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Biomedical subjects

M R Rittman

Publications and source records attributed to M R Rittman.

8 recordsLinked to original sources

An interpretive analysis of precepting an unsafe student.

Precepting students during their senior practicum is often viewed as an opportunity to nurture the next generation of nurses. However, when the student has only marginally passed courses or clinical experiences, precepting may become a difficult and challenging process. Little is known about how preceptors teach students and even less is known about precepting unsafe students. The purpose of this article is to describe a preceptor's journey through a difficult senior practicum experience. A hermeneutic analysis of the preceptor's journal revealed two themes important in precepting the unsafe student: knowing the student and creating possibilities for success. Two aspects of knowing the student included watchful listening and assessing dangerousness. These themes are described and the dilemma of bringing an unsafe nurse into the profession is discussed.

Achievement↗

Preceptor development programs: an interpretive approach.

The behavioral model commonly used in preceptor educational programs is inadequate for conveying the complexity of precepting. An interpretive approach is offered as an alternative for preceptor education. Using an interpretive approach is one way to extend our understanding of precepting as an educational process. A preceptor education program is described along with examples of narratives from preceptors. Interpretations of each narrative provide nurse educators with a model for utilizing narratives with preceptors. Themes of teaching, nursing as precepting, and timing are explored. Restoring the narrative to the nursing practice of precepting promises to recapture the richness and complexity of precepting.

Adaptation, Psychological↗

Computerized databases: privacy issues in the development of the nursing minimum data set.

Nursing leaders promoting the development and use of computerized databases such as the Nursing Minimum Data Set (NMDS) have not adequately addressed the complex ethical issues involved with computerized information systems. The purpose of this article is to describe the privacy issues involved with the NMDS. Moral considerations and principles guiding resolution of ethical issues concerning violations of patient privacy are discussed. A paradigm case is used to demonstrate the significance of privacy violations in computerized databases. Two security systems currently being considered in other disciplines are included for their relevance to the development of the NMDS. The broader implications concerning the impact of technology on preservation of human dignity and the quality of life are addressed.

Biomedical Research↗

Storytelling: an innovative approach to staff development.

Using stories or narratives from clinical practice as a teaching/learning strategy is new in nursing education programs in hospitals. In this article, the authors describe three staff development programs using storytelling to enable others to use the interpretation of stories to promote expertise in clinical practice.

Clinical Competence↗