Komgrit Leksakul


    Full Text Available This study applied engineering techniques to develop a nurse scheduling model that, while maintaining the highest level of service, simultaneously minimized hospital-staffing costs and equitably distributed overtime pay. In the mathematical model, the objective function was the sum of the overtime payment to all nurses and the standard deviation of the total overtime payment that each nurse received. Input data distributions were analyzed in order to formulate a simulation model to determine the optimal demand for nurses that met the hospital’s service standards. To obtain the optimal nurse schedule with the number of nurses acquired from the simulation model, we proposed a genetic algorithm (GA with two-point crossover and random mutation. After running the algorithm, we compared the expenses and number of nurses between the existing and our proposed nurse schedules. For January 2013, the nurse schedule obtained by GA could save 12% in staffing expenses per month and 13% in number of nurses when compare with the existing schedule, while more equitably distributing overtime pay between all nurses.

  13. Management review of nursing systems. (United States)

    Jupp, M R


    This paper describes the systems of nursing operating at a major cancer centre in the United Kingdom. The review was undertaken over a period of 8 weeks and 11 wards were included. The systems being implemented were primary nursing, team nursing and patient allocation. Methods of enquiry included questionnaires, non-participative observation and interviews. The results of the review found the nursing systems to be at various stages of implementation, and that in reality, not all wards were operating the system they said they were. A pragmatic mixture of team nursing and primary nursing as described by Hegyvary (1982) was being practised on some of the wards. The report makes recommendations for change, and concludes by discussing the future implications for cancer nursing at the centre.

  14. Nursing care for stroke patients

    DEFF Research Database (Denmark)

    Tulek, Zeliha; Poulsen, Ingrid; Gillis, Katrin


    AIMS AND OBJECTIVES: To conduct a survey of the clinical nursing practice in European countries in accordance with the European Stroke Strategies (ESS) 2006, and to examine to what extent the ESS have been implemented in stroke care nursing in Europe. BACKGROUND: Stroke is a leading cause of death...... comprising 61 questions based on the ESS and scientific evidence in nursing practice was distributed to representatives of the European Association of Neuroscience Nurses, who sent the questionnaire to nurses active in stroke care. The questionnaire covered the following areas of stroke care: Organization...... of stroke services, Management of acute stroke and prevention including basic care and nursing, and Secondary prevention. RESULTS: Ninety-two nurses in stroke care in 11 European countries participated in the survey. Within the first 48 hours after stroke onset, 95% monitor patients regularly, 94% start...

  15. Nurse prescribing in Poland (United States)

    Binkowska-Bury, Monika; Więch, Paweł; Bazaliński, Dariusz; Marć, Małgorzata; Bartosiewicz, Anna; Januszewicz, Paweł


    Abstract The aim of this study was to identify and examine the differences in opinions held by health care professionals and the general public concerning the right to administer and prescribe medication which has been awarded to nurses and midwives in Poland. The study was conducted from December 1, 2014 to July 1, 2015, in randomly selected primary health care clinics, among 2227 individuals, including 849 subjects representing medical personnel of primary health care and 1378 patients receiving primary care services. The study used 2 versions of a questionnaire. The relationships were examined with χ2 test for independence and Kruskal–Wallis test. Health professionals do not believe the new rights awarded to nurses and midwives will reduce the waiting time for medical consultations (P Nurses’ qualifications for the new tasks were most highly rated by patients, whereas the least favorable opinion was expressed by doctors (P nurse prescribing it is necessary to develop a suitable strategy enabling implementation of the government's initiative and facilitating the process of taking up the new task by nurses. PMID:27537573

  16. Nursing Concepts. Teacher Edition. (United States)

    Oklahoma State Dept. of Vocational and Technical Education, Stillwater. Curriculum and Instructional Materials Center.

    This curriculum guide contains the materials required to teach a course to prepare students for employment as practical nurses. The following topics are covered in seven instructional units: successful learning skills, positive self-concept, techniques for a balanced lifestyle, communication skills, legal and ethical issues, organizational and…

  17. Depression in nursing homes. (United States)

    Snowdon, John


    Although studies have shown the prevalence of depression in nursing homes to be high, under-recognition of depression in these facilities is widespread. Use of screening tests to enhance detection of depressive symptoms has been recommended. This paper aims to provoke discussion about optimal management of depression in nursing homes. The utility of the Cornell Scale for Depression in Dementia (CSDD) is considered. CSDD data relating to residents assessed in 2008-2009 were collected from three Sydney nursing homes. CSDD scores were available from 162 residents, though raters stated they were unable to score participants on at least one item in 47 cases. Scores of 13 or more were recorded for 23% of residents in these facilities, but in most of these cases little was documented in case files to show that the results had been discussed by staff, or that they led to interventions, or that follow-up testing was arranged. Results of CSDD testing should prompt care staff (including doctors) to consider causation of depression in cases where residents are identified as possibly depressed. In particular, there needs to be discussion of how to help residents to cope with disability, losses, and feelings of powerlessness. Research is needed, examining factors that might predict response to antidepressants, and what else helps. Accreditation of nursing homes could be made to depend partly on evidence that staff regularly search for, and (if found) ensure appropriate responses to, depression.

  18. Ageing, nursing and care

    NARCIS (Netherlands)

    Isolde Woittiez; Evelien Eggink; Jedid-Jah Jonker; Klarita Sadiraj


    Original title: Vergrijzing, verpleging en verzorging. All the expectations are that the ageing of the Dutch population will continue over the coming years. This has consequences for the demand, use and costs of care. This applies in particular for home care and for nursing and care homes,

  19. [The transport nurse]. (United States)

    Le Gal, Ludovic


    Caring, reassuring, supporting and repatriating people in medical distress from anywhere in the world: such is the day-to-day work of the repatriation nurses at Mondial Assistance. Ludovic Le Gal has been doing this job for the last eleven years with a passion which has remained undiminished. Copyright © 2014 Elsevier Masson SAS. All rights reserved.

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

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


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

  1. Academic Inbreeding in Nursing (United States)

    Miller, Michael H.


    Academic inbreeding, the employment for faculty positions of persons who receive their graduate training at the same academic institution, is considered detrimental to an institution's academic environment. Results of a study conducted at 54 universities revealed that almost half the faculty (48 percent) in collegiate nursing programs are drawn…

  2. Enhanced nurse call systems. (United States)


    This Evaluation focuses on high-end computerized nurse call systems--what we call enhanced systems. These are highly flexible systems that incorporate microprocessor and communications technologies to expand the capabilities of the nurse call function. Enhanced systems, which vary in configuration from one installation to the next, typically consist of a basic system that provides standard nurse call functionality and a combination of additional enhancements that provide the added functionality the facility desires. In this study, we examine the features that distinguish enhanced nurse call systems from nonenhanced systems, focusing on their application and benefit to healthcare facilities. We evaluated seven systems to determine how well they help (1) improve patient care, as well as increase satisfaction with the care provided, and (2) improve caregiver efficiency, as well as increase satisfaction with the work environment. We found that all systems meet these objectives, but not all systems perform equally well for all implementations. Our ratings will help facilities identify those systems that offer the most effective features for their intended use. The study also includes a Technology Management Guide to help readers (1) determine whether they'll benefit from the capabilities offered by enhanced systems and (2) target a system for purchase and equip the system for optimum performance and cost-effective operation.

  3. Nurses' extended work hours: Patient, nurse and organizational outcomes. (United States)

    Kunaviktikul, W; Wichaikhum, O; Nantsupawat, A; Nantsupawat, R; Chontawan, R; Klunklin, A; Roongruangsri, S; Nantachaipan, P; Supamanee, T; Chitpakdee, B; Akkadechanunt, T; Sirakamon, S


    Nursing shortages have been associated with increased nurse workloads that may result in work errors, thus impacting patient, nurse and organizational outcomes. To examine for the first time in Thailand nurses' extended work hours (working more than 40 h per week) and its relationship to patient, nurse and organizational outcomes. Using multistage sampling, 1524 registered nurses working in 90 hospitals across Thailand completed demographic forms: the Nurses' Extended Work Hours Form; the Patient, Nurse, Organizational Outcomes Form; the Organizational Productivity Questionnaire and the Maslach Burnout Inventory. The data were analysed using descriptive statistics, Spearman's rank correlation and logistic regression. The average extended work hour of respondents was 18.82 h per week. About 80% worked two consecutive shifts. The extended work hours had a positive correlation with patient outcomes, such as patient identification errors, pressure ulcers, communication errors and patient complaints and with nurse outcomes of emotional exhaustion and depersonalization. Furthermore, we found a negative correlation between extended work hours and job satisfaction as a whole, intent to stay and organizational productivity. Nurses who had extended work hours of >16 h per week were significantly more likely to perceive all four adverse patient outcomes than participants working an extended ≤8 h per week. Patient outcomes were measured by respondents' self-reports. This may not always reflect the real occurrence of adverse events. Associations between extended work hours and outcomes for patients, nurses and the organization were found. The findings demonstrate that working two shifts (16 h) more than the regular work hours lead to negative outcomes for patients, nurses and the organization. Our findings add to increasing international evidence that nurses' poor working conditions result in negative outcomes for professionals, patients and health systems

  4. Metabolic Syndrome in Nurses

    Directory of Open Access Journals (Sweden)

    María Escasany


    Full Text Available Objectives: To estimate the prevalence of metabolic syndrome (MS in female nurses in the Hospital Juan A. Fernandez (HJAF, Buenos Aires, Argentina, and to determine whether work, rest, diet, and health, are predictive of it.Materials and methods: For the first objective, a descriptive, observational and cross-sectional study was conducted, and for the second, a multivariate cross-sectional observational multivariate analysis was made comparing independent samples. A total of 192 nurses were studied between October 2008 and March 2009. They completed a questionnaire that include indicators that could be predictors of MS. Anthropometric measurements, including blood pressure were taken, was well as a blood sample to analyze fasting glucose, HDL-C and plasma triglycerides.Results: It was found that 35% and 41% of nurses were overweight and obese, respectively. A total of 92% had centro-abdominal obesity. The prevalence of MS found was 33.3% (95%CI, 26.7 to 40.5. Those who had this disease were between 53±9 years. Statistically significant differences were found in the bivariate analysis between MS and the variables, age, length of service, time worked during night shift, and academic studies.Conclusions: The prevalence of MS was 64/192 in HJAF nurses (33.3% I 95%CI, 26.7-40.5. There were no statistically significant differences with the indicators of, age, “time worked during night shift”, and “studies”. These results suggest that age is the most important variable in predicting the onset of MS in the population of nurses.

  5. Specialist nursing training in Poland: applications for neuroscience nursing. (United States)

    Slusarz, Robert; Ireland, Sandra; Green, Theresa


    Nurses have a pivotal role in providing facilitating, advocating and promoting the best possible care and outcome for the client. To ensure decisions and actions are based on current standards of practice, nurses must be accountable for participation in ongoing education in their area of practice. To present a description of the current state of Polish nursing education and specialized model for neurological and neurosurgical nursing that can be utilized for both undergraduate and postgraduate continuing education in Poland. The model of postgraduate training introduced in Poland in 2000 was taken into consideration in developing the framework for neuroscience nursing postgraduate continuing education presented here. The framework for neurological continuing education is also based on a review of the literature and is consistent with Poland's legally binding professional nursing regulations (normative and implementing regulations). The model demonstrates the need for the content of pre- and post-undergraduate degree education in neurological nursing to be graduated, based on the frameworks for undergraduate education (acquiring the knowledge and basic skills for performing the work of nurses) and postgraduate education (acquiring knowledge and specialist skills necessary for providing advanced nursing care including medical acts on patients with nervous system diseases). New and advanced skills gained in specialization training can be applied to complex functions, roles and professional tasks undertaken by nurses in relation to care of patients with neurological dysfunctions.

  6. Nursing practice environment: a strategy for mental health nurse retention? (United States)

    Redknap, Robina; Twigg, Di; Rock, Daniel; Towell, Amanda


    Historically, mental health services have faced challenges in their ability to attract and retain a competent nursing workforce in the context of an overall nursing shortage. The current economic downturn has provided some respite; however, this is likely to be a temporary reprieve, with significant nursing shortages predicted for the future. Mental health services need to develop strategies to become more competitive if they are to attract and retain skilled nurses and avoid future shortages. Research demonstrates that creating and maintaining a positive nursing practice environment is one such strategy and an important area to consider when addressing nurse retention. This paper examines the impact the nursing practice environment has on nurse retention within the general and mental health settings. Findings indicate, that while there is a wealth of evidence to support the importance of a positive practice environment on nurse retention in the broader health system, there is little evidence specific to mental health. Further research of the mental health practice environment is required. © 2015 Australian College of Mental Health Nurses Inc.

  7. Understanding Race and Racism in Nursing: Insights from Aboriginal Nurses (United States)

    Vukic, Adele; Jesty, Charlotte; Mathews, Sr. Veronica; Etowa, Josephine


    Purpose. Indigenous Peoples are underrepresented in the health professions. This paper examines indigenous identity and the quality and nature of nursing work-life. The knowledge generated should enhance strategies to increase representation of indigenous peoples in nursing to reduce health inequities. Design. Community-based participatory research employing Grounded Theory as the method was the design for this study. Theoretical sampling and constant comparison guided the data collection and analysis, and a number of validation strategies including member checks were employed to ensure rigor of the research process. Sample. Twenty-two Aboriginal nurses in Atlantic Canada. Findings. Six major themes emerged from the study: Cultural Context of Work-life, Becoming a Nurse, Navigating Nursing, Race Racism and Nursing, Socio-Political Context of Aboriginal Nursing, and Way Forward. Race and racism in nursing and related subthemes are the focus of this paper. Implications. The experiences of Aboriginal nurses as described in this paper illuminate the need to understand the interplay of race and racism in the health care system. Our paper concludes with Aboriginal nurses' suggestions for systemic change at various levels. PMID:22778991

  8. Nursing students' views of nursing education quality: a qualitative study. (United States)

    Kermansaravi, Fatihe; Navidian, Ali; Yaghoubinia, Fariba


    Nursing education is currently facing challenges related to the application of nursing knowledge in clinical environments and inability of students in application of nursing procedures in clinical settings. Nursing students themselves represent the best means of identifying these challenges. This study was conducted aimed to understand the nursing students' viewpoints and experiences concerning the challenges and deficiencies of the nursing education system. This qualitative study that has been carried out adopting conventional qualitative content analysis approach, 40 senior nursing students with sufficient experience of educational situations participated through purposive sampling. Eight focus group discussions were done with volunteer nursing students from School of Nursing and Midwifery in Zahedan (Iran). All of the interviews and discussions were recorded and then analyzed using the conventional content analysis approach. Three themes were emerged from data analysis including theoretical education, clinical skills, and the gap between theoretical education and clinical skills. The students' views and experiences of nursing education quality (theoretical, clinical, and the gap between theoretical education and clinical skills) demonstrated a need to pay careful attention to the selection and recruitment of clinical teachers, and the assessment and control of their educational performance and clinical skills, as well as to determination of standards and validation of education quality.

  9. Innovation in transformative nursing leadership: nursing informatics competencies and roles. (United States)

    Remus, Sally; Kennedy, Margaret Ann


    In a recent brief to the Canadian Nurses Association's National Expert Commission on the Health of Our Nation, the Academy of Canadian Executive Nurses (ACEN) discussed leadership needs in the Canadian healthcare system, and promoted the pivotal role of nursing executives in transforming Canada's healthcare system into an integrated patient-centric system. Included among several recommendations was the need to develop innovative leadership competencies that enable nurse leaders to lead and advance transformative health system change. This paper focuses on an emerging "avant-garde executive leadership competency" recommended for today's health leaders to guide health system transformation. Specifically, this competency is articulated as "state of the art communication and technology savvy," and it implies linkages between nursing informatics competencies and transformational leadership roles for nurse executive. The authors of this paper propose that distinct nursing informatics competencies are required to augment traditional executive skills to support transformational outcomes of safe, integrated, high-quality care delivery through knowledge-driven care. International trends involving nursing informatics competencies and the evolution of new corporate informatics roles, such as chief nursing informatics officers (CNIOs), are demonstrating value and advanced transformational leadership as nursing executive roles that are informed by clinical data. Copyright © 2013 Longwoods Publishing.

  10. Virtual Nursing Avatars: Nurse Roles and Evolving Concepts of Care (United States)

    Abbott, Miriam Bowers; Shaw, Peggy


    Advances in computer software have provided interactive tools that perform many of the duties once in the domain of the nursing profession. Sometimes referred to as 'virtual nursing avatars,' the duties delegated to this technology include facilitating check-ins for patients and coaching patients as they make lifestyle changes. Researchers continue to develop computer applications for virtual nurse avatars. As computers and smartphones take on tasks once in the domain of humans, the roles of nurses will evolve. The arc of this evolution will be determined by the limits of technology, evolving concepts of care, and changing population needs. In this article, the authors share examples of nursing avatar applications, discuss concerns about virtual nurse avatars, reinforce nursing as a caring profession, present avatars as caring agents, and consider the future of nursing avatars. They conclude that, although virtual nurse avatars can perform some nursing tasks in an acceptable manner, they are limited in their ability to make complex judgments and engage in collaboration.

  11. Rationalisation of Nursing Education in Limpopo province: Nurse educators’ perspectives

    Directory of Open Access Journals (Sweden)

    T.R. Makhuvha


    Full Text Available Nursing education institutions are facing a challenge of realigning its functioning according to the changes that are taking place within the country. The intention of the government post apartheid was to correct the imbalances which were brought about by the apartheid government and the following regulations and policies influenced the change in nursing education, that is, Reconstruction and Development Programme (RDP, White Paper on Higher Education (WPHE, and the National Qualification Framework (NQF (South Africa, 1995:6. In 1996 the government introduced the first democratic constitution of the Republic of South Africa (RS A according to Act 108 of 1996. In the light of those increasing changes in nursing education, led by political change, the experiences of nurse educators is a critical issue facing nursing campuses. The purpose of this study was two-fold; namely: to explore and describe the experiences of nurse educators with regard to the rationalisation of nursing education and to use information obtained to describe guidelines for the effective rationalisation of a nursing college in the Limpopo Province. A qualitative, exploratory, descriptive and contextual research design was used. Qualitative interviews were conducted with nurse educators who worked in nursing colleges before and after 1994. Measures to ensure trustworthiness were applied and ethical issues were adhered to throughout the research process. Data was analysed following Tesch’s method (Creswell 1994:154-155. The research established that nurse educators experienced dissatisfaction in several areas relating to the rationalization of nursing education. Support was also expected from bureaucracy at higher level. This study developed guidelines to policy makers and nurse educators to ensure effective rationalisation process.

  12. Rationalisation of nursing education in Limpopo province : nurse educators' perspectives. (United States)

    Makhuvha, T R; Davhana-Maselesele, M; Netshandama, V O


    Nursing education institutions are facing a challenge of realigning its functioning according to the changes that are taking place within the country. The intention of the government post apartheid was to correct the imbalances which were brought about by the apartheid government and the following regulations and policies influenced the change in nursing education, that is, Reconstruction and Development Programme (RDP), White Paper on Higher Education (WPHE), and the National Qualification Framework (NQF) (South Africa, 1995:6). In 1996 the government introduced the first democratic constitution of the Republic of South Africa (RSA) according toAct 108 of 1996. In the light of those increasing changes in nursing education, led by political change, the experiences of nurse educators is a critical issue facing nursing campuses. The purpose of this study was two-fold; namely: to explore and describe the experiences of nurse educators with regard to the rationalisation of nursing education and to use information obtained to describe guidelines for the effective rationalisation of a nursing college in the Limpopo Province. A qualitative, exploratory, descriptive and contextual research design was used. Qualitative interviews were conducted with nurse educators who worked in nursing colleges before and after 1994. Measures to ensure trustworthiness were applied and ethical issues were adhered to throughout the research process. Data was analysed following Tesch's method (Creswell 1994:154-155). The research established that nurse educators experienced dissatisfaction in several areas relating to the rationalization of nursing education. Support was also expected from bureaucracy at higher level. This study developed guidelines to policy makers and nurse educators to ensure effective rationalisation process.

  13. Leading nurses in dire straits: head nurses' navigation between nursing and leadership roles. (United States)

    Sørensen, Erik E; Delmar, Charlotte; Pedersen, Birthe D


    The present study reports selected findings from a doctoral study exploring the negotiation between nursing and leadership in hospital head nurses' leadership practice. The importance of bringing a nursing background into leadership is currently under debate. In spite of several studies of nursing and clinical leadership, it is still unclear how nurses' navigate between nursing and leadership roles. An 11-month-long ethnographic study of 12 head nurses' work: five worked at a first line level and seven at a department level. At the first line level, leadership practices were characterized by an inherent conflict between closeness and distance to clinical practice; at the department level practises were characterized by 'recognition games'. On both levels, three interactive roles were identified, that of clinician, manager and a hybrid role. Where clinician or manager roles were assumed, negotiation between roles was absent, leading to reactive, adaptive and isolated practices. The hybrid role was associated with dialectical negotiation of roles leading to stable and proactive practices. Nursing leadership practises depend on leaders' negotiation of the conflicting identities of nurse and leader. Successful nursing leaders navigate between nursing and leadership roles while nourishing a double identity. © 2011 The Authors. Journal compilation © 2011 Blackwell Publishing Ltd.

  14. [Hospice palliative care education for nursing students, nurses, and advanced nursing practitioners]. (United States)

    Lai, Wei-Shu; Ying, Wan-Ping; Chao, Co-Shi Chantal


    The aim of hospice palliative education care is to train nurses in hospice philosophy, terminal care skills, nursing care competencies, and professional reliability. Student nurses, staff nurses, and advanced practice nurses must be taught through a proper sequence, from novice to expert. Working together with patients and their families, nurses can educate and care for the physical, social and spiritual needs of terminally ill patients. Currently, problems faced in hospice palliative care education include: 1. The lack of a systematic plan focusing on hospice palliative care and terminal care in nursing schools; 2. The absence of comfort care, communications, ethics, and other relevant issues in extant education and training; 3. The limited number of institutes that currently provide in-service training; 4. The shortage of teachers proficient in both hospice care knowledge and practice; and 5. The current overdependence on traditional nursing education models, which hinders student nurse originality and delays staff nurse growth. Faced with the present issues, self-reflection, localization, and multiple teaching strategies should be the critical developmental directions of hospice palliative education. In order to improve terminal care quality, it is also important to integrate practice, education, and research in order to train more hospice palliative nurses.

  15. Using advanced mobile devices in nursing practice--the views of nurses and nursing students. (United States)

    Johansson, Pauline; Petersson, Göran; Saveman, Britt-Inger; Nilsson, Gunilla


    Advanced mobile devices allow registered nurses and nursing students to keep up-to-date with expanding health-related knowledge but are rarely used in nursing in Sweden. This study aims at describing registered nurses' and nursing students' views regarding the use of advanced mobile devices in nursing practice. A cross-sectional study was completed in 2012; a total of 398 participants replied to a questionnaire, and descriptive statistics were applied. Results showed that the majority of the participants regarded an advanced mobile device to be useful, giving access to necessary information and also being useful in making notes, planning their work and saving time. Furthermore, the advanced mobile device was regarded to improve patient safety and the quality of care and to increase confidence. In order to continuously improve the safety and quality of health care, advanced mobile devices adjusted for nursing practice should be further developed, implemented and evaluated in research. © The Author(s) 2013.

  16. The Value of Trust to Nursing. (United States)

    Rutherford, Marcella M


    Trust, one of nursing's intangible assets, impacts nurses' ability to form meaningful relationships with patients and this connection positively impacts health outcomes. Linking trust to the fabric of nursing and investing in its measurement will become essential to nursing's valuation and the resulting investment in nursing. Trust, as nursing's core value, should be fostered by nurse educators as they prepare the next generation of nurses. Nurse administrators should connect the trust a patient has for his or her nurse and patient cooperation and honest transparent communication between providers and the patient. Banking trust as a valuable nursing asset will substantiate nursing's marketing and support its worth. Nursing's trustworthiness is an intangible asset that warrants protection, as trust once lost is hard to recapture.

  17. Nurses who do not nurse: factors that predict non-nursing work in the U.S. registered nursing labor market. (United States)

    Black, Lisa; Spetz, Joanne; Harrington, Charlene


    Registered nurses (RNs) who work outside of nursing have seldom been examined. This aim of this study was to compare the 122,178 (4%) of RNs who are employed outside of nursing to those who work in nursing jobs in terms of sociodemographic, market, and political variables to determine if these groups are substantively different from one another. Using a logit regression model, wages were a significant predictor of working outside of nursing for unmarried nurses but not for married nurses. Married and unmarried male nurses were more likely to work outside of nursing. Baccalaureate education, children under age 6, higher family income, and years since graduation increased the odds of working outside of nursing for married nurses. Ultimately, identifying characteristics on which these groups differ may inform future policy directions that could target nurses who may leave nursing at a time when retention efforts might be effective to alter their trajectory away from the profession.

  18. [Feminism in nursing science in Korea]. (United States)

    Yi, Myungsun


    Although feminism has been actively discussed and applied to nursing in Western societies since the 1980s, it is little known among Korean scholars as well as Korean nurses. This article explores the use of feminist perspectives in nursing science in other developed countries and suggests how feminism could be applied to nursing science in Korea. The literature related to nursing and feminism were reviewed in terms of nursing practice, education, and research. This article describes what feminism is and how feminism and nursing have evolved historically over time in other countries, especially in Western societies. In addition, it discusses how it can be applied to nursing practice, education, and research in Korea. Accepting feminist perspective in Korean nursing could benefit in empowering nurses by valuing nursing, by raising self-esteem of nurses, and by raising the consciousness of socio-political realities. Eventually it could benefit in changing and developing nursing science in Korea.

  19. Smoke-free nurses: leading by example. (United States)

    Halcomb, Kathleen A


    Occupational health nurses' scope of practice includes health promotion and restoration of health from environmental hazards (American Association of Occupational Health Nurses, n.d.). Because the nursing profession is the largest constituent of health care providers, it is essential that occupational health nurses tackle the smoking epidemic among the nursing profession. By encouraging smoking cessation among nurses, occupational health nurses reduce the environmental hazard of second-hand smoke and improve the health of nurses who smoke. When occupational health nurses take an active role in encouraging smoking cessation among nurses, they become leaders in reducing smoking within their communities. Members of the nursing profession are also role models. Occupational health nurses must help nurses become healthy role models and credible educators in the battle against smoking.

  20. Statement on nursing: a personal perspective. (United States)

    McCutcheon, Tonna


    Contemporary nursing is based on a conglomerate of theoretical nursing models. These models each incorporate four central concepts: person, health, environment, and nursing. By defining these concepts, nurses develop an individual framework from which they base their nursing practice. As an aspiring nurse practitioner in the gastroenterology field, I have retrospectively assessed my personal definitions of person, health, environment, and nursing. From these definitions, I am able to incorporate specific theoretical frameworks into my personal belief system, thus formulating a basis for my nursing practice. This foundation is comprised of the influence of nursing theorists Jean Watson, Sister Callista Roy, Kolcaba, Florence Nightingale, and Ida J. Orlando; the Perioperative Patient-Focused Model; Watson's Theory of Human Caring; theories regarding transpersonal human caring and healing; and feminist theories. Therefore, this article describes self-examination of nursing care by defining central nursing concepts, acknowledging the influence of nursing theorists and theories, and developing a personal framework from which I base my nursing practice.

  1. School Nurse Intention to Pursue Higher Education (United States)

    Broussard, Lisa; White, Debra


    In 2011, the Institute of Medicine recommended that 80% of the nurses possess a minimum of a bachelor of science in nursing by 2020 and double the number of doctorally prepared nurses. This has prompted a significant number of registered nurses to advance their educational level. School nurses in Louisiana are not required to have a bachelor's…

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

    Thorpe, R; Smutko, P W


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

  3. Standardized Nursing Languages. Position Statement. Revised (United States)

    Duff, Carolyn; Endsley, Patricia; Chau, Elizabeth; Morgitan, Judith


    It is the position of the National Association of School Nurses (NASN) that standardized nursing languages (SNL) are essential communication tools for registered professional school nurses (hereinafter, school nurses) to assist in planning, delivery, and evaluation of quality nursing care. SNL help identify, clarify and document the nature and…

  4. Public Health Interventions for School Nursing Practice (United States)

    Schaffer, Marjorie A.; Anderson, Linda J. W.; Rising, Shannon


    School nurses (SNs) use public health nursing knowledge and skills to provide nursing services to school populations. The Public Health Intervention Wheel is a practice framework that can be used to explain and guide public health nursing interventions. SNs who were also members of the National Association of School Nurses completed an electronic…

  5. Nursing: Supply and Demand through 2020 (United States)

    Carnevale, Anthony P.; Smith, Nicole; Gulish, Artem


    This report analyzes the growing need for qualified nurses. The study projects that the economy will create 1.6 million job openings for nurses through 2020. Yet, there will not be enough nurses to fill those openings. this report projects that the nursing workforce will be facing a shortfall of roughly 200,000 nursing professionals by 2020. One…

  6. Professional nurses' understanding of clinical judgement: A ...

    African Journals Online (AJOL)

    An explorative and descriptive qualitative design was followed in this study to reach an understanding of clinical judgement in the clinical nursing environment from the perspective of professional nurses. Eleven ... Keywords: Clinical nursing environment, Cognitive reasoning skills, Quality nursing care, Nursing student ...

  7. Nursing Delegation in the United Kingdom

    National Research Council Canada - National Science Library

    Patricia Gillen; Sean Graffin


    ... expectations, the variety of nursing settings in which delegation occurs, and nursing delegation challenges within the UK. Citation: Gillen, P., Graffin, S. (May 31, 2010) "Nursing Delegation in the United Kingdom" OJIN: The Online Journal of Issues in Nursing Vol. 15, No. 2, Manuscript 6. DOI: 10.3912/OJIN.Voll5No02Man06 Key words: nursing delegation, barri...

  8. Nurse prescribing: radicalism or tokenism? (United States)

    McCartney, W; Tyrer, S; Brazier, M; Prayle, D


    The creation of The Medical Products (Prescription by Nurses, etc.) Act 1992 has been generally welcomed by the nursing profession. This article seeks to introduce a note of scepticism about the assumed motivations for its introduction through an analysis of various legal, ethical, economic and political dimensions. In reviewing the position of nursing vis-à-vis medicine it is argued that one of the ways that nursing has sought to improve its professional position is to take on work previously done by doctors, and nurse prescribing can be seen in the context of the concurrent de-regulation of medicines, allowing greater access to medicines and therefore greater consumer choice. This de-regulation stems from the liberation ideology of the previous Conservative government. Viewed in this way nurse prescribing, particularly with reference to the limited nature of the nursing formulary, can be seen to be anomalous. In the light of this analysis, the reasons generally put forward (notably in the Crown Report 1989) for the introduction of nurse prescribing could be seen to be peripheral to its real purpose. It is argued that the most convincing reasons for its introduction relate to the medical profession as a social institution. It is proposed that the three primary aims behind the introduction of nurse prescribing are: the saving of money; the transfer of routine medical work to nursing; and a challenge to the professional monolith of medicine.

  9. Microbiology Education in Nursing Practice. (United States)

    Durrant, Robert J; Doig, Alexa K; Buxton, Rebecca L; Fenn, JoAnn P


    Nurses must have sufficient education and training in microbiology to perform many roles within clinical nursing practice (e.g., administering antibiotics, collecting specimens, preparing specimens for transport and delivery, educating patients and families, communicating results to the healthcare team, and developing care plans based on results of microbiology studies and patient immunological status). It is unclear whether the current microbiology courses required of nursing students in the United States focus on the topics that are most relevant to nursing practice. To gauge the relevance of current microbiology education to nursing practice, we created a confidential, web-based survey that asked nurses about their past microbiology education, the types of microbiology specimens they collect, their duties that require knowledge of microbiology, and how frequently they encounter infectious diseases in practice. We used the survey responses to develop data-driven recommendations for educators who teach microbiology to pre-nursing and nursing students. Two hundred ninety-six Registered Nurses (RNs) completed the survey. The topics they deemed most relevant to current practice were infection control, hospital-acquired infections, disease transmission, and collection and handling of patient specimens. Topics deemed least relevant were the Gram stain procedure and microscope use. In addition, RNs expressed little interest in molecular testing methods. This may reflect a gap in their understanding of the uses of these tests, which could be bridged in a microbiology course. We now have data in support of anecdotal evidence that nurses are most engaged when learning about microbiology topics that have the greatest impact on patient care. Information from this survey will be used to shift the focus of microbiology courses at our university to topics more relevant to nursing practice. Further, these findings may also support an effort to evolve national recommendations for

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

    Directory of Open Access Journals (Sweden)

    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.

  11. Moral suffering among nurse educators of technical courses in nursing. (United States)

    Duarte, Carla Godinho; Lunardi, Valéria Lerch; Silveira, Rosemary Silva da; Barlem, Edson Luiz Devos; Dalmolin, Graziele de Lima


    to understand situations of moral suffering experienced at work by nurse educators of technical courses in nursing. 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. 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. 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.

  12. Nurses' and nursing assistants' reports of missed care and delegation. (United States)

    Gravlin, Gayle; Phoenix Bittner, Nancy


    Measure RNs' and nursing assistants' reports of frequency and reasons for missed nursing care and identify factors related to successful delegation. Routine nursing tasks were identified as the most commonly occurring omissions. Reasons for omissions included poor utilization of staff resources, time required for the nursing interventions, poor teamwork, ineffective delegation, habit, and denial. Quantitative, descriptive design. Widespread reports of missed care included turning, ambulating, feeding, mouth care, and toileting. Frequently reported reasons were unexpected increase in volume or acuity, heavy admission or discharge activity, and inadequate support staff. Factors affecting successful delegation were communication and relationship, nursing assistant competence and knowledge, and attitude and workload. Nurse leaders must focus on implementing strategies to mitigate factors and the consequences of care omissions, including poor patient outcomes. An analysis of point-of-care delivery system failures and ineffective processes is essential.

  13. Incivility in the hospital environment: the nurse educator-staff nurse relationship. (United States)

    Danque, Cynthia T; Serafica, Reimund; Lane, Susan Hayes; Hodge, Mary Alice


    Occurrences of incivility in nurse educator-staff nurse relationship studies are limited. A qualitative methodology (n = 6) was used to investigate nurse educators' perceptions of the main stressors for nurses during educational experiences. Identification of uncivil traits as seen by nurse educators and perceived role of nursing leaders in addressing incivility in the workplace were also identified.

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

    Amos, Kimberly S.


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

  15. The Lived Experience of Nurses Working with Student Nurses in the Clinical Environment (United States)

    Hathorn, Donna; Machtmes, Krisanna; Tillman, Ken


    One response to the nursing shortage is to increase promotion and retention in nursing programs: However, negative attitudes of nurses threaten student progression and retention. A phenomenological study explored the lived experience of nurses who worked with student nurses to discover "what" attitudes nurses had toward student nurses…

  16. Nurse educators establishing new venues in global nursing education. (United States)

    Shishani, Kawkab; Allen, Carol; Shubnikov, Eugene; Salman, Khlood; Laporte, Ronald E; Linkov, Faina


    Nurses represent the largest number of health care workers worldwide, but they are currently underutilized for global health practices. This may be due to the fact that global health programs are not incorporated in nursing education in many countries. The World Health organization (WHO) recognized the importance of building capacity and having well-prepared nurses who are able to exchange knowledge and expertise worldwide, but did not offer practical solutions. A nursing Super course recognizes the gap between what WHO advocates for and what needs to be done in nursing education to achieve well prepared nurses. A solution suggested is to develop well-structured contents that are applicable and can be shared among nursing programs worldwide. A nursing Supercourse is proposed to provide lectures prepared by expert nursing educators and researchers in global health. The nursing Supercourse has emerged from the parent Supercourse that is a virtual library of lectures developed by world experts in public health and medicine. It represents a global library of over 4,300 public health and medical lectures and a network of over 56,000 public health professionals in 174 countries of the world. These lectures are written in different languages, prepared in easy format, and can be accessed through the internet. In other words does not require the usage of any advanced technology. The Supercourse educational technology has been used successfully in Epidemiology education focusing on multiple topics in public health such as non- communicable disease prevention (NCD), chronic diseases, disaster preparedness, environmental health, and others. Training of nursing students in global health while there are attending nursing programs needs to be a part of the national and international health efforts for disease prevention and health promotion. Copyright © 2012 Elsevier Inc. All rights reserved.

  17. Learning to nurse children: towards a model for nursing students. (United States)

    Coetzee, Minette


    As undergraduate nursing students approach their paediatric placement, their anticipation ranges from keen expectation to anxious avoidance. This placement has been described as the most stressful in nursing programmes. While various nurse scholars have attempted to describe the practice and the theory of nursing, it has been the challenge of nurse teachers to weave the theory and practice of nursing together for their students. The nature of this learning is, however, still being explored. This paper reports a study whose aim was to describe, and propose a theoretical understanding of, how nursing students learn to care for children. In this grounded theory study, participants were drawn from four consecutive student groups in their third year of a Bachelor of Nursing programme. Data included participant observation, focus groups and student descriptions, from both personal reflective journals and narratives. The qualitative research paradigm and the interlaced, often simultaneous, roles of researcher and teacher defined the design and implementation of the study. Data analysis confirmed the complex nature of students' learning to care. The relationships that they established with children and others (families, peers, clinical nurses and lecturers) whom they encountered emerged as key in their learning. The social process that was central to student learning was working out how to connect with a child in their care: puzzling out a connection. Each connection with a child contributed to the next and thus to the student's learning. Each connection also contributed to the student's resources, knowledge and experience base, adding to learning by further equipping the student for the next encounter with a child. The resulting theory contributes towards understanding the complexity of learning to care for children. The relational nature of learning shown in this work can guide the structuring and evaluation of learning environments in child nursing programmes. The

  18. Filipino Nurses' Spirituality and Provision of Spiritual Nursing Care. (United States)

    Labrague, Leodoro J; McEnroe-Petitte, Denise M; Achaso, Romeo H; Cachero, Geifsonne S; Mohammad, Mary Rose A


    This study was to explore the perceptions of Filipino nurses' spirituality and the provision of spiritual nursing care. A descriptive, cross-sectional, and quantitative study was adopted for this study. The study was conducted in the Philippines utilizing a convenience sample of 245 nurses. Nurses' Spirituality and Delivery of Spiritual Care (NSDSC) was used as the main instrument. The items on NSDSC with higher mean scores related to nurses' perception of spirituality were Item 7, "I believe that God loves me and cares for me," and Item 8, "Prayer is an important part of my life," with mean scores of 4.87 (SD = 1.36) and 4.88 (SD = 1.34), respectively. Items on NSDSC with higher mean scores related to the practice of spiritual care were Item 26, "I usually comfort clients spiritually (e.g., reading books, prayers, music, etc.)," and Item 25, "I refer the client to his/her spiritual counselor (e.g., hospital chaplain) if needed," with mean scores of 3.16 (SD = 1.54) and 2.92 (SD = 1.59). Nurse's spirituality correlated significantly with their understanding of spiritual nursing care (r = .3376, p ≤ .05) and delivery of spiritual nursing care (r = .3980, p ≤ .05). Positive significant correlations were found between understanding of spiritual nursing care and delivery of spiritual nursing care (r = .3289, p ≤ .05). For nurses to better provide spiritual nursing care, they must care for themselves through self-awareness, self-reflection, and developing a sense of satisfaction and contentment. © The Author(s) 2015.

  19. First impressions of the nurse and nursing care. (United States)

    Mangum, S; Garrison, C; Lind, C; Hilton, H G


    Patients (N = 1,180), nurses (N = 918), and administrators (N = 332) in 22 acute care hospitals across the country were surveyed regarding their first impression of the professional image communicated by nurses' uniforms. The Nurse Image Scale, with pictures of the same nurse in nine different uniforms, was used as the data gathering tool. A comparison of the mean score of each uniform as rated by all respondents (N = 2,430) showed the white pant uniform with stethoscope was rated significantly higher than other uniforms. The white pant uniform with cap, dress with cap, pants suit, and dress with stethoscope scored closely in a second place grouping. The white dress uniform and street clothes with laboratory coat tied for third place. Colored designer scrubs and white pants with colored top scored lowest. Ratings of patients, nurses, and administrators were similar, although patients tended to rank some uniforms significantly differently than nurses and administrators. The nurse in the pant uniform with stethoscope was most preferred for care. Least preferred was the nurse in colored scrubs and street clothes with lab coat. These findings point to the need for nurses to be differentiated from auxiliary health care personnel and to project a professional image in a competitive health care environment.

  20. Nurses' and Nursing Students' Knowledge and Attitudes regarding Pediatric Pain (United States)

    Ponce-Monter, Héctor A.; Rangel-Flores, Eduardo; Castro-Gamez, Blanca; Romero-Quezada, Luis C.; O'Brien, Jessica P.; Romo-Hernández, Georgina; Escamilla-Acosta, Marco A.


    Nursing staff spend more time with patients with pain than any other health staff member. For this reason, the nurse must possess the basic knowledge to identify the presence of pain in patients, to measure its intensity and make the steps necessary for treatment. Therefore, a prospective, descriptive, analytical, and cross-sectional study was conducted to investigate the knowledge and attitudes regarding pediatric pain in two different populations. The questionnaire, Pediatric Nurses Knowledge and Attitudes Survey Regarding Pain (PKNAS), was applied to 111 hospital pediatric nurses and 300 university nursing students. The final scores for pediatric nurses and nursing students were 40.1 ± 7.9 and 40.3 ± 7.5, respectively. None of the sociodemographic variables predicted the scores obtained by the participants (P > 0.05). There was a high correlation between the PKNAS scores of pediatric nurses and nursing students (r = 0.86, P < 0.001). It was observed that the degree of knowledge about pain and its treatment was very low in both groups. Due to this deficiency, pain in children remains inadequately managed, which leads to suffering in this population. It is necessary to increase the continued training in this subject in both areas. PMID:26543643

  1. The nurse-patient communication: voices from nursing students. (United States)

    Chan, Zenobia C Y; Lai, Claudia K Y


    Effective communication skills have been found to be one of the pivotal factors in building positive interpersonal relationships. Little is known about nursing undergraduates' perspectives on communicating with patients. This study aimed to explore nursing students' perspectives and experiences of nurse-patient communication in their clinical placement. The participants included 21 second-year undergraduates and 21 first-year master's students. Interviews were conducted in Cantonese and then transcribed in Chinese and translated into English. A content analysis approach was adopted to analyze the data. Five themes emerged from the interview data. 'The necessity of nurse-patient communication' reveals why the students valued nurse-patient communication. 'The conversation contents' describes the content of the conversations that students typically had with patients. The third theme is 'self-reflection on the nurse-patient communication'. The last two themes, 'the communication pattern in different hospital settings' and 'the obstacles impeding nurse-patient communication', are about the students' communication styles in different hospitals and the barriers they encounter. To improve students' communication skills, educators and clinical staff should listen to students, enhance students' reflective skills and strengthen their confidence. Through understanding students' difficulties in the nurse-patient communication experience and the skills that they lack, educators can provide them with helpful recommendations to improve their communication skills in clinical practice. The results of this study reveal that students' nurse-patient communication skills need to be improved.

  2. [Nursing ethics and the access to nursing care]. (United States)

    Monteverde, Settimio


    The increasing number of ethical issues highlighted in everyday nursing care demonstrates the connectedness between nursing ethics and nursing practice. However, what is the role of ethical theories in this context? This question will be examined in this article by analysing the contribution made by the ethics of care, in particular in understandings of gender roles, asymmetries of power, professional knowledge and experience. The adoption and criticism of an emergent nursing ethics is discussed and stated from different viewpoints. The actuality of the caring approach is affirmed by a new reading of the given situation. This article first describes the traditional perception of nurses as marginalised actors in the health sector. By making reference to the current and growing global scarcity of nursing care, it contends that nursing will no longer be marginalised, but instead at the centre of public health attention and reputation. Nevertheless, marginalisation will persist by increasingly affecting the care receivers, especially those groups that are pushed to the fringes by the consequences of the healthcare market, such as persons of extreme old age, suffering from multiple morbidities, or with poor health literacy. Whereas the "classical" understanding of the ethics of care focuses on the nurse-patient relationship and on individual care and understanding of ethics, the new understanding confirms the classical, but adds an understanding of social ethics: caring for the access to care is seen as a main ethical goal of social justice within a nursing ethic.

  3. Changes in Nursing Students’ Attitudes Towards Nursing During Undergraduate Study (United States)

    Čukljek, Snježana; Jureša, Vesna; Grgas Bile, Cecilija; Režek, Biserka


    The aim of this study was to determine the attitudes of nursing students towards nursing, and changes in their attitudes during the study. A quantitative study with pre-post survey was conducted among nursing students enrolled in first study year in the academic year 2012/2013 (N=115) and third study year in the academic year 2014/2015 (N=106). Students voluntarily and anonymously completed a questionnaire consisting of demographic information and the Nursing Image Questionnaire, which includes 30 items that assess how an individual looks at the roles and tasks, values, social stereotypes of nursing, professionalism and performance of nurses. The results indicated that students had positive attitude towards nursing at the beginning and during the study. During the study, there was a positive change in attitudes in the majority of items of the questionnaire, whereas at the end of the study lower attitude was expressed in only four items. The study conducted among nursing students indicated that students’ attitudes changed during the study, influenced by the acquisition of knowledge and skills. During the study, students acquire a more realistic perception of nursing, and adoption of professional values emerges.

  4. California's minimum-nurse-staffing legislation and nurses' wages. (United States)

    Mark, Barbara; Harless, David W; Spetz, Joanne


    In 2004, California became the first state to implement minimum-nurse-staffing ratios in acute care hospitals. We examined the wages of registered nurses (RNs) before and after the legislation was enacted. Using four data sets-the National Sample Survey of Registered Nurses, the Current Population Survey, the National Compensation Survey, and the Occupational Employment Statistics Survey-we found that from 2000 through 2006, RNs in California metropolitan areas experienced real wage growth as much as twelve percentage points higher than the growth in the wages of nurses employed in metropolitan areas outside of California.

  5. Nursing therapeutics: Teaching student nurses care, compassion and empathy. (United States)

    Richardson, Cliff; Percy, Marcus; Hughes, Jane


    Debate continues regarding whether humanitarian values such as care and compassion can be taught or are innate in individuals who wish to become nurses. To undertake a discursive review of the literature on caring, compassion and empathy. To understand the teaching and learning issues associated with these concepts. To design and implement an Undergraduate Unit of study which addresses the development of caring, compassion and empathy in student nurses. MEDLINE, CINAHL, and a wide range of literature including books and governmental reports were used for a discursive narrative review. Caring, compassion and empathy are ill-defined; however healthcare users are clear that they know when nurses use skills and attitudes associated with these concepts. Evidence is available to show that caring, compassion and empathy can be taught and there are tools available to measure them in neophytes through their training. Central to the androgogical embedding of these concepts into nursing curricula is the development of therapeutic relationships. It is possible to develop materials to enable student nurses to learn how to care using compassion and empathy. Nursing therapeutics is a term devised to describe how student nurses can exploit the therapeutic potential of any patient contact especially when related to specific and routine nursing interventions. Muetzel's model for understanding therapeutic relationships is one framework that can be adopted to help student nurses to appreciate how to build patient relationships and encourage them to move towards therapeutic advantage using care, compassion and empathy. Copyright © 2015 Elsevier Ltd. All rights reserved.

  6. The Influence of Nurse Manager Leadership Style on Staff Nurse Work Engagement. (United States)

    Manning, Jennifer


    Nursing literature supports the importance of an engaged nursing workforce as a means to positively influence performance. Nurse manager leadership style plays a critical role in engaging staff nurses. These relationships have been minimally studied in nurse managers and staff nurses. The aim of this study is to evaluate the influence of nurse manager leadership style factors on staff nurse work engagement. Using a descriptive correlational research design, 441 staff nurses working in 3 acute care hospitals were surveyed. Survey instruments included the Utrecht Work Engagement Scale and the Multifactorial Leadership Questionnaire 5X short form. Transactional and transformational leadership styles in nurse managers positively influenced staff nurse work engagement. Passive-avoidant leadership style in nurse managers negatively influenced staff nurse work engagement. Nurse managers who provide support and communication through transformational and transactional leadership styles can have a positive impact on staff nurse work engagement and ultimately improve organizational outcomes.

  7. [Care and nursing education]. (United States)

    Favetta, Véronique; Feuillebois-Martinez, Brigitte


    The notion of care is the main thread of the nurses' initial training. What are the theoretical references on which these teachings on care and caring are based in order to guide the learning and its implementation during the interview with the patient? Each professional exercises his profession with a personal vision, but the history of the profession reflects the evolution of the society to which it belongs. Thus the care theories shed a new light on the framework of thinking related to caring and care today. For the implementation of the training engineering related to the new curriculum, the trainers at ISFI (Institution for the nursing care training) of Pontoise wanted to question the concepts and theories on which the teaching of clinical reasoning can be based and thus work on the links existing between their own experiences of caring and their missions of accompaniment and transmission based on the respect of the potentialities presented by the students.

  8. Developing Global Nurse Influencers. (United States)

    Spies, Lori A


    How can universities create engaged citizens and global leaders? Each year, a select group of advanced practice nursing students at Baylor University Louise Herrington School of Nursing travel to Africa for a month-long clinical mission experience. Students work alongside local and missionary healthcare providers in a comprehensive Christian outreach to the community at a high-volume clinic. Creating rich learning experiences in a global setting in significant and sustainable ways is difficult, but intentionally focusing on what we are called to do and who we serve provides ballast for faculty and students. The success of the trip in preparing students to be global influencers is evident by the work graduates elect to do around the world, following graduation.

  9. Moral realism in nursing. (United States)

    Edwards, Steven D


    For more than 15 years Professor Per Nortvedt has been arguing the case for moral realism in nursing and the health-care context more generally. His arguments focus on the clinical contexts of nursing and medicine and are supplemented by a series of persuasive examples. Following a description of moral realism, and the kinds of considerations that support it, criticisms of it are developed that seem persuasive. It is argued that our moral responses are explained by our beliefs as opposed to moral realities. In particular, two key arguments presented by Nortvedt are challenged: the so-called argument from convergence and the argument from clinical sensitivity. Both of these key planks in the case for moral realism are rejected, and an alternative 'social conditioning' account briefly sketched, which, it is claimed, has the same explanatory power as Nortvedt's thesis but does not rest on an appeal to independently existing moral properties. © 2014 John Wiley & Sons Ltd.

  10. Factors associated with students' orientations to nursing. (United States)

    Vanhanen, L; Janhonen, S


    Factors associated with students' orientations to nursing This paper presents the results of a study focusing on the factors associated with orientations to nursing. Students' orientations to nursing have not as yet been a focus of nursing research. In some other professions, however, professional orientation has been associated with learning motivation and study performance, and has been seen as a predictor of work satisfaction. In this study, students' orientations to nursing were defined in terms of caring, nursing expertise and life orientation. The hypothesis of whether students' pre-educational experiences of nursing, gender, choice of nursing specialty, problems with nursing studies and intention to stay in nursing were associated with different orientations was tested. The extent to which students were orientated to caring, nursing expertise and their own life was also examined. The orientation to nursing measurement tool, which has been developed on the basis of a qualitative study, was used to collect the data. Nurse teachers collected the data from nursing students (n=184) who were studying in three different nursing programmes in Finland. Non-parametric assessments (Mann-Whitney U-test and Kruskal-Wallis test) of the differences between the students' orientations were carried out. A majority of the students were highly life-orientated, and two-thirds had average nursing expertise or caring orientation scores. The results supported the study hypothesis of an association between students' orientations and their gender, choice of nursing speciality, problems with nursing studies and intention to stay in nursing. However, the hypothesis of an association between students' pre-educational nursing experiences and orientation to nursing was not supported. The contradictions between students' orientation to nursing and the philosophy of nursing underlying the study programme may be a source of motivational problems and dissatisfaction with nursing education

  11. "This is nursing": nursing roles as mediated by precepting nurses during clinical practice. (United States)

    Carlson, Elisabeth; Pilhammar, Ewa; Wann-Hansson, Christine


    In nursing education, it has been argued that professional socialization is facilitated by clinical experiences where students work together with precepting nurses. However, few studies found have focused on how nurses think and act as preceptors, hence providing a base for professional socialization to occur. Therefore; this study aimed to describe how preceptors mediated nursing as a profession to undergraduate nursing students during clinical practice. This was an ethnographic study guided by symbolic interactionism. A purposeful sampling of 13 precepting nurses was observed during the field work period. In addition, 16 staff nurses, purposively selected, and experienced in precepting, participated in focus group interviews. All text from field notes and interviews were read as a whole and analyzed following the ethnographic approach. Findings illustrated how nursing was mediated as the medical-technical, the administrative, and the caring role. Preceptors aimed for professionalism in their students by teaching the students to reflect on what they can do independently as nurses. Preceptors strived to verbalise their practical knowledge to make theory explicit and contextualize to student nurses. This knowledge can guide implementation of preceptor programmes focusing on the meaning and implications of professionalism. Copyright © 2010 Elsevier Ltd. All rights reserved.

  12. Overweight and obesity in nurses, advanced practice nurses, and nurse educators. (United States)

    Miller, Sally K; Alpert, Patricia T; Cross, Chad L


    To quantify the incidence of overweight and obesity in nursing professionals and assess nurses' knowledge of obesity and associated health risks. A mailed survey to 4980 randomly selected registered nurses from one state in each of six geographic regions. Response rate was 15.5% (n= 760). Descriptive statistics were calculated for continuous variables; categorical variables were summarized with frequency counts. The grand mean body mass index (BMI) of nurses surveyed was 27.2. Almost 54% were overweight or obese. Fifty-three percent of these nurses report that they are overweight but lack the motivation to make lifestyle changes. Forty percent are unable to lose weight despite healthy diet and exercise habits. Only 26% of respondents use BMI to make clinical judgments of overweight and obesity. Although 93% of nurses acknowledge that overweight and obesity are diagnoses requiring intervention, 76% do not pursue the topic with overweight and obese patients. Many nurses provide weight-related health information to the public. These data suggest that they may benefit from continuing education on obesity and its risks. Because 76% of nurses do not pursue the topic of obesity with patients, they may benefit from education on pursuing sensitive topics during a professional encounter. Nurse practitioners may play a key role in the education of both patients and registered nurses.

  13. Comparison between Heads of Nursing and Nursing Administration Students in the Sultanate of Oman regarding Education for Nurse Administrators


    Gillian White


    Objective: To explore the future of nursing administration in preparation for a major review of the current curriculum in the one-year diploma in nursing administration at the Oman Specialized Nursing Institute (OSNI). Methods: A two-part study explored 1) requisite roles, skills and competencies of the nurse administrator, 2) a leadership profile with two convenience samples: heads of nursing and nursing administration students. Each part was analysed separately; the two groups were then com...

  14. Nursing informatics competencies: bibliometric analysis. (United States)

    Kokol, Peter; Blažun, Helena; Vošner, Janez; Saranto, Kaija


    Information and communication technology is developing rapidly and it is incorporated in many health care processes, but in spite of that fact we can still notice that nursing informatics competencies had received limited attention in basic nursing education curricula in Europe and especially in Eastern European countries. The purpose of the present paper is to present the results of a bibliometric analysis of the nursing informatics competencies scientific literature production. We applied the bibliometrics analysis to the corpus of 332 papers found in SCOPUS, related to nursing informatics competencies. The results showed that there is a positive trend in the number of published papers per year, indicating the increased research interest in nursing informatics competencies. Despite the fact that the first paper was published in Denmark, the most prolific country regarding the research in nursing informatics competencies is United States as are their institutions and authors.

  15. Nurses' professional and personal values. (United States)

    Rassin, Michal


    The purpose of this study was to measure professional and personal values among nurses, and to identify the factors affecting these values. The participants were 323 Israeli nurses, who were asked about 36 personal values and 20 professional values. The three fundamental professional nursing values of human dignity, equality among patients, and prevention of suffering, were rated first. The top 10 rated values all concerned nurses' responsibility towards patients. Altruism and confidentiality were not highly rated, and health promotion and nursing research were rated among the last three professional values. For personal (instrumental) values, honesty, responsibility and intelligence were rated first, while ambition and imagination were rated 14th and 16th respectively out of 18. Significant differences (P values rated as functions of culture, education, professional seniority, position and field of expertise. The results may assist in understanding the motives of nurses with different characteristics and help to promote their work according to professional ethical values.

  16. Biological researchers: building nursing science. (United States)

    Rudy, Ellen; Grady, Patricia


    Nursing science addresses the individual from a multidimensional perspective, and the questions nurses generate from their practice are often grounded in basic biology. However, concern is frequently voiced as to whether there is adequate preparation and support for biological researchers within nursing. This study reports on a survey of nurse investigators funded by the National Institutes of Health who carry out biological research. All study participants were current faculty, and 48% had post-doctoral training. The majority worked with animal models. Research areas ranged from cell and molecular biology to delivery of health care. Some participants reported tension between their work and how others view "typical" nursing research. All participants had been awarded federal research funding, primarily from the National Institute of Nursing Research (NINR), and most reported receiving small grants from other funding organizations early in their careers. Self-identified factors influencing success included mentoring, flexibility, persistence, and hard work.

  17. Developing nurses' transformational leadership skills. (United States)

    Fischer, Shelly Ann


    Healthcare is a complex area with significant potential for service improvement despite the effects of increasing economic and social pressures on the quality and safety of patient care. As the largest group of healthcare professionals in direct contact with patients, nurses are well positioned to contribute to improvements in healthcare services and to the development of new policies. To influence healthcare improvements and policies effectively, nurses require leadership skills. Historically, it was thought that only nurses in management roles required leadership skills; however, the ability to influence change is a requirement at all levels of clinical practice. Transformational leadership competencies provide nurses with the skills to contribute to improvements in the quality and safety of patient care, while enhancing their career satisfaction. This article examines how nurses can apply transformational leadership to their practice. It also informs nurses how to conduct an initial self-assessment of their leadership skills and to formulate a transformational leadership development plan.

  18. 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.

  19. Measuring nurses' self-concept. (United States)

    Cowin, L


    Little is known of nurses' self-concept in light of their professional identity or as working adults. This article explores the development and rigorous testing of a new self-concept instrument designed specifically for nurses. The new measure is based on the self-concept measurement theory of Shavelson, Hubner, and Stanton. An expert panel was used to critique and aid refinement of the measure. The dimensions of nurses' self-concept were measured in six scales: General Nursing, Care, Staff Relations, Communication, Knowledge, and Leadership. Two groups participated in this study: Group 1 consisted of nursing students prior to graduation (n = 506) and Group 2 consisted of randomly selected, experienced, working nurses (n = 528). A series of exploratory and confirmatory factor analyses were conducted to test the fit of a priori models. The results indicate that all scales possess good construct validity and a satisfactory fit with the data.

  20. Nurses' experiences of guideline implementation

    DEFF Research Database (Denmark)

    Alanen, Seija; Välimäki, Marita; Kaila, Minna


    to local circumstances, seems to be crucial for successful implementation. CONCLUSIONS: Clinical guidelines can be promising tools in enhancing evidence-based nursing practice, as nurses see them as practical work tools in patient care and so are willing to adopt them. However, support from management......AIMS: The aim of the study was to address the following questions: What kind of experiences do primary care nurses have of guideline implementation? What do nurses think are the most important factors affecting the adoption of guidelines? BACKGROUND: The implementation of clinical guidelines seems...... to be dependent on multiple context-specific factors. This study sets out to explore the experiences of primary care nurses concerning guideline implementation. DESIGN: Qualitative interview. METHODS: Data were generated by four focus group interviews involving nurses working in out-patient services in primary...

  1. Peer education: the nursing experience. (United States)

    Parkin, Vera


    The two-fold purpose of this study was to explore the peer education experiences of registered nurses and solutions for developing peer education as an effective method of adult learning. Eleven designated peer nurse teachers and 13 peer nurse learners were asked to complete a questionnaire. Three peer nurse teachers and three peer nurse learners were further interviewed in focus groups. The metathemes of peer role conflict, organizational stress, and the timing of new role integration were identified. The study found nurses believed that to have a successful peer education program, the scope of the peer education program and the peer roles should be clarified, peer time should be available and accessible, positive motivational techniques (including a just peer selection process) should be present, and other resources should be provided.

  2. [Aromatherapy in nursing homes]. (United States)

    Barré, Lucile


    Pierre Delaroche de Clisson hospital uses essential oils as part of its daily organisation for the treatment of pain and the development of palliative care. The setting up of this project, in nursing homes and long-term care units, is the fruit of a complex mission carried out by a multidisciplinary team, which had to take into account the risks involved and overcome a certain amount of reluctance. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

  3. Rediscovering Enterprise: Developing Appropriate University Entrepreneurship Education (United States)

    Bridge, Simon; Hegarty, Cecilia; Porter, Sharon


    Purpose: Entrepreneurship can refer to business start-up, but now sometimes has wider connotations. This paper aims to explore what entrepreneurship means for the promoters of entrepreneurship education and what might be appropriate for the students who consume it. Design/methodology/approach: The paper assesses the work of NICENT (The Northern…

  4. Hieracium glabrescens (Asteraceae Rediscovered in the Carpathians

    Directory of Open Access Journals (Sweden)

    Szeląg Zbigniew


    Full Text Available The occurrence of Hieracium glabrescens (F. W. Schultz Murr in the Carpathians is confirmed after over a century by a new locality from the Apuseni Mountains in Romania. This locality, very significant from the phytogeographical point of view, is disjoined ca 500 km from the nearest Balkan localities of the species. The origin of H. glabrescens in the Apuseni Mountains is briefly discussed.

  5. Considerations on HAM/TSP: rediscovering Tumaco

    Directory of Open Access Journals (Sweden)

    Noboru Yasuda


    Full Text Available Considerations are made on the role of HTL.V-I in the etiopathogeny of HAM/ TSP. Neuroepidemiologic data reported in the literature are revisited for this purpose. Among results of this evaluation it is pointed-out that the Gkinawan Community of Brazil presents ethnographic and demographic characteristics which are ideal for designining new studies. For instance, analyses on HTLV-I and on HAM/TSP in face of the cohort of such community classified according to time and direction of the migration (Japan-Brazil and vice-versa, will ensure promising results for the understanding of etiopathogeny of HAM/TSP. They can also be paths towards clarifying the simultaneous generating, of geographical foci of the disease distant one the other, as that of Tumaco and that of south Japan.

  6. Rediscovering Ourselves and Why We Teach (United States)

    Hansen, J. Merrell; Wentworth, Nancy


    Those who teach know that it is difficult and demanding. Relentlessly, teaching requires much and seldom gives much back. Needless to say, many teachers find the challenges frustrating and complex. It is easy to understand that "teacher burnout" is as much a part of the profession as overhead projectors and textbooks. In 1995, the Brigham Young…

  7. Europe rediscovers the Moon with SMART-1 (United States)


    The whole story began in September 2003, when an Ariane 5 launcher blasted off from Kourou, French Guiana, to deliver the European Space Agency’s lunar spacecraft SMART-1 into Earth orbit. SMART-1 is a small unmanned satellite weighing 366 kilograms and roughly fitting into a cube just 1 metre across, excluding its 14-metre solar panels (which were folded during launch). After launch and injection into an elliptical orbit around the Earth, the gentle but steady push provided by the spacecraft’s highly innovative electric propulsion engine forcefully expelling xenon gas ions caused SMART-1 to spiral around the Earth, increasing its distance from our planet until, after a long journey of about 14 months, it was “captured” by the Moon’s gravity. To cover the 385,000 km distance that separates the Earth from the Moon if one travelled in a straight line, this remarkably efficient engine brought the spacecraft on a 100 million km long spiralling journey on only 60 litres of fuel! The spacecraft was captured by the Moon in November 2004 and started its scientific mission in March 2005 in an elliptical orbit around its poles. ESA’s SMART-1 is currently the only spacecraft around the Moon, paving the way for the fleet of international lunar orbiters that will be launched from 2007 onwards. The story is now close to ending. On the night of Saturday 2 to Sunday 3 September, looking at the Moon with a powerful telescope, one may be able to see something special happening. Like most of its lunar predecessors, SMART-1 will end its journey and exploration of the Moon by landing in a relatively abrupt way. It will impact the lunar surface in an area called the “Lake of Excellence”, situated in the mid-southern region of the Moon’s visible disc at 07:41 CEST (05:41 UTC), or five hours before if it finds an unknown peak on the way. The story is close to ending After 16 months harvesting scientific results in an elliptical orbit around the Moon’s poles (at distances of between 300 and 3.000 km), the mission is almost over. The spacecraft perilune has now dropped below an altitude of 300 km from the lunar surface and will get a closer look at specific targets on the Moon before landing in a controlled manner on the moon surface (controlled, that is, in terms of where and when). It will then “die” there. “With a relative low speed at impact (2 km/sec or 7200 km/h), SMART-1 will create a small crater of 3 to 10m in diameter’s” says Bernard Foing, SMART-1 Project scientist, “a crater no larger than that created by a 1kg meteorite on a surface already heavily affected by natural impacts”. Mission controllers at the European Space Agency’s Operations Centre (ESOC) in Darmstadt, near Frankfurt, Germany will monitor the final moments before impact step by step. Final milestones of SMART-1 flight operations In June, SMART-1 mission controllers at ESOC completed a series of complex thruster firings aimed at optimising the time and location of the spacecraft’s impact on the Moon's surface. They had to be done with the thrusters of the attitude control system since all the Xenon of the Ion engine had been consumed in 2005. The manoeuvres have shifted the time and location of impact, which would otherwise occurred in mid-August on the far side of the Moon; impact is now set to occur on the near side and current best estimates show the impact time to be around 07:41 CEST (05:41 UTC) on Sunday 3 September. "Mission controllers and flight dynamics engineers have analysed the results of the manoeuvre campaign to confirm and refine this estimate," says Octavio Camino-Ramos, SMART-1 spacecraft operations manager at ESA/ESOC. "The final adjustment manoeuvres are planned for 25th of August, which may still have a consequence on the final impact time", he added. Large ground telescopes will be involved before and during impact to make observations of the event, with several objectives: - To study the physics of the impact (ejected material, mass, dynamics and energy involved). - To analyse the chemistry of the surface by collecting the specific radiation emitted by the ejected material (‘spectra’) - To help technological assessment: understand what happens to the impacting spacecraft to know better how to prepare for future impactor experiments (for instance on satellites to intercept meteorites menacing our planet). Media briefing on 3 September, major press conference on 4 September Media representatives wishing to witness the impact event at ESOC and share the excitement of it with specialists and scientists available for interviews as of early morning on Sunday 3 September, or wishing to attend the press conference on Monday 4 September to highlight the first results of the impact, are required to fill in the attached registration form and return it by fax to the ESOC Communication Office by Thursday 31 August. Note for Editors Why so SMART? SMART-1 is packed with high-tech devices and state-of-the-art scientific instruments. Its ion engine, for instance, works by expelling a continuous beam of charged particles, or ions, which produces a thrust that drives the spacecraft forward. The energy to power the engine comes from the solar panels, hence the term 'solar electric propulsion'. The engine generates a very gentle continuous thrust which causes the spacecraft to move relatively slowly: SMART-1 accelerates at just 0.2 millimetres per square second, a thrust equivalent to the weight of a postcard. By necessity, SMART-1’s journey to the Moon has been neither quick nor direct. This was because, for the first time, ESA wanted to test electric propulsion on a trip similar to an interplanetary journey. After launch, SMART-1 went into an elliptical orbit around the Earth. Then the spacecraft fired its ion engine, gradually expanding its elliptical orbit and spiralling out in the direction of the Moon’s orbital plane. Month after month this brought SMART-1 closer to the Moon. This spiralling journey accounted for more than 100 million kilometres, while the Moon - if you wanted to go there in a straight line - is only between 350,000 and 400,000 kilometres away from the Earth. As SMART-1 neared its destination, it began using the gravity of the Moon to bring it into a position where it was captured by the Moon’s gravitational field. This occurred in November 2004. After being captured by the Moon, in January 2005, SMART-1 started to spiral down to its final operational polar elliptical orbit with a perilune (closest point to the lunar surface) altitude of 300 km and apolune (farthest point) altitude of 3000 km. to conduct its scientific exploration mission. What was there to know that we didn’t know already? Despite the number of spacecraft that have visited the Moon, many scientific questions concerning our natural satellite remained unanswered, notably to do with the origin and evolution of the Moon, and the processes that shape rocky planetary bodies (such as tectonics, volcanism, impacts and erosion). Thanks to SMART-1, scientists all over Europe and around the world now have the best resolution surface images ever from lunar orbit, as well as a better knowledge of the Moon’s minerals. For the first time from orbit, they have detected calcium and magnesium using an X-ray instrument. They have measured compositional changes from the central peaks of craters, volcanic plains and giant impact basins. SMART-1 has also studied impact craters, volcanic features and lava tubes, and monitored the polar regions. In addition, it found an area near the north pole where the Sun always shines, even in winter. SMART-1 has roamed over the lunar poles, enabling it to map the whole Moon, including its lesser known far side. The poles are particularly interesting to scientists because they are relatively unexplored. Moreover, some features in the polar regions have a geological history which is distinct from the more closely studied equatorial regions where all previous lunar landers have touched down so far. With SMART-1, Europe has played an active role in the international lunar exploration programme of the future and, with the data thus gathered, is able to make a substantial contribution to that effort. SMART-1 experience and data are also assisting in preparations for future lunar missions, such as India’s Chandrayaan-1, which will reuse SMART-1’s infrared and X-ray spectrometers. SMART-1 is equipped with completely new instruments, never used close to the Moon before. These include a miniature camera, and X-ray and infrared spectrometers, which are all helping to observe and study the Moon. Its solar panels use advanced gallium-arsenide solar cells, chosen in preference to traditional silicon cells. One of the experimental instruments onboard SMART-1 is OBAN, which has been testing a new navigation system that will allow future spacecraft to navigate on their own, without the need for control from the ground. Instruments and techniques tested in examining the Moon from SMART-1 will later help ESA's BepiColombo spacecraft to investigate the planet Mercury. For further information: ESA Media Relations Office Phone: + 33 1 5369 7155 Fax: + 33 1 5369 7296 Queries: Further information on the event at ESOC Jocelyne Landeau-Constantin Head of Corporate Communication Office ESA/ESOC Darmstadt, Germany : Tel. + 49 6151 90 26 96 / email: ACCREDITATION REQUEST FORM SMART-1 Moon impact - ESA/ESOC Darmstadt - Robert Bosch Strasse 5, Darmstadt, Germany a) Sunday 3 September b) Monday 4 September 2006 First name:___________________ Surname:_____________________ Media:______________________________________________________ Address: ___________________________________________________ ____________________________________________________________ Tel:_______________________ Fax: ___________________________ Mobile:___________________ E-mail: _________________________ I will be attending the following events (NB:_times may be subject to change after major manoeuvre of SMART-1 on 25 August. Please check updates on: [ ] Sunday 3 September: Monitoring of SMART-1 Moon impact Opening times for media: 06:00 to 10:00 06:30 - 09:00 Press will be briefed on the latest flight operations and can follow live SMART-1 telemetry, right before estimated impact at 07:41 CEST in ESOC Main Control Room, together with leading European mission operations and science experts and in relation with ground based observers. [ ] Monday 4 September: Summary Press Conference on SMART-1 mission Opening times for media: 10:00 - 13:00 / Press-conference from 11:00 to 12:00 11:00 - Welcome to ESA/ESOC by Gaele Winters, ESA Director of Operations - Introduction, by ESA’s Director of Science, David Southwood 11:05 - Flight operations, ground operations concepts and lunar impact, by Octavio Camino, ESA 11:15 - Spacecraft technology achievements with emphasis on solar-electric propulsion , by Giorgio Saccoccia, ESA 11:20 - Lunar science: - scientific mission overview by Bernard Foing, ESA - lunar imaging, by Jean-Luc Josset (principal investigator for AMIE) - the Moon in X-rays - mineralogy, by Manuel Grande (principal investigator for D-CIXS) - ground observations campaign, by Prof. Pascale Ehrenfreund, Leiden Observatory 11:50 - Conclusions: Heritage for future lunar missions, International cooperation with India and China, by Gerhard Schwehm, ESA 11:55 - Q&A moderated by Jocelyne Constantin-Landeau, ESA (Individual interviews afterwards)

  8. Lymphoscintigraphy in oncology: a rediscovered challenge

    Energy Technology Data Exchange (ETDEWEB)

    Valdes Olmos, R.A.; Hoefnagel, C.A. [Netherlands Cancer Inst., Amsterdam (Netherlands). Dept. of Nuclear Medicine; Nieweg, O.E.; Jansen, L.; Rutgers, E.J.T.; Kroon, B.B.R. [Netherlands Cancer Inst., Amsterdam (Netherlands). Dept. of Surgery; Borger, J. [Netherlands Cancer Inst., Amsterdam (Netherlands). Dept. of Radiotherapy; Horenblas, S. [Netherlands Cancer Inst., Amsterdam (Netherlands). Dept. of Urology


    The validation of the sentinel node concept in oncology has led to the rediscovery of lymphoscintigraphy. By combining preoperative lymphatic mapping with intraoperative probe detection this nuclear medicine procedure is being increasingly used to identify and detect the sentinel node in melanoma, breast cancer, and in other malignancies such as penile cancer and vulvar cancer. In the past lymphoscintigraphy has been widely applied for various indications in oncology, and in the case of the internal mammary lymph-node chain its current use in breast cancer remains essential to adjust irradiation treatment to the individual findings of each patient. In another diagnostic area, lymphoscintigraphy is also useful to document altered drainage patterns after surgery and/or radiotherapy; its use in breast cancer patients with upper limb oedema after axillary lymph-node dissection or in melanoma patients with lower-extremity oedema after groin dissection can provide information for physiotherapy or reconstructive surgery. Finally, the renewed interest in lymphoscintigraphy in oncology has led not only to the rediscovery of findings from old literature reports, but also to a discussion about methodological aspects such as tracer characteristics, image acquisition or administration routes, as well as to discussion on the study of migration patterns of radiolabelled colloid particles in the context of cancer dissemination. All this makes the need for standardized guidelines for lymphoscintigraphy mandatory. (orig.) With 10 figs., 1 tab., 56 refs.

  9. Rediscovering community: Interethnic relationships and community gardening

    Directory of Open Access Journals (Sweden)

    August John Hoffman


    Full Text Available Community service work, volunteerism and mentoring have recently become popular topics of research as effective methods in improving self-esteem and civic responsibility. In the current study we explored the relationship between participation in a community service gardening program and ethnocentrism. We hypothesised that an inverse correlation would emerge where students who participated in a community service-gardening program would increase their perceptions of the importance of community service work and decrease their scores in ethnocentrism. Results of the paired samples t-test strongly support the hypothesis that community service gardening work significantly reduces reports of ethnocentrism: t(10 = -2.52, (p < .03 for community college students. The ramifications of the study and ramifications for future research are offered.

  10. Rediscovering Neruda: Travels of a Teaching Artist (United States)

    Hermsen, Terry


    For years, like many U.S. poets, the author felt he knew the work of Pablo Neruda--and taught bits and pieces of his story and his poems in various locations. The author drew on the poems he'd come to love years ago in "Residence on Earth," "The Heights of Machu Picchu," and his "Elemental Odes," along with snippets…

  11. Rediscovering the antibiotics of the hive. (United States)

    Boukraâ, Laïd; Sulaiman, Siti A


    Honey and other bee products were subjected to laboratory and clinical investigations during the past few decades and the most remarkable discovery was their antibacterial activity. Honey has been used since ancient times for the treatment of some diseases and for the healing of wounds but its use as an anti-infective agent was superseded by modern dressings and antibiotic therapy. However, the emergence of antibiotic resistant strains of bacteria has confounded the current use of antibiotic therapy leading to the re-examination of former remedies. Honey, propolis, royal jelly and bee venom have a strong antibacterial activity. Even antibiotic-resistant strains such as epidemic strains of methicillin-resistant Staphylococcus aureus (MRSA) and Vancomycine resistant Enterococcus (VRE) have been found to be as sensitive to honey as the antibiotic-sensitive strains of the same species. Sensitivity of bacteria to bee products varies considerably within the product and the varieties of the same product. Botanical origin plays a major role in its antibacterial activity. Propolis has been found to have the strongest action against bacteria. This is probably due to its richness in flavonoids. The most challenging problems of using hive products for medical purposes are dosage and safety. Honey and royal jelly produced as a food often are not well filtered, and may contain various particles. Processed for use in wound care, they are passed through fine filters which remove most of the pollen and other impurities to prevent allergies. Also, although honey does not allow vegetative bacteria to survive, it does contain viable spores, including clostridia. With the increased availability of licensed medical stuffs containing bee products, clinical use is expected to increase and further evidence will become available. Their use in professional care centres should be limited to those which are safe and with certified antibacterial activities. The present article is a short review of recent patents on antibiotics of hives.

  12. Rediscovering Community—Reflections After Hurricane Sandy


    See, Sharon


    Hoboken, New Jersey, is a town of 50,000 residents located across the Hudson River from New York City. Most of Hoboken’s infrastructure was compromised during Hurricane Sandy as a result of flooding and power outages that rendered many businesses inoperable, including all of the pharmacies in town. Despite a focus on emergency preparedness since Hurricane Katrina and 9/11, there were no contingencies in place to facilitate and assess the medication needs of the community in the event of a nat...

  13. (Rediscovering a missional-incarnational ethos

    Directory of Open Access Journals (Sweden)

    Jacobus Kok


    Full Text Available In this article, a few of the elements and dynamics of social movements will be explored. It will be argued that the traditional institutional church is in a critical period in the cycle of movements, where the need for the (rediscovery of our missional-incarnational ethos and the theology of restoration might energise the church to (reactivate the dynamics of movements. The narrative of Jesus and the Samaritan woman in John 4 will be investigated as an example of Jesus’s missionalincarnational ethos and of the relation to a theology of restoration. Finally, some challenges for the church with regard to ecclesiology, spirituality and leadership will be proposed.

  14. Re-discovering Oliver M. Sayler


    Pagani, Maria Pia


    «With all my faith in the vitality of Russian art…»O. M. Sayler We just met the theatre critic and writer Oliver Martin Sayler, considering the importance of his work for Russian émigré artists in US. In 1914, as American citizen, he started to study European theatres and his great encounter with Russian theatre took place in winter 1917-1918, when he visited Moscow, St. Petersburgh, Siberia as journalist. He narrated his impression of the Revolution in the book Russia, White or Red (1919), u...

  15. Maybe It Is Time to Rediscover Technocracy?

    DEFF Research Database (Denmark)

    Esmark, Anders


    The article argues that recent decades of administrative policy and reform have led to the emergence of a late modern technocracy, defined by the intersecting ideas and principles of connective governance, risk management, and performance management. Connectivity, risk, and performance have...... remained consistent concerns across the various market-based and/or network-based alternatives to bureaucracy found in New Public Management (NPM) and post-NPM reforms. In contrast to the image of a flexible compromise between bureaucracy, markets, and networks prevailing in current debate, the article...... suggests that the long-standing tension between technocracy and bureaucracy are of vital importance to the administrations of advanced liberal democracies. Indeed, the partial compromise between technocracy and bureaucracy reached in the earlier creation of a “techno-bureaucracy” designed for planning...

  16. Re-discovering an Organizational Form

    DEFF Research Database (Denmark)

    Leixnering, Stephan; Meyer, Renate

    The corporation is the iconic emblem of modern capitalism. While the corporate form is today widely perceived as an instrument to maximize shareholder value, its institutionalization as an organizational form heavily built on the orientation towards public interests as a constitutive element...

  17. Rediscovering community: Interethnic relationships and community gardening


    August John Hoffman; Julie Wallach; Eduardo Sanchez


    Community service work, volunteerism and mentoring have recently become popular topics of research as effective methods in improving self-esteem and civic responsibility. In the current study we explored the relationship between participation in a community service gardening program and ethnocentrism. We hypothesised that an inverse correlation would emerge where students who participated in a community service-gardening program would increase their perceptions of the importance of community ...

  18. Micromeria acropolitana (Lamiaceae) rediscovered in Athens (Greece)

    DEFF Research Database (Denmark)

    Tan, Kit; Tsounis, Gregory; Tsounis, Lambros


    Micromeria acropolitana (Lamiaceae) was first collected in 1906 from the Acropolis, Athens and considered extinct until its rediscovery in 2006, a hundred years later. Its greatest threat within the archaeological site is human disturbance. It has survived in its original habitat, the natural rock...

  19. Symmetry as Bias: Rediscovering Special Relativity (United States)

    Lowry, Michael R.


    This paper describes a rational reconstruction of Einstein's discovery of special relativity, validated through an implementation: the Erlanger program. Einstein's discovery of special relativity revolutionized both the content of physics and the research strategy used by theoretical physicists. This research strategy entails a mutual bootstrapping process between a hypothesis space for biases, defined through different postulated symmetries of the universe, and a hypothesis space for physical theories. The invariance principle mutually constrains these two spaces. The invariance principle enables detecting when an evolving physical theory becomes inconsistent with its bias, and also when the biases for theories describing different phenomena are inconsistent. Structural properties of the invariance principle facilitate generating a new bias when an inconsistency is detected. After a new bias is generated. this principle facilitates reformulating the old, inconsistent theory by treating the latter as a limiting approximation. The structural properties of the invariance principle can be suitably generalized to other types of biases to enable primal-dual learning.

  20. The First Treatise in Comparative Education Rediscovered (United States)

    Lenhart, Volker


    The Latin essay "De re Scholastica Anglica cum Germanica Comparata" (English and German school education compared) published in 1795-1798 by the Freiberg/Saxony grammar school principal Friedrich August Hecht is the first treatise in comparative education. The rediscovery of the text, its earlier mentioning in the history of comparative…

  1. Innovativeness of nurse leaders. (United States)

    Clement-O'Brien, Karen; Polit, Denise F; Fitzpatrick, Joyce J


    The purpose of the present study was to describe the innovativeness and the rate of adoption of change among chief nursing officers (CNOs) of acute care hospitals, and explore the difference in the innovativeness of CNOs of Magnet hospitals vs. non-Magnet hospitals. There is little evidence to guide the description of innovativeness for nurse leaders, crucial to the implementation of evidence-based practice standards. CNOs of acute care hospitals of New York State participated in a mailed survey which incorporated the Scale for the Measurement of Innovativeness. The response rate was 41% (106/261). The majority of the sample was prepared at the master's level with 5-10 years of experience in the CNO role. A significant relationship was found between the innovativeness scale scores and the innovativeness diversity index. The CNOs who completed more leadership courses had implemented significantly more types of innovations and had higher innovativeness scale scores.   Graduate level education, years of CNO experience and leadership course completion were identified as significantly influencing innovativeness of CNOs. The characteristics of innovativeness for nurse leaders presented in the present study may assist organizations, CNOs and the Magnet recognition programme to describe innovativeness that supports organizations to continuously improve the quality of patient care. © 2011 The Authors. Journal compilation © 2011 Blackwell Publishing Ltd.

  2. Understanding nurse practitioner autonomy. (United States)

    Weiland, Sandra A


    This Gadamerian hermeneutic study was undertaken to understand the meaning of autonomy as interpreted by nurse practitioners (NPs) through their lived experiences of everyday practice in primary health care. A purposive sample of nine NPs practicing in primary health care was used. Network sampling achieved a broad swath of primary care NPs and practice settings. Data were collected by face-to-face interviews. Because NP autonomy is concerned with gender and marginalization, Gilligan's feminist perspective was utilized during interpretive analysis. Having Genuine NP Practice was the major theme, reflecting the participants' overall meaning of their autonomy. Practicing alone with the patient provided the context within which participants shaped the meaning of Having Genuine NP Practice. Having Genuine NP Practice had four subthemes: relationships, self-reliance, self-empowerment, and defending the NP role. The understanding of Having Genuine NP Practice will enable NPs to articulate their autonomy clearly and better influence healthcare reform. Implications for advanced practice nursing education include integrating findings into classroom discussion to prompt self-reflection of what autonomy means and socialization to the NP role. ©2014 American Association of Nurse Practitioners.

  3. 'Clinical Chatter': every nurse informed. (United States)

    Talbott, Carolyn; Watson, Lynn; Tariman, Joseph; Sorenson, Matthew


    To assess the acceptability and usability of a standardised communication tool for nurses. Communication is key in health care. On a daily, if not hourly, basis, nursing staff is inundated with new information regarding tools and resources, practice changes and the work environment. However, there is currently no standardised messaging or delivery method to effectively communicate new information. Even with a plethora of communication tools such as flyers, posters, emails, unit huddles and unit meetings, there is no means to guarantee attendance to crucial information. Descriptive, cross-sectional online survey, implemented at a nonacademic, suburban hospital with 280 nurses. The Clinical Chatter, an online tool developed by nursing leadership to standardise messages regarding the organisation, new tools and resources, professional development, recognition and unit updates, was delivered to each nurse on a weekly basis followed by administration of Acceptability and Usability scales. The Clinical Chatter tool has adequate acceptability and usability as a method of communication among nurses in a hospital organisation. Sociodemographic variables of age and years of experience had no statistically significant association with perceived acceptance and usefulness of the tool. The findings indicate that the Clinical Chatter tool can be used as a standardised communication tool to deliver key information among nurses working in a hospital organisation. Nursing leadership must establish and support a clear communication system to enhance patient care and outcomes and improve nursing job satisfaction. Communication is vital to advancing health care. Lack of communication among nursing has been linked to unsafe patient care: medication errors, unhealthy work environments and decreased nurse retention rates. Clinical Chatter is an effective communication tool for presentation of institutional information to nursing personnel. © 2016 John Wiley & Sons Ltd.

  4. Attributes of a good nurse. (United States)

    Aydin Er, Rahime; Sehiralti, Mine; Akpinar, Aslihan


    The opinions of students regarding the attributes of a good nurse can make a major contribution to the planning and the conducting of professional education. There are few studies which aim at identifying the qualifications of a good nurse from the perspectives of nursing students. To determine the opinions of first- and fourth-year nursing students concerning the 'attributes of a good nurse', and whether and how their views change depending on their year of study. Descriptive research. Participants and research context: This study was conducted in the nursing department of a vocational school of health in the 2010/2011 academic year. The study participants consisted of first-year and intern students. A survey form was used to identify characteristics of participants, and students were asked the following open-ended question about their opinions related to the attributes of a good nurse. Ethical considerations: The permission was taken from the school administration. Informed consent was obtained, and anonymity was ensured for participating students. A total of 120 students participated in this study. Most frequently expressed attributes were 'professional competence' in first-year and 'responsibility' in fourth-year students. While first-year students placed a greater emphasis on the attributes of 'geniality', 'patience', 'calmness', 'love of nursing', 'loyalty to nursing' and 'not attaching importance to material values', fourth-year students emphasized the attributes of 'empathy', 'honesty', 'responsibility' and 'scientific curiosity' significantly more. Fourth-year students placed a greater emphasis on the attributes which the students are expected to acquire through a nursing program and clinical experience. However, they mentioned the attributes related to a good nurse-patient relationship and communication significantly less. Appropriate ethical training methods and good role models can help students acquire attributes that are important for the nursing

  5. Nurse Scheduling Using Genetic Algorithm


    Leksakul, Komgrit; Phetsawat, Sukrit


    This study applied engineering techniques to develop a nurse scheduling model that, while maintaining the highest level of service, simultaneously minimized hospital-staffing costs and equitably distributed overtime pay. In the mathematical model, the objective function was the sum of the overtime payment to all nurses and the standard deviation of the total overtime payment that each nurse received. Input data distributions were analyzed in order to formulate a simulation model to determine ...

  6. Occupational hazards for pregnant nurses. (United States)

    Alex, Marion Rita


    Depending on her working environment, specific immunities, and stage of pregnancy, a pregnant nurse may find it difficult to avoid teratogenic and fetotoxic exposures, as well as working conditions that could jeopardize her pregnancy. A clinical review of the occupational hazards faced by pregnant nurses can be useful to the concerned nurse or health care system, as can suggestions on ways to reduce risk and a list of pertinent occupational safety resources.

  7. Skilled nursing and rehabilitation facilities - choosing (United States)

    ... gov/ency/patientinstructions/000436.htm Choosing a skilled nursing and rehabilitation facility To use the sharing features ... you may need to go to a skilled nursing or rehabilitation facility . Skilled nursing facilities provide care ...

  8. Insights on the development of TCM nursing

    Directory of Open Access Journals (Sweden)

    Jun-Qiang Zhao


    Conclusion: We should embed qualitative research method and evidence-based nursing concepts into TCM nursing advancement so as to facilitate the advancement of TCM nursing and promote its globalization.

  9. Nurse Educator’s Affective Teaching Strategies

    National Research Council Canada - National Science Library

    Myra C. Britiller; Frances Margott C. Ramos; Darryl Marvin C. Reyes; Kimberlyn D. Salazar; Joyce Ann M. Sandoval; Lovelyn Q. Ramirez


    .... The purpose of this study is to determine nurse educators’ affective teaching strategies. Specifically, it assessed the strategies of nurse educators on how to develop the affective domain of student nurses...

  10. [Community health nursing: essential education elements]. (United States)

    Chen, Ching-Min


    Community health nursing has undergone significant reform over recent decades in response to ongoing advances in medical technology and increasing national living standards. Taiwan's nursing manpower projections indicate a strong and growing demand for nurses working in primary and tertiary settings. Can our nurses address social trends and face the new challenges of the 21st century? The baccalaureate nursing degree is the minimum preparation for entry-level professionals working in community health nursing in most advanced countries. Significant improvements are necessary in this degree track to improve the quality and quantity of community health nurses. This article introduces the Essentials of Baccalaureate Nursing Education for Entry Level Community / Public Health Nursing proposed by the Association of Community Health Nursing Educators (ACHNE). It is hoped that nursing schools and community health nurses responsible for professional training in Taiwan will reference the ACHNE proposal and develop appropriate domestic curricula that will form an effective professional development consensus and further advance community care.

  11. Second Step Baccalaureate Programs in Nursing. (United States)

    Galliford, Suzanne


    Lists by state 146 educational institutions that grant credit for registered nurses' basic nursing education and offer an upper division course of studies leading to a bachelor's degree in nursing. (CT)

  12. Equipping nurses to challenge for leadership roles. (United States)


    The theme of this issue of Nursing Management is development and leadership. The RCN is in the process of rolling out a political leadership programme for nurses who have their sights set on director of nursing posts (news, page 6 ).

  13. Nurse Education Consultancy: A New Role. (United States)

    Jenkins, David A.


    A nurse education consultant can help a college enhance the educational process and market effectively and ethically. Nurses considering consultancy should examine their personal qualities, skill and knowledge base, and personal values and beliefs about education and nursing. (SK)

  14. Training Advanced Practice Palliative Care Nurses. (United States)

    Sherman, Deborah Witt


    Describes the role and responsibilities of advanced-practice nurses in palliative care and nursing's initiative in promoting high-quality care through the educational preparation of these nurses. (JOW)

  15. "I'm not sure I'm a nurse": A hermeneutic phenomenological study of nursing home nurses' work identity. (United States)

    Thompson, Juliana; Cook, Glenda; Duschinsky, Robbie


    To explore nursing home nurses' experiences and views of work identity. Nursing home nurses are in a unique position as they work at the interface of health and social care. Little is known about nursing home nurses' perceptions and experiences of working within this context. Evidence suggests that using the concept of work identity can support understanding of how workers make sense of their work. Hermeneutic phenomenological study. The study was carried out in seven nursing homes in North East England. Findings are based upon literary analysis of multiple episodic interviews with 13 nursing home nurses. Participants' responses suggested that nursing "residents" is different to nursing "patients," and nursing home nurses are required to modify their care activities to account for these differences. Participants also proposed that they are isolated and excluded from the rest of the healthcare workforce group. These issues led participants to feel uncertain about work identity. Many participants attempted to strengthen their work identity by aligning their role with what they perceived the "nurse identity" to be. Nurses' work activities and professional group identity influence their work identity. When work activities and professional group identity do not align with role expectations, as can be the case for nursing home nurses, work identity may be compromised. These nurses may attempt to change work practices to strengthen their work identity. Health- and social care providers need to account for work identity factors in the organisation of care, and planning and implementation of integrated health- and social care initiatives. © 2017 John Wiley & Sons Ltd.

  16. Comparison between heads of nursing and Nursing Administration students in the Sultanate of Oman regarding education for nurse administrators. (United States)

    White, Gillian


    To explore the future of nursing administration in preparation for a major review of the current curriculum in the one-year diploma in nursing administration at the Oman Specialized Nursing Institute (OSNI). A two-part study explored 1) requisite roles, skills and competencies of the nurse administrator, 2) a leadership profile with two convenience samples: heads of nursing and nursing administration students. Each part was analysed separately; the two groups were then compared with the latter revealing similarities and differences. Heads of nursing were more likely to describe roles and be task-oriented, emphasising problem solving, whereas students focused on functions and processes. Both groups wanted nursing to be known for its code of professional conduct, and have an empowered nursing association. Leadership profile comparisons indicated heads of nursing were mature and practical whereas students were idealistic, with risk-taking tendencies. There was overall agreement that preparation for the nursing administration specialty should be at master's level; however, all nurses should undertake a leadership and management course during their progression to senior positions. The vision of those preparing to enter and those already in leadership positions is for empowerment of the nursing profession in Oman. Thus there is a need for highly educated nurse leaders and managers in nursing administration to provide the driving force for change and sustained motivation. The current Nursing Administration Programme (NAP) needs to be upgraded and delivered at the master's level for nurses specialising in nursing administration.

  17. The shifting foundations of nursing. (United States)

    Law, Kate; Aranda, Kay


    In this paper we argue that the concerns generated by the development of Foundation Degrees and the Assistant and Associate Practitioner roles have rekindled some of the unresolved debates regarding the status and identity of nursing and nurses. Through the application of the sociological theories of professionalisation and nostalgia we have identified the shifting and unresolved nature of nursing. We argue that these theories continue to have resonance in the current climate of change and 'upskilling' of the health care workforce and argue, that the shifts illuminated are perhaps so significant as to demonstrate that we have entered a post-nursing era. Copyright 2009 Elsevier Ltd. All rights reserved.

  18. Political participation of registered nurses. (United States)

    Vandenhouten, Christine L; Malakar, Crystalmichelle L; Kubsch, Sylvia; Block, Derryl E; Gallagher-Lepak, Susan


    Level of political participation and factors contributing to participation were measured among Midwest RNs (n = 468) via an online survey (Cronbach's α = .95). Respondents reported engaging in primarily "low cost" activities (e.g., voting, discussing politics, and contacting elected officials), with fewer reporting speaking at public gatherings, participating in demonstrations, and membership in nursing organizations. Psychological engagement was most predictive (p political participation with the dimensions of political interest, political efficacy, and political information/knowledge highly significant (p political participation (p political participation. Findings showed that nurse educators and leaders of professional nursing organizations need to model and cultivate greater psychological engagement among students and nurses.

  19. Australian Nursing Informatics Competency Project. (United States)

    Foster, Joanne; Bryce, Julianne


    A study of Australian nurses on their use of information technology in the workplace was undertaken by the Australian Nursing Federation (ANF) in 2007. This study of over 4000 nurses highlighted that nurses recognise benefits to adopting more information technology in the workplace although there are significant barriers to their use. It also identified gross deficits in the capacity of the nursing workforce to engage in the digital processing of information. Following the release of the study last year, the ANF commenced work on a number of key recommendations from the report in order to overcome identified barriers and provide opportunities for nurses to better utilise information technology and information management systems. One of these recommendations was to seek research funding to develop national information technology and information management competency standards for nurses. This project has now received Federal Government funding to undertake this development. This project is being developed in collaboration with the ANF and the Queensland University of Technology. This paper will discuss the methodology, development and publication of the Australian Nursing Informatics Competency Standards Project which is currently underway and due for completion in May 2009. The Australian Nursing Informatics Competencies will be presented at the conference.

  20. Employability of Nursing Care Graduates

    Directory of Open Access Journals (Sweden)

    Donik Barbara


    Full Text Available Starting points: In Slovenia, the higher education institution for nursing started exploring employability opportunities in nursing care in connection with the achievement of competencies from students’ and employers’ point of view. This article highlights the importance of monitoring nursing graduates’ employability. Its aim is to examine the employability of nursing care graduates based on the self-evaluation of competences obtained during the last study year and to establish a link between the self-evaluation of competences and students’ academic performance.

  1. Forensic nursing in secure environments. (United States)

    Shelton, Deborah


    There are few well-designed studies of corrections or prison nursing roles. This study seeks to describe the corrections or prison role of forensic nurses in the United States who provide care in secure environments. National data detailing the scope of practice in secure environments are limited. This pencil and paper survey describes the roles of 180 forensic nurses from 14 states who work in secure environments. Descriptive statistics are utilized. A repeated measures ANOVA with post hoc analyses was implemented. These nurses were older than average in age, but had 10 years or less experience in forensic nursing practice. Two significant roles emerged to "promote and implement principles that underpin effective quality and practice" and to "assess, develop, implement, and improve programs of care for individuals." Significant roles varied based upon the security classification of the unit or institution in which the nurses were employed. Access to information about these nurses and their nursing practice was difficult in these closed systems. Minimal data are available nationally, indicating a need for collection of additional data over time to examine changes in role. It is through such developments that forensic nursing provided in secure environments will define its specialization and attract the attention it deserves.

  2. Substance abuse among registered nurses. (United States)

    Epstein, Patricia M; Burns, Candace; Conlon, Helen Acree


    The stressful conditions under which nurses work, due in part to the nursing shortage, are among the risk factors that contribute to nurses' abuse of illicit drugs. Nurses differ from the general population in that they work in an environment where they not only have access to controlled substances, but also are exposed to death and dying, the stress of which can increase the risk of drug abuse. However, practicing while impaired places patients' lives at risk and decreases staff morale. Copyright 2010, SLACK Incorporated.

  3. A review of transcultural nursing. (United States)

    Narayanasamy, Aru; White, Ethelrene


    In this article, transcultural nursing is reviewed in the light of the literature mainly relevant to the British context. The key features of transcultural nursing are examined in the context of multicultural Britain as follows: definitions, racism, ethnocentrism, culture, diversity, transcultural health care practice and nurse education. Models of transcultural care practice and contemporary developments in cultural care are also explored. There is evidence from emerging literature that innovations are taking place in promoting transcultural care practice and education. However, the article concludes that much practice-based research is still needed to establish transcultural nursing in Britain.

  4. Nursing informatics competencies: assessment of undergraduate and graduate nursing students. (United States)

    Choi, Jeungok; De Martinis, Jean E


    To report the informatics competencies of students in selected undergraduate and graduate nursing programmes, to examine whether informatics competencies differed between the different programmes and to suggest competency-based applications that will strengthen informatics courses and informatics-related content throughout the curricula. Nursing students in undergraduate and graduate nursing programmes have different educational backgrounds and different practice experience. Thus, their informatics preparation is apt to be varied, and nursing curricula must reflect this variation while advancing students towards informatics proficiency. However, studies on informatics competency assessment in these nursing students are scarce. A descriptive survey design. Data were collected from 289 nursing students using a 30-item Self-Assessment of Nursing Informatics Competencies Scale via an email sent to students using a LISTSERV mailing list. The email embedded link to the Internet survey package, SurveyMonkey, which included the Self-Assessment of Nursing Informatics Competencies Scale and demographic questions along with an online consent form. Students in both programmes were competent in three subscale areas: basic computer knowledge and skills, clinical informatics attitude, and wireless device skills. Graduate students reported slightly higher mean competency scores than did undergraduate students in three subscales: clinical informatics role, clinical informatics attitude and wireless device skills. Findings indicate specific topics for nurse educators to consider when designing informatics curricula. The comparison of undergraduate and graduate students indicates similarities in informatics competencies in terms of areas where students were competent and small mean score differences. Further studies are suggested to examine whether there are differences in informatics competencies between undergraduate and graduate students. These results assist nurse educators in

  5. Nurses' and nursing students' attitudes towards late abortions. (United States)

    Ben Natan, M; Melitz, O


    The aim of the present study is to compare the attitudes of nursing students and nurses working in maternity wards towards late abortions performed after the 16th week of pregnancy and to identify the factors influencing their attitudes. A quantitative design was employed in this descriptive study, using two convenience samples: 100 nurses working in the maternity ward of a large hospital and 100 nursing students from a nursing school in Israel. The self-report questionnaire was specially designed for purposes of this study. Results showed that the nurses had less prejudicial attitudes towards late abortions than the nursing students. Overall, the participants had a more positive attitude towards late abortions in the following cases: (1) risk of malformation or developmental disability, (2) pregnancy as a result of rape, and (3) danger to the life of the mother. There was a weak negative connection between the participants' number of children and their attitudes towards late abortions. In addition, there was a significant relationship found between the level of religious observance and attitudes towards late abortions, as negative attitudes increased with higher religious observance. Indeed, the level of religious observance was found to be the most significant predictor of the participants' attitudes towards late abortions. Differences in attitudes were found between nursing students and nurses providing care to patients undergoing late abortions. Their personal religious beliefs, as well as the reason for the abortion, were found to be influential in determining their attitudes. © 2010 The Authors. International Nursing Review © 2010 International Council of Nurses.

  6. New Zealand nurses' views on preceptoring international nurses. (United States)

    Riden, H; Jacobs, S; Marshall, B


    New Zealand encourages internationally educated nurses to seek registration in New Zealand to reduce local nursing shortages. Internationally educated nurses must meet requirements of the Health Practitioners Competency Assurance Act 2003, and demonstrate competency to practise through a clinical competency assessment programme. The purpose was to establish whether preceptors believe they are adequately prepared to assess nurses for whom English is a second language, and to determine the support and recognition received in the role. Preceptor training, workload, understanding of ethical and legal accountability, and perceived organizational values, support and attitudes were evaluated via an anonymous internet survey. Some preceptors do not meet Nursing Council of New Zealand standards and some work environments require nurses to preceptor international nurses. Many nurses believe the role is not valued despite the high workload requirements. Training increased preceptor confidence and preparedness for clinical assessment but additional education is required to understand ethical and legal accountability within the role. Many preceptors indicated they felt pressured into recording assessments they were uncomfortable with. Enhancing preceptorship acceptance could be achieved through institutional recognition of the role's value via workload consideration, institutional recognition or financial means. Increased preceptorship training, particularly around ethical and legal issues, would encourage preceptor confidence. Organizations must find ways of meeting these challenges while recognizing they are responsible for the work environment of both preceptors and internationally registered nurses for whom English is a second language. A register of preceptors could provide a platform for audit and quality assurance principles, ensuring adequate education and preparation of preceptors. Effective preceptorship requires training, recognition and support. Successful

  7. Nursing Needs Big Data and Big Data Needs Nursing. (United States)

    Brennan, Patricia Flatley; Bakken, Suzanne


    Contemporary big data initiatives in health care will benefit from greater integration with nursing science and nursing practice; in turn, nursing science and nursing practice has much to gain from the data science initiatives. Big data arises secondary to scholarly inquiry (e.g., -omics) and everyday observations like cardiac flow sensors or Twitter feeds. Data science methods that are emerging ensure that these data be leveraged to improve patient care. Big data encompasses data that exceed human comprehension, that exist at a volume unmanageable by standard computer systems, that arrive at a velocity not under the control of the investigator and possess a level of imprecision not found in traditional inquiry. Data science methods are emerging to manage and gain insights from big data. The primary methods included investigation of emerging federal big data initiatives, and exploration of exemplars from nursing informatics research to benchmark where nursing is already poised to participate in the big data revolution. We provide observations and reflections on experiences in the emerging big data initiatives. Existing approaches to large data set analysis provide a necessary but not sufficient foundation for nursing to participate in the big data revolution. Nursing's Social Policy Statement guides a principled, ethical perspective on big data and data science. There are implications for basic and advanced practice clinical nurses in practice, for the nurse scientist who collaborates with data scientists, and for the nurse data scientist. Big data and data science has the potential to provide greater richness in understanding patient phenomena and in tailoring interventional strategies that are personalized to the patient. © 2015 Sigma Theta Tau International.

  8. Motivation to lifelong education of nurses


    Lavičková, Ivana


    This paper discusses problem of nurse{\\crq}s lifelong learning. It describes current nurses education system, individual forms of lifelong learning and the current legislation in health service. Furthermore, it deals with motivation of nurses for education and surveys the motivation factors, which influence nurses in the access to education. It determinates forms of lifelong learning, which nurses prefer. At the same time it shows deficits in motivations of nurses for further learning.

  9. Nurses? experiences of humour in clinical settings


    Ghaffari, Fatemeh; Dehghan-Nayeri, Nahid; Shali, Mahboubeh


    Background: Providing holistic nursing care when there is a shortage of personnel and equipment exposes nurses to stress and a higher risk of occupational burnout. Humour can promote nurses? health and influence nursing care. The aim of this study was to describe nurses? experiences of humour in clinical settings and factors affecting it. Methods: This qualitative study investigated nurses? experiences of humour. Five hospitals affiliated to Tehran University of Medical Sciences provided the ...





    Nursing that the reason of its essence arises from social requirements is a practical discipline. It requires knowledge and skills. This knowledge and skills must be updated with developments in the health field. However, because of their living conditions, nurses cannot continue the formal education. Distance nursing programs provide flexibility to them. In this study will be handed the importance of distance education for nursing and the attitudes of nurses towards distance nursing programs.

  11. Nursing history: from conformity to challenging practice. (United States)

    Rosser, Elizabeth


    Elizabeth Rosser, Deputy Dean (Education and Professional Practice) and Professor of Nursing at Bournemouth University, considers the lessons that the nursing profession has learned since its early days.

  12. Nursing history: from conformity to challenging practice.


    Rosser, Elizabeth


    Elizabeth Rosser, Deputy Dean (Education and Professional Practice) and Professor of Nursing at Bournemouth University, considers the lessons that the nursing profession has learned since its early days.

  13. Integrating nursing science in the education process. (United States)

    Felicilda, Rhea Faye


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

  14. Is there a unique nursing ethic? (United States)

    Volker, Deborah Lowe


    There is no agreement in the nursing literature as to the meaning of the term, nursing ethics. Proposed definitions refer to nurses' moral decision-making and behaviors, ethical conflicts, and analysis of ethical issues that arise within nurses' practice. Presumably, a distinct nursing ethic should address unique theories, standards, and inquiry into what comprises nurses' ethical behavior and study of how nurses actually behave and reason about ethical issues. The purpose of this column is to synthesize the dialogue regarding the potential existence of a unique nursing ethic, and to propose that such an ethic has yet to emerge.

  15. Nurse education in Jordan: history and development. (United States)

    Zahran, Z


    This paper provides a comprehensive analysis of the development of nurse education and practice in Jordan. Several types and levels of nurse education have been established influenced, in particular, by Northern American and British models of nurse education and practice. New colleges with new programmes are being introduced at all levels, with a continuing growth in the number of students graduating from nursing programmes, demonstrating the extent to which the status of nursing is changing in Jordan. However, the development of nurse education in Jordan is not wholly congruent with the development of nursing practice. The majority of nursing activities are embedded within a medical model of care or relate to carrying out medical orders, giving rise to task-oriented care delivery. Jordanian nurses are faced with many challenges in terms of their education and practice. There are few published papers that provide a description of this development. The extant literature on nursing history in Jordan comprises descriptions by university academics, official websites of nursing's regularity body, in addition to anecdotal accounts and conference presentations. Nurse education in Jordan has evolved over a relatively short period of time. Collaboration between academics and healthcare providers is vital in order to shape the role of nurses and nursing in the future. Insights gained from this development may benefit nurses globally who are working towards restructuring their nurse education and practice. © 2011 The Author. International Nursing Review © 2011 International Council of Nurses.

  16. Providing support to nursing students in the clinical environment: a nursing standard requirement. (United States)

    Anderson, Carina; Moxham, Lorna; Broadbent, Marc


    This discussion paper poses the question 'What enables or deters Registered Nurses to take up their professional responsibility to support undergraduate nursing students through the provision of clinical education?'. Embedded within many nursing standards are expectations that Registered Nurses provide support and professional development to undergraduate nursing students undertaking clinical placements. Expectations within nursing standards that Registered Nurses provide support and professional development to nursing students are important because nursing students depend on Registered Nurses to help them to become competent practitioners. Contributing factors that enable and deter Registered Nurses from fulfilling this expectation to support nursing students in their clinical learning include; workloads, preparedness for the teaching role, confidence in teaching and awareness of the competency requirement to support students. Factors exist which can enable or deter Registered Nurses from carrying out the licence requirement to provide clinical education and support to nursing students.

  17. Linking Unit Collaboration and Nursing Leadership to Nurse Outcomes and Quality of Care. (United States)

    Ma, Chenjuan; Shang, Jingjing; Bott, Marjorie J


    The objective of this study is to identify the effects of unit collaboration and nursing leadership on nurse outcomes and quality of care. Along with the current healthcare reform, collaboration of care providers and nursing leadership has been underscored; however, empirical evidence of the impact on outcomes and quality of care has been limited. Data from 29742 nurses in 1228 units of 200 acute care hospitals in 41 states were analyzed using multilevel linear regressions. Collaboration (nurse-nurse collaboration and nurse-physician collaboration) and nursing leadership were measured at the unit level. Outcomes included nurse job satisfaction, intent to leave, and nurse-reported quality of care. Nurses reported lower intent to leave, higher job satisfaction, and better quality of care in units with better collaboration and stronger nursing leadership. Creating a care environment of strong collaboration among care providers and nursing leadership can help hospitals maintain a competitive nursing workforce supporting high quality of care.

  18. Nurse educators and student nurse neophytes' perceptions of good ...

    African Journals Online (AJOL)


    Jun 3, 2013 ... Creative Commons. Attribution License. The first session of interaction in the classroom often sets an atmosphere for the entire period of learning. In terms of nurse educator and student nurse neophyte relations, good interaction is essential in helping students to recognise their own responsibilities and to.

  19. Oral Assessment and Nursing Interventions among Nigerian Nurses ...

    African Journals Online (AJOL)

    The majority (90.1%) desired training on oral care of hospitalized patients. Conclusion: There is a need to improve the skill and competence of nurses in the assessment of oral condition to make them a substantive partner in the oral care of hospitalized patients. Keywords: hospitalized patients, nurses, oral condition, roles ...

  20. Registered nurses' (RNS) perception of the nursing profession and ...

    African Journals Online (AJOL)

    Similarly, in their practice experience, the very positive feature in their work environment was an environment of open communication, teamwork and collegiality 60(36.4); clear and comprehensive description of their job responsibility 53(32.1%). Most favorable aspect of nursing identified by the nurses was helping ...

  1. Foreign nursing students: Their profile and perceptions of nursing ...

    African Journals Online (AJOL)

    It was decided to gather both biographical (profile) information and information on perceptions of nursing care in Namibia from such foreign nursing students. The biographical (profile) information collected indicates a prevalence of certain shared biographical characteristics among international students. Such students tend ...

  2. Nursing Effort and Quality of Care for Nursing Home Residents (United States)

    Arling, Greg; Kane, Robert L.; Mueller, Christine; Bershadsky, Julie; Degenholtz, Howard B.


    Purpose: The purpose of this study was to determine the relationship between nursing home staffing level, care received by individual residents, and resident quality-related care processes and functional outcomes. Design and Methods: Nurses recorded resident care time for 5,314 residents on 156 units in 105 facilities in four states (Colorado,…

  3. Nurse educators and student nurse neophytes' perceptions of good ...

    African Journals Online (AJOL)


    Jun 3, 2013 ... nurse educators responsible for teaching first-year student nurses in this programme. The study used .... relationships in the classroom are sources of stress between ... social stress experienced by college freshmen contributed to negative .... developed coping mechanisms with regard to the negative.

  4. Retaining professional nurses in South Africa: Nurse managers ...

    African Journals Online (AJOL)

    Nurse managers have to address shortcomings in their managerial and leadership skills and implement changes within a multigenerational nursing workforce and challenging working environments. Opsomming. Suid-Afrika ervaar 'n ernstige tekort aan verpleegkundiges wat aangespreek moet word ten einde krisisse in ...

  5. Nursing as career choice: perceptions of Turkish nursing students. (United States)

    Başkale, Hatice; Serçekuş, Pınar


    Students' perceptions of nursing influence their choice of nursing as a career and whether they remain in the profession. The aim of this study was to explore the perceptions of entry-level male and female nursing students and the reasons for choosing nursing as a career. A qualitative approach was used by focus group interviews with 31 nursing students, and socio-demographic data were collected by questionnaire. Thematic content analysis was used to analyse the data, and findings were grouped into categories and themes. The first category was 'choosing', which included the themes of 'desire to help', 'satisfactory income, and guaranteed employment', 'influence of family and friends' and 'being in a health-related profession'. The second category was 'others' reactions, which included the single theme 'response'. The third category was 'the image of nursing' which included the themes of 'job description' and 'gender'. The study concluded that although a growing amount of male students are enrolling in nursing programs, stereotypical ideas persist, and nursing is considered a female-dominated profession. There is further need to track student experiences during or after clinical practice and explore whether students' perceptions change over time.

  6. Beyond "Hot Lips" and "Big Nurse": Creative Writing and Nursing (United States)

    Young, Sandra


    This essay describes a special topics creative writing course designed for nursing students, and argues that creative writing strategies work to improve nurses' compositional skills. Also discussed are other potential benefits from creatively writing patients' lives, notably, the blending of arts and sciences, and the ways in which medical schools…

  7. Nursing in the Pediatric Intensive Care Unit, Nursing 205. (United States)

    Varton, Deborah M.

    A description is provided of a course, "Nursing in the Pediatric Intensive Care Unit," offered for senior-level baccalaureate degree nursing students. The first section provides information on the place of the course within the curriculum, the allotment of class time, and target student populations. The next section looks at course content in…

  8. Nursing Research Priorities of the National Black Nurses Association. (United States)

    Bolton, Linda Burnes; Bennett, Crystal; Richards, Hilda; Gary, Faye; Harris, Lorna; Millon-Underwood, Sandra; Williams, Betty Smith


    Describes the research priorities of the National Black Nurses Association: women's health issues, use of diverse populations in research trials, and transcultural and culturally competent health care. Discusses the knowledge gaps in nursing research and recommends that priorities be aimed at improving the health of African Americans and other…

  9. Nursing staff in hospitals and nursing homes: is it adequate?

    National Research Council Canada - National Science Library

    Wunderlich, Gooloo S; Sloan, Frank A; Davis, Carolyne K


    ..., Editors Committee on the Adequacy of Nurse Staffing in Hospitals and Nursing Homes Division of Health Care Services INSTITUTE OF MEDICINE NATIONAL ACADEMY PRESS Washington, D.C. 1996 Copyrightthe cannot be not from book, paper however, version for formatting, original authoritative the typesetting-specific the as from created pub...

  10. Rationing nurses: Realities, practicalities, and nursing leadership theories. (United States)

    Fast, Olive; Rankin, Janet


    In this paper, we examine the practicalities of nurse managers' work. We expose how managers' commitments to transformational leadership are undermined by the rationing practices and informatics of hospital reform underpinned by the ideas of new public management. Using institutional ethnography, we gathered data in a Canadian hospital. We began by interviewing and observing frontline leaders, nurse managers, and expanded our inquiry to include interviews with other nurses, staffing clerks, and administrators whose work intersected with that of nurse managers. We learned how nurse managers' responsibility for staffing is accomplished within tightening budgets and a burgeoning suite of technologies that direct decisions about whether or not there are enough nurses. Our inquiry explicates how technologies organize nurse managers to put aside their professional knowledge. We describe professionally committed nurse leaders attempting to activate transformational leadership and show how their intentions are subsumed within information systems. Seen in light of our analysis, transformational leadership is an idealized concept within which managers' responsibilities are shaped to conform to institutional purposes. © 2017 John Wiley & Sons Ltd.

  11. Nursing home and nursing home physician: the Dutch experience.

    NARCIS (Netherlands)

    Schols, J.M.G.A.; Crebolder, H.F.J.M.; Weel, C. van


    Dutch nursing home care today includes a broad range of institutional and outreaching care functions. Medical care is an essential part of this care. Nursing home medicine in The Netherlands has developed as an officially acknowledged medical specialty. This is unique because The Netherlands is the

  12. Amateur Nursing: Delegating Nursing Tasks to Unlicensed Assistive Personnel. (United States)

    Meehan, Jane Pamela

    In response to the growing trend of using unlicensed assistive personnel (UAP) in hospitals, a study was conducted of faculty of associate degree nursing programs in New Jersey to determine which professional tasks they considered inherently safe for registered nurses to delegate to UAPs. A check-list survey was distributed to 104 faculty members…

  13. Nursing home culture change: what does it mean to nurses? (United States)

    Bellot, Jennifer


    The purpose of this study was to explore, from the perspectives of licensed nurses, the organizational culture, work environment, and factors influencing culture change in two nursing homes participating in the Wellspring Program. All licensed nurses ≥ 0.25 full-time equivalent from two nursing homes were invited to complete the Organizational Culture Inventory and the Work Environment Scale. A subset of respondents was invited to participate in subsequent interviews. Data indicated unresolved conflict, low employee satisfaction, high work demands, and managerial control in the workplace. Qualitatively, three categories emerged: Confusion over culture change, role, and documentation; Conflict over the integration of traditional care with a resident-centered model; and Commitment to providing quality nursing care to the resident. To ensure the successful implementation of culture change, consideration must be given to clarity of communication, anticipation of role conflict, and building on the underlying strength of job commitment. Copyright 2012, SLACK Incorporated.

  14. Ending disruptive behavior: staff nurse recommendations to nurse educators. (United States)

    Lux, Kathleen M; Hutcheson, Jane B; Peden, Ann R


    The purpose of this qualitative descriptive study was to identify educational strategies that can prepare new graduates to manage disruptive behavior (DB) in the workplace. DB is any inappropriate behavior, confrontation, or conflict - ranging from verbal abuse to sexual harassment - that harms or intimidates others to the extent that quality of care or patient safety could be compromised. Individual interviews were conducted with nine staff nurses currently in practice in acute care settings in the United States. Staff nurses recommended educational strategies that focused on communication skills for professional practice. These included learning how to communicate with hostile individuals, and giving and receiving constructive criticism. Descriptions that participants provided about their work culture were an unexpected finding that has relevance for nurse educators as they prepare students for transition to practice Nurses described lack of management support and intervention for DB situations, personality clashes with coworkers, and devaluation of nursing work as affecting professional practice. Copyright © 2013 Elsevier Ltd. All rights reserved.

  15. Perception of Nursing Care: View of Saudi Arabian Female Nurses

    DEFF Research Database (Denmark)

    Jørgensen, Jette


    ‘Values are principles and standards that have meaning and worth to an individual, family, group, or community’ (Purnell & Paulanka 1998: 3). Values are central to the care provided by nurses. The provision of nursing care within the context of value clarification, has been explored from various...... perspectives, however, as values vary within cultures, there is a limited range of studies reflecting on Saudi Arabian nurses’ perspectives of nursing care. Through a Heideggerian phenomenological research design, six nurses were enrolled through purposive sampling. Semi-structured, in-depth interviews, which...... were audio tape-recorded, were chosen as the methods of data collection. A seven stage framework approach was applied to analyse and organise the research findings in three conceptual themes: values in context of Islam, the nurse-patient relationship, and identity’s influence on being in the world...

  16. Parish nursing: a unique resource for community and district nurses. (United States)

    Wordsworth, Helen; Moore, Ros; Woodhouse, Daphne


    This paper examines the effect of parish nursing as a faith community initiative to support the work of district and community nurses and improve health outcomes. It discusses the reasons why faith communities might embark upon health initiatives, and describes the practice of parish nursing and its history and development in the UK. With reference to both quantitative and qualitative outcomes, the relevance of the practice in the UK health scene is assessed. The paper suggests that connecting with the third sector through parish nursing could enhance the work of community and district nurses; this would present additional sources of holistic care and health promotion and can be offered in an optional but complementary manner to the care provided through the NHS.

  17. Advances in graduate nursing education: beyond the advanced practice nurse. (United States)

    Radzyminski, Sharon


    Historically, graduate education in nursing has been primarily concerned with the clinical role. In recent years it has been suggested that graduate education needs to consider alternate programs of study that prepare nurses for clinical leadership that are distinct from management and advanced practice roles. Graduate education is needed that focuses on the skills required to coordinate care and implement outcome-based practice and quality improvement strategies. Two models are currently being proposed that meet these objectives. The first is the population health nurse expert that functions on the macrosystems approach and the second is the clinical nurse leader which is based on a microsystems framework. The two models are compared and a combined model where the clinical nurse leader is based on the population health framework is proposed.

  18. Nursing Home Response to Nursing Home Compare: The Provider Perspective. (United States)

    Perraillon, Marcelo Coca; Brauner, Daniel J; Konetzka, R Tamara


    Nursing Home Compare (NHC) publishes composite quality ratings of nursing homes based on a five-star rating system, a system that has been subject to controversy about its validity. Using in-depth interviews, we assess the views of nursing home administrators and staff on NHC and unearth strategies used to improve ratings. Respondents revealed conflicting goals and strategies. Although nursing home managers monitor the ratings and expend effort to improve scores, competing goals of revenue maximization and avoidance of litigation often overshadow desire to score well on NHC. Some of the improvement strategies simply involve coding changes that have no effect on resident outcomes. Many respondents doubted the validity of the self-reported staffing data and stated that lack of risk adjustment biases ratings. Policy makers should consider nursing home incentives when refining the system, aiming to improve the validity of the self-reported domains to provide incentives for broader quality improvement.

  19. Nurses' online behaviour: lessons for the nursing profession. (United States)

    Green, Janet


    Social networking is popular online activity; however, like many activities on the internet, there are some privacy risks and concerns associated with its use. Recently, an increasing number of nurses have been censured or asked to appear before regulatory or registering authorities for unprofessional behaviour on social media sites. Problem behaviours identified include: inappropriate content and postings, crossing professional boundaries and breaching patient privacy and confidentiality. This discussion paper aims to give the nursing profession an understanding of how their online behaviour can impact on their professionalism, and how they can avoid problematic situations when using social media (Facebook). This exploratory discussion paper will inform a study researching nurses' online behaviour. Social media is here to stay and nurses need to navigate the complexities of the boundaries between the personal and the professional. Nurses need to learn to balance the growing usefulness of social media, with the legalities and etiquette of the online environment.

  20. Nurse Education and the Assessment of Nurse Competence

    Directory of Open Access Journals (Sweden)

    Olga Takahashi


    Full Text Available The issue in which I am interested is the assessment of nurse knowledge, skills and competence, and ways in which formative assessment can promote more effective learning. In this critical review of the relevant literature I consider some of the changes in nurse education, first in the UK in general, and then in the particular context of the University of Londrina, Parana, Brazil. I will then relate these changes to broader issues of professional education, and in particular developments in assessment in higher education. Finally, I will consider some of the challenges faced by nurses in the current time and how the new curriculum for nurse education and models of assessment within it can enhance the learning and development of newly qualified nurses.

  1. Hospice nurses' views on single nurse administration of controlled drugs. (United States)

    Taylor, Vanessa; Middleton-Green, Laura; Carding, Sally; Perkins, Paul


    The involvement of two nurses to dispense and administer controlled drugs is routine practice in most clinical areas despite there being no legal or evidence-based rationale. Indeed, evidence suggests this practice enhances neither safety nor care. Registered nurses at two hospices agreed to change practice to single nurse dispensing and administration of controlled drugs (SNAD). Participants' views on SNAD were evaluated before and after implementation. The aim of this study was to explore the views and experiences of nurses who had implemented SNAD and to identify the views and concerns of those who had not yet experienced SNAD. Data was obtained through semi-structured interviews. Qualitative thematic analysis of interview transcripts identified three key themes: practice to enhance patient benefit and care; practice to enhance nursing care and satisfaction; and practice to enhance organisational safety. The findings have implications for the understanding of influences on medicines safety in clinical practice and for hospice policy makers.

  2. Patient safety in nursing homes in Sweden: nurses´views on safety and their role


    Andersson, Frieda; Hjelm, Katarina


    Objective: Knowledge about patient safety in nursing homes is limited. The aim of this study was to describe what patient safety means to nurses working in nursing homes for the elderly and how these nurses address patient safety. Method: Qualitative study of semi-structured interviews with 15 nurses aged 27-62 years. Qualitative content analysis was applied. Results: Nurses describe the meaning of patient safety in terms of proper care and treatment, and a sense of security. Based on nurses'...

  3. 'I Am a Nurse': Oral Histories of African Nurses. (United States)

    Wall, Barbra Mann; Dhurmah, Krist; Lamboni, Bassan; Phiri, Benson Edwinson


    Much of African history has been written by colonial "masters" and is skewed by cultural bias. The voices of indigenous peoples have largely been ignored. The purpose of this study was to collect the oral histories of African nursing leaders who studied and practiced nursing from the late colonial era (1950s) through decolonization and independence (1960s-70s), in order to better understand their experiences and perspectives. This study relied on historical methodology, grounded specifically within the context of decolonization and independence. The method used was oral history. Oral histories were collected from 13 retired nurses from Mauritius, Malawi, and Togo. Participants' educational and work histories bore the distinct imprint of European educational and medical norms. Nursing education provided a means of earning a living and offered professional advancement and affirmation. Participants were reluctant to discuss the influence of race, but several recalled difficulties in working with both expatriate and indigenous physicians and matrons. Differences in African nurses' experiences were evident at the local level, particularly with regard to language barriers, gender-related divisions, and educational and practice opportunities. The data show that although institutional models and ideas were transported from colonial nursing leaders to African nursing students, the African nurses in this study adapted those models and ideas to meet their own needs. The findings also support the use of storytelling as a culturally appropriate research method. Participants' stories provide a better understanding of how time, place, and social and cultural forces influenced and affected local nursing practices. Their stories also reveal that nursing has held various meanings for participants, including as a means to personal and professional opportunities and as a way to help their countries' citizens.

  4. The leadership role of nurse educators in mental health nursing. (United States)

    Sayers, Jan; Lopez, Violeta; Howard, Patricia B; Escott, Phil; Cleary, Michelle


    Leadership behaviors and actions influence others to act, and leadership in clinical practice is an important mediator influencing patient outcomes and staff satisfaction. Indeed, positive clinical leadership has been positioned as a crucial element for transformation of health care services and has led to the development of the Practice Doctorate Movement in the United States. Nurse educators in health care have a vital leadership role as clinical experts, role models, mentors, change agents, and supporters of quality projects. By enacting these leadership attributes, nurse educators ensure a skilled and confident workforce that is focused on optimizing opportunities for students and graduates to integrate theory and practice in the workplace as well as developing more holistic models of care for the consumer. Nurse educators need to be active in supporting staff and students in health care environments and be visible leaders who can drive policy and practice changes and engage in professional forums, research, and scholarship. Although nurse educators have always been a feature of the nursing workplace, there is a paucity of literature on the role of nurse educators as clinical leaders. This discursive article describes the role and attributes of nurse educators with a focus on their role as leaders in mental health nursing. We argue that embracing the leadership role is fundamental to nurse educators and to influencing consumer-focused care in mental health. We also make recommendations for developing the leadership role of nurse educators and provide considerations for further research such as examining the impact of clinical leaders on client, staff, and organizational outcomes.

  5. Using nursing expertise for non-nursing computer systems. (United States)

    Tindal, C L; Bursley, H M


    The nurse working with automated systems often uses the same practical and clinical skills used in the analysis, implementation, and evaluation of patient care. Transferring those cognitive skills from a clinical setting to a setting in which automated systems are the primary focus is practical, yet challenging. The intuitive processes of analysis, implementation, and evaluation are the same; however, the methods, procedures, and tools vary. The additional skills required to become a systems analyst, technical writer, information specialist, project officer, or consultant can be learned either formally by attending courses, seminars, workshops, or other educational programs or by on-the-job experience with the many aspects of systems implementation. Whenever possible, opportunities for learning should be sought by the nurse to develop her analytical and technical skills, depending on the nature of the role she fills in working with automated systems. Experience with non-nursing technology provides the nurse with a deeper understanding and appreciation of the applications of computer technology in a variety of settings. This kind of knowledge contributes to her ability to more accurately assess the capabilities desirable in automated health care system, with particular emphasis on nursing requirements. The combination of nursing, technical, and analytical skills places the nurse working with automated systems in a position to greatly expand her knowledge base and to identify mechanisms to transfer non-nursing technology to automation in nursing practice, education, and research. The challenge to the nursing profession will continue as automation continues to become an integral part of health care delivery.(ABSTRACT TRUNCATED AT 250 WORDS)

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

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


    Although a limited number of studies have focused on bullying in nursing education to date, all of those studies demonstrate the existence of bullying in clinical settings, where nursing students undertake a significant amount of their nursing education. The purpose of this study was to examine the state of bullying in clinical nursing education among Canadian undergraduate nursing students (N = 674) in all 4 years of their nursing program. Results suggest that nursing students experience and witness bullying behaviors at various frequencies, most notably by clinical instructors and staff nurses. Third-year and fourth-year students experience more bullying behaviors than first-year and second-year students. Implications for practice include ensuring that clinical instructors are well prepared for their role as educators. Policies must be developed that address the issue of bullying within nursing programs and within health care facilities where nursing students undertake their clinical nursing education. Copyright 2012, SLACK Incorporated.

  7. The Competency Model for Professional Rehabilitation Nursing. (United States)

    Vaughn, Stephanie; Mauk, Kristen L; Jacelon, Cynthia S; Larsen, Pamala D; Rye, Jill; Wintersgill, Wendy; Cave, Christine E; Dufresne, David


    Rehabilitation nursing is practiced in various settings along the healthcare continuum. No framework is noted in the literature that defines the necessary competencies of the rehabilitation nurse. To develop a Competency Model for Professional Rehabilitation Nursing and its application to clinical and educational practice. A seven-member Association of Rehabilitation Nurses (ARN) task force was convened; conducted a literature review, reviewed current and historical ARN documents, including the Strategic Plan, and developed a Competency Model for Professional Rehabilitation Nursing practice. The Competency Model for Professional Rehabilitation Nursing delineates four domains of rehabilitation nursing practice and essential role competencies. The Competency Model for Professional Rehabilitation Nursing addresses this diverse specialty practice in the current healthcare arena. This framework can be used to guide nurses practicing at different levels of proficiency in various settings. The Competency Model can be used as a structure for staff orientation, evaluation tools, clinical ladder components, role descriptions and rehabilitation nursing courses. © 2015 Association of Rehabilitation Nurses.

  8. Letters from a Nightingale nurse. (United States)

    Denny, E


    Mary Cadbury was one of six daughters in a wealthy Birmingham family, all of whom took up professional or unpaid philanthropic work. In 1873 Mary began nurse training at the Nightingale School, St Thomas's Hospital, and regularly sent letters to family and friends, which provide a graphic account of the experience of a nurse in the latter half of the nineteenth century.

  9. Career development: graduate nurse views. (United States)

    Cleary, Michelle; Horsfall, Jan; Muthulakshmi, Paulpandi; Happell, Brenda; Hunt, Glenn E


    To explore recent Singapore nursing graduates' experience of and views about their career development and progress. The recruitment and retention of an adequate number of registered nurses is a continuing workforce issue in Singapore and other major cities. Survey of recent nursing graduates. Recent nursing graduates from the Bachelor programme (n = 147) were sent an individual survey; a response rate of 54% was achieved. Findings show that nurses rated their self-concept in a positive manner and were most satisfied (moderately to very) with helping patients and providing effective care, and the level of patient involvement. They were least satisfied (moderately to only a little) with prestige among the general medical community and the general public, hours of work, lifestyle factors and research opportunities. The following four factors were identified as significant impediments to career development; lack of support in the work place; perceived insufficient clinical career development opportunities; excessive work hours; and limited access to merit-based places in further education. Suggestions made to overcome perceived career development barriers are as follows: broad multifactorial healthcare system changes; decreased and more flexible working hours; and fairer access to further clinical and higher education. Results highlight the value clinical nurses place on having access to career development opportunities, merit-based further education and work place supports. These factors also have the potential to influence patient care and impact on the retention of nurses in their present job and satisfaction with their nursing career. © 2013 Blackwell Publishing Ltd.

  10. Nursing brain drain from India

    Directory of Open Access Journals (Sweden)

    Kolenko Mary


    Full Text Available Abstract In response to recent findings regarding migration of health workers out of Africa, we provide data from a survey of Indian nurses suggesting that up to one fifth of the nursing labour force may be lost to wealthier countries through circular migration.

  11. Nursing Procedures. NAVMED P-5066. (United States)

    Bureau of Medicine and Surgery (Navy), Washington, DC.

    The revised manual of nursing procedures covers fundamental nursing care, admission and discharge of the patient, assisting with therapeutic measures, pre- and postoperative care, diagnostic tests and procedures, and isolation technique. Each of the over 300 topics includes the purpose, equipment, and procedure to be used and, where relevant, such…

  12. Interaction in Distance Nursing Education (United States)

    Boz Yuksekdag, Belgin


    The purpose of this study is to determine psychiatry nurses' attitudes toward the interactions in distance nursing education, and also scrunize their attitudes based on demographics and computer/Internet usage. The comparative relational scanning model is the method of this study. The research data were collected through "The Scale of Attitudes of…

  13. [Feminism and qualitative nursing research]. (United States)

    Yi, Myungsun; Yih, Bong-Sook


    The purpose of this article was to describe feminism and to propose the integration of a feminist method into qualitative nursing methodology in order to expand the body of nursing knowledge. The world view of feminism including philosophy, epistemology and methodology was outlined, and a feminist grounded theory and feminist ethnography were suggested as a way of strengthening nursing research methodology using literature review. Four different philosophical perspectives of feminism, that is, liberal feminism, radical feminism, Marxist feminism, and social feminism were described. Also epistemological perspectives including feminist empiricism, feminist standpoint, and postmodern feminism, were explained and were related to the methodology and methods of feminism. To enhance the strengths of nursing research within the feminist perspectives, feminist grounded theory and feminist ethnography were exemplified in the paradigm of qualitative nursing research. This paper suggested that incorporation of feminist approaches within nursing is a valuable attempt to expand the body of nursing knowledge and to enhance the quality of nursing care services by rectifying male-oriented knowledge and by empowering women in the care of other people as well as themselves.

  14. Nursing Diagnoses in Inpatient Psychiatry

    NARCIS (Netherlands)

    Frauenfelder, F.; Achterberg, T. van; Needham, I.; Staub, M. Muller


    PURPOSE: This study explored how well NANDA-I covers the reality of adult inpatient psychiatric nursing care. METHODS: Patient observations documented by registered nurses in records were analyzed using content analysis and mapped with the classification NANDA-I. FINDINGS: A total of 1,818 notes

  15. Caring in pediatric emergency nursing. (United States)

    Gillespie, Gordon Lee; Hounchell, Melanie; Pettinichi, Jeanne; Mattei, Jennifer; Rose, Lindsay


    An environment committed to providing family-centered care to children must be aware of the nurse caring behaviors important to parents of children. This descriptive study assessed the psychometrics of a revised version of the Caring Behaviors Assessment (CBA) and examined nurse caring behaviors identified as important to the parents of pediatric patients in a pediatric emergency department. Jean Watson's theory of human caring provided the study's theoretical underpinnings. The instrument psychometrics was determined through an index of content validity (CVI) and internal consistency reliability. The instrument was determined to be valid (CVI = 3.75) and reliable (Cronbach's alpha = .971). The revised instrument was completed by a stratified, systematic random sample of 300 parents of pediatric emergency patients. Participants rated the importance of each item for making the child feel cared for by nurses. Individual survey item means were computed. Items with the highest means represented the most important nurse caring behaviors. Leading nurse caring behaviors centered on carative factors of "human needs assistance" and "sensitivity to self and others." Nearly all nurse caring behaviors were important to the parents of pediatric patients, although some behaviors were not priority. It is important for nurses to provide family-centered care in a way that demonstrates nurse caring.

  16. Building TQM into nursing management. (United States)

    Masters, M L; Masters, R J


    Total quality management (TQM) is a management philosophy that addresses problems currently faced by health care, specifically reducing costs while improving quality of services. As hospital administrators embrace this new management style, nurse executives and managers will be challenged to implement TQM. Building TQM into nursing management will improve quality and reduce costs while meeting the needs of health care customers.

  17. [Turnover Experience of Male Nurses]. (United States)

    Kim, Hyunsu; Lee, Jeongseop


    The aim of this study was to identify turnover experiences of men in nursing and to derive a substantive theory on the turnover experience of men who are nurses. Data were collected through in-depth interviews with 13 men who had worked as a nurse for 1 year or more, and had a turnover experience during that period. Collected data were analyzed on the basis of Strauss and Corbin's grounded theory. The core category in the turnover experiences of the respondents was 'seeking a stable place for me'. In the analysis of the core category, types of 'contentment', 'seeking', 'survival' and 'confusion' were identified. The sequential stages of these nurses' turnover experience were 'confrontation', 'incertitude', 'retrying' and 'realization'. However, when a problem arose in the process, they returned to the stage of confusion. Thus, these stages could occur in a circular fashion. These findings provide a deep understanding of the turnover experience of men in nursing and offers new information about how they adapt to nursing practice. The findings should be useful as foundational data for men who hope to become nurses and also for managers responsible for nurses who are men.

  18. [Working conditions of community nurses]. (United States)

    Kułagowska, Ewa; Kosińska, Maria


    To ensure the most efficient workplace health promotion it is essential to identify and monitor health conditions of employees and all components of the work process, as well as to recognize their cause-effect relationships. Community nurses form an occupational group with a specific type of workplace that is usually located in the patient's place of residence and thus not inspected in terms of safety and hygiene. The aim of the study was to identify working conditions of community nurses with special reference to occupational hazards. An anonymous questionnaire was used as a major tool of this survey. It contained 33 questions, concerning the work process, working conditions, work loads and arduousness, hazards and work-related complaints. The questionnaire was completed by 86 community nurses working in the Upper Silesia region. Community nurses generally assessed their work as hard. A more thorough analysis revealed that nursing and curative care, nursing and hygienic care and rehabilitation were regarded by community nurses as hard, whereas social diagnostics and curative diagnostics were assessed as much easier tasks. Excessive physical load, forced position at work, aggressive patients, patients' aggressive family members, dangerous domestic animals, low quality of technical devices in patients' homes were reported as the greatest hazards. The obtained results reveal that working conditions of community nurses do not ensure their safety at work.

  19. Happy in a nursing home?

    NARCIS (Netherlands)

    Cretien van Campen; Debbie Verbeek-Oudijk


    Original title: Gelukkig in een verpleeghuis? Life in Dutch residential nursing and care homes is changing. The number of frail older persons in the Netherlands is increasing. Older people are increasingly living independently for longer, and only the most frail older persons move to a nursing or

  20. Philosophical foundations of nursing practice. (United States)


    This chapter examined how nursing has conceived itself historically and how this conception has changed. It is our contention, along with some of the authors discussed, that this issue is of paramount importance in structuring how a nurse responds to a moral dilemma and which obligations have primary or greater weighting. The empirical studies contained or referred to in Holfing et al. and Murphy substantiate that these conceptions do make a determinative difference in how nurses make ethical decisions. How nursing is viewed and its role relationships defined has been variously referred to as model, role conception, or philosophy of nursing. The significant point is that this forms the philosophical foundation of nursing and has profound ethical implications. The now dominant philosophy is that of client advocacy. However, as the articles indicate, ambiguity about just what advocacy entails and misgivings about the direction nursing has taken by those within and outside of nursing do exist. The next chapter presents still more conceptions of client advocacy and problems associated with it.