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Author: Lisa D. Kirkland
Publisher:
ISBN:
Category : Intensive care nursing
Languages : en
Pages : 185
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Book Description
Most newly licensed registered nurses go to work in acute care hospitals, which means they enter an increasingly complex healthcare environment where they experience staffing shortages, high nurse-patient ratios, and workplace violence. The purpose of this study is to attempt to understand the experiences of newly licensed registered nurses who have endured the early years of bedside hospital nursing and continue to work in their first nursing job. The existential phenomenological philosophy of Merleau-Ponty serves as the guiding framework for this qualitative research study. Following IRB approval, criterion and snowball sampling were used to recruit newly licensed registered nurses who graduated between May 2012 and May 2013. An open-ended unstructured interview format was used to collect data from nine nurses willing to be interviewed about their clinical experiences. Participants ranged in age from 24 to 43 years, represented day and night shifts, and included acute and critical care settings from five different health systems across the state of Tennessee. Data were analyzed by the researcher and the Interpretive Research Group at the University of Tennessee using the Thomas-Pollio existential phenomenological approach. All transcripts were read and analyzed for meaning units and global themes which were used to develop a thematic structure. The researcher, research group, and willing study participants agreed upon the final thematic structure. Five figural themes emerged from the data: 1) I found the perfect fit; 2) We're a pretty cohesive group; 3) It's about caring for the patients; 4) I've learned a lot; and 5) Knowing I make a difference. Study rigor was maintained by bracketing, data saturation, interdisciplinary review, member checking, and the use of direct quotes to support findings. This research has implications for nursing education and clinical practice. Findings are applicable to student nurses, newly licensed registered nurses, nurse educators, clinical preceptors, nurse managers, and hospital administrators.
Author: Lisa D. Kirkland
Publisher:
ISBN:
Category : Intensive care nursing
Languages : en
Pages : 185
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Book Description
Most newly licensed registered nurses go to work in acute care hospitals, which means they enter an increasingly complex healthcare environment where they experience staffing shortages, high nurse-patient ratios, and workplace violence. The purpose of this study is to attempt to understand the experiences of newly licensed registered nurses who have endured the early years of bedside hospital nursing and continue to work in their first nursing job. The existential phenomenological philosophy of Merleau-Ponty serves as the guiding framework for this qualitative research study. Following IRB approval, criterion and snowball sampling were used to recruit newly licensed registered nurses who graduated between May 2012 and May 2013. An open-ended unstructured interview format was used to collect data from nine nurses willing to be interviewed about their clinical experiences. Participants ranged in age from 24 to 43 years, represented day and night shifts, and included acute and critical care settings from five different health systems across the state of Tennessee. Data were analyzed by the researcher and the Interpretive Research Group at the University of Tennessee using the Thomas-Pollio existential phenomenological approach. All transcripts were read and analyzed for meaning units and global themes which were used to develop a thematic structure. The researcher, research group, and willing study participants agreed upon the final thematic structure. Five figural themes emerged from the data: 1) I found the perfect fit; 2) We're a pretty cohesive group; 3) It's about caring for the patients; 4) I've learned a lot; and 5) Knowing I make a difference. Study rigor was maintained by bracketing, data saturation, interdisciplinary review, member checking, and the use of direct quotes to support findings. This research has implications for nursing education and clinical practice. Findings are applicable to student nurses, newly licensed registered nurses, nurse educators, clinical preceptors, nurse managers, and hospital administrators.
Author: Lynn Marie Derickson
Publisher:
ISBN:
Category : Job satisfaction
Languages : en
Pages :
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Book Description
A qualitative study of newly licensed nurses in their first five years of practice, this study looked at twelve participants' receptions into the nursing workforce, and their intent to stay or leave their first nursing positions were examined. Factors influencing their perceived satisfaction in their first nursing jobs were found to be reception by other nurses and doctors, perceived support from management, and their perceptions of preceptors/mentors. From this study a grounded theory emerged. From that theory, A Model for Promoting Newly Licensed Nurse Success was developed that includes: zero-tolerance in the organization for incivility, a formal preceptor/mentoring program that incorporates Benner's skill acquisition model (2001), and formal leadership training for all levels that also incorporates Benner's model (2001).
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309208955
Category : Medical
Languages : en
Pages : 700
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Book Description
The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles-including limits on nurses' scope of practice-should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing.
Author: Cathryn A Halford (DNP)
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Book Description
Abstract In response to the job shortage for newly licensed registered nurses (RNs), transition to practice and residency programs have been established in many areas of the country including the San Francisco Bay Area. The programs were designed as demonstration projects to assist new graduates by increasing their competence, confidence, and skills, and their employability. Evidence from new graduate programs suggests that the programs provide an important bridge that is necessary for the critical transition from classroom to clinical practice and from newly licensed RN to qualified nursing professional. The University of San Francisco (USF) Transition-To-Practice (nurse residency) program in ambulatory care described in this manuscript was developed and implemented as an innovative and alternative approach to traditional residency programs that has proven successful in increasing the employability of new RN graduates. The program provides a strategy that will enhance newly licensed nurses transition from the academic environment to the professional environment. Transition-to-practice (nurse residency programs) reflect an organizational commitment to support new nurses as they mature into competent professionals. The recent Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health (2010) predicts that in the near future nursing care will be provided less in traditional hospital settings and will instead occur in the community. Therefore it is important to expand transition programs outside of the acute care setting. Community based programs will prepare new nurses for successful practice in ambulatory care settings who will then be ready for the expected transformation of nuring care into the community. The benefits of transition-to-practice (nurse residency) programs include newly licensed RNs who will gain valuable experience in community settings and improved patient care that is an important investment in the future of healthcare.
Author: JoAnn Graham Zerwekh
Publisher:
ISBN: 9780721669014
Category : Medical
Languages : en
Pages : 140
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Book Description
Author: Donna Cardillo, R.N.
Publisher: Crown Currency
ISBN: 0307591743
Category : Business & Economics
Languages : en
Pages : 306
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Book Description
Survive and Thrive as a Nurse in Today's New Health-Services Landscape Welcome to the compassionate and caring world of nursing! You are entering a profession that offers great rewards and endless opportunities. But you must prepare for the challenges ahead and do everything you can to ensure that you experience the best that nursing has to offer. Get off to the right start in your new profession by learning how to: • Find the job that's perfect for you • Create your own patient-centered style of nursing • Develop positive relationships with doctors, patients, and other nurses • Stay positive, deal with conflict and adversity, and avoid burnout • Network, enhance your education and career, and become a leader And NEW! to this revised edition: • Invaluable information about nursing licensure, including an extensive FAQ section • Discussion of professional issues related to standards of care, nursing ethics, and health-care reimbursement • Job-hunting challenges and solutions • Solutions for handling quandaries such as delayed career start, nontraditional practice, and more • Trends and opportunities for the future of nursing • A special section for second-career nurses
Author: Peter Buerhaus
Publisher: Jones & Bartlett Publishers
ISBN: 0763756849
Category : Business & Economics
Languages : en
Pages : 329
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Book Description
The Future of the Nursing Workforce in the United States: Data, Trends and Implications provides a timely, comprehensive, and integrated body of data supported by rich discussion of the forces shaping the nursing workforce in the US. Using plain, jargon free language, the book identifies and describes the key changes in the current nursing workforce and provide insights about what is likely to develop in the future. The Future of the Nursing Workforce offers an in-depth discussion of specific policy options to help employers, educators, and policymakers design and implement actions aimed at strengthening the current and future RN workforce. The only book of its kind, this renowned author team presents extensive data, exhibits and tables on the nurse labor market, how the composition of the workforce is evolving, changes occurring in the work environment where nurses practice their profession, and on the publics opinion of the nursing profession.
Author: Peri Rosenfeld
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 152
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Book Description
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309495474
Category : Medical
Languages : en
Pages : 335
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Book Description
Patient-centered, high-quality health care relies on the well-being, health, and safety of health care clinicians. However, alarmingly high rates of clinician burnout in the United States are detrimental to the quality of care being provided, harmful to individuals in the workforce, and costly. It is important to take a systemic approach to address burnout that focuses on the structure, organization, and culture of health care. Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being builds upon two groundbreaking reports from the past twenty years, To Err Is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century, which both called attention to the issues around patient safety and quality of care. This report explores the extent, consequences, and contributing factors of clinician burnout and provides a framework for a systems approach to clinician burnout and professional well-being, a research agenda to advance clinician well-being, and recommendations for the field.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309175704
Category : Medical
Languages : en
Pages : 558
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Book Description
Hospitals and nursing homes are responding to changes in the health care system by modifying staffing levels and the mix of nursing personnel. But do these changes endanger the quality of patient care? Do nursing staff suffer increased rates of injury, illness, or stress because of changing workplace demands? These questions are addressed in Nursing Staff in Hospitals and Nursing Homes, a thorough and authoritative look at today's health care system that also takes a long-term view of staffing needs for nursing as the nation moves into the next century. The committee draws fundamental conclusions about the evolving role of nurses in hospitals and nursing homes and presents recommendations about staffing decisions, nursing training, measurement of quality, reimbursement, and other areas. The volume also discusses work-related injuries, violence toward and abuse of nursing staffs, and stress among nursing personnelâ€"and examines whether these problems are related to staffing levels. Included is a readable overview of the underlying trends in health care that have given rise to urgent questions about nurse staffing: population changes, budget pressures, and the introduction of new technologies. Nursing Staff in Hospitals and Nursing Homes provides a straightforward examination of complex and sensitive issues surround the role and value of nursing on our health care system.
