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1.
J Prof Nurs ; 35(2): 93-100, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-30902412

RESUMEN

BACKGROUND: The New Careers in Nursing (NCIN) program provided scholarships and other supports to accelerated degree students at 130 nursing schools and collected data from the scholars at three time-points. PURPOSE: The NCIN database was analyzed to identify gender-based differences in scholars' profile characteristics, program experiences, and post-graduation outcomes. METHOD: An adaptation of Jeffreys's Nursing Universal Retention and Success Model guided the analysis. Gender differences were assessed after multiplicity adjustments for false positive rates. RESULTS: Differences based on gender were found for profile characteristics, student affective factors, academic factors, professional integration factors, environmental factors, as well as academic, psychological and NCIN program outcomes. Results suggest that males were influenced by economic factors more than females when choosing nursing as a career. They had fewer concerns about financial aspects associated with being a student again yet secured employment sooner after graduation than female scholars. They did not view support services as important as did female students. They expressed confidence in their leadership competence more than their female counterparts. CONCLUSION: Efforts are needed to better understand and address the nuanced gender-based perceptions and needs of nursing students who are male.


Asunto(s)
Empleo/economía , Relaciones Interpersonales , Percepción , Estudiantes de Enfermería/estadística & datos numéricos , Adulto , Educación en Enfermería , Empleo/estadística & datos numéricos , Femenino , Humanos , Masculino , Enfermeros/estadística & datos numéricos , Factores Sexuales , Encuestas y Cuestionarios
2.
East Mediterr Health J ; 24(9): 914-921, 2018 Dec 09.
Artículo en Inglés | MEDLINE | ID: mdl-30570124

RESUMEN

Background: The Lebanese American University has a well-functioning inter-professional education (IPE) programme; this is a fundamental pedagogical approach in healthcare education in which students from different professions learn together, ultimately leading to improving the skills of the health care workforce and thus improving patient outcomes. The programme includes nursing, nutrition, medicine, pharmacy and social work students, and has now been running for 6 years. Aims: This paper aims at describing the implementation of an IPE programme in Lebanon by focusing on how to overcome the main challenges. Methods: We describe our experience using the categories of challenges developed by Sunguya et al. (2014), where they analysed published reports of IPE programmes in developed countries. We identified three additional challenges that might be relevant throughout the Middle East/North Africa (MENA) region or in countries with similar socioeconomic characteristics. Results: The challenges encountered in designing and implementing the IPE programme were similar to other programmes: curriculum, leadership, resources, stereotypes and attitudes, variety of students, IPE concept, teaching, enthusiasm, professional jargon and accreditation as well as assessment of learning, security and logistics. Conclusions: This paper provides data and successful strategies that can be used by planned or implemented programmes in similar socioeconomic contexts in the MENA region.


Asunto(s)
Personal de Salud/educación , Relaciones Interprofesionales , Curriculum , Humanos , Líbano , Evaluación de Programas y Proyectos de Salud
3.
Int J Nurs Educ Scholarsh ; 14(1)2017 Oct 03.
Artículo en Inglés | MEDLINE | ID: mdl-28976908

RESUMEN

Evidence-based practice (EBP) is defined as "the conscientious use of current best evidence in making clinical decisions about patient care." This paper describes how we have developed the evidence-based practice concept and integrated it into two courses at two different levels of the BSN curriculum. Students apply EBP knowledge and process by using the PICO clinical question (Population, Intervention, Comparison and Outcome), whereby they observe a selected clinical skill, and then compare their observations to hospital protocol and against the latest evidence-based practice guidelines. The assignment for the second course requires students to pick a more complex clinical skill and to support proposed changes in practice with scholarly literature. Assessment of student learning and course evaluation has shown that the overall experience of integrating EBP projects into the curriculum is fruitful for students, clinical agencies, and faculty.


Asunto(s)
Competencia Clínica , Bachillerato en Enfermería/organización & administración , Enfermería Basada en la Evidencia/educación , Estudiantes de Enfermería , Curriculum , Países en Desarrollo , Femenino , Humanos , Líbano , Masculino , Investigación en Educación de Enfermería , Evaluación de Programas y Proyectos de Salud , Encuestas y Cuestionarios
4.
J Interprof Care ; 30(2): 165-74, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-27026188

RESUMEN

The Lebanese American University Interprofessional Education (LAU IPE) Steps Framework consists of a five-step workshop-based series that is offered throughout the curriculum of health and social care students at an American university in Lebanon. The aim of the present study was to report students' perceptions of their readiness for interprofessional learning before and after completing the IPE steps, their evaluations of interprofessional learning outcomes, as well as their satisfaction with the learning experience as a whole. A longitudinal survey design was used: questionnaires were completed by students before IPE exposure and after each step. The results showed that before IPE exposure, students' perceptions of their readiness for interprofessional learning were generally favourable, with differences across genders (stronger professional identity in females compared to males) and across professions (higher teamwork and collaboration in pharmacy and nutrition students compared to other professions and lower patient centredness in nursing students compared to others). After participation in the IPE steps, students showed enhanced readiness for interprofessional learning and differences between genders and professions decreased. Participants were satisfied with the learning experience and assessment scores showed that all IPE learning outcomes were met. The LAU IPE Steps Framework may be of value to other interprofessional education course developers.


Asunto(s)
Actitud del Personal de Salud , Personal de Salud/educación , Relaciones Interprofesionales , Estudiantes del Área de la Salud/psicología , Competencia Clínica , Conducta Cooperativa , Femenino , Humanos , Líbano , Estudios Longitudinales , Masculino , Atención Dirigida al Paciente/organización & administración , Percepción , Factores Sexuales
5.
Nurse Educ ; 40(6): 298-302, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-26001747

RESUMEN

A qualitative study was conducted to identify the outcomes of international cooperative education in nursing. Seventeen alumni who completed 19 cooperative work experiences were interviewed. International cooperative experiences support learning about culture and contribute to personal and professional development. Outcomes included increased maturation, confidence, and flexibility; elevated political and global awareness; and ability to create effective relationships with culturally diverse patients and coworkers.


Asunto(s)
Bachillerato en Enfermería/organización & administración , Intercambio Educacional Internacional , Estudiantes de Enfermería/psicología , Humanos , Investigación en Educación de Enfermería , Investigación en Evaluación de Enfermería , Investigación Metodológica en Enfermería , Investigación Cualitativa
6.
Ann Emerg Med ; 63(3): 340-50.e1, 2014 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-24120627

RESUMEN

STUDY OBJECTIVE: Central line-associated bloodstream infections (CLABSI) cause preventable morbidity and mortality. Hospitals have reduced CLABSI by using a bundle of evidence-based infection prevention practices. Systems factors in the emergency department (ED) present unique barriers to bundle adoption, and no guidelines exist for bundle implementation. We aim to identify barriers and facilitators to central line bundle adoption in EDs. METHODS: We used a qualitative, grounded theory approach, enrolling 6 EDs that were early adopters of the central line bundle. We interviewed 49 administrators and staff (nurses and physicians) through 26 semistructured interviews and 3 focus groups of 6 to 8 individuals. Investigators read each transcript and then iteratively built and refined a set of themes that emerged from the data. RESULTS: Barriers to central line bundle adoption included high acuity, time constraints, staffing, space, ED culture, high ED volume and acuity, role ambiguity, and a lack of methods to track compliance and infection surveillance. Facilitators included champions, staff engagement, workflow redesign that includes a checklist and central line kit or cart, clear staff responsibilities, observer empowerment, and compliance and infection surveillance data. CONCLUSION: The strategies for implementing and sustaining a central line infection prevention bundle in the ED are distinct from those of other clinical settings. Our findings describe the central line bundle workflow in the ED, staff motivations, and the critical systems factors that impede and foster its use. Knowledge of these systems factors should improve bundle adoption in the ED and thereby reduce hospital incidence of CLABSIs.


Asunto(s)
Infecciones Relacionadas con Catéteres/prevención & control , Cateterismo Venoso Central/normas , Servicio de Urgencia en Hospital/organización & administración , Actitud del Personal de Salud , Cateterismo Venoso Central/métodos , Lista de Verificación , Grupos Focales , Humanos , Entrevistas como Asunto , Paquetes de Atención al Paciente/métodos , Paquetes de Atención al Paciente/normas , Investigación Cualitativa
7.
Nephrol Nurs J ; 41(6): 575-86; quiz 587, 2014.
Artículo en Inglés | MEDLINE | ID: mdl-26287055

RESUMEN

An analysis of published literature, interviews with early transplant nurses, and other primary source materials shows how evolving medical treatments for rejection, nurses' ability to learn on the job, and their commitment to patients influenced the development of kidney transplantation as a specialized area of practice. The work of these nurses work is discussed in the context of unfolding nursing specialization at the middle of the twentieth century.


Asunto(s)
Trasplante de Riñón/enfermería , Enfermería en Nefrología/historia , Enfermería en Nefrología/tendencias , Rol de la Enfermera/historia , Educación Continua en Enfermería , Historia del Siglo XX , Historia del Siglo XXI , Humanos , Trasplante de Riñón/historia , Enfermería en Nefrología/educación
8.
J Prof Nurs ; 27(6): 334-43, 2011.
Artículo en Inglés | MEDLINE | ID: mdl-22142909

RESUMEN

The progression from nursing student into the RN role remains difficult, despite over 30 years of effort to ease the transition for new graduates. We review the research on programs designed to help new graduates move into practice and propose a model for new nurse transition that starts during nursing education and continues 2 years into practice. The model illustrates the frequent detachment between efforts taken by nursing schools and employers to facilitate this transition. We offer recommendations for the design of future research to capture all transition efforts, from student to functioning RN, and better identify the critical elements of new nurse transition programs. Evidence such as this is needed to allow schools and employers to use their limited resources most effectively to support graduate nurses.


Asunto(s)
Modelos de Enfermería , Rol de la Enfermera , Estados Unidos
9.
J Prof Nurs ; 27(6): e64-70, 2011.
Artículo en Inglés | MEDLINE | ID: mdl-22142929

RESUMEN

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.


Asunto(s)
Creatividad , Educación en Enfermería/tendencias , Conocimientos, Actitudes y Práctica en Salud , Massachusetts , Modelos Educacionales , Competencia Profesional
10.
Nephrol Nurs J ; 36(2): 127-35, 138; quiz 139, 2009.
Artículo en Inglés | MEDLINE | ID: mdl-19397173

RESUMEN

An analysis of published literature, interviews with early transplant nurses, and other primary source materials shows how evolving medical treatments for rejection, nurses' ability to learn on the job, and their commitment to patients influenced the development of kidney transplantation as a specialized area of practice. The work of these nurses work is discussed in the context of unfolding nursing specialization at the middle of the twentieth century.


Asunto(s)
Trasplante de Riñón/historia , Rol de la Enfermera/historia , Especialidades de Enfermería/historia , Historia del Siglo XX , Humanos , Inmunosupresión/historia , Fallo Renal Crónico/historia , Especialización/historia , Inmunología del Trasplante , Irradiación Corporal Total/historia
11.
Nephrol Nurs J ; 36(2): 181-91, 2009.
Artículo en Inglés | MEDLINE | ID: mdl-19397174

RESUMEN

Findings of this study of the role and functions of nurses working with renal dialysis and transplant teams between 1915 and 1970 suggest that many of the activities of dialysis and transplant nurses were assistive and technical in nature. However, further analysis of the characteristics of direct nursing care demonstrates that early nephrology nurses incorporated family support, interpersonal communication, and patient teaching as essential components in order to assist patients and their families in coping with the stresses of receiving these new experimental treatments.


Asunto(s)
Fallo Renal Crónico/historia , Trasplante de Riñón/historia , Nefrología/historia , Rol de la Enfermera/historia , Diálisis Renal/historia , Especialidades de Enfermería/historia , Hemodiálisis en el Domicilio/historia , Historia del Siglo XX , Humanos , Educación del Paciente como Asunto/historia , Diálisis Peritoneal/historia
12.
J Healthc Qual ; 24(5): 32-8, 2002.
Artículo en Inglés | MEDLINE | ID: mdl-12240541

RESUMEN

Clinical pathways represent a strategy for responding to the current healthcare environment with a focus on managing care, reducing costs, increasing patient satisfaction, and improving quality. However, many healthcare organizations have found that implementing clinical pathways is not entirely successful even when they are based on sound evidence. The purpose of this case study was to describe and explain factors related to the success or failure of implementing a clinical pathway for congestive heart failure (CHF) patients in a 300-bed community hospital. The key factors involved in the nonadoption of the CHF pathway were inconsistencies in procedures and the work group culture.


Asunto(s)
Actitud del Personal de Salud , Vías Clínicas/organización & administración , Insuficiencia Cardíaca/terapia , Hospitales Comunitarios/normas , Recolección de Datos , Investigación sobre Servicios de Salud , Humanos , Entrevistas como Asunto , Medio Oeste de Estados Unidos , Estudios de Casos Organizacionales , Cultura Organizacional , Innovación Organizacional , Personal de Hospital/psicología
13.
J Adv Nurs ; 38(4): 378-86, 2002 May.
Artículo en Inglés | MEDLINE | ID: mdl-11985689

RESUMEN

AIMS: The purpose of this article is fourfold. First we report a concept analysis of nursing productivity to show the complexity of the concept and its measurement. We then show how the concept analysis was used to design a method for measuring nursing productivity. Third, we describe how we used this measure in a pilot study of the impact of a differentiated Registered Nurse (RN) practice model on productivity. Finally, we identify the challenges encountered and present recommendations for nurse executives and researchers based on our findings. RATIONALE: We believe our experience can be useful to nurse executives and researchers who are interested in studying the impact of care delivery models on nursing productivity. DESIGN: We defined productivity as the ratio of output (patient care hours per patient day) to input (paid salary and benefit dollars). We conducted a pilot test using the productivity measure developed from the concept analysis to determine the effects of a differentiated RN practice model on patient, staff, and organizational outcomes. The purpose of the pilot study was to determine whether the data needed to measure productivity could be obtained from administrative databases and to develop the steps and process for the analysis. We analysed data by 2-week pay periods for two quarters prior to implementation of the differentiated nursing practice model and for two quarters after implementation to assess for changes in nursing productivity. RESULTS: Pilot testing showed that we could detect changes in productivity using this measurement approach. It also revealed several challenges in using administrative databases to measure productivity. CONCLUSIONS: We discuss these challenges with recommendations for both nurse executives and researchers. The most reasonable approach for operational decision-making is longitudinal monitoring of productivity by organizational units combined with indicators of quality of patient care.


Asunto(s)
Eficiencia Organizacional/normas , Enfermería/organización & administración , Toma de Decisiones en la Organización , Humanos , Modelos de Enfermería , Investigación en Administración de Enfermería , Proyectos Piloto , Práctica Profesional , Proyectos de Investigación
14.
Jt Comm J Qual Improv ; 28(4): 167-79, 2002 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-11942260

RESUMEN

BACKGROUND: Many benefits have been associated with the use of clinical pathways, yet developing them can be costly, and implementing them is not always successful. A 300-bed Midwestern community hospital began a clinical pathways program in 1995, and by fall 1998, 15 pathways were in various stages of implementation, with 3 under development. Many challenges had been encountered, but hospital leaders were eager to find ways to increase pathway use. METHODS: A qualitative case study design was used to investigate four clinical pathways, two perceived as being "used" and two that were perceived as "not used". Each pathway was analyzed as a separate case, followed by cross-case analysis. Qualitative data were collected in 65 semistructured interviews with administrators, physicians, physicians' office staff, nurses, and allied health professionals at the hospital. Data were also collected through observation and document analysis. RESULTS: The two used pathways had been introduced as part of a larger change in care, whereas the two pathways not used had been introduced as stand-alone innovations. Confusing and inadequately developed aspects of the hospital's clinical pathways program included its purposes, the definition of pathway use, pathway procedures, accountability, education, and incentives. A new case management department, ongoing administrative support, and a sophisticated medical information system were viewed as supports for continued growth in the program. CONCLUSIONS: Implementation of clinical pathways was delayed and complicated by the varied perceptions of the program among stakeholders. Lack of clarity and consistency in how information about the program was communicated made it difficult for clinicians to develop a shared understanding of clinical pathways.


Asunto(s)
Actitud del Personal de Salud , Vías Clínicas/estadística & datos numéricos , Difusión de Innovaciones , Adhesión a Directriz , Hospitales Comunitarios/normas , Desarrollo de Programa/métodos , Gestión de la Calidad Total/métodos , Comunicación , Vías Clínicas/organización & administración , Investigación sobre Servicios de Salud , Humanos , Servicios de Información/provisión & distribución , Participación en las Decisiones , Medio Oeste de Estados Unidos , Estudios de Casos Organizacionales , Grupo de Atención al Paciente , Evaluación de Programas y Proyectos de Salud , Responsabilidad Social
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