" ... Especially in the rural settings, new graduate nurses are expected to perform with a higher degree of independence and limited access to resources than their metropolitan counterparts. Developing and implementing innovative orientation strategies can promote a seamless transition into practice, reduce the reality shock experienced by new graduate nurses, and adequately prepare novice nurses with the clinical competency to succeed in their new role. New graduate nurses entering the medical-surgical arena should undergo extensive orientation to acquire and maintain a diverse and comprehensive set of skills and knowledge base to function competently. It is essential for healthcare organizations to provide support that goes beyond basic orientation, and is sensitive to the unique learning needs of each new graduate nurse. An 18-week interactive, competency-based program was developed to focus on the transition into practice and to facilitate higher levels of clinical performance in new graduate nurses ..."--Abstract.
Research has shown that there exists an increase in the amount and complexities of students with health care needs and the need for school nurses to safely and effectively support these students. Notably, research also revealed that the majority of nurses who enter this specialty practice lack the comprehensive knowledge base and are underprepared to practice in educational environments. The purpose of the qualitative, action research study was to provide school nurses an opportunity to reflect on and voice their novice school nursing experiences in order to examine the contents that should be included in new school nurse orientation programs. The researcher used a qualitative, action research design to develop the methodology for this study. The research questions that guided this study were: 1. What do practicing school nurses report regarding orientation programs for novice school nurses? 2. What do practicing school nurses report regarding ways in which an orientation program prepares novice school nurses in the key principles (Maughan, Bobo, Butler & Schantz, 2016) of school nursing practice? 2.1 What do practicing school nurses report regarding ways in which an orientation program prepares novice school nurses in the standards of practice? 2.2 What do practicing school nurses report regarding ways in which an orientation program prepares novice school nurses in care coordination practices? 2.3 What do practicing school nurses report regarding ways in which an orientation program prepares novice school nurses in quality improvement practices? 2.4 What do practicing school nurses report regarding ways in which an orientation program prepares novice school nurses in leadership practices? 2.5 What do practicing school nurses report regarding ways in which an orientation program prepares novice school nurses in community/public health practices? Select parts of the NASN Framework (Maughan et al., 2016), and Benner’s (1984) definition of novice nurses, together, formed the conceptual framework that examined school nurses’ reflection regarding the content that should be included in new school nurses’ orientation programs. A purposeful sampling (Maxwell, 2012) was used to recruit practicing school nurses from across a Northeastern state in rural, urban and suburban school district settings. Efforts to include school nurses from all regions resulted in 27 participants. Participants engaged in semi-structured interviews and shared about the experiences they had as novice school nurses. A two-step process was used to analyze the data: first, open coding was performed to identify underlying themes and, second, a crosswalk of the resulting matrices against the already defined components in the NASN Framework (Maughan et al., 2016). The researcher found that institutional culture and organizational sensemaking were central to the perceptions and experiences described by participants during their transition to school nursing practice. Findings of the study culminated in four major themes that were identified as critical to school nursing practice and that must be included in orientation programs for novice school nurses: 1) mentoring and supervising; 2) communicating; 3) developing specialized skills; and 4) identifying resources.
The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles-including limits on nurses' scope of practice-should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing.
Introducing theories and concepts essential for human services administration, this book covers organization theory and management, budgeting and financial management, personnel administration and labor relations, laws and regulations, innovation and change, and data administration and information systems. The author explores bioethics and managing "Babies Doe," legal right to refuse treatment, nursing home payments, and more. He applies important general concepts to specific concerns such as organizational structure and service delivery arrangements, internal financial planning, innovations in drug services delivery, and implementing medical information systems.
The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.
A handy guide to tackling difficult patient and professional interactions with confidence and compassion In this age of increasing reliance on technology, it is essential that the fundamentals of compassion and good communication—the art of patient care—remain at the heart of health care. This clear, concise guide to professional communication strategies helps nurses and other health care clinicians to build effective patient relationships and navigate a wide variety of difficult patient and professional interactions. Written by a practicing psychotherapist who has devoted nearly 30 years of study to clinician—patient relationships, the book tackles such complex issues as dealing with demanding patients, maintaining professional boundaries, overcoming biases and stereotypes, managing clinician emotions, communicating bad news, challenging a colleague’s clinical opinion, and other common scenarios. The book guides the reader through a conceptual framework for building effective relationships that is based on the principles of mindfulness. These principles are embedded in discussions of the fundamental elements of interpersonal effectiveness, such as hope, empathy, and listening. Chapters apply mindfulness principles to specific challenging situations with concrete examples that describe effective clinical behaviors as well as situations depicting pitfalls that may impede compassionate care. From a focus on everyday manners in difficult situations to beneficial approaches with challenging populations, the guide helps health care professionals confidently resolve common problems. Brief, to-the-point chapters help clinicians channel their clinical knowledge and good intentions into caring behaviors that allow the patient to more fully experience empathy and compassion. With the guiding theme of “using words as precision instruments,” this is a resource that will be referred to again and again. Key Features: • Helps health care professionals and nurses communicate effectively in challenging clinical and professional situations • Uses the principles of mindfulness to build satisfying relationships and resolve problems • Addresses such difficult issues as demanding patients, maintaining boundaries, overcoming biases, managing clinician emotions, and much more • Provides special tips for communicating with family members and caregivers • Authored by a practicing psychotherapist specializing in clinician—patient relationships for nearly 30 years
Hospitals and nursing homes are responding to changes in the health care system by modifying staffing levels and the mix of nursing personnel. But do these changes endanger the quality of patient care? Do nursing staff suffer increased rates of injury, illness, or stress because of changing workplace demands? These questions are addressed in Nursing Staff in Hospitals and Nursing Homes, a thorough and authoritative look at today's health care system that also takes a long-term view of staffing needs for nursing as the nation moves into the next century. The committee draws fundamental conclusions about the evolving role of nurses in hospitals and nursing homes and presents recommendations about staffing decisions, nursing training, measurement of quality, reimbursement, and other areas. The volume also discusses work-related injuries, violence toward and abuse of nursing staffs, and stress among nursing personnelâ€"and examines whether these problems are related to staffing levels. Included is a readable overview of the underlying trends in health care that have given rise to urgent questions about nurse staffing: population changes, budget pressures, and the introduction of new technologies. Nursing Staff in Hospitals and Nursing Homes provides a straightforward examination of complex and sensitive issues surround the role and value of nursing on our health care system.
Designed to teach nurses about the development, motivational, and sociocultural differences that affect teaching and learning, this text combines theoretical and pragmatic content in a balanced, complete style. --from publisher description.
