Nursing Commons^™

Program Evaluation Of A Bundled Educational Intervention To Enhance Implementation Of Professional Exchange Report, Luanne M. Shaw

Luanne Shaw, DNP, MSN, RN, CHSE, CEN

Communication handover is a source of potential error and risk to patient safety. Electronic-based tools may reduce errors and mitigate risks to patient safety. Electronic tools have been successfully implemented using multiple methods of education and training. Electronic tools vary in functionality and integration with the electronic health record (EHR). A large West Michigan Regional Health System (RHS) implemented a new EHR containing an embedded tool for communication handover called Professional Exchange Report (PER). There was inconsistency in the practice of bedside report by nurses. The RHS planned to use a bundled approach of educational interventions to implement the new …

Practice Matters: Screening And Monitoring Hyperlipidemia, M. Laurie Branstetter Dnp, Maria E. Main, Tonya Bragg-Underwood Dnp

Eve Main

Abstract

The purpose of this article is to provide Faith Community Nurses with current information on hyperlipidemia, a chronic disease responsible for the leading cause of death worldwide. Current guidelines for cholesterol screening and a risk calculator resource for estimating cardiovascular risk are provided. Myths and truths are presented for review with patients. Suggestions and resources for lifestyle modifications and patient education are included. Faith Community Nurses are at the center of community health and actively involved with improving health outcomes related to chronic disease.

Paradigm Shift In Spinal Cord Injury Rehabilitation Education Delivery, Tammy Young, Julie Gassaway, Christine Willis, Kimberly Queen

Christine Willis

Practc: Practice Readiness Academic Clinical Training Collaborative –– Gap Analysis To Advance Clinical Training For Nurse Practitioner Students, Jennifer Hartlaub, Mary Ann Muzi, M. Jamie Cairo, John R. Brill, James Weese, Kristin Rivera, Susan Hafemann, Ann M. Rohrer, Julia Schumacher, Terri L. Vandenhouten

Kristin Rivera

Background: Multiple factors have created a perfect storm of health care provider shortages in the United States. Advanced practice registered nurses (APRNs), long established as high-quality, cost-effective health care providers, are meeting health care needs across the nation in a variety of settings, and in Wisconsin will be needed to augment the primary care workforce. With 5.7% of its registered nurses credentialed as APRNs, Wisconsin lags behind the national average of 8.7%. However, current capacity to educate this workforce is strained, requiring innovative data-driven clinical education models. Purpose: To identify gaps in the current clinical educational framework for nurse practitioner …

Online Interprofessional Health Sciences Education: From Theory To Practice, Robert Luke, Patty Solomon, Sue Baptiste, Pippa Hall, Carole Orchard, Ellen Rukholm, Lorraine Carter

Carole A Orchard, BSN, MEd, EdD (UBC)

Online learning (e-learning) has a nascent but established history. Its application to interprofessional education (IPE), however, is relatively new. Over the past 2 decades the Internet has been used increasingly to mediate education. We have come past the point of "should we use the Internet for education" to "how should we use the Internet for education." Research has begun on the optimal development of online learning environments to support IPE. Developing online IPE should follow best practices in e-learning generally, though there are some special considerations for acknowledging the interprofessional context and clinical environments that online IPE is designed to …

Health Outcomes For Better Information And Care (Hobic): Integrating Patient Outcome Information Into Nursing Undergraduate Curricula, Carole Orchard, Cheryl Reid-Haughian, Rick Vanderlee

Carole A Orchard, BSN, MEd, EdD (UBC)

Nursing-sensitive outcomes provide common information across sectors, thus eliminating duplication that frequently occurs as individuals move across settings. These outcomes also facilitate increased trust among colleagues and support common understandings of patient care needs, thus enhancing continuity of care. Outcomes-oriented information is also likely to increase patient safety and improve overall quality of care. Shared standards and data support consistent decision-making, as nursing decisions can be tracked back over time to assess patient care outcomes. Consequently, nurses will have the means to determine the impact of their interventions on patient outcomes. At the same time, adoption of common approaches to …

Competencies For Interprofessional Collaboration, Lesley Bainbridge, Louise Nasmith, Carole Orchard, Victoria Wood

Carole A Orchard, BSN, MEd, EdD (UBC)

No abstract provided.

From Dissertation Defense To Dissemination: Jump Start Your Academic Career With A Scholar Mentor Group, Melinda Hermanns

Melinda Hermanns

No abstract provided.

Nursing Education At Indiana University - Purdue University Fort Wayne, Sarah Beckman, Sanna Boxley-Harges, Lois Lowry

Sarah J. Beckman

No abstract provided.

Integrating Palliative Care Content Into A New Undergraduate Nursing Curriculum: The University Of Notre Dame, Australia – Sydney Experience, John M. Ramjan, Catherine M. Costa, Louise D. Hickman, Margot Kearns, Jane L. Phillips

Catherine M Costa

Background: The majority of society's deaths occur in a health care environment. Regardless of whether a death occurs in acute care, hospice, residential aged care or community settings, nurses are the health professionals that will spend the largest proportion of time with the patient who has a terminal condition and their families. As few nurses have specialist palliative care qualifications it is essential that nursing education prepares graduates to achieve the core capabilities required for the delivery of best evidenced based palliative care. This reality makes the integration of palliative care content into the undergraduate nursing curricula an important priority. …

Three Technology Enhancements In Nursing Education: Informatics Instruction, Personal Response Systems, And Human Patient Simulation, R. Jensen, Linda Meyer, Carol Sternberger

Carol S Sternberger

No abstract provided.

Over Mountains, Across Rivers, And Through Woods: Teaching Collaboratively Using A Cross-Platform Environment, Carol Sternberger, B. Deal, R. Fountain

Carol S Sternberger

No abstract provided.

Clinical Education Adapts To Changing Times, P. Jarzemsky, S. Kruger, Stephanie Gilbertson-White

Stephanie Gilbertson-White

No abstract provided.

Friends Of Nursing: A Community Of Caring To Promote Excellence In Nursing Practice, Education, And Research, Kim S. Hitchings Msn, Rn, Nea-Bc, Terry Capuano Rn, Svp, Clinical Services, Mary Ellen Herzog Med, Cfre, Cgms

Terry A Capuano MBA, MSN, RN, FACHE, NE-BC

More than 25 years ago, the name "Friends of Nursing" was adopted by an academic, community Magnet(®) hospital to signify a model for community support of nursing. From inception, the intent was to recruit philanthropic dollars to promote recognition of and excellence in nursing practice, education, and research. Although philanthropy in health care settings is common, what is unique about this program is the long-standing, dedicated conceptual framework for nursing philanthropy and the very significant number of philanthropic dollars from literally thousands of donors to support a diverse range of activities to affect and advance the professional excellence of nurses …

Short Of Transformation: American Adn Students' Thoughts, Feelings, And Experiences Of Studying Abroad In A Low-Income Country, Cynthia Foronda, Ruth Belknap

Ruth A Belknap

ADN students are a large yet distinct subgroup of nursing students who require research and understanding. The purpose of this study was to describe the thoughts, feelings, and experiences of American associate degree nursing (ADN) students who participated in a short study abroad course in a low-income country. A qualitative, narrative method was used. Three categories emerged from the analysis. Participants revealed thoughts of “constant comparisons”, feelings of an “emotional journey”, and they experienced “learning”. Participants did not demonstrate perspective transformation as defined by Mezirow as participants signified no intent for social action. Several potential blocks to perspective transformation were …

Changes In The Diagnostic Process During 40 Years Of Clinicopathologic Conferences, A. Feinstein, Jennifer Niebyl

Jennifer R Niebyl

No abstract provided.

Oral Hypoglycemic Agents In Pregnancy, N. Tran, Stephen Hunter, J. Yankowitz

Stephen K. Hunter

Pregnancies in diabetic women are associated with increased risk of spontaneous abortion, congenital malformations, preeclampsia, preterm labor, macrosomia, shoulder dystocia, and cesarean section. Advances in antepartum cares and strict adherence to dietary and insulin regimens have been shown to significantly reduce the rate of maternal morbidity as well as perinatal morbidity and mortality. Historically, reports of potential fetal teratogenicity and hypoglycemic effects on the fetus contraindicated the use of oral hypoglycemic agents in pregnancies complicated with either type II diabetes mellitus (DM) or gestational diabetes mellitus (GDM). Recently, physicians increasingly prescribe newer generations of oral hypoglycemic agents to treat GDM …

Obstetric Forceps Training Using Visual Feedback And The Isometric Strength Testing Unit, Kimberly Leslie, P. Dipasquale-Lehnerz, M. Smith

Kimberly K. Leslie

OBJECTIVE: This is a descriptive study that tested the maximum traction residents could apply to forceps during simulations. Visual feedback was then used to reinforce an optimal range of traction, and the ability of residents to reproduce this pull when blinded was assessed. METHODS: Fifty-five residents participated in 6 pulling exercises using an isometric strength testing unit with a real-time computer printout of the force applied. Maximum traction was determined for male and female residents in standing and sitting positions. Visual feedback was then used to estimate whether residents could be trained to reproduce an optimal force range of 30-45 …

The Effect Of Education On Rehabilitation Nursing Staff Knowledge, Kristen L. Mauk

Kristen L. Mauk

Rehabilitation is a specialty area with defined competencies and discrete nursing knowledge. Unless nurses have been educated in the basic competencies of rehabilitation, they are not prepared to provide safe, quality rehabilitative care to patients with chronic illnesses and disabilities. An evidence-based practice project was designed to address the need for education of the nursing staff working on an inpatient rehabilitation unit in Northwest Indiana. Roger's Diffusion of Innovations provided the theoretical framework for the project. A critical appraisal of the literature was conducted to determine best practice. The literature showed that education increased knowledge in a specialty area, and …

Comparison Of Selected Teaching Strategies Incorporating Simulation And Student Outcomes, Elizabeth Swanson, Anita Nicholson, Teresa Boese, Ellen Cram, Anita Stineman, Kimberly Tew

Elizabeth A. Swanson

No abstract provided.

Simply The Best: Teaching Gerontological Nursing Students To Teach Evidence-Based Practice. Creating Tip Sheets Can Help Achieve The Goal Of Implementing Ebp In Clinical Facilities, Deborah Schoenfelder

Deborah P. Schoenfelder

This article describes a teaching strategy used in an undergraduate gerontological nursing clinical course to familiarize students with evidence-based practice. Students are required to read and summarize an assigned evidence-based practice guideline published by The University of Iowa Gerontological Nursing Interventions Research Center. They then develop a "tip sheet," based on the assigned guideline, to disseminate to health care staff at their practicum sites, which is either a long-term care facility or a hospital-based skilled nursing facility. Nursing students' reactions to the assignment and nursing staff's responses to the tip sheets are discussed.

Creative Practicum Leadership Experiences In Rural Settings, Deborah Schoenfelder, J. Valde

Deborah P. Schoenfelder

Rural healthcare systems provide rich learning environments for nursing students, where strong nursing leaders manage care for people with diverse health problems across the lifespan. The authors describe the development, implementation, and evaluation of rural clinical leadership practicum, a prelicensure course that specifically focuses on the application of leadership concepts in small rural healthcare systems.

Economics And The Education Of Nurse Anesthetists: Part 1, Cormac O'Sullivan, E. Thompson

Cormac T. O'Sullivan

No abstract provided.

Economics And The Education Of Nurse Anesthetists: Part 2, Cormac O'Sullivan, E. Thompson

Cormac T. O'Sullivan

Economic assumptions and other factors affecting the economics of nurse anesthesia education are presented in Part 2 of this 2-part column. In Part 1, published in the October 2004 issue of the AANA Journal, general economic principles and healthcare economic principles in particular were described, explained, and related to the current US healthcare system.

An Examination Of The Sustainable Adoption Of Whole-Person Care (Wpc), Maria Joseph, D. Laughon, Richard Bogue

Maria (Lindell) Joseph

AIM: This study illustrates how King's theory of goal attainment was used to focus an examination of whole-person care (WPC) and to extend the range of knowledge needed for WPC and nursing practice. BACKGROUND: Leadership implemented a faith-based innovation using continuing education for patient care that incorporates body-mind-spirit and eight principles called CREATION. Three questions arose: (1) Is there an evidence-based framework to determine whether the philosophy supports the discipline of nursing? (2) How extensive is the adoption and application of WPC? (3) Does the model make a difference in the context of nurse-patient interactions and outcomes in support of …

Professional Issues. Health Care Quality And Outcome Guidelines For Nursing Of Children And Families: Implications For Pediatric Nurse Practitioner Practice, Research, And Policy, C. Betz, J. Cowell, Martha Craft-Rosenberg, M. Krajicek, M. Lobo

Martha J. Craft-Rosenberg

No abstract provided.

Using Nanda, Nic, And Noc In An Undergraduate Nursing Practicum, K. Smith, Martha Craft-Rosenberg

Martha J. Craft-Rosenberg

Although use of diagnoses originally developed by NANDA (now known as NANDA-I), NIC, and NOC in education and practice is increasing, many faculty members have not been educated in their use and may be reluctant to teach these languages. This article provides guidance on the use of NANDA-I, NIC, and NOC in clinical education. This guidance will facilitate both faculty and student learning.

Proposed Changes In University Of Iowa College Of Nursing Curriculum, Martha Craft-Rosenberg

Martha J. Craft-Rosenberg

No abstract provided.

Using A Wiki To Enhance Knowing Participation In Change In The Teaching-Learning Process, Howard Butcher, Janette Taylor

Janette Y. Taylor

No abstract provided.

Engaging Racial Autoethnography As A Teaching Tool For Womanist Inquiry, Janette Taylor, Melissa Lehan Mackin, A. Oldenburg

Janette Y. Taylor

Racial autobiography, self-narratives on how one learned about the idea of race, has been underutilized as a tool to familiarize and orient students in the process of critical inquiry for nursing research. The aims of this article are to explore how racial autoethnography: (1) repositions students to effect an epistemological change, (2) challenges dominant ideology, and (3) functions as a link between the student and critical theories for use in nursing research. Students engage in and share reflective narrative about a variety of instructional materials used in the course. Reflective narratives are presented in a framework that addresses white racial …