Considerable attention has been given to the benefits of applying deliberate practice to the field of psychotherapy. The philosophical underpinnings of the deliberate practice framework have the potential to help improve psychotherapy training by encouraging lifelong learning. However, the deliberate practice model has been previously applied and studied in fields that differ from psychotherapy in important ways. These differences have significant implications for the application of deliberate practice to psychotherapy. This article aims to highlight the exciting possibilities and the current limitations of the deliberate practice model for psychotherapy. We offer potential ways to address some of these limitations via research and clinical practice. Giving more consideration to these limitations could increase the utility of deliberate practice for psychotherapists.
Public Significance StatementThe deliberate practice model is a framework for improving performance that is increasingly being applied to the field of psychotherapy. This article discusses the limitations of the application of the deliberate practice model to the field of psychotherapy, as well as provides recommendations for how to address some of these limitations. Initiating a discussion about these limitations can help increase the usefulness of the deliberate practice model for psychotherapists.
Parental stress is high when infants are admitted to a neonatal intensive care unit in community-based hospital. This quasi-experimental study explored the effect of implementing the “Creating Opportunities for Parent Empowerment” (COPE) program on parental stress, postpartum depression, parental satisfaction with care, and length of stay in a community-based hospital. A cohort of nurses completed a 1-day “COPE for HOPE” parent empowerment training session. A nurse implemented the COPE parent training at the bedside soon after birth and extended throughout hospitalization. The following instruments were used to collect data: a demographic data sheet, Parental Stress Scale: Neonatal Intensive Care Unit, Edinburgh Postnatal Depression Scale, and an investigator-designed parent satisfaction survey. Forty-nine parent sets participated in the study (29 in the intervention group, 20 in the comparison group). A significant difference was found between the groups related to lower parental stress. There was no difference in terms of parental depression scores or length of hospital stay. However, clear trends revealed that parents in the COPE group exhibited lower depression scores. Parents in both groups reported being greater than 95% satisfied with care across all items. These findings may motivate administrators in other community-based hospitals to implement this intervention.
OBJECTIVE
The purpose of this study was to develop and test a tool to monitor a nursing orientee's progress to competence.
BACKGROUND
The literature suggests that, during orientation, consistent documentation and communication among educators, preceptors, and nurse leaders facilitate a timely progression to independent practice for new nurses.
METHODS
A 2-phase methodological study was conducted. Nurse educators clarified goals, identified essential competencies, and developed the Baptist Health Lexington Nursing Orientation Progression Tool (OPT). The tool was used to monitor orientees' progression through orientation.
RESULTS
Content validity assessment of the OPT (content validity index = 0.98) demonstrated strong validity. Testing of the tool revealed 31 nurses completed orientation early, 12 completed orientation on time, and 18 nurses required extended orientation time. All requiring an extension were new graduates.
CONCLUSION
The OPT guided preceptors to facilitate timely completion of orientation among newly hired nurses. Findings suggest that new graduates may need more assistance than experienced nurses.
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