Journal of the American Nurses Association - New York最新文献

{"title":"Spring 2020 New Graduate Employment and Workforce Issues During the Pandemic: A Secondary Analysis of New York State and National Trends","authors":"V. Feeg, D. Mancino, Camilita Rahat-Goberdhan","doi":"10.47988/janany.93647764.1.2","DOIUrl":"https://doi.org/10.47988/janany.93647764.1.2","url":null,"abstract":"Background: In March 2020, the nation faced a public health crisis, COVID-19, that prompted a national response of many states issuing state-wide “lock-down” orders. This also forced nursing schools throughout the country to instantly convert to other learning options and many clinicals cancelled, moved to online or simulated experiences. Graduation that year launched nursing students into a healthcare system that was operating in emergency mode facing unprecedented admissions and deaths due to the pandemic. While hiring experienced nurses was a priority for hospital administrators in New York state, at the epicenter of the east coast infections, graduating seniors everywhere faced a different job market and workplace environment. Objectives: The purpose of this secondary analysis focused on variables related to the job search, employment opportunities, and “news” about hiring new graduates in the year of COVID-19, comparing the 2020 reported experiences with previous years and focusing on New York. Using data collected and published by the National Student Nurses Association (NSNA), this study filtered and sorted the variables related to employment, perceptions of the job market, and nursing education experiences of student members who graduated in 2020 and focused to report on New York state vs. national comparisons workforce issues and outcomes of the abrupt educational changes that occurred. Methods: The deidentified data were exported from surveys distributed via SurveyMonkey® by NSNA in the Fall/Winter following Spring 2020 graduation. The data from 2020 included a sample of 3,074 responses that were cleaned, sorted, and coded for the descriptive quantitative analysis. They were filtered to compare New York only, with national graduates’ reported experiences in the job market and their confidence in their nursing practice in their new jobs. Results: The analyses demonstrated significant differences in the comparisons of several employment findings from the national sample versus those from the New York sample. New graduates from New York reported only 59% success in finding jobs, compared to the rate of national new graduates (85%). Their perceived hiring trends, as they searched for jobs, were also different for New York versus those from the national sample. Most importantly, while confidence was affected for all new graduates of 2020, the New York sample reported significantly lower confidence mean scores when compared to the national sample, with associations related to the clinical experiences that were discontinued or simulated online. Conclusion: The results of the survey yielded significant differences in the comparisons of new graduate employment success for the New York state sample compared to the national trends. The greater impact of job searching during the COVID-19 early months on New York graduates can be interpreted upon closer examination of the timeline of the disease escalation and hiring trends.","PeriodicalId":192372,"journal":{"name":"Journal of the American Nurses Association - New York","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123819170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Teaching Innovations Using Systems Thinking to Guide Fieldwork Projects in RN-to-BSN Education","authors":"Josette Brodhead, Ann M Stalter, Veronica Valazza, M. P. Barba, Pamela L. Bonnett, N. Fischetti, V. Jowell, M. McKay, Deborah Merriam, B. Messina, Kimberly Porter, R. Provencio, Carol M. Wiggs, Sherri Winegardner","doi":"10.47988/janany.70813191.1.2","DOIUrl":"https://doi.org/10.47988/janany.70813191.1.2","url":null,"abstract":"Background: A critical need exists to improve quality and safety within RN-to-BSN education through innovative teaching strategies. RN-to-BSN students are poised to improve patient outcomes through system-level awareness by use of scholarly fieldwork projects within practice settings. The purpose of this scholarship of teaching project was to use an adapted version of the Systems Awareness Model to develop and categorize RN-to-BSN students’ learning experiences and capstone-type fieldwork projects guided by systems thinking. Faculty members of the Catalysts for Change Community led this project. Methods: A modified Delphi technique using multiple iterations to reach consensus by faculty experts was used in the design of this scholarship of teaching project. The philosophical underpinning guiding this project was collaborative scholarship. The seven steps of the System Awareness Model adapted for leadership and management were used to guide faculty championing quality and safety of innovative teaching strategies in face-to-face, hybrid, or online teaching-learning environments. Results: Faculty described examples of evidence-based practice (EBP), change, and practice projects including ideas, titles, and descriptions in alignment with Quality and Safety Education for Nurses (QSEN) competencies and with newly adopted American Association of Colleges of Nursing Education Essentials. A grading rubric is provided for evaluating fieldwork student project outcomes. Conclusions: The teaching strategies and fieldwork projects described in this paper reinforce the American Association of Colleges of Nursing (AACN) RN-to-BSN White Paper and the Commission on Collegiate Nursing Education (CCNE) Teaching Standards. Suggestions for future research are offered.","PeriodicalId":192372,"journal":{"name":"Journal of the American Nurses Association - New York","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131113304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The editor’s vantage point: To publish or not - challenges for both authors and editors","authors":"","doi":"10.47988/janany.442384.1.2","DOIUrl":"https://doi.org/10.47988/janany.442384.1.2","url":null,"abstract":"","PeriodicalId":192372,"journal":{"name":"Journal of the American Nurses Association - New York","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127146625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Sudden Transition of a Health Policy Course to Virtual Learning During COVID-19: Identifying and Implementing Strategies for Successful Learning","authors":"E. McCabe, Jaclynn A. Elkind","doi":"10.47988/janany.64522844.1.2","DOIUrl":"https://doi.org/10.47988/janany.64522844.1.2","url":null,"abstract":"Background: The COVID-19 pandemic disrupted everything, including the educational system, as faculty and students transitioned from face-to-face learning to the virtual format. The significance of this research is to document the successful sudden transition of a health policy course to remote learning as a result of the resilience of faculty and students, to demonstrate that course outcomes could be met despite the switch in teaching format, and to show that the transition in learning can be replicated by other nurse educators. Objective: To describe the successful utilization of a health policy assignment as a vehicle for supporting undergraduate nursing students’ learning, while transitioning from face-to-face instruction to the virtual setting. Methodology: A mixed methods case study research using an exemplar health policy assignment for 96 students was introduced to guide the development and organization of a well-constructed argument for a chosen public health issue. Online class time after the transition to the virtual setting included a weekly lecture, followed by an active working period for students and faculty. Follow-up meetings occurred between weekly sessions by phone or Zoom. Results: Despite the sudden transition from face-to-face learning to the virtual setting, this health policy course was successful in meeting course objectives and outcomes, with consistent faculty feedback and support in maintaining the learning process. Although there were unexpected challenges, faculty and students remained resilient, engaged, and committed to the importance of health policy during a period of a heightened sense of health awareness. The exemplar assignment prepared students to think, read, research, write critically, and offer and receive feedback in the midst of the pandemic. Conclusion: During the COVID-19 pandemic, students had an amplified sensitivity to learning more about health policy. In this health policy course, faculty aided student learning by focusing on quality teaching, student support, and resilience. The consistent faculty dialogue concerning compassion, resilience, and commitment to education was intentionally modeled in this course and recognized by the students.","PeriodicalId":192372,"journal":{"name":"Journal of the American Nurses Association - New York","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130869206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of Intergenerational Programs Among Alzheimer’s Dementia Patients","authors":"Audrieanna Raciti","doi":"10.47988/janany.23559123.1.2","DOIUrl":"https://doi.org/10.47988/janany.23559123.1.2","url":null,"abstract":"Purpose: The purpose of this review is to synthesize evidence regarding the implementation of intergenerational programs with a specific emphasis on toddler age groups of children and their direct interaction and outcomes measurement with individuals residing in long term care facilities with progressive advancing dementia. Methods: Articles chosen for this review were examined for the effects of intergenerational therapy programs for elderly patients with dementia and children from infancy up until kindergarten. Eligibility criteria included research published in the English language, between 1980 to the present, nursing home-based elderly population, and children up to five years of age. Results: Positive themes included improved cognition, relationships, and positive affect. Gratification, improved cognitive functioning and relationships, and overall improvement in psychosocial status were also identified. Statistical significance was identified among improved stress levels using the Beck Anxiety Inventory. Negative outcomes identified across studies included feelings of fatigue, frustration, and an unwillingness to participate for unidentified reasons. Conclusion: Advancing life expectancy predisposes our population for a heightened occurrence of dementia diagnoses, with concerns for both physical and mental illnesses. Continued research in this population to include novel methodologies to prevent many of these fatal comorbidities is critically indicated. Emerging trends appear to be moving away from traditional pharmacotherapeutic measures, with a shift toward safer, most cost-effective cognitive and behavioral approaches. Intergenerational programs could potentially serve as an alternative therapy which could provide improvements on quality of life among our elderly residents with dementia residing in long term care facilities.","PeriodicalId":192372,"journal":{"name":"Journal of the American Nurses Association - New York","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134013674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spontaneous Coronary Artery Dissection: A Case Study with Nursing Implications","authors":"Genevieve Romano-Helm","doi":"10.47988/janany.19644764.1.2","DOIUrl":"https://doi.org/10.47988/janany.19644764.1.2","url":null,"abstract":"Spontaneous coronary artery dissection (SCAD) is a nontraditional cause of acute myocardial infarction found typically in younger women who have little to no cardiac risk factors. Once thought to be a rare disease process, there is now an increase in the diagnosis of spontaneous coronary artery dissection because of improved awareness and education. Registered nurses play an important role in the identification and management of this young and otherwise healthy population. Through interdisciplinary collaboration, nurses can facilitate providing standardized care to these patients. This article presents a real-life case study of a patient who experienced the trajectory of diagnosis, treatment, and long-term management of SCAD and the related nursing care implications.","PeriodicalId":192372,"journal":{"name":"Journal of the American Nurses Association - New York","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121357311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The editor’s vantage point: The historical grit of nurses","authors":"","doi":"10.47988/janany.588119.1.1","DOIUrl":"https://doi.org/10.47988/janany.588119.1.1","url":null,"abstract":"","PeriodicalId":192372,"journal":{"name":"Journal of the American Nurses Association - New York","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125948656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health Policy Immersion Experience of Doctoral Nursing Students: A Phenomenological Study","authors":"Janice Baglietto, Francine Bono-Neri, Elizabeth Infante, Maureen Lowers-Roach, Denise Susan Walsh","doi":"10.47988/JANANY.77913181.1.1","DOIUrl":"https://doi.org/10.47988/JANANY.77913181.1.1","url":null,"abstract":"Background: In today’s political environment, there is a significant need for healthcare professionals to be aware of health policy and its impact on practice and the population. Nursing, a respected and trusted profession, has a responsibility to increase its awareness and advocacy efforts to ensure practice and execution of responsible and ethical health policy. Objectives: The purpose of this study was to describe the lived experience of doctoral nursing students' (PhD and DNP) engagement in a week-long immersion trip to Washington, D.C. as a requirement of their mandatory health policy course. This immersion trip encompassed participation in numerous activities that focused on health policy, nursing's role in research, and its presence in the political arena. In addition to describing doctoral nursing students' lived experience, the researchers sought to discover how this experience impacts doctorally-prepared nurses’ political awareness and future interest in health policy. Methods: Data were gathered using Google Forms to obtain doctoral nursing students’ experiences after participating in a week-long Washington, D.C. immersion as part of their mandatory doctoral coursework at a Mid-Atlantic college in the United States. The survey was emailed to 43 PhD and DNP students, of which 30 met the inclusion criteria. Demographic data analysis, in addition to thematic analysis of survey responses with the aid of NVivo, were performed. Results: Four themes emerged from the analysis to describe the experience and impact that the week-long Washington, D.C. immersion had on doctoral nursing students: Knowledge and Understanding of the Political Process, Recognition of the Role Professional Nursing Organizations Play in the Political Arena, Empowerment Through Increased Awareness, and Nursing’s Role as an Advocate for the People Conclusion: Through increased knowledge and awareness of health policy, doctorally-prepared nurses may be more inclined to seek and engage in the political arena and actively participate in advocacy efforts to improve health policy and the healthcare system. Keywords: advocacy, doctoral nursing students, health policy, healthcare system, political process","PeriodicalId":192372,"journal":{"name":"Journal of the American Nurses Association - New York","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123150554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quality and Safety Competencies in Undergraduate Nursing Education:\u0000Where are we now?","authors":"","doi":"10.47988/janany.70643191.1.1","DOIUrl":"https://doi.org/10.47988/janany.70643191.1.1","url":null,"abstract":"BACKGROUND: Medical errors are the third leading cause of death in the United States. To address this problem, a concerted effort by nurse educators to integrate Quality and Safety Education for Nurses (QSEN) competencies into nursing curricula is relevant. There is a need for innovative educational strategies, faculty development, and implementation approaches to support successful QSEN competency implementation. PURPOSE: The purpose of this research was to evaluate a faculty development course that included QSEN competency education, resources, and support. METHODS: A pretest posttest design was used and 19 nursing faculty from a northeast U.S. public college participated in the program. Participants completed the National QSEN Faculty Survey before and after a 6-part QSEN competency-based training course. Descriptive statistics and the chi-square statistical test were used to compare means of pretest and post-test responses. RESULTS: Results indicated a significant increase of incorporating the QSEN competencies in nursing courses following the faculty development program. The most helpful QSEN resource was found to be the QSEN website followed by the Institute for Healthcare Improvement (IHI) in pre and post-test results. Case studies, lectures, and group projects were the most frequently used teaching strategies, and the classroom was found to be the setting where most faculty integrated QSEN competencies into their courses. IMPLICATIONS: Faculty development programs are an effective method of providing support for the integration of QSEN competencies into the undergraduate nursing curricula. Evaluation of faculty development programs is essential so that effective programs can be shared and sustained. Keywords: QSEN, competencies, faculty development, quality, safety","PeriodicalId":192372,"journal":{"name":"Journal of the American Nurses Association - New York","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124887722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Technology Use and Frailty for Community Dwelling Older Adults:\u0000A Scoping Review","authors":"","doi":"10.47988/janany.44473381.1.1","DOIUrl":"https://doi.org/10.47988/janany.44473381.1.1","url":null,"abstract":"Background: Frailty is a common geriatric syndrome defined as a state of increased vulnerability to acute stressors related to a decline in reserve. There is abundant literature on frailty interventions, however, the literature on technology as an intervention for frailty is scarce.\u0000\u0000Objectives: The purpose of this scoping review is to identify and summarize existing evidence on technology use as an intervention for frail older adults and to identify research gaps in the evidence base in order to inform future research.\u0000\u0000Methodology: This review utilized the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and a rigorous scoping review method to search the literature. A comprehensive search of computerized databases was conducted in July 2018 in the following databases published from 2013 to 2018: CINAHL, PubMed, and Academic Search Complete.\u0000\u0000Results: The database searches yielded a total of 183 articles. Forty-four duplicates were removed. There were 114 results excluded based on title and abstract ineligibility. Thirty-two relevant articles were retrieved for fulltext examination. Eighteen of the articles were excluded based on the inclusion or exclusion criteria. References\u0000of 14 included articles were hand-searched for relevant works to ensure completeness of the search. Four pertinent additional articles were identified. The final analysis included 18 articles.\u0000\u0000Discussion: Current research on technology use for frail older adults focuses on assessment and diagnosis. Methodological weaknesses limit generalizability and the validity of its findings. Few studies utilize frailty as an outcome measure, limiting available research directly related to frailty.\u0000\u0000Conclusion: More research is needed on the potential for technological tools as interventions for frailty in older adults living at home, specifically, to prevent pre-frailty and frailty.\u0000\u0000Keywords: frailty, frail elderly, aged, independent living, technology","PeriodicalId":192372,"journal":{"name":"Journal of the American Nurses Association - New York","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123032816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}