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At least 145 records · Page 8Linked to original sources
PubMed1995

Professional practice and role diversity: a team concept for patient transportation systems.

Critical care nurses providing interhospital transportation services face new challenges in structuring a professional practice model in a diverse role environment. Nurses are now finding themselves working together with a variety of health care professionals with different educational and experience levels. This article discusses the program development and shared governance development of one such interhospital transportation team. Shared governance in a unique environment such as this was achieved using a functional model (self-directed work teams) and several outcome-focused components that are described in detail. The difficulties encountered with the introduction of a governance structure are also shared as too are the resolutions. With the changing health care system and the evolving changes in critical care nursing roles, innovation is fundamental to patient care practices. Shared governance does have a place in nurse/nonnurse amalgamations.

Humans↗
PubMed2005

Medication errors and professional practice of registered nurses.

This Australian study identified and described the incidence of medication errors among registered nurses, the type and causes of these errors and the impact that administration of medications has on the professional practice of registered nurses. Mostly, medication errors were attributed to documentation issues, including: illegible handwriting, misunderstanding abbreviations, misplaced decimal point, misreading and misinterpreting written orders. Several human factors were attributed to potential causes of medication errors, including: stress, fatigue, knowledge and skill deficits. Environmental factors, namely, interruptions and distractions during the administration of medications, were also attributed to potential errors. The study found professional nursing practice involving administration of medications had a strong education, patient and ethical focus. Over a quarter of the respondents indicated that further training in medication administration would positively impact on their nursing practice. The registered nurses also highlighted they would appreciate more time to spend with patients when administering medications. Medication errors are not the sole responsibility of any single professional group, therefore, collaboration with other health professionals is central to establishing processes, policies, strategies and systems that will reduce their occurrence. The organisation and those nurses employed within it share an accountability to ensure safe administration of medications to patients. Based on study results, several recommendations are directed towards preventing or reducing medication errors and supporting nurses in providing best practice.

Attitude of Health Personnel↗
PubMedDate not supplied

A cost estimation model for measuring professional practice.

A cost estimation model was developed to monitor the effect of an enhanced professional practice model on cost to the institution. The model detected differences across units and changes in unit activities. One unit's cost savings were greater than the others and this difference was believed to be related to stable leadership over the course of the study.

Cost Savings↗
PubMed2001

The development of practice professional development plans from the postgraduate education allowance: a discussion of the causes and implications.

Practice professional development plans (PPDPs) began to replace the Postgraduate Education Allowance (PGEA) for general practitioners in England and Wales from April 2000. The origin of this change lies with those with educational expertise who have been concerned that the PGEA fails to encourage GPs to define their own learning needs, fails to encourage practice-based learning and fails to influence their working behaviour. The policy has been influenced however, by wider political developments which view PPDPs as a means to ensure national standards are met, to reassure the public, provide uniformity and deal with underperforming doctors. This mixture of influences has resulted in conflicting areas within PPDPs. There are different emphases on whether learning needs should be defined from the perspective of the individual or from the perspective of wider needs within the NHS. There are conflicting views about the desirability of multi- or uniprofessional learning and conflicting views about whether PPDPs are appropriate for dealing with failing doctors. PPDPs are based on a particular theory of adult learning - andragogy - which arguably fails to account for wider, richer and more significant forms of learning.

Education, Medical, Continuing↗
PubMed2004

A report on the Council on Certification of Nurse Anesthetists 2001 Professional Practice Analysis.

The purpose of this article is to report the results of the 2001 Professional Practice Analysis performed by the Council on Certification of Nurse Anesthetists. This analysis was used to validate the content and test specifications for the National Certification Examination. A total of 2,545 surveys were mailed to 2 groups of Certified Registered Nurse Anesthetists and 1,197 surveys were returned, a response rate of 47%. The first section of the survey gathered relevant demographic, educational, and experiential background. The second section gathered data concerning the frequency in which they encountered, and the level of expertise required to manage, patient conditions and surgical procedures. The results from this survey were consistent with previous surveys. The Rasch rating scale model was used to transform the results from ordinal data into a linear measure of the item frequency and importance. Members of the Council on Certification of Nurse Anesthetists carefully reviewed all the survey results and voted to maintain the current test specifications and percentages.

Anesthesia↗
PubMed2001

Standards of professional practice: measuring the beliefs and realities of Consultant Dietitians in Health Care Facilities.

A dietetic practice group of the American Dietetic Association (ADA), Consultant Dietitians in Health Care Facilities (CD-HCF), surveyed members (n = 5930) on agreement with the six standards of professional practice and frequency of completing indicators within each standard. Sampling approaches included placing a survey in the publication, The Consultant Dietitian, and disseminating at the following CD-HCF activities: the 1998 business meeting at ADA's Annual Meeting & Exhibition, a multi-state teleconference in December 1998, and conferences held between November 1998 to April 1999. Duplication was monitored using the RD or RD-eligible registration number. The final sample included 553 surveys and represented 10% of the membership. Of the survey responders, 50% were individual consultants and 43% were employees; 88% consulted to facilities providing skilled care (geriatrics/adults) and 48% consulted to intermediate care facilities. With the exception of one, all standards and indicators met acceptance criterion. The standard statement "participation in research to enhance practice" did not attain the validation criterion. Study findings indicated that consulting to a facility conducting nutrition research increased chances of agreement with the research participation standard. The Executive Committee approved all standards, indicators and outcomes as a document defining quality consultation and business services conduct for consultant dietitians in health care facilities.

Attitude of Health Personnel↗
PubMed2001

The UKCC's Scope of Professional Practice--some implications for health care delivery.

AIMS: The research reported here is part of a larger study commissioned by the United Kingdom Central Council for Nursing, Midwifery and Health Visiting (UKCC) to analyse and understand the impact of the Scope of Professional Practice (Scope) on the practice of nursing, midwifery and health visiting. The data in this paper relate to attitudes about, and perceptions of Scope among a variety of stakeholders. BACKGROUND: This research provided a valuable opportunity to explore the essence of Scope and the ways in which it can enable nurses, midwives and health visitors to adapt to growing or changing health care needs. The findings contribute to this debate, by drawing on the knowledge and experience of the key groups involved in the change process. METHOD: The study utilized several approaches, tailored to meet the requirements of each phase. In this (the final) phase a structured questionnaire was sent to different groups of stakeholders. FINDINGS AND CONCLUSIONS: The stakeholders displayed considerable interest in the development of innovative systems for delivering nursing and midwifery care, provided that the necessary safeguards and support were in place. Scope was seen as a valuable way of optimizing the skills and contribution of nurses, midwives and health visitors.

Attitude of Health Personnel↗
PubMed1995

Peer review: an approach to performance evaluation in a professional practice model.

Role expectations of staff nurses are changing, and nurses must become empowered and actively involved in facilitating that change, rather than having their role changed for them. The shared governance framework provides an efficient way to meet current changes and increased responsibilities. Peer review is an integral component of this framework. A professional practice model with peer review increases the accountability of its members by encouraging improved work achievement and reinforcing high standards of practice. Promoting communication and sharing of each individual's practice enhances a sense of teamwork and encourages creativity and an increased sense of ownership regarding nursing practice among all model members.

Humans↗
PubMed2000

Vision 2000: the transformation of professional practice.

This century has seen miraculous advances in health care. Despite all our progress, however, there are some serious flaws in today's health care systems that demand our attention. This article describes the approach our integrated delivery system has taken to meet this challenge through implementation of the Transformational Model for Professional Practice, and the outcomes we have achieved.

Delivery of Health Care, Integrated↗
PubMedDate not supplied

[Ethical behavior in the daily professional practice of nurses].

The daily practice of nurses is full of situations that demand a close analysis of the sociocultural context, so that the appropriate decisions are made. These decisions can either be of technical or ethical nature. In the present study, the authors reflect about the professional practice of nurses, focusing especially on the process of ethic decision making. They also relate these decisions to some of the ethic theoretical frameworks in order to indicate the references that guide the nurse's practices in the different professional situations.

Activities of Daily Living↗
PubMed1999

Collaborative care: a professional practice model.

Healthcare economics has caused dramatic changes in resource assessment, utilization, and reorganization in hospitals. To address the mismatch between demand and resources and to ensure quality at the bedside, staff members at a 354-bed acute care facility designed and implemented the Collaborative Care Model (CCM). The authors describe this theory-based, collaborative, multidisciplinary professional practice model.

Consultants↗
PubMedDate not supplied

When your client lives in a rural area. Part II: Rural professional practice--considerations for nurses providing mental health care.

Part I of this two-part article examined the rural health care delivery system within the framework of availability, accessibility, and acceptability of services. Traditional rural values were explored in relation to ruralities' health care-seeking behaviors, specifically mental health care. Part II highlights the opportunities and challenges of rural professional practice, particularly as they apply to nurses caring for those with emotional problems who need mental health services. Strategies are suggested to enhance the continuum of care for clients who live in environments with sparse resources.

Community Health Nursing↗
PubMed1992

Development of professional practice based on the McGill model of nursing in an ambulatory care setting.

This paper describes the efforts of nurses to explore, develop and implement professional nursing practice, based on the McGill model of nursing, within an existing ambulatory paediatric setting. The model facilitated the development of a unique role for nurses in a multidisciplinary team, as it served as the framework for the conceptualization of the nursing role, assessment of families' needs, and the development of a nursing knowledge base. Strategies utilized to develop a 'complemental role' and its inherent professional practice are described. The issues and obstacles which arose as nurses developed their practice are discussed and the outcomes of this development for clients, nurses and the profession are highlighted.

Adaptation, Psychological↗
PubMed2004

The transformational model for professional practice: a system integration focus.

Healthcare organizations face the increasingly difficult challenge of providing services that are of high quality, reasonable cost, and easy accessibility for their constituents. Mergers and acquisitions are one strategy for accomplishing this, but in doing so it is critical to have a "road map" to create an integrated system, rather than merely a consortium of hospitals. The University of Pittsburgh Medical Center has successfully created an integrated healthcare system of 19 hospitals. The authors describe the professional practice model used as a framework for success in integrating patient care.

Decision Making↗
PubMed1996

Effect of a professional practice model on autonomy, job satisfaction and turnover.

Dissatisfaction and rapid turnover of registered nurses (RNs) challenge nurse administrators. The professional practice model (PPM) can increase the amount of personal control nurses have over their work. Use of a PPM allows innovation, promotes collegial relationships and emphasizes personal responsibility. In this study, facilitating an autonomous climate for RN practice resulted in increased job satisfaction and decreased.

Adult↗
PubMed2004

Describing a folic acid intervention for health care providers: implications for professional practice and continuing education.

The purpose of this article is to, first, describe the content of a folic acid professional education intervention that was developed and implemented as a result of a collaborative effort between an academic institution and a nonprofit organization-the Pittsburgh, Pennsylvania, chapter of the March of Dimes-and the process by which it was developed; second, report the results of an evaluation of the impact of this intervention on knowledge and recommendation behaviors of health care providers; and third, discuss the implications for professional practice and continuing education. We developed a novel presentation that had practical utility for practitioners that could be implemented in either a classroom or continuing education setting.

Education, Continuing↗