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At least 127 records · Page 7Linked to original sources
PubMed1999

An innovative professional nursing practice model.

Nursing, as with health care delivery, is changing to meet the greater challenges brought about by managed care and the accompanying external forces in the marketplace. Nurses, with their vast resources of knowledge and experience, are crucial in achieving optimal quality care. Given the opportunity to redefine and strengthen the impact of nursing practice at Piedmont Medical Center in Atlanta, Georgia, a group of advanced practice nurses began developing a unique practice model. The resulting Professional Nursing Practice Model--a theoretical framework created for nurses by nurses--presents a common vision of human beings, health, and nursing in accordance with the values and beliefs of nursing. This model demonstrates the importance of a person-centered, value-driven nursing practice across the continuum of health from birth to death.

Empathy↗
PubMedDate not supplied

Enriching geropsychiatric nursing in advanced practice nursing programs.

The need for advanced practice nurses with knowledge and skills in geropsychiatric nursing is real and looming larger than ever. By 2030, the number of older adults with major psychiatric illnesses is predicted to reach 15 million. Preparing advanced practice nurses with mental health and geropsychiatric nursing expertise is essential. This paper describes three innovative curricular models for addressing geropsychiatric nursing in graduate advanced practice nursing programs. These models can be implemented with vision, planning, modest resources, and the cooperation of the faculty.

Arkansas↗
PubMedDate not supplied

Advanced practice nursing. Part 2--Opportunities and challenges for PNPs.

The recent movement towards defining advanced nursing practice offers opportunities and challenges for pediatric nurse practitioners and educators. The definitions of nurse practitioner, clinical nurse specialist, and advanced practice nurse indicate similarities and distinct differences in role definitions and expectations. Nurse practitioner practice and education will need to change significantly for nurse practitioners to be considered advanced practice nurses and to retain their legacy as nursing leaders.

Humans↗
PubMed1999

The advanced practice nurse. Changing the practice law: what did we learn?

The nurse practice statute was changed in Connecticut during the 1999 Legislative session in an effort to more accurately reflect the current practice of advanced practice nurses. The effort to make changes began in 1990, when the psychiatric clinical nurse specialists organized and incorporated to improve the practice status of this nurse specialty group and to improve patient accessibility to their services. This article describes the changes that were made in the practice statute and the lessons that were learned along the way. It elaborates on the need for strong organizational identification, coalition building, choosing legal and lobbying support carefully, negotiating with the opposition, and grassroots lobbying. Compromise was reached and statutory changes were made so that advanced practice nurses moved from being under the direction of physicians to a mutually agreed-on collaborative relationship with physicians. The article provides insights and learning experiences that may help others moving along the road to more independent practice laws.

Connecticut↗
PubMed1999

Attitudes towards, and knowledge of, clinical effectiveness in nurses, midwives, practice nurses and health visitors.

The dual concepts of evidence-based practice and clinical effectiveness have become ever more important for nurses, midwives and health visitors in recent years. In order that suitable initiatives can be derived and future policy shaped and evaluated it is important that the current level of knowledge and attitudes towards these concepts are recorded. The current study set out to examine these variables in a large, representative sample (n = 370, response rate = 74%) of nurses, midwives and health visitors. Results indicated that although a positive attitude towards evidence-based practice exists, individuals consider themselves to be lacking in certain key skills. Specifically, these appeared to be related to research-based skills. However, despite this, respondents indicated a large take up of evidence-based practice, although this may have been greater were it not for the considerable clinical workload. The necessity for greater dissemination of key research principles to nurses, midwives and health visitors by members of their own profession is emphasized.

Adult↗
PubMedDate not supplied

Correlating nursing care, nursing practice, and nursing performance standards.

All too often nursing standards have been viewed as a cumbersome paperwork task with little day-to-day practical relevance. Using a matrix approach that incorporates nursing role functions and the nursing process, the authors developed a model that provides the basis for job descriptions, performance appraisals, peer review, and quality management activities.

Employee Performance Appraisal↗
PubMedDate not supplied

Promoting nursing practice through nursing research.

ICN is convinced of the importance of nursing research as a means of improving professional education and practice and generating health policies and systems that assure cost-effective use of resources. To this end, ICN is investing heavily in programmes and projects that strengthen the capabilities of ICN and its members to exercise research leadership. Below, three dimensions of research leadership that are important in today's health environment: 1) Fostering research-based practice; 2) Documenting the work and worth of nursing: and 3) Enhancing public understanding of nursing work.

Cost-Benefit Analysis↗
PubMedDate not supplied

Assessment of computer learning needs and priorities of registered nurses practicing in hospitals.

The purpose of this study was to identify computer learning needs of practicing nurses at the bedside. Knowles' adult learning theory clearly implies that learners have a role in identifying their learning needs. Expert opinion is the second source of needs identification and complements learner input. This principle served to underpin the conceptual framework of this study. A Delphi technique was used to solicit expert opinions from nurse informaticians about the computer learning needs of practicing nurses. A 75 knowledge/skill item questionnaire was developed from the expert consensus of the Delphi and distributed to 150 registered nurses considered to be computer novices. Novices' responses were compared to the experts' responses to identify content essential for nurses to be able to use computers in their practice. Further, sequence for content delivery was postulated through the comparison of expert and novice opinion relative to the essential/nonessential nature of the content.

Clinical Competence↗
PubMedDate not supplied

Advanced nurse practice. A model for collaboration.

The authors present an argument for separate advanced practice nursing roles. A model is presented for collaborative practice between two advanced practice nursing roles--a nurse practitioner and a clinical nurse specialist/case manager. The model was developed from the clinical practice of the authors' work in a community health center. A clinical example is provided that explicates the distinct and separate roles of each provider and demonstrates their collaboration to provide excellent, cost-effective healthcare.

Adult↗