ABSTRACT
This study used Roger's diffusion of innovations model to examine information-seeking, research utilization, and perceived barriers to research utilization of pediatric nurse educators in National League for Nursing accredited baccalaureate degree nursing (BSN) programs. A four instrument survey was mailed to 409 pediatric nurse educators. The response rate was 52 per cent. The most frequently selected sources of information for updating instruction of BSN students were nursing journals, educational activities by specialty groups, and nursing texts. The level of research utilization was estimated using the Nursing Practice Questionnaire-Education (NPQ-E). The level of research utilization for the eight nursing practices related to pediatric pain assessment and management was at the implementation stage. The highest perceived barriers to research utilization in clinical settings using the Barriers instrument were characteristics of the nurse followed by characteristics of the setting, the presentation, and the research. Pediatric nurse educators who selected nursing journals among their top three sources of information had significantly higher research utilization scores than those who did not select nursing journals among their top three sources of information.
Subject(s)
Communication Barriers , Information Services/statistics & numerical data , Nursing Evaluation Research , Pediatric Nursing/education , Diffusion of Innovation , Humans , Nursing Evaluation Research/methods , Nursing Evaluation Research/statistics & numerical data , Pediatric Nursing/statistics & numerical data , Surveys and Questionnaires , United StatesABSTRACT
The Code for Nurses as set forth by the American Nurses Association promotes the nurse as the patient's advocate protecting his/her rights and preventing unwanted intrusion, but based on the results of this study, the nurse is unprepared to be such an advocate. This may be due to a lack of knowledge about the law or a lack of confidence in discussing the issue with patients. The best time and place to prepare an advance directive are still in question. The point of admission into the hospital or other health care institution may be the time to verify the existence of an advance directive, but it is probably not the best time or place to construct one. This was reinforced by comments noted by the subjects responding to the questionnaire. Nurses may have an important role in the process, but this research shows that nurses do not feel comfortable talking about advance directives to patients and families. However, nurses need to be prepared to talk to the patient and family about this very important process and to operationalize their end-of-life decisions. Academic and health care institutions should assist nurses in gaining the knowledge and the confidence needed for this process.
Subject(s)
Advance Directives , Health Knowledge, Attitudes, Practice , Job Description , Nurses , Patient Advocacy , Adult , Arkansas , Comprehension , Decision Making , Humans , Nursing AssessmentABSTRACT
Because nursing programs can no longer complacently wait for students to flood classrooms, faculty need to develop strategies for marketing nursing and nursing education. Creative recruitment strategies implemented at the University of Arkansas, Fayetteville ADN Program are described.
Subject(s)
Advertising , Career Choice , Schools, Nursing , Humans , MotivationSubject(s)
Arterial Occlusive Diseases/complications , Brain Ischemia/etiology , Carotid Artery Diseases/complications , Aged , Aged, 80 and over , Arterial Occlusive Diseases/diagnosis , Blood Flow Velocity , Carotid Artery Diseases/diagnosis , Female , Humans , Male , Middle Aged , UltrasonographyABSTRACT
We describe the isolation and genetic characterization of point mutations in gene delta, including a temperature-sensitive mutation (del(206)). Genetic methods enable the extraction of a delta mutation from the triple mutant (del,red,gam) and the construction of new genotypes, including del,red and del,gam double mutants. Tests of plating efficiency indicate gene delta is essential for normal phase growth on the polA host. The possible association of delta in a system involving alpha, beta, and gamma is considered.
Subject(s)
Coliphages/growth & development , DNA Replication , Mutation , Recombination, Genetic , Virus Replication , DNA Viruses/growth & development , Escherichia coli , Genotype , Phenotype , TemperatureABSTRACT
We have studied the effect of delta mutations in phage lambda on DNA synthesis as assayed by the accumulation of lambda DNA in infected cells. We find that delta mutants appear to generate somewhat less DNA than lambda(+) in a rec(+) host, suggesting the wild-type delta gene may act in DNA replication. An additional clue to delta function arises if replication is measured in the gamma-negative situation where concatemer formation is abortive. In this situation, the wild-type delta gene has an "inhibitory" effect on replication. A similar inhibitory effect on replication due to delta is observed after infection of P(2) lysogens. We conclude from these studies that the delta gene may act with alpha, beta, and gamma genes, possibly in a process affecting DNA replication.
