Hospital-Based Nurse Educators\u27 Technology Readiness and Use of High-Fidelity Simulation

This study used a cross-sectional survey design in an aim to compare the technology readiness (TR) of hospital-based nurse educators (HBNEs) that use highfidelity simulation (HFS) and those that do not use HFS in order to determine if a difference in TR might account for the lack of widespread adoption of HFS in the hospital setting. An online survey was administered to HBNEs from two national organizations: ANPD and SSH. Descriptive statistics and quantitative data analyses were conducted and reported as well as qualitative findings. Descriptive statistics revealed the average age of HBNE to be 45-46 years of age, possessing a master’s degree, and less than five years of experience as a nurse educator. Quantitative data analysis used for hypothesis testing did not reveal any statistical significance in TR between HBNE groups, however, additional qualitative inqury did reveal interesting insights with regard to desire to implement HFS, barriers to HFS adoption and use, and support for HFS adoption. This study adds to the limited body of knowledge regarding HFS adoption and use in the hospital-setting. Recommendations for future study include inquiry into barriers to HFS adoption and use in the hospital setting; TR of hospital administrators and perceptions of value are also recommended. Adviser: Justin Olmanso

The impact of the implementation of work hour requirements on residents' career satisfaction, attitudes and emotions

BACKGROUND: To assess the impact of work hours' limitations required by the Accreditation Council for Graduate Medical Education (ACGME) on residents' career satisfaction, emotions and attitudes. METHODS: A validated survey instrument was used to assess residents' levels of career satisfaction, emotions and attitudes before and after the ACGME duty hour requirements were implemented. The "pre" implementation survey was distributed in December 2002 and the "post" implementation one in December 2004. Only the latter included work-hour related questions. RESULTS: The response rates were 56% for the 2002 and 72% for the 2004 surveys respectively. Although career satisfaction remained unchanged, numerous changes occurred in both emotions and attitudes. Compared to those residents who did not violate work-hour requirements, those who did were significantly more negative in attitudes and emotions. CONCLUSION: With the implementation of the ACGME work hour limitations, the training experience became more negative for those residents who violated the work hour limits and had a small positive impact on those who did not violate them. Graduate medical education leaders must innovate to make the experiences for selected residents improved and still maintain compliance with the work hour requirements

A mid year comparison study of career satisfaction and emotional states between residents and faculty at one academic medical center

BACKGROUND: The Accreditation Council for Graduate Medical Education's (ACGME) new requirements raise multiple challenges for academic medical centers. We sought to evaluate career satisfaction, emotional states, positive and negative experiences, work hours and sleep among residents and faculty simultaneously in one academic medical center after implementation of the ACGME duty hour requirements. METHODS: Residents and faculty (1330) in the academic health center were asked to participate in a confidential survey; 72% of the residents and 66% of the faculty completed the survey. RESULTS: Compared to residents, faculty had higher levels of satisfaction with career choice, competence, importance and usefulness; lower levels of anxiousness and depression. The most positive experiences for both groups corresponded to strong interpersonal relationships and educational value; most negative experiences to poor interpersonal relationships and issues perceived outside of the physician's control. Approximately 13% of the residents and 14% of the faculty were out of compliance with duty hour requirements. Nearly 5% of faculty reported working more than 100 hours per week. For faculty who worked 24 hour shifts, nearly 60% were out of compliance with the duty-hour requirements. CONCLUSION: Reasons for increased satisfaction with career choice, positive emotional states and experiences for faculty compared to residents are unexplained. Earlier studies from this institution identified similar positive findings among advanced residents compared to more junior residents. Faculty are more frequently at risk for duty-hour violations. If patient safety is of prime importance, faculty, in particular, should be compliant with the duty hour requirements. Perhaps the ACGME should contain faculty work hours as part of its regulatory function

Abstracts from the 8th International Conference on cGMP Generators, Effectors and Therapeutic Implications

This work was supported by a restricted research grant of Bayer AG

Hospital-Based Nurse Educators\u27 Technology Readiness and Use of High-Fidelity Simulation

This study used a cross-sectional survey design in an aim to compare the technology readiness (TR) of hospital-based nurse educators (HBNEs) that use high-fidelity simulation (HFS) and those that do not use HFS in order to determine if a difference in TR might account for the lack of widespread adoption of HFS in the hospital setting. An online survey was administered to HBNEs from two national organizations: ANPD and SSH. Descriptive statistics and quantitative data analyses were conducted and reported as well as qualitative findings. Descriptive statistics revealed the average age of HBNE to be 45-46 years of age, possessing a master’s degree, and less than five years of experience as a nurse educator. Quantitative data analysis used for hypothesis testing did not reveal any statistical significance in TR between HBNE groups, however, additional qualitative inqury did reveal interesting insights with regard to desire to implement HFS, barriers to HFS adoption and use, and support for HFS adoption. This study adds to the limited body of knowledge regarding HFS adoption and use in the hospital-setting. Recommendations for future study include inquiry into barriers to HFS adoption and use in the hospital setting; TR of hospital administrators and perceptions of value are also recommended

Hospital-Based Nurse Educators\u27 Technology Readiness and Use of High-Fidelity Simulation

This study used a cross-sectional survey design in an aim to compare the technology readiness (TR) of hospital-based nurse educators (HBNEs) that use high-fidelity simulation (HFS) and those that do not use HFS in order to determine if a difference in TR might account for the lack of widespread adoption of HFS in the hospital setting. An online survey was administered to HBNEs from two national organizations: ANPD and SSH. Descriptive statistics and quantitative data analyses were conducted and reported as well as qualitative findings. Descriptive statistics revealed the average age of HBNE to be 45-46 years of age, possessing a master’s degree, and less than five years of experience as a nurse educator. Quantitative data analysis used for hypothesis testing did not reveal any statistical significance in TR between HBNE groups, however, additional qualitative inqury did reveal interesting insights with regard to desire to implement HFS, barriers to HFS adoption and use, and support for HFS adoption. This study adds to the limited body of knowledge regarding HFS adoption and use in the hospital-setting. Recommendations for future study include inquiry into barriers to HFS adoption and use in the hospital setting; TR of hospital administrators and perceptions of value are also recommended

To “B” or not to “B”: Assessing the disclosure dilemma of bisexual individuals at work

Despite a recent push toward understanding and advocating for LGB employees in the workplace, the unique experiences of bisexual individuals have received little attention in scholarly and organizational contexts. In this manuscript, we attempt to address this by providing novel empirical data from two studies that assess the experience of disclosing bisexuality in a workplace context from multiple perspectives –bisexual employees themselves, as well as non-bisexual (i.e., heterosexual, gay, lesbian) individuals. Taken together, we found evidence suggesting bisexual employees are less likely to disclose their sexual orientation at work as compared to gay and lesbian employees. In addition, our findings indicate that heterosexual, gay, and lesbian individuals hold negative views about bisexuality, which we argue may in part explain bisexual employees\u27 stronger hesitation to disclose their identities at work as compared to gay and lesbian employees. Finally, we found in a vignette-based study that bisexual applicants who disclosed their sexual identities in a job application incurred substantial job-related penalties as compared to gay applicants. We discuss the theoretical and practical implications of our findings and provide insight into several promising directions for future research

A Core Outcome Measurement Set for Pediatric Critical Care

Objectives: To identify a PICU Core Outcome Measurement Set (PICU COMS), a set of measures that can be used to evaluate the PICU Core Outcome Set (PICU COS) domains in PICU patients and their families. Design: A modified Delphi consensus process. Setting: Four webinars attended by PICU physicians and nurses, pediatric surgeons, rehabilitation physicians, and scientists with expertise in PICU clinical care or research (n = 35). Attendees were from eight countries and convened from the Pediatric Acute Lung Injury and Sepsis Investigators Pediatric Outcomes STudies after PICU Investigators and the Eunice Kennedy Shriver National Institute of Child Health and Human Development Collaborative Pediatric Critical Care Research Network PICU COS Investigators. Subjects: Measures to assess outcome domains of the PICU COS are as follows: cognitive, emotional, overall (including health-related quality of life), physical, and family health. Measures evaluating social health were also considered. Interventions: None. Measurements and Main Results: Measures were classified as general or additional based on generalizability across PICU populations, feasibility, and relevance to specific COS domains. Measures with high consensus, defined as 80% agreement for inclusion, were selected for the PICU COMS. Among 140 candidate measures, 24 were delineated as general (broadly applicable) and, of these, 10 achieved consensus for inclusion in the COMS (7 patient-oriented and 3 family-oriented). Six of the seven patient measures were applicable to the broadest range of patients, diagnoses, and developmental abilities. All were validated in pediatric populations and have normative pediatric data. Twenty additional measures focusing on specific populations or in-depth evaluation of a COS subdomain also met consensus for inclusion as COMS additional measures. Conclusions: The PICU COMS delineates measures to evaluate domains in the PICU COS and facilitates comparability across future research studies to characterize PICU survivorship and enable interventional studies to target long-term outcomes after critical illness.</p