1,720,962 research outputs found
Moral Distress and Resilience Amongst Pediatric Emergency Department Nurses
No full textThe purpose of this study was to quantify moral distress and resiliency amongst pediatric nurses (RNs) working in the emergency department (ED) and explore the relationship between resilience and moral distress in pediatric ED nurses. Both moral distress and resilience have been associated with nursing burnout for nurses who work in high stress environments, including EDs and pediatrics. Resiliency may help mitigate the harmful impact of working in high stress work environments. An online cross-sectional exploratory correlational methodology was utilized to quantify moral distress and resiliency. In this sample, there was not a significant relationship between moral distress and resiliency amongst pediatric ED RNs. While there was a significant correlation (p<0.05) between years of nursing experience and resiliency score, this relationship did not have a significant impact on the moral distress score, despite 21% of pediatric ED RNs in the sample currently considering leaving their position. While moral distress and resiliency has been shown to have an inverse linear relationship, with limited resources available to support nursing practice, it is important that multiple approaches are utilized in the effort to reduce moral distress and burnout amongst RNs
THE EFFECT OF NURSE-LED EDUCATION REGARDING DAILY LIFESTYLE MODIFICATION AND PATIENT EDUCATION ON THE MANAGEMENT OF PEDIATRIC ATOPIC DERMATITIS
No full textAim: This study was conducted using action research methodology to try and find out what would happen if evidence-based, nurse-led education regarding Atopic Dermatitis was implemented. The research question was: (1) can targeted nursing interventions and education increase parent confidence in dealing with a diagnosis of AD; (2) lower the parents overall stress level; (3) lower the child's overall stress level; and (4) and increase the child’s comfort level?
Method: A Convenience sample of 10 pediatric patients with a current medical diagnosis of Atopic Dermatitis and at least one legal caregiver with a self-report of misinformation or a lack of education regarding Atopic Dermatitis. The Transtheoretical Model of Change was implemented to provide a foundation of education that was rooted in evidence-based theory.
Background: Pediatric Atopic Dermatitis (AD) patients and their families become frustrated and tired of battling this chronic skin disorder. Parenting a child with a chronic illness can result in significant physical and psychological strain (Streisand, Mackey, & Herge, 2010). The incidence of pediatric Atopic Dermatitis has increased 2 to 3 fold in the last 30 years, and the condition is a common reason for pediatric visits to family physicians (Buys, 2007). Dermatology is a highly specialized field, and short of handing the patient or parent a prescription for a steroid, very little patient education follows an Atopic Dermatitis diagnosis.
Results: Introductory telephone calls indicated the need for substantial education about the pathophysiology of AD and non-pharmacologic methods to treat AD. The telephone call and the Facebook support group provided the above referenced education during the study. Both the week three and final questionnaires provided overwhelmingly positive responses during both phases of the study.
Conclusion: Targeted nursing interventions and education can increase parent confidence in dealing with a diagnosis of AD; (2) lower the parents overall stress level; (3) lower the child's overall stress level; and (4) and increase the child’s comfort level
The Lived Experiences of Faculty-Faculty Nursing Incivility
Full text linkIncivility among faculty members is disruptive and contributes to the nursing shortage. This phenomenological study was completed to examine the lived experiences of faculty-to-faculty nursing incivility. This in-depth exploration was pursued to acquire the evidence faculty members attribute to uncivil behavior and its impact on their well-being, job satisfaction, and ability to perform their duties. Additionally, this study aimed to identify commonalities in how faculty members experience workplace incivility through interactions with their colleagues.
The data was collected through semi-structured interviews with 15 purposefully selected members who met the criteria. The data was transcribed and coded for emerging themes. The major themes developed included; a toxic work environment, lack of leadership, power imbalance, physical and psychological consequences, and decreased job satisfaction. Understanding the lived experiences among nursing faculty will impact the future development of nurses
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Full text link“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Appropriate Similarity Measures for Author Cocitation Analysis
Full text linkWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
Dispelling the Myths Behind First-author Citation Counts
Full text linkWe conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued
use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation
counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more
sophisticated methods
Motivators of Pursuing Nursing Education at the Graduate Level
No full textTopic:
Having a greater understanding of the motivators to return to school, barriers preventing return, and factors that enable students to persist in a graduate level program will facilitate nursing programs to recruit qualified students and help (facilitate) meet the needs of current and future students. While there is an abundance of literature reporting on these factors for RN-BSN students, there is a dearth of information on the similar considerations for MSN students. Therefore, the purpose of this study was to ascertain what the motivators, barriers, and persistence factors are for nurses seeking to earn a graduate nursing degree.
History:
As the U.S. nursing shortage continues, there remains a growing need for a highly educated work force. The necessity to pursue a graduate degree in nursing has not been as widely encouraged as the baccalaureate degree. Master’s prepared nurses are essential across a variety of health care settings to serve in leadership, management, and advanced primary provider positions, as well as academic settings as faculty members and researchers. While the percentage of nurses earning a master’s degree has risen gradually, the need for additional highly educated nurses persists as rapid advancements in health care technology including telehealth and informatics occur.
Data Collection Methodology:
This study utilized a cross-sectional descriptive survey of graduate level nursing students to determine what factors motivated them to return to school, the barriers they had overcome, and what elements allowed them to persist in their studies.
Expected Findings:
A recommendation is made for more robust recruitment, expanded awareness of program/curriculum details for potential students, and encouraging employers to provide tuition reimbursement and loan repayments. Additionally, ensuring that employers who do provide financial support communicate this to their employees as a motivating factor.Motivators of Pursuing Nursing Education at the Graduate Level Abstract Background: As the U.S. nursing shortage continues, there remains a growing need for a highly educated work force. The necessity to pursue a graduate degree in nursing has not been as widely encouraged as the baccalaureate degree. Master’s prepared nurses are essential across a variety of health care settings to serve in leadership, management, and advanced primary provider positions, as well as academic settings as faculty members and researchers. While the percentage of nurses earning a master’s degree has risen gradually, the need for additional highly educated nurses persists as rapid advancements in health care technology including telehealth and informatics occur. Purpose: Having a greater understanding of the motivators to return to school, barriers preventing return, and factors that enable students to persist in a graduate level program will facilitate nursing programs to recruit qualified students and help (facilitate) meet the needs of current and future students. While there is an abundance of literature reporting on these factors for RN-BSN students, there is a dearth of information on the similar considerations for MSN students. Therefore, the purpose of this study was to ascertain what the motivators, barriers, and persistence factors are for nurses seeking to earn a graduate nursing degree. Methods: This study utilized a cross-sectional descriptive survey of graduate level nursing students to determine what factors motivated them to return to school, the barriers they had overcome, and what elements allowed them to persist in their studies. Results: The highest level of agreement for motivating factors included: finding personal satisfaction in earning an MSN (M = 4.76), a desire to expand nursing knowledge (M = 4.31), a belief that nurses with an MSN command greater respect as professional (M = 3.76), and the belief that earning an advanced degree would increase confidence at work (M = 3.61). Financial challenges (M = 3.70), inflexible work schedules (M 3.54), and difficult family situations (M = 3.20) were shown to be the main barriers students needed to overcome in order to return to school. The highest agreement among the factors that allowed students to persist in the MSN program included the following: personal reasons encourage me to persist (M = 4.82), confidence in ability to complete the program (M = 4.45), have the necessary family encouragement and support to complete the program (M = 4.45), and have the necessary faculty encouragement and support to complete the program (M = 4.18). Conclusion: A recommendation is made for more robust recruitment, expanded awareness of program/curriculum details for potential students, and encouraging employers to provide tuition reimbursement and loan repayments. Additionally, ensuring that employers who do provide financial support communicate this to their employees as a motivating factor
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