Improving job satisfaction for NPs is critical to recruit and retain advanced practice nurses to enhance access to quality, cost-effective care for all patient populations. Satisfied NPs can potentially reduce healthcare costs associated with employee turnover. Employers must look at extrinsic factors such as compensation and opportunities for professional growth to enhance NP job satisfaction.
Little is known about nursing students' perceptions of barriers to addressing patient sexuality concerns. The twofold purpose of this study was to identify and describe attitudes and beliefs that might act as barriers to addressing patient sexuality concerns and to determine the extent to which these attitudes and beliefs are influenced by personal factors such as age, gender, and education. The Sexuality Attitudes and Beliefs Survey was used to assess students (N = 341) enrolled in either a traditional or accelerated second-degree baccalaureate program. Important barriers to addressing patient sexuality concerns reported by the majority of the students included not making time to address the concerns (67.9%) and believing that patients do not expect nurses to address the concerns (66.4%). Findings also revealed that accelerated second-degree students were more restrictive in their attitudes toward addressing patient sexuality concerns, compared with traditional students. Results of this study have implications for BSN program development and evaluation.
Increasing demand from mental health consumers for crisis assessment and intervention in public Emergency Departments (ED) has placed considerable strain on the resources of the ED and long delays awaiting admission are experienced. At Flinders Medical Centre in South Australia, the Psychiatry Department trialled a 'hospital-in-the-home' service to relieve the pressure on the ED and enhance inpatient capacity. The trial has been successful in diverting mental health consumers directly to intensive home-based services from the ED and freeing up beds in the inpatient unit. Evaluation showed that both consumers and their carers were highly satisfied with the hospital-at-home service.
Imogene King is universally recognized as a pioneer of nursing theory development. Her interacting conceptual system for nursing and her theory of goal attainment have been included in every major nursing theory text, are taught to thousands of nursing students, form the basis of nursing education programs, and are implemented in a variety of service settings.
This prospective single-blinded study aimed to compare the types of medication errors and medication error rates of two medication delivery systems. The setting was a 30 bed surgical ward that was divided into two identical areas. In one area medications were stored and issued in a ward bay workstation immediately outside the patients' rooms. The alternate area used a medication trolley at the patients' bedside. Three hundred and forty opportunities for errors were observed using five nurse educators. Twenty administration errors (5.8% error rate) and two dispensing errors (0.6% error rate) were detected. A statistically significant difference was found between the two systems, where four errors occurred from the medication trolley (2.6% error rate), and fifteen errors occurred from the ward bay (9.2% error rate). These results suggest that medications were less likely to be omitted and more likely to be given on time when they were issued at the patient's bedside using the medication trolley.
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