Evidence Based Practice: Core Concepts

This presentation was prepared to instruct nursing students about evidence based practice. The learning objectives are: to define evidence-based practice, to describe the process and outline the steps involved, and then to identify resources to support evidence based nursing practice. The presentation also teaches the elements of the PICO search strategy for finding relevant evidence in the nursing research literature.

Evidence Based Practice: Core Concepts from Ann Celestine

Adapted from the work of Caroline Brown(UCSD), Bernadette Mazurek Melnyk, and Ellen Fineout-Overholt.

Item Writing Workshop for Local Nurses Timely

A three-day Item Writing Workshop, organised by the St. Christopher and Nevis Nurses and Midwives Council in collaboration with the Nursing Education Department of the Clarence Fitzroy Bryant College (CFBC), has just concluded in St. Kitts. The purpose was to gather experienced nurses from across the nursing disciplines, and provide them with further training in item writing in order to contribute to the establishment of a regional test item bank for the Regional Examination for Nurse Registration (RENR).
The workshop was described as timely as many changes in the functioning of Regional Nursing Councils and the management of the Regional Examination for Nurse Registration (RENR) is taking place. It is envisaged that the Caribbean Examinations Council (CXC) will be administering the RENR come October, 2013.
Click here for full news report from SKN-Vibes.

Canada to Adopt a New RN Entry Examination

Starting in January 2015, prospective Canadian nurses will be sitting a new Canadian RN entry examination, based on the American computerized NCLEX-RN® examination. The new examination will be developed by the American-based National Council of State Boards of Nursing (NCSBN®). This decision, by the Canadian Nurses Association, effectively means that at the end of 2014 the current Canadian entry exam, the Canadian Registered Nurse Examination (CRNE), will no longer exist.

Watch the 5 part video series for more information and insight:
Part 1: The Future of the Canadian RN Exam: The Situation.
Part 2: The Future of the Canadian RN Exam: The Impact to Canadians-Financial Losses to Canada.
Part 3: The Future of the Canadian RN Exam: What Does CNA Want?
Part 4: The Future of the Canadian RN Exam: How Do Governments Fit In?
Part 5: The Future of the Canadian RN Exam: Was a Canadian Solution Offered?

A World Without Nurses

Can you imagine a world without nurses?

Produced by Australia's Ausmed Education,

this video portrays a snapshot of why the world needs nurses.

"Nursing is possibly one of the most important professions in the world. Yet, nurses continue to be undervalued by so many. This inspirational video will throw a new light on this wonderful profession."

"The Image of You": Exploring Nursing Stereotypes

"The Image of You": Exploring Nursing Stereotypes

A fresh look at the stereotypical nurse for the 21st century, our enlightened age of social media and You Tube, discovers that the more things change the more they stay the same! Surprise - surprise! A research study called "The image of you: Constructing nursing identities in You Tube", published  in the August 2012 issue of the Journal of Advanced Nursing, concluded that while there are some favourable portrayals in the media of the capable, clinically decisive, professional nurse, there are all too many derogatory representations.

"Nursing professional bodies were called on to act to protect the profession from unduly immoderate representations of the nurse and to support nurses in their efforts to maximize opportunities afforded by YouTube to promote a counter discourse."

 [Citation: Kelly, J., Fealy, G. M. and Watson, R. (2012), The image of you: constructing nursing identities in YouTube. Journal of Advanced Nursing, 68: 1804–1813. doi: 10.1111/j.1365-2648.2011.05872.x ]

Nurses' research utilization two years after graduation: A Swedish National Study

Nurses' research utilization (RU) as part of evidence-based practice is strongly emphasized in today's nursing education and clinical practice. The primary aim of RU is to provide high-quality nursing care to patients. A new Swedish national research study (published May 18, 2012) found that data on newly graduated nurses' RU was scarce, but a predominance of low use had been reported in other recent studies where about 50 % of the nurses one, two, and three years after graduation rated their use of research in clinical practice as low or very low. Also some factors associated with nurses' RU had previously been identified, including educational ones. With recent educational reforms, evidence-based nursing and RU are now strongly emphasized internationally in nursing education. A number of challenges remain, however, regarding the content of nursing education and the transition from education into working life (e.g., the integration of education and practice as well as the ability of students to access and interpret evidence). The purpose of this study was therefore to identify factors that predict the probability for low RU among registered nurses two years after graduation.
 
Citation: Forsman H, Rudman A, Gustavsson P, Ehrenberg A, Wallin L. (2012) Nurses' research utilization two years after graduation--a national survey of associated individual, organizational, and educational factors. Implementation Science 2012, 7:46 doi:10.1186/1748-5908-7-46.

Nursing Jobs in Ontario

A Canadian Press article today on CTV News Kitchener announced that Ontario will be hiring an additional 900 nurses this year, with the majority of those jobs being in nursing homes and community-based care settings. Click on the post title to read more.

New AACN Statistics Show an Increase in Nursing Enrollment

New AACN Statistics Show an Increase in Nursing Enrollment
The American Association of Colleges of Nursing (AACN) has released new data which shows an enrollment surge in Baccalaureate and Graduate Programs. In fact more than 75,000 qualified applications to professional nursing programs were turned away in 2011. Despite the fact that US nursing schools have been able to expand student capacity even in the face of faculty and resource shortfalls, "the latest data show that 75,587 qualified applications to professional nursing programs were turned away last year, including more than 14,354 applications to graduate programs." Click on the link for the full report on the AACN website.

Evidence-based Practice Among Swedish Novice Nurses

Evidence-based Practice Among Novice Nurses
"A modest start, but a steady rise in research use: a longitudinal study of nurses during the first five years in professional life." by Lars Wallin, Petter Gustavsson, Anna Ehrenberg and Ann Rudman
Implementation Science 2012, 7:19 doi:10.1186/1748-5908-7-19,  Published: 19 March 2012.

Rationale for the study: "Newly graduated nurses are faced with a challenging work environment that may impede their ability to provide evidence-based practice. However, little is known about the trajectory of registered nurses' use of research during the first years of professional life. Thus, the aim of the current study was to prospectively examine the extent of nurses' use of research during the first five years after undergraduate education and specifically assess changes over time."

Conclusion: "There was a clear trend of increasing research use by nurses during their first five years of practice. The level of the initial ratings also indicated the level of research use in subsequent years. However, it took more than two years of professional development before this increase 'kicked in.' These findings support previous research claiming that newly graduated nurses go through a 'transition shock,' reducing their ability to use research findings in clinical work."
 
The title link takes you to the open source article published online in Implementation Science .

RN's Supply & Demand

NEJM: Perspective
"Registered Nurse Labor Supply and the Recession — Are We in a Bubble?"
by Douglas O. Staiger, Ph.D., David I. Auerbach, Ph.D., and Peter I. Buerhaus, Ph.D., R.N.
March 21, 2012.
NEJM article provides an economic explanation of the "countercyclical nature of the health care industry", based on a workforce study model analysis of trends in RN labour force supply and demand.

Ontario Hospital Association Produces Guide for IEN's

The OHA  has lauched a guide for Ontario healthcare organizations aimed at streamlining the integration of foreign trained nurses. The "INTERNATIONALLY EDUCATED NURSES: An Employer's Guide" addresses the challenges of workforce integration and provides a practical guide intended to assist employers of IENs.

"Given the aging nursing workforce, effective management of IEN recruitment, retention and integration is a priority."

The coverage on the site includes:
• Why you should hire IENs and what they bring to the workplace.
• How you can create a harmonious workforce that optimizes skills and knowledge.
• Case studies of organizational successes and leading practices.
• Links to useful resources and references, including interviews with healthcare organizations.

The NHS Future Forum Report

In the on-going effort to improve the quality of patient care in the UK, the latest instalment of the "NHS ~ Future Forum Report", released January 10,2012, calls on health care professionals to lead the way in patient-centered care. With regard to nursing and midwifery education the report states concern over inconsistencies in the training of nurses. The report touches on the academic nursing degree requirement, the reliance on 'virtual' training experiences due to lack of community placements, and the decline in numbers seeking post-graduate training in nursing specialist areas. Click here to read the full report.

New Research Calls for Optimism in Reducing the Shortage of Nurses

Health economists at RAND Health in Boston have been tracking the statistics on the nursing workforce in the United States for 35 years. While previous studies had all pointed to a looming severe shortage of nurses, these latest findings call for optimism!
The study published in the latest isssue of 'Health Affairs' appears to have surprised even the researchers themselves. The swing has evidently resulted from a number of factors that have thankfully drawn more young adults to the profession.

"...the number of people 23 to 26 years of age entering nursing increased by 62% from 2002 to 2009."

Click on the post title for the RAND press release, or the 'Health Affairs' link to purchase the full text report. This story is also discussed in Medscape: "Record Numbers Entering Nursing, But Gaps Remain" by Troy Brown [ Medscape Medical News Today, December 5, 2011 ]

"Good Morning, my name is Elizabeth, and how are we feeling today?"

Technology Review published by MIT brings us research news by Emily Singer [1/11/2011].

Take a look at what MIT and Northeastern University have been up to. They have created Elizabeth ~ a personable, caring and sympathetic virtual nurse! Click on the post title to read, listen or watch the full story.

But what can real nurses learn from this experiment you may ask? That their jobs are in jeopardy? No ~ but take note of these observations...

"patients who interacted with a virtual nurse named Elizabeth said they preferred the computer simulation to an actual doctor or nurse because they didn't feel rushed or talked down to."

"Patients more accurately reported their health information when interacting with the virtual character than they were when filling out a standard electronic questionnaire."

Researchers explain ~ Such technologies will become increasingly important with rising health-care costs and an aging population.

"We already know we don't have enough health-care providers to go around, and it's only getting worse,"..."About 60 percent of the cost of delivering health care comes from human resources, so even if you can train more people, it's not an ideal way to improve costs."

The Nursing License Map

"The Nursing License Map is a comprehensive resource for nursing licensure information. It provides state-specific information on how to become a nurse, nurse salaries, nursing credentials, nurse certification tests, and nursing compact agreements. Our aim is to provide all the information necessary to become a nurse no matter where you live."
The quick state-by-state overview of nursing salaries is great too!
by Nursing@Georgetown.