The aim of this study was to expand understanding of how baccalaureate-level nursing students engage in and transition through international health-care experiences (IHCEs). Using a qualitative, interpretative research design, the authors conducted in-depth, semi-structured interviews with 12 former nursing students. This article focuses on international nursing shock, one of the ...

PURPOSE: This study aims to identify nurses' concerns about the clinical, ethical, and legal aspects of deactivating cardiovascular implantable electronic devices (CIEDs). METHODS: We used focus groups to discuss decision making in CIED management. RESULTS: Fourteen nurses described the informed consent process as overly focused on procedures, with inadequate coverage ...

The RCN's Frontline First campaign is highlighting examples of nursing innovations that have improved care while saving money after its research found that thousands of posts are at risk as NHS organisations cut costs. In this article, Carol Davis talks to winner of the Frontline First award Marina Lupari about ...

Due to current or predicted health workforce shortages, policy makers worldwide are addressing issues of task allocation, skill mix, and role substitution. This article presents an example of this process in the United States (US). Health workforce analysts recommend that US physician workforce planning account for the impact of physician ...

Aims and objectives.  This integrative review presents and synthesises previous research investigating practices, perceptions and experiences of bedside staff nurses relative to hospital discharge planning. Background.  Preparation for hospital discharge should begin at or prior to admission. Forces in the acute care environment, however, often impede comprehensive discharge planning. Evidence-based ...

Compliance with hand hygiene guidelines by hospital physicians and nurses is universally low and there is a need to apply powerful intervention methods from social sciences in order to improve compliance. One method is the formation of implementation intentions (or action planning) in which concrete 'if then' plans are formulated ...

The appraisal and relative performance evaluation of nurses are very important and beneficial for both nurses and employers in an era of clinical governance, increased accountability and high standards of health care services. They enhance and consolidate the knowledge and practical skills of nurses by identification of training and career ...

The number of nursing faculty planning to retire by 2020 is alarming. To develop strategies for retaining faculty, researchers asked: What factors influence the decision by nursing faculty to stay in the workforce past retirement age? What barriers could be removed that would encourage faculty to stay longer? Using Giorgi's ...

Planning for a patient's postdischarge needs care does not begin on the day when decision is made to release the patient from the hospital. It is generally accepted that discharge planning should start before admission (for a planned admission) or at the time of admission (for an unplanned admission). A ...

To analyse the effect of Kenya's Emergency Hiring Plan for nurses on their inequitable distribution in rural and underserved areas. We used data from the Kenya Health Workforce Informatics System on the nursing workforce to determine the effect of the Emergency Hiring Plan on nurse shortages and maldistribution. The total ...

This article describes how implementing the Nursing and Midwifery Workload and Workforce Planning programme has been devolved from central government to individual NHS boards, and how its implementation has helped to ensure that senior nursing staff have become aware of their accountability for workload and workforce planning.

OBJECTIVE: To review venous anatomy and physiology, discuss assessment parameters before vascular access device (VAD) placement, and review VAD options. DATA SOURCES: Journal articles, personal experience. CONCLUSION: A number of VAD options are available in clinical practice. Access planning should include comprehensive assessment, with attention to patient participation in the ...

Timely access to healthcare services requires the right number, mix and distribution of appropriately educated nurses, physicians and other healthcare professionals. In Ontario, as in several other jurisdictions, changing demographics, patterns of health service utilization and an aging workforce have created challenges related to the supply of nurses available now ...

Of all the tasks undertaken by human resource managers, performance appraisals (PAs) are one of the most unpopular among employees (Meyer 1991, Murphy and Cleveland 1995, Holbrook 2002, Jackman and Strober 2003). As PA guides and plans show (Fletcher 2004, CatalystOne 2010), PAs can be implemented in similar ways in ...

Evidence of acute nursing shortages in urban hospitals has been surfacing since 2000. Further, new graduate nurses account for more than 50% of total nurse turnover in some hospitals and between 35% and 60% of new graduates change workplace during the first year. Critical to organizational success, first line nurse ...

This article describes how an over-reliance on agency staff in the NHS in Scotland has been addressed by the creation of unified, board-wide nurse banks; the development of a national nurse agency contract; and the use of tools devised by the Nursing and Midwifery Workload and Workforce Planning programme.

Generational diversity has proven challenges for nurse leaders, and generational values may influence ideas about work and career planning. This article discusses generational gaps, influencing factors and support, and the various generational groups present in today's workplace as well as the consequences of need addressing these issues. The article ends ...

Interdisciplinary communication is critically important to provide safe and effective care, yet it has been inadequately studied for hospitalised medical patients. Our objective was to characterise nurse-physician communication and their agreement on patients' plan of care. During a one-month period, randomly selected hospitalised patients, their nurses and their physicians were ...

When planning a simulation scenario, even if adopting prepackaged simulation scenarios, faculty should first conduct a task analysis to guide development of learning objectives and cue critical events. The authors describe a strategy for systematic planning of simulation-based training that incorporates knowledge, skills, and attitudes as defined by the Quality ...

The Nursing and Midwifery Workload and Workforce Planning programme for Scotland, the origins of which were described in last month's Nursing Management, does not solve all the problems faced by workforce planners. However, it can provide evidence that informs decisions, workload and workforce changes and a suite of tools has ...

In response to an Audit Scotland report, the Scottish Executive, now the Scottish Government, set up the national Nursing and Midwifery Workload and Workforce Planning (NMWWP) programme to define workload and workforce needs, and to analyse the use of bank and agency staff. After extensive research, a systematic, national approach ...

Nursing Care Plans (NCP) and Nursing Clinical Practice Guidelines (NCPG) promote evidence-based patient care, but in their paper form they are difficult to be applied at the point-of-care. We present our approach to generate patient-specific nursing care plans by modeling and computerizing these nursing knowledge resources. We present a Nursing ...

When healthcare units adopt the national structure of electronic nursing documentation, the process requires managerial support in nursing development as well as theoretical education arranged prior to the implementation. According to the experiences of the pilot units in the Central Finland Health Care District, nursing core data documentation in accordance ...

Internationally educated nurses (IENs) have become an integral part of the U.S. registered nurse workforce. To understand the U.S. RN workforce and conduct nurse workforce planning, it is fundamental to know the who, what, and where about IENs. Analysis of the 2004 National Sample Survey of Registered Nurses revealed demographic ...

Using a systematic, evidence-based approach for developing a business plan allows nurse executives to forecast the needs of the organization, involve nursing staff at all levels, evaluate the direction of the profession, and present a plan with clear, concise goals. The authors describe 4 steps necessary in developing an effective ...

Succession planning is a business strategy that has recently gained attention in the healthcare literature, primarily because of nursing shortage concerns and the demand for retaining knowledgeable personnel to meet organizational needs. Little research has been conducted in healthcare settings that clearly defines best practices for succession planning frameworks. To ...

BACKGROUND: Health care providers' attitudes toward maternity care options influence the nature of informed decision-making discussions and patient choice. A woman's choice of birth site may be affected by her provider's opinion and practice site. The objectives of this study were to describe American nurse-midwives' attitudes toward, and experiences with, ...

This article examines the concept of the reproductive life plan and provides information about translating this important idea into practice. The idea of the reproductive life plan was introduced in a report from the , but has thus far received little attention in the nursing literature. Reproductive life plans are ...

The health care industry is under pressure from government and private entities as well as from market conditions to contain costs. In an effort to respond to these pressures, the case hospital in this study implemented a Balanced Scorecard (BSC) in January 2003 and integrated it with the hospital's formal ...

The current global nursing shortage challenges the provision of a well qualified and sustainable health workforce to meet future population health needs. An identified area of concern for New Zealand reaching health policy targets in chronic conditions management and primary health care is an adequate specialist nurse workforce supply. This ...

This article examines the potential benefits of employing healthcare assistants in paediatric oncology departments. It explores the implications for role definition, workforce planning, training, regulation, accountability and delegation. The article considers whether this alternative to employing more registered nurses is an effective initiative that can improve services for children, young ...

Self-management education and the issuing of a written action plan improve outcomes for asthma. Many do not receive a plan and some cannot use the written word. We have developed an electronic pictorial asthma action plan (E-PAAP). A pictorial action plan was incorporated into a software package. 21 general practices ...

Since Hurricane Katrina, there have been numerous lessons learned and improvements in disaster planning and nursing management. The subsequent Hurricane Gustav allowed nurses and disaster planners to "test the system" and identify improvements that worked and did not. The authors outline those improvements and give direction for change and further ...

The aim of this research plan was identification and development of core competencies for emergency trauma nurses in Thailand. The research plan was undertaken in three phases. Phase I: a national survey of the critical dimensions of care; Phase II: development of a 64 item tool; and Phase III: efficiency ...

AIM: This study reports on a locally organized model of succession planning in a 550-bed general hospital. BACKGROUND: Within healthcare, succession planning has traditionally been considered for people at the executive director level and little research has been published with nurses working at the clinical level. METHOD: A succession planning ...

AIM: This paper is a report of a study conducted to describe emergency department nurses' understanding and experiences of implementing discharge planning. BACKGROUND: Discharge planning in the emergency department is an important issue because of increased healthcare costs and greater emphasis on continuity of care. When executed as a collaborative ...

This paper describes a linear programming hierarchical planning model that determines the optimal number of nurses to train, promote to management and recruit over a 20 year planning horizon to achieve specified workforce levels. Age dynamics and attrition rates of the nursing workforce are key model components. The model was ...

This bimonthly department, sponsored by the American Organization of Nurse Executives (AONE), presents information to assist nurse leaders in shaping the future of healthcare through creative and innovative leadership. The strategic priorities of AONE anchor the editorial content. They reflect contemporary healthcare and nursing practice issues that challenge nurse executives ...

Inadequate nutritional intake is the predominant cause of malnutrition in older persons. It is one of the most common and devastating conditions in nursing home residents. It is multifactorial and treatment or nutrition care plans should try to address the main causes. Such plans often include means to stimulate appetite ...

Based on researches, the most time-consuming nursing activities, in teaching hospital, are: room patrols, the blood pressure survey, the body temperature pulse breath survey, the nursing record maintenance. The nursing record is one way to communicate data. It can allow the medical service team to understand what measures the nursing ...

This study abstracted nursing problems documented in cancer patients' nursing care plans to analyze (1) which nursing problems were documented and (2) the degree of congruence between the abstracted problems and NANDA nursing diagnoses. 236 unique nursing problems were identified and could be mapped to 32 NANDA nursing diagnoses. However, ...

With the nursing shortage looming and planned growth, not only at the Ottawa Hospital (TOH) but within our region, TOH recognized the need to have a workforce plan that would accurately predict the number of nurses TOH would have to hire annually for three and five years. A review of ...

All rehabilitation nurses in all types of roles and settings, including students, have the potential to be authors. Practical advice on the 10 steps for developing a publishable manuscript is offered in this article. Helpful hints are provided for each step. Nurse authors will need to plan time for each ...

The law of electronic patient' documentation came into operation in Finland in June 2007. The law obligates organizations of health care to connect with national information service system before 2011. According to definitions electronic patient record should be uniform and structured. Unified classification, terminology and core data elements will be ...

BACKGROUND: The School of Nursing in which this research was conducted uses a problem based learning approach in clinical nursing courses. Although the skills required for problem solving, and those in nursing care planning, are similar and therefore, support each other in the learning environment, there is limited evidence of ...

AIM: This article highlights eight leadership competencies likely to be an essential part of the nurse leader's repertoire in 2020. BACKGROUND: Planning for the future is difficult, even when environments are relatively static. When environments are dynamic, the challenges multiply exponentially. Unfortunately, few environments have been more unpredictable in the ...

District nursing services in Northern Ireland face increasing demands and challenges which may be responded to by effective and efficient workforce planning and development. The aim of this paper is to critically analyse district nursing workforce planning and development methods, in an attempt to find a suitable method for Northern ...

OBJECTIVE: To identify the influence of a community health nurse (CHN) home visit on perceived barriers to contraceptive access and contraceptive use self-efficacy. METHODS: We enrolled 103 women into two groups in a randomized trial evaluating the influence of contraceptive dispensing and family planning counseling during home visits on perceived ...

PURPOSE: This article examines scholarship as a holistic process of self-discovery. METHODS: By using their own work as an exemplar, the authors illustrate how the scholarly projects they completed (whether consciously planned or not) helped them to evolve as individuals and scholars. They also demonstrate how those they chose by ...

Nurses are the largest group of healthcare providers and will be at the forefront during a response to a bioterrorism attack in the U.S. However, nurses' bioterrorism risk perceptions and their participation in bioterrorism preparedness activities, such as bioterrorism-related exercises or drills, have not been evaluated. We mailed a survey ...