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Biomedical subjects

Donna J Munroe

Publications and source records attributed to Donna J Munroe.

8 recordsLinked to original sources

Ensuring a knowledgeable and committed gerontological nursing workforce.

There is a growing societal need for professional nurses who are knowledgeable and committed to working with older adults. In order to address this need, a small study that included self-evaluation and curriculum review was conducted by faculty at one Midwestern nursing program in the United States. A moderately positive attitude, moderately high knowledge, and moderate pursuit of knowledge of older adults were identified with the faculty in the presence of limited curricular content of gerontology. Implications for nursing education included continuing education for nursing faculty and program support in nursing curricula.

Aged↗

Measuring resident and family member determinants of satisfaction with assisted living.

PURPOSE: This study developed measures of satisfaction with assisted living from residents' and family members' perspectives. DESIGN AND METHODS: We collected survey data from 204 residents and 232 family members associated with 11 assisted living facilities. We used confirmatory factor analysis to evaluate the goodness of fit of a priori measurement models. RESULTS: Iterative analysis to improve measurement models resulted in a multifaceted unidimensional model of resident satisfaction and a 5-factor model of family member satisfaction. The scales are both comprehensive and parsimonious and display strong scalar properties. IMPLICATIONS: These scales provide tools for estimating the impact of assisted living on various relevant domains for residents and their family members. These measures should prove useful to administrators attempting to meet the needs of their clients and to potential clients of assisted living attempting to judge the appropriateness of specific assisted living facilities.

Aged, 80 and over↗

Provider dilemmas with relocation in assisted living: philosophy vs. practice.

Support for increasing tenant frailty in assisted living (AL) is a complex and challenging issue. Philosophically, older persons, families, providers, and policymakers want to avoid unnecessary relocation. However, there is considerable opportunity for inconsistency in practice. We examined provider perspectives related to implementing aging-in-place, using information obtained from an evaluation of a three-year AL demonstration project in Illinois. We found differences in approaches to explicit move-out criteria, the actual application of move-out criteria, and provider willingness to develop flexible service plans. These findings raise questions for consideration in all states confronted with implementing the philosophy and intent of AL.

Aged↗

Magnet designation: A communiqué to the profession and the public about nursing excellence.

Achieving Magnet designation by health care institutions is gaining momentum, both nationally and internationally. The impetus behind the Magnet movement is its sole focus on nursing care services. Hence, imbedded in the Magnet designation is the concept of the recognition of nursing services reaching a high level of excellence. Research conducted during the last 2 decades provides evidence that Magnet recognition has been a successful organizational reform that holds promise to shape patient care quality in all types of health care institutions.

Clinical Competence↗

Achieving Magnet recognition: the process.

Awareness of the Magnet Recognition Program is increasing as health care organizations struggle with the challenges of recruiting and retaining professional nurses and benchmarking nursing-sensitive patient outcomes. Steps in the Magnet process include application, written documentation and evaluation, site visit, decision, and award. These steps are outlined in this article to inform and assist staff nurses in health care organizations that may consider seeking this designation. The more staff nurses know about the elements and process of the Magnet program, the more they can contribute to achieving this prestigious award for quality nursing care.

Credentialing↗

Magnet Recognition Program 2005: an update.

The Magnet Recognition Program has been revised to simplify instructions, eliminate redundancy, and reduce the documentation burden for applicants. One of the major changes is that required documentation is now categorized by the 14 Forces of Magnetism to match the Scope and Standards for Nurse Administrators (American Nurses Association [ANA], 2004) through the use of a crosswalk matrix. However, in general, the original concepts that characterized Magnet recognition remain intact.

American Nurses' Association↗

Assisted living issues for nursing practice.

Assisted living has become a popular setting for older people and their families. Although health care services in these settings are limited, many residents require some level of medication management. In some states, unlicensed assistive personnel can perform medication management, suggesting delegation of nursing activities. However, confusion may arise between the licensing requirement for settings and the nurse practice act on this issue. This report discusses assisted living, nurse delegation with regard to medication management, and recommendations for nursing practice for both delegator and delegate.

Aged↗