Primary Care and Nurse

¶ … Halcomb, Peters, and Mclennes (2015) aims at examining pre-registration nurses' experiences in community clinic assignments as well as the effect such assignment has on their education. The authors have determined that clinical assignments to community facilities may offer nursing undergraduates important opportunities for learning. The research was conducted using a qualitative study design. The research work attempts at examining pre-registration nurses' experiences in community clinic assignments as well as the effect such assignment has on their education.

Statement of Purpose For promoting the profession of primary healthcare, comprehending pre-registration pupils' experiences within primary care contexts at the time of clinical assignment is vital. In spite of the observable advantages such assignment have for pupils, poor supervisor-student relationships, work climates that do not foster a sense of belonging, and the absence of adequate guidance and monitoring are proven to have strong links to exacerbated anxiety and stress levels, greater pupil attrition and an inferior learning experience. ii.

Besides the focus needed on the syllabus for enhancing fresh graduates' preparedness for work within primary care contexts, there is also a need to take into account clinical assignment quality and student satisfaction. Research Question(s)/Hypothesis An increasing emphasis on supporting healthful living and furthering the wider community's health education has added to the workload of primary care workers. Urging beginners to perceive a career in primary care as a workable vocational choice can aid in assuaging these workers' stress.

Higher education organizations have been progressively exposing their pre-registration pupils to community environments, but not much analysis has been carried out of such an experience from pupils' standpoint. Prospective major service providers must ascertain the factors impacting pre-registration pupils' attitude towards community primary care assignments. Study Methods A total of 9 pre-registration nurses were taken on for the research from an Australian higher education organization's study-intensive campus via semi-structured in-depth interviews. Key Findings Study findings have been put forward in the themes listed below a. Practice autonomy: Making decisions independently, b.

A chance to work with well-qualified nursing staff: They demonstrated remarkable knowledge, c. Emphasis on all-inclusive patient care: Development of rapport with patients, and d. Demonstrating real interest in pupil education: They ensured student engagement. Study participants believed the community nursing staff was sincerely concerned about their learning and devoted their time to making sure their assignments were useful and added to pupils' clinical learning. Respondents related that the staff subject them continuously to novel learning experiences and made sure pupils were engaged.

Thus, a stint in a community medical facility proved to be a positive educational experience for this student population. Studies in the future must concentrate on the effect such assignments have on long-run clinical ability attainment and job options. On the whole, respondents appreciated and liked their assignments to community healthcare centers. This is in line with prior studies that indicate nursing undergraduates are thankful for their learning opportunities in assignments external to the regular hospital context.

Although respondents were subject to preliminary primary care capabilities, expert nursing workers' impending retirement will likely affect the transfer of learning and know-how to novices in the future. This will probably challenge the extant support organizations, further pressuring universities and colleges to adequately train beginners in the delivery of quality primary care. Community clinical context assignments may offer invaluable learning opportunities to nurse undergraduates.

Moreover, the increasing demands of chronic ailments and ageing require the service of beginners within community contexts and the devising of fresh primary care targeted graduate programs. Peters, K., Mclennes, S., & Halcomb, E. (2015). Nursing students' experiences of clinical placement in community settings: a qualitative study. Collegian: The Australian Journal of Nursing Practice, Scholarship and Research, 175 - 181. ii. Write one research summary that uses a quantitative research design. Title Sherman and Jecklin-Sand's (2014) study attempts at quantifying the quantitative results of practice transformation into a mixed type of bedside nurse reporting.

A total of 7 surgical-medical divisions of a big university hospital adopted bedside and recorded nurse reporting combined. Results examined comprised of nurse and patient satisfaction, nurse overtime, treatment errors, and patient falls. A before- and after- execution quasi-experimental research design was utilized by study authors. Problem Statement The study attempted at quantifying the quantitative results of practice transformation into a mixed type of bedside nurse reporting. Literature describes numerous advantages of bedside nurse shift reporting.

But published researches have failed to properly quantify results linked to the aforementioned process modification, owing either to a lack of statistical significance examination or unreported or tiny sample sizes. Statement of Purpose If put into proper practice, bedside nurse reporting may improve patient safety results and nurse and patient satisfaction. But it is imperative to ensure nurse involvement in practice implementation and to continually check both report format uniformity and process support on nurses' and patients' part.

Research Questions The following key questions were resolved via the quantitative study: i. Has any appreciable difference been observed in bedside nurse reporting following implementation? ii. Has any decline been observed in nursing workforce perception? iii. Has any appreciable decrease or increase been noted in nurse overtime? Method A total of 7 surgical-medical divisions of a big university hospital adopted bedside and recorded nurse reporting combined. Results examined comprised of nurse and patient satisfaction, nurse overtime, treatment errors, and patient falls.

Key Findings Authors of the study noted statistically significant advances within a total of 4 patient survey areas following implementation, affected expressly by the bedside nurse reporting modification. Nurse outlook towards reporting also appeared to have improved appreciably within the fields of patient engagement in their care, nurse answerability and patient safety following program execution. But a decline was observed in nursing outlook with nursing staff claiming this novel approach consumed a reasonable portion of their time. However, in effect, no appreciable overtime increase occurred.

Patient falls during shift changes underwent an appreciable decline following bedside reporting implementation. A mediating factor in the research period undermined a comparison of the 'treatment errors' aspect before and after program execution.