The Amplifier - v. 15, no. 10

In this issue...M Days, Mathematics, Jaycees, Metal\u27s Bank, Baseball, Pentagon, American Nursing Association, Utah Geological Society, FBI, Bruce Blattnerhttps://digitalcommons.mtech.edu/amplifier/1194/thumbnail.jp

Counselor And Student Perception In Relation To A Nursing Model.

The purpose of this study was to assess the perceptions of counselors, vocational nursing students, and associate degree nursing students in three community colleges, and baccalaureate degree nursing students at two universities, in relation to a nursing education model. The nursing education model encompassed two areas: (1) characteristics of the vocational nursing, associate degree nursing and baccalaureate degree nursing programs, and (2) occupational functioning of the graduates of these programs. This model was constructed from the established position on nursing education and graduate function, as taken by the American Nursing Association and the California League for Nursing. In addition, the three student groups were compared on certain characteristics

Standardized care plan in the care of patients with diabetic foot

La evidencia actual sugiere que se puede reducir la alta prevalencia de la amputación y las úlceras del pie diabético con un Programa Estructurado de Cribado que incluya la exploración sistemática, la evaluación y clasificación del riesgo, la educación del paciente y una pronta actuación a través de medidas efectivas de control y seguimiento. Los pacientes con problemas de pie diabético son un reto para los profesionales de enfermería, de ahí la pertinencia de planificar y estandarizar un plan de cuidados integral interrelacionando las taxonomías NANDA (North American Nursing Association), NOC (Nursing Outcomes Classification) y NIC (Nursing Interventions Classification).Current evidence suggests that the high prevalence of amputation and diabetic foot ulcers can be reduced with a Structured Screening Program that includes systematic screening, risk assessment and classification, patient education and early action through effective control and monitoring measures. Patients with diabetic foot problems are a challenge for nursing professionals, hence the relevance of planning and standardizing a comprehensive care plan interrelating the taxonomies NANDA (North American Nursing Association), NOC (Nursing Outcomes Classification) and NIC (Nursing Interventions Classification)

National Database of Nursing Quality Indicators

National Database of Nursing Quality Indicators (NDNQI) was launched by American Nursing Association (ANA) in 1998, with an initial set of ten quality indicators that assessed the quality of patient care. The continued mission of the NDNQI\u27s is to improve patient care and safety by providing evidence based national research to nurses by comparing nursing care data and the connection this data has on patient outcomes. A relationship between patient outcomes and nurse staffing practices was noted, but further data collection was needed to appraise the quality of nursing care on each hospital unit in order to assess, evaluate and improve patient care outcomes. Unit level of care measurements empowers the nursing units to enhance their quality of patient care. To improve the quality of patient care, evidence-based practices are researched, developed, trialed, and implemented where needed.https://digitalcommons.centracare.com/nursing_posters/1067/thumbnail.jp

Case related to the integrated palliative care process in primary health care level

La cirrosis hepática constituye una de las principales causas atribuibles a la mortalidad por consumo de alcohol. El caso que se presenta corresponde a un paciente de 58 años diagnosticado con dicha enfermedad terminal no oncológica e incluido en el Proceso Asistencial de Cuidados Paliativos, siguiendo una valoración según el modelo conceptual de Virginia Henderson y un plan de cuidados según la taxonomía North American Nursing Association, Nursing Intervention Classification, Nursing Outcomes Classification. De modo que, las intervenciones y actividades se basaron principalmente en apoyar emocionalmente tanto al paciente como a la cuidadora principal. El plan de cuidados transita desde su identificación, hasta el cuidado del enfermo en los últimos días de la vida.Liver cirrhosis is one of the main causes attributable to mortality due to alcohol consumption. The case presented corresponds to a 58-year-old patient diagnosed with this non-oncological terminal disease and included in the Palliative Care Process by following an assessment according to the Virginia Henderson conceptual model and a care plan according to the taxonomy North American Nursing Association, Nursing Intervention Classification, Nursing Outcomes Classification. Thus, the interventions and activities were mainly based on supporting emotionally both the patient and the main caregiver. The care plan goes from its identification to the care of the patient in the last days of life

Coexisting Values in Healthcare and the Leadership Practices That Were Found to Inspire Followership Among Healthcare Practitioners

Healthcare delivery in the United States has a storied history that has led the American public to expect that their Health Care Practitioners (HCPs) will personally and professionally enact values such as altruism, benevolence, equality, and capability. A progressive set of events that involves the implementation of the market-based solution in the Patient Protection and Affordable Care Act has led healthcare organizations to become increasingly concerned with a conceptually different set of values. It has become more necessary for healthcare organizations to dedicate attention to market values (e.g., competition; productivity) as they operate in an environment that is commonly described as a $3.3T industry. There is significant concern that important care values are being sacrificed as the U.S. health system becomes increasingly commercialized. It is also believed that HCPs are experiencing increasing levels of demoralization and burnout as a result of their inability to realize their personal and professional care value preferences. A qualitative investigation into the experiences of a selection of HCPs served to reveal how the administration in a large health system fosters compatibility among personal, professional, and market value priorities via an application of the tenets of values-based leadership. Study outcomes also feature implications for both the servant leadership and transformational leadership constructs

Incivility in Nursing Education: The Role of Nursing Education in the Perpetuation of Incivility in the Nursing Profession

According to Jones, Echevarria, Sun, and Ryan (2016), 80% to 90% of nurses experience bullying at some point during their career. In 2011, the American Nursing Association (ANA) reported incivility contributed to 40% of medication errors being unreported. A study by Clarke, Kane, Rajacich, and Lafreniere (2012) reported that 88.72% of the 674 participating nursing students had experienced bullying by faculty. The purpose of this study was to explore the impact nursing education has in the perpetuation of incivility in the field of nursing. Using a modified survey, data was collected from two disparate cohorts of nursing students at two dissimilar times during their educational process. This data was analyzed to describe and compare the incivilities experienced by second semester and final semester nursing students, to determine if differences exist according to the length of time spent in a nursing educational program. Viewing these differences through the lens of Bandura’s social cognitive theory may be indicative of the role the nursing education process plays in the perpetuation of incivility across the professional continuum. Results of this study indicate that incivilities, sometimes aggressive and violent, were being experienced and perpetrated by both faculty and students in this program of study. Future research is urgently recommended to pinpoint the locus of incivility and collaborative efforts involving the educational, clinical, and administrative arenas, in conjunction with the legal authorities, is suggested

Barnes Hospital Record

https://digitalcommons.wustl.edu/bjc_barnes_record/1061/thumbnail.jp

Policy Feedback and the Politics of the Affordable Care Act

There is a large body of literature devoted to how “policies create politics” and how feedback effects from existing policy legacies shape potential reforms in a particular area. Although much of this literature focuses on self‐reinforcing feedback effects that increase support for existing policies over time, Kent Weaver and his colleagues have recently drawn our attention to self‐undermining effects that can gradually weaken support for such policies. The following contribution explores both self‐reinforcing and self‐undermining policy feedback in relationship to the Affordable Care Act, the most important health‐care reform enacted in the United States since the mid‐1960s. More specifically, the paper draws on the concept of policy feedback to reflect on the political fate of the ACA since its adoption in 2010. We argue that, due in part to its sheer complexity and fragmentation, the ACA generates both self‐reinforcing and self‐undermining feedback effects that, depending of the aspect of the legislation at hand, can either facilitate or impede conservative retrenchment and restructuring. Simultaneously, through a discussion of partisan effects that shape Republican behavior in Congress, we acknowledge the limits of policy feedback in the explanation of policy stability and change