The multigenerational nursing work force: essential differences in perception of work environment.
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Biomedical subjects
Publications and source records attributed to Jayne Cohen.
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PURPOSE: To examine the knowledge, awareness, and self-perceived skill levels regarding bulimia nervosa (BN) among advance practice nurses (APNs) caring for young female patients. DATA SOURCES: Two hundred APNs of various nurse practitioner (NP) specialties were surveyed with a mailed questionnaire. One hundred and twenty-one (61%) surveys were returned and analyzed. CONCLUSIONS: Results demonstrated that APNs are knowledgeable and aware about BN. There were several statistically significant relationships among awareness and self-perceived skill levels. Pediatric NPs were found to be the most aware of BN in their young female patients. IMPLICATIONS FOR PRACTICE: The incidence of eating disorders is on the rise. Bulimia nervosa, a common secretive illness, poses a significant challenge for APNs potentially leading to missed diagnosis. There is a paucity of research exploring this issue. Study findings provide evidence to enhance curricula on eating disorders in academic and continuing education programs and guidance for future research.
The use of evidence-based practice for improving patient care outcomes is discussed extensively in the literature. This article describes how a model for change to evidence-based practice developed by Rosswurm and Larrabee was used for the effective implementation of the American Stroke Association's Acute Stroke Program in an acute care hospital. The results demonstrated that patient care and outcomes were improved through the implementation of this exemplar of evidence-based practice.
OBJECTIVE: To determine the incidence of postpartum depressive symptomatology in a sample of immigrant Asian Indian women and to establish whether cultural factors such as arranged marriage or gender of the newborn are associated with differences in depression scores. DESIGN: Quantitative, descriptive study. SETTING: Ten private obstetric and pediatric offices in Northern California. PARTICIPANTS: A convenience sample of 58 self-selected immigrant Asian Indian women between 2 weeks and 12 months postpartum. MAIN OUTCOME MEASURE: Depressive symptomatology as measured by the 35-item self-report Postpartum Depression Screening Scale. RESULTS: There was a minor depressive symptomatology rate of 28% and an additional major depressive symptomatology rate of 24%. No differences in depression scores were found with regard to arranged marriage or the gender of the newborn. CONCLUSIONS: Findings suggest that Asian Indian women living in the United States are just as likely to experience postpartum depressive symptomatology as White women. Therefore, it is critical to identify and refer women at risk for postpartum depression to ensure they do not become part of the 50% who remain undiagnosed. Health care providers need to become cognizant of the potential for postpartum depression and become skilled in the detection of this mood disorder.
OBJECTIVE: To determine nurses' perceptions and practices of identified elements of family-centered care. DESIGN: Descriptive. SETTING: Neonatal intensive care unit (NICU), pediatrics, and pediatric intensive care unit (PICU) in an acute care hospital. PARTICIPANTS: Sixty-two licensed nurses, 37 working in the NICU and 25 working in pediatrics or the PICU. MAIN OUTCOME MEASURES: Scores for the Necessary and Current scales of the Family-Centered Care Questionnaire. RESULTS: Scores representing current nursing practice of family-centered care were significantly lower than those representing its necessity (p = .000). Nurses with 10 years or fewer of neonatal or pediatric experience scored significantly higher on both the total Necessary Scale (p = .02) and total Current Scale (p = .017) than did those with 11 years or more. Nurses who work in the NICU scored significantly lower on the total Necessary Scale (p = .013) than did nurses who work in pediatrics or PICU. CONCLUSIONS: Although nurses agree the identified elements of family-centered care are necessary, they do not consistently apply those elements in their everyday practice. Years of experience and clinical work setting influenced both perceptions and practices of family-centered care.
The purpose of this study was to evaluate the relationship of prerequisite science course performance and tutoring services with academic performance of first semester nursing students. Quantitative data were gathered from student records after a semester in which tutoring services were offered. The convenience sample consisted of 37 students enrolled in first semester nursing courses. Influence on academic performance was determined by comparing the academic performance of two groups, students who attended four or fewer tutorial sessions and students who attended five or more tutorial sessions. Previous academic performance was shown to have a statistically significant relationship with first semester nursing school performance. Recommendations for nursing faculty are offered.
Nurse turnover costs thousands of dollars and negatively affects patient outcomes. Study results indicate experienced nurses perceive decreased autonomy and task orientation, and increased work pressure in their work environments. Strategies are presented to help retain RNs, save money, and improve patient outcomes.