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Succeeding in the first year of practice: heed the wisdom of novice nurses. 成功第一年的实践:听取新护士的智慧。
Genevieve Elizabeth Chandler

The transition from student to nurse has been described as traumatic, confusing, and shocking. The difficulties encountered by the graduates have led to the premature termination of their first position, and sometimes they leave nursing altogether. To coach new nurses in preparation for their first year of practice using an appreciative inquiry framework, this study focused on the new graduates' perspective of the processes that enabled them to successfully integrate into their new role. From the analysis of 36 interviews, three themes were identified: "They were there for me," "There are no stupid questions," and "Nurturing the seeds." New nurses know what works for them; educators need to heed their wisdom.

从学生到护士的转变被描述为创伤、困惑和震惊。毕业生遇到的困难导致他们过早终止了第一份工作,有时他们完全离开了护理工作。为了指导新护士为第一年的实习做准备,使用赞赏式询问框架,本研究侧重于新毕业生对使他们成功融入新角色的过程的看法。通过对36个采访的分析,我们确定了三个主题:“他们一直在我身边”、“没有愚蠢的问题”和“培育种子”。新护士知道什么对自己有效;教育工作者需要听取他们的智慧。
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引用次数: 90
Improving code blue response through the use of simulation. 通过模拟改进蓝色代码的响应。
Kelley F Huseman

In this research project, the response times to chest compressions, first defibrillation, and first dose of epinephrine in cardiac arrest were measured over a 3-month period through retrospective chart reviews. All nursing staff then participated in random, unannounced mock code blue drills using a high-fidelity patient simulator. After 3 months of code blue drills, the variables were again measured in patient code blue situations and compared with the response times before training. At the conclusion of this study, the response times for start of chest compressions and epinephrine administration improved significantly; the response time to defibrillation did not improve significantly. The response times were measured for an additional 3-month period to assess if the improvement was sustained.

在本研究项目中,通过回顾性图表回顾,在3个月的时间内测量了心脏骤停时胸部按压、首次除颤和首次肾上腺素剂量的反应时间。然后,所有护理人员都使用高保真病人模拟器参加了随机的、未经宣布的模拟蓝色代码演习。经过3个月的蓝色代码训练,在患者蓝色代码情况下再次测量变量,并与训练前的反应时间进行比较。在本研究结束时,胸外按压开始和肾上腺素给药的反应时间明显改善;除颤反应时间无明显改善。在另外3个月的时间内测量响应时间,以评估改善是否持续。
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引用次数: 34
A student evaluation workshop with rural nursing preceptors. 农村护理师长学生评价工作坊。
Olive Yonge, Florence Myrick, Linda Ferguson

Increasingly, clinicians and faculty members are motivated to provide students quality preceptorship placements in rural areas, particularly in light of the potential for recruitment of new graduates to underserved areas. Invariably, student performance evaluation is an onerous task for many preceptors and one in which they often feel ill-prepared. Rural preceptors may face additional challenges given the lesser availability of educational resources and professional development. In this article, the authors detail the development, pilot testing, and evaluation of a workshop on student evaluation that was created in collaboration with rural nurse preceptors.

越来越多的临床医生和教师都有动力在农村地区为学生提供高质量的实习机会,特别是考虑到在服务不足的地区招聘新毕业生的潜力。对于许多教师来说,学生的表现评估总是一项繁重的任务,他们常常感到准备不足。由于缺乏教育资源和专业发展,农村教师可能面临更多挑战。在本文中,作者详细介绍了与农村护士导师合作创建的学生评估研讨会的发展、试点测试和评估。
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引用次数: 9
Assessing confidence in triage decision making: evaluation of an inventory in a sample of navy and civilian nurses. 评估对分诊决策的信心:海军和文职护士样本清单的评估。
Anita J Smith

Triage decision making and prioritizing nursing care are essential nursing skills in all clinical settings. The purpose of this study was to evaluate the psychometric properties of the Triage Decision Making Inventory in a sample of Navy and civilian nurses with diverse clinical specialties and years of clinical experience. Establishing reliability and validity allows staff development educators to evaluate training strategies that promote confidence in decision making among nurses of all specialty practices.

在所有临床环境中,分诊决策和优先护理是必不可少的护理技能。本研究的目的是评估具有不同临床专业和多年临床经验的海军和文职护士在分诊决策量表中的心理测量特性。建立可靠性和有效性允许员工发展教育工作者评估培训策略,促进所有专业实践护士决策的信心。
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引用次数: 6
Nursing professional development: stories, tips, and techniques. 护理专业发展:故事、技巧和技术。
Michele L Deck
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引用次数: 0
Assessment and planning for a dedicated education unit. 评估和规划一个专门的教育单位。
Karen M Parker, Charlene M Smith

This pilot project describes the use of the Revised Professional Practice Environment scale to identify inpatient acute care units suitable for implementation of dedicated education units. Staff development professionals may use the suggested model to assess and plan phases of a dedicated education unit.

这个试点项目描述了使用修订的专业实践环境量表来确定适合实施专门教育单位的住院急症护理单位。员工发展专业人员可以使用建议的模型来评估和计划一个专门的教育单位的各个阶段。
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引用次数: 9
Orientation without walls: opening an acute care hospital. 没有围墙的方向:开设一家急症护理医院。
Mary Ann Whicker, Maggie Huebner

Providing holistic orientation for all hospital personnel of a newly constructed acute care facility without patient presence proved challenging and rewarding to staff development educators. Early planning, multidisciplinary involvement of key stakeholders for hospital-wide and nursing orientation, and on-boarding of unit nursing educators shortly after unit nursing managers promoted success. Using an interdisciplinary approach to address hospital policies, procedures, and education ensured a quality healthcare facility in the community.

在没有病人在场的情况下,为新建急症护理设施的所有医院人员提供全面的指导,这对员工发展教育工作者来说是一项挑战,也是有益的。早期规划,关键利益相关者的多学科参与全医院和护理导向,以及在单位护理管理人员促进成功后不久的单位护理教育者的入职。采用跨学科的方法来解决医院的政策、程序和教育问题,确保社区拥有高质量的医疗保健设施。
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引用次数: 2
Research priorities for nursing professional development: a modified e-Delphi study. 护理专业发展的研究重点:一个修正的e-Delphi研究。
Mary G Harper, Marilyn E Asselin, Abby C Kurtz, Susan K MacArthur, Sarah Perron

In 2010, the National Nursing Staff Development Organization Research Committee identified the need to delineate research priorities for nursing professional development (NPD). A Delphi study with 13 experts in NPD resulted in the identification of 24 priorities for the next 5 years. These priorities provide the future direction for NPD research and funding.

2010年,国家护理人员发展组织研究委员会确定了为护理专业发展(NPD)划定研究重点的必要性。由13位NPD专家参与的德尔福研究确定了未来5年的24个优先事项。这些优先事项为NPD的研究和资助提供了未来的方向。
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引用次数: 17
Preceptors and new graduate nurse orientees: implications of psychological type compatibility. 导师和新毕业护士:心理类型兼容性的含义。
Michele Poradzisz, Carol T Kostovich, Debbie O'Connell, Cheryl A Lefaiver

The relationship between preceptor and new graduate nurse (NGN) orientee can be a critical factor in NGNs' satisfaction with choice of profession and place of employment. A research study was conducted with NGN orientees (n = 218) and preceptors (n = 159) to investigate characteristics of psychological type as determined by the Myers-Briggs Type Indicator. Preliminary descriptive data regarding participants' Myers-Briggs Type Indicator characteristics is presented, and suggestions are offered for working with orientees during orientation in both classroom sessions and clinical units.

师长与新毕业护士生的关系是影响新毕业护士生对专业和就业地点选择满意度的重要因素。本研究以218名NGN取向者和159名指导者为对象,探讨了Myers-Briggs类型指标所确定的NGN心理类型特征。提出了有关参与者迈尔斯-布里格斯类型指标特征的初步描述性数据,并提出了在课堂和临床单元的指导过程中与指导人员合作的建议。
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引用次数: 10
The use of high-fidelity simulation for rapid response team training: a community hospital's story. 高保真模拟在快速反应小组训练中的应用:一个社区医院的故事。
Alissa L Kegler, Brandy D Dale, Amy J McCarthy

The authors describe how simulation training was used to improve rapid response team activation in a nonteaching, nonprofit community hospital. Goals were established, and a scenario was developed to educate the healthcare team on the importance of early activation of the rapid response ream. Organizing and implementing a large-scale simulation required a solid commitment from the staff development department. The education from the simulation has led to increased knowledge and comfort levels of clinical staff, resulting in an increased use of the rapid response team.

作者描述了如何使用模拟训练来提高非教学,非营利性社区医院的快速反应小组的激活。制定了目标,并制定了一个方案,以教育医疗保健团队了解早期启动快速反应小组的重要性。组织和实施大规模的模拟需要员工发展部门的坚定承诺。从模拟中获得的教育增加了临床工作人员的知识和舒适度,从而增加了对快速反应小组的使用。
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引用次数: 9
期刊
Journal for nurses in staff development : JNSD : official journal of the National Nursing Staff Development Organization
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