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Evidence-Based Practice in Nursing

Evidence-Based Practice in Nursing

Evidence-based practice is essentially a self-explanatory phenomenon. It’s the translation of the most current research insight into action. One commonly repeated definition  of evidence-based practice is “conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients.” Evidence-based practice in nursing is not a matter of simply going from the lab to graphed data to the patient. As with any nursing principle, compassionate, individualized care is as important as the statistics that drive it. Thus, nurses who utilize evidence-based practice give the patient the dignity and respect to participate in their own care, guided by the expertise and resources of the nurse.

Nurses do not have the luxury of relying on what they learned in school throughout their career.  As in any field driven by science and technology today, the onus is on the practitioner to stay current. In nursing and medicine, however, the patient’s well-being is at stake, rendering their obligation to stay current an urgent one. Whether it’s catering care to the needs of different patient populations or having the courage to ask questions that don’t yet have answers, the prudent nurse relies continuously on evidence-based practice as a guiding principle of his or her work.

From the Bedside to the Ballot

Although most nursing guidelines and institutional policies today are created based on current best practice research, many nurses are taking it upon themselves to up the ante and create nurse-driven initiatives. They are uniting in the spirit of staying current on best evidence for quality patient care in their respective specialties. 

Beyond its relevance in caring for individual patients, evidence-based practice in nursing has made its way to the ballot. Today, health care legislation relies on evidence-based practice to enact laws that affect all members of the healthcare team, from the multidisciplinary team to the patient. One hot topic in nursing legislation today is nursing ratios and how they affect patient outcomes. Nurses are fighting throughout the United States to educate lawmakers and laypersons alike about the importance of quantity in healthcare quality, and with research to back them up, they are being heard.

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Nurse of the Week: New Mexico Nurse Misty Eskridge Proves It’s Never Too Late to Follow Your Dreams

Nurse of the Week: New Mexico Nurse Misty Eskridge Proves It’s Never Too Late to Follow Your Dreams

Our Nurse of the Week is Misty Eskridge , a 47-year-old resident of Rio Rancho, New Mexico, who graduated with her nursing degree from Central New Mexico Community College this past fall. She has been on a path to a nursing career since 1992 but after extenuating circumstances forced her to put her nursing career on hold, she still found her way back years later.

Eskridge tells abqjournal.com, “We had a family, and then my family was first, then my community, and then working for the school, and then I just decided, hey, it’s my time.”

Although Eskridge never lost per passion for nursing, going back to school wasn’t an option for many years, especially financially. Scholarships helped her pay for nursing school, awarding her peace of mind and a lot of stress off her family.

The Schumann Foundation, a local organization founded by Rio Rancho resident and Kiwanis Club member Douglas Schumann, awarded Eskridge a $2,000 scholarship in 2017 and matched her DeGroot-Akins Rotary Scholarship in 2018.

To learn more about Misty Eskridge, a 47-year-old nurse from New Mexico who just achieved her dream of graduating from nursing school thanks to help from scholarships, visit here.

Night Shift Care Packages Gifted During Daylight Savings Time

Night Shift Care Packages Gifted During Daylight Savings Time

For the sixth year in a row, WGU Indiana delivered Night Shift Nurse Appreciation Kits to hospitals and healthcare facilities across Indiana for daylight savings time. These kits were provided to nurses who worked an extra hour during their usual, and already difficult, shifts.

“WGU Indiana is distributing the Night Shift Nurse Appreciation Kits for the sixth year, to honor the important and often unrecognized contributions of night shift nurses,” WGU Indiana Chancellor Allison Barber shared, prior to daylight savings time. This year, roughly 4,000 nurses in 127 hospitals and health care units across Indiana received these kits on their extra long shifts. Each kit contained treats, a thank you note, sleep masks and stress balls.

In addition to the usual work challenges that all nurses tackle, night shift nurses run into problems on the job that affect more than their careers. Having their circadian rhythm thrown off by their working hours, these night shift nurses are put at risk for fatigue and other health issues.

“From my work as a night shift nurse for 38 years, I recognize that night shift nurses don’t always receive the same recognition as employees who work during the day,” said Mary Lawson Carney, WGU Indiana State Director of Nursing, DNP, RN-BC, CCRN, CNE. “Night shift work has a significant impact on the physical, psychosocial and professional lives of nurses.”

The care packages also included information about the WGU Indiana Night Shift Nurse Scholarship. There are five $2,000 scholarships available to Indiana night shift nurses who are interested in advancing their education through WGU Indiana’s College of Health Professions.

Last year Dea Gillfillan, a night shift nurse and WGU Indiana student, was one of the five scholarship recipients and is grateful to the school for giving her opportunities to advance her education. “The flexibility of my online coursework with WGU has allowed me to study on my days off and the Night Shift Nurse Scholarship made my degree that much more affordable,” Gillfillan shared. 

To learn more about WGU Indiana and the Night Shift Nurse Scholarship, click here.

A Day in the Life of a Nurse Educator: Thoughts from Deborah Dolan Hunt

A Day in the Life of a Nurse Educator: Thoughts from Deborah Dolan Hunt

A Day in the Life of a Nurse Educator: Thoughts from Deborah Dolan Hunt

Nurse educators work in many different settings with various roles and responsibilities. The academic nurse educator’s role is perhaps the most unique; each day is quite different. Nurse educators participate in teaching, service, and scholarly activities. The amount of time spent in each of these areas relates to the academic setting and the type of appointment. Some faculty appointments include a dedicated program of research; however, teaching is often the mainstay of the faculty role. Faculty must be well-versed in the various teaching and learning theories, and theories of the adult learner.

Teaching

Academic nurse educators have numerous responsibilities. When planning teaching activities for theory and clinical courses, the pre-planning phase is vitally important. Prior to the start of the semester, faculty must develop:

  • course syllabi
  • course content
  • teaching strategies
  • evaluation methods

Once the course has started, faculty prepare for weekly classes and review and update content and teaching strategies. A typical day may include a two or three-hour theory course in the morning and afternoon followed by office hours. Office hours may be spent meeting with students or completing coursework. This includes:

  • student advisement
  • course preparation
  • test planning and development
  • grading assignments

Service

Another day may consist of meetings and committee work. Committee work may be program specific, college-wide, or community-based. Faculty attend meetings and engage in committee work, and often serve as liaisons to share the work of the committees with their faculty colleagues.

Scholarship

Scholarly activities may be done individually or with a partner or group. Scholarship includes writing for publication, presentations, and teaching.  Although each academic organization has different requirements for scholarship, Boyer’s Model can be quite helpful when determining appropriate scholarly activities. For example, Boyer (1997) discusses the scholarship of:

  • discovery (search for knowledge, publications)
  • integration (knowledge from different sources and disciplines)
  • application (new knowledge used to solve problems)
  • teaching (teaching, advising, and mentoring)

Student Advisement

Student advisement is another responsibility of the nurse educator , which requires knowledge of the curriculum and student’s progress. Faculty may be assigned a specific group of students to advise and meet with on a consistent basis to discuss their progress and progression. Faculty are also responsible for advising the students in their courses regarding their progress and concerns. It’s always important to document advisement sessions and ensure that the student understands issues and develops a plan for improvement, if necessary.

Peer Evaluation

New faculty will have ongoing evaluations by students, faculty, and administrators. The purpose of these evaluations is to guide new faculty in their new role and assist them with any areas of improvement. Evaluations are also used for re-appointments, promotions, and tenure decisions. As new faculty become more experienced, they will be required to evaluate their peers. Evaluations are usually focused on teaching, service, and scholarship.

Clinical Coordination

Clinical coordination is often done by the full-time faculty who teach the theory courses and perhaps a clinical course. Many clinical courses are taught by adjunct instructors, and the clinical coordinator serves as a liaison to ensure that adjuncts understand their roles and responsibilities. Faculty may be expected to locate clinical sites, interview potential adjunct instructors, and address any issues with faculty, students, or clinical site. They may also be expected to conduct site visits to evaluate teaching abilities of the clinical adjuncts.

Summary

The role of the nurse educator is one that may be fraught with challenges; however, it is quite rewarding. Each day will be different depending on the expectations of the academic organization and assignments, but the triad of teaching, service, and scholarship is always a part of the nurse faculty role.

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References

Boyer, E. L. (1997). Scholarship reconsidered: Priorities of the professoriate. San Francisco: Jossey-Bass.

Hunt, D. (2017). The New Nurse Educator: Mastering Academe (2nd ed). New York: Springer Publishing Company.

American Psychiatric Nurses Association (APNA) Awards Scholarship to 30 Nursing Students

American Psychiatric Nurses Association (APNA) Awards Scholarship to 30 Nursing Students

The American Psychiatric Nurses Association (APNA) has announced that they will be awarding 30 nursing students with the 2018 Board of Directors Student Scholarship. The APNA student scholarship program is intended to encourage students to pursue the field of psychiatric-mental health nursing and develop the next generation of leaders in the profession.

Undergraduate and graduate level nursing students across the country are invited to apply for the scholarship each year or be nominated by a member of their nursing school faculty. Scholarship winners are also awarded travel and lodging to attend the APNA Annual Conference as well as a one-year APNA membership to enjoy the professional benefits.

APNA President Linda Beeber, PhD, PMHCNS-BC, FAAN, tells PRWeb.com, “We are very proud to offer these 30 outstanding nursing students the opportunity to become part of our professional community and gain a unique perspective on the benefits of working in the field of psychiatric-mental health care. The Board of Directors Student Scholarship provides nursing students with extensive professional connections and support that helps them move forward in their careers.”

The APNA is a national professional membership organization committed to the specialty practice of psychiatric-mental health nursing and wellness promotion, prevention of mental health problems, and the care and treatment of persons with psychiatric disorders. For a list of the 2018 scholarship recipients, visit here.