Nursing Outlook’s Post

My research work titled "Effects of a standardized patient-based simulation on Generation Z nursing students' management of dementia patients: A mixed-method study" has been accepted for publication in Nursing Education Perspectives. I'm honored to have this work featured in this prestigious journal. This acceptance underscores the importance of my research in advancing nursing education and patient care. I'm grateful to my collaborators and the journal's editorial team for this opportunity. #NursingResearch #NursingEducation #MedicalSimulation

Congratulations to Clinical Associate Professor of Nursing, Joni Tweeten who presented her poster at today's UND College of Education and Human Development Research Conference. Pictured is Joni with her advisor Dr. Woei Hung. The poster topic is 𝑈𝑠𝑖𝑛𝑔 𝑎 𝐷𝑒𝑠𝑖𝑔𝑛-𝐵𝑎𝑠𝑒𝑑 𝑅𝑒𝑠𝑒𝑎𝑟𝑐ℎ 𝐴𝑝𝑝𝑟𝑜𝑎𝑐ℎ 𝑡𝑜 𝐼𝑚𝑝𝑙𝑒𝑚𝑒𝑛𝑡 𝑎𝑛𝑑 𝐸𝑣𝑎𝑙𝑢𝑎𝑡𝑒 𝑃𝑟𝑜𝑗𝑒𝑐𝑡-𝐵𝑎𝑠𝑒𝑑 𝐿𝑒𝑎𝑟𝑛𝑖𝑛𝑔 𝑖𝑛 𝑃𝑜𝑝𝑢𝑙𝑎𝑡𝑖𝑜𝑛 𝐻𝑒𝑎𝑙𝑡ℎ 𝑁𝑢𝑟𝑠𝑖𝑛𝑔 𝐸𝑑𝑢𝑐𝑎𝑡𝑖𝑜𝑛. #UNDproud #UNDCNPD #nursingresearch

This article considers the necessary role of #implementation science in Doctorate of Nursing programs. Understanding these fundamentals is key to bridging the gap between research and practice.

Reducing the proportion of RNs in hospitals, even when total nursing personnel hours are kept the same, is likely to result in significant avoidable patient deaths, readmissions, longer lengths of stay, and decreased patient satisfaction, in addition to excess Medicare costs and forgone cost savings to hospitals. Estimates represent only a 10 percentage-point dilution in skill mix; however, the team nursing model includes much larger reductions of 40–50 percentage-points—the human and economic consequences of which could be substantial.

Alternative Models of Nurse Staffing May Be Dangerous in High-Stakes Hospital Care Lasater, Karen B. PhD, RN*,†; Muir, K. Jane PhD, FNP-BC*,†,‡; Sloane, Douglas M. PhD*; McHugh, Matthew D. PhD, JD, MPH, RN*,†; Aiken, Linda H. PhD, RN*,† Reducing the proportion of RNs in hospitals, even when total nursing personnel hours are kept the same, is likely to result in significant avoidable patient deaths, readmissions, longer lengths of stay, and decreased patient satisfaction, in addition to excess Medicare costs and forgone cost savings to hospitals. Estimates represent only a 10 percentage-point dilution in skill mix; however, the team nursing model includes much larger reductions of 40–50 percentage-points—the human and economic consequences of which could be substantial. https://lnkd.in/dvfqG9bJ

Excellent article by Richard Griffith in British Journal of Nursing in part about how beliefs about treatment play into capacity to decide. I don’t think the test as currently set out is appropriate, something I’ll explain in a bit. He starts in 1994 (n Re C (Adult: Refusal of treatment)) with the ruling that a man with a gangrenous leg, in danger of death, was permitted to refuse treatment because “He understood and believed the information ‘in his own way’.” The Mental Capacity Act (2005) does not include the need to believe medical information, it's been read in to other pillars of capacity. In the case of ST (University Hospitals Birmingham NHS Foundation Trust v ST [2023]) believing medical information was considered necessary to understand information relevant to the decision (MCA S. 3) This adopted the test in Local Authority X v MM [2007] that to understand, use, weigh, information you have to believe it. The ST ruling considered that not believing medical staff is very different to making an unwise decision, because a decision that is simply unwise can be properly made whereas not believing the medical information means you are unable to make a decision. My problem with this test is that it treads too deep into the territory of individual belief. Medical advice is not infallible, unchanging, universal. On the same day different medical professionals will reach different conclusions about the same case, all within the parameters of current medical understanding. On another day those conclusions may be different in line with medical evolution. Should an individual have to believe that individual medical professionals on a given day are right, to be allowed to make their own decision? It is an illiberal demand. A different test could require the patient to believe that the medical professional themself believes the suggested course is medically appropriate. If doctor A tells me that there is a 70% chance I’ll die without the removal of my gangrenous leg I don’t have to take that figure as a literal truth. I just have to understand that this experienced medical professional believes it. And then make my own decision. https://lnkd.in/eSp37h8e #courtofprotection #mentalcapacity #medicaltreatment

NURS FPX 4030 Assessment 1 For research in the health care setting, the place that comes out to be the front runner includes the online hospital library, clinical databases, peer-reviewed journals, and institutional policy databases. The intranet of the hospital always has an online library available where the nurses can access a lot of medical databases such as CINAHL, PubMed, and Medline, which is the source of a significant number of scholarly articles, research studies, and clinical guidelines used to reinforce and improve everyday nursing practice. Click the link below:- https://lnkd.in/gv--PHFJ

ENP-C presented a poster at the International Council of Nurses NP/APN Network conference in September 2024 in Aberdeen, Scotland. Their poster was titled How Nurse Practitioners Can Address the United States’ Poor State of Health and Effect Change to Address the Ubiquity of Non-Communicable Chronic Disease. The poster highlighted the rising rates of obesity and the impact of chronic disease rates on the U.S. healthcare system. A novel approach combines the roles of Nurse Practitioner, Nurse Coach, and Lifestyle Medicine Professional. The triple combination style utilizes a holistic methodology including root-cause discovery, education, and patient partnering for health behavior change. Each element addresses the quintuple aim.   

New scoping review! We (Paula Bresolin, Simen Alexander Steindal, Hanne Maria Bingen, Jussara Martini, Eline Kaupang Petersen, Jaro Zlamal, Andréa Aparecida Gonçalves Nes) examined the role of technology-supported guidance models in enhancing nursing students' self-efficacy in clinical practice. Limited statistically significant findings highlight the need for further research refinement. #NursingResearch #ClinicalPractice #TechnologySupportedLearning

Various technological solutions were adopted in the guidance models to stimulate the self-efficacy of nursing students in clinical practice, leading to positive findings. Future studies should consider involving users in the intervention process and using validated instruments tailored to the studies’ intervention objectives, ensuring relevance and enabling comparisons across studies.