Nurse administrators need to review organizational policies and procedures to determine if current practices support the retention of psychiatric nurses.

No abstract

A growing trend in nursing education is the use of student portfolios for program evaluation. Incorporating portfolio analysis into a school's evaluation plan requires that faculty consider how the benefits and limitations of the portfolio development process impact the entire curriculum. The primary benefit of portfolio evaluation is that it permits the correlation of competencies attained by graduates with curricular outcomes. However, portfolio development also promotes increased student responsibility for learning, enhances faculty-student interaction, and facilitates changes in curriculum and instruction. The principal limitations of portfolio evaluation are the lack of research-based evidence that demonstrates the validity and reliability of portfolio analysis, time required to create a portfolio, and documentation storage.

The magnitude of negative consequences of clinician disruptive behaviors on patients and clinicians was examined using data collected from 1559 clinicians working at an urban academic medical center in the United States. For the impact of disruptive behavior on patient safety, psychological aggression as caused by disruptive behavior or incivility increased the likelihood of patient harm as well as job dissatisfaction and physical symptoms.