PubMed Health⌕ Search

Biomedical subjects

E K Walker

Publications and source records attributed to E K Walker.

3 recordsLinked to original sources

Administrative preparation of clinical nurse specialists.

A study is reported in which the authors examined the administrative preparation needs of a sample of 46 graduates of a clinical nurse specialist program who were surveyed 3 to 5 years after graduation. The study focused on three areas: current administrative responsibilities, administrative content in the graduate curriculum, and respondents' future goals for involvement in administration. Findings showed that the respondents' highest levels of current participation were in planning and policy functions (51 per cent) with a low overall involvement in other administrative functions. Eighty-five per cent of graduates felt that the master's degree nursing program should have allowed for more content in administration. A majority (54 per cent) had enhanced their skills in administration on the job or through continuing education. Twenty-five per cent planned a career focus on administration within 5 years. Study implications concerning future curricular priorities and pathways are discussed.

Administrative Personnel↗

Staffing accommodations to hospital unit admissions.

This study of the flow of patients through five general medical units in a 750-bed medical center described the relentless and unpredictable demand for nursing services (with 80% of the admissions coming from the emergency department) and the resulting costs in terms of supplementary staffing and overtime usage.

Academic Medical Centers↗

A decision-analytic approach to clinical nursing.

The purpose of this study was to explore the usefulness of applying decision analysis to nursing decisions about a complex, emergent patient problem. A convenience sample of 31 nurses quantified their intuitive ideas into five mutually exclusive decision alternatives. A decision-analytic process and a preference analysis of each decision alternative were conducted. Nurses' intuitive decision alternatives were compared to the decision alternatives prescribed by the decision-analytic process. Eleven nurses (35%) demonstrated agreement between their first-ranked intuitive choice and the choice prescribed by the decision-analytic model. When the relative ranking of the vector of five treatment choices derived intuitively was compared to the relative ranking prescribed by the decision-analytic model, results showed significant disagreement between nurses' intuitive and quantitative choices.

Adult↗