PubMed Health⌕ Search

Biomedical subjects

M V Fenton

Publications and source records attributed to M V Fenton.

At least 19 recordsLinked to original sources
PubMed1998

Advanced practice nursing in Texas: the interface of accreditation, regulation, and certification.

The rapidity and degree of development of regulation by boards of nursing of advanced practice nurses (APNs) and programs for their preparation has varied from state to state over the past 20 years. In general, boards have authority only to regulate advanced practice through the recognition of APNs and the setting of standards and scope of their practice. In the early 1990s, lack of consistent APN educational program standards and experiences and criteria for recognition of APNs was problematic at the levels of accreditation, certification, and regulation. The interdependency of these concepts as well as the necessity and difficulty of linking them in a consistent, effective manner has become increasingly evident. The Texas Board of Nurse Examiners has been involved in deriving a model designed to ensure the education and recognition of APNs with emphasis on both professionalism and public safety. Because Texas is unique in size and geography, it mirrors many problems and issues of both large and small states.

Certification↗
PubMed1992

Getting the story straight: evaluating the test-retest reliability of a university health history questionnaire.

This study was designed to establish the reliability of a health history questionnaire used as a screening tool for incoming university students. The authors used a test-retest design, with a test interval of 6 months, on a sample of medical and nursing students. The analysis focused on overall reliability of the questionnaire and reproducibility of specific items, based on question format. Questionnaire items of specific interest were those with dichotomous yes/no response options versus open-ended format questions, those using the words frequently or recently, or those that asked multiple questions. Demographic characteristics of the subjects were considered in the evaluation of reliability. Overall reliability of the questionnaire (93.6%) was above the anticipated level of 90%, and subject sex or program of study did not show any significant differences in reproducibility of responses. Although wording of questions did not affect item reliability, dichotomous format questions demonstrated a higher degree of reliability (96.4%) than the overall reliability of the questionnaire. Recommendations for enhancing the reliability of the questionnaire are based on item analysis and information gathered from interviews with subjects.

Adult↗
PubMed1989

The social impact of cancer.

Patients with cancer and their families often experience an enhanced need for "social support." Social support has been found to be empirically related to influencing health outcomes. It was noted that there are nine different types of social support, with "emotional support" being one of the most important. There are also different providers of social support, with the immediate family being the most common provider. Examples of interventions for nurses as providers of social support were outlined. In addition, the processes involved in the provision of social support, and the costs and consequences of providing social support were discussed. "Ironically, cancer may often undermine one of the strongest potential resources people have in coping with the disease--their social relationships. In fact, the social relationships of the cancer patient may not only fail to buffer them against the stress of cancer, but may provide additional sources of distress" (Wortman, 1984, p. 2341).

Adaptation, Psychological↗
PubMed1988

Strategies for faculty practice.

Nursing faculty who prepare students for advanced roles in primary care are faced with maintaining their own clinical knowledge and skills at a time when doctoral preparation, research and scholarship are receiving emphasis. This article describes some successful faculty experiences in increasing clinical knowledge and practice while integrating clinical practice into the faculty role.

Clinical Competence↗
PubMed1985

Identifying competencies of clinical nurse specialists.

The performance of clinical nurse specialists (CNSs) is evaluated most often by quantitative checklists, peer review, self-evaluation, administrative review, or nursing audits. Observations of actual clinical and managerial competencies demonstrated by expert clinical nurse specialists seldom are used. An ethnographic study of the CNS role identified common competencies and skills that can be used by nurse administrators to justify the cost of the advanced practice role and its contributions to organizational goals, and to serve as criteria for job descriptions, performance evaluations, and predictors of employment success.

Clinical Competence↗
PubMedDate not supplied

Qualitative distinctions and similarities in the practice of clinical nurse specialists and nurse practitioners.

Current debate over whether clinical nurse specialist (CNS) and nurse practitioner (NP) roles should be combined or remain separate are largely theoretical. Minimal research has been conducted comparing these roles. Most studies to date consist of graduate follow-up surveys and comparisons of curricula. Interpretive results of Fenton's investigation of the practice of CNSs and Brykczynski's study describing the practice of NPs were compared to highlight the commonalities and distinctions between the two roles. This comparison is significant in that it explores the actual practice of CNSs and NPs. Both studies were modeled after Benner's research exploring the development of clinical expertise and produced adaptations of Benner's domains and competencies of nursing practice specifically for CNSs and NPs. Participant observations and small group interviews were the data-gathering methods used in these interpretive research studies. The interpretive approach is described as a situational, contextual, or narrative research method for understanding the knowledge and meanings in everyday (naturalistic) settings. Comparative analysis of results of the CNS and NP studies showed a shared core of advanced practice competencies as well as distinct differences between the practice roles. These findings have implications for curriculum development in advanced nursing practice.

Clinical Competence↗
PubMedDate not supplied

Alma-Ata, at last.

Explore the source record for details and available documents.

Community Health Nursing↗
PubMedDate not supplied

Combining the role of the nurse practitioner and the community health nurse. An educational model for implementing community-based primary health care.

With increasing health care costs, public health agencies and other institutions have a critical need for master's-prepared nurses who can provide health care for common health problems of individuals and families but also assess, plan, intervene, and evaluate the needs of communities. This article describes the development of a nursing master's degree program to meet that need which combines the traditional roles of the nurse practitioner and the community health nurse. The program is based on the global concept of primary health care as defined by the World Health Organization, which includes more emphasis on economic, political, environmental, and social factors.

Community Health Nursing↗
PubMedDate not supplied

Education for the advanced practice of clinical nurse specialists.

The results of an ethnographic study of the expert practice of clinical nurse specialists (CNSs) can be used to develop a curriculum based on the actual clinical competencies and skilled performance of successful CNSs. Benner's seven domains of expert clinical nurse practice formed the conceptual framework for an investigation that confirmed that expert CNSs demonstrate those domains as well as additional clinical, educational, and consultative competencies specific to the role. Several examples from the practice of oncology CNSs are included. Incorporating these findings into graduate education learning experiences would ensure that new graduates of CNS programs have a grasp of the realistic as well as the theoretical aspects of the role.

Clinical Competence↗
PubMedDate not supplied

Development of the Scale of Humanistic Nursing Behaviors.

The purpose of this study was to develop a reliable and theoretically based scale to measure the degree of humanistic health care in hospital settings as perceived by nursing personnel. Howard's (1975) theoretical model of dimensions pertinent to the domain of humanistic care was used to structure the scale. The dimensions are irreplaceability, holistic selves, freedom of action, status equality, shared decision making and responsibility, empathy, and positive affect. A 163-item scale reflective of Howard's dimensions was developed and distributed to 316 nursing personnel employed in four hospitals which included public, private, community, and university-affiliated health care facilities. Rigorous application of reliability and validity indexes yielded a final scale of 70 items measuring four dimensions: shared decision making and responsibility, holistic selves, status equality, and empathy. The Scale of Humanistic Nursing Behaviors can be used both as a diagnostic aid and as an instructional device.

Behavior↗