Volume 8, Issue 1, Spring 2015Journal of BSN Honors Research Spring 2015https://hdl.handle.net/2271/13332024-03-28T15:41:08Z2024-03-28T15:41:08ZThe Journal of BSN Honors Research. Spring 2015. Full Issue.Börk, LauraBott, Marjorie J.Ekholm, Erin M.Ford, Debra J.Heiman, AshleyWilliams, Phoebe D.Wright, ZachCramer, Emilyhttps://hdl.handle.net/2271/13382019-07-17T01:33:59Z2015-06-25T00:00:00ZThe Journal of BSN Honors Research. Spring 2015. Full Issue.
Börk, Laura; Bott, Marjorie J.; Ekholm, Erin M.; Ford, Debra J.; Heiman, Ashley; Williams, Phoebe D.; Wright, Zach; Cramer, Emily
Geri Neuberger
Maternal/infant characteristics and birth location impact on breastfeeding initiation and duration (Börk, L.; Bott, M. J.), p2-31. Rhetorical strategies implemented by the American Medical Association to identify roles within the interprofessional healthcare team (Ekholm, E. M.; Ford, D. J.), p32-72. Nurse-reported vs. patient-reported symptom occurrence, severity, and agreement using the Therapy-Related Symptoms Checklist (TRSC) in cancer patients (Heiman, A.; Williams, P. D.), p73-96. The effect of nurse characteristics on satisfaction with professionalism in the work environment (Wright, Z.; Cramer, E.), p.97-123
2015-06-25T00:00:00ZThe Effect Of Nurse Characteristics On Satisfaction With Professionalism In The Work EnvironmentWright, ZachCramer, Emilyhttps://hdl.handle.net/2271/13372019-07-17T01:33:59Z2015-06-25T00:00:00ZThe Effect Of Nurse Characteristics On Satisfaction With Professionalism In The Work Environment
Wright, Zach; Cramer, Emily
PURPOSE AND BACKGROUND/SIGNIFICANCE: This study aims to investigates the relationship between RN characteristics and satisfaction with professionalism in the work environment and explore differences in RN satisfaction based on RN characteristics. Positive organizational culture and professionalism are two resources that can increase job retention. By examining the relationship between RN characteristics and organizational culture, we can understand which RN characteristics influence nurses’ satisfaction with professionalism in their work environment. THEORETICAL/CONCEPTUAL FRAMEWORK: Four aspects of professionalism, which have been identified through prior research, will be examined: autonomy, decision-making, professional status of nurses, and professional development opportunities. Previous research has also identified characteristics of nurses, which are related to differences in RN satisfaction and professionalism. The current study focuses on RN characteristics with previously identified relationships to RN satisfaction, including education, gender, certification, age, and tenure. METHOD: This descriptive study is a secondary-analysis, using correlation and General Linear Model methods to examine data from the 2013 National Database of Nursing Quality Indicators (NDNQI) RN satisfaction annual survey. The RN Job Satisfaction Scales are measured at the unit level, and one item from each scale is also measured at the individual RN level. Individual level responses by unit type were examined in relationship to RN characteristics. A sample of 42,515 RNs responded to all of the individual level items as well the RN characteristics in 2013. RESULTS: Using correlation methods to examine data, findings identified there is very little relationship between RN characteristics and increased satisfaction with professionalism in the work environment. General Linear Model methods were then used to determine if there were differences in RN satisfaction with professionalism in the work environment based on RN characteristics. These results were statistically significant but with very small effect sizes. The practical implications were not substantial. CONCLUSIONS: Organizations seeking to increase RN satisfaction and improve patient outcomes should be aware of the RN characteristics that are correlated with RN satisfaction, specifically as they relate to professionalism in the work environment. These results provide valuable information to healthcare organizations seeking to increase RN satisfaction and improve patient outcomes.
2015-06-25T00:00:00ZNurse-reported vs. Patient-reported Symptom Occurrence, Severity, And Agreement Using The Therapy-related Symptoms Checklist (TRSC) In Cancer PatientsHeiman, AshleyWilliams, Phoebe D.https://hdl.handle.net/2271/13362019-07-17T01:33:59Z2015-06-24T00:00:00ZNurse-reported vs. Patient-reported Symptom Occurrence, Severity, And Agreement Using The Therapy-related Symptoms Checklist (TRSC) In Cancer Patients
Heiman, Ashley; Williams, Phoebe D.
PURPOSE: Developments in cancer treatments have resulted in increased survival of patients, but side effects/symptoms continue to be a concern. The Therapy-Related Symptoms Checklist (TRSC) has been used with adults undergoing cancer treatments. Study purposes were to examine among patients who completed the TRSC: (a) patient-reported symptom occurrence and severity; (b) nurse-reported symptom occurrence and severity; and (c) inter-rater agreement between patient-reported and nurse-reported symptoms. No study on this last question has been reported. Theoretical Framework: Orem’s Self-Care Deficit Theory focuses on individuals unable to meet their own self-care requirements. The TRSC is a tool that assists nurses in identifying these deficits, better facilitates supportive interventions to alleviate the symptoms, and promotes the patient’s/caregiver’s ability to enhance self-care. DESIGN: This is a cross-sectional study using primary data collection and analysis. Setting: The study was conducted on patients at a single outpatient cancer center in a rural community of the Midwestern United States. Participants: A convenience sample (N=22) of adult outpatients undergoing cancer therapy. METHODS: All patients and their nurse completed the TRSC, a 25-item checklist, with response choices ranging from “0” (none) to “4” (very severe). Descriptive statistics were used to address Purposes A and B, and a Pearson product-moment correlation analysis for Purpose C. RESULTS: All symptoms on the TRSC were reported in varying degrees. Regarding Purpose A, 40% or more of the patients reported 14 symptoms. Regarding Purpose B, 40% or more of nurse respondents reported 8 symptoms. In addition to higher symptom occurrence, greater symptom severity also was reported by patients compared to nurses. Regarding Purpose C, the percentage agreement between patient-reported and nurse identified symptoms was 77%, and the Pearson product-moment correlation coefficient was r =.77, indicating moderate agreement. CONCLUSIONS: Use of patient self-report of symptoms is a preferred approach. A standardized tool (the TRSC) can guide nurses in providing a more complete, symptom-focused care. This may then enhance treatment compliance and improved outcomes.
2015-06-24T00:00:00ZRhetorical Strategies Implemented By The American Medical Association To Identify Roles Within The Interprofessional Healthcare TeamEkholm, Erin M.Ford, Debra J.https://hdl.handle.net/2271/13352019-07-17T01:33:59Z2015-06-24T00:00:00ZRhetorical Strategies Implemented By The American Medical Association To Identify Roles Within The Interprofessional Healthcare Team
Ekholm, Erin M.; Ford, Debra J.
PURPOSE: Healthcare reform is introducing new models of care to serve complex patient needs, including expanded roles for nursing. This has resulted in interested parties debating formal definitions of provider roles in healthcare teams. The purpose of this study is to conduct a rhetorical criticism of content produced by the American Medical Association (AMA) concerning the role of providers within the healthcare team. THEORETICAL/CONCEPTUAL FRAMEWORK: This study’s framework uses rhetorical criticism, an analysis of an organization’s “strategic use of symbols to generate meaning” (Hoffman & Ford, 2010). This analysis evaluates the rhetoric on its potential function both to influence the definition of provider roles and to critique how the organization’s potential power may be implemented. By understanding what the organization displays in its public texts, one can potentially infer the intentions of the organization. METHOD: Press releases and newsletter articles publicly available from the AMA website from 2010 to 2014 were selected based on their relevance to the discussion of healthcare team leadership. The texts were analyzed using a systematic approach to identify and describe rhetorical strategies. This is a systematic, rigorous method for deconstructing texts in order to draw conclusions about the choices a rhetor made in achieving a goal. The analysis was then further enhanced with relevant contextual and historical research, analyzing the development of health care professions as disciplines in the US, and the organization’s history itself in its development as a trade association. RESULTS: Rhetorical strategies used by the AMA include: Appealing to the values of patient safety, teamwork, and competent leaders of teams; and making logical arguments based on contradictions in lay definitions of teamwork and independence. These are used to argue for maintaining legal and financial interests for physicians within healthcare systems. Limitations include analyzing select materials publicly available without an AMA membership. CONCLUSIONS: Defining the role of members within the interprofessional team is of interest to healthcare providers and their representative organizations as new models of care attempt to increase quality, access, and value within the system. As nursing organizations attempt to expand nursing scope of practice at the state level, oppositional views of these bills should be understood to provide counterarguments and effectively engage stakeholders.
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