transition to practice programs

  • 文章类型: Journal Article
    新证注册护士(NLRN)受到COVID-19大流行的严重影响。NLRN经历了中断或重大改变,学术界,临床轮换,有戒律的经历,并过渡到实践计划。所有NLRN都受到影响,尤其是那些在重症监护中照顾最严重病人的人。本文介绍了COVID-19大流行期间重症监护领域NLRN的项目评估,以及对COVID-19对NLRN影响的相关文献的全面回顾。
    Newly licensed registered nurses (NLRNs) were significantly impacted by the COVID-19 pandemic. NLRNs experienced interruptions or significant alterations across, academia, clinical rotations, precepted experiences, and transition to practice programs. All NLRNs were impacted, especially those in critical care who cared for the most acutely ill patients. This article represents a program evaluation of NLRNs in the critical care area during the COVID-19 pandemic and a comprehensive review of the literature related to COVID-19s impact on NLRNs.
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  • 文章类型: Journal Article
    背景:美国护士资格认证中心(ANCC)的实践过渡认证计划(PTAP)建立了护士住院医师计划的标准,以提高和优化技能,知识,以及参加护士住院医师计划的新护士的态度。循证实践(EBP)是提供安全护理的基础。美国国家医学科学院(NAM)的2020年目标之一指出,90%的临床决策将得到最佳证据的支持,以获得最佳患者预后。护士住院医师计划可以从基于证据的策略中受益,以发展新护士的EBP能力。
    目的:本范围审查的目的是综合有关将EBP纳入美国护士住院医师计划的策略的文献。
    方法:此范围审查是由JBI(以前称为JoannaBriggsInstitute)的范围审查方法提供的。搜索是由PubMed和CINAHL的健康科学馆员进行的。关键词及其同义词,医学主题词(MeSH;PubMed),并使用主题词(CINAHL与全文)。Covidence,文献综述管理计划,用于组织文献和管理评论。Title,abstract,全文审查是在Covidence内部使用由两名独立审稿人组成的三个团队完成的。
    结果:在Covidence中输入了四百三十八篇引文。保留了十篇文章供最后审查。文献中出现了将EBP纳入护士住院医师计划的三种策略:(1)护士住院医师暴露于现有的组织资源,(2)完成在线EBP模块,(3)完成EBP项目。
    将EBP能力纳入护士住院医师计划符合NAM和ANCC的目标,然而,缺乏证据来指导护士住院医师计划中的课程开发。这项范围审查证实了需要进一步研究,以告知将EBP纳入护士住院医师计划的最佳实践。
    BACKGROUND: The American Nurses Credentialing Center\'s (ANCC\'s) Practice Transition Accreditation Program (PTAP) establishes standards for nurse residency programs to elevate and optimize the skills, knowledge, and attitudes of new nurses participating in nurse residency programs. Evidence-based practice (EBP) is foundational to providing safe nursing care. One of the National Academy of Medicine\'s (NAM\'s) 2020 goals stated that 90% of clinical decisions would be supported by the best available evidence to attain the best patient outcomes. Nurse residency programs can benefit from evidence-based strategies to develop EBP competencies in new nurses.
    OBJECTIVE: The purpose of this scoping review was to synthesize the literature around strategies for incorporating EBP into nurse residency programs across the United States.
    METHODS: This scoping review was informed by the JBI (formerly known as the Joanna Briggs Institute) methodology for scoping reviews. Searches were conducted by a health science librarian in PubMed and CINAHL with Full Text. Keywords and their synonyms, Medical Subject Headings (MeSH; PubMed), and Subject Headings (CINAHL with Full Text) were used. Covidence, a literature review management program, was used to organize the literature and manage the review. Title, abstract, and full-text reviews were completed within Covidence using three teams of two independent reviewers.
    RESULTS: Four hundred and thirty-eight citations were imported into Covidence. Ten articles were retained for the final review. Three strategies for incorporating EBP into nurse residency programs emerged from the literature: (1) exposure of nurse residents to existing organizational resources, (2) completion of online EBP modules, and (3) completion of an EBP project.
    UNASSIGNED: The incorporation of EBP competencies in nurse residency programs aligns with NAM\'s and ANCC\'s goals, yet a paucity of evidence exists to guide curriculum development in nurse residency programs. This scoping review corroborates the need for further research to inform best practices for implementing EBP into nurse residency programs.
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  • 文章类型: Journal Article
    OBJECTIVE: Investigate the strategies used to support graduate transition-to-practice, and how they align with the four domains of work readiness: work competence; personal work characteristics; organisational acumen; and social intelligence.
    METHODS: Integrative review with narrative synthesis.
    METHODS: Databases searched in 2019 included Medline, CINAHL, PsychINFO, Embase via EBSCO, ERIC and MIDIRS. Grey literature was obtained through Proquest Dissertations and Thesis Global, and Trove.
    METHODS: The 5-step method included: 1) Independent title and abstract review; 2) discussion of conflicting findings after title and abstract review; 3) independent full text review; 4) discussion of conflicting findings after full text review; and 5) quality evaluation using the Mixed Methods Appraisal Tool. Twenty eligible studies were analyzed and synthesized using the framework method informed by four domains of Graduate Work Readiness.
    RESULTS: Of the 24 strategies identified, most (n = 20) supported graduate development across two or more work readiness domains. Structured education (n = 14) and preceptorship (n = 13) were most often used, and findings related to development of graduate work competence (n = 17) were most often measured. All four domains of work readiness were seldom addressed, with social intelligence a common gap.
    CONCLUSIONS: This review provides two important considerations for graduate nurse programs. First, a combination of strategies is required to address all four domains of work readiness. Second, there is a need to tailor strategies, and their implementation, to the context of the organisation and clinical workplace.
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  • 文章类型: Journal Article
    The academic-practice gap in nursing is well documented. Academe is criticized for producing nurses insufficiently prepared to fully participate in patient care. Practice settings are criticized for having unrealistic expectations of new graduates. This article is based on a review of the literature and an exploration of contemporary practices used to bridge academic and practice partnerships. Differences in outcome expectations for new graduates between academe and practice are outlined and consequences of the gap for new graduates, patients, and employers are discussed. Five specific strategies to address the gap are discussed, with the primary realm and responsibility for two falling to education, one to practice, and two to both. Strategies discussed include increased use of simulated learning in nursing education; disruptive innovations in education that promote learner-centered active learning; extended orientation/Transition to Practice Programs for new graduates; dedicated education units; and academic service partnerships. Current literature suggests the viewpoints of academic and practice leaders continue to appear divergent. Closing the gap will require a dedicated and coordinated response from both academe and clinical practice.
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  • 文章类型: Journal Article
    Surgical training graduates require a period of adjustment as they transform from trainees to experienced surgeons. Making a smooth transition is important for patient safety and new surgeon success. A subset of current graduates does not feel confident to enter directly into practice. Residency design with curriculum refocus, credentialing to encourage graded responsibility, and increased operative exposure is necessary. Onboarding programs should include formal mentoring, career counseling, proctoring by senior surgeons, and objective review of outcomes. The ACS developed a one-year TTP program to provide independent decision-making, operative autonomy, mentoring by senior surgeons, and practice management experience.
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