A comparative analysis of nurse and physician characters in the entertainment media

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/75600/1/j.1365-2648.1986.tb01236.x.pd

Staffing and job satisfaction: nurses and nursing assistants

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/106848/1/jonm12012.pd

Sex-role stereotyping of nurses and physicians on prime-time television: A dichotomy of occupational portrayals

Utilizing the methodology of content analysis, this study investigates the sexrole variables in prime-time television portrayals of nurses and physicians from 1950 to 1980. A 20% sample of 28 relevant series yielded 320 individual episodes, 240 nurse characters, and 287 physicians characters. Results show extreme levels of both sexual and occupational stereotyping. Television nurses are 99% female, and television physicians are 95% male. The cluster of sex and occupational role characteristics, personality attributes, primary values, career orientation, professional competencies, and the tone of nurse-physician relationships converge to yield an image of the female professional nurse as totally dependent on and subservient to male physicians. The development of this dichotomous sex and occupational role imagery has resulted in male television physicians who not only have outstanding medical competencies but also embrace all the attractive competencies of professional nurses. Television nurses largely serve as window dressing on the set and have little opportunity to contribute to patient welfare. Action is needed to improve the quality of nurse portrayals by making them more congruent with the real world of work in health care.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/45568/1/11199_2004_Article_BF00287262.pd

Chronicles of Oklahoma

Article recounts the numerous diseases and afflictions that befell the soldiers stationed at forts within the Indian Territory during the mid 19th century. Included within the article is a list of those affected and killed by the diseases at the forts

Nursing staff teamwork and job satisfaction

kalisch bj , lee h & rochman m. (2010) Journal of Nursing Management   18, 938–947 Nursing staff teamwork and job satisfaction The aim of the present study was to explore the influence of unit characteristics, staff characteristics and teamwork on job satisfaction with current position and occupation.Teamwork has been associated with a higher level of job satisfaction but few studies have focused on the acute care inpatient hospital nursing team.This was a cross-sectional study with a sample of 3675 nursing staff from five hospitals and 80 patient care units. Participants completed the Nursing Teamwork Survey (NTS).Participants’ levels of job satisfaction with current position and satisfaction with occupation were both higher when they rated their teamwork higher ( P  < 0.001) and perceived their staffing as adequate more often ( P  < 0.001). Type of unit influenced both satisfaction variables ( P  < 0.05). Additionally, education, gender and job title influenced satisfaction with occupation ( P  < 0.05) but not with current position.Results of this present study demonstrate that within nursing teams on acute care patient units, a higher level of teamwork and perceptions of adequate staffing leads to greater job satisfaction with current position and occupation.Findings suggest that efforts to improve teamwork and ensure adequate staffing in acute care settings would have a major impact on staff satisfaction.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/79069/1/j.1365-2834.2010.01153.x.pd

Correlates and predictors of missed nursing care in hospitals

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/137323/1/jocn13449_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/137323/2/jocn13449.pd

Impact of Healthcare Information Technology on Nursing Practice

PurposeTo report additional mediation findings from a descriptive cross sectional study to examine if nurses’ perceptions of the impact of healthcare information technology on their practice mediates the relationship between electronic nursing care reminder use and missed nursing care.DesignThe study used a descriptive design. The sample (N = 165) was composed of registered nurses working on acute care hospital units. The sample was obtained from a large teaching hospital in Southeast Michigan in the fall of 2012. All eligible nursing units (n = 19) were included.MethodsThe MISSCARE Survey, Nursing Care Reminders Usage Survey, and the Impact of Healthcare Information Technology Scale were used to collect data to test for mediation. Mediation was tested using the method described by Baron and Kenny. Multiple regression equations were used to analyze the data to determine if mediation occurred between the variables.FindingsMissed nursing care, the outcome variable, was regressed on the predictor variable, reminder usage, and the mediator variable impact of technology on nursing practice. The impact of healthcare information technology (IHIT) on nursing practice negatively affected missed nursing care (t = ‐4.12, p < .001), explaining 9.8% of variance in missed nursing care. With IHIT present, the predictor (reminder usage) was no longer significant (t = ‐.70, p = .48). Thus, the reduced direct association between reminder usage and missed nursing care when IHIT was in the model supported the hypothesis that IHIT was at least one of the mediators in the relationship between reminder usage and missed nursing care.ConclusionsThe perceptions of the impact of healthcare information technology mediates the relationship between nursing care reminder use and missed nursing care. The findings are beneficial to the advancement of healthcare technology in that designers of healthcare information technology systems need to keep in mind that perceptions regarding impacts of the technology will influence usage.Clinical RelevanceMany times, information technology systems are not designed to match the workflow of nurses. Systems built with redundant or impertinent reminders may be ignored. System designers must study which reminders nurses find most useful and which reminders result in the best quality outcomes.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/111908/1/jnu12138.pd

Adaptação cultural e análise da consistência interna do instrumento MISSCARE para uso no Brasil

OBJECTIVE: The aims of this methodological research were to culturally adapt the MISSCARE Survey instrument to Brazil and analyze the internal consistency of the adapted version. METHOD: The instrument consists of 41 items, presented in two parts. Part A contains 24 items listing elements of missed nursing care. Part B is comprised of 17 items, related to the reasons for not delivering care. The research received ethics committee approval and was undertaken in two phases. The first was the cultural adaptation process, in which a committee of five experts verified the face and content validity, in compliance with the steps recommended in the literature. The second was aimed at analyzing the internal consistency of the instrument, involving 60 nursing team professionals at a public teaching hospital. RESULTS: According to the experts, the instrument demonstrated face and content validity. Cronbach's alpha coefficients for parts A and B surpassed 0.70 and were considered appropriate. CONCLUSION: The adapted version of the MISSCARE Survey demonstrated satisfactory face validity and internal consistency for the study sample.OBJETIVOS: Los objetivos de este estudio metodológico fueron efectuar la adaptación cultural del instrumento MISSCARE para Brasil y analizar la consistencia interna de la versión adaptada. MÉTODO: El instrumento contiene 41 ítem, presentados en dos partes. La parte A contiene 24 ítem, referentes a los elementos de los cuidados de enfermería omitidos, y la parte B 17 ítem, relacionados a los motivos para no prestar los cuidados. La investigación, con aprobación del comité de ética, fue efectuada en dos fases. La primera fue el proceso de adaptación cultural, que verificó la validez aparente y de contenido, llevado a cabo por un comité de cinco jueces según los pasos recomendados por la literatura. El objetivo de la segunda fue analizar la consistencia interna del instrumento con 60 profesionales del equipo de enfermería de un hospital público de enseñanza universitaria. RESULTADO: El instrumento demostró validez aparente y de contenido según los especialistas. Los valores del coeficiente alfa de Cronbach, calculados para las partes A y B del instrumento, fueron superiores a 0.70, siendo considerados adecuados. CONCLUSIÓN: La versión adaptada del MISSCARE mostró consistencia interna satisfactoria para la muestra estudiada.OBJETIVO: Este estudo metodológico teve como objetivos realizar a adaptação cultural do instrumento MISSCARE para o Brasil e analisar a consistência interna da versão adaptada. MÉTODO: O instrumento possui 41 itens apresentados em duas partes. A parte A contém 24 itens referentes aos elementos dos cuidados de enfermagem omitidos e a parte B, 17 itens relacionados às razões para a não prestação dos cuidados. A pesquisa, aprovada pelo comitê de ética, foi realizada em duas fases. A primeira consistiu no processo de adaptação cultural, que verificou a validade de face e de conteúdo, realizada por um comitê de cinco juízes conforme os passos preconizados pela literatura. A segunda visou analisar a consistência interna do instrumento com 60 profissionais da equipe de enfermagem de um hospital público de ensino universitário. RESULTADO: O instrumento demonstrou validade de face e conteúdo na opinião dos especialistas. Os valores do coeficiente alfa de Cronbach, obtidos para as partes A e B do instrumento, foram acima de 0,70, sendo considerados adequados. CONCLUSÃO: A versão adaptada do MISSCARE mostrou consistência interna satisfatória para a amostra estudada

The NMDA agonist D-cycloserine facilitates fear memory consolidation in humans

Animal research suggests that the consolidation of fear and extinction memories depends on N-methyl D-aspartate (NMDA)- type glutamate receptors. Using a fear conditioning and extinction paradigm in healthy normal volunteers, we show that postlearning administration of the NMDA partial agonist D-cycloserine (DCS) facilitates fear memory consolidation, evidenced behaviorally by enhanced skin conductance responses, relative to placebo, for presentations of a conditioned stimulus (CS) at a memory test performed 72 h later. DCS also enhanced CS-evoked neural responses in a posterior hippocampus/collateral sulcus region and in the medial prefrontal cortex at test. Our data suggest a role for NMDA receptors in regulating fear memory consolidation in humans