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Biomedical subjects

C A Lengacher

Publications and source records attributed to C A Lengacher.

11 recordsLinked to original sources
PubMed1995

Team-building process in launching a practice model.

With the growing use of multiple types of nurse extenders in new patient care-delivery models, there is a need not only for outcome research on their design and use but for identification and discussion of effective team-building processes necessary to implementing these models. This article presents an analysis of the interdisciplinary team process and the levels of team building and processes needed at each level to test a new nursing practice model. The team processes included not only those within the medical center but included the collaborative process established between the college of nursing and medical center. Both of these were crucial to a successful change in nursing practice.

Group Processes↗
PubMed1992

Comparison of role conception and role deprivation in LPN-transition students and traditional ADN students in a specially designed associate program.

This study compared differences in role orientation and role deprivation between 41 LPN-transition students and 123 basic traditional associate degree nursing (ADN) students upon entry and exit to a specially designed ADN program. The Corwin Role Conception Scale was used to assess role conception and deprivation. Statistically significant differences were noted upon entry between LPN-transition students and traditional ADN students in professional and service role conceptions and in role deprivation, upon exit in professional role conception and role deprivation between LPN-transition and traditional ADN students, and in professional role conception within the LPN-transition students. No differences were found within traditional ADN students from entry to exit of the program.

Adult↗
PubMed1992

A collaborative process and framework for nursing research.

Currently, there is a need for outcome research in nursing practice. To facilitate practice-based research, collaboration between education and service is essential. Although a few studies have been reported in the literature on partnerships between education and service, there is a need to describe the nature of a successful collaborative research process between a university college of nursing and a medical center. Nursing leaders from a university college of nursing and a medical center developed a collaborative framework and process by which to obtain funding for research. The following elements were crucial to the framework and facilitated the research process: commitment from leaders and individuals; concentration on positive outcomes and communication between institutions and within groups; matching of individuals; consensus on issues; and adherence to deadlines. The major benefits to this partnership are the enhancement of and opportunity for intradisciplinary research. The process provides a study site for the research and prepared faculty to develop it. All of the above elements factors contribute to a collaborative working arrangement and ensure successful outcomes for future projects.

Hospital Administration↗
PubMed1992

Critical care in a baccalaureate program.

The combination of increased patient acuity levels and the nursing shortage has increased the demand for critical care nurses. This situation suggested a need for collaboration between nursing education and practice in order to prepare new graduate nurses to enter practice in critical care areas. Faculty from a baccalaureate program and educators and administrators from acute care agencies formed an advisory committee to develop a critical care elective to be offered concurrently with the last clinical preceptorship experience in the baccalaureate sequence. Evaluations of the course revealed that students felt that the course increased their knowledge base and affected their decision to seek employment in critical care as a graduate nurse. The agencies found that the course facilitated recruitment and enhanced the smooth transition of graduate nurses into critical care. Through mutual collaboration between education and service, benefits to the health care system were extended.

Critical Care↗
PubMed1990

Academic predictors of success on the NCLEX-RN examination for associate degree nursing students.

The purpose of this study is to examine the relationship between selected admission variables (entrance GPA, ACT subtests scores in English and mathematics, composite ACT scores), age, perception of role strain, achievement in clinical and nursing courses, achievement on NLN examinations, exit GPA, and performance on NCLEX-RN examination. Data were attained from records of 146 associate degree graduates who were admitted to a specially-designed associate degree program in nursing and on those graduates who wrote the NCLEX-RN examination in July 1987 and July 1988. Pearson product moment correlations and stepwise multiple regression analyses were used to identify the relationship between the predictor variables (admission criteria, age, perception of role strain, achievement in clinical and nursing courses), achievement on NLN examinations, exit GPA, and the criterion variable (scores on the NCLEX-RN examination). The best predictor for performance on the NCLEX-RN of the selected admission variables, age, perception of role strain, and exit GPA, were exit GPA (R = .71) and ACT composite scores (R = .75). The ACT math, ACT English scores, entrance GPA, age, and perception of role strain, had no predictive value. The best predictor for performance on the NCLEX-RN of nursing theory course and clinical course grades were the two theory courses in the second year of the program NUR 2712 (R = .77) and NUR 2713 (R = .79). NUR 2711 and 2711L, NUR 2712L, 2713L, and 2813 had no predictive value for success on the NCLEX-RN.(ABSTRACT TRUNCATED AT 250 WORDS)

Age Factors↗
PubMedDate not supplied

Partnership between education and service for psychiatric staff education.

Economic restraints and limited resources have made partnerships between nursing service and nursing education a growing imperative. Although economics are a major consideration in establishing partnerships, there can be other professional advantages to the institution and the community.

Education, Nursing, Continuing↗
PubMedDate not supplied

Design, implementation, and evaluation of an educational program for a new practice model.

Redesigning patient care delivery is vital to the quality of care delivered and has resulted in the development of new nursing practice models that use some form of "nurse extender." In this article, the authors describe the design, implementation, and evaluation of an educational program for a new nursing practice model at a medical center in the Southeast. The major focus of the educational program is the use of modules to train a new nontraditional nurse extender who works in partnership with an RN. The role of the partner in patient care was developed to expedite the provision of a variety of services at the bedside and to help the nurse deliver quality patient care. The training program consisted of five modules: fundamentals of nursing, selected respiratory therapy skills, selected physical therapy skills, electrocardiogram (EKG)/arrhythmia interpretation, and phlebotomy. A major factor in the success of the program was that it was carefully developed and evaluated to meet the needs of students and staff members. This program can serve as a model for other hospitals that plan to use nurse extenders.

Curriculum↗
PubMedDate not supplied

Effects of the partners in care practice model on nursing outcomes.

The purpose of this study was to identify the effects of an empirically-designed nursing practice model on the outcome variables of job satisfaction, autonomy, and retention/turnover of nursing staff. After 6 months significant differences were found on the experimental unit in overall job satisfaction, and on the subscales of job satisfaction in task requirements and perception of pay. Significant differences were found between the control and experimental unit on the Job Satisfaction Index subscales of interaction, task requirements, and autonomy. No significant differences were found in retention/turnover of staff between the experimental and control unit.

Decision Making, Organizational↗