The Experts below are selected from a list of 219 Experts worldwide ranked by ideXlab platform
Gun Nordstrom - One of the best experts on this subject based on the ideXlab platform.
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disaster Nursing self reported Competence of Nursing students and registered nurses with focus on their readiness to manage violence serious events and disasters
Nurse Education in Practice, 2016Co-Authors: Jan Nilsson, Marianne Carlsson, Jan Florin, Eva Johansson, Christina Lindholm, Gun Nordstrom, Janeth Leksell, Margret LeppAbstract:The World Health Organization and the International Council of Nurses recognises the importance of nurses' involvement in disaster preparedness and response. The aim of this study was to describe and compare self-reported disaster Nursing Competence (DNC) among Nursing students (NSs) and among registered nurses (RNs) with professional experience. Further to investigate possible associations between self-reported DNC and background factors. A cross-sectional study was conducted of 569 NSs and 227 RNs. All respondents completed the 88-item Nurse Professional Competence Scale, including three items assessing DNC. Significant differences were found among the NSs depending on which University/University College they had attended. RNs reported significantly higher overall DNC and better ability to handle situations involving violence, and to apply principles of disaster medicine during serious events. RNs working in emergency care reported significantly better DNC ability, compared with RNs working in other areas of healthcare. Multiple linear regression analysis showed that working night shift and working in emergency care were positively associated with high self-reported overall DNC. The results indicate that workplace experience of serious events increase the readiness of registered nurses to handle violence, to act in accordance with safety regulations, and to apply principles of disaster medicine during serious events.
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adjusting to future demands in healthcare curriculum changes and Nursing students self reported professional Competence
Nurse Education Today, 2016Co-Authors: Kersti Theander, Bodil Wildelarsson, Marianne Carlsson, Jan Florin, Ann Gardulf, Eva Johansson, Christina Lindholm, Gun NordstromAbstract:Background: Nursing Competence is of significant importance for patient care. Newly graduated Nursing students rate their Competence as high. However, the impact of different designs of Nursing curricula on Nursing students' self-reported Nursing Competence areas is seldom reported. Objectives: To compare newly graduated Nursing students' self-reported professional Competence before and after the implementation of a new Nursing curriculum. The study had a descriptive comparative design. Nursing students, who graduated in 2011, having studied according to an older curriculum, were compared with those who graduated in 2014, after a new Nursing curriculum with more focus on person-centered Nursing had been implemented. Setting: A higher education Nursing program at a Swedish university. Participants: In total, 119 (2011 n = 69, 2014 n = 50) Nursing students responded. Methods: Nursing students' self-reported professional competencies were assessed with the Nurse Professional Competence (NPC) scale. Results: There were no significant differences between the two groups of Nursing students, who graduated in 2011 and 2014, respectively, with regard to age, sex, education, or work experience. Both groups rated their competencies as very high. Competence in value-based Nursing was perceived to be significantly higher after the change in curriculum. The lowest Competence, both in 2011 and 2014, was reported in education and supervision of staff and students. Conclusions: Our findings indicate that newly graduated Nursing students- both those following the old curriculum and the first batch of students following the new one - perceive that their professional Competence is high. Competence in value-based Nursing, measured with the NPC scale, was reported higher after the implementation of a new curriculum, reflecting curriculum changes with more focus on person-centered Nursing. (C) 2015 Elsevier Ltd. All rights reserved.
Johannes Hartig - One of the best experts on this subject based on the ideXlab platform.
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Emotional competencies in geriatric Nursing: empirical evidence from a computer based large scale assessment calibration study
Advances in Health Sciences Education, 2016Co-Authors: Roman Kaspar, Johannes HartigAbstract:The care of older people was described as involving substantial emotion-related affordances. Scholars in vocational training and Nursing disagree whether emotion-related skills could be conceptualized and assessed as a professional Competence. Studies on emotion work and empathy regularly neglect the multidimensionality of these phenomena and their relation to the care process, and are rarely conclusive with respect to Nursing behavior in practice. To test the status of emotion-related skills as a facet of client-directed geriatric Nursing Competence, 402 final-year Nursing students from 24 German schools responded to a 62-item computer-based test. 14 items were developed to represent emotion-related affordances. Multi-dimensional IRT modeling was employed to assess a potential subdomain structure. Emotion-related test items did not form a separate subdomain, and were found to be discriminating across the whole Competence continuum. Tasks concerning emotion work and empathy are reliable indicators for various levels of client-directed Nursing Competence. Claims for a distinct emotion-related Competence in geriatric Nursing, however, appear excessive with a process-oriented perspective.
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Competencies in Geriatric Nursing: Empirical Evidence from a Computer-Based Large-Scale Assessment Calibration Study
Vocations and Learning, 2016Co-Authors: Roman Kaspar, Ottmar Döring, Eveline Wittmann, Ulrike Weyland, Annette Nauerth, Michaela Möllers, Simone Rechenbach, Johannes Hartig, Julia Simon, Iberé WorofkaAbstract:Valid and reliable standardized assessment of Nursing competencies is needed to monitor the quality of vocational education and training (VET) in Nursing and evaluate learning outcomes for care work trainees with increasingly heterogeneous learning backgrounds. To date, however, the modeling of professional competencies has not yet evolved into procedures that would meet large-scale assessment (LSA) standards in VET. To empirically test a proposed structural model for client-directed Nursing Competence and to estimate psychometric properties of a newly developed video- and computer-based test (CBT) to inform subsequent LSA in Nursing VET. 402 final-year Nursing students from 24 German schools responded to a 77 item CBT. Multi-dimensional IRT modeling was employed to test the subdomain structure and estimate students’ competencies in geriatric Nursing. The standardized CBT measures Nursing students’ client-directed care Competence with acceptable precision (WLE = 0.76) and does so across the whole range of observed proficiency levels. Structural validity was supported by substantive contributions of test items from all proposed process-oriented subdomains, practice field scenarios, as well as items with and without reference to emotional demands. However, it was not possible to empirically separate the diagnostic, practical or communicative subdomains, probably reflecting parallel, recursive and hierarchical care processes in complex care situations. On average, students in our sample attained 45 % of the maximum test score so it is a demanding assessment of Nursing Competence. An extensively piloted, valid and reliable CBT is suggested to assess Nursing students’ client-directed care competencies at the end of the third year of the VET program.
Vlastimil Kozon - One of the best experts on this subject based on the ideXlab platform.
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Bewusstseinsbildung der Pflegepersonen durch Schulungen am Beispiel des Schmerzmanagements bei sterbenden Patienten
ProCare, 2016Co-Authors: Sabine Ruppert, Patrik Heindl, Vlastimil KozonAbstract:Hintergrund Schmerzmanagement bei sterbenden Patienten ist ein Hauptanliegen der Pflegepersonen, die aufgrund ihrer Nähe zu den Patienten die Auswirkungen von inadäquater Schmerztherapie direkt wahrnehmen. Durch eine inadäquate Schmerztherapie können Leid, würdelose Situationen und manchmal sogar der Wunsch nach Euthanasie entstehen. Ziel der Arbeit Ziel dieser Interventionsstudie ist die Darstellung des Schmerzmanagements von sterbenden Patienten aus Sicht der Pflege. Durch gezielte Fortbildungen sollen sich die pflegerische Kompetenz im Hinblick auf die Schmerztherapie am Lebensende und der klinische Alltag verbessern. Methode Eine Interventionsstudie wurde über die Rolle der Pflege bei ethischen Entscheidungen durchgeführt. Die Datenerhebung fand mithilfe eines teilstrukturierten Fragebogens statt. Aufgrund der Ergebnisse wurde eine Fortbildung entwickelt und durchgeführt. Ein Jahr danach schloss sich eine Evaluation an. Ergebnisse Schmerztherapie wird bei sterbenden Patientinnen und Patienten häufiger als zuvor individuell orientiert durchgeführt. Pflegepersonen haben kaum Ängste, dass es durch eine adäquate medikamentöse Schmerztherapie zu einer Lebensverkürzung im Sinne der indirekten Sterbehilfe kommt. Die Zahl der Pflegepersonen, die über das Vorhandensein von Standards oder Richtlinien für die Schmerztherapie informiert sind, hat sich fast verdoppelt. Schlussfolgerung Die durchgeführten Fortbildungen haben zu Verbesserungen des Schmerzmanagements von sterbenden Patienten beigetragen. Um adäquates Schmerzmanagement bei sterbenden Patienten durchführen zu können, ist es wichtig, sich mit ethischen Prinzipien, Normen und Werten auseinanderzusetzen. Für die optimale Durchführung der Schmerztherapie bedarf es der Erstellung eines multidisziplinären Schmerzmanagementkonzepts. Background Pain management in dying patients is a main concern of Nursing personnel who directly perceive the effects of inadequate pain therapy due to their proximity to the patients. Such circumstances can give rise to grief, undignified situations and sometimes even the desire for euthanasia. Objective The aim of this interventional study was the description of pain management in dying patients from the Frageperspective of Nursing personnel. Nursing Competence with respect to pain therapy at the end of life and in the clinical routine should be improved by targeted education. Methods An interventional design was used for this study. Data about the role of Nursing personnel in ethical decisions at the end of life were recorded by means of a semi-structured questionnaire. A further education scheme was developed and carried out based on the results. An evaluation was performed 1 year later. Results Pain therapy in dying people is carried out more often in a patient-oriented way. Nursing personnel have few fears that adequate pain therapy can lead to a shortening of life in the sense of indirect euthanasia. The number of Nursing personnel who are informed about the existence of standards or guidelines concerning pain management has almost doubled. Conclusion The educational curriculum carried out contributed to improvements in the pain management of dying people. In order to perform adequate pain management in dying people it is important to deal with ethical principles, norms and values. Optimal implementation of pain therapy requires a pain management concept involving multidisciplinary collaboration.
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Bewusstseinsbildung der Pflegepersonen durch Schulungen am Beispiel des Schmerzmanagements bei sterbenden Patienten
HeilberufeScience, 2016Co-Authors: Sabine Ruppert, Patrik Heindl, Vlastimil KozonAbstract:Hintergrund Schmerzmanagement bei sterbenden Patienten ist ein Hauptanliegen der Pflegepersonen, die aufgrund ihrer Nähe zu den Patienten die Auswirkungen von inadäquater Schmerztherapie direkt wahrnehmen. Durch eine inadäquate Schmerztherapie können Leid, würdelose Situationen und manchmal sogar der Wunsch nach Euthanasie entstehen. Ziel der Arbeit Ziel dieser Interventionsstudie ist die Darstellung des Schmerzmanagements von sterbenden Patienten aus Sicht der Pflege. Durch gezielte Fortbildungen sollen sich die pflegerische Kompetenz im Hinblick auf die Schmerztherapie am Lebensende und der klinische Alltag verbessern. Methode Eine Interventionsstudie wurde über die Rolle der Pflege bei ethischen Entscheidungen durchgeführt. Die Datenerhebung fand mithilfe eines teilstrukturierten Fragebogens statt. Aufgrund der Ergebnisse wurde eine Fortbildung entwickelt und durchgeführt. Ein Jahr danach schloss sich eine Evaluation an. Ergebnisse Schmerztherapie wird bei sterbenden Patientinnen und Patienten häufiger als zuvor individuell orientiert durchgeführt. Pflegepersonen haben kaum Ängste, dass es durch eine adäquate medikamentöse Schmerztherapie zu einer Lebensverkürzung im Sinne der indirekten Sterbehilfe kommt. Die Zahl der Pflegepersonen, die über das Vorhandensein von Standards oder Richtlinien für die Schmerztherapie informiert sind, hat sich fast verdoppelt. Schlussfolgerung Die durchgeführten Fortbildungen haben zu Verbesserungen des Schmerzmanagements von sterbenden Patienten beigetragen. Um adäquates Schmerzmanagement bei sterbenden Patienten durchführen zu können, ist es wichtig, sich mit ethischen Prinzipien, Normen und Werten auseinanderzusetzen. Für die optimale Durchführung der Schmerztherapie bedarf es der Erstellung eines multidisziplinären Schmerzmanagementkonzepts. Background Pain management in dying patients is a main concern of Nursing personnel who directly perceive the effects of inadequate pain therapy due to their proximity to the patients. Such circumstances can give rise to grief, undignified situations and sometimes even the desire for euthanasia. Objective The aim of this interventional study was the description of pain management in dying patients from the perspective of Nursing personnel. Nursing Competence with respect to pain therapy at the end of life and in the clinical routine should be improved by targeted education. Methods An interventional design was used for this study. Data about the role of Nursing personnel in ethical decisions at the end of life were recorded by means of a semi-structured questionnaire. A further education scheme was developed and carried out based on the results. An evaluation was performed 1 year later. Results Pain therapy in dying people is carried out more often in a patient-oriented way. Nursing personnel have few fears that adequate pain therapy can lead to a shortening of life in the sense of indirect euthanasia. The number of Nursing personnel who are informed about the existence of standards or guidelines concerning pain management has almost doubled. Conclusion The educational curriculum carried out contributed to improvements in the pain management of dying people. In order to perform adequate pain management in dying people it is important to deal with ethical principles, norms and values. Optimal implementation of pain therapy requires a pain management concept involving multidisciplinary collaboration.
Roman Kaspar - One of the best experts on this subject based on the ideXlab platform.
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Emotional competencies in geriatric Nursing: empirical evidence from a computer based large scale assessment calibration study
Advances in Health Sciences Education, 2016Co-Authors: Roman Kaspar, Johannes HartigAbstract:The care of older people was described as involving substantial emotion-related affordances. Scholars in vocational training and Nursing disagree whether emotion-related skills could be conceptualized and assessed as a professional Competence. Studies on emotion work and empathy regularly neglect the multidimensionality of these phenomena and their relation to the care process, and are rarely conclusive with respect to Nursing behavior in practice. To test the status of emotion-related skills as a facet of client-directed geriatric Nursing Competence, 402 final-year Nursing students from 24 German schools responded to a 62-item computer-based test. 14 items were developed to represent emotion-related affordances. Multi-dimensional IRT modeling was employed to assess a potential subdomain structure. Emotion-related test items did not form a separate subdomain, and were found to be discriminating across the whole Competence continuum. Tasks concerning emotion work and empathy are reliable indicators for various levels of client-directed Nursing Competence. Claims for a distinct emotion-related Competence in geriatric Nursing, however, appear excessive with a process-oriented perspective.
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Competencies in Geriatric Nursing: Empirical Evidence from a Computer-Based Large-Scale Assessment Calibration Study
Vocations and Learning, 2016Co-Authors: Roman Kaspar, Ottmar Döring, Eveline Wittmann, Ulrike Weyland, Annette Nauerth, Michaela Möllers, Simone Rechenbach, Johannes Hartig, Julia Simon, Iberé WorofkaAbstract:Valid and reliable standardized assessment of Nursing competencies is needed to monitor the quality of vocational education and training (VET) in Nursing and evaluate learning outcomes for care work trainees with increasingly heterogeneous learning backgrounds. To date, however, the modeling of professional competencies has not yet evolved into procedures that would meet large-scale assessment (LSA) standards in VET. To empirically test a proposed structural model for client-directed Nursing Competence and to estimate psychometric properties of a newly developed video- and computer-based test (CBT) to inform subsequent LSA in Nursing VET. 402 final-year Nursing students from 24 German schools responded to a 77 item CBT. Multi-dimensional IRT modeling was employed to test the subdomain structure and estimate students’ competencies in geriatric Nursing. The standardized CBT measures Nursing students’ client-directed care Competence with acceptable precision (WLE = 0.76) and does so across the whole range of observed proficiency levels. Structural validity was supported by substantive contributions of test items from all proposed process-oriented subdomains, practice field scenarios, as well as items with and without reference to emotional demands. However, it was not possible to empirically separate the diagnostic, practical or communicative subdomains, probably reflecting parallel, recursive and hierarchical care processes in complex care situations. On average, students in our sample attained 45 % of the maximum test score so it is a demanding assessment of Nursing Competence. An extensively piloted, valid and reliable CBT is suggested to assess Nursing students’ client-directed care competencies at the end of the third year of the VET program.
Xie Tia - One of the best experts on this subject based on the ideXlab platform.
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practice of multi station simulation training in the teaching of pediatric Nursing
Chinese Journal of Nursing Education, 2011Co-Authors: Xie TiaAbstract:Objective To investigate the effect of multi-station simulation training in the teaching of Pediatric Nursing. Methods A cluster sampling of 101 Nursing students of Class 1 and 2 enrolling in 2008 were taken as experimental group,and 103 Nursing students of Class 3 and 4 enrolling in 2008 were taken as control group. The multi-station simulation training was used in the experimental group,and the conventional practice teaching method was used in the control group. The comprehensive skills and clinical Nursing Competence were assessed after experiment,and a self-designed questionnaire was used to investigate the assessment on teaching method of every student. Results The experimental group had higher scores in comprehensive skills and clinical Nursing Competence than the control group(P0.01). The experimental group had higher satisfaction to own teaching method than that of the control group(P0.05). Conclusions Application of multi-station simulation training in Pediatric Nursing teaching can improve the students’ learning effect and comprehensive quality.
