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This contributed book is the first to focus on the Clinical Learning Environment and Supervision (CLES) framework. The origin instrument version of the CLES-scale has been published in Finland in 2002, and has generated wide European and International interest. The CLES network has pursued Europe-wide research. This book brings a unique perspective of students’ clinical practicum in healthcare education and discusses how the national quality system can be used in the continual development of student supervisory systems. The book first presents the theoretical and practical principles of clinical learning, then defines the challenges of clinical learning for mentorship, clinical staff and nurse teachers. This volume also offers examples of the benefits and future perspectives of the CLES framework in healthcare education. It is aimed at researchers and clinical professionals who contribute to students’ clinical learning at universities and healthcare organisations. It is especially suitable as a learning tool for clinical staff mentorship training courses and master’s level healthcare education studies.
Mentoring in Nursing and Healthcare: Supporting career and personal development is an innovative look into mentoring within nursing, and its implications for career success. It provides an up-to-date review of the current research and literature within mentoring in nursing and healthcare, drawing together the distinctive challenges facing nurses and their career development. It proposes new directions and practical ways forward for the future development of formal mentoring programmes in nursing. Offering fresh insight into mentoring principles and how these can be used beyond pre-registration nurse education to support personal career development. This is an essential book for all those commencing, continuing or returning to a nursing career. Key features: Addresses mentoring as a career development tool Focuses on the individual benefits of being a mentee and mentor and how this can aid professional development Both theoretical and practical material is presented Features case studies throughout book Supports nurses to develop their careers It is sector specific but has transferability across disciplines A summary chapter draws together common threads or theoretical perspectives. The book concludes with strategies for future research and progress
Transformative Learning Theory offers a uniquely inclusive methodology across all levels of nursing education for educators and students focused on common nursing arenas and situations. This is the only book to present practical, innovative strategies for novice and experienced nurse educators to apply Transformative Learning Theory in various curricula, courses, and learning situations. Geared for adult and returning students, the text addresses common learning issues from both learner and teacher perspectives, enabling educators and students to apply Transformative Learning to evaluate their own authentic transformation throughout their careers. Key Features: Offers a uniquely inclusive theory and methodology "Transformative Learning Theory" across degree levels for educators and students Includes practical learning strategies and activities for a broad nursing curriculum Addresses the needs of novice nurse educators with clinical, but limited pedagogical, expertise and experienced nurse educators seeking new frameworks and techniques Provides direct application for classroom, online, or hybrid learning environments Covers all aspects of simulation Designed for graduate nursing education courses
The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles-including limits on nurses' scope of practice-should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing.
Background: Newly hired nurses in the emergency department face a complex variety of patients, conditions, and skills. Newly hired nurses come with a variety of education and past experience and often lack the knowledge needed to have competence and confidence. Perceptions of lateral violence and nurse-on-nurse incivility are magnified for the newly hired nurse during the first year. Those facing incivility are more likely to have decreased job satisfaction and productivity, was well as experience mental and physical side effects. This leads to burnout, which includes emotional exhaustion, lack of personal accomplishment, difficulty finding meaning in the job, and ultimately job turnover. Like the rest of the nation, the American Fork Hospital Emergency Department faces difficulty retaining experienced nurses. The Agency for Healthcare Research and Quality, Joint Commission, and the American Association of Critical-Care Nurses have all prioritized retention of nurses in their initiatives. Framework: Mentoring provides support, identification of tools and resources, as well as career assistance that guides the newly hired nurse through the critical period of change and trepidation. Nursing theorist Patricia Benner's Novice to Expert Theory provides and excellent framework for a mentoring program. Benner explains the newly hired nurse has no real-world experience, which leads to a sense of incompetency, culture shock, and increased stress. A mentoring program is an effective way to identify the needs of the newly hired nurse and provides the opportunity to fulfill these needs. Methods: The Mentoring for Mastery, Meaning, and Matriculation workshop was designed to facilitate identification and recognition of mentors, tools and resources. Target outcomes included increased feelings of competency and confidence, improved integration into the social network, decreased perceptions of incivility, as well as reduced stress and burnout. These factors were measured using two well established outcome tools: (1) the English Utrecht Work Engagement Scale designed to assess enthusiasm and dedication, which are considered the reverse of burnout; (2) the Conditions for Work Effectiveness Questionnaire-II, which assesses access to information, support, and resources, as well as formal and informal power. Results: The Wilcoxon Signed-Rank test was performed using the data from the pre- and post-workshop surveys. The data indicated a statistically significant improvement in participants perceptions of vigor, absorption, access to information, access to support, access to resources, formal power, and informal power. All participants found the information presented in the workshop valuable. All five participants recommended future newly hired nurses participate in the Mastery, Meaning, and Matriculation workshop. For the purpose of evidence-based practice, it is recommended the program be implemented using a larger sample size, varying units, and be assessed over a longer period of time before assuming the results are applicable. Discussion: The Mentoring for Mastery, Meaning, and Matriculation workshop materials were turned over to the American Fork Emergency Department leadership team for review. The team will use post-workshop recommendations made by participants to make improvements. The remaining six nurses hired to the department within the last 24 months will be considered a control group. Intent to stay will be monitored for the next six months in order to assess the effects of the workshop on long-term commitment.
2007 AJN Book of the Year Winner! Designated a Doody's Core Title! Mentoring in Nursing will help inspire a more cohesive, flexible, and empowered nursing force, whether in academia, the hospital unit, or health care facility. Featuring: Definitions and components of the mentoring process Models and strategies: classic, multiple, and peer mentoring; precepting, coaching, or shadowing models Mentor and mentee perspectives Best practices in nurse mentoring, including multicultural competency Mentoring evaluation tools "It is incumbent then on all of us in the helping professions to be cognizant of the need for continued support and guidance of the elders, but the elders must also listen and learn from the young, and the young must help each other if the profession's covenant with the public is to be kept."--From the Foreword by Grayce Sills, PhD, RN
"Practice based on evidence can decrease the uncertainty that patients and clinicians experience in a complex and ever changing healthcare system (Melnyk & Fineout-Overholt, 2005). Evidence-based practice supports and informs clinical, administrative, and educational decision making, considers internal and external influences on practice, encourages critical thinking in the application of evidence to care of the individual patient, patient population, or system and uses the latest research evidence to produce high quality care (Newhouse, Dearholt, Poe, Pugh, & White, 2007). The purpose of this evidence-based practice change project is to blend the mentorship program with the new graduate nurse's orientation program to help reduce the stress of the novice nurse during the transition period and to determine the impact of mentoring of the novice nurse on retention which may directly impact the quality of care and safety of patients in the clinical setting and improve patient satisfaction. Mentoring is practiced in many professions and in many different ways. A mentoring relationship is one in which two individuals grow and develop respect for each other's knowledge level, abilities and capabilities. The relationship may last for an indefinite period of time. Also invaluable experiences and values may be gained and shared in the relationship. The literature provides evidence that the mentoring process for new graduate nurses can provide professional supports to ease the transition from student nurse to practicing nurse and improve retention rates (Halfer, Graf, & Sullivan, 2008) thereby improving patient care which may directly impact patient satisfaction. Background The nursing shortage is no new subject and will continue to escalate to crisis proportions as baby boomers leave the profession to retirement and/or nurses leave the profession to non-nursing related jobs due to dissatisfaction with their nursing role. Also surveys have indicated that registered nurses (RN's and Chief Nursing Officers believe the nursing shortage has negatively affected the quality and safety of patient care (Buerhaus, Donelan, Ulrich, Norman, & Dittus, 2006) which also impacts patient satisfaction in the clinical setting. The United States nursing shortage is expected to grow to over 250,000 registered nurses by the year 2025 (AACN Fact Sheet, 2009). Additionally, nationwide nurse turnover rates are at an all time high ranging approximately 55% to 61% and 35% to 69% of new graduate nurses leave their respected place of employment within the first year (Persaud, 2008). Also the cost of replacing one registered nurse can range anywhere from $30,000 to $145,000 depending on the geographic location and/or specialty area (Block, Claffey, Korow, & McCaffey, 2005). " ... " -- from Overview.