ABSTRACT
BACKGROUND: Organizational assessment revealed opportunities to develop a critical mass of faculty educated about EBP and integrate competencies into practice. The faculty orientation online program did not include information about the EBP process, teaching strategies, or student competencies. PURPOSE: The purpose of this EBP project was to investigate the best teaching strategies that foster student competencies. IMPLEMENTATION PLAN: Based on the evidence, an online EBP module was developed including the best teaching strategies for instruction of EBP, the student competencies that must be mastered and teaching barriers that must be overcome. The results and implementation plan were presented to leaders and faculty Online Council for feedback, approval, and buy-in. OUTCOMES: Twenty-five faculty completed the EBP online module over 1 year providing examples for teaching strategies that related EBP to clinical practice, teaching methods that engaged students and examples of assignments that promoted student competency. IMPLICATIONS FOR PRACTICE: Using evidence to develop an EBP module for faculty orientation to online teaching provided a cost-effective way to develop a critical mass of faculty educated in EBP teaching strategies and methods that foster student competencies.
Subject(s)
Evidence-Based Practice , Students , Humans , Evidence-Based Practice/education , Teaching , CurriculumABSTRACT
Implementing technology in the clinical setting is not a project but rather a journey in transforming care delivery. As nursing leaders in healthcare and patient care support organizations embrace technology to drive reforms in quality and efficiency, growing opportunities exist to share experiences between these industries. This department submission describes the journey to nursing shared governance from the perspective of an information technology-based company realizing the goal of supporting patient care.
Subject(s)
Attitude to Computers , Clinical Governance , Decision Making, Organizational , Education, Nursing, Continuing , Medical Informatics/education , Models, Nursing , Models, Organizational , Certification , Efficiency, Organizational , Governing Board , Humans , Leadership , Needs Assessment , Organizational Innovation , Organizational Objectives , Professional Competence , Systems Integration , Total Quality ManagementABSTRACT
PURPOSE: To (a) examine the reliability and validity of the Primary Care Assessment Survey (PCAS), (b) describe the primary care characteristics of a community-based clinic in an underserved area in Appalachia, (c) examine the relationships between primary care characteristics and socioeconomic factors, (d) compare and contrast patients who have regular providers of care with those who did not have regular providers of care; and (e) examine provider primary care characteristics that predict comprehensive knowledge of patients. DESIGN: Data for this cross-sectional survey (N = 227) were collected over a 4-month period using face-to-face interviews at a not-for-profit, community-based clinic serving patients in three Appalachian states in the southeastern United States. METHODS: The PCAS was used to measure 11 domains of primary care provider performance and to identify and group patients who had regular providers of care (n = 126) and patients who did not have regular providers of care (n = 98) at the clinic. FINDINGS: Cronbach's coefficient alpha for the total scale was .74 after deleting one subscale. Factor analysis revealed one PCAS dimension, Communication, accounting for 44% of the total variance. Primary care providers' Interpersonal Treatment and Longitudinal Continuity were predictors of Comprehensive Knowledge of the patient and accounted for 26% and 6% of the variance, respectively. CONCLUSIONS: The PCAS showed evidence of reliability and validity with underserved Appalachian patients receiving care in a community-based clinic. The findings showed that patients receiving care from primary care providers had sustained relationship that affected communication aimed at improving primary care outcomes.
Subject(s)
Community Health Services/standards , Health Care Surveys/standards , Outcome Assessment, Health Care/standards , Primary Health Care/standards , Adult , Aged , Community Health Services/statistics & numerical data , Cross-Sectional Studies , Factor Analysis, Statistical , Female , Health Care Surveys/statistics & numerical data , Humans , Interviews as Topic , Kentucky , Male , Medically Underserved Area , Middle Aged , Outcome Assessment, Health Care/statistics & numerical data , Patient Satisfaction , Primary Health Care/statistics & numerical data , Reproducibility of ResultsSubject(s)
Ambulatory Care/standards , Health Care Surveys/methods , Outcome Assessment, Health Care/methods , Primary Health Care/standards , Health Care Surveys/statistics & numerical data , Health Knowledge, Attitudes, Practice , Humans , Outcome Assessment, Health Care/statistics & numerical data , Population Surveillance , Reproducibility of Results , Surveys and QuestionnairesABSTRACT
PURPOSE: The purpose of this psychometric analysis was to (1) describe the functional health status of medically underserved persons with diabetes participating in an exercise program; (2) examine the relationships between functional health status scores and physiologic measures for blood pressure, heart rate, and blood glucose levels; and (3) examine the reliability and validity of the Medical Outcomes Study SF-36 survey. METHODS: Data were collected from 31 men and women receiving diabetes disease management in a community-based nurse-managed clinic. The SF-36 survey was used to measure functional health status. Blood pressure, heart rate, and blood glucose also were measured (pretest/posttest). RESULTS: The SF-36 survey had good internal consistency in the total sample. Blood pressure and blood glucose levels decreased significantly and heart rate increased significantly from pretest to posttest. Functional health status was negatively associated with physiological parameters. CONCLUSIONS: Further research is needed on the use of the SF-36 survey in medically underserved persons with diabetes because this instrument lacked construct validity as a measure of functional health status in this population.