Competency and Capability: Imperative for Nurse Practitioner Education

Objective The objective of this study was to conduct research to inform the development of standards for nurse practitioner education in Australia and New Zealand and to contribute to the international debate on nurse practitioner practice. Setting The research was conducted in all states of Australia where the nurse practitioner is authorised and in New Zealand Subjects The research was informed by multiple data sources including nurse practitioner program curriculae documents from all relevant universities in Australia and New Zealand, interviews with academic convenors of these programs and interviews with nurse practitioners. Primary argument Findings from this research include support for masters level of education as preparation for the nurse practitioner. These programs need to have a strong clinical learning component and in-depth education for the sciences of specialty practice. Additionally an important aspect of education for the nurse practitioner is the centrality of student directed and flexible learning models. This approach is well supported by the literature on capability. Conclusions There is agreement in the literature about the lack of consistent standards in nurse practitioner practice, education and nomenclature. The findings from this research contribute to the international debate in this area and bring research informed standards to nurse practitioner education in Australia and New Zealand

Nurse Practitioner Competency Standards: Findings from Collaborative Australian and New Zealand Research

Background: The title, Nurse Practitioner, is protected in most jurisdictions in Australia and in New Zealand and the number of nurse practitioners is increasing in health services in both countries. Despite this expansion of the role there is scant national or international research to inform development of nurse practitioner competency standards. Objectives: The aim of the study was to research nurse practitioner practice to inform development of generic standards that could be applied for the education, authorisation and practice of nurse practitioners in both countries. Design: The research used a multi-methods approach to capture a range of data sources including research of policies and curricula, and interviews with clinicians. Data were collected from relevant sources in Australia and New Zealand Settings: The research was conducted in New Zealand and the five states and territories in Australia where, at the time of the research, the title of nurse practitioner was legally protected. Participants: The research was conducted with a purposeful sample of nurse practitioners from diverse clinical settings in both countries. Interview and material data were collected from a range of sources and data were analysed within and across these data modalities. Results: Findings included identification of three generic standards for nurse practitioner practice namely, Dynamic Practice, Professional Efficacy and Clinical Leadership. Each of these standards has a number of practice competencies, each of these competencies with their own performance indicators. Conclusions: Generic Standards for nurse practitioner practice will support a standardised approach and mutual recognition of nurse practitioner authorisation across the two countries. Additionally these research outcomes can more generally inform education providers, authorising bodies and clinicians on the standards of practice for the nurse practitioner whilst also contributing to the current international debate on nurse practitioner standards and scope of practice

Willingness of High School Students to be Treated by an HIV Infected Health Practitioner: A Study Done in Dar es Salaam, Tanzania.

To assess willingness of high school students to be treated by HIV/AIDS infected dental practitioners in Ilala municipality, Dar Es Salaam, Tanzania. This was a descriptive cross-sectional study. More than half (52.8%) of the high school students showed fear of being treated by HIV/AIDS infected dental practitioner, with 175 (55.4%) out of 316 students fearing even to be clinically examined by HIV positive dental practitioner. Out of 316 students, 163 (51.6%) students showed no problem in consulting a HIV/AIDS infected dental practitioner for dental problems. There were 170 (53.8%) respondents who were uncomfortable to undergo dental treatment provided by HIV positive dental practitioner. The results of this study showed that there is fear an element of negative attitude and stigmatization among high school students on being treated by HIV/AIDS infected health care practitione

From Patient to Practitioner

After a brutal battle with leukemia, Robert Lisac ’12 plans to spend his career in the hospital – this time as the doctor, not the patient

W(h)ither Practitioner Research?

The purpose of this paper is to understand better the possibilities for practitioner research as a mode of educational inquiry that is yet to be legitimated within the academy. The paper maps the current state of play, and then moves on to consider what might yet be done to optimise its potential to contribute to rigorous new thinking about educational practice. Its exploration proceeds in 3 parts: first, it seeks to account for the ambivalent status of practitioner research in the larger context of the modern university; second, it moves on from this account to argue both the value and the limitations of practitioner research as a contemporary mode of knowledge production in education; and finally, it suggests ways that practitioner research might be less de-limited in terms of its capacities to produce knowledge that is useful to a wider range of stakeholders

Supporting research by becoming a researcher: how librarians can use their own research experience to benefit library users

This article explores the ways in which engagement in practitioner research can enhance the librarian's ability to support researchers. It first clarifies what is meant by ‘research’ and highlights some differences between academic and practitioner research, then it considers some of the ways in which both the act of doing research and the results of that research can enhance our ability to support researchers

Formative e-assessment: Practitioner cases

This paper reports on one aspect of the Joint Information Systems Committee (JISC)-funded project 'Scoping a vision of formative e-assessment', namely on cases of formative e-assessment developed iteratively with the UK education practitioner community. The project, which took place from June 2008 – January 2009, aimed to identify current theories and practices relating to formative assessment of learning where technologies play a key role. The project aimed to scope the 'domain' of formative e-assessment, by developing cases of practice and identifying key formative processes within them, which are affected by the use of technologies. From this analysis, patterns were extracted to inform future software design. A discussion of the key issues emerging from the review of the literature on formative e-assessment, a full account of the project methodology – the design pattern methodology – as well as a critical discussion of the findings – namely the patterns and the role of technology – are the focus of a separate paper (see Daly et al (forthcoming). This paper documents how cases of formative e-assessment were developed during the project by a collaborative methodology involving practitioners from a range of post-16 education contexts. The cases were analysed with reference to key theoretical perspectives on formative assessment, particularly the work of Black and Wiliam (2009). In addition, Laurillard's Conversational Framework (2002, 2007) was used to locate practices of formative assessment within a wider concept of learning and teaching involving technologies, although a detailed discussion of the latter is not within the scope of this paper1

Ethics and the medical practitioner

Historically, the inculcation of good ethical practice within the Maltese medical community has been achieved through a high ethical standard assumed by the teachers which was passed on to their students. In this article the author describes three important aspects related to medical ethics: teaching ethics to medical students; specific issues relating to medical practice in Malta; ethics and medical research.peer-reviewe

Oral health beliefs and behaviors of nurse and nurse practitioner students using the HU-DBI inventory: An opportunity for oral health vicarious learning

Background: Oral health access to care issues are resulting in curricular changes to train nursing students as oral health educators and providers. However, little data are available concerning their personal oral health beliefs/behaviors. The study purpose was to gather information from nurse and nurse practitioner students regarding their oral health beliefs and behaviors. Methods: Using the Hiroshima University Dental Behavioural Inventory (HU-DBI), survey data were gathered from nurse and nurse practitioner students as well as dental hygiene students as controls concerning their oral health beliefs and behaviors. Results: Mean HU-DBI scores were higher among nurse practitioner than nursing students, indicating more positive beliefs/behaviors, but both were lower than dental hygiene students. Both nurse and nurse practitioner students reported significantly fewer dental visits and some poorer hygiene practices than controls. Additionally, nursing students were more likely to believe that their teeth were worsening despite brushing. Conclusions: Assessment of personal oral health beliefs/behaviors should occur early in nursing education with mentoring so that optimal modeling can positively impact patients’ oral health. Oral health education opportunities within and among disciplines are discussed

How can we make multi-agency work in the arena of child trafficking more effective?

Sharing our experience: practitioner-led research 2008-200