ABSTRACT
To meet role expectations for nurses, nurses must feel empowered. Faculty contributions to the learning environment for nursing students are critical. A descriptive analysis of student perceptions of empowerment within the learning environment was conducted using a form of Kanter's Conditions of Work Effectiveness Questionnaire; 203 participants from schools in 17 different states completed surveys. Subjects demonstrated moderate degrees of structural empowerment in their learning environment. This positive finding can be further investigated and used to fully prepare future nurses.
Subject(s)
Nurse's Role , Power, Psychological , Students, Nursing/psychology , Adult , Attitude of Health Personnel , Female , Humans , Male , Surveys and Questionnaires , United StatesABSTRACT
The nursing and nursing faculty shortages have created a greater need for effective online learning strategies. Today's learners require the flexibility offered by online learning, but only when well grounded in sound teaching-learning principles. This article describes strategies for online learning designed to keep the needs of today's learners in mind. These strategies are focused on the resolution of technology problems as well as the learning process.
Subject(s)
Education, Distance/organization & administration , Education, Nursing, Continuing/organization & administration , Online Systems/organization & administration , Career Mobility , Choice Behavior , Computer Literacy , Computer User Training , Computer-Assisted Instruction/methods , Educational Measurement , Faculty, Nursing/organization & administration , Health Services Needs and Demand , Humans , Internet/organization & administration , Nursing Education Research , Professional Competence , Program EvaluationABSTRACT
PURPOSE: To develop a theory-based model to assist nurses in promoting self-determination for completion of an advance directive (AD). DESIGN AND METHODS: This descriptive study included data from a convenience sample of 118 community-dwelling older adults in Tennessee, USA. Multinomial logistic regression was used to estimate the influence of 15 factors and covariates on completion of an AD. FINDINGS: The parsimonious model had three significant factors: receiving AD information; attitude index; and health literacy score. Participants were highly likely to complete ADs if they had positive attitudes toward ADs and had received information on ADs. As health literacy increased, the likelihood that participants completed ADs was reduced. This model explained 25% of the variation in AD completion. Chi-square fit for the parsimonious model was highly significant. CONCLUSIONS: Of 15 factors and covariates that could influence completion of an AD, only receiving information about ADs, having positive attitudes toward ADs, and health literacy significantly affected the likelihood of participants completing ADs. More study is needed on this model and how nurses can assist patients with end-of-life decisions.
Subject(s)
Advance Care Planning/organization & administration , Chi-Square Distribution , Logistic Models , Models, Psychological , Patient Compliance/psychology , Aged , Aged, 80 and over , Decision Making , Educational Status , Female , Health Knowledge, Attitudes, Practice , Humans , Male , Middle Aged , Nurse's Role/psychology , Nursing Assessment , Nursing Evaluation Research , Patient Education as Topic , Predictive Value of Tests , Self Efficacy , Surveys and Questionnaires , TennesseeABSTRACT
Ensuring use of best practices is crucially important in today's health care system. Nurses can identify research results that offer promising new treatment options for their patients and should have a plan for implementing research findings. The perioperative education coordinator at one facility identified the occurrence of deep vein thrombosis as a significant problem. She conducted a literature review, created an education program for nurses, and implemented an evidence-based practice change. This article describes the steps in this process. Now, patients at the facility consistently are assessed for deep vein thrombosis and receive appropriate preventive treatment.
Subject(s)
Diffusion of Innovation , Evidence-Based Medicine , Perioperative Nursing/standards , Venous Thrombosis/prevention & control , Benchmarking , Biomedical Research/trends , Hospitals , Humans , Organizational Innovation , Organizational Policy , Perioperative Nursing/education , Perioperative Nursing/methods , Program Development , Venous Thrombosis/nursingABSTRACT
Current literature demonstrates a paucity of information on post-resuscitation care of pediatric clients. This lack of information is somewhat understandable in light of the relatively low incidence of occurrence and the statistically poor outcome. Nurses must be aware, however, of many issues when dealing with pediatric clients and their families after an arrest episode. This article explores key concepts involved with post-resuscitation care, including the outcome of cardiopulmonary resuscitation, immediate post-resuscitation needs, emotional outcomes for the child, and family stress and grief.
Subject(s)
Aftercare/organization & administration , Pediatric Nursing/organization & administration , Resuscitation/nursing , Attitude to Health , Child , Death , Emotions , Family/psychology , Grief , Health Services Needs and Demand , Heart Arrest/psychology , Heart Arrest/therapy , Humans , Nurse's Role , Professional-Family Relations , Stress, Psychological/prevention & control , Stress, Psychological/psychology , Terminal Care/methods , Terminal Care/psychology , Treatment OutcomeABSTRACT
Depression is an overwhelmingly common problem in the United States. It is not only life threatening, but also costly, both personally and financially. Following a brief overview of depression, this article presents a variety of treatment modalities. Advantages and dis-advantages of each intervention are explored along with suggestions for evaluating current and future advances in treatment options.
