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PubMed2000

How often do high school guidance counselors suggest practical nursing as a career option?

The Centre for Nursing Studies provides practical nursing education in Newfoundland and Labrador. Because applications to the program from direct high school students were consistently low, in 1999 the Centre for Nursing Studies surveyed the provincial high school guidance counselors to determine their perceived knowledge level of the roles and responsibilities of Licensed Practical Nurses and the practical nursing program, the number of times they suggested practical nursing to students and characteristics they believed to be necessary for a practical nurse. There were 168 questionnaires distributed. Fifty (30%) returned questionnaires were analyzed. The results demonstrated that the majority of guidance counselors (66%) receive between 1 to 5 requests for information regarding practical nursing annually. Forty-eight percent suggest practical nursing as a career option 1 to 5 times annually, while an additional 22% suggest it 6 to 10 times. Some of the characteristics identified, by the guidance counselors, to be necessary for practical nurses include good people skills, empathy, hard working, good communication skills, a desire to help others and an interest in health care.

Career Choice↗
PubMed1997

Research in school nursing practice: basic steps in nursing research.

Research is essential to every nurse's clinical practice. There is a reciprocity between nursing practice and research; they inform each other, producing insights about nursing interventions and the impact of nursing interventions on the lives of nursing clients. Nursing research has become a major force in changing nursing practice by solving practice problems and by increasing the body of nursing knowledge. Understanding the research process can assist school nurses to identify the knowledge embedded in the clinical work of other school nurses. This article is directed toward increasing that understanding through a discussion of the general steps of the quantitative research process.

Education, Nursing, Continuing↗
PubMed2006

Activities performed by acute and critical care advanced practice nurses: American Association of Critical-Care Nurses Study of Practice.

BACKGROUND: Accreditation standards for certification programs require use of a testing mechanism that is job-related and based on the knowledge and skills needed to function in the discipline. OBJECTIVES: To describe critical care advanced practice by revising descriptors to encompass the work of both acute care nurse practitioners and clinical nurse specialists and to explore differences in the practice of clinical nurse specialists and acute care nurse practitioners. METHODS: A national task force of subject matter experts was appointed to create a comprehensive delineation of the work of critical care nurses. A survey was designed to collect validation data on 65 advanced practice activities, organized by the 8 nurse competencies of the American Association of Critical-Care Nurses Synergy Model for Patient Care, and an experience inventory. Activities were rated on how critical they were to optimizing patients' outcomes, how often they were performed, and toward which sphere of influence they were directed. How much time nurses devoted to specific care problems was analyzed. Frequency ratings were compared between clinical nurse specialists and acute care nurse practitioners. RESULTS: Both groups of nurses encountered all items on the experience inventory. Clinical nurse specialists were more experienced than acute care nurse practitioners. The largest difference was that clinical nurse specialists rated as more critical activities involving clinical judgment and clinical inquiry whereas acute care nurse practitioners focused primarily on clinical judgment. CONCLUSIONS: Certification initiatives should reflect differences between clinical nurse specialists and acute care nurse practitioners.

Certification↗
PubMed1997

The advanced practice nurse's role in differentiated practice: Martha's story.

The changing health care environment and increasing patient acuity necessitate a coordinated effort among all health care disciplines to assure the best patient outcomes. The advanced practice nurse in the role of case manager is well qualified to serve as the leader of this team. Within the framework of differentiated practice, advanced practice nurses work in tandem with associate and primary nurses to ensure positive quality, financial, and satisfaction outcomes. Clinical expertise and knowledge of systems allow the advanced practice nurse to assist the patient through complex systems to achieve these ends.

Case Management↗
PubMed1995

Humpty Dumpty: reflection and reflective nursing practice.

The recent increase in the amount of published work relating reflection and reflective practice to nurses and nursing practice suggests that nurses value the opportunities which this approach is believed to provide. There also appears to be an underlying assumption that we all share the same concepts, hence the association with Humpty Dumpty. Indications of attempts to mechanize the processes and to endow the perceived skills with an élitism are becoming evident. In contrast, there are other attempts to foster the notion of accepting uncertainty, unpredictability and the opportunity for increased understanding to emerge. In this paper, the roots of some of these concepts are traced. The appropriateness of traditional values and assumptions, based on natural science perspectives, in relation to reflective processes and the practice of nursing is questioned. The development of a multi-faceted approach which takes account of differing contexts and the factors which influence them is suggested.

Humans↗
PubMed1989

The certification process. History and significance for addictions nursing practice.

The addictions nursing certification process will become a reality for the nurse. Ideally, this process will provide a method of ensuring quality care while maintaining self-regulation by the profession. The literature supports certification based on standards of care as a measure of that quality of care and as a voluntary mechanism selected by the practicing nurse. Many professional issues lie ahead for specialty nursing practice in the 1990s. The addictions nursing certification established by the NNSA offers a quality basis for certification implementation. The addictions nursing practice certification credential can provide the acknowledgement that the nurse has mastered a body of knowledge and skills reflective of a specialty nursing area.

Certification↗
PubMedDate not supplied

Aesthetics in nursing practice and education.

Nursing's historical commitment to holistic ways to come to know and understand through multiple modes of awareness necessitates an expansion of nursing assessment, intervention, and educational strategies. Aesthetic modalities in nursing practice expand our understanding of the human condition of the clients for whom we care and enhance our awareness of the meaning of being alive in health-illness situations. As a method of assessment and intervention, aesthetics provides unique means through which clients and nurses can explore personal perceptions of aspects of their world and fosters a creative sense of self-awareness. It is proposed that aesthetic techniques in nursing practice and education bring forth unique patterns of understanding that defy conventional communication and nursing therapeutic techniques. Further, the use of aesthetics in nursing practice begins during the educative process. The incorporation of aesthetic knowing into nursing education fosters caring, compassion, and fluidity in practice.

Education, Nursing↗
PubMedDate not supplied

Toward standard classification schemes for nursing language: recommendations of the American Nurses Association Steering Committee on Databases to Support Clinical Nursing Practice.

The American Nurses Association (ANA) Cabinet on Nursing Practice mandated the formation of the Steering Committee on Databases to Support Clinical Nursing Practice. The Committee has established the process and the criteria by which to review and recommend nursing classification schemes based on the ANA Nursing Process Standards and elements contained in the Nursing Minimum Data Set (NMDS) for inclusion of nursing data elements in national databases. Four classification schemes have been recognized by the Committee for use in national databases. These classification schemes have been forwarded to the National Library of Medicine (NLM) for inclusion in the Unified Medical Language System (UMLS) and to the International Council of Nurses for the development of a proposed International Classification of Nursing Practice.

American Nurses' Association↗
PubMed2002

Cross-mapping the ICNP with NANDA, HHCC, Omaha System and NIC for unified nursing language system development. International Classification for Nursing Practice. International Council of Nurses. North American Nursing Diagnosis Association. Home Health Care Classification. Nursing Interventions Classification.

Nursing language plays an important role in describing and defining nursing phenomena and nursing actions. There are numerous vocabularies describing nursing diagnoses, interventions and outcomes in nursing. However, the lack of a standardized unified nursing language is considered a problem for further development of the discipline of nursing. In an effort to unify the nursing languages, the International Council of Nurses (ICN) has proposed the International Classification for Nursing Practice (ICNP) as a unified nursing language system. The purpose of this study was to evaluate the inclusiveness and expressiveness of the ICNP terms by cross-mapping them with the existing nursing terminologies, specifically the North American Nursing Diagnosis Association (NANDA) taxonomy I, the Omaha System, the Home Health Care Classification (HHCC) and the Nursing Interventions Classification (NIC). Nine hundred and seventy-four terms from these four classifications were cross-mapped with the ICNP terms. This was performed in accordance with the Guidelines for Composing a Nursing Diagnosis and Guidelines for Composing a Nursing Intervention, which were suggested by the ICNP development team. An expert group verified the results. The ICNP Phenomena Classification described 87.5% of the NANDA diagnoses, 89.7% of the HHCC diagnoses and 72.7% of the Omaha System problem classification scheme. The ICNP Action Classification described 79.4% of the NIC interventions, 80.6% of the HHCC interventions and 71.4% of the Omaha System intervention scheme. The results of this study suggest that the ICNP has a sound starting structure for a unified nursing language system and can be used to describe most of the existing terminologies. Recommendations for the addition of terms to the ICNP are provided.

International Council of Nurses↗
PubMed1997

Theory-based nursing practice.

Theory provides nurses with a perspective with which to view client situations, a way to organize the hundreds of data bits encountered in the day-to-day care of clients, and a way to analyse and interpret the information. A theoretical perspective allows the nurse to plan and implement care purposefully and proactively. When nurses practice purposefully and systematically, they are more efficient, have better control over the outcomes of their care, and are better able to communicate with others. Health care agencies can designate a specific nursing theory to guide the nursing practice within the entire organization. The critical component in choosing a nursing theory for an organization is the 'fit' between the philosophical assumptions of the organization and the theory. Modelling and role-modelling, a theory and paradigm for nursing, can be implemented in any setting. Hospice is a concept of care, not a place. Hospice care illustrates the excellent 'fit' between an existing philosophy of care and theory-based nursing practice. The 'fit' is based on the similarity of the philosophical assumptions of hospice and the nursing theory of modelling and role-modelling.

Aged↗
PubMed1989

Towards ethical decision-making in nursing practice.

This article explores some nursing research done by the author illustrating nurses' experiences with decision-making in ethical issues. The article then looks at how we can foster ethical decision-making in nursing practice. Nurses in the author's study described their experience of decision-making in relation to the ethical issue of prolongation of life. The results of the study portrayed nurses' descriptions in terms of an overall theme of senselessness. Senseless decision-making was a major finding in the study and included inadequate involvement of the patient, inadequate involvement of the family, inadequate involvement of the nurse, and fragmentary team decision-making. Nurses' descriptions of a senseless decision-making process are examined by the author in terms of conflict and powerlessness. The author concludes by reviewing recent nursing literature suggesting how we can move from senseless to ethical decision-making in nursing practice.

Decision Making↗
PubMed2004

Advanced practice nursing roles: development, implementation and evaluation.

AIM: The aim of this paper is to discuss six issues influencing the introduction of advanced practice nursing (APN) roles: confusion about APN terminology, failure to define clearly the roles and goals, role emphasis on physician replacement/support, underutilization of all APN role domains, failure to address environmental factors that undermine the roles, and limited use of evidence-based approaches to guide their development, implementation and evaluation. BACKGROUND: Health care restructuring in many countries has led to substantial increases in the different types and number of APN roles. The extent to which these roles truly reflect advanced nursing practice is often unclear. The misuse of APN terminology, inconsistent titling and educational preparation, and misguided interpretations regarding the purpose of these roles pose barriers to realizing their full potential and impact on health. Role conflict, role overload, and variable stakeholder acceptance are frequently reported problems associated with the introduction of APN roles. DISCUSSION: Challenges associated with the introduction of APN roles suggests that greater attention to and consistent use of the terms of the terms advanced nursing practice, advancement and advanced practice nursing is required. Advanced nursing practice refers to the work or what nurses do in the role and is important for defining the specific nature and goals for introducing new APN roles. The concept of advancement further defines the multi-dimensional scope and mandate of advanced nursing practice and distinguishes differences from other types of nursing roles. Advanced practice nursing refers to the whole field, involving a variety of such roles and the environments in which they exist. Many barriers to realizing the full potential of these roles could be avoided through better planning and efforts to address environmental factors, structures, and resources that are necessary for advanced nursing practice to take place. CONCLUSIONS: Recommendations for the future introduction of APN roles can be drawn from this paper. These include the need for a collaborative, systematic and evidence-based process designed to provide data to support the need and goals for a clearly defined APN role, support a nursing orientation to advanced practice, promote full utilization of all the role domains, create environments that support role development, and provide ongoing evaluation of these roles related to predetermined goals.

Humans↗
PubMedDate not supplied

[Psychiatric nursing practice in Ceara and its relationship with socio-historical contexts].

The study focuses on the practice of nursing assistance in psychiatric in Ceará. The data was collected by interviews and documents regarding history of nursing and of the assistance psychiatric in Ceará. On conclusion, the nursing practice is essentially supervision to the nursing team in delivering psychiatric medicine. The nursing practice has specific data to be considered on its study as whole: the relationship between psychiatric assistance and society.

Brazil↗