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Biomedical subjects

F E McLaughlin

Publications and source records attributed to F E McLaughlin.

At least 19 recordsLinked to original sources
PubMed2000

Perceptions of registered nurses working with assistive personnel in the United Kingdom and the United States.

This study examines registered nurse perceptions of their role in acute care hospitals that use nursing care assistants (NCA) and unlicensed assistive personnel (UAP). Also studied was registered nurse (RN) satisfaction with nursing care assistants and unlicensed assistive personnel in the United Kingdom (UK) and the United States of America (USA). The purpose of this study is to assist RNs and managers in the re-design of health-care delivery systems by investigating: 1. The differences and similarities of registered nurses in the UK and the USA in the perceptions of changes in the RN role when working with nursing care assistants or unlicensed assistive personnel. 2. The differences between and similarities of registered nurses in the UK and the USA in perceptions of NCA and UAP abilities to perform delegated duties, to communicate pertinent clinical information and to provide more time for professional nursing activities. Registered nurse perceptions in the UK were compared with the findings of a previous study of RN role changes and satisfaction in the USA. Registered nurses in the UK did not perceive a profound change in their role when working with UAP and were more satisfied with their use than were RNs in the USA.

Adult↗
PubMed2000

State and territorial boards of nursing approaches to the use of unlicensed assistive personnel.

This study examined U.S. state and territorial boards of nursing approaches to the regulation of the use of: unlicensed assistive personnel (UAP) in acute care hospitals; state and jurisdictional authority, oversight and disciplinary action related to registered nurse (RN) delegation, supervision and assignment; educational preparation requirements for UAP; and future projections for their use. A survey was administered to 53 state and territorial boards of nursing officials in 1998. A majority of the states reported that they had regulations/guidelines for RN's who supervised UAP and regulations that protected the use of the RN title. Few states used the American Nurses Association or National Council of State Boards of Nursing definitions for delegation, supervision, or assignment. The majority have formulated their own definitions. The majority of states reported no standardized curriculum in place for UAP employed in acute care hospitals. More than half of the states reported that no plans existed for developing a curriculum.

Acute Disease↗
PubMed1997

Registered nurse role changes and satisfaction with unlicensed assistive personnel.

This study examines registered nurse perceptions of changes in the role of the registered nurse and registered nurse satisfaction with the use of unlicensed assistive personnel in acute hospital care delivery systems. Six major functional areas were examined: leadership, communication patterns, health teaching, evaluation activities, care management responsibilities, and unit tasks. Moderate to profound changes were reported in areas relating to the team leader role. Registered nurses reported dissatisfaction with unlicensed assistive personnel's ability to perform delegated nursing tasks, communicate pertinent information, and provide more time for professional nursing activities.

Adult↗
PubMed1995

Changes related to care delivery patterns.

Nurse administrators, faced with a need to increase productivity and reduce costs in response to lower inpatient volumes and increased competition, are restructuring systems of care delivery. A survey of acute care hospitals was conducted to determine the extent of changes in nursing care delivery models, skill mix, assignment of non-nursing personnel to the nursing department, use of unlicensed assistive personnel, and registered nurse role changes in healthcare delivery systems employing unlicensed personnel.

California↗
PubMedDate not supplied

Measurement properties of clinical simulation tests: hypertension and chronic obstructive pulmonary disease.

Reliability and validity of two clinical simulation tests were studied, using a multimethod approach. The instruments were originally tested in a project that compared ability of physicians, nurse practitioners, and public health nurses to provide primary care. Reliability was assessed by comparing test scores of the same subjects on two occasions. Validity was assessed by: 1) comparing test scores of two expert panels and of professional health groups (nurses and physicians) with preprofessional groups (nursing and medical students), 2) comparing test contents with authoritative literature on the disease, and 3) analyzing results of test evaluation by all subjects. Subjects of the original project were compared with those in this study. Both tests were found reliable and valid, corroborating the original project's findings that nurse practitioners and physicians are equally proficient in assessment and treatment of health problems. Findings also lend validity to the tests' developmental model and suggest the usefulness of such tests in nursing and medical education.

Clinical Competence↗