ABSTRACT
Nurses experience high levels of burnout, and this has become a major factor in recruitment and retention of nurses. Several factors have been associated with burnout, but it is not clear which factors are the most significant predictors. Understanding the most prevalent factors that are associated with burnout will allow for the development and implementation of interventions to ameliorate and/or reduce burnout in the nursing workforce.
Subject(s)
Burnout, Professional , Nurses , Nursing Staff , Humans , Job Satisfaction , Surveys and QuestionnairesABSTRACT
The levels of burnout nurses experience continue to increase with resultant negative impacts on the nursing work environment, patient outcomes, and the retention of qualified nurses. Nurse leaders are essential in developing and fostering positive work environments that retain an empowered and motivated workforce. Research indicates that positive and relational leadership styles can improve nurses' job satisfaction, organizational commitment, and retention while concurrently reducing emotional exhaustion and burnout.
Subject(s)
Burnout, Professional , Nursing Staff, Hospital , Burnout, Professional/prevention & control , Humans , Job Satisfaction , Leadership , Nursing Staff, Hospital/psychology , Surveys and Questionnaires , Workplace/psychologyABSTRACT
Highly active antiretroviral therapy (HAART) has transformed human immunodeficiency virus (HIV)/AIDS into a manageable chronic illness. People living with HIV/AIDS (PLWHA) can experience multiple physical symptoms or problems related to HIV infection and treatment. A common problem for PLWHA continues to be diarrhea and nausea and vomiting (NV). Diarrhea and NV can negatively impact the quality of life and adherence to medication therapy among PLWHA and are common reasons to change or discontinue HAART regimens. Because diarrhea and NV can have substantial negative health outcomes for PLWHA, it is important to understand the causes of these conditions.
Subject(s)
Acquired Immunodeficiency Syndrome , Gastrointestinal Diseases/etiology , Acquired Immunodeficiency Syndrome/complications , Acquired Immunodeficiency Syndrome/drug therapy , Antiretroviral Therapy, Highly Active/adverse effects , Diarrhea/etiology , Humans , Nausea/etiologyABSTRACT
The nursing shortage remains an acute problem at the national level and significantly endangers the provision of safe and effective health care. One of the most significant problems fueling the nursing shortage in the United States is the lack of faculty to educate the number of qualified individuals applying to nursing programs. A major factor driving the shortage of faculty emanates from the current trend in basic nursing education that is increasing the proportion of nurses with an associate degree in nursing (ADN) as their terminal professional education. Community colleges, that offer the associate degree, play a crucial role in providing access to nursing education. However, they now account for more than 2/3 of all new nursing graduates in the United States. With over 2/3 of our new nurses completing only associate degree programs, the faculty pipeline continues to decrease. This also means fewer bachelor of science in nursing (BSN) and higher-degree-prepared nurses available for advanced clinical practice, management roles, and public health services. It is therefore critical to identify and implement new pathways to increase the number of ADN graduates who complete baccalaureate education and, thereby, increase the percentage of BSN-prepared nurses. This article describes the development and implementation of a model in North Carolina to regionally increase the number of baccalaureate-prepared nurses through the development of partnerships between community colleges and universities.
Subject(s)
Education, Nursing , Models, Educational , Models, Nursing , United StatesABSTRACT
A more highly educated nursing workforce is needed to address the increasingly complex health care needs of our citizens and to expand the pool for future faculty and advanced practice nurses. North Carolina must create new partnerships between community colleges and universities to support seamless progression toward a baccalaureate degree. The RIBN model provides one option to meet this goal.
Subject(s)
Education, Nursing, Baccalaureate/organization & administration , Models, Educational , Nurses/supply & distribution , Curriculum , Humans , Licensure, Nursing , North Carolina , Program DevelopmentABSTRACT
To discover the early subjective experience of women affected by abnormal Papanicolaou smear, a qualitative study was undertaken with 8 North Carolina women, 4 to 12 months postnotification of their first abnormal result. Data were analyzed via grounded theory methodology to identify a core theory that could guide interventions to improve follow-up for cancer prevention. This theoretical process is described as a labyrinth journey-an imperative healing process undertaken by all participants, who undertook the following tasks: evaluating peril, seeking refuge, obtaining information, and reframing their self-image. Women who also learned they were infected with the human papillomavirus faced a prolonged sense of threat to their sense of sexual well-being. Their additional tasks related to reevaluating their sexual self-image, and they continued to work on these reframing tasks throughout their 1st year's journey. Progress through the labyrinth depended upon emotional or spiritual support, nonjudgmental acceptance and access to accurate information.
Subject(s)
Health Knowledge, Attitudes, Practice , Holistic Health , Papanicolaou Test , Papillomavirus Infections/psychology , Self Concept , Uterine Cervical Dysplasia/psychology , Vaginal Smears/psychology , Adaptation, Psychological , Adult , Anxiety/psychology , Female , Humans , Middle Aged , Papillomavirus Infections/diagnosis , Patient Education as Topic , Self Care/psychology , Spirituality , Surveys and Questionnaires , Uterine Cervical Dysplasia/diagnosis , Vaginal Smears/methods , Young AdultABSTRACT
This article describes a collaboratively developed plan for a regional patient simulation laboratory for nursing education. The Western North Carolina Regional Simulation Laboratory will be located at the Enka Campus of the Asheville-Buncombe Technical Community College at the Department of Nursing of Western Carolina University (Candler, NC). A proactive collaborative consortium has been established to help meet the demand for nursing education in the 13 most rural mountain counties of western North Carolina. Through a 2-year process with regional networking, the nursing administration of Western Carolina University, Mission Hospitals, Asheville-Buncombe Technical Community College, and affiliated community colleges, consortium hospitals, and emergency care services developed a vision and a proposal for an innovative program for the nursing education of the future. The consortium proposed the establishment of a 3-year integrated educational program utilizing state-of-the-art simulation manikin technology. Financial resources were obtained from a charitable grant from The Duke Endowment (Charlotte, NC). Sustainability of funding will be ensured through university, hospital, and community college collaboration.
Subject(s)
Clinical Competence , Cooperative Behavior , Education, Nursing, Baccalaureate/organization & administration , Interinstitutional Relations , Manikins , Regional Health Planning/organization & administration , Forecasting , Hospital Administration , Humans , Needs Assessment , North Carolina , Patient Simulation , Program Development , Schools, Nursing/organization & administration , Training Support , Universities/organization & administrationABSTRACT
AIDS volunteerism, as a response by those affected by loss associated with HIV/AIDS, has been described as an act of bearing witness. The theory "bearing witness to suffering in HIV/AIDS," proposes that AIDS volunteerism assists individuals affected by loss to increase their levels of hope, self-esteem, social support, and develop a sense of purpose in life (PIL). The purpose of this descriptive research was to determine if AIDS volunteerism, hope, self-esteem, and social support were predictive of PIL among individuals affected by loss from HIV/AIDS. Path analysis was used to analyze data. Hope, social support, and self-esteem were found to have significant positive effects on PIL and accounted for 66% of the total variance. The results from this study will be used to further develop the theory of bearing witness; this theory may be useful to develop and test interventions to relieve the suffering experienced by individuals affected by HIV/AIDS.
