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At least 325 records · Page 18Linked to original sources
PubMed1996

Neonatal nurse practitioners: identity as advanced practice nurses.

OBJECTIVE: To define how neonatal nurse practitioners (NNPs) perceive their identity as advanced practice nurses. DESIGN: Non-experimental descriptive and correlational survey. SETTING: Nationwide random sample drawn from NNPs certified by the National Certification Corporation. PARTICIPANTS: Two hundred fifty-eight neonatal nurse practitioners practicing in neonatal intensive-care units across the United States. MAIN OUTCOME MEASURES: Neonatal Nurse Practitioners indicated on a visual analogue scale at which point their philosophy of practice fell on a continuum from nursing to medicine and specified on a 5-point bipolar Likert scale how various role socialization factors influenced their identity. RESULTS: The NNPs predominantly were certificate-prepared and aligned themselves with a medical philosophy. Those NNPs who were master's-prepared (p < .01), precepted by another NNP (p < .05), espoused a philosophy of nursing (p < .001), belonged to a professional nursing organization (p < .05), and had an NNP role model (p < .001) were more likely to have a strong nursing identity (95% confidence interval). CONCLUSIONS: The issues of role differentiation, socialization, and identity of advanced practice nurses in tertiary care need further exploration. These data support the American Nurses' Association mandate of graduate nursing education for advanced nurse practitioners.

Adult↗
PubMed1995

Parse's theory of human becoming: an alternative guide to nursing practice for pediatric oncology nurses.

The Parse theory of human becoming guides nurses in their practice to focus on quality of life as it is described and lived. Parse's theory is presented here as an alternative approach for nursing practice in pediatric oncology. In this article, the human becoming theory is discussed and the practice dimensions and processes are described and illuminated with an example from nursing practice.

Abdominal Neoplasms↗
PubMedDate not supplied

The "real world" of hospital nursing practice as perceived by nursing undergraduates.

The purpose of this study was to examine the expectations of senior nursing undergraduates in the "real world" of hospital nursing practice, with particular regard to the ethical dimensions of their role. The method was qualitative; specifically, a grounded theory approach was used. The sample consisted of 23 senior baccalaureate nursing students, from a possible population of 120, who were in their final clinical rotation before graduation. Informants were volunteers who gave informed consent, having been briefed on the purposes of the study and how their confidentiality would be protected. Data were collected through audiotaped interviews and clinical logs and analyzed through the constant comparative method. The study concluded that (1) senior nursing students were not naive about the reality of practice; (2) most perceived themselves as fairly powerless; (3) they voiced a commitment to the ethical principle of respect for the client as evidenced by listening, providing information, accepting values, and encouraging a climate for self-determination; (4) they experienced guilt when they did not "say something"; and (5) they expressed disappointment that nurses did not "stand up" for patients.

Adult↗
PubMed2002

Environmental health and nursing practice: a survey of registered nurses.

The purpose of this study was to develop and implement a survey for Registered Nurses (RNs) that explored beliefs regarding environmental health (EH) and nursing practice, perceived preparation related to EH, barriers to addressing EH in practice, and factors that may facilitate integrating EH into nursing practice. Five hundred surveys were mailed, with a 39% return rate. Results indicate that RNs believe the environment and human health are related, but feel poorly prepared to address EH in practice. Barriers and facilitators to integrating EH into practice were found. The need for programs and resources to ensure basic EH education for all nurses was substantiated.

Analysis of Variance↗
PubMed1998

Violations of the nurse practice act: implications for nurse managers.

Violations of nurse practice acts and disciplinary actions against RNs continue to increase. This study profiles the disciplined nurse, describes the prevalence of violations, and qualitatively examines the nurses' experiences with disciplinary action, as well as initiatives that guide nurse managers in addressing the ethical/legal dilemmas nurses face each day.

Adult↗
PubMed2005

Illuminating the clinical nurse specialist role of advanced practice nursing: a qualitative study.

As the advanced practice nursing initiative in Canada gains momentum, effort is being directed towards clarifying and defining advanced practice roles. A qualitative study was undertaken to increase understanding of the clinical nurse specialist role of advanced practice. Sixteen nurses who worked in advanced practice roles, organizing and providing healthcare for children with complex health needs and their families across the continuum of care, participated in in-depth conversations about the nature of their practice, the knowledge that informs it and the factors that influence it. Findings suggest that clinical nurse specialists have a unique role in the organization and delivery of healthcare for specialized populations with complex health needs in their dual focus on the system level of healthcare and on population health needs. Initiatives directed to children and families within the study participants' specialties included program development, consultation and educational outreach and the development of clinical guidelines and policies. Although the nurses described their practice as focusing both on individual children and families and on the population of children and families within their specialty, it is at the population level that they see their greatest potential for contributing to the delivery of high-quality, cost-effective healthcare.

Attitude of Health Personnel↗
PubMed1993

Current nursing practice related to sexuality.

Nurses' practices related to sexuality were examined using the Survey on Sexuality in Nursing Practice (SSNP). The sample consisted of 155 practicing, registered nurses from a variety of practice settings. Twenty percent of subjects indicated they were never involved in any sexuality-related activities and only about 12% addressed sexuality with a majority of their clients. Although subjects consistently identified sexuality as a necessary part of nursing practice, few addressed sexual concerns with clients. Weighted least squares analysis of 12 variables revealed that only those variables measuring practice setting and area, nurses' knowledge, responsibility, and comfort were useful predictors of nurses' practice related to sexuality.

Female↗
PubMed2006

Stress sources in nursing practice. Evolution during nursing training.

A cohort study was carried out in order to evaluate the evolution of nursing students' perception of stressors associated with clinical practice. Sixty-nine students answered the KEZKAK questionnaire about nursing stressors [Zupiria X., Uranga M.J., Alberdi, M.J., Barandiaran, M., 2003b. Kezkak: cuestionario bilingüe de estresores de los estudiantes de enfermería en las prácticas clínicas. Gac. Sanit. 17 (1), 37-51.] at four stages of their studies. The most powerful stressors identified by students both at the beginning and at the end of their studies were: lack of competence, uncertainty and impotence, being harmed by the relationship with patients, emotional involvement, lack of control in relationships with patients, contact with suffering, relationships with tutors and companions, and overload. Nevertheless, most of the stressors were found to lose stressor power during the course of nursing training. The evolution of the perception of stressor power and its implications for nurse training are discussed, and some recommendations based on our findings are provided.

Adult↗
PubMed1993

Determining the appropriate scope of nursing practice for particular practice settings: guidelines for registered nurses: Alberta Association of Registered Nurses.

The depth and breadth of the scope of nursing practice in Alberta places registered nurses in a position where they make a significant contribution to health care. The nature of the contribution of registered nurses in a given practice setting must rely on a determination of the appropriate scope of practice for registered nurses in that setting. That determination should be guided by the principles outlined above, and in accordance with the documents cited in this paper. Within these guiding principles, activities performed by registered nurses in a given practice setting should be mutually agreed upon between health care professionals, should be time constant, and should be driven by the needs and consent of the client, not by the desire for convenience in health care professionals in the practice setting.

Alberta↗
PubMed1985

A programme for developing nurses' skills and nursing practice.

In this paper we describe a programme for developing nursing care for patients with myocardial infarction (MI) and report some results of a study in which applicability and effectiveness of this programme were evaluated. To investigate how the programme influenced nursing practice, nurses' readiness (knowledge, skills, motivation, accountability) to provide care for MI patients was followed for 2 years. Data for the evaluation were collected by questionnaires from three categories of nurses, by analysing nursing documents before and 1 and 2 years after the programme started, and by keeping a continuous diary. This programme made an impact on many variables that measure changes in nursing practice and nurses' readiness to provide care. The implications of this programme for nursing practice, research, education and administration are discussed.

Attitude of Health Personnel↗
PubMedDate not supplied

Accountability: a fundamental component of nursing practice.

The nursing care of the patient makes great demands on nurses' knowledge and skills; the care given must be competent, efficient and effective. In order to achieve this, nurses must have the necessary authority to manage and control their practice. This article seeks to examine the concept of accountability and relates its relevance to everyday nursing practice. A theoretical and critical incident approach is employed to demonstrate the principles surrounding accountability within nursing.

Humans↗
PubMed1996

Knowledge, skills and experiences for community health nursing practice: the perceptions of community nurses, administrators and educators.

Nursing in Canada is committed to preparing all new graduates at the baccalaureate level for entry to nursing practice by the year 2000. This goal has major implications for community health nursing education and practice. Health care reform is also expected to move care out of the hospital and into the community. It was against this backdrop that the researchers mounted a study on the educational preparation needed for graduates to begin to practice community health nursing. In this paper, the knowledge, professional and personal skills, and experiences that graduates need to begin community practice are reported. The study was carried out within an action-research framework. All major groups of stakeholders involved in community health nursing throughout the study province were involved in the project. This included nurses and administrators from two public health agencies (provincial and municipal), home care nurses, home health nurses (i.e. non-governmental visiting nurses), community health centres, provincial health care and nursing consultants, and faculty from two universities. In addition to the generation of relevant research findings for use by the educational institutions, the study was initiated to set the stage for future and ongoing interactions between the researchers and community experts to implement the findings from the project. Data were collected from 118 participants by means of 27 focus groups of community nurses, administrators and educators. Interviews were tape-recorded, transcribed and analysed using latent content analysis and constant comparison techniques. Findings indicated that qualified nurses from university programmes need a wide range of knowledge, skills and experiences to begin to practice community health nursing. Detailed accounts of these requirements are outlined and the implications for practice and education put forward.

Attitude of Health Personnel↗
PubMed2003

Imbedding quality improvement into all aspects of nursing practice.

Influencing nurses to accept and implement best practice and continuous quality improvement into everyday nursing activities and to change practice is a significant challenge for any nursing service. Quality improvement is often considered by clinicians to be yet another task to be added to their already busy workloads. This paper describes the attempts of one large metropolitan tertiary teaching hospital to imbed quality improvement and best practice across the spectrum of its nursing service and to foster a culture of quality within clinical practice and documentation. It outlines the methods used by one hospital to enshrine best practice into all nursing activities and to minimize variations in practice throughout the hospital through the use of its nursing clinical information system.

Benchmarking↗
PubMed1996

The advanced practice nurse in collaborative practice.

Establishing interdisciplinary collaborative practice models is vital to the success of health care reform. Paramount in this assumption is the need to change the roles and relationships between nurses and physicians. To facilitate this change, the authors have prepared a model of collaborative practice based on the concepts of common purpose, professional contributions of practitioners, collegiality, communication, and client-focused practice.

Humans↗