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Testing A Work Empowerment-Work Relationship Model To Explain Expertise In Experienced Acute Care Nurses, Genevieve Chandler, J. Roche, D. Morsi
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 …
Nurse Decision Making In The Prearrest Period, Genevieve Chandler, P. Gazarian, E. Henneman
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 …