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Now showing items 7211-7220 of 7265
The unethical treatment of psychiatric patients
(2015-01-15)
Session presented on Thursday, September 25, 2014:
The healthcare system aims to provide appropriate support and treatment to enhance the quality of a persons emotional and psychological health. However, the United States ...
Critical communication in escalation of care
(2016-03-21)
Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015:
This presentation will discuss a critical event, the barriers within escalation and what can be done within debriefing to improve outcomes. ...
Evaluating the use of C-HOBIC and the C-HOBIC Transition Synoptic Report
(2016-03-21)
Purpose/Objective Electronic health records (EHRs) offer the opportunity to improve patient outcomes across the continuum of care. Fundamental to achieving these improvements is the use of standardized clinical data to ...
Choosing wisely: The role of nurse leaders in reducing unnecessary healthcare
(2016-03-21)
The Choosing Wisely campaign is an initiative of the American Board of Internal Medicine (ABIM) that is focused on improving communication between providers and patients. The campaign began in April 2012 with the goal of ...
Choosing Wisely: Building a statewide pilot program
(2016-03-21)
Choosing Wisely, an initiative of the American Board of Internal Medicine (ABIM) Foundation, released its first list of "Things Providers and Patients Should Question" in 2012. This campaign works with different organizations ...
Choosing wisely: The role of nurse in reducing unnecessary healthcare
(2016-03-21)
The purpose of this presentation is to educate participants about the Choosing Wisely® campaign in an effort to improve nursing practice, patient-centered care delivery, quality of care, and safety.
Caregiver activation: Cancer communication in home hospice
(2016-03-21)
Session presented on Monday, November 9, 2015:
Background: Current research demonstrates that activated patients have the skills, knowledge, and confidence to manage their care, resulting in positive outcomes such as lower ...
The impact of simulation learning experience sequencing on clinical decision making
(2016-10-20)
Summary The purpose of this study was to explore whether there is a difference in learning outcomes based on the order in which nursing students receive patient care learning experiences. Specifically, this study examined whether there were differences in students’ perception of clinical decision making (CDM) and CDM-related self-confidence and anxiety based on the sequence (order) in which they participated in a block of high fidelity simulated learning experiences ( SLE) versus hospital-based learning experiences (HLE).
Theoretical Background The NLN Jeffries Simulation Theory provided the theoretical framework for this study.
Methodology A quasi-experimental crossover design was used to determine if the sequence of SLE and HLE affected students’ confidence, anxiety, and ability to make clinical decisions. Students in a junior-level medical-surgical practicum were assigned to one of two group sequences with each sequence lasting 7 weeks; Group S-H (simulation learning followed by hospital experience) or Group H-S (Hospital experience followed by simulation). Outcomes were measured with two self-report surveys with established reliability and validity. The Clinical Decision Making in Nursing Scale (CDMNS) measured students’ perceptions of CDM and Nurse Anxiety and Self-Confidence with Clinical Decision Making (NASC-CDM) measured students’ perceptions of their level of CDM-related self-confidence and anxiety. Baseline data were collected at week 1 (T1) and week 14 (T2) at the completion of the two sequences of learning experiences. A repeated measures ANOVA was used to determine within and between group differences in the outcome variables.
Findings Between and within group differences were found relative to the NASC-CDM specifically in regards to self-confidence with the decision-making process. When comparing groups, at baseline (T1) the S-H group had significantly higher self-confidence scores compared to the H-S group; however, at 14-weeks (T2) both groups were not significantly different. Between group differences in NASC-CDM mean scores related to anxiety with making clinical decisions were not significantly different at T1 or T2. Significant within group differences were found in the S-H group only demonstrating a significant decrease in clinical decision-making anxiety across the 14 week semester. No significant differences in NASC-CDM scores between T1 and T2 were found within the H-S group. Finally, there were no significant difference in scores on the CDMNS within or between the two study groups at the two measurement points.
The sequencing of learning experiences does not appear to impact students’ perceptions of their CDM ability, confidence, nor anxiety at the conclusion of both sequences. However, students having SLE first did demonstrate decreased anxiety and increased self-confidence which may enable them to learn better and ultimately improve their clinical performance.
Recommendation for Nursing Education Preliminary findings suggest that SLE and HLE can be offered with alternating sequences without impacting the process, anxiety or confidence in CDM. This study provides beginning evidence to guide schools of nursing in curriculum development and allow flexibility in providing high-fidelity simulated learning in relationship to hospital-based clinical practicums based on student needs and available resources. Further studies are needed comparing the sequencing of SLE versus HLE that include an objective measurement of additional outcomes such as student performance and clinical competency....
Evaluating the outcomes and impact of five (5) projects using the case study method
(2016-03-21)
Background: Between 2006 and 2012, Atlantic Philanthropies (AP) invested 32.8 million USD to strengthen the nursing sector in South Africa. Of the work that has been done, through nineteen projects, five projects were ...
Ethical implications of for-profit physician care for indigent population
(2015-01-15)
Session presented on Thursday, September 25, 2014:
Primary health care physicians (PCPs) are facing dissatisfaction in their work environment due to demands of labor, increasing work hours and number of patients, and ...