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OJIN: The Online Journal of Issues in Nursing最新文献

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Innovative Solutions for Clinical Education during a Global Health Crisis 全球卫生危机期间临床教育的创新解决方案
OJIN: The Online Journal of Issues in Nursing Pub Date : 2021-01-31 DOI: 10.3912/ojin.vol26no01man06
Melanie D. Logue, Cynthia Olson, Marylou Mercado, Carolyn McCormies
{"title":"Innovative Solutions for Clinical Education during a Global Health Crisis","authors":"Melanie D. Logue, Cynthia Olson, Marylou Mercado, Carolyn McCormies","doi":"10.3912/ojin.vol26no01man06","DOIUrl":"https://doi.org/10.3912/ojin.vol26no01man06","url":null,"abstract":"Lack of clinical experience availability has been a longstanding concern for academic programs in nursing. The continued decrease in clinical group size and the number of students that an organization will allow for clinical experiences has been a growing issue that requires innovation to create alternative clinical experiences to meet program, student, and governing agency requirements. When the novel coronavirus, SARS-CoV-2, or COVID-19, emerged in early 2020, resulting in a global pandemic, the impact included nursing education. Students were no longer allowed in clinical facilities due to attempts to contain the virus and lack of personal protective equipment. Many programs were underprepared and had to quickly adjust to meet clinical requirements for students to complete courses. This article discusses several impacts in the context of policymakers, regulators, and nursing practice, with specific examples from policy changes that occurred in the state of Arizona. We describe the nursing program response to pandemic challenges with examples of innovative solutions in practice and policy that informed the rapid shift to nontraditional student experiences.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130837012","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}
引用次数: 4
Crisis in Competency: A Defining Moment in Nursing Education 能力危机:护理教育的决定性时刻
OJIN: The Online Journal of Issues in Nursing Pub Date : 2021-01-31 DOI: 10.3912/ojin.vol26no01man02
Joan M. Kavanagh, Patricia A. Sharpnack
{"title":"Crisis in Competency: A Defining Moment in Nursing Education","authors":"Joan M. Kavanagh, Patricia A. Sharpnack","doi":"10.3912/ojin.vol26no01man02","DOIUrl":"https://doi.org/10.3912/ojin.vol26no01man02","url":null,"abstract":"Advancing the mission of nursing education for a future we cannot yet fully conceive is a daunting task. The rapidly changing healthcare landscape is an exciting world of innovation, digital transformation, and accelerated knowledge creation that offers hopeful, and infinite possibilities to improve patient care, safety, and outcomes. New data suggest a continuing decline in the initial preparedness of new nurses at a time when preparation is most needed. We must adapt and embrace pedagogies relevant to a new generation of learners. In this article, we first describe the digital disruption informed by innovation moving at warp speed, catalyzing necessary and long overdue change not only in healthcare, but in how education is conceptualized and delivered. Leading and promoting the paradigm shift needed for this change is not discretionary as nurse educators strive to enhance the competency of new registered nurses. Leaders in nursing education have initiated efforts to appraise the state of the academy and find approaches to lessen the transition gap, such as competency-based education. We discuss current trends at this defining moment in nursing education, and strategies to leverage the tipping point as educators mobilize to prepare future nurses for successful collaborative artificial intelligence-infused, clinical practice.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130679312","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}
引用次数: 52
Ethics Column: Resisting Vaccination: How Can Nurses Respond Ethically? 伦理专栏:抵制疫苗接种:护士如何道德应对?
OJIN: The Online Journal of Issues in Nursing Pub Date : 2021-01-29 DOI: 10.3912/ojin.vol26no01ethcol01
C. Dinkins, J. Sorrell
{"title":"Ethics Column: Resisting Vaccination: How Can Nurses Respond Ethically?","authors":"C. Dinkins, J. Sorrell","doi":"10.3912/ojin.vol26no01ethcol01","DOIUrl":"https://doi.org/10.3912/ojin.vol26no01ethcol01","url":null,"abstract":"Data from the Centers for Disease Control and Prevention (CDC) suggest that vaccinations given to children between 1994 and 2013 may have saved as many as 732,000 lives, as well as prevented 322 million illnesses and 21 million hospitalizations over the course of the children's lives (Balestra 2016T Additionally, vaccination is an important factor in containing healthcare and societal costs, saving an estimated $295 billion in healthcare costs and $1 38 trillion over all, through prevention of diseases, such as smallpox, polio, and measles (Balestra 2016) To protect the health of the public, all individuals should be immunized against vaccine-preventable diseases according to the best and most current evidence outlined by the Centers for Disease Control and Prevention (CDC) and the Advisory Committee on Immunization Practices (ACIP) Parents who refuse vaccinations based on religious and/or philosophical exemptions, however, incur increased risk of illness not only for their child, but also their communities (College of Physicians of Philadelphia, 2018) [ ]it is important for nurses and other health professionals to find ways to implement vaccine regulations to protect the greatest number of people without infringing on individual autonomy [ ]initiating a conversation with those who oppose vaccination about the reasons behind their wishes can help to create a dialogue to understand why they object to vaccination, clear up misinformation, and share the evidence science provides in favor of vaccinations","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126965226","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}
引用次数: 0
An Historical View of Nursing and Polio 护理与小儿麻痹症的历史观
OJIN: The Online Journal of Issues in Nursing Pub Date : 2020-12-21 DOI: 10.3912/ojin.vol26no01ppt05
Kelley H. Pattison
{"title":"An Historical View of Nursing and Polio","authors":"Kelley H. Pattison","doi":"10.3912/ojin.vol26no01ppt05","DOIUrl":"https://doi.org/10.3912/ojin.vol26no01ppt05","url":null,"abstract":"Poliomyelitis, a disease which required special nursing care for its victims, impacted many in the nursing profession prior to vaccine availability in 1955. This article describes polio transmission, and how polio research, funding, and treatment led to advances in nursing and changes in nurse’s role in the care of patients with polio. Prior to the advent of polio vaccines, effective, compassionate nursing care prevented the crippling effects of the disease. Historically, public health nurses often led the preparation to respond to outbreaks. Once polio vaccines became available, nurses shifted their efforts to vaccination clinics and care for patients with post-polio syndrome. Considerations for polio vaccination today may include parental fear and the need for appropriate education. The article explores the impact of nurses in the different phases of care for polio, such as combating epidemics; treating victims; providing education for the public; and helping to eradicate the disease.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126302931","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}
引用次数: 0
Right Place at the Right Time: Laura Logan’s Leadership in the Early 20th Century 《天时地利:劳拉·洛根在20世纪初的领导地位》
OJIN: The Online Journal of Issues in Nursing Pub Date : 2020-11-05 DOI: 10.3912/ojin.vol26no01ppt03
April D. Matthias
{"title":"Right Place at the Right Time: Laura Logan’s Leadership in the Early 20th Century","authors":"April D. Matthias","doi":"10.3912/ojin.vol26no01ppt03","DOIUrl":"https://doi.org/10.3912/ojin.vol26no01ppt03","url":null,"abstract":"Laura R. Logan (1879-1974) was a visionary whose courage and foresight influenced nursing education and practice in the early 20th century. This article describes Logan’s education and early professional journey and her influence on nursing in Cincinnati. Beginning in 1914, she championed changes in the School of Nursing and Health at the Cincinnati General Hospital to align with a liberal studies curriculum and to prepare graduates for nurse roles beyond the walls of a hospital. Curricular changes, such as a dual diploma in nursing and Bachelor of Science degree, were instrumental to move education of nurses from the hospital school to the university level. Logan’s roles as negotiator, leader, educator, and interprofessional partner illustrate the skill and courage required to become a nurse leader. Her influence on contemporary nursing is an example for nurse leaders of today.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"151 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115119981","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}
引用次数: 0
ANA Position Statement: Nursing Care and Do-Not-Resuscitate (DNR) Decisions ANA立场声明:护理和不复苏(DNR)决定
OJIN: The Online Journal of Issues in Nursing Pub Date : 2020-10-21 DOI: 10.3912/ojin.vol26no01poscol02
{"title":"ANA Position Statement: Nursing Care and Do-Not-Resuscitate (DNR) Decisions","authors":"","doi":"10.3912/ojin.vol26no01poscol02","DOIUrl":"https://doi.org/10.3912/ojin.vol26no01poscol02","url":null,"abstract":"The nurse’s role includes assisting patients, families, surrogate decision-makers, and health care team members in the process of making informed choices regarding do-not-resuscitate orders. It is important to note that considerations for do-not-resuscitate orders can happen at any time in the course of a patient’s care, not only at the end of life. Practice guidelines exist regarding effective cardiopulmonary resuscitation. Performing resuscitation that is inconsistent with this evidence-informed practice risks challenges to professional integrity as well as potential harm to patients. In addition, there still exists confusion regarding do-not-resuscitate orders and related terminology. This statement provides ethical guidance for nurses in the do-not-resuscitate decision-making process and makes recommendations for clinical and policy change.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114428255","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}
引用次数: 1
ANA Position Statement: Nurse’s Role in Providing Ethically and Developmentally Appropriate Care to People With Intellectual and Developmental Disabilities ANA立场声明:护士在为有智力和发育障碍的人提供合乎道德和发展的护理中的角色
OJIN: The Online Journal of Issues in Nursing Pub Date : 2020-10-20 DOI: 10.3912/ojin.vol26no01poscol01
{"title":"ANA Position Statement: Nurse’s Role in Providing Ethically and Developmentally Appropriate Care to People With Intellectual and Developmental Disabilities","authors":"","doi":"10.3912/ojin.vol26no01poscol01","DOIUrl":"https://doi.org/10.3912/ojin.vol26no01poscol01","url":null,"abstract":"","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122416602","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}
引用次数: 3
Social Upheaval and a Dean’s Vision for Professional Nursing: The Work of Dorothy M. Smith 社会动荡和院长对专业护理的看法:多萝西·m·史密斯的工作
OJIN: The Online Journal of Issues in Nursing Pub Date : 2020-10-16 DOI: 10.3912/ojin.vol26no01ppt72
K. Curry
{"title":"Social Upheaval and a Dean’s Vision for Professional Nursing: The Work of Dorothy M. Smith","authors":"K. Curry","doi":"10.3912/ojin.vol26no01ppt72","DOIUrl":"https://doi.org/10.3912/ojin.vol26no01ppt72","url":null,"abstract":"Dorothy Mary Smith (1913–1997) was a visionary leader and innovator in nursing education. She was the founding dean of the University of Florida College of Nursing and played a key role in the design of an early academic medical center model. This article will discuss her education and early years, and the formation of Smith’s perspective on nursing education, exemplified by the implementation of her unification model of nursing, which was later adopted by numerous other academic nursing programs. During her deanship, significant events included the intrusion of the Johns Committee, an offshoot of the McCarthy investigations. The changing tides and times, such as the civil rights movement, also brought controversy and struggle to southern universities. In the end, financial downturns in state funding brought an end to the vision of Smith and her colleagues, leading her to ponder the outcome “if I had stayed.” Smith was an innovative leader whose legacy inspired graduates and faculty long after her academic career ended.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131794339","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}
引用次数: 0
Overview and Summary: Substance Use Disorders and Related Concerns: Perspectives from Nurses 概述和总结:物质使用障碍和相关问题:护士的观点
OJIN: The Online Journal of Issues in Nursing Pub Date : 2020-09-30 DOI: 10.3912/ojin.vol25no03manos
J. Fathi
{"title":"Overview and Summary: Substance Use Disorders and Related Concerns: Perspectives from Nurses","authors":"J. Fathi","doi":"10.3912/ojin.vol25no03manos","DOIUrl":"https://doi.org/10.3912/ojin.vol25no03manos","url":null,"abstract":"","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128993376","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}
引用次数: 0
Be-SAFE©: A Guide for Emergency Department Nurses Responding to Opioid Overdoses in Personal Vehicles Be-SAFE©:急诊室护士应对私家车阿片类药物过量的指南
OJIN: The Online Journal of Issues in Nursing Pub Date : 2020-09-30 DOI: 10.3912/ojin.vol25no03man02
Angela Clark, J. Burnie, R. Johann, Rachel C. Baker, C. Hassert
{"title":"Be-SAFE©: A Guide for Emergency Department Nurses Responding to Opioid Overdoses in Personal Vehicles","authors":"Angela Clark, J. Burnie, R. Johann, Rachel C. Baker, C. Hassert","doi":"10.3912/ojin.vol25no03man02","DOIUrl":"https://doi.org/10.3912/ojin.vol25no03man02","url":null,"abstract":"Opioid overdose-related emergency department visits have increased in the last several decades, prompting concern from providers about how to respond to patients experiencing opioid overdoses who arrive in private vehicles. In this study, our research team developed and utilized an iBook intervention to teach nursing staff how to safely attend to opioid overdoses that occur outside of the department. We discuss our study methods and aims, including development of the Be-SAFE© iBook content with the input of an interprofessional team of key stakeholders. Fifteen training sessions were delivered to 89 ED nursing personnel across five regional hospitals. Nurses (n=69) completed knowledge pre-and post-surveys and a Be-SAFE© Response Program Evaluation. Our results indicate that the Be-SAFE© iBook was useful to ED nursing staff and significantly increased the specific areas of knowledge regarding risk factors and actions related to opioid overdoses that occur in private vehicles.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123020963","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}
引用次数: 0
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