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Biomedical subjects

L M Simms

Publications and source records attributed to L M Simms.

15 recordsLinked to original sources

The professional practice of nursing administration. Integrated nursing practice.

The role of the nurse executive is dynamic, requiring a high degree of leadership skill and managerial competence linked with clinical nursing knowledge and research. Preparation for the role requires an integrated curriculum in nursing administration and life span leadership development. Recognition of the professional level of differentiated practice as nursing administration is essential if professional nursing is to remain vital in the 21st century. Transformed schools should be named schools of nursing administration, and the new product should be the nurse executive who has the ability to function in a wide variety of settings on earth and in space.

Clinical Competence

Are they ready? Discharge planning for older surgical patients.

1. With ever-increasing cost containment, patients are being discharged from the hospital earlier. 2. The majority (96%) of elderly patients (average age 70 years) in this study, after abdominal and cardiac surgery, thought they were ready to be discharged. 3. Surgical patients' level of functional ability was significantly improved from predischarge to postdischarge. There were no significant differences in their pain, strength, knowledge, and mood levels. 4. Predominantly non-nursing functions (eg, transportation, housekeeping) were identified as areas of needed help at home for elderly patients after surgery.

Aged

A perspective: the external degree as a viable educational model in nursing.

The external degree is not new in higher education. However it has not as yet been fully developed. Its usefulness has been demonstrated at the undergraduate level where students are able to move up the career ladder to licensure or degree. It appears to be a viable alternative for nurses seeking educations at the masters level also. By definition it is a nontraditional method of delivery. Nursing as a profession abounds with nontraditional potential students. The author has made no attempt to sell the "external degree" to nursing educators. The focus has been on heightening the awareness of readers to this rapidly developing change in higher education. In a time when concepts such as recurrent education, part-time students, credit for life and work experience, meaningful education and the adult student are much discussed in higher education, nursing educators should not be left behind. The external degree, modified or unmodified may well be the mechanism needed for providing quality education for nurses with varying backgrounds.

Adult

Breaking the burnout barrier: resurrecting work excitement in nursing.

An exploratory study of 168 nurses has yielded a new dimension of practice patterns, work excitement, a prerequisite to effective practice and quality care. Four reasonable and attainable factors were found to be significant predictors of work excitement: work arrangements; a learning environment that fosters individual growth and development; variety of experiences; and positive working conditions.

Adult

Caring for older people: a challenge for nurse administrators.

The findings of this exploratory study emphasize the importance of communication between and among nurse administrators in various settings for patient education, staff development and coordination of services to provide continuity of care for older people. The nurse administrator in all settings is in a key position to seek internal and external funding for creative programs and establishing standards for care. This study has merely tapped the surface; much more research needs to be carried out, especially in nursing homes, to understand the complex health problems of older people.

Administrative Personnel

Career advancement of nurse executives: planned or accidental?

This exploratory study has examined the effect of selected characteristics on the career advancement patterns of nurse executives in service and educational settings. The findings are not consistently in agreement with those of other researchers. For example, Hall et al. found that nearly two-thirds of nursing deans had planned their careers to attain that position. In this study, however, eighty-three percent of the respondents indicated that they had not planned their career advancement, but had simply taken opportunities that had come their way. The influence of others was important in the career advancement of these administrators. Many individuals, including faculty and nursing service colleagues, nursing directors, deans, and non-nursing administrators supported the respondents' personal and professional development through role modeling, teaching skills, and encouragement. Deliberate career planning and education in administration were, for the most part, lacking. Although the sample is too small to generate general conclusions about the universe of nurse executives, this does suggest that it is not uncommon for deans and service administrators to learn necessary skills on the job.

Administrative Personnel