Making a difference: nursing assistants' perspectives of restorative care nursing.

This article explores the experiences of nursing assistants who participated in the Res-Care Pilot Intervention. A qualitative study used a focus group methodology. An interview guide was used and data from focus groups were audiotaped and transcribed verbatim. A purposive sample of 13 nursing assistants participated in the focus groups. A total of 35 different codes were identified, and these were reduced to the following four themes: resident barriers to restorative care, facility or system barriers to restorative care, nursing assistant strategies, and system facilitators of restorative care. The study supports and adds to previous work that suggests that in order to successfully implement changes in care in nursing home settings the following issues should be addressed: real or perceived workload issues, poor communication with nursing, insufficient knowledge or education, lack of appropriate supplies, and insufficient administrative support. The findings may be used to revise the Res-Care Pilot Intervention and direct future implementation of programs in nursing home settings.     

Convenient care clinics: Making a positive change in health care

Abstract
Purpose: To discuss the impact of retail health clinics, also known as convenient care clinics (CCC), on the changing landscape of health care in the United States.
Data sources: Selected articles from the scientific literature and data from the industry literature.
Conclusions: The concept of the CCC has been well-received by the public, and nurse practitioners (NPs) have been intimately involved in the development and expansion of these clinics. The professional association of CCCs has been instrumental in promoting operational standards for CCCs to insure a high quality of service. Some resistance to the concept from physicians remains but the convenience for consumers appears to drive the high levels of satisfaction reported.
Implications for practice: Collaboration among all healthcare providers is essential to expand access to care for everyone. NPs are crucial to the operation of CCCs and provide care that is well-received by consumers.     

Making a difference with combined community assessment and change projects

Nursing students value projects that enable them to make a difference in the lives of others. Two major group projects, assessment of an identified community and completion of a leadership change project, required during their last semester were combined to provide a meaningful experience for students. In addition to discussing ways to combine these projects, this article shares methods to build team cohesiveness.