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Tonya A. Schneidereith PhD CRNP PPCNP-BC CPNP-AC CNE CHSE Kim Leighton PhD RN CHSE CHSOS ANEF FAAN Colette Foisy-Doll MSN RN CHSE ANEF 《Nursing forum》2020,55(4):569-574
Failure to ensure organizational readiness for curricular integration of simulation can result in a costly and ineffective simulation program. Organizational leaders who are aware of the principles of changemaker leadership and specific operational considerations are best positioned to ensure a quality simulation program. To assist these leaders, this article provides practical information derived from dissection of the Standard of Best Practice: SimulationSM: Operations, including topics of strategic planning, financial resources, expert personnel, resource management systems, policies and procedures, and systems integration. Additionally, an introduction to a foundational tool to spearhead change is offered, and characteristics of the changemaker leader needed to develop and sustain an effective and efficient simulation program are highlighted. Understanding the criteria necessary for effective simulation operations and early recognition of the conditions and variables that can influence organizational culture is of utmost importance to ensure programmatic success. 相似文献
133.
Characteristics Associated with Racial Disparities in Illness Beliefs of Patients with Heart Failure
Nancy M. Albert PhD MSN RN Kathleen Trochelman MSN RN Kathryn H. Meyer MS Benjamin Nutter MS 《Behavioral medicine (Washington, D.C.)》2013,39(4):112-125
African Americans have greater misperceptions about heart failure (HF) than Caucasians. We examined socioeconomic and medical history factors to determine if they explain differences in accuracy of HF illness beliefs by race. 519 patients completed an illness beliefs and socioeconomic status survey. After establishing univariate associations by race, linear regression with backward selection was used to identify factors associated with HF illness beliefs accuracy. HF illness beliefs were less accurate among African Americans (p < .01). In multivariate models, race remained a predictor of HF illness beliefs accuracy, as did education level and living status (all ps ≤ .01). Illness beliefs of African Americans were inaccurate and independently associated with social support and education level. Health care providers must consider patient education processes as a possible cause of differences and focus on what and how they teach, literacy level, materials used, and family engagement and education. 相似文献
134.
Electrical impedance myography in individuals with collagen 6 and laminin α‐2 congenital muscular dystrophy: a cross‐sectional and 2‐year analysis 下载免费PDF全文
Carmel Nichols BA Minal S. Jain PT DSc PCS Katherine G. Meilleur PhD Tianxia Wu PhD James Collins MD PhD Melissa R. Waite MSPT Jahannaz Dastgir DO Anam Salman MD Sandra Donkervoort MS CGC Tina Duong MPT PhD Katherine Keller MSPT Meganne E. Leach MSN Donovan J. Lott PT PhD Michelle N. McGuire PT MPT Leslie Nelson MPT Anne Rutkowski MD Carole Vuillerot MD PhD Carsten G. Bönnemann MD Tanya J. Lehky MD 《Muscle & nerve》2018,57(1):54-60
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Predictors of First‐Line Treatment Success in Children and Adolescents Visiting an Infusion Center for Acute Migraine 下载免费PDF全文
Serena L. Orr MD MSc FRCPC Marielle A. Kabbouche MD Paul S. Horn PhD Hope L. O'Brien MD FAHS FAAN Joanne Kacperski MD Susan LeCates MSN APRN CNP Shannon White DNP CNP Jessica Weberding MSN CNP Mimi N. Miller MSN APRN CNP Scott W. Powers PhD ABPP FAHS Andrew D. Hershey MD PhD FAHS 《Headache》2018,58(8):1194-1202
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Healthcare professionals’ perceptions of neglect of older people in Mexico: A qualitative secondary analysis 下载免费PDF全文
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Janice K. Janken PhD RN Carol Lewis Cullinan MSN RN C FNP 《International journal of nursing terminologies and classifications》1990,1(4):147-154
This correlational study of acutely ill geriatric patients examined (1) if psychosocial dysfunctioning is associated with hearing impairment, as popularly believed; (2) the utility of using psychosocial changes as cues for making the nursing diagnosis sensory/perceptual alterations: auditory; and (3) an alternative model of defining characteristics for predicting auditory perception using variables that have been reported in the literature as being associated with hearing loss but, to date, are not part of the approved diagnostic category. A random sample (n = 226) was drawn from daily admission lists of English-speaking patients 65 years of age or older, admitted to nonintensive care units of a medical center hospital. The major defining characteristics for sensory/perceptual alterations were operationalized as seven variables: depression, cognitive function, social contact with children, social contact with other relatives, social contact with friends, subject-reported hearing ability, and subject-reported overall health status. Auditory sensory perception was operationalized as number of tones heard on audiometric examination. Findings indicate that assessing psychosocial functions does not provide nurses with helpful cues for making the auditory alteration diagnosis. Rather results suggest that nurses can make a more accurate diagnosis merely by knowing the patient's age, self-rating of hearing, and checking ear canals for impacted cerumen. 相似文献