[A model for advanced nursing practice].
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Biomedical subjects
Publications and source records attributed to J D Calkin.
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Practice is where skills are developed and where theory must pass testing. This is best done by observing and responding to human needs so that theory generated will have a precise fit. A variety of joint appointments with a focus on nursing have been established between the Faculty of Nursing at The University of Calgary and nursing service agencies in Calgary, Alberta, Canada. The expected outcome is congruence between teaching, theory development, and practice. This paper differentiates faculty practice as scholarship from other forms of faculty involvement in practice settings. The nature of faculty practice is examined and various models of faculty practice are discussed. The Calgary model, designed to fit faculty member's focus on care to specific practice settings is described.
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The purpose of this study was to build upon earlier research into the relationships among locus of control, organizational unit structure, job satisfaction, and registered nurses' intentions to remain in their positions. The data were collected by a questionnaire from 214 registered nurses from adult critical care units within 12 hospitals in two Midwestern cities. The best predictor of intent to stay was satisfaction with work activities (R = .43, p less than or equal to .05). Satisfaction with job remuneration, lower level of nursing education, and less intent to continue work toward a advanced degree or to do work-related educational activities also contributed to intent to stay on the job (R = .52, p less than or equal to .05).
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What is advanced nursing practice? How can the nurse administrator decide when to employ advanced nurse practitioners? The author suggests a way for differentiating basic from advanced nursing practice. She also identifies conditions that may influence decisions about employing advanced nurse practitioners. Examples of application to situations are provided.
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Nursing administrators who understand and apply management science usually prove to be more effective leaders. They are also better at developing leaders. This article describes how administrators' knowledge of leader characteristics, position power, competency, leader-staff relations, and other factors, can help them choose and guide other nurse leaders. Nursing administrators will find the information particularly useful as they select and place clinical leaders such as supervisors, clinical directors, and clinical nurse specialists.
Staff development programs act as agents of change in the health care organizations in which they operate. This article suggests that certain consultative techniques and strategies be used by staff development personnel as alternatives to traditional instructional techniques, to bring about positive change more effectively
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