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PubMedDate not supplied

Work-related stress of registered nurses in a hospital setting.

This qualitative, explorative study identified work-related stressors and coping mechanisms of registered nurses (RNs) within a hospital setting. A sample of 10 RNs was interviewed about work-related stressors and observed under normal working conditions. RNs identified stress related to failure to meet patients' needs, self-expectations, workload, and inexperienced colleagues. Staff development implications include education of clinical nurses and administrators in identifying systems barriers to providing patient care, interventional staffing, stress debriefing, patient assessment, and active coping.

Adaptation, Psychological↗
PubMedDate not supplied

The impact of team building on communication and job satisfaction of nursing staff.

A series of team-building activities were conducted on a medical-surgical unit and their impact on staff's communication and job satisfaction was examined. Forty-four unit personnel participated in the interventions. Staff communication and job satisfaction were measured before and after the intervention. The findings linked team-building activities with improved staff communication and job satisfaction. Team-building strategies assisted the nurse leader/manager to build an effective work team by strengthening communication and interpersonal relationships so that the staff could function as a more cohesive group. Staff development consultants can help nurse managers become more effective team leaders by identifying the necessary resources and by helping to plan and coordinate team-building strategies.

Adult↗
PubMedDate not supplied

A creative recruitment program. Future nurses' camp.

Attracting high school students into nursing is a concern of staff development educators. "Future Nurses' Camp" was a creative, cost-effective program developed by a hospital education department. A 2-week, fun-filled, informative camp that included the use of high-tech equipment and patient-care decision games promoted a positive image of nursing. Experiencing nurses' roles reinforced the students' desire to enter nursing.

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↗
PubMedDate not supplied

Deployment of computer-based training programs via a hospital intranet: methods used, lessons learned.

This article reviews the methods used to implement computer-based training via a hospital intranet. Extensive consultation with the members of the Nursing Staff Development Team throughout the five campuses and a close working relationship with Information Services contributed to the success of the project. This article could serve as a valuable resource for nurses who are interested in using hospital intranets for learning.

CD-ROM↗
PubMedDate not supplied

Teaching nursing delegation: analyzing nurse practice acts.

Teaching delegation to nurses, especially for those nurses who have mostly practiced in primary nursing, is challenging. Many staff development and continuing education instructors are teaching delegation principles to nurses today because good delegation skills are needed to effectively implement current skill-mix and patient-focused care changes. In these courses, nurses almost always want guidelines on what they can and cannot delegate to unlicensed assistive personnel and LPN/LVNs. The best foundation for teaching what can and cannot be delegated is the nursing practice act in the state, even though analyzing state practice acts can be cumbersome. Analyzing practice acts as the basis for teaching delegation principles is a critical requirement for today's staff development/continuing educator.

Education, Nursing, Continuing↗
PubMedDate not supplied

Orienting foreign nurse graduates through preceptors.

Many staff development departments have difficulty orienting foreign nurse graduates. Some of the difficulties foreign nurses themselves have are described in this article, as are difficulties American nurses have in orienting them. Nursing preceptors trained to understand and solve the problems of foreign nurse graduates may make orientation more successful for the nurse and the unit.

Communication Barriers↗
PubMedDate not supplied

An orientation model for correctional-health nursing.

A model to assist staff development educators with the orientation of nurses entering correctional health practice is introduced. The model incorporates the nursing process in screening activities, providing direct care, examining health behavior, teaching, and counseling incarcerated persons. The use of an education plan and contract for the adult learner, teaching strategies, method of evaluation and terminal behavioral objectives are discussed.

Humans↗
PubMedDate not supplied

In their own words: the experience of returning to acute care practice.

The worldwide nursing shortage requires hospitals to utilize innovative recruitment strategies to attract registered nurses. One of these strategies is the "re-entry" program for registered nurses currently employed outside the hospital. Although there is significant literature on the development of such programs and the personal adjustments made by participants, there is a paucity of literature regarding the experience of returning to practice from a professional practice perspective. This study examines the experience of the registered nurse who returns to acute care, using a descriptive, exploratory qualitative design, and asking: (1) What is the meaning of the nurses' experience when returning to acute care practice? (2) To what extent does the practice environment facilitate the retention of nurses who return to practice? (3) To what extent does the practice environment hinder the transition back to practice? Data indicate that returning registered nurses perceptions could be categorized into 3 themes: (1) motivation prior to entry, (2) coping during the process of returning to practice, and (3) the impact of the role of environment in the facilitation of or hindrance to nurse retention. Implications for staff development specialists are discussed.

Acute Disease↗
PubMed2005

Delivering multiprofessional web-based psychosocial education: the lessons learnt.

Psychosocial care is one component of high-quality cancer/palliative care. The development of the internet has revolutionized the way we conduct business, shop, communicate with each other, and seek information. This article reports on the delivery of a web-based 16-week module: 'The management of cancer: psychosocial perspectives'. Twenty-nine students represented by a wide range of members of the multidisciplinary team registered for this module. Electronic-learning programmes are noted for high attrition rates, but, in this delivery, attrition rates and assessment performance were compatible with face-to-face programmes of learning. The delivery of this module indicates that there is scope for helping multiprofessional staff develop their knowledge and skills in psychosocial care.

Education, Distance↗
PubMed2000

Using a SANE interdisciplinary approach to care of sexual assault victims.

BACKGROUND: Many hospitals have recognized the need to develop policies and procedures for female sexual assault victims' prompt access to emergency medical care and for collecting law enforcement evidence. At Lehigh Valley Hospital (Allentown, Penn), care in the emergency department (ED) for sexual assault victims was covered by oncall obstetricians and gynecologists. Although many aspects of rape management were in place, a busy ED with varying levels of physician response and exposure to the process of rape management contributed to a lack of standardized, objective, timely, and compassionate medical management of sexual assault victims. DEVELOPING THE PROGRAM: The Sexual Assault Nurse Examiner (SANE) interdisciplinary approach to care of sexual assault victims was implemented in May 1998. Community education and awareness projects emphasized prevention of sexual assault and domestic violence, as well as minimization of trauma for victims by promoting services that provide a supportive, caring, and healing environment. RESULTS: Comparing a baseline group of 130 sexual assault victims with 39 patients who were evaluated after the SANE approach was implemented indicated increased clinical interaction and significant improvements in quality indicators, such as completeness of evaluation and information gathered relevant to medical-legal issues. DISCUSSION: Law enforcement staff developed a more collaborative relationship with SANE examiners through the interdisciplinary team approach. Collaborative relationships were initiated with several other hospitals in the hospital's integrated delivery system to help offset some of the program's training, continuing education, and on-call costs and to allow for joint outcomes collection. The SANE program became a core ED service in July 1999.

Emergency Service, Hospital↗
PubMedDate not supplied

Utilization-focused evaluation: evaluating the effectiveness of a hospital nursing orientation program.

Providing comprehensive orientation programs that prepare nurses for their role as staff nurses is an integral aspect of retention. Therefore, it is vital that staff development educators assess the effectiveness of their nursing orientation programs. In this article, the authors employ a utilization-focused evaluation format to assess a nursing orientation program and, based on the results, offer recommendations for strengthening such programs.

Attitude of Health Personnel↗
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AIDS: attitudes and education.

The purpose of this study was to explore hospital employed health professionals' attitudes to AIDS and homosexuals. Questionnaires were distributed to all health professionals in a 250-bed paediatric teaching hospital in Perth, Western Australia. The results constitute a database for nurses involved in staff development and AIDS education. The findings indicate that such programs must deal with the personal domain of attitudes to AIDS and homosexuals as much as with factual information. Furthermore, meaningful differences between target groups must be accommodated within the design of the program.

Acquired Immunodeficiency Syndrome↗
PubMedDate not supplied

Implementing effective staff education about advance directives.

The Patient Self-Determination Act of 1990 guarantees the right to refuse medical or surgical treatment and the right to draft advance directives. This review of the current literature provides those in nursing staff development and inservice education with an overview of advance directives and their implications for nursing education and practice. Possible core subjects for inclusion in planned, purposeful, advance directive education programs are examined, including cultural sensitivity, facilitator skills, interviewing techniques, legal information, patient autonomy, and reasoning and decision making. This review provides a platform for future research.

Advance Directives↗
PubMedDate not supplied

Programmed instruction revisited: a solution to infection control inservice education.

Recent standards established by the Occupational Safety and Health Administration (OSHA) regarding protection against occupational exposure to hepatitis B virus (HBV) and human immunodeficiency virus (HIV) presents a challenge to staff development and inservice educators to provide the necessary education and training in light of the 24-hour operation of a hospital, the nursing shortage, and the use of part-time personnel. In order to provide initial and periodic infection control programs for nursing personnel, a self-managed module in the form of a programmed unit of instruction (PUI) was developed and tested to determine its effectiveness and efficiency for teaching the basic principles of infection control to inservice nurses. Results of the study indicated that nurses who took a PUI in the basic principles of infection control scored higher on posttests than those who attended a lecture, regardless of their pretest scores, educational level, and experience (p less than .0001).

Cross Infection↗
PubMed1986

Evaluation of the Seattle Foot.

Evaluation of the Seattle Foot was the first major evaluation project undertaken by the Rehabilitation Research and Development Evaluation Unit. As a joint project with the Prosthetic and Sensory Aids Service, it not only helped to launch an important new prosthetic foot concept but also set precedents for methods and procedures to evaluate promising prototype devices and to facilitate their commercialization. A great many people contributed to this project. Fred Downs and Edward Nowack organized the service delivery of the Seattle Foot through their 44 Prosthetic Clinics in VAMCs across the nation. The clinic chiefs and the prosthetic contractors gave freely of their time to ensure that evaluation data and comments were obtained and reported. Ernest Burgess and his Prosthetic Research Study staff developed evaluation protocols on which this evaluation was based. Finally, the 486 amputee veteran subjects made the evaluation a credible reality with their thoughtful responses.

Amputees↗
PubMed2000

Raising research awareness among midwives and nurses: does it work?

OBJECTIVE: The primary aim of the study was to evaluate the effectiveness of two approaches to increase research awareness among midwives and nurses. DESIGN: Quasi-experimental with the attitudes of staff in the two groups being measured at two points (January and October 1997). SAMPLE: All midwives and nurses working in four clinical areas in an acute NHS Trust. The intervention arm of the study involved all midwives and nurses in the Clinical Directorate of Obstetrics and Gynaecology, while the control arm involved all nurses working in a specialist oncology and haematology unit and in the children's directorate. ETHICS: The Joint Ethics Committee considered approval unnecessary because the study involved staff and not patients. DATA COLLECTION: Data were collected by self-complete questionnaires. INTERVENTIONS: A programme of education with policy and practice interventions targeted at ward sisters. OUTCOME MEASURES: Staff attitudes to, knowledge of, and level of involvement in, research. RESULTS: The study demonstrated a significant increase in both knowledge and use of research resources. Following the programme of education, staff in the intervention group were significantly more likely to use resources associated with research utilization and to report that they had read a research paper within the last month. STUDY LIMITATIONS: The time scale of the intervention was restricted by the funding available; a significant Hawthorne effect was evident with both groups showing an increase in knowledge; the pragmatic nature of the study meant that it was not possible to randomize the study groups; the scale of the study did not permit an economic evaluation. CONCLUSIONS: The introduction of clinical governance challenges healthcare providers to improve the care they deliver. There are huge opportunities for Trusts to invest in developing staff knowledge and use of research. However, staff will only seize these opportunities if there is an appropriate, enabling environment--an environment that delivers intensive interventions and is sensitive to the wider structural factors in the NHS affecting staff morale and commitment. In the absence of this environment, what may be seen as opportunities to managers may be regarded as just another burden by staff.

Attitude of Health Personnel↗
PubMedDate not supplied

Knowledge and awareness concerning chemical and biological terrorism: continuing education implications.

BACKGROUND: A survey on knowledge and awareness concerning chemical and biological terrorism was used to assess the knowledge base of health care providers at an urban medical center in preparation for developing a workshop on domestic terrorism preparedness. A second survey assessing domestic terrorism preparedness of infection control personnel and nurse educators also was conducted. METHOD: A total of 291 nurses, physicians, nursing students, and medical students completed the knowledge and awareness survey. A total of 24 infection control personnel and nurse educators completed the second survey on domestic terrorism preparedness. FINDINGS: The knowledge scores of the respondents were low, with less than one fourth of the knowledge questions answered correctly. In addition, less than 23% of the respondents reported confidence to provide health care in a hypothetical chemical terrorism situation. CONCLUSION: These findings indicate a need for nurses in continuing education and staff development to develop, implement, and evaluate innovative domestic terrorism preparedness programs.

Adolescent↗