Monday, October 30, 2023

Innovations in Nursing Research: Improving Practice and Policy

Introduction

Nursing is a dynamic profession, and nursing research has been evolving to meet the needs of the modern health care environment. Nursing is a profession that continues to grow, innovate and adapt in order to meet patient needs.

History and Evolution of Nursing Research

The history of nursing research can be traced back to Florence Nightingale, who used her data to change practices for military hospitals in the 19th century. In more recent times, nursing researchers have made significant contributions in areas such as evidence-based practice (EBP), quality improvement and patient safety.

Nursing has been recognized as a science since at least 1887 when Martha Maxwell published one of the first textbooks on nursing science titled "The Principles of Nursing". However, it wasn't until after World War II that nurses were able to earn doctoral degrees in this field through programs like Columbia University's School of Nursing or Yale's School Of Nursing which was founded by Mary Eliza Mahoney who also helped establish many other schools including Johns Hopkins University School Of Nursing (1881).

The American Nurses Association (ANA) established its first research committee in 1955 but did not begin publishing an official journal until 1973 when they launched "American Journal Of Nursing" (AJN). Since then there have been several other journals created by ANA including: "Journal Of Advanced Nursing", "Nursing Research", "Canadian Journal Of Cardiac Care", etc...

Today there are several nursing organizations including: American Nurses Association (ANA), National League for Nursing (NLN), and the American Association of Colleges Of Nursing (AACN). All three of these organizations offer various benefits to their members such as education programs, publications and moreThe ANA also offers several student memberships for students in nursing school. The ANA publishes many journals including "The American Journal Of Nursing", "Nursing Research", and the "Journal Of Advanced Nursing"..

Shift From Traditional to Innovative Research Methods

One of the most important shifts in nursing research is from traditional to innovative methods. There are many reasons why this shift is necessary and beneficial, including:

  • Increased rigor in research design and execution;

  • Improved study validity and reliability;

  • Greater ability to draw conclusions that can be generalized across diverse populations, settings, or time periods;

  • More efficient use of resources (including money).

Increased rigor in research design and execution: Rigorous studies are those that are well-designed, well-executed, and have an appropriate sample size. This increases the validity of findingsIn other words, it is more likely that the study results reflect true relationships between variables. Improved study validity and reliability: Validity refers to how well a study measures what it’s supposed to measure; reliability refers to how consistent the result of a given method or set of procedures is from one administration (or measurement) to another..

Greater ability to draw conclusions that can be generalized across diverse populations, settings, or time periods: The more generalizable a study is, the more likely it will have real-world implications for practice. In other words, if your results cannot be generalized to other settings or populations, then what does it matter? More efficient use of resources (including money): The more rigorous the research design and execution are, the less costly they becomeMore efficient use of resources (including money): The more rigorous the research design and execution are, the less costly they become. Greater ability to draw conclusions that can be generalized across diverse populations, settings, or time periods: The more generalizable a study is, the more likely it will have real-world implications for practice..


Evidence-Based Practice






Evidence-based practice (EBP) is a method of decision making that uses the best available evidence to guide clinical decisions. The goal of EBP is to provide quality care, reduce morbidity and mortality, improve patient satisfaction, and enhance efficiencies in the use of health care resources. In order for nurses to be able to apply this concept in their everyday practice they must first understand what it means for them personally as well as how they can incorporate this into their work environment without compromising patient safety or quality outcomes




Quality and Safety in Healthcare

This month's issue of Nursing Research will focus on quality and safety in healthcare. Quality improvement (QI) is an important area of research that focuses on improving the outcomes of care by improving processes, systems, and environments within healthcare organizations. QI efforts are typically multifaceted and involve collaboration between multiple stakeholders including clinicians, administrators, researchers and patients.

The Association of American Medical Colleges' (AAMC) Center to Improve Healthcare Quality provides several resources related to QI including an overview article titled "Improving Patient Safety: A Guide for Clinicians" as well as a list of references related to specific topics such as antibiotic stewardship programs or health information technology implementation strategies.

The AAMC also provides a list of books and other resources related to QI-related topics. These include "The Handbook of Quality Improvement in Healthcare" as well as "Improving Healthcare Quality: A Step-by-Step Guide.The AAMC’s website also provides a list of websites related to QI. These include the National Patient Safety Foundation, which is an organization that provides resources for patients, families and caregivers. The NPSF also offers educational materials such as a guide titled "Healthcare: Getting It Right the First Time.""

The Need for Continued Investment in Nursing Research

As you can see, there are many ways to measure the impact of nursing research. We hope that this information will help you as you evaluate your own work and set goals for future research. The purpose of this article was to provide an overview of some important considerations when conducting or evaluating nursing research, but we encourage readers who want more information on specific topics to refer back to our references at the end of this document or consult additional sources listed in Appendix A (below).

We also encourage readers to visit our website, www.nursingresearch.org, where they can find additional resources on nursing research topics and much more!

The purpose of this article was to provide an overview of some important considerations when conducting or evaluating nursing research, but we encourage readers who want more information on specific topics to refer back to our references at the end of this document or consult additional sources listed in Appendix A (below). We also encourage readers to visit our website, www.nursingresearch.org, where they can find additional resources on nursing research topics and much more! Press Tab to write more...

Conclusion

As we've seen, nursing research has been a crucial part of improving practice and policy. It's not just about finding new ways to treat patients--it's also about making sure that those treatments are safe and effective. The field is constantly evolving in order to meet these goals, so it's important for nurses and other healthcare providers to keep up with the latest developments in their field.

Wednesday, June 28, 2023

Nursing Mentorship

As a nursing student or a returning nurse, 

you are probably experiencing the excitement of starting an education program that will lead to an excellent nursing career. One of the most important parts of becoming a nurse is finding your own mentor. A mentor can provide guidance and support as you navigate the challenges and joys of nursing school or simply help reeducate you after returning from a sabbatical. This article will help you understand what mentoring means for nursing students and returning nurses, how to find a mentor, and what you should expect from this relationship.













What is a nursing mentor?

A nursing mentor is someone who has experience and knowledge that you need. Like myself, I have over 30 years in the medical field. A mentor like myself can help you with questions, nursing problems and career planning. Mentors also help you network with other nurses, so that you can continue your education by taking classes through a local college, university, or private education company like the Emergency Nurse Academy.

Why is mentoring important in nursing school and beyond?

Mentoring is an important part of nursing school and beyond, because it helps you to get the support and guidance that you need. Your mentor can help you learn the skills necessary for success in the field of nursing. Your mentor can also be a valuable resource when it comes to networking with other professionals in your field or finding out about job opportunities after graduation.

How do I find a mentor?

Finding a mentor is a great way to get advice and encouragement. Here are some places you can look:

  • Your professors and clinical instructors
  • Your colleagues (other nursing students, members of the staff)
  • The school's mentorship program if it has one
  • The school's career services departments or alumni association

What can I expect from my mentoring relationship?

  • You should expect to learn from your mentor.

  • You should expect to feel supported.

  • You should expect to feel confident in yourself and your abilities as a nurse.

  • You should expect to feel like you're making progress toward your goals, whether they are career- or life-related, as well as feeling like there are still many more things for you both as mentor and mentee to learn together!

What should I expect to receive from my mentor?

You can expect your mentor to be a source of advice and guidance. Your mentor will help you with schoolwork, including writing papers and doing research for projects.

Your mentor should also be able to help you with job search strategies and career planning, as well as provide support and encouragement when needed once you have started your job.

Nursing mentors are an important part of your education and will help you succeed in your career.

As a nursing student or returning nurse, you will have many people who can help you with your career. Your mentors are an important part of that support system and they can help with school, clinical rotations, your job, and even personal life issues.








Mentors can be great resources for students and returning nurses who need advice on choosing a specialty, job location after graduation, returning to a job, or education to improve skills. They may also help guide students and returning nurses in getting internships or jobs so they can gain experience.

Conclusion

If you're looking for a mentor, don't be afraid to ask me for help.
Once we have connected and make sure we are a good fit, I can help develop a plan for what kind of support will benefit you the most before committing to any formal arrangement!

Monday, June 19, 2023

Top Five Implicit Biases in Nursing and Healthcare

 



Implicit biases are unconscious attitudes or stereotypes that affect our perceptions, actions, and decisions. In the healthcare industry, implicit biases can seriously affect patient care and outcomes. Here are the top five implicit biases in nursing and healthcare and what we can do to recognize and address them.


1. Racial Bias

Racial bias is one of the most common implicit biases in healthcare. Studies have shown that healthcare providers tend to provide different levels of care to patients based on race or ethnicity. For example, Black patients are less likely to receive pain medication than White patients with the same condition.







To recognize and address racial bias, healthcare providers should undergo cultural competency training and learn about the impact of systemic racism on healthcare outcomes. They should also actively listen to their patients and their concerns, regardless of race or ethnicity.


2. Gender Bias

Gender bias is another common type of implicit bias in healthcare. Women are often dismissed or not taken seriously when they report symptoms, leading to delayed diagnoses and treatment. This is especially true for women of color and those in the LGBTQ+ community.






To recognize and address gender bias, healthcare providers should be aware of the unique health needs of women and the impact of gender on healthcare outcomes. They should also create a safe and inclusive environment where all patients feel comfortable discussing their health concerns.


3. Age Bias

Age bias is the tendency to treat patients differently based on their age. This can lead to undertreatment or overtreatment of certain conditions. For example, older patients may be undertreated for depression because their symptoms are dismissed as a normal part of aging.








To recognize and address age bias, healthcare providers should be aware of the unique health needs of different age groups and the impact of age on healthcare outcomes. They should also involve patients in their care and treatment decisions, regardless of age.


4. Weight Bias

Weight bias is the tendency to treat patients differently based on their weight or body size. This can lead to stigma, discrimination, and poor healthcare outcomes. For example, patients with obesity may be undertreated for certain conditions because their symptoms are attributed to their weight.








To recognize and address weight bias, healthcare providers should be aware of the impact of weight stigma on healthcare outcomes and the importance of treating all patients with respect and dignity, regardless of their weight or body size. They should also focus on health behaviors and outcomes rather than weight when assessing and treating patients.


5. Disability Bias

Disability bias is the tendency to treat patients differently based on their disability status. This can lead to inadequate care and poor healthcare outcomes. For example, patients with disabilities may be undertreated for certain conditions because their symptoms are dismissed as a normal part of their disability.








To recognize and address disability bias, healthcare providers should be aware of the unique health needs of patients with disabilities and the impact of ableism on healthcare outcomes. They should also involve patients with disabilities in their own care and treatment decisions and provide accessible healthcare services.


In conclusion, recognizing and addressing implicit biases in nursing and healthcare is essential for providing equitable and high-quality care to all patients. Healthcare providers should undergo cultural competency training, create a safe and inclusive environment, involve patients in their care, and focus on health behaviors and outcomes rather than stereotypes or biases. Doing so can improve healthcare outcomes and promote health equity for all.

RESOURCES

  1. The Institute for Healthcare Improvement provides a blog post on how to reduce implicit bias in healthcare. [1]

  2. The American Academy of Family Physicians has an article on how to identify, understand, and unlearn implicit bias in patient care. [2]

  3. The New England Journal of Medicine published an article on tackling implicit bias in healthcare. [3]

  4. Sigma Nursing has an article on identifying and confronting implicit bias in nursing. [4]

  5. The Mayo Clinic News Network has an article on targeting unconscious bias in healthcare. [5]

Sources:

  1. https://www.ihi.org/communities/blogs/how-to-reduce-implicit-bias

  2. https://www.aafp.org/pubs/fpm/issues/2019/0700/p29.html

  3. https://www.nejm.org/doi/full/10.1056/NEJMp2201180

  4. https://nursingcentered.sigmanursing.org/features/more-features/implicit-bias-in-nursing-identifying-and-confronting-the-issue

  5. https://newsnetwork.mayoclinic.org/discussion/targeting-unconscious-bias-in-health-care/

Sunday, June 18, 2023

Top 5 Stethoscopes Used in Nursing: A Comprehensive Comparison

Top 5 Stethoscopes Used in Nursing: A Comprehensive Comparison


As a nurse, a stethoscope is one of the most important tools in your arsenal. It allows you to listen to a patient's heart, lungs, and other vital organs, helping you to diagnose and treat a variety of conditions. However, with so many stethoscopes on the market, it can be difficult to know which one to choose. In this blog post, we'll compare the top 5 stethoscopes used in nursing, evaluating each one based on its pros and cons, cost, effectiveness, and other relevant information.

Criteria for Evaluation

Before we dive into the top 5 stethoscopes, let's first discuss the criteria we used to evaluate them. When choosing a stethoscope, there are several factors to consider, including:

  • Sound quality: A stethoscope should be able to transmit clear, accurate sounds from a patient's body to the listener's ears.
  • Durability: A stethoscope should be able to withstand frequent use and last for several years.
  • Comfort: A stethoscope should be comfortable to wear for extended periods of time.
  • Price: Stethoscopes can range in price from less than $20 to several hundred dollars. We'll consider the cost of each stethoscope in our evaluation.
  • Additional features: Some stethoscopes come with additional features, such as tunable diaphragms or noise-reducing tubing. We'll consider these features as well.

Now, let's move on to the top 5 stethoscopes used in nursing.

1. Littmanne Classic III


The Littmann Classic III is one of the most popular stethoscopes used in nursing. It has a dual-sided chest piece with a tunable diaphragm, allowing you to listen to both high and low-frequency sounds. The tubing is made of high-quality materials that resist stains and can be easily cleaned, and the earpieces are designed for comfort and a secure fit. The Littmann Classic III comes in a variety of colors and finishes, with prices ranging from $80 to $150.

Pros

  • Excellent sound quality
  • Durable and long-lasting
  • Comfortable to wear
  • Tunable diaphragm allows for easy switching between high and low-frequency sounds
  • Available in a variety of colors and finishes

Cons

  • Higher price point compared to some other stethoscopes
  • Heavier than some other stethoscopes

2. MDF Acoustica Deluxe

The MDF Acoustica Deluxe stethoscope is a more affordable option, with prices ranging from $25 to $50. It has a dual-sided chest piece with a non-chill rim, and the tubing is made of high-quality PVC that is latex-free and phthalate-free. The earpieces are also designed for comfort and a secure fit.







Pros

  • Affordable price point
  • Good sound quality
  • Lightweight and comfortable to wear
  • Non-chill rim on chest piece

Cons

  • Not as durable as some other stethoscopes
  • Limited color options

3. Welch Allyn Harvey Elite

The Welch Allyn Harvey Elite stethoscope is a high-end option, with prices ranging from $200 to $300. It has a double-headed chest piece with a tunable diaphragm, and the tubing is made of thick, durable materials. The earpieces are also designed for comfort and a secure fit. The Welch Allyn Harvey Elite is known for its excellent sound quality and durability.







Pros

  • Excellent sound quality
  • Durable and long-lasting
  • Tunable diaphragm allows for easy switching between high and low-frequency sounds
  • Comfortable to wear

Cons

  • High price point
  • Heavier than some other stethoscopes

4. ADC Adscope 615

The ADC Adscope 615 is a mid-range stethoscope, with prices ranging from $50 to $100. It has a dual-sided chest piece with a tunable diaphragm, and the tubing is made of durable materials that resist stains and can be easily cleaned. The earpieces are designed for comfort and a secure fit.






Pros

  • Good sound quality
  • Durable and long-lasting
  • Tunable diaphragm allows for easy switching between high and low-frequency sounds
  • Comfortable to wear
  • Affordable price point

Cons

  • Limited color options

5. 3M Littmann Lightweight II S.E.

The 3M Littmann Lightweight II S.E. is another affordable option, with prices ranging from $50 to $75. It has a dual-sided chest piece with a tunable diaphragm, and the tubing is made of durable materials that resist stains and can be easily cleaned. The earpieces are designed for comfort and a secure fit.







Pros

  • Good sound quality
  • Durable and long-lasting
  • Tunable diaphragm allows for easy switching between high and low-frequency sounds
  • Lightweight and comfortable to wear

Cons

  • Limited color options
  • Not as durable as some other stethoscopes

Frequently Asked Questions

What is the difference between a tunable diaphragm and a non-tunable diaphragm?

A tunable diaphragm allows you to listen to both high and low-frequency sounds by simply adjusting the pressure on the chest piece. A non-tunable diaphragm only allows you to listen to one frequency range.

What is the difference between single-tube and double-tube stethoscopes?

Single-tube stethoscopes have one tube that connects the chest piece to the earpieces. Double-tube stethoscopes have two tubes, which can reduce outside noise and improve sound quality.

Conclusion

After evaluating the top 5 stethoscopes used in nursing based on sound quality, durability, comfort, price, and additional features, we recommend the Littmann Classic III as the best overall choice. It has excellent sound quality, is durable and long-lasting, and is comfortable to wear. However, if you're looking for a more affordable option, the MDF Acoustica Deluxe is a great choice as well. Ultimately, the best stethoscope for you will depend on your individual needs and preferences. We hope this comparison has been helpful in guiding your decision.

Where to Buy

Thursday, June 15, 2023

Emergency Nursing: Why Quality Continuing Education is Essential


 

As an emergency nurse, your job is to provide high-quality care to patients who are experiencing medical emergencies. Every day, you are faced with new challenges and situations that require you to think quickly and make critical decisions. To do your job effectively, it is essential that you stay up-to-date with the latest advancements in emergency nursing. This is where quality continuing education comes in.

Continuing education is an essential component of professional development for nurses in all fields, but it is particularly crucial for emergency nurses. The nature of emergency nursing means that you must be prepared to handle any situation that comes your way. Continuing education helps you stay current on best practices, new treatments, and emerging trends in emergency nursing.

Types of Continuing Education for Emergency Nurses

There are many different types of continuing education available for emergency nurses. Some of the most common options include:

  • Online courses: Online courses are a convenient and flexible way to learn. They allow you to complete coursework at your own pace and on your own schedule. Many reputable organizations offer online courses for emergency nurses, such as the Emergency Nurses Association (ENA) and the American Nurses Association (ANA).

  • Workshops: Workshops provide hands-on training and the opportunity to learn from experts in the field. They are often held in-person and may require travel. The ENA and the Society of Trauma Nurses (STN) both offer workshops for emergency nurses.

  • Conferences: Conferences are an excellent way to stay current on the latest advancements in emergency nursing. They provide opportunities to network with other professionals in the field and learn from experts. The ENA and the STN both host annual conferences for emergency nurses.

Benefits of Continuing Education

Continuing education has many benefits for emergency nurses, including:

  • Improved patient outcomes: By staying current on best practices and emerging trends, you can provide better care to your patients.

  • Professional development: Continuing education can help you develop new skills and advance your career.

  • Increased confidence: When you feel confident in your abilities, you can provide better care to your patients and be a more effective member of your team.

  • Networking opportunities: Continuing education events provide opportunities to meet other professionals in the field and learn from their experiences.

Common Concerns and Solutions

Some common concerns that emergency nurses may have when seeking continuing education include cost and scheduling conflicts. However, there are solutions to these challenges. For example:

  • Many organizations offer scholarships or financial assistance for nurses who want to pursue continuing education.

  • Online courses and webinars can be completed on your own schedule, making them a great option for nurses with busy schedules.

  • Some conferences and workshops offer virtual options, allowing you to participate from anywhere in the world.

Selecting the Right Continuing Education Program

When selecting a continuing education program, it's important to consider your own needs and goals. Some things to keep in mind include:

  • Your budget: Consider how much you are willing to spend on continuing education.

  • Your learning style: Do you prefer online courses or in-person workshops?

  • Your career goals: What skills do you want to develop? What certifications do you need to advance your career?

Success Stories

Many emergency nurses have benefited from quality continuing education. For example, one nurse attended an STN workshop on trauma nursing and was able to apply the skills she learned to save a patient's life. Another nurse completed an online course on pediatric emergency nursing and was able to provide better care to young patients in her emergency department.

Call-to-Action and Additional Resources

Continuing education is essential for emergency nurses who want to provide high-quality care to their patients. If you're ready to take the next step in your professional development, consider pursuing continuing education. To learn more, check out the following resources: