The purpose of this study was to determine what the effects of virtual clinical simulation instruction were on the learning outcomes of students in higher education medical-surgicalnursing education courses. This study fills a gap in the literature by adding data to the body of knowledge related to the use of this strategy for practical application in the classroom. This study used a causal comparative design. Data were acquired from the ATI Content Mastery Series (CMS) 2.1 MedicalSurgical Examination ™ information for the fall 2006 through fall 2008 academic semesters. Additionally, data were collected using a pre- and post-course Medical-SurgicalNursing Self-Assessment Survey administered to the medical-surgical virtual clinical simulation comparison group during the fall 2008 semester. Participants were higher education undergraduate medical- surgicalnursing students at one urban private university enrolled during the 2008-2009 academic year. Students were fluent English speakers and had a grade point average (GPA) of 2.5 or greater in nursing coursework. Participation in the survey was voluntary. Benefits of the research included positive effects of using virtual clinical simulation to deliver medical-surgicalnursing content. Findings revealed that students who received virtual clinical simulation instruction significantly demonstrated (p = .000) for medical- surgical content mastery and 100% of students demonstrated positive growth (p = .000) in perceived competency. Results empower nursing stakeholders such as administrators, program chairs, faculty, and students with information for decision-making about
This two-day course is designed to provide nurses with the tools, confidence and knowledge to successfully complete the Medical-SurgicalNursing Exam. The exam content outlines and blueprints from the ANCC and MSNCB were used to develop this program. Topics covered from the exam content outlines will include: review of body systems, cardiac, pulmonary, neurologic, gastrointestinal, renal, genitourinary, reproductive, endocrine, hematologic, musculoskeletal, immune and more. Pathophysiology of disease processes including signs and symptoms and treatment modalities will be presented. The nursing process and nursing practice roles in the management of patient care will be discussed through case scenarios and sample questions. All aspects of the Practice Domains will be addressed at the end of day 2 and strategies for test-taking will also be covered.
Abstract Background: nowadays increasing use of Social media within the nursing study and practice the students should realize its use is attractive in the educational setting. The aim of the study: This study was aimed to assess direction and satisfaction of medical, surgicalnursing students in the first year towards using social media for communication & study Subjects and methods: descriptive design utilized to conduct this study. Sitting: The study was held in the medical, surgical department faculty of nursing (1st year) in which student start studying nursing to verify no any factor affecting them. Tools for data collection: The constructed study tools tested, and piloted by the investigator to collect data through two electronic tools. The first tool:- include two parts, part (1) student personnel data and part (2) the direction of students towards social media. The second tool, student satisfaction about using social media in nursing studying. Results: the result showed that most of the students prefer using of social media in their learning and they have positive direction toward using it, positively agreement of most of the students in using the social media in interactivity with peers and the agreement for most of them which refer to satisfaction by using it in academic learning and most of students were satisfied toward using of social media in their learning. Conclusion: Social media is a rising scope within nursing practice, and students can find its use engaging in the educational setting. The current study concluded that most of the students were agree and they satisfied to use of social media in their learning, interactivity with peers, teachers, and they agree of easy use and usefulness of it. In the same time, they prefer the presence of teachers.
According to Fisher, Jabara, Poudrier, Williams, & Wallen (2010), many facilities do not empower nurses to make decisions or participate in setting processes at the staff level; instead, decisions are made from the top down. This does not encourage the engagement of staff nor allow the staff to feel empowered. This project addressed how allowing nurses to be more empowered in decision-making in areas that affect their work-life balance could increase nurse satisfaction and decrease turnover. The project question asks whether nurse participation in a self-scheduling model decreases turnover on a medical-surgicalnursing unit. The purpose of this project was to implement a nurse- driven scheduling model on one inpatient nursing unit. With the implementation of a self-scheduling model, turnover was then measured for potential improvement. In
PeaceHealth St. Joseph Medical Center will pay the tuition for this course, but participants must agree to sit for one of the national exams within 6 months upon completion of this course. If the participant does not sit for the exam or chooses not to, then the tuition cost will be paid for by the participant.
Ethical considerations: during the initial interview, the nature and purposes of the study have explained. All the nursing staff informed that their participation in the study was voluntary, without any costs. The oral consent obtained from each participant in the study. Confidentiality of obtained data protected by the allocation of a code number to the questionnaires. The nursing staff informed that the content of the tools used for the research purpose only. Participants' right to withdraw from the study at any time ascertained. Official permission issued from the Dean of Faculty of Nursing to the Directors of Benha University Hospital for taking their permission to allow the researchers to collect the necessary data for the study and seek their support. The researchers met the head nurse of each unit to determine the suitable time to collect necessary data from his/her staff.
H. Differentiate between the disorders of the peripheral blood flow and formulate a nursing care plan which addresses physiological and psychosocial integrity, health promotion and maintenance while providing a safe, effective care environment. I. Differentiate between the inflammatory and infectious disorders of the heart and
B. Examine the three components within the cranium associated with increased intracranial pressure and categorize the factors that increase ICP and formulate a nursing care plan which addresses physiological and psychosocial integrity, health promotion and maintenance while providing a safe, effective care environment. C. Summarize the risk factors for stroke. Compare and contrast the different types of
I am deeply indebted to so many for guiding and helping me in my endeavor in making this dissertation a reality. I express my deep sense of gratitude to my respected teacher and guide, Prof.Dr.S.K.Sreethar, M.S., Professor, Department of General Surgery, Tirunelveli Medical College & Hospital, Tirunelveli, for their valuable guidance and constant encouragement throughout the course and the present study.
Good: Sputum production and other major signs completely disappeared. Satisfactory: Signs and symptoms did not totally disappear, but the patient was satisfied with the treatment results. Poor: No significant change was seen after the treatment. Technique of surgery was postero-lateral thoracotomy under one lung ventilation and lobar or segmental resections. Medical treatment consisted of physiotherapy, antibiotic administration and vaccination against influenza and pneumococcus. Statistical analysis was performed using Access and SPSS software. Fisher exact and chi square tests were used for qualitative comparison of the results. The mean duration of follow- up was 35.9 months (range 1-96 months).
Results: The main chronic medical conditions associated with NH admission were dementia and stroke. Mental disorders represent 48% of all admissions, somatic disorders 43% and social/emotional problems 8%. Of the somatic disorders most frequently are mentioned diseases of the circulatory system (35%) [2/3 sequels of stroke and 1/5 heart failure], followed by diseases of the nervous system (15%) [mainly Parkinson's disease] and the musculoskeletal system (14%) [mainly osteoarthritis]. The most striking evolution from 1993 to 2005 consisted in complicated diabetes mellitus (from 4.3 to 11.4%; p < 0.0001) especially with amputations and blindness. Symptoms (functional limitations without specific disease) like dizziness, impaired vision and frailty are of relevance as an indicator of admission.
Ectopic pregnancies (EP) are still a major problem, with more than 10,000 cases diagnosed annually in the UK . The incidence of EP ranges between 1 and 2% of all gestations. Cervical pregnancy is one of the rarest ectopic gestations that accounts for <1% of extrauterine pregnan- cies . Cervical ectopic pregnancies (CEP) are especially feared due to their associated life-threatening transvaginal hemorrhage associated with the high risk of emergency hysterectomy and massive blood transfusions. In the past, hysterectomy was often the only choice available due to extensive and uncontrollable hemorrhage . Nowadays, using high-resolution transvaginal sonography (TVS), the accuracy of the diagnosis of “ cervical ectopic pregnancy ” has significantly improved. Currently over 90% of EP can be visualized on TVS . This means that EP can be diagnosed in an earlier stage when the woman is still asymptomatic. Therefore, not surgery but conservative medical treatment using methotrexate (MTX) or potassium chloride (KCl) might be the more appropriate treatment modality. Still, there is no treatment of choice; in particular, for the management of more advanced CEP no “ gold standard ” has been established. We report a case of a nulliparous patient with CEP at 12 and 3/7 weeks gestation. A combination of conservative measures including surgical and medical procedures was successfully implemented. This case report discusses the diagnostic approach and therapeutic options available for the management of CEP in hemodynamically stable patients.
DOI: 10.4236/ojl.2017.63008 114 Open Journal of Leadership man Resources management system, PeopleSoft (Oracle Incorporated, Pleasan- ton, CA), a roster of faculty. Inclusion required that faculty were compensated with at least 50%-time employment (i.e. 0.5 Full Time Equivalent (FTE) and above). For purposes of the statistical analysis, we restricted our study period to 15 academic years, starting from Time Point 1-July 1, 1996 and extending to Time Point 2-June 30, 2011. We included all faculties who were employed as of Time Point 1 and added those who were hired through Time Point 2. Study sub- jects included faculty from all surgical departments in our college, including de- partments or divisions of: Cardiothoracic, Colon & Rectal, General, Neurologi- cal, Pediatric, Plastic, Transplant, and Vascular Surgery; as well as Orthopedics, Otolaryngology, Ophthalmology, Obstetrics & Gynecology, Trauma-Critical Care/Burn, and Urology. We removed MD-PhD faculty whose primary work ac- tivity was research (less than 0.5 FTE of clinical work) in addition to all non-physician faculty including basic science researchers, podiatrists and those faculty hired specifically into administrative positions without clinical care re- sponsibilities (e.g. Dean). Fellows in, despite having faculty titles, were trainees with short-term contracts and were therefore removed as well. To validate the final product, the faculty roster was cross-referenced against annual reports pro- vided by each department during the study period. We also verified faculty start dates to ensure that we were assessing faculty from the point of their original fa- culty appointment, as opposed to hire dates for residency or fellowship posi- tions. In summary, only faculty who were employed as of July 1, 1996 or were subsequently hired as clinicians with at least 0.5 FTE clinical assignment through June 30, 2011 were included in the study data set. Since all data used for this study were obtained from public employment records, we did not seek approval for human subject’s research from our Institutional Review Board.
The other two scientifically initiated pilot projects be- longed to topic 3 (assuring evidence based care) of the Leuchtturmprojekt Demenz financed by the Federal Ministry of Health during 2008/2009. The project InDemA (Interdisziplinäre Implementierung von Qualitätsinstru- menten zur Versorgung von Menschen mit Demenz in Altenheimen) targeted the improvement of dealing with challenging behaviours displayed by nursing homes resi- dents. The intervention comprised implementation of basic recommendations for nursing staff and the guideline Demenz of the DEGAM with primary care physicians. Ef- fectiveness of the intervention, e. g. referring to the end- points prescription rates of psychotropic drugs (especially neuroleptics) and prevalence of provocative behaviour, was evaluated in a prospective investigation using a pre- post design. For both endpoints after nine months statistically significant and clinically relevant improve- ments were reported. From a methodological point of view the pre-post design, high drop-out rates and the unclear influence of contextual factors hampered inter- pretability of results.
students’ tendencies to make medical errors were low. Due to the research on the sustainability of the quality improvements in the hospital where the research was carried out, it is considered that the training given to the student nurses about patient safety and medical errors must have contributed to this result. However, it must not be forgotten that this may have led student nurses to have a tendency to hide their mistakes by responding positively to the questions and thus, they may have shown a tendency towards committing mistakes at lower levels. Thus, Natan et al  in their study determined that although it was compulsory to report medication errors, the nurses provided misinformation and even nursing students did not report one-quarter of the medication errors.  Kiegaldie et al