Complementary Therapies in Clinical Practice, May 1, 2021
BACKGROUND AND PURPOSE Use of CAT has increased in the past decade. However, it is unclear if thi... more BACKGROUND AND PURPOSE Use of CAT has increased in the past decade. However, it is unclear if this has impacted nursing practice. The purpose of this study was to explore CAT use and beliefs of academic and clinical nurses. MATERIALS AND METHODS A cross-sectional design using an electronic survey was sent to 1000 clinical and academic nurses in the US. RESULTS Academic and clinical nurses were more alike than different, and of the contextual factors that impacted CAT use, lack of knowledge was most cited. Faculty were most likely to teach that which they were knowledgeable about and nurses were most likely to use what was taught in school. CONCLUSIONS There is a need for a standardized CAT curriculum for schools of nursing in the US to facilitate knowledge and use of CAT, but to also train nurse scientists who can develop the clinical research needed to support practice decisions.
Journal of Wound Ostomy and Continence Nursing, Mar 1, 2008
Being aware of the ethical guidelines associated with publishing professional articles is an impo... more Being aware of the ethical guidelines associated with publishing professional articles is an important part of authorship. The purpose of this article is to identify potential ethical problems that authors may encounter during the preparation and submission of a manuscript and discuss strategies to avoid them. The ethical principles or values at stake are beneficence (the duty to do good), justice (the duty to be fair), and veracity (the duty to tell the truth).1,2 The most common ethical problems related to writing for publication include inadvertent plagiarism, failure to correctly cite sources, dual publication, and authorship decisions.
Interdisciplinary rounding on hospital inpatients is an integral part of providing high-quality, ... more Interdisciplinary rounding on hospital inpatients is an integral part of providing high-quality, safe patient care. As orthopedic groups have grown and geographic coverage increased, surgeons are challenged to make in-person rounds on their patients every day given time constraints and physical distances. Virtual technology is being used in multiple healthcare settings to provide patients with the opportunity to connect with health care professionals when in-person options are not available. The purpose of this study was to explore the patient experience of virtual inpatient rounding. Using digital communication technology, virtual rounds were conducted by having the surgeon connect via their mobile device or laptop to the nursing unit's communication tablet. Twenty-seven patient interviews were digitally recorded and qualitatively analyzed. Results demonstrated that virtual rounds provided a positive patient experience for many. Most patients felt that virtual rounds were a good alternative when in-person rounds are not possible. Dissatisfaction was related to feeling “rushed” by the surgeon. This feedback can be used to better prepare patients and providers for virtual rounds and to enhance virtual technologies.
AIM The purpose of this study was to describe insights gained by academic nursing faculty after s... more AIM The purpose of this study was to describe insights gained by academic nursing faculty after shadowing one of their new graduate nurses. BACKGROUND Shadowing experiences have been successfully used to orient students and new nurses to the role and reality of clinical practice. However, no studies were found on the experience of faculty shadowing a new graduate. This study addressed that gap. METHOD A case series design and methodology used both qualitative and quantitative data collection procedures. Qualitative data were derived from faculty during a debriefing session; quantitative data were obtained from a short survey completed by new graduates and faculty. RESULTS Faculty identified challenges faced by new graduates and opportunities to modify their nursing programs by addressing patient care delivery, time management, communication, and role ambiguity in more detail. CONCLUSION A shadowing experience for academic faculty leaders can help bridge the academic-practice gap and promote collaborative efforts to improve preparation for practice.
Researchers throughout the centuries have drawn erroneous conclusions based on poor data quality.... more Researchers throughout the centuries have drawn erroneous conclusions based on poor data quality. Poor data quality can lead to wasted time and resources, and even disastrous outcomes. The 1999 loss of the Mars Orbiter cost the National Aeronautics and Space Administration $125million dollars simply because the Orbiter engineers were using English units of measurement and the National Aeronautics and Space Administration was using the metric system. Imagine if the Orbiter had been manned. That would be a pretty high price to pay for bad data. The quality and validity of all research findings are dependent upon the quality of the data used to answer the research questions. Poor data quality can result in both type I (finding a differencewhennodifferences exist) and type II (not finding a difference when differences do exist) errors. Because the clinical nurse specialist is often involved in the design and conduct of research, as well as data collection for research studies, it is important they are knowledgeable about factors that might impact data quality and, subsequently, the validity of study results. The purpose of this article is to define data fidelity, identify data fidelity issues related to inaccurate or missing data, and discuss the prevention and detection of data fidelity issues. Finally, this article offers practical solutions to deal with these issues to minimize bias andmaximize the ability of the researcher to trust the findings obtained from the data recorded and collected.
Although frequently used, adequacy of the Braden scale (BS) is unclear. The purpose of this descr... more Although frequently used, adequacy of the Braden scale (BS) is unclear. The purpose of this descriptive comparative study (N = 500) was to examine inter-rater reliability, specificity and sensitivity of the BS. Intra-class correlation was used to assess inter-rater reliability. Specificity and sensitivity were assessed by examining the predictive value scores of the BS. Positive predictive value was calculated by comparing the proportion of patients admitted with a PU or who developed a PU that were correctly identified by a score of <18. Negative predictive value was calculated by comparing the proportion of patients with a <18 score who did not have or develop a PU. Intra-class correlation (r = .934) were significant (p <.001) confirming inter-rater reliability. There was a significant difference ( p < .001) in admission BS scores for those with and without PU on admission, with PU subjects having lower mean scores (14) than those without (19). Similarly mean scores fo...
Complementary Therapies in Clinical Practice, May 1, 2021
BACKGROUND AND PURPOSE Use of CAT has increased in the past decade. However, it is unclear if thi... more BACKGROUND AND PURPOSE Use of CAT has increased in the past decade. However, it is unclear if this has impacted nursing practice. The purpose of this study was to explore CAT use and beliefs of academic and clinical nurses. MATERIALS AND METHODS A cross-sectional design using an electronic survey was sent to 1000 clinical and academic nurses in the US. RESULTS Academic and clinical nurses were more alike than different, and of the contextual factors that impacted CAT use, lack of knowledge was most cited. Faculty were most likely to teach that which they were knowledgeable about and nurses were most likely to use what was taught in school. CONCLUSIONS There is a need for a standardized CAT curriculum for schools of nursing in the US to facilitate knowledge and use of CAT, but to also train nurse scientists who can develop the clinical research needed to support practice decisions.
Journal of Wound Ostomy and Continence Nursing, Mar 1, 2008
Being aware of the ethical guidelines associated with publishing professional articles is an impo... more Being aware of the ethical guidelines associated with publishing professional articles is an important part of authorship. The purpose of this article is to identify potential ethical problems that authors may encounter during the preparation and submission of a manuscript and discuss strategies to avoid them. The ethical principles or values at stake are beneficence (the duty to do good), justice (the duty to be fair), and veracity (the duty to tell the truth).1,2 The most common ethical problems related to writing for publication include inadvertent plagiarism, failure to correctly cite sources, dual publication, and authorship decisions.
Interdisciplinary rounding on hospital inpatients is an integral part of providing high-quality, ... more Interdisciplinary rounding on hospital inpatients is an integral part of providing high-quality, safe patient care. As orthopedic groups have grown and geographic coverage increased, surgeons are challenged to make in-person rounds on their patients every day given time constraints and physical distances. Virtual technology is being used in multiple healthcare settings to provide patients with the opportunity to connect with health care professionals when in-person options are not available. The purpose of this study was to explore the patient experience of virtual inpatient rounding. Using digital communication technology, virtual rounds were conducted by having the surgeon connect via their mobile device or laptop to the nursing unit's communication tablet. Twenty-seven patient interviews were digitally recorded and qualitatively analyzed. Results demonstrated that virtual rounds provided a positive patient experience for many. Most patients felt that virtual rounds were a good alternative when in-person rounds are not possible. Dissatisfaction was related to feeling “rushed” by the surgeon. This feedback can be used to better prepare patients and providers for virtual rounds and to enhance virtual technologies.
AIM The purpose of this study was to describe insights gained by academic nursing faculty after s... more AIM The purpose of this study was to describe insights gained by academic nursing faculty after shadowing one of their new graduate nurses. BACKGROUND Shadowing experiences have been successfully used to orient students and new nurses to the role and reality of clinical practice. However, no studies were found on the experience of faculty shadowing a new graduate. This study addressed that gap. METHOD A case series design and methodology used both qualitative and quantitative data collection procedures. Qualitative data were derived from faculty during a debriefing session; quantitative data were obtained from a short survey completed by new graduates and faculty. RESULTS Faculty identified challenges faced by new graduates and opportunities to modify their nursing programs by addressing patient care delivery, time management, communication, and role ambiguity in more detail. CONCLUSION A shadowing experience for academic faculty leaders can help bridge the academic-practice gap and promote collaborative efforts to improve preparation for practice.
Researchers throughout the centuries have drawn erroneous conclusions based on poor data quality.... more Researchers throughout the centuries have drawn erroneous conclusions based on poor data quality. Poor data quality can lead to wasted time and resources, and even disastrous outcomes. The 1999 loss of the Mars Orbiter cost the National Aeronautics and Space Administration $125million dollars simply because the Orbiter engineers were using English units of measurement and the National Aeronautics and Space Administration was using the metric system. Imagine if the Orbiter had been manned. That would be a pretty high price to pay for bad data. The quality and validity of all research findings are dependent upon the quality of the data used to answer the research questions. Poor data quality can result in both type I (finding a differencewhennodifferences exist) and type II (not finding a difference when differences do exist) errors. Because the clinical nurse specialist is often involved in the design and conduct of research, as well as data collection for research studies, it is important they are knowledgeable about factors that might impact data quality and, subsequently, the validity of study results. The purpose of this article is to define data fidelity, identify data fidelity issues related to inaccurate or missing data, and discuss the prevention and detection of data fidelity issues. Finally, this article offers practical solutions to deal with these issues to minimize bias andmaximize the ability of the researcher to trust the findings obtained from the data recorded and collected.
Although frequently used, adequacy of the Braden scale (BS) is unclear. The purpose of this descr... more Although frequently used, adequacy of the Braden scale (BS) is unclear. The purpose of this descriptive comparative study (N = 500) was to examine inter-rater reliability, specificity and sensitivity of the BS. Intra-class correlation was used to assess inter-rater reliability. Specificity and sensitivity were assessed by examining the predictive value scores of the BS. Positive predictive value was calculated by comparing the proportion of patients admitted with a PU or who developed a PU that were correctly identified by a score of <18. Negative predictive value was calculated by comparing the proportion of patients with a <18 score who did not have or develop a PU. Intra-class correlation (r = .934) were significant (p <.001) confirming inter-rater reliability. There was a significant difference ( p < .001) in admission BS scores for those with and without PU on admission, with PU subjects having lower mean scores (14) than those without (19). Similarly mean scores fo...
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