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Relationship of a preceptorship experience to the views about nursing as a profession of baccalaureate nursing students.

In nursing education, preceptorship experiences have gained much popularity as a teaching/socializing strategy. This strategy is assumed to assist students in bridging the practice-theory gap and in becoming socialized to the professional role of the nurse but there has been minimal research on the effectiveness of the strategy in the professional socialisation of nursing students. This study examined the effects of a preceptorship experience on baccalaureate nursing students' perceptions about professional nursing before and after 4-week and 7-week preceptorship experiences. Variables such as the length of the experience and the educational preparation of preceptors were included to determine their influence on students' perceptions of the professional role. A pre-test/post-test design was used. Senior baccalaureate nursing students with a preceptorship component in their program formed the non-randomised convenience sample (n = 103). Data collection was through the administration of the Valiga Concept of Nursing Scale (1982). Results showed that, while there were no significant differences in students' perceptions after a 4-week preceptorship experience, a significant difference was found after the 7-week preceptorship experience. Interestingly, no significant differences were discerned when the two groups were compared post preceptorship. The students paired with baccalaureate prepared nurses had a significantly greater increase in score than the students paired with diploma prepared nurses.

Adult↗

Multiculturalism and transcultural nursing in Australia.

The author looks at Australia's multicultural society and identifies the failure of the nursing profession to provide nursing services that meet the commitment of Australia to preserve the cultural backgrounds and meet the needs of the people nurses serve. The author suggests ways in which this problem can be addressed. It is argued that there is a need to ensure that transcultural nursing services are recognized and made accessible to people from diverse cultural backgrounds. Nurses need educational preparation to provide them with the knowledge, skills, and attitudes essential to work with people from different cultures. Moreover, the cultural profile of the nursing profession should approximate those served. Nurses today must recognize these critical needs and be committed to provide transcultural nursing care that is so essential in Australia's multicultural society.

Australia↗

State involvement in professional nursing development in Israel: promotive or restrictive.

This article describes the role of the Israeli Ministry of Health's Nursing Division in regulating the development of the nursing profession and the nursing care provided. First, factors influencing professional nursing in Israel and the development of the Ministry of Health's Nursing Division are presented. Then, examples of the Nursing Division's influence on nursing practice, the process of statutory authorization used to facilitate this influence, and future Nursing Division initiatives are discussed. The article concludes by noting that, on balance, ministerial (governmental) involvement strengthens the nursing profession and the quality of nursing care provided, yet may also restrict nurses' private concerns.

Cross-Cultural Comparison↗

Reconstructing a health system and a profession: priorities of Iraqi nurses in the Kurdish region.

To evaluate nurses' priorities for health system reconstruction and professional development in Iraq, a survey of 744 Iraqi nurses was conducted, with the research process managed via the Internet. Seven definite priorities emerged along with significant differences in priorities related to years of experience, age, speciality area of nursing practice, gender, level of education, and geographic location of practice. Results indicate that nurses should be included in health system reconstruction processes and that support for the development of the nursing profession should be included in the plan for overall reconstruction.

Attitude of Health Personnel↗

Factors influencing career decisions: perspectives of nursing students in three types of programs.

The purpose of this study was to describe the effects of motivating factors and characteristics of the nursing profession on students selecting nursing as a career. Students from three types of programs in North Carolina (N = 495) were asked to complete a survey during the first month of their nursing program. Motivating factors influencing the decision to become a nurse were past experience with a loved one or self being ill and/or hospitalized, past health care work experience, and having a family member or friend who was a nurse. Characteristics about the nursing profession influencing career decisions were care and concern for others, job security, and variety of work settings. None of the motivating factors nor characteristics of the nursing profession differed among students from each program type. Data from this survey can be used to developed appropriate recruitment strategies for each program type.

Adult↗

Partnership economics: nursing's challenge in a quantum age.

While the task of ascribing economic value to human caring is incredibly complex, Eisler (1998) reminds us that economic systems can and do change--and all our economic institutions are human creations. Humans can create new economic rules that recognize caring as the most foundational economically productive work (Eisler, 1998). In selected situations, the work of nursing has enormous economic value and new research continues to emerge which support our intuitive beliefs about the economic value of nursing's work (Levinson, Roter, & Frankel, 1997; Revans, 1964; Salmond, 1972). The future of health care requires that this work continues. The value of developing conscious economic inventions for nursing has the potential to assist nursing in its cost-effectiveness analysis, document the economic value of caring behaviors, inspire recruitment, and decrease the number of nurses leaving the profession. Nursing is challenged to shift its consciousness to one that is based on the value equation of quality, cost, and service. We are challenged to recognize the need to build a more equitable and humane economic system that gives real value to the work of caring, and to partner with other health care leaders, policy analysts, and economists in the process. Ultimately, developing economic measurements for the redefined work in nursing will require significant changes in economic measurements, institutions, rules as well as social norms, customs, and laws to quantify those goods not traditionally valued. The focus and energy of the nursing profession must move beyond overwhelming notions of loss and change; to challenging leadership to actively write and produce a better script for health in America beyond what we have developed over the past century. Indeed, this work is the requisite for the profession if what our children receive is the next level of enhancement from that which this generation obtained. It is no longer an option in creating a preferred future, it is nursing's mandate.

Economics, Nursing↗

Modelling nursing activities: electronic patient records and their discontents.

A fully integrated and operating EPR in a clinical setting is hard to find: most applications can be found in outpatient or general practice settings or in isolated hospital wards. In clinical work practice problems with the electronic patient record (EPR) are frequent. These problems are at least partially due to the models of health care work embedded in EPRs. In this paper we will argue that these problems are at least partially due to the models of health care work embedded in current EPRs. We suggest that these models often contain projections of nurses' and doctors' work as it should be performed on the ward, rather than depicting how work is actually performed. We draw upon sociological insights to elucidate the fluid and pragmatic nature of healthcare work and give recommendations for the development of an empirically based EPR, which can support the work of nurses and other health care providers. We argue that these issues are of great importance to the nursing profession, since the EPR will help define the worksettings of the future. Since it is a tool that will impact the development of the nursing profession, nurses have and should have a stake in its development.

Humans↗

High tech cheating.

The use of technology has enhanced the convenience, flexibility, and efficiency of both preparatory and continuing education. Unfortunately, academic dishonesty, including plagiarism, has shown a positive correlation with the increased use of technology in education. A review of the literature related to unintended outcomes of the use of technology in nursing education and continuing education was conducted to determine the ethical implications for the nursing profession. Although nursing research dealing with academic and professional misconduct is sparse, evidence suggests that academic dishonesty is a predictor of workplace dishonesty. Given this correlation between unethical classroom behavior and unethical clinical behavior, efforts to staunch academic dishonesty may help allay professional misconduct. A combination of high tech and low tech methods may be used to minimize unethical behaviors among students and practicing professional nurses in order to maintain the integrity of the profession.

Attitude of Health Personnel↗

[Campaign in order to attract nursing students].

During the late 1940s there was a shortage of nurses in Denmark. The Danish Council of Nurses (DSR) initiated a campaign in order to attract nursing students. This and other campaigns show the dilemmas within the nursing profession in this period. At the same time discussions on the future of the nursing profession took place and ministerial committees worked on the establishment of a countrywide uniform training for nurses. The campaigns highlighted on one side the traditions in the nursing profession, i.e. the feminine ability for care, which is based upon the feminine distinctive character. On the other side the campaigns pointed towards the future nursing profession, which is based upon professionalism and knowledge based upon schooling.

Advertising↗

Nursing constraint models for electronic health records: a vision for domain knowledge governance.

Various forms of electronic health records (EHRs) are currently being introduced in several countries. Nurses are primary stakeholders and need to ensure that their information and knowledge needs are being met by such systems information sharing between health care providers to enable them to improve the quality and efficiency of health care service delivery for all subjects of care. The latest international EHR standards have adopted the openEHR approach of two-level modelling. The first level is a stable information model determining structure, while the second level consists of constraint models or 'archetypes' that reflect the specifications or clinician rules for how clinical information needs to be represented to enable unambiguous data sharing. The current state of play in terms of international health informatics standards development activities is providing the nursing profession with a unique opportunity and challenge. Much work has been undertaken internationally in the area of nursing terminologies and evidence-based practice. This paper argues that to make the most of these emerging technologies and EHRs we must now concentrate on developing a process to identify, document, implement, manage and govern our nursing domain knowledge as well as contribute to the development of relevant international standards. It is argued that one comprehensive nursing terminology, such as the ICNP or SNOMED CT is simply too complex and too difficult to maintain. As the openEHR archetype approach does not rely heavily on big standardised terminologies, it offers more flexibility during standardisation of clinical concepts and it ensures open, future-proof electronic health records. We conclude that it is highly desirable for the nursing profession to adopt this openEHR approach as a means of documenting and governing the nursing profession's domain knowledge. It is essential for the nursing profession to develop its domain knowledge constraint models (archetypes) collaboratively in an international context.

Artificial Intelligence↗

Communication. Improving RNs' organizational and professional identification in managed care hospitals.

Nurse administrators are searching for an expanded repertoire of strategies to attract and retain qualified nursing staff in today's managed care environment. This study examined hospital registered nurses' interpretations of managed care and the effects of those views on nurses' identification with their employing organization and the nursing profession. Findings show that nurses held greater identification with their occupation than their organization. Significant factors influencing nurses' attachment to both of these reference groups included uncertainty about managed care changes, information received about managed care changes, and effects of managed care on the nursing role. Communication principles and strategies are presented to nurse leaders for use in fostering a stronger organizational affiliation among staff nurses while maintaining a strong identification with the nursing profession.

Attitude of Health Personnel↗

[Psychiatric nursing and modern nursing in Rio de Janeiro: a history lesson].

The present study is the result of an essay written for the discipline Research Laboratory of Nursing History. It refers to the interest and struggle of the Brazilian Association of Nursing (ABEN), in the 1940s, in Rio de Janeiro, to make professionals of this area aware of the need of the inclusion of nursing in the psychiatric field in Rio de Janeiro. Our objective is to present the difficulties of this insertion, although the beginnings and the regulation of the nursing profession in Brazil started in a school of nursing, in the Psychiatric Hospital of Rio de Janeiro. In order to present the difficulties for this inclusion, we analyzed the documents that prescribed the regulation of the nursing profession, in the psychiatric area of the hospital mentioned above. Results indicate that standards established by Anna Nery Nursing School were broken, since psychiatric assistance was denied by this school until 1949, while the Nursing School Alfredo Pinto provided this kind of care since 1890. It is important to point out the strategic and historical role of ABEn as the coordinator and motivator of discussions regarding the course of the nursing profession.

Brazil↗

[Nursing leadership in perspective].

South Africa is currently in the process of political change, which places great demands on all service sectors. To meet these demands effectively, will require dynamic leadership on all levels of service industries. The nursing profession in South Africa has produced several significant leaders, of whom Sister Henriëtta Stockdale and Professor Charlotte Searle are prime examples. However, research reports indicate that the profession is currently undergoing a crisis with regard to nursing service management. It is assumed that the nursing profession of South Africa is experiencing a leadership crisis. It seems as if there are not sufficient new leaders to replace those who retire from the profession--which means that leadership development is inadequate in the profession. Only a few South African research projects have been undertaken with regard to leadership in the nursing profession. However, the process of leadership practice in nursing has never been researched in South Africa. In this paper a provisional model is presented for leadership practice in nursing, which is developed and based on a Judeo-Christian-philosophical approach. The dimensions and assumptions of nursing leadership practice will be discussed, whereafter the dynamics of nursing leadership will be highlighted. Finally the process of leadership will be described by suggesting four leadership actions, each with its own principles, prerequisites and assumptions. It is recommended that this provisional model be exposed to reliability and validity control measures, to develop a final model for nursing leadership.

Health Services Needs and Demand↗