The Key to Confidence is Simulation-Based Learning
Knowledge of Workplace Violence against Nurses in the Emergency Department of Public Sector Tertiary Care Hospitals in Peshawar, Pakistan
Initiation of Nursing Education Services (NES) at Khalifa Gul Nawaz Teaching Hospital MTI Bannu, Khyber Pakhtunkhwa
Unleashing the Power of Transformational Leadership: Revolutionizing the Nursing Profession in Pakistan
Addressing the Issue of Nurses Leaving Bedside Jobs with Reasons
Cognitive Stacking: A Concept Analysis
Nightingale’s Theory and its Application to Pediatric Nursing Care
Academic Strategies that Facilitate Learning in Millennial Nursing Students
Transformational Leadership: A Strategy towards Staff Motivation
Awareness of Good And Bad Touch Among Children
Suicide Among Youth: A Preventable Public Health Concern
The Impact of Culture on Faculty Retention in Nursing Education
Emotional Intelligence as a Predictor of Nursing Student Success
Psychological and Cognitive Determinants of the Health Literacy on Soon-To-Be-Aged and Older Adults: a Systematic Review
It Takes a Village to Assure Nurse Professionalism
Lessons Learned: Employing Focus Groups as a Research Methodology
There is a need to appreciate the impact of cultural dissonance on the transition of the experienced nurse clinician into the faculty role. This factor is of utmost concern for nursing education administrators as they confront the current shortage of nursing faculty in programs throughout the United States. Nurses initially socialized into the culture of the profession may eventually transition into the culture of academia. The following paper explores how cultural similarities and differences influence that change. A review of the literature reveals that cultural dissonance exists for novice nursing faculty as they adjust to a faculty role and is related to the values transferred fromclinical practice. This role change creates conflict for the novice nurse educator and may negatively affect job satisfaction and retention, leading to the exodus of valuable future educators from the academic setting. Access to long term, formal mentoring programs for novice nurse educators, along with pairing of faculty mentors who are able to understand and address the issue of cultural dissonance, can facilitate successful socialization and transition into academia. Implications for eliminating cultural dissonance involve specifying clear expectations for new nursing faculty, increasing the availability of mentoring programs in nursing education, and affording access to positive, expert faculty role models.
Charles Bonnet syndrome presents as visual hallucination affecting the elderly population visual perception. The visual hallucination may present as abstract images or distinct clear small stature images know as Lilliputian, causing distress and affecting the elderly patient’s quality of life. This syndrome has been mistaken and misdiagnosed as early onset dementia or psychosis, which furthers isolates the patient from the community. Fear of prejudice or being labeled mentally incompetence becomes a barrier in seeking treatment. There is not specific etiology to explain Charles Bonnet syndrome and this makes treatment a challenge for the clinician. The difference between visual hallucination and illusion is the presence of insight and recognizing the visual image as not real.
Computers are widely used in the office workplace, which provide efficiency, competitive advantages, and the ability to carry out work that would be impossible or less effective without their use. They also provide new methods for managing work and tracking the behaviour of employees. Computerized jobs are more sedentary, require more cognitive processing and mental attention, and require less physical expenditure of energy. Yet the production demands of these jobs are often high, with constant work pressure and little decision making possibilities. Many jobs that require heavy daily computer use have been found to be stressful. Recently, potential adverse health effects of long-term computer use have been attracted attention. Renewed concerns about radiation, combined with reports of newly recognized "repetitive stress injuries" such as carpal tunnel syndrome, have led some to call for regulation in the workplace and others to rearrange their offices and computer labs. A lot of people are spending more time doing more tasks with computers and faculty, students and staff at colleges and universities have some of the most computer-intensive work styles in the world. Computer related injuries which began to be reported in India five years ago are now developing into an epidemic among computer users. It is estimated that world-wide, 25% of computer users are already suffering from computer related injuries. The United States has to shell out more than 2 billion US dollars annually for having ignored these computer related problems. It is now proved that the duration of work and computer - related problems are positively correlated. It is not uncommon these days for people having to leave computer dependent careers or even be permanently disabled and unable to perform tasks such as driving or dressing themselves. Occupationally caused RSI rank first among the health problems, in the frequency with which they affect the quality of life. Thus with rampant and excessive use of computers we are now entering into a new era of computer related health problems.
Awareness of the importance of political advocacy for both the nursing profession and for patient outcomes is critical to the advancement of health related legislature at the state and federal level. The 2010 IOM report, The Future of Nursing: Leading Change, Advancing Health, recommends that nursing education prepares a workforce of nurses for key government leadership positions. This study evaluated the effectiveness of group participation in a health policy and legislative blog in increasing nursing student self-efficacy scores on political activism. The research design was an evaluative before-and-after design using each participant as his/her own control. The study utilized a convenience sample of 56 senior level nursing students enrolled in a leadership course. A paired-samples t test was conducted to compare the pre-test mean and the post-test mean of a 12 item political self-efficacy survey. The overall self-efficacy score and all three self-efficacy subscales were statistically significant (p<.05) demonstrating a noteworthy increase in self-efficacy for political activism. This study has identified an effective teaching strategy to improve the self-efficacy of nursing students in advocating for the nursing profession and patient outcomes. The outcome of this study was that graduating baccalaureate students enter the workforce with an established level of confidence in their ability to affect change in health policy promotion.
This study investigates the prevalence of Advance Directives (AD’s) in patients between 18-65 years old. AD’s evolved from legislation passed by California in 1976, the Natural Death Act which legalized living wills, hoping to maintain the patient’s voice in medical decision making. While ample research has been published on the prevalence of AD’s in the elderly population, there are few studies that evaluate its use in the younger age group. This research is among the first to retrospectively review AD’s in this population. Data was collected on 497 in-patient records to evaluate AD completion and admitting diagnosis. Overall prevalence of AD’s was 7.6% and female patients were more likely than male patients to complete an AD. In the younger the age group (18-32), prevalence was as low as 5%. This research is groundbreaking as it demonstrates that the youthful age groups tend to have an even lower prevalence of AD completion than was documented in previous literature. Increasing AD completion rates for all age groups would improve patient autonomy, nursing management and healthcare delivery. Further nursing research is needed on AD’s as well as nursing strategies to reduce barriers to AD completion.
There has been much research to suggest that depression, anxiety, and stress exist among college students. However, there is limited research on how these emotional states may affect grade point average (GPA). The purpose of this study was to determine the effects of depression, anxiety, and stress among nursing students and to further analyze how those states influence GPA. The study was conducted during the spring 2010 semester at a mid-sized, rural university in the southern United States. The Depression Anxiety Stress Scale, a demographic survey, and academic records were used as instrumentation for this study. Kruskal-Wallis nonparametric tests and multiple regression analyses were used to explain and identify significant findings. These findings indicate that nursing students have a significant amount of self-reported anxiety during the first year of nursing. Level I nursing students have the lowest GPA among the three levels which indicates the higher level of anxiety may potentially lead to poor academic achievement. The multiple regression analyses indicated statistical significance in predicting end of semester grade point average among Level I and Level III students. This study provided insightful information related to emotional variables in nursing students. Future research studies may include further analyses of a larger, more diverse population to strengthen the ability to predict GPA.
Regardless of three decades of implementation of family planning program in Nepal, need of family planning services is largely unmet. Systematic studies evaluating the impact of family program on several ethnic groups of Nepal has not been carried out in large scale. This study sheds light on the investigation of, whether the use of contraceptives varies among different ethnic groups in Nepal and what are the predictors of contraceptive variance in ethnic groups in Nepal. The study is based on data collected from Nepal Demographic Health Survey 2006. Multilevel logistic regression analyses of 10793 married women of reproductive age nested within 264 clusters from the surveys were considered as the sample size. Individual, household, and program variables were set and a multilevel logistic regression model was fitted to analyze the variables, using GLLAMM command in STATA-9. Multilevel logistic regression analysis indicated that Muslims, Dalits and Terai madheshi women were significantly less likely to use modern contraceptives compared to the Brahmins and Chhetries (Higher Castes). Women who were exposed to family planning information in radio were more likely to use modern contraceptives than women not exposed to radio information (OR=1.22, P> 0.01). An odd of using contraceptives by Newar was (OR 1.09, P>0.05), the highest among all ethnic groups. Exposure of women to family planning messages through health facilities, family planning workers, and means of communication, increased the odds of using modern contraceptives. However, impact of the family planning information on contraceptive use varied among ethnicity. Special attention need to be paid, in particular to the ethnicity , while formulating family planning policies in Nepal, for better success rate of family planning intervention programs.
Simulation is increasingly being used in nursing education, especially in upper level courses. A faculty member teaching a wellness course at the sophomore level was interested in integrating simulation into this level of the curriculum but found pre-packaged scenarios too complex, quick paced, and advanced for younger students. As a result, two scenarios were created using a high fidelity simulation manikin which incorporated content from health assessment, wellness, and nutrition coursework. Learning objectives focused on subjective and objective assessment skills, therapeutic relationships, safety and quality issues, SBAR (situation-background-assessment-recommendation) communication and primary and secondary nursing interventions to improve and promote health. Unlike the acute care settings where most upper level course scenarios occur, the setting for these scenarios was senior centers and adult day centers. Manikins were assembled to appear as well elderly, interacting with others in community settings. This experience allowed less experienced nursing students to engage in critical thinking and utilize new skills through use of technology. Experiences were well received by students and faculty alike, who had no previous interaction with simulation. Starting with slower, low-acuity scenarios can serve to increase the confidence of using simulation for both students and educators as well as prepare students for higher acuity encounters.
The purpose of this study is to provide an evidence-based review of psychological and cognitive determinants of health literacy (HL) on soon-to-be-aged and older adults. HL is considered by the Office of Surgeon General of United States Department of Health and Human Services as one of the four public health priorities. Some researchers advocated that limited HL is the first step on the pathways to poor health outcomes. However, systematic reviews on psychological and cognitive determinants of HL which affected the health outcomes are inadequate. Six academic electronic database for articles published from 1990 through 2010 were searched. The articles were limited to English language, full text and soon-to-be-aged and older adults aged 50 or over. The searching terms included health literacy, psychology, cognition, factor, association, relationship, soon-to-be-aged, older adult, geriatric etc. Nineteen articles met the inclusion criteria, most studies demonstrated the positive relationship between HL and psycho-determinants (self-efficacy; attitude or belief; perceptions; motivation and intention) and cognitive determinants (cognitive function). Most of the psychological and cognitive determinants of Paasche-Orlow and Wolf’s model related to HL in this review. Three plausible theories explaining the mechanism between HL and health outcomes were suggested.
