ABSTRACT
BACKGROUND: The dedicated education unit is a model that has been used for clinical experiences in recent years. The importance of effective staff nurse instructors (SNIs) is paramount in nursing students' development of nursing skills and critical thinking. PURPOSE: This study examined nursing students' perceptions of positive and negative characteristics of SNIs. METHOD: During a 3-year period, an estimated 265 nursing students evaluated SNIs using an optional two question survey. Qualitative data were retrieved and reviewed by researchers to analyze common themes delineated by students. RESULTS: Various themes were noted in which students identified exemplary SNI characteristics as well as barriers to learning. CONCLUSION: Data revealed positive and negative attributes that promoted student learning by the SNIs. Areas for improvement in training of the SNIs became evident through analyzing data, which can be used by clinical faculty to improve the experiences for both students and SNIs. [J Nurs Educ. 2021;60(8):459-461.].
Subject(s)
Education, Nursing, Baccalaureate , Students, Nursing , Faculty, Nursing , Humans , Perception , ThinkingABSTRACT
ABSTRACT: Escape the Pharmacy is a fast-moving collaborative challenge for students in nursing and other health professions programs requiring coursework in pharmacology. Teams of students compete to solve a series of puzzles that reinforce knowledge of safe analgesic administration. Information regarding maximum dosing and adverse effects of opioids, nonsteroidal anti-inflammatories, and acetaminophen is included, as well as content on types of pain receptors. Recognition of opioid toxicity and symptoms of oversedation are all part of the challenge of escaping the pharmacy.
Subject(s)
Pharmacology , Pharmacy , Humans , Pharmacology/education , Problem-Based Learning , StudentsABSTRACT
PURPOSE: Frailty is most commonly associated with older adults; however, it has also been identified in vulnerable populations, including homeless adults. Patients who seek health care services in a free clinic often report physical exhaustion, difficulty coping with stressors, chronic disease states, environmental limitations, and a lack of social support, which may contribute to a state of frailty. This pilot study (N = 38) was conducted in adults ages 40-64 years who utilized a free clinic to determine if factors suggestive of frailty were present. METHODS: The Comprehensive Frailty Assessment Instrument (CFAI) was the primary data collection instrument. Anthropometrics and physical performance data were also collected. RESULTS: Physical indicators of frailty were present in 60% of the sample. Psychological, social, and environmental factors affecting health were identified. Sixty-three percent of the participants scored frail or very frail on the CFAI. A larger study is needed to confirm these findings.
Subject(s)
Ambulatory Care Facilities/economics , Ambulatory Care Facilities/statistics & numerical data , Frailty/diagnosis , Adult , Data Collection/instrumentation , Female , Health Status Indicators , Humans , Male , Middle Aged , Midwestern United States , Pilot Projects , Risk FactorsABSTRACT
PURPOSE: The purpose of the study was to explore nurses' perceptions of barriers and facilitators to adoption of an electronic health record (EHR) in a rural Midwestern hospital. DESIGN: This study was a qualitative, descriptive design. The Staggers and Parks Nurse-Computer Interaction Framework was used to guide directed content analysis. METHODS: Eleven registered nurses from oncology and medical-surgical units were interviewed using three semistructured interview questions. Predetermined codes and operational definitions were developed from the Staggers and Parks framework. Narrative data were analyzed by each member of the research team and group consensus on coding was reached through group discussions. FINDINGS: Participants were able to identify computer-related, nurse-related, and contextual barriers and facilitators to implementation of EHR. In addition, two distinct patterns of perceptions and acceptance were identified. CONCLUSIONS: The Staggers and Parks Nurse-Computer Interaction framework was found to be useful in identifying computer, nurse, and contextual characteristics that act as facilitators or barriers to adoption of an EHR system. Acceptance and use of an EHR are enhanced when barriers are managed and facilitators are supported. CLINICAL RELEVANCE: Understanding and management of facilitators and barriers to EHR adoption may impact nurses' ability to provide and document nursing care.
