{"title":"The development of an acute care case manager orientation.","authors":"S Strzelecki, R Brobst","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors describe the development of an inpatient acute care case manager orientation in a community hospital. Benner's application of the Dreyfus model of skill acquisition provides the basis for the orientation program. The candidates for the case manager position were expert clinicians. Because of the role change it was projected that they would function as advanced beginners. It was also predicted that, as the case managers progressed within the role, the educational process would need to be adapted to facilitate progression of skills to the proficient level. Feedback from participants reinforced that the model supported the case manager in the role transition. In addition, the model provided a predictive framework for ongoing educational activities.</p>","PeriodicalId":77218,"journal":{"name":"Journal of nursing staff development : JNSD","volume":"13 5","pages":"266-71"},"PeriodicalIF":0.0,"publicationDate":"1997-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20293396","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":"Redesigning the role of the centralized educator.","authors":"C Bland, S Michael","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77218,"journal":{"name":"Journal of nursing staff development : JNSD","volume":"13 5","pages":"279-81"},"PeriodicalIF":0.0,"publicationDate":"1997-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20293398","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":"Educating the ethics committee.","authors":"W H Bruening, M J Brock, E R Schellhause","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Ethics committees are being formed in all types of institutions. Education is the foundation of a functioning committee. The purpose of the education is to prepare the multidisciplinary committee members to deal with difficult ethical issues in a changing healthcare environment. In this article, the authors address different methodologies that can be used for educating ethics committees.</p>","PeriodicalId":77218,"journal":{"name":"Journal of nursing staff development : JNSD","volume":"13 5","pages":"255-9"},"PeriodicalIF":0.0,"publicationDate":"1997-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20293392","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 relationship between critical thinking and self-concept in staff nurses and the influence of these characteristics on nursing practice.","authors":"J E Beeken","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Thirty-five nurse managers were interviewed, and 100 staff nurses were tested using the California Critical Thinking Skills Test (CCTST) and the Tennessee Self-Concept Scale (TSCS) to determine if a relationship existed between critical thinking and self-concept. Correlations (Pearson r) showed no statistically significant relationship (r = 0.1097, P > 0.05). Comparison of the results of the California Critical Thinking Skills Test between groups with differing levels of nursing education indicated that scores for nurses with a baccalaureate were statistically and significantly higher than the scores of nurses with an associate/diploma degree (ANOVA F = 3.03, P = 0.03). Implications for nursing education and practice are discussed.</p>","PeriodicalId":77218,"journal":{"name":"Journal of nursing staff development : JNSD","volume":"13 5","pages":"272-8"},"PeriodicalIF":0.0,"publicationDate":"1997-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20293399","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 integration of unlicensed assistive personnel using an \"Expanding Our Skills\" workshop.","authors":"S Clayworth","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Emphasis on cost containment in health care is forcing healthcare institutions to implement skill-mix changes in patient care staffing. Research has shown that education for the nursing staff is imperative for successful implementation of such changes. In this article, the author describes the education program used to successfully facilitate the use of obstetric technicians in a large labor and delivery unit. Role clarification and education regarding delegation skills are key factors discussed.</p>","PeriodicalId":77218,"journal":{"name":"Journal of nursing staff development : JNSD","volume":"13 5","pages":"243-7"},"PeriodicalIF":0.0,"publicationDate":"1997-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20292802","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 strategies and knowledge retention.","authors":"R S Schlomer, M A Anderson, R Shaw","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This project compared nurses' knowledge retention after completion of either a competency-based, written self-learning module or a competency-based, didactic lecture module. Using a pretest/posttest quasiexperimental design, a convenient sample was selected from a group of registered nurses who attended a mandatory yearly review of standards from the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and the Occupational Safety and Health Association (OSHA). The 67 subjects were given pretests, the same content material using the two types of presentations, and posttests. An analysis of covariance was used to determine posttest differences between the groups, controlling for pretest scores. Results indicated no significant differences among posttest scores of the treatment group and the control group; alpha level was 0.05. Knowledge retention essentially was the same, regardless of the antecedent teaching methodology. The advantages of one teaching method versus another may be in the flexibility afforded the staff educator. After desired outcomes are identified, a teaching method can be determined based on the staff educators' requirements, the resources available, and the learners' needs.</p>","PeriodicalId":77218,"journal":{"name":"Journal of nursing staff development : JNSD","volume":"13 5","pages":"249-53"},"PeriodicalIF":0.0,"publicationDate":"1997-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20292803","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 effects of an aggressive behavior management program on nurses' levels of knowledge, confidence, and safety.","authors":"A E Hurlebaus, S Link","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Violence in the workplace is increasing, and unfortunately, hospitals are not exempt from the problem. Nurses are the primary caregivers in hospitals and are more likely to encounter violence because of the amount of time spent in direct patient care. Many nurses have not been trained to manage explosive situations. This project was developed to provide a program titled, \"Managing Aggressive Behavior,\" to nurses and to measure and compare the differences in levels of knowledge and feelings of safety and confidence among nurses who attended the workshop versus a group who did not. The data revealed a significant difference in knowledge in the program group (P < 0.001) but no significant changes in safety (P = 0.367) or confidence (P = 0.440). No significant changes were found among the variables in the treatment group. Suggestions for further research and teaching are given.</p>","PeriodicalId":77218,"journal":{"name":"Journal of nursing staff development : JNSD","volume":"13 5","pages":"260-5"},"PeriodicalIF":0.0,"publicationDate":"1997-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20293394","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 effect of peer review on professionalism, autonomy, and accountability.","authors":"K A Roper, G Russell","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In this article, the authors describe the relevance and impact of peer review on professional nursing practice. The healthcare, business, education, and social science literature are reviewed. Although the benefits of peer review often are assumed to contribute to increased professionalism, autonomy, and accountability, there is little formal research evidence to support these assumptions. Regardless, empirical data show potential for increased professionalism, improved performance, and valuable feedback provided to nursing personnel. In addition, the authors explore the potential of peer review in developing and maintaining professional accountability among practicing staff nurses.</p>","PeriodicalId":77218,"journal":{"name":"Journal of nursing staff development : JNSD","volume":"13 4","pages":"198-206"},"PeriodicalIF":0.0,"publicationDate":"1997-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20228588","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":"Development of a Code Blue Protocol test.","authors":"D Gloe","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this project was to develop a test to evaluate knowledge of the Code Blue Protocol at St. John's Regional Health Center. In critical care and telemetry units, the registered nurses are required to pass a yearly test concerning the Code Blue Protocol. The content of the test was based on the nursing service policy containing the Code Blue Protocol. The test was based on content items deemed very important by nursing directors. A panel of experts in education and critical care reviewed the test. A pilot administration of the test occurred in January 1994. Any item with a 50% pass/ nonpass was examined by the panel of experts; their feedback was used to modify those test items. The test was administered to the population of registered nurses in March 1994.</p>","PeriodicalId":77218,"journal":{"name":"Journal of nursing staff development : JNSD","volume":"13 4","pages":"207-11"},"PeriodicalIF":0.0,"publicationDate":"1997-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20228590","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 effects of inservice education on the institution of triage protocols.","authors":"G S Stephens, M E Pokorny, J M Bowman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This correlational study examined the effects of inservice education on the initiation of triage protocols by emergency room nurses for patients experiencing cardiac symptom distress. The study used a pretest/posttest design with a convenience sample of 40 patients who were experiencing cardiac symptom distress. Chart reviews were conducted on 20 patients seen in the emergency room with suspected myocardial infarction. Then emergency room nurses had an inservice program on institution of triage protocols, and 20 more patient charts were reviewed. The study revealed two statistically significant findings. First, the staff nurses incorporated pain and symptom distress measurement tools in physical assessments more frequently after inservice education sessions than before inservice education sessions. Second, the staff nurses documented the use of triage protocols more frequently after the inservice education sessions than before the sessions. These findings suggest that nursing inservice education positively affects nursing care for patients with suspected myocardial infarction.</p>","PeriodicalId":77218,"journal":{"name":"Journal of nursing staff development : JNSD","volume":"13 4","pages":"189-92"},"PeriodicalIF":0.0,"publicationDate":"1997-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20228595","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}