Using Student-Produced Video to Validate Head-to-Toe Assessment Performance

BACKGROUND: This study explored third-semester baccalaureate nursing students\u27 perceptions of the value of using student-produced video as an approach for learning head-to-toe assessment, an essential clinical nursing skill taught in the classroom. METHOD: A cognitive apprenticeship model guided the study. The researchers developed a 34-item survey. A convenience sample of 72 students enrolled in an applied assessment and nursing fundamentals course at a university in the western United States provided the data. RESULTS: Most students reported a videotaping process that worked, supportive faculty, valuable faculty review of their work, confidence, a sense of performance independence, the ability to identify normal assessment findings, and few barriers to learning

Job Satisfaction and Horizontal Violence in Hospital Staff Registered Nurses: The Mediating Role of Peer Relationships

Aims and objectives To describe the association between horizontal violence and job satisfaction in hospital staff registered nurses and the degree to which peer relationships mediates the relationship. Additionally, the association between nurse and work characteristics and job satisfaction were determined. Background Horizontal violence is a major predictor of nurses\u27 job satisfaction. Yet, not enough is known about the relationship between these variables. Job satisfaction is an important variable to study because it is a predictor of patient care quality and safety internationally. Peer relationships, a job satisfier for nurses, was identified as a potential mediator in the association between horizontal violence and job satisfaction. Design Cross-sectional mediational model testing. Methods An anonymous four-part survey of a random sample of 175 hospital staff registered nurses working in California provided the data. Data about horizontal violence, peer relationships, job satisfaction, and nurse and work characteristics were collected between March–August 2010. Results A statistically significant negative relationship was found between horizontal violence and peer relationships, job satisfaction and a statistically significant positive relationship was found between peer relationships and job satisfaction. Peer relationships mediated the association between horizontal violence and job satisfaction. Job satisfaction was reported as higher by nurses who worked in teaching hospitals. There were no statistically significant differences in job satisfaction based on gender, ethnicity, basic registered nurse education, highest degree held, size of hospital or clinical area. Conclusions The results suggest that peer relationships can attenuate the negative relationship between horizontal violence and job satisfaction. This adds to the extant literature on the relationship between horizontal violence and job satisfaction. Relevance to clinical practice The findings highlight peer relationships as an important factor when considering effective interventions that foster hospital staff registered nurses\u27 job satisfaction in the presence of horizontal violence

Horizontal Violence and the Quality and Safety of Patient Care: A Conceptual Model

For many years, nurses in international clinical and academic settings have voiced concern about horizontal violence among nurses and its consequences. However, no known framework exists to guide research on the topic to explain these consequences. This paper presents a conceptual model that was developed from four theories to illustrate how the quality and safety of patient care could be affected by horizontal violence. Research is needed to validate the new model and to gather empirical evidence of the consequences of horizontal violence on which to base recommendations for future research, education, and practice

Horizontal Violence Among Hospital Staff Nurses Related to Oppressed Self or Oppressed Group

Horizontal violence among nurses is recognized as a major problem in hospitals; however, the origins and effects on patient care have not been studied. This study described the incidence of horizontal violence among hospital staff RNs and tested 2 hypotheses about the social origins of this behavior. A random sample of 175 hospital staff RNs drawn from the California Board of Registered Nursing\u27s mailing list was surveyed. Horizontal violence was reported by 21.1% (n = 37) of participating nurses. Hypotheses were supported. Findings suggested (a) a positive relationship between beliefs consistent with an oppressed self and horizontal violence (r = .434, P \u3c .05) and (b) a positive relationship between beliefs consistent with those of an oppressed group and horizontal violence (r = .453, P \u3c .05). A change in the oppressive social structure of hospitals may be needed to truly address horizontal violence in the best interest of the quality and safety of patient care

Hospital Staff Registered Nurses’ Perception of Horizontal Violence, Peer Relationships, and the Quality and Safety of Patient Care

Objective: To test hypotheses from a horizontal violence and quality and safety of patient care model: horizontal violence (negative behavior among peers) is inversely related to peer relations, quality of care and it is positively related to errors and adverse events. Additionally, the association between horizontal violence, peer relations, quality of care, errors and adverse events, and nurse and work characteristics were determined. Participants: A random sample (n=175) of hospital staff Registered Nurses working in California. Methods: Nurses participated via survey. Bivariate and multivariate analyses tested the study hypotheses. Results: Hypotheses were supported. Horizontal violence was inversely related to peer relations and quality of care, and positively related to errors and adverse events. Including peer relations in the analyses altered the relationship between horizontal violence and quality of care but not between horizontal violence, errors and adverse events. Nurse and hospital characteristics were not related to other variables. Clinical area contributed significantly in predicting the quality of care, errors and adverse events but not peer relationships. Conclusions: Horizontal violence affects peer relationships and the quality and safety of patient care as perceived by participating nurses. Supportive peer relationships are important to mitigate the impact of horizontal violence on quality of care

Estrategia didáctica para la promoción de Química General en Ingeniería Civil

El ingeniero, debe poseer el conocimiento integral de los principios básicos de las Ciencias Exactas, entre las que se encuentra la Química, que incluya comprender las transformaciones permanentes de la materia, sus cambios de energía, estructura, propiedades y su relación con el entorno. En Ingeniería Civil, predecir el comportamiento químico de los materiales y de los procesos industriales en los que se ven involucrados brinda el acceso para mejorar y optimizar dichos procesos. Considerando el análisis de los rendimientos académicos de estudiantes de primer año de Ingeniería Civil, obtenidos para las cohortes 2012-2016, se adaptaron las estrategias pedagógico-didácticas en función del nuevo perfil de estudiante y de las capacidades que deben desarrollarse para lograr la competencia general de egreso. Se propuso la aplicación de nuevas estrategias que involucraran el manejo de los contenidos disciplinares desde un abordaje práctico que le permita al estudiante adquirir competencias en la resolución de situaciones problema tal como se requiere en el ejercicio del profesional. Mediante el Proyecto Propuesta Metodológica en Química General para el desarrollo de competencias profesionales desde las ciencias básicas" que fue aprobado y financiado por Res. N° 155/17-CD en el marco del Programa de Fortalecimiento de la Enseñanza en la Facultad de Ingeniería-PROFEN 2017 se elaboraron trabajos prácticos de laboratorio sobre los materiales en general y del cemento en particular.Fil: Purpora, Rebeca. Universidad Nacional de Cuyo. Facultad de IngenieríaFil: Medaura, Cecilia. Universidad Nacional de Cuyo. Facultad de IngenieríaFil: Valente, Graciela. Universidad Nacional de Cuyo. Facultad de Ingenierí

Horizontal Violence Among Hospital Staff Nurses and the Quality and Safety of Patient Care

Nursing is among those believed to be oppressed who are at risk for horizontal violence, yet no known evidence of a relationship between these concepts exists. Studies of horizontal violence suggest that some nurses suffer personal consequences, yet almost nothing is known about the consequences for patients. Furthermore, no known framework exists to guide research to explain these potential consequences. The purpose of the study was to describe staff registered nurses' (RNs) work-related views of themselves, nursing as a group, their interactions and relationships with other RNs, and quality of care. Five hypotheses were tested from the horizontal violence and quality and safety of care model.A random sample of 173 hospital staff nurses drawn from the California Board of Registered Nursing's mailing list participated online or with a paper survey. The Nurses Workplace Scale measured nurses' work-related beliefs exhibitive of an oppressed self or group. The Negative Acts Questionnaire-Revised measured horizontal violence, also called bullying if it occurs frequently. Peer relations, the quality and safety of patient care and adverse events were also measured. Horizontal violence was reported by 21.4% of participants. Nurses' who exhibited more internalized sexism (oppressed group beliefs) reported more horizontal violence (r=.463, p=.000). Nurses' who minimized themselves more (oppressed self beliefs) reported more horizontal violence (r=.451, p=.000). Nurses' who experienced more horizontal violence reported less supportive relationships with peers (r= -.638, p=.000), lower quality and safety of patient care (r= - .459; p=.000), and a higher frequency of adverse events (r= .408; p= .000). Findings suggested that peer relationships mediated the effect of horizontal violence on the quality and safety of patient care, but not on adverse events. Horizontal violence was reported by one fifth of staff nurses in hospitals. Hypotheses tested were supported. Nurses who perceived more oppression of self and nurses as a group reported more horizontal violence. Nurses perceived that horizontal violence negatively impacted peer relationships and the quality and safety of patient care and increased the frequency of adverse events. Education in practice settings is recommended to improve peer relationships in the presence of horizontal violence. Reducing horizontal violence may rely on changing the social structure in hospitals