RESUMO
PURPOSE: The aim of this manuscript is to embolden nurses to engage in policy that promotes diversity, equity, inclusion, and belonging to advance health equity. BACKGROUND: It uses the Future of Nursing Report 2020-2030 to acknowledge the impact of structural racism and the need for a more equitable, just, and fair society. DISCUSSION: It also recognizes that nurses must harness their power and political will, to change and strengthen policies, so all nurses can practice to the full extent of their education and license. CONCLUSION: A case study of the response to COVID-19 in one underserved community is included to illustrate policy in action.
Assuntos
COVID-19 , Equidade em Saúde , Papel do Profissional de Enfermagem , Determinantes Sociais da Saúde , Racismo Sistêmico , Humanos , COVID-19/epidemiologia , Escolaridade , Políticas , Inclusão SocialRESUMO
AIM: The aim was to develop an instrument to assess undergraduate nursing students' experience of service-learning to reveal benefits and identify service-learning as a professional value that leads to civic and social responsibility. BACKGROUND: Service-learning is a teaching and learning approach that integrates academic learning with experiential community-centered foci. It provides structured opportunities for reflection on broader social and cultural dimensions of health. There is no valid and reliable instrument to measure service-learning experience of nursing students. METHOD: A psychometric evaluation was conducted through item analysis, validity, and reliability. RESULTS: Face validity agreement was 80 percent; the content validity index was adjusted until 1 was achieved for each item. Two factors explained 58.64 percent of the total variance. Cronbach's α was .940 for the skills subscale and .932 for the personal insight subscale. CONCLUSION: The inventory demonstrated strong psychometric properties. Future research should focus on replication on diverse populations.
Assuntos
Aprendizagem , Psicometria , Estudantes de Enfermagem/psicologia , Humanos , Reprodutibilidade dos Testes , Inquéritos e QuestionáriosAssuntos
Ética em Enfermagem , Prática Clínica Baseada em Evidências/economia , Prática Clínica Baseada em Evidências/organização & administração , Cuidados de Enfermagem/organização & administração , Qualidade da Assistência à Saúde/economia , Qualidade da Assistência à Saúde/organização & administração , American Nurses' Association , Humanos , Estados UnidosAssuntos
Custos de Cuidados de Saúde/legislação & jurisprudência , Reforma dos Serviços de Saúde/economia , Reforma dos Serviços de Saúde/legislação & jurisprudência , Cuidados de Enfermagem/organização & administração , Economia da Enfermagem , Humanos , Patient Protection and Affordable Care Act , Estados UnidosRESUMO
Safe nurse staffing is undeniably linked to patient safety and satisfaction, workforce satisfaction and safety, and cost savings. A nationwide mandate must be driven toward the use of electronic staffing and scheduling systems that take into consideration the patient's real-time specific needs This system must be matched to the most appropriate nurse with the ability to provide care safely for all the patients in his or her total assignments. These patient care assignments should be designed in partnership with managers and staff RNs. Only then will we reverse the trend of staffing-related patient deaths and injury in U.S. hospitals.