Expansion of nurse anesthesia educational programs: where are the barriers?

CRNAs have been a major contributor to direct patient anesthesia care for more than 100 years. All indicators suggest a greater need for nurse anesthetist services in the future. Our ability to meet this increased demand will depend on wise decisions in accreditation and professional agendas and support of all CRNAs in this critical issue. As stated by AANA Past President Linda Williams, CRNA, JD, students represent only 10% of our membership but they represent 100% of our future. Let's unite all forces to secure a future in which CRNAs will be indispensable healthcare providers throughout the 21st century

Faculty Research Productivity and Organizational Structure in Schools of Nursing

The purpose of this study was to identify the relationship between faculty research productivity and orga-nizational structure in schools of nursing. The need for nursing research has been widely recognized by members of the nursing profession, yet comparatively few engage in conducting research. Although contextual variables have been investigated that facilitate or inhibit nursing research, the relationship between organizational structure and nursing research productivity has not been examined. This problem was examined within the context of the Entrepreneurial Theory of Formal Organizations. A survey methodology was used for data collection. Data on individual faculty research productivity and organizational structure in the school of nursing were obtained through the use of a questionnaire. A random sample of 300 faculty teaching in 60 master's and doctoral nursing schools in the United States was used. The Instruments for data collection were Wakefield-Fisher's Adapted Scholarly Productivity Index and Hall's Organizational Inventory. The data were analyzed using Pearson Product-Moment Correlation Coefficients and multiple correlation/regression tech-niques. The overall relationship between faculty research productivity and organizational structure in schools of nursing was not significant at the .002 level of confidence. Although statistically significant relationships were not identified, scholarly research productivity and its subscale prepublication and research activities tended to vary positively with procedural specifications in a highly bureaucratic organizational structure. Further research may focus on identification of structural variables that support highly productive nurse researchers

Contribution of Nursing Education Programs to the Implementation of the Affordable Care Act in North Carolina.

Registered nurses play an important role in ensuring the delivery of quality health care, and their education is one key to achieving the goals of the Affordable Care Act. This article explores the contributions that nursing education programs in North Carolina can make in helping this legislation achieve its objectives

The future of baccalaureate degrees for nurses.

PROBLEM. Unlike other professional healthcare disciplines, the profession of nursing has multiple levels of entry. Recently, several states have proposed legislation to mandate completion of baccalaureate education after 10 years of nursing licensure. METHODS. This article examines the proposals, statistics, strategies, and other relevant literature on baccalaureate education for nurses and the positive outcomes associated with a more highly educated nursing workforce. FINDINGS. The proposal recognizes the entry level preparation provided by associate degree nurses and is an innovative solution that offers a balance between multiple entry levels into practice and continued educational preparation. CONCLUSIONS. Through a combination of the entry level preparation of associate degree nurses and baccalaureate education, a stronger nursing workforce can be created and patient outcomes and quality of care improved

Searching for a Dean: Getting the Qualities You Want

The dean holds a key position in a school of nursing. When this position is vacated, a search for new leadership becomes paramount for the organization. The report of Nichols, Bower, Collier, and Gray (1989) addressed searching for a dean and it was the only information found that focused primarily on the process. This article introduces a three-tiered ma used to evaluate candidates during a search process. After receiving written recommendations from faculty and the acting dean in the School of Nursing, the Provost formed a Search Committee for Dean of the School of Nursing at our university during the one-year term of an Acting Dean. Members of the Search Committee designed a three-tiered tool to structure the search and evaluate the candidates' qualities. The search was efficient and culminated in unanimous agreement by the members an candidates to forward to the Provost

Emancipated Minors: Health Policy and Implications for Nursing.

Emancipation is a process that offers adolescents a solution to serve in the role of an adult in circumstances that warrant the need for more autonomy. The process and definitions of emancipation are often ambiguous for adolescents, nurses, and other health care providers that provide services for these individuals. Emancipation can be additionally perplexing with the lack of overarching federal guidelines and the fragmented definitions among various states. Nursing has a significant and legal role in providing care for emancipated minors and a more global duty to advocate for adolescents in situations that necessitate emancipation. This article explores the emancipation process, the laws of each state that govern emancipation, the facilitators and barriers, and the role of nursing in the emancipation process

Integrating gerontology competencies into graduate nursing programs.

Current demographic and health care utilization trends strongly indicate a rapidly increasing demand for nurses who are well qualified to care for older adults. Advanced practice nurses are positioned to assume leadership roles in geriatric nursing care; however, they must first acquire adequate preparatory education. This article describes two graduate nursing schools’ curricular innovations that were funded by The John A. Hartford Foundation, in collaboration with the American Association of Colleges of Nursing (AACN), through the Geriatric Nursing Education Project: Enhancing Gerontological/Geriatric Nursing for Advanced Practice Nursing. These programs at University of North Carolina at Greensboro and Pennsylvania State University incorporated techniques to translate the Nurse Practitioner and Clinical Nurse Specialist Competencies for Older Adult Care [American Association of Colleges of Nursing. (2004). Nurse practitioner and clinical nurse specialist competencies for older adult care. Washington, DC: AACN] into an advanced practice curriculum and developed strategies to sustain curricular innovations. Finally, lessons learned from these two projects are discussed and recommendations are made for integrating geriatric nursing competencies into graduate programs