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Faculty and internships. A match made in heaven?

An internship program was developed for new graduate nurses hired in the critical care area. Program goals included facilitating growth and development of 21 newly graduated BSN nurses to prepare them to care for a critically ill adult. The program design included the support and guidance of university faculty for a 3-month period. The program content included planned observational, didactic, and clinical precept experiences. Interns were evaluated according to clinical logs, didactic examinations, and preceptor assessments. At completion of the program, all interns were hired by the participating hospital. Two interns elected to take medical-surgical positions. The remaining interns accepted positions within the critical care and "step-down" areas.

Adult↗

New graduate RN internship program: a collaborative approach for system-wide integration.

Population growth and aging increase the demand for skilled nurses. Hospitals face the challenge of supplying experienced and qualified caregivers. The cost of training new nurses remains significant. Nursing educators are pivotal in developing the nursing workforce, especially under tightening constraints. This article examines the development of a nursing internship program aimed at attracting and retaining newly graduated nurses and its effect on retention to the institution.

Cooperative Behavior↗

Operating room registered nurses internship program. A recruitment and retention strategy.

The acute nursing shortage, particularly in perioperative nursing, was a driving force for the creation of a registered nurse (RN) internship program. The program was developed according to the Association of periOperative Nurses (AORN) Standards and Recommended Practices and national practice. Program evaluations led to positive changes in the program. This article describes the process that was followed and the unique features of the program.

Education, Nursing, Continuing↗

Creation of a stepdown nurse internship program.

Within Christiana Care Health System, an opportunity evolved to develop a nurse recruitment strategy for our stepdown units. Being a large teaching system, there was specific need for nursing education at this entry level. Through collaboration of nursing colleagues, the Stepdown Nurse Internship Program was created. The program encompassed clinical orientation and didactic classes. Of notable significance at the completion of the program were the Basic Knowledge Assessment Test score improvement and the nurse retention rate.

Curriculum↗

The Neuroscience Nurse Internship Program: the description.

This article describes the Neuroscience Nurse Internship Program (NNIP) and its implementation at the National Institutes of Health (NIH) Clinical Center in Bethesda, MD. The program, developed in 1988, is designed to prepare nurses to deliver care to persons with nervous system disorders. The program comprises 6 months of lecture and clinical instruction in the country's most well-known biomedical research center. In order to complete the program, nurse-interns must receive a passing grade of 90% or higher on all written tests and achieve satisfactory completion of all clinical assignments. NNIP is cosponsored by the NIH Clinical Center Nursing Department and the National Institute of Neurological Disorders and Stroke (NINDS). Nurses interested in NNIP may apply by submitting an application and a letter of interest to the Clinical Center Human Resources Department. Evaluation of the program is conducted on a regular basis and consists of both process and outcome assessments.

Curriculum↗

Evaluation of the Neuroscience Nurse Internship Program: the first decade.

This article describes the evaluation of the Neuroscience Nurse Internship Program (NNIP). The NNIP was initiated in 1988 by the National Institutes of Health Clinical Center to meet the demand for highly skilled nurses to care for persons with nervous system disorders. To determine whether the program was meeting its goals, an evaluation component was incorporated into the program. The evaluation process was based on the RSA Model of Continuing Education for nursing. The RSA model consists of four basic components, three of which were included in the assessment of the NNIP--process, content, and outcome. The evaluation revealed that the nurse-interns were satisfied with the lectures and clinical content of the program. Moreover, the nurse-interns improved their knowledge of neuroscience nursing and their confidence in performing neuroscience nursing skills. Information from the evaluation was used to modify the structure of the program and to refine lecture content and clinical requirements.

Adult↗

Predictors of depression during the first 6 months of internship.

Fifty-five interns, representing 71% of the medicine, obstetrics-gynecology, surgery, and pediatric interns at one medical center for one year, participated in interviews involving the Schedule for Affective Disorders and Schizophrenia-Research Diagnostic Criteria (RDC) and Family History-RDC and completed symptom and attitudinal scales at 6-month intervals. Fifteen (27%) developed a depressive syndrome during the first 6 months of internship. Parental history of depression and high scores of trait neuroticism were significantly associated with onset of depression, but personal history of psychopathology, low capacity for experiencing pleasure, and workload were not.

Adult↗

Data-driven assessment of teacher candidates during their internships in deaf education.

Deaf education teacher training programs have received criticism for graduating students with gaps in knowledge and skills required for specific placements. The National Council for Accreditation of Teacher Education (NCATE) requires that accredited programs engage in self-study, and NCATE guidelines require programs to collect valid, reliable evidence of teacher candidate performance and candidates' effect on student learning. In the present study, an ecobehavioral assessment computer program, MS-CISSAR (Mainstream Code for Instructional Structure and Student Academic Response), was used in evaluations of 8 teacher candidates during internship experiences. Results were mixed. Some of the instructional arrangements, teaching behaviors, and student responses resembled those found in studies using in-service teachers as subjects; however, some data revealed a need for changes in instruction. Data gathered with MS-CISSAR could be added to evaluations to help training programs meet NCATE requirements for evidence on teacher candidate performance and candidates' effect on student learning.

Accreditation↗

Responses by graduates to memory of their internship in clinical psychology.

This study is a two-part investigation of clinical psychology internship training at the William S. Hall Psychiatric Institute. The first part surveyed 25 intern graduates to identify the relationship between experiences as an intern and current professional activities. Results are related to findings from other research in training clinical psychologists. The second part pertains to suggestions of intern graduates for specific additions and revisions of intership training at the Institute.

Attitude↗

Internship programs for high-tech, high-touch home care.

An innovative internship program developed by Creighton University's School of Nursing assists professional nurses with the knowledge and skills needed to care for high-tech clients in the hospital or home.

Community Health Nursing↗

[Certain results of training of physicians-pathologists through internship].

The article discusses the experience in the post-graduate training of medical personnel in pathological anatomy in internship organized at the centralized prosectorium of the Poltava Regional Clinical Hospital. The Base has been found to fulfil its task quite satisfactorily. The centralized prosectorium has been serving a hospital fund amounting to 2755 beds. Annually, over 700 autopsies and 30 000 investigations of operative, bioptic and section materials are being performed in the prosectorium. A close contact of the regional specialist with the regional (oblast) public health department and his personal participation in the oppointment of medical graduates as prosectors are of importance in adequate staffing of medical institutions with prosectors.

Autopsy↗

An organizational model of community health agencies for health education internships.

An essential element in the preparation of aspiring health care professionals is the internship experience. It is usually identified, by student and professionals alike, as the single most important aspect of training. The selection of any agency which provides such a vital function, however, can be confusing. There are thousands of different community health agencies which are specifically concerned with a particular aspect of human health for some designated subset of the general population. These agencies range from the well known giants like the World Health Organization, the American Cancer Society, and the National Institutes of Health, to the less well know but equally important agencies like Compassionate Friends and the National Atoxia Foundation. The purpose of this article is to identify a classification system that will organize the seemingly disparate health care industry. It is hoped that this system will enable users, such as aspiring young professionals seeking field placement or employment, or local consumers seeking assistance for a health problem, to distinguish among the plethora of agencies, institutions, and organizations concerned with health/medical care and make intelligent choices concerning their selection and utilization.

Foundations↗

Health Care Financing Administration--Medicare program; reimbursement for costs of approved internship and residency programs. Final rule.

This final rule amends the regulation governing Medicare payments to providers of services for their costs of approved educational activities. Under the current regulation, providers are required to deduct all grants designated for specific education programs from their costs of those programs in claculating their costs that are reimbursed by Medicare. Under the amended regulation, providers will not be required to deduct grants for primary care internship and residency programs. The rule is intended to avoid nullifying the purposes of specific grants for these programs. The amended rule will also apply to Medicaid payments in those States that pay for costs of educational acitivities on the same basis as Medicare.

Internship and Residency↗

[Career in medicine and elective internship: a cohort study].

A study of career choice was undertaken with students of the new curriculum of the University of Brasilia Medical program that graduated from 1994 to 1997. The purpose was to assess the impact of selective training during the internship on the choice of medical residency and the relationships with some selected personal and academic factors. Data from 196 participants were obtained at the beginning of the medical program, after registration for the elective, and after the medical residency examination. Chi-square tests and logistic regression analysis were applied to the data. Results showed that about 74% of the choices for medical residency favor four specialties: internal medicine, general surgery, pediatrics and obstetrics-gynecology and define a demand profile compatible with the offer profile. Regression analysis with three predictor variables revealed that selective training was the strongest influence in each case. The other variables showed independent but weaker association: sex (general surgery and internal medicine) and initial preference (general surgery and pediatrics). Another analysis verified that initial preference was the main influence in the choice of selective training. Three other factors (learning style, self-confidence as a learner, and grade point average) showed weak association with some areas of selective training or specialty choice. In conclusion, the study confirmed the hypothesis of the prediction power of the selective training on career choice and revealed other distinct influences.

Career Choice↗

On the path from student to practitioner: testing the water before the internship.

Individuals entering careers in environmental health or safety must either decide to be generalists or must specialize in one of several diverse areas. At Illinois State University, the Environmental Health Program and the Safety Program coordinate one-day student-practitioner partnerships that provide students with the opportunity to observe professionals in the field. These partnerships are called "Professional Days" and help students experience a potential carrier before beginning an internship. The authors discuss how the visits are coordinated, what role workplace visits play in students' selection of career paths, and how both students and employers evaluate the experience.

Career Choice↗

The pediatric internship as a teaching technique: a comparison of learning experiences in five hospitals.

Five interns joined in a collaborative study to assess their learning experiences during the internship year. A 3 times 5-inch data form was completed for each patient for whom the intern was responsible. Information was gathered on demongraphic characteristics of the patient, the teaching that involved this patient, and what skills were acquired. Nearly 30% of the patients were under 1 year of age; 55% were boys. More than one half of the contacts were in an outpatient or emergency department. Over 80% of the patients had not been seen before; continuity patients made up less than 9% of the contacts. Well-child care was the largest care category (19%), followed by respiratory problems (15%) and injuries (9%). About 40% of the contacts involved a teaching input, mainly from residents, attending physicians, and faculty. Care skills most frequently acquired were physical examination (49%), reading (15%), and interviewing (11%). Cross-tabulations showed that most learning was reported for inpatients, for patients with rare diseases, and when some teaching was involved.

Child↗

Two successful models for preparing competent critical care nurses. The Parkland Health and Hospital System Critical Care and Trauma Nurse Internship and Critical Care Residency.

Part of the mission statement of Parkland Health and Hospital System involves participating in educational programs dedicated to the art and science of caring for the sick and injured, the promotion of wellness, and the delivery of health services. The concept of the Nurse Internship and Nurse Residency fits well in the framework of this hospital. The continued support of these programs from the PHHS administration is visible evidence of the institution's commitment to excellence. Together these programs provide a continual supply of competent critical care practitioners to meet the never-ending demand in this large county facility as well as opportunities for new graduates to begin the exciting and rewarding journey into critical care nursing.

Critical Care↗

Highlights from the Hill: NIWI: the Nurse in Washington Internship Program--a call to all SOHN members.

Recent findings from the membership survey conducted in 2002 by the Society of Otorhinolaryngology and Head-Neck Nurses (SOHN) revealed that many members of SOHN were unfamiliar with the Nurse in Washington Internship program (NIWI). SOHN has been participating in the NIWI endeavor since the late eighties. To date, SOHN's NIWI interns have been either active members of the Government Relations Committee or the President-Elects of the Society. At the January 2003 Mid-Winter Board Meeting, the Board of Directors voted to expand the opportunity for participation in NIWI to SOHN's members-at-large. This article provides a brief overview of the NIWI program and describes the plan for extending this opportunity to the general membership.

District of Columbia↗