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The Experts below are selected from a list of 51696 Experts worldwide ranked by ideXlab platform

Sue A. Thomas - One of the best experts on this subject based on the ideXlab platform.

Marjorie Barter - One of the best experts on this subject based on the ideXlab platform.

Frank E. Mclaughlin - One of the best experts on this subject based on the ideXlab platform.

Leena Salminen - One of the best experts on this subject based on the ideXlab platform.

  • the transition from nursing student to Registered Nurse the mentor s possibilities to act as a supporter
    Nurse Education in Practice, 2013
    Co-Authors: Anumarja Kaihlanen, Riittaliisa Lakanmaa, Leena Salminen
    Abstract:

    The transition from nursing student to Registered Nurse can be exciting, stressful and challenging. It is common for nursing students to feel insecure about their competence and ability to step into working life. The role of the mentor in the final clinical practice is essential, as they guide students in their clinical learning process and professional growth. This study describes the mentor’s support in the transition from nursing student to Registered Nurse. Sixteen nursing students wrote narrative essays about the significance of the clinical mentor in their role change in the transition process from nursing student to Registered Nurse. The essays were analysed using inductive content analysis. The findings show that the mentor has a significant role. Three main categories emerged in mentor’s role: role change support, the mentor’s actions and the qualities of the mentor. In future in clinical nursing practice, it is important to allocate resources to the mentor’s work and understand its importance for nursing students’ transition to nursing.

Patricia W Stone - One of the best experts on this subject based on the ideXlab platform.

  • association of Registered Nurse and nursing support staffing with inpatient hospital mortality
    BMJ Quality & Safety, 2020
    Co-Authors: Jack Needleman, Jianfang Liu, Jinjing Shang, Elaine Larson, Patricia W Stone
    Abstract:

    Background The association of nursing staffing with patient outcomes has primarily been studied by comparing high to low staffed hospitals, raising concern other factors may account for observed differences. We examine the association of inpatient mortality with patients’ cumulative exposure to shifts with low Registered Nurse (RN) staffing, low nursing support staffing and high patient turnover. Methods Cumulative counts of exposure to shifts with low staffing and high patient turnover were used as time-varying covariates in survival analysis of data from a three-campus US academic medical centre for 2007–2012. Staffing below 75% of annual median unit staffing for each staff category and shift type was characterised as low. High patient turnover per day was defined as admissions, discharges and transfers 1 SD above unit annual daily averages. Results Models included cumulative counts of patient exposure to shifts with low RN staffing, low nursing support staffing, both concurrently and high patient turnover. The HR for exposure to shifts with low RN staffing only was 1.027 (95% CI 1.002 to 1.053, p Conclusion Low RN and nursing support staffing were associated with increased mortality. The results should encourage hospital leadership to assure both adequate RN and nursing support staffing.

  • economic evaluation of Registered Nurse tenure on nursing home resident outcomes
    Applied Nursing Research, 2016
    Co-Authors: Mayuko Uchidanakakoji, Patricia W Stone, Susan K Schmitt, Ciaran S Phibbs, Claire Y Wang
    Abstract:

    Abstract Purpose Little is known about the economic implications of nursing home (NH) Registered Nurse (RN) tenure on resident outcomes. This study evaluated the cost-effectiveness of two Nurse workforce scenarios focusing on RN tenure (high versus low), and the associated transfers from NH to the hospital. Methods A decision tree was constructed to compare the incremental costs and effects of RN tenure scenarios on NH resident transfers to the hospital under two NH staffing scenarios: high versus low levels of RN tenure. Three outcomes were modeled: 1) dollars per hospitalization avoided, 2) dollars per hospitalization and death avoided, and 3) dollars per death avoided. Results The total costs of care for the low tenure scenario were $34,108 per month compared to the high tenure scenario at $29,442 per month. Effectiveness of the high tenure was greater across all 3 outcomes (incremental effectiveness ranged from 0.925 to 0.974 depending on outcome), indicating that high tenure was the dominant strategy (that is less costly and more effective). Conclusions Higher RN tenure was a dominant strategy across the 3 outcomes. This was a fairly robust finding despite the variations in the model and uncertainty in the input parameters. Aligning quality outcomes with cost effectiveness is imperative to driving the direction of health policy in the United States. Better prevention of hospitalizations by having an experienced RN workforce will not only improve resident quality of care but will allow NHs to realize the value of retaining a skilled workforce.

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