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J Nurs Adm ; 50(1): 40-44, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31809455


The purpose of the Aging Well Nursing-Interprofessional Salon was to explore current local community healthcare issues for older adults and to develop innovative strategies that support and enhance their health. An initiative emerged from the salon that focuses on identifying caregivers to ensure their awareness of available support resources. We are in the process of developing a pilot plan that includes collaboration of PhD and doctorate of nursing practice students, nursing faculty, and community agencies that support older adults.

Cuidadores , Servicios de Salud Comunitaria , Servicios de Salud para Ancianos , Enfermeras Practicantes , Anciano , Femenino , Humanos , Masculino , Massachusetts
J Contin Educ Nurs ; 48(1): 22-28, 2017 Jan 01.
Artículo en Inglés | MEDLINE | ID: mdl-28099675


The aim of this project was to evaluate the effectiveness and outcomes of a redesigned newly licensed nurse orientation program. A unique aspect of this program was an end-of-orientation simulated four-patient assignment that was designed to assess five categories of critical thinking: prioritization and delegation, problem recognition, clinical decision making, clinical implementation, and reflection. Newly licensed nurses' critical thinking was measured by the Advisory Board's Critical Thinking Diagnostic tool at 10 weeks, 6 months, and 12 months. Findings showed that in all five categories of critical thinking, a significant increase was found between the 10-week and 6-month evaluation. Two of the categories-prioritization and delegation, and problem recognition-were found to have a significant increase from the 6-month evaluation to the 12-month evaluation. In addition, newly licensed nurses reported improvement in their confidence and in their preparation to work independently. J Contin Educ Nurs. 2017;48(1):22-28.

Competencia Clínica , Capacitación en Servicio/organización & administración , Personal de Enfermería en Hospital/educación , Personal de Enfermería en Hospital/psicología , Simulación de Paciente , Evaluación de Programas y Proyectos de Salud , Toma de Decisiones , Humanos , Pensamiento
J Prof Nurs ; 27(6): e64-70, 2011.
Artículo en Inglés | MEDLINE | ID: mdl-22142929


Education and practice partnerships are key to effective academic program design and implementation in a time of decreasing supply and increasing demands on the nursing profession. An integrated education/practice competency model can positively impact patient safety, improve patient care, increase retention, and ensure a sufficient and competent nursing workforce, which is paramount to survival of the health care system. Through the contributions of nursing leaders from the broad spectrum of nursing and industry organizations within the state, the Massachusetts Nurse of the Future project developed a competency-based framework for the future design of nursing educational programs to meet current and future practice needs. The Massachusetts Nurse of the Future Nursing Core Competencies(©) expand on the Institute of Medicine's core competencies for all health care professionals and the Quality and Safety Education for Nurses competencies for quality and safety to define the expectations for all professional nurses of the future. The Massachusetts Nurse of the Future Nursing Core Competencies define the knowledge, attitude, and skills required as the minimal expectations for initial nursing practice following completion of a prelicensure professional nursing education program. These competencies are now being integrated into new models for seamless, coordinated nursing curriculum and transition into practice within the state and beyond.

Creatividad , Educación en Enfermería/tendencias , Conocimientos, Actitudes y Práctica en Salud , Massachusetts , Modelos Educacionales , Competencia Profesional
J Nurs Adm ; 41(12): 510-2, 2011 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-22094614


Evidence points to the omission of required nursing care as a pervasive problem in acute care hospitals. Labor and material resource constraints, increasing patient complexity, ineffective delegation, and poor communication have been identified as contributing factors. Nurse executives should examine the degree and causes of missed care in their organizations. Action plans should be developed based on identification of issues contributing to this serious concern, thus promoting safe patient care.

Continuidad de la Atención al Paciente , Errores Médicos/prevención & control , Atención de Enfermería/organización & administración , Personal de Enfermería en Hospital/organización & administración , Delegación al Personal , Humanos , Estados Unidos
J Nurs Adm ; 40(7-8): 329-35, 2010.
Artículo en Inglés | MEDLINE | ID: mdl-20661063


OBJECTIVE: Measure RNs' and nursing assistants' reports of frequency and reasons for missed nursing care and identify factors related to successful delegation. BACKGROUND: 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. METHODS: Quantitative, descriptive design. RESULTS: 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. CONCLUSION: 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.

Eficiencia Organizacional , Asistentes de Enfermería/organización & administración , Atención de Enfermería/organización & administración , Personal de Enfermería en Hospital/organización & administración , Calidad de la Atención de Salud , Encuestas de Atención de la Salud , Humanos , New England , Admisión y Programación de Personal , Carga de Trabajo
J Nurs Adm ; 39(3): 142-6, 2009 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-19590471


OBJECTIVE: The aim of this study was to understand how nurses use critical thinking to delegate nursing care. BACKGROUND: Nurses must synthesize large amounts of information and think through complex and often emergent clinical situations when making critical decisions about patient care, including delegation. METHOD: A qualitative, descriptive study was used in this article. FINDINGS: Before delegating, nurses reported considering patient condition, competency, experience, and workload of unlicensed assistive personnel (UAP). Nurses expected UAP to report significant findings and have higher level knowledge, including assessment and prioritizing skills. Successful delegation was dependent on the relationship between the RN and the UAP, communication, system support, and nursing leadership. Nurses reported frequent instances of missed or omitted routine care. CONCLUSION: Findings from this project provide insight into factors that influence delegation effectiveness. These can guide CNOs and frontline nurse leaders to focus on implementing strategies to mitigate the consequence of missed care. Ineffective delegation of basic nursing care can result in poor patient outcomes, potentially impacting quality measures, satisfaction, and reimbursement for the institution.

Comunicación , Toma de Decisiones , Conocimientos, Actitudes y Práctica en Salud , Liderazgo , Proceso de Enfermería , Atención al Paciente , Pensamiento , Competencia Clínica , Humanos , Evaluación en Enfermería