Commentary on Gardner A, Hase S, Gardner G, Dunn SV & Carryer J (2008) From competence to capability: a study of nurse practitioners in clinical practice. Journal of Clinical Nursing 17, 250–258

2008 ◽  
Vol 17 (12) ◽  
pp. 1667-1667 ◽  
Author(s):  
Roger Watson
Keyword(s):  
Clinical Practice ◽  
Nurse Practitioners ◽  
Clinical Nursing

scholarly journals Examining Variations in Surfactant Administration (ENVISION): A Neonatology Insights Pilot Project

Children ◽  
2021 ◽  
Vol 8 (4) ◽  
pp. 261
Author(s):  
Priya Patel ◽  
Andrew Houck ◽  
Daniel Fuentes
Keyword(s):  
Clinical Practice ◽  
Nurse Practitioners ◽  
Pilot Project ◽  
The United States ◽  
Institution Type ◽  
Respiratory Therapists ◽  
Respiratory Management ◽  
Surfactant Administration ◽  
Practice Variations ◽  
Almost All

Variability in neonatal clinical practice is well recognized. Respiratory management involves interdisciplinary care and often is protocol driven. The most recent published guidelines for management of respiratory distress syndrome and surfactant administration were published in 2014 and may not reflect current clinical practice in the United States. The goal of this project was to better understand variability in surfactant administration through conduct of health care provider (HCP) interviews. Questions focused on known practice variations included: use of premedication, decisions to treat, technique of surfactant administration and use of guidelines. Data were analyzed for trends and results were communicated with participants. A total of 54 HCPs participated from June to September 2020. In almost all settings, neonatologists or nurse practitioners intubated the infant and respiratory therapists administered surfactant. The INSURE (INtubation-SURrfactant-Extubation) technique was practiced by 83% of participants. Premedication prior to intubation was used by 76% of HCPs. An FiO2 ≥ 30% was the most common threshold for surfactant administration (48%). In conclusion, clinical practice variations exist in respiratory management and surfactant administration and do not seem to be specific to NICU level or institution type. It is unknown what effects the variability in clinical practice might have on clinical outcomes.

scholarly journals Correlation of Students’ Academic Achievements at a Professional Course of Ethics and Pediatrics Clinical Practice at Mizan-Tepi University, South Nations, Nationalities and People’s Region, Ethiopia

2021 ◽  
Vol 8 ◽  
pp. 2333794X2110037
Author(s):  
Lalisa Chewaka Gamtessa
Keyword(s):  
Academic Achievement ◽  
Clinical Practice ◽  
Nursing Students ◽  
Professional Ethics ◽  
Nursing Practice ◽  
Coefficient Of Determination ◽  
Significant Positive Association ◽  
Cross Sectional ◽  
Academic Achievements ◽  
Clinical Nursing

Nursing is a respect for dignity and treating every person equally. Qualifying competent and ethical nurses requires the incorporation of a professional code of ethics with clinical nursing practice. However, no study was conducted on the relationship between professional ethics and clinical nursing practice. Therefore this study aimed to determine correlation between professional ethics and pediatrics clinical practice from an achievement perspective. Accordingly, cross-sectional study design was conducted at Mizan-Tepi University using nursing students’ academic achievements at professional ethics and pediatric practice. Collected data were entered into Epi info 7. SPSS version 21.0 was used to calculate spearman’s rho correlation ( rs) and coefficient of determination ( R2) at P  < .05. A total of 316 study participants comprising of 209 (66.14%) male and 107 (33.86%) female nursing students included in the current study. Nursing students’ academic achievements at professional ethics was significantly and positively associated with achievements at pediatrics clinical practice ( rs  = 0.4-0.6), P < .001. Linear regression results revealed 25% to 26.7% coefficient determination for regular students and 18% to 22.9% for summer nursing students. To sum up, there was a significant positive association between achievements of students at professional ethics and pediatrics clinical practice. Therefore increasing students’ academic achievement in professional ethics can further improve their achievements at pediatrics clinical practice. However, academic achievement in professional ethics explained 22.35% of the variability in achievements at pediatric clinical practice. 77.65% of the variability in pediatrics clinical practice was due to other factors that deserve another study.

scholarly journals A virtual second opinion: Acceptability of a computer-based decision tool to assess older drivers with dementia

2019 ◽  
Vol 26 (2) ◽  
pp. 911-924
Author(s):  
Mark J Rapoport ◽  
Carla Zucchero Sarracini ◽  
Benoit M Mulsant ◽  
Dallas P Seitz ◽  
Frank Molnar ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Nurse Practitioners ◽  
Second Opinion ◽  
Decision Tool ◽  
Qualitative Thematic Analysis ◽  
Computer Based ◽  
Relationship Of ◽  
The Impact ◽  
The Relationship ◽  
Knowledge Translation Interventions

Clinicians face challenges in deciding which older patients with dementia to report to transportation administrators. This study used a qualitative thematic analysis to understand the utility and limitations of implementing a computer-based Driving in Dementia Decision Tool in clinical practice. Thirteen physicians and eight nurse practitioners participated in an interview to discuss their experience using the tool. While many participants felt the tool provided a useful ‘virtual second opinion’, specialist physicians felt that the tool did not add value to their clinical practice. Barriers to using the Driving in Dementia Decision Tool included lack of integration with electronic medical records and inability to capture certain contextual nuances. Opinions varied about the impact of the tool on the relationship of clinicians with patients and their families. The Driving in Dementia Decision Tool was judged most useful by nurse practitioners and least useful by specialist physicians. This work highlights the importance of tailoring knowledge translation interventions to particular practices.

scholarly journals Analisis Faktor yang Mempengaruhi Kesiapan Pembelajaran Praktik Klinik Pertama Mahasiswa STIKes Panti Rapih Prodi Diploma Tiga Keperawatan Yogyakarta

2020 ◽  
Vol 1 (1) ◽  
pp. 11-20
Author(s):  
Bernadetta Eka Noviati ◽  
Dwi Antara Nugraha
Keyword(s):  
Clinical Practice ◽  
Correlation Coefficient ◽  
Nursing Practice ◽  
Health Sciences ◽  
Study Program ◽  
Clinical Nursing ◽  
A Value ◽  
Nursing Clinical Practice ◽  
Nursing Clinical ◽  
Physical Preparation

Background: Learning clinical practice in a hospital is one of the learning methods used to provide competent nurse assistance. Students who first underwent clinical learning has a level of preparedness that different from each other. Objective: This study aims to identify and analyze the factors that influence the readiness of School of Health Sciences Panti Rapih students to take part in learning the first practice of clinical nursing. Methods: The research was a quantitative analytic survey research using cross sectional approach. The population in the study were students of Nursing Diploma Study Program in School of Health Sciences Panti Rapih Yogyakarta. The sample in this study were all second semester students of Nursing Diploma Study Program at School of Health Sciences Panti Rapih Yogyakarta, who were still active and fulfilled the requirements to attend nursing clinical practice. The research instruments was prepared and developed by researchers and have been tested for validity and reliability with the results of all valid and reliable measuring tools. Results: The first physical readiness of students in learning clinical nursing practice was moderate readiness with 59 respondents (60.8%). Mental psychological readiness of students in attending the first clinical nursing practice learning that states ready as many as 54 respondents (55.7%). Material readiness of students in attending nursing clinical practice learning the first 97 respondents (100%) said they were ready. There is a correlation between physical preparation with mental-psychological readiness with low correlation with a Correlation Coefficient value of 0.273 and a significance value of p = 0.007. There is aminimum correlation between physical preparation and material readiness with a Correlation Coefficient of 0.137 and a significance value of p = 0.187. There is no correlation between mental psychological preparation with material readiness with a Correlation Coefficient value of 0.142 and a significance value of p = 0.16. There is a correlation between age and mental-psychological readiness with a low correlation level with a Correlation Coefficient of 0.302 and a significance value of p = 0.003. Conclusion: Research data on physical readiness, psychological mental readiness and material readiness show that more than 50% of respondents are ready. The results of the analysis show that the first factor influencing students in learning clinical nursing practice is age with a value of p = 0.003 then physical preparation with a value of p = 0.007.     Keywords: readiness, clinical learning, students

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