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Biomedical subjects

S V Dunn

Publications and source records attributed to S V Dunn.

25 records · Page 2Linked to original sources
PubMed1995

The development of a clinical learning environment scale.

Within nursing, there is a strong demand for high-quality, cost-effective clinical education experiences that facilitate student learning in the clinical setting. The clinical learning environment (CLE) is the interactive network of forces within the clinical setting that influence the students' clinical learning outcomes. The identification of factors that characterize CLE could lead to strategies that foster the factors most predictive of desirable student learning outcomes and ameliorate those which may have a negative impact on student outcomes. The CLE scale is a 23-item instrument with five subscales: staff-student relationships, nurse manager commitment, patient relationships, interpersonal relationships, and student satisfaction. These factors have strong substantive face validity and construct validity, as determined by confirmatory factor analysis. Reliability coefficients range from high (0.85) to marginal (0.63). The CLE scale provides the educator with a valid and reliable instrument to evaluate affectively relevant factors in the CLE, direct resources to areas where improvement may be required, and nurture those areas functioning well. It will assist in the application of resources in a cost-effective, efficient, productive manner, and will ensure that the clinical learning experience offers the nursing student the best possible learning outcomes.

Adolescent↗
PubMed1993

Clinical decision making: a primer for preceptors.

The ability to apply the critical care nurses' knowledge, skills and attitudes to patient care requires clinical decision making at all phases of the patient-nurse interaction. As a novice critical care nurse, the patient care environment is often so complex as to overwhelm the orientee and prevent effective clinical decision making. This article includes a review of current strategies for teaching clinical decision making with special reference to critical care nursing. Relevant theoretical concepts in clinical decision making are applied to the clinical setting, particularly the orientation of novice critical care nurses. The approach is practical, with suggestions for the preceptor involved in the orientation process. As critical care nurses, we spend a major portion of our professional lives making decisions which will, to a greater or lesser extent, influence the hearts, the minds, and often the very survival of others. The process by which we make these decisions is sometimes mysterious even to the person making them. In order to improve our own decision making ability, and to enable us to teach new critical care nurses the skills needed in the critical care setting, we must explore and "demystify" this process.

Clinical Competence↗
PubMedDate not supplied

Patient satisfaction with an outpatient endoscopic service.

The competitive health care market, increasing demand for patient involvement in establishing directions for health care and implementation of hospital accreditation have all driven hospitals toward evaluation of patient satisfaction with the service they receive from the health care venue. Although the concept of patient involvement in health care evaluation and quality assurance is not new, relatively little literature exists on patient satisfaction with outpatient endoscopic services. This study was designed to explore patient satisfaction with endoscopic services and factors influencing their perceptions. The sample (N = 151) included patients undergoing outpatient endoscopic examination over a 1-month period. The 14-item questionnaire included demographics and patients' perceptions of their experiences pre, interim, and postprocedure. Patients' age, referral source, procedure characteristics, perception of the quality of preprocedure information all influenced perceptions of the service provided by the endoscopic unit. Overall, service satisfaction was good. The results of this study have provided the multidisciplinary team with direction for planning improvements in care, and they may be relevant to other outpatient endoscopic services.

Adolescent↗
PubMedDate not supplied

Novice critical care nurses' affective responses to orientation.

To provide the best possible learning experience for orientees, staff development educators must be aware of the affective responses of orientees to the orientation period. In this article, the authors use an adult education framework to describe a research study of these responses, and they make suggestions for the application of the results.

Affect↗