Medicine and Health Sciences Commons^™

Turning Simulation Into Reality: Increasing Student Competence And Confidence, Debra Wagner, Mary Bear, Jane Sander

Debra L Wagner

Clinical experiences are an essential part of nursing education as students learn technical skills, build on critical thinking skills, and hone skills in patient teaching. To build competence and confidence in each of these skill areas, an innovative clinical experience for senior students enrolled in women’s health nursing was developed to provide nursing care and independent discharge teaching for postpartum mothers. Faculty facilitated this clinical experience by designing a simulation laboratory for students to practice their maternal self-care teaching and infant care skills prior to beginning their clinical rotation. In the hospital, students spent a day independently prioritizing new mothers’ …

Silence, Power And Communication In The Operating Room, Fauzia Gardezi, Lorelei Lingard, Sherry Espin, Sarah Whyte, Beverley Orser, G. Baker

Lorelei Lingard

Aim.  This paper is a report of a study conducted to explore whether a 1- to 3-minute preoperative interprofessional team briefing with a structured checklist was an effective way to support communication in the operating room.

Background.  Previous research suggests that nurses often feel constrained in their ability to communicate with physicians. Previous research on silence and power suggests that silence is not only a reflection of powerlessness or passivity, and that silence and speech are not opposites, but closely interrelated.

Methods.  We conducted a retrospective study of silences observed in communication between nurses and surgeons in a multi-site observational …

Five Years Of Solid Growth In Nursing Education Scholarship, Mary-Anne Andrusyszyn

Mary-Anne Andrusyszyn

No abstract provided.

Patient Satisfaction With Nursing Care: A Concept Analysis Within A Nursing Framework, Debra Wagner, Mary Bear

Debra L Wagner

Background.  Patient satisfaction is an important indicator of quality of care, and healthcare facilities are interested in maintaining high levels of satisfaction in order to stay competitive in the healthcare market. Nursing care has a prominent role in patient satisfaction. Using a nursing model to measure patient satisfaction with nursing care helps define and clarify this concept.

Data sources.  Rodgers’ evolutionary method of concept analysis provided the framework for this analysis. Data were retrieved from the Cumulative Index of Nursing and Allied Health Literature and MEDLINE databases and the ABI/INFORM global business database. The literature search used the keywords patient …

Facilitators Of Mentoring Among Nurse Educators, Bridget Roberts, Foley Brenda, Kathleen Halcomb, Connie Hubbard

Bridget R. Roberts

National League for Nursing (2006) identifies mentoring as a primary strategy for promoting faculty development throughout the careers of nursing educators. Mentoring has been defined as “a process of an integrated approach to advising, coaching, and nurturing, focused on creating a viable relationship to enhance individual career/personal/professional growth and development.” (Adams, 1998, as cited in Young & Wright, 2001, p. 203). The NLN (2006) also promotes mentoring for nurse educators to address the nursing shortage. Currently, a nurse educator shortage affects 71.3% of nursing schools (AACN, 2007). In order to maintain adequate numbers of nurse educators to accommodate the increase …

Searching Cinahl And Medline Tutorial, Shannon Johnson

Shannon F Johnson

This 20 min. tutorial, done in Adobe Captivate software, is designed to walk nursing students through both keyword and subject heading searching in the CINAHL and MEDLINE databases, as configured at IPFW Helmke Library.

Testing A Work Empowerment-Work Relationship Model To Explain Expertise In Experienced Acute Care Nurses, Genevieve Chandler, J. Roche, D. Morsi

Genevieve E. Chandler

OBJECTIVE: This study tested the ability of work relationships and work empowerment to predict nursing expertise in experienced acute care nurses. BACKGROUND: With high patient acuity, constant system changes, and multiple changing members of the healthcare team, expert nurses are increasingly important to ensure positive patient outcomes in acute care settings. METHOD: This study was an exploratory, predictive correlational design with a stratified random sample of 115 staff nurses from a large tertiary care center. Data were collected on work empowerment, work relationships, and nursing expertise. RESULTS: A modified study model was supported in this sample of acute care nurses …

Perceptions Of The Role Of The Registered Nurse In An Urban Interprofessional Academic Family Practice Setting, Jennifer Akeroyd, Ivy Oandasan, Ann Alsaffar, Cynthia Whitehead, Lorelei Lingard

Lorelei Lingard

Registered nurses (RNs) in Ontario have been asked to work collaboratively with family physicians (FPs) and other healthcare professionals in the family practice setting to improve the efficiency and effectiveness of healthcare delivery (OFPN 2005). Yet, little is known about the optimal utilization of the RN's role in family practice. This study builds on recent conversations regarding utilization of the nursing workforce (Oelke et al. 2008) and the nursing role (White et al. 2008) in the acute care setting by presenting perceptions of the role of the RN in an urban academic family practice setting. Interviews were conducted with 23 …

Nurse Decision Making In The Prearrest Period, Genevieve Chandler, P. Gazarian, E. Henneman

Genevieve E. Chandler

There is a significant body of research demonstrating that many hospitalized patients exhibit signs of clinical deterioration prior to experiencing a cardiopulmonary arrest (CPA).This qualitative study used the critical decision method to describe the cues and factors employed by nurses to identify and interrupt a potentially preventable CPA. The cues that nurses used in identifying a patient at risk for CPA were altered level of consciousness and other selected triggers from the Early Warning Scoring System (EWSS) combined with knowledge of the patient and the contextual features of the decision situation. Nurse characteristics that assisted in interrupting an adverse event …