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M F Rapson

Publications and source records attributed to M F Rapson.

13 recordsLinked to original sources

Statewide nursing articulation model design: politics or academics?

Designing statewide nursing articulation models is more about politics than it is about academics. Resolution of the articulation question lies in collaboration, establishment of trust, dialogue, and compromise that identifies a common ground tolerable for all stakeholders in the region or state. Achieving satisfactory articulation outcomes frequently involves negotiation of conflicts, assumptions, beliefs, goals, and sometimes program survival. This article reviews factors that influence the process of articulation model design, describes steps in the process, discusses issues essential for successful implementation, and briefly describes research evaluating the effectiveness of statewide or regional articulation models. The nursing profession continues to face many workforce issues and must engage in effective strategic planning to achieve an adequate workforce. One important strategy is to build a strong, flexible educational infrastructure that includes a quality, efficient statewide articulation that enhances educational mobility for nurses with diverse backgrounds and levels of preparation.

Education, Nursing, Graduate↗

Educational policy implications.

The areas mentioned in this article are only a few of the challenges that will be tackled in Phase II of CIC. In future Colleges in Caring articles in the Journal of Nursing Education, selected topics will be discussed, including use of technology, educational mobility, and conversion of data into educational policy. In addition, selected CIC grantee projects wil be featured, describing their educational initiatives and best practices. No one individual or organization has the expertise or solutions to mold health care and education for the future. The CIC Program has formed vital regional networks where mutual responsibility, interrelationships, information sharing, and collaboration are the norm. They are openly discussing their product--nursing care--in an economic, political, and social context. Their focus is on developing evidence-based policy that will benefit the quality of nursing care in the future.

Cooperative Behavior↗

Overview of the regional collaboratives.

Responding to demands that nursing leaders conduct business in creative, proactive ways, the authors of this department share the work of The Robert Wood Johnson Foundation's national program. Colleagues in Caring: Regional Collaboratives for Nursing Work Force Development. The purpose of this initiative is to enhance regional and state collaborative planning and implement actions and policies to address the rapid changes occurring in the United States nursing labor market. This department presents the ongoing work of the program, highlighting the work of the 20 individual collaboratives. Regional approaches to the expected program outcomes and specific challenges and opportunities that are unique to each region's environment are included. The Colleagues in Caring program is administered by the American Association of Colleges of Nursing. Current information on the initiative can be found at http:/(/)www.aacn.nche.edu under Special Projects. The staff at the National Program Office can be reached at 202/496-1095 (fax: 202/496-1093).

Adolescent↗

The relationship between selected educational outcomes of senior RN-to-BSN students and their choice of advanced placement options available in the Maryland nursing articulation model.

If national standards for entry into practice are to be changed, viable routes to achievement of the BSN must be established in each state. Maryland has implemented a statewide articulation model that allows the registered nurse to obtain credit for work completed at lower division schools through one of three advanced placement options. This study sought to answer the question of whether there is a difference in selected academic outcomes of senior RN-to-BSN students who choose different pathways available in the model. Data were collected from all students (n = 113) completing clinical concepts courses at a large university school of nursing. The independent variables were mode of entry and pattern of study. The dependent variables were scores obtained on the National League for Nursing (NLN) Comprehensive Nursing Achievement Test for Baccalaureate Nursing Students and the grades obtained in the spring and fall nine-credit clinical concepts courses (examinations, formal papers, clinical evaluations). The entry pathway did not make a significant difference in terms of scores on the spring NLN examination, course tests, or paper grades. However, differences were noted in the clinical area. Transition course students achieved the highest mean clinical performance score, and direct transfer students achieved the lowest score. The implication for nursing education is that there appears to be no significant difference in academic achievement of RN-to-BSN students admitted for advanced placement using three different validating procedures.

Adult↗

Role stress of nurse practitioners.

Joan's situation is illustrative of role stress experienced by many nurse practitioners, especially those working in complex medical organizations. Role stress is inherent among nurse practitioners because of the newness and broad definition of their roles. Implementation of the role is frequently left up to individual practitioners, physicians and employing institutions and may vary from setting to setting. This lack of consensus regarding role expectations can produce dire consequences for both the individual and the organization if left unresolved. Thus, assessment of the sources of role stress can be useful because many stressors can be eliminated or minimized with proper strategies. Elimination of the role stressors has potential for increasing job satisfaction, productivity and perception of health among nurse practitioners. Since much of a practitioner's time is spent alleviating stressors from the lives of patients for improved health and well-being, it seems appropriate for nurse practitioners to practice this philosophy on themselves in their work setting.

Conflict, Psychological↗