Journal for nurses in staff development : JNSD : official journal of the National Nursing Staff Development Organization最新文献

Adverse patient events related to preventable errors while hospitalized resulted in need for interventions to improve outcomes. One identified error is the lack of symptom recognition during patient deterioration. Pediatric patients' symptoms during deterioration vary from their adult counterparts and often go unrecognized. A Pediatric Crisis Recognition and Management course was designed to assist the novice pediatric nurse to recognize and respond appropriately through the use of high-fidelity simulation enhancing their clinical skills and improving patient outcomes during a crisis.

The nurse faculty shortage and new requirements for teaching have led to thousands of qualified applicants being turned away from prelicensure nursing programs. In response, the Chief Nursing Officer in one organization created nursing faculty consultant positions to collaborate with faculty, teach prelicensure students in clinical practice, ensure the consistency of care by students in the hospital system, and enhance the relationships between schools of nursing and the organization. In the past 4 years the nursing faculty consultants have been employed they have taught over 500 nursing students from six different nursing programs.

The author reviews the literature regarding midlife adult learners to determine the best educational methods to positively affect retention. Developing hospital-based educational programs will meet the needs of the midlife learner and help retain nurses. Strategies reviewed include intergenerational mentoring, adapting to physiological age-related changes, linking new and prior learning, allowing time to acquire new skills, and deliberate planning for the future.

The Education Council was interested in identifying learning needs. Previous needs assessments identified topics but did not assist in prioritizing education. A survey was developed with topics selected from quality and process initiatives. To prioritize education, a measurement scale based on Patricia Benner's skill development model was utilized, asking staff to rate their knowledge from novice to expert. Education programs have been prioritized by targeting topics with the highest novice responses. This assessment has also been utilized to measure the effectiveness of education. This is accomplished by having the staff rate their knowledge of topics the following year to evaluate learning.

Significant emphasis has been placed on reducing barriers to implementing evidence-based practice and improving patient outcomes. The purpose of this study was to determine whether a mentor-led evidence-based practice quality improvement project would reduce professional nurses' perceptions of barriers to using best practice research findings in their practice to influence patient outcomes related to pressure ulcer prevalence.

This qualitative study presents the transition experience of new registered nurses during the first year of professional practice. Four themes emerged: feelings of frustration and being overwhelmed, preceptors, fear, and the orientation process. The orientation process, quality, competent preceptors, and reducing lateral violence are key strategies to successfully retain new nurses. Nurse educators have a crucial role during nurse orientation, training preceptors, and reducing violent behaviors in the workplace.

Understanding the meaning of being the primary preceptor for newly graduated nurses during their transition into clinical practice has implications for hospital administrators, nurse leaders, and staff development nurses. This qualitative study explores the meaning of this experience through interviews with six preceptors. Findings suggest that nursing leaders need to clarify other roles that preceptors are expected to fill while precepting, implement a systematic approach to match preceptors with preceptees, and provide support for development of the preceptor role and daily preceptor practice.

An acronym, a button, a script card, and a lot of fun are all an educator needs to turn dreaded education into a great learning experience for nurses as well as the patients. A multidisciplinary team pilot tested a new learning approach on a cardiac step-down unit. The goal was to educate both nurses and patients about the American Heart Association's Get-With-the-Guidelines Program for Coronary Artery Disease. The educational strategies were successful, and data revealed an increase in nursing knowledge of core measures. After a two-phase study, the program was eventually rolled out hospital-wide. The study results show that nurses' compliance with and knowledge of the AHA core measures increased as a direct result of the program.