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https://www.readbyqxmd.com/read/27918400/a-strategic-approach-for-developing-an-advanced-practice-workforce-from-postgraduate-transition-to-practice-fellowship-programs-and-beyond
#1
Dennis A Taylor, Britney S Broyhill, Allison M Burris, Mary Ann Wilcox
The healthcare provider landscape is rapidly changing. Given the imminent retirement of baby boomer physicians, implementation of the Affordable Care Act, and the increased utilization of health care services by an ever-aging population, the supply of providers cannot keep pace with the demand for services. This has led to an increased utilization of advanced clinical practitioners (ACPs). This article shows how one large highly-matrixed health care system approached identifying this workforce, and how thought leaders worked collaboratively with physicians, administrators, and ACPs to meet a growing demand for providers...
January 2017: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/27913246/measuring-content-overlap-during-handoff-communication-using-distributional-semantics-an-exploratory-study
#2
Joanna Abraham, Thomas Kannampallil, Vignesh Srinivasan, William Galanter, Gail Tagney, Trevor Cohen
OBJECTIVE: We develop and evaluate a methodological approach to measure the degree and nature of overlap in handoff communication content within and across clinical professions. This extensible, exploratory approach relies on combining techniques from conversational analysis and distributional semantics. MATERIALS AND METHODS: We audio-recorded handoff communication of residents and nurses on the General Medicine floor of a large academic hospital (n=120 resident and n=120 nurse handoffs)...
November 29, 2016: Journal of Biomedical Informatics
https://www.readbyqxmd.com/read/27893901/the-lived-experience-of-nursing-faculty-in-a-dedicated-education-unit
#3
Deborah A DeMeester
BACKGROUND: The dedicated education unit (DEU) was developed as an innovation to increase enrollment capacity and secure stable clinical placement sites in units that provide an optimal learning environment. The purpose of this multisite study was to describe, interpret, and offer insight into the meanings of the lived experiences of nursing faculty who had transitioned to teaching in a DEU. METHOD: Semistructured private interviews were conducted using an interpretive phenomenological approach...
December 1, 2016: Journal of Nursing Education
https://www.readbyqxmd.com/read/27893510/preparing-critical-care-and-medical-surgical-nurses-to-open-a-new-hospital
#4
Odette Y Comeau, Josette Armendariz-Batiste, Jennifer Grant Baer
Building a new hospital is an exciting time. However significant planning is required to prepare staff to assume care of patients in an environment with new workflow changes and new equipment. The challenges of this advanced preparation are compounded when the opening of the new hospital includes the planned move of the inpatient census of patients from an existing hospital to the new hospital. Goals and objectives on the move day include patient and staff safety, with a seamless transition to the new environment...
January 2017: Critical Care Nursing Quarterly
https://www.readbyqxmd.com/read/27860414/an-exploration-of-the-factors-that-influence-nurse-practitioner-transition-in-australia-a-story-of-turmoil-tenacity-and-triumph
#5
Lorna MacLellan, Isabel Higgins, Tracy Levett-Jones
BACKGROUND AND PURPOSE: Nurse practitioner (NP) legislation was introduced in Australia in 1998 with the first NPs endorsed 2 years later. Although the number of NPs has slowly increased, they still face significant challenges adjusting to their new role. The aim of this study was to explore the factors that influence the experience of new NPs. METHODS: Ten newly appointed NPs were interviewed three to four times over a 12-month period. Using a summative content analysis, data were reduced to four key factors that influence the experience of role transition: personal, intraprofessional, interprofessional, and organizational...
November 10, 2016: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/27846080/transition-to-practice-program-a-new-direction-for-recruiting-and-retaining-enrolled-nurses-in-mental-health
#6
Valerie Porter, Corey Ham, Laurie Grealish
One health service in one Australian jurisdiction introduced a specialist mental health transition to practice program for newly qualified enrolled nurses. A process evaluation with the first cohort (n = 7) was undertaken in 2014. The program increased enrolled nurse confidence in mental health nursing and appears to be a viable solution to address the mental health nursing workforce shortage. Further research to evaluate components that effectively increase confidence and long-term retention is recommended...
November 2016: Journal for Nurses in Professional Development
https://www.readbyqxmd.com/read/27845805/older-adult-transitions-into-long-term-care-a-meta-synthesis
#7
Gail J Sullivan, Christine Williams
As older adults age, they often experience health changes that require the need for long-term care (LTC). Transition to LTC can be stressful and lead to a further decline in health. The purpose of the current meta-synthesis was to provide an appraisal of older adults' transition experiences to LTC. This systemic appraisal included current qualitative research on these experiences, with analysis of the data guided by the middle range theory of transition. Three amalgamated themes were identified: (a) painful loss that requires a mourning process, (b) seeking stability through gaining autonomy to sustain a new sense of self, and (c) acceptance when a unique inner balance is reached...
November 15, 2016: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/27810629/the-integration-and-evaluation-of-a-social-media-facilitated-journal-club-to-enhance-the-student-learning-experience-of-evidence-based-practice-a-case-study
#8
Caleb Ferguson, Michelle DiGiacomo, Leila Gholizadeh, Leila E Ferguson, Louise D Hickman
INTRODUCTION: Nurses are required to interpret and apply knowledge so communities will receive care based on best available evidence, as opposed to care that is simply based on tradition or authority. Fostering nursing students' critical appraisal skills will assist in their capacity to engage with, interpret and use best evidence. Journal clubs are frequently used approach to engage learners with research and develop critical appraisal skills. Given new flipped and blended approaches to teaching and learning there is need to rejuvenate how research is utilised and integrated within journal clubs to maximise engagement and translation of evidence...
January 2017: Nurse Education Today
https://www.readbyqxmd.com/read/27805746/digital-recording-as-a-teaching-and-learning-method-in-the-skills-laboratory
#9
Ingebjørg Strand, Lise Gulbrandsen, Åshild Slettebø, Dagfinn Nåden
AIM AND OBJECTIVES: The aim of this study was to get information on how nursing students react to, think about and learn from digital recording as a learning and teaching method over time. BACKGROUND: Based on the teaching and learning philosophy of the university college, we used digital recording as a tool in our daily sessions in skills laboratory. However, most of the studies referred to in the background review had a duration of from only a few hours to a number of days...
November 2, 2016: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/27783833/married-state-preceptorship-model-crossing-the-state-line-in-new-graduate-nurse-transition-to-practice
#10
Solimar Figueroa, Julie Gardner, Jose Irizarry, Tanya Cohn
BACKGROUND: The transition to practice for new graduate nurses poses distinct challenges at the point of care. The complicated work environment necessitates a preceptorship model that maintains safety at all times. METHOD: This study used survey, focus groups, and interviews to assess the effects of the married state preceptorship model (MSPM) on the experiences and perceptions of the new nurses and preceptors in a hospital setting. RESULTS: The result validated the original findings from the new nurses' survey, indicating all (N = 28, 100%) of the new nurses found the MSPM to be beneficial, promote safety, and lessen anxiety, and 27 (96%) thought it helped them to assume a full patient load...
November 1, 2016: Journal of Continuing Education in Nursing
https://www.readbyqxmd.com/read/27782013/how-nurses-use-telehealth-to-support-health-transitions-of-older-adults
#11
Karen Day, Sandi Millner, Hilda Johnson
: When people with long term health issues transition from illness to health, or move from hospital to home after an exacerbation they feel vulnerable, unsafe, uncertain, lost, and unsupported. Transitions are life experiences that result in change. Telehealth gives easier access to care and increases patient involvement and self-awareness for self-care and improved outcomes. The purpose of our research was to explore how telehealth tools and processes lend themselves to nursing of patients through transitions...
2016: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/27769020/between-two-roles-experiences-of-newly-trained-nurse-practitioners-in-surgical-care-in-sweden-a-qualitative-study-using-repeated-interviews
#12
Eva Jangland, Pia Yngman Uhlin, Erebouni Arakelian
The position of Nurse Practitioner is a new role in Nordic countries. The transition from a registered nurse to the Nurse Practitioner role has been reported to be a personal challenge. This study, guided by the Nordic theoretical model for use in the education of advanced practice nurses, represents a unique opportunity to describe this transition for newly graduated Nurse Practitioners in an interprofessional surgical care team in Sweden. The aim was to explore how the first Nurse Practitioners in surgical care experienced the transition into a new role and what competences they used in the team...
November 2016: Nurse Education in Practice
https://www.readbyqxmd.com/read/27741934/at-the-crossroads-the-health-and-welfare-of-new-mothers
#13
Joan Garvan
BACKGROUND: Changes to gendered norms have been the single most significant development in the second part of the twentieth century; practices within families have mirrored these changes. Many, however, are falling by the wayside after the birth of an infant, with high rates of marital breakdown, high rates of anxiety and depression, and significant issues related to identity. OBJECTIVES/AIMS: The aim of this research was to gauge how a sample of Australian women were travelling through the Transition to Parenthood, particularly in terms of their relationships; sharing the care and housework; their life course; and their sense of self...
October 14, 2016: Contemporary Nurse
https://www.readbyqxmd.com/read/27741384/new-graduate-nurses-developmental-trajectories-for-capability-beliefs-concerning-core-competencies-for-healthcare-professionals-a-national-cohort-study-on-patient-centered-care-teamwork-and-evidence-based-practice
#14
Anna Ehrenberg, Petter Gustavsson, Lars Wallin, Anne-Marie Boström, Ann Rudman
BACKGROUND: This study aimed to describe the developmental trajectories of registered nurses' capability beliefs during their first 3 years of practice. The focus was on three core competencies for health professionals-patient-centered care, teamwork, and evidence-based practice. METHODS: A national cohort of registered nurses (n = 1,205) was recruited during their nursing education and subsequently surveyed yearly during the first 3 years of working life. The survey included 16 items on capability beliefs divided into three subscales for the assessment of patient-centered care, teamwork, and evidence-based practice, and the data were analyzed with linear latent growth modeling...
December 2016: Worldviews on Evidence-based Nursing
https://www.readbyqxmd.com/read/27734556/experiences-of-australian-and-new-zealand-new-nursing-and-midwifery-graduates-looking-for-employment
#15
Anthony Tuckett, John L Oliffe
The aim of this research is to describe the experiences of Australian and New Zealand nursing and midwifery students looking for employment after graduation. This qualitative study draws from 2008, 2009 and 2010 responses provided by 197 recently graduated Australian and New Zealand nurses and midwives to, Describe your experiences gaining employment as a nurse or midwife after graduation. Two themes were inductively derived, Taking what you can get and I had a job lined up. Within the taking what you can get theme, respondents efforts to gain employment as a nurse or midwife after graduation were challenged by limited choices round the type of clinical practice available and/or job insecurity...
December 2016: International Journal of Nursing Practice
https://www.readbyqxmd.com/read/27723678/effect-of-curriculum-revision-on-graduates-transition-to-practice
#16
Geralyn Meyer, Bobbi Shatto, Timothy Delicath, Shelley von der Lancken
The effect of educational interventions on the transition experiences of new graduates of prelicensure programs is unclear. This study investigated the effect of curriculum revision on transition to practice of nursing graduates. The nursing curriculum can have a positive influence on professional and job satisfaction at 3 months postgraduation, but the practice environment becomes the dominant force after that. Graduates who demonstrated poorer transition to practice at 3 months were more likely to leave their first positions by 12 months...
October 5, 2016: Nurse Educator
https://www.readbyqxmd.com/read/27697679/creating-stories-for-learning-about-the-neonatal-care-experience-through-the-eyes-of-student-nurses-an-interpretive-narrative-study
#17
Julia Petty
BACKGROUND: Storytelling is an increasingly well recognised and valued platform to learn about the human experience within healthcare. Little is known however about how stories can enhance understanding in neonatal care, a specialised field offering rich opportunities for learning. This study focuses on the creation of stories based on the experiences of student nurses to inform teaching and learning strategies in the neonatal field. OBJECTIVES: The study aimed to create stories from the narratives of student nurses working within the neonatal field and identify what key themes for learning emerged in order to develop a storytelling resource to share experiences with their peers...
January 2017: Nurse Education Today
https://www.readbyqxmd.com/read/27692189/monitoring-a-prison-opioid-treatment-program-over-a-period-of-change-to-clinical-governance-arrangements-2007-2013
#18
Sarah Larney, Wilson Lai, Kate Dolan, Deborah Zador
BACKGROUND AND AIMS: Opioid substitution therapy (OST) is an effective treatment for opioid dependence that is provided in many correctional settings, including New South Wales (NSW), Australia. In 2011, changes to the clinical governance of the NSW prison OST program were implemented, including a more comprehensive assessment, additional specialist nurses, and centralization of program management and planning. This study aimed to document the NSW prison OST program, and assess the impact of the enhanced clinical governance arrangements on retention in treatment until release, the provision of an OST prescription to patients at release, and presentation to a community OST clinic within 48 hours of release from custody...
November 2016: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/27676926/prospective-payment-in-french-post-acute-care-comparison-to-international-funding-of-rehabilitation-systems
#19
Jean-Pascal Devailly, Laurence Josse
OBJECTIVE: In all countries, the boundaries are ambiguous between acute and post-acute as well as defining the dimensions of care. The aim of this study is to analyze relations between segmentation of care and payment systems. In the new prospective payment system implemented in French SSR, the grouping unit is inpatient stay and the week for day hospitalization. In 1991, the field of SSR mixed structures as diverse in their purposes as public or private hospital units of rehabilitation and "nursing homes"...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27676766/peer-supported-self-management-to-facilitate-community-re-entry-after-discharge-from-spinal-cord-injury-rehabilitation-engaging-peers-as-change-agents-and-research-partners
#20
Michael Jones, Julie Gassaway
OBJECTIVE: Peer support is an important adjunct to clinical care for people with disabilities, and may help address barriers to community reintegration. Peers offer positive role models and the benefit of learning from shared experiences of living with disability. Despite potential benefits, peer support is not consistently integrated in the rehabilitation process. This presentation describes three interventions recommended by patients, and directed by peer mentors, to promote successful community transition after rehabilitation for traumatic spinal cord injury (SCI)...
September 2016: Annals of Physical and Rehabilitation Medicine
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