Who will teach the nurses of the future?

The authors predict that if the number of nursing faculty does not increase, nursing education in Canada will face a severe human resources crisis within the next decade, and certain schools of nursing will not have the critical mass of faculty to deliver their undergraduate and graduate programs. Various factors contributing to the shortage of faculty are highlighted, including the aging of the professoriate; superior salaries and benefits available in non-academic settings; and excessive academic workloads. Resolving and effectively managing the nursing faculty crisis needs to be regarded as a national health-care priority. The authors provide recommendations for addressing the problem.

A comparison of studies on the quality of life of primary caregivers of stroke survivors: a systematic review of the literature.

BACKGROUND AND PURPOSE: Few studies have been conducted on the quality of life (QOL) of primary caregivers of stroke survivors (with and without aphasia), with little consistency in the methods of evaluation. The purpose of this systematic review of the literature was to determine the appropriateness of study designs and instruments used to assess QOL in caregivers of stroke survivors. METHOD: A comprehensive literature review was conducted to identify peer-reviewed articles of caregiver's QOL where CINAHL, MEDLINE, and PsycINFO databases were searched. RESULTS: Nine studies that met the inclusion criteria used different QOL instruments and study designs. None of the instruments were specific to caregivers of stroke survivors. CONCLUSION: Future studies are warranted to assess the quality of life of caregivers of stroke survivors with and without aphasia.

The impact of a PDA-assisted documentation tutorial on student nurses' attitudes.

The purpose of this pretest-posttest study was to determine the effect of a PDA-assisted documentation tutorial on fourth-year student nurses' (n=56) attitudes toward computerized documentation, anticipation to exercise of professional judgment when documenting, and satisfaction with computer technology for documentation. Paired t test showed significant increases in anticipation to use professional nursing judgment and satisfaction with the PDA for documentation. Satisfaction with the PDA for documentation was positively and significantly related to attitudes toward computerized documentation (r=.46, P<.01), and satisfaction with a PDA learning tutorial (r=.46, P<.01). Attitudes toward computerized documentation, length of nursing experience, and satisfaction with the PDA learning tutorial predicted satisfaction with the PDA for documentation. Seventy percent of 213 comments about the value of the PDA were favorable. These findings indicate that the PDA may be a valuable documentation tool for teaching professional nursing judgment and documentation skills to undergraduate nursing students.

Caregiver strain and caregiver burden of primary caregivers of stroke survivors with and without aphasia.

Little is known about how the burden and strain of caring for stroke patients with or without aphasia affects primary caregivers. This article (a) critically examines the literature on the burden and strain of care experienced by caregivers of stroke patients and (b) examines the relationship between aphasia and caregiver burden and strain. Two literature reviews of three databases were conducted. Fourteen articles (12 quantitative articles, 1 mixed-design article, and 1 qualitative article) were found to comply with the study criteria for the first literature search. A second literature search focused on the effects of stroke survivors' aphasia on caregiving; none of the articles retrieved met the inclusion criteria. This article suggests that there is a lack of research in this area and that several key initiatives are needed, including the development of an instrument with psychometric properties appropriate for assessing the burden and strain on caregivers of stroke patients. Implications for future nursing practice and research are highlighted.