Leadership Strategies to Increase Psychological Safety of Nurses: A Longitudinal Study.

Background And Objectives: A work environment where employees feel comfortable taking chances without fear and with sufficient protection from retaliation is psychologically safe. The objective of this study was to investigate the effects of leader training for nurse managers on psychological safety of clinical registered nurses.

Methods: The study was designed a longitudinal outcomes approach to assess nurse leader intervention (classes on leadership methods and psychological safety) with pre- and post-intervention measurement of nurse psychological safety at each time point.

Highlighting the Benefits of the Clinical Education Resource Nurse for New Graduate Nurses.

Nurse residency programs provide a valuable transition to practice environment for graduate nurses. The Clinical Education Resource Nurse (CERN) role offers continued clinical assistance to graduate nurses who have completed orientation with a preceptor during the 1st year of practice including education and continued clinical oversight when needed. This column defines the role of CERN and provides a description of the clinical application and support provided.

Comparison of Task-Layered Clinical Orientation to Traditional Orientation in a RN Residency Program.

Objective: The purpose of this study was to compare outcomes of using a task-layered clinical orientation when compared with the original patient-layering approach.

Background: Use of task-layering to orient new graduate nurses to the clinical world of nursing has been theorized to provide a decrease in cognitive load and allow for more streamlined clinical orientation.

Methods: The method of this study was a nonrandomized, comparative design to measure the outcomes of length of orientation, new graduate perceptions about level of confidence/comfort with professional nurse responsibilities/skills, stress, satisfaction, and perceptions about orientation.

Original Research: Patient-to-Nurse Violence During One-to-One Assignments: A Silent Epidemic.

Background: Nurses and nursing assistants given one-to-one ("sitter") assignments are placed with one patient for long periods of time. Some of these patients require a sitter for reasons that include dementia, traumatic brain injury, psychiatric disturbances such as delirium, and risk of self-harm. Some may become verbally abusive, physically violent, or both, putting the assigned staff member in danger.

Task-Layered Clinical Orientation for New Graduate Registered Nurses.

New nurse residency programs focus on the professional transition from student nurse to clinical nurse. In some facilities, the way in which new graduate nurses are oriented to the fast-paced clinical setting is based on tradition rather than theory, research, or available evidence. This article offers a theory-based approach to clinical practice orientation of new graduate nurses termed task-layered clinical orientation and offers an innovative approach for consideration.

Use of toilet alarms in inpatient settings.

Purpose: To investigate the use of toilet alarms among patients at an increased risk for falls in inpatient settings while allowing for privacy and maintaining safety.

Methods: Pre- and postsurvey data were collected among patients in the intervention and control groups, as well as among the healthcare staff, to determine perceptions of privacy and safety.

Results: Each participant group was compared according to the participants' responses to the pre- and postsurveys.

Rapid Response to Ready RNs for the COVID-19 Pandemic.

Rapid response is a common term in hospital settings, reflecting immediate clinical response to a critical challenge. In preparation for the oncoming pandemic of novel coronavirus 2019, nurse leaders within a large health system in the Mountain West region implemented a rapid response to prepare nondirect care registered nurses for deployment to the bedside. This article highlights the prompt action, organization, and implementation of this process, as well as the lessons learned for future events.

Student Perception of the Flipped Classroom in Nursing Education.

As nurse educators consider new pedagogy for teaching nursing, the students' views and perceptions must be considered. Many studies and commentaries have been written to date on the flipped classroom in nursing education, but few have used research methods to tease out student views of this teaching approach. The purpose of this study was to investigate student perceptions of the flipped classroom using a phenomenological approach.

Laboratory diagnosis of overt type 2 diabetes in the first trimester of pregnancy.

Objective: The objective of this study was to compare the use of hemoglobin A1C to oral glucose tolerance testing to diagnose overt type 2 diabetes in the first trimester of pregnancy. The study used a nonexperimental descriptive design to compare the use of the hemoglobin A1C test results to oral glucose tolerance test results.

Methods: The study used a sample of 45 women at high risk for type 2 diabetes in the first trimester of pregnancy.

Nursing education: Flipping the classroom.

This article will introduce the innovative educational concept of the "flipped classroom." How to implement the flipped learning model will be addressed within the framework of The Intentional Instruction Environment Model.

Inpatient ambulation: use of an ambulation platform apparatus.

Ambulation has proven to be an important part of recovery for medical-surgical patients. This study provides original research on the use of a platform apparatus for ambulation of patients on a medical-surgical unit. Outcomes included number of ambulation attempts, distance of ambulation, length of hospital stay, number of staff necessary to ambulate, and discharge destination.

Interactive learning research: application of cognitive load theory to nursing education.

The purpose of this research was to investigate the effectiveness of interactive self-paced computerized case study compared to traditional hand-written paper case study on the outcomes of student knowledge, attitude, and retention of the content delivered. Cognitive load theory (CLT) provided the theoretical framework for the study. A quasi-experimental pre-test post-test design with random group assignment was used to measure by self-report survey student cognitive load and interactivity level of the intervention.

Prenatal birth planning for families of the imperiled newborn.

Guidelines have not been established to address the needs of parents with imperiled newborns due to the infrequency of this obstetric situation. In this article we offer an approach to prenatal care planning for imperiled newborns and their families. Use of an interdisciplinary team and family involvement are the foci of the care planning process, which result in a perinatal birth plan that reflects parental values and ethical guidelines.

Nurse practitioner attitudes and treatment practices for childhood overweight: how do rural and urban practitioners differ?

Purpose: Pediatric overweight and obesity has become an epidemic problem of our nation. Nurse practitioners (NPs) are exposed to overweight pediatric patients on a regular basis. The purpose of this study was to investigate NP attitudes toward pediatric overweight and obesity and explore their current diagnosis and treatment practices.

Cascade Autologous System Platelet-Rich Fibrin Matrix in the Treatment of Chronic Leg Ulcers.

Problem: Lower extremity ulcers (venous, diabetic) are often unresponsive to standard treatment. Various systemic and local cellular, vascular, and anatomical factors can result in nonhealing wounds that are refractory to normal healing processes and standard care.

Solution: Several published wound care guidelines strongly suggest that if an ulcer does not respond to standard good wound care within 4 weeks, then advanced wound therapies should be considered.

Physical activity behaviors of rural preschoolers.

Purpose: The purpose of this qualitative study was to investigate the physical activity and active play of rural preschoolers.

Method: A micro-ethnography approach using observation, photography, individual interviews, and focus groups led to five major themes describing preschool activity and play in the rural area.

Findings: The five major themes describing preschool activity and play in the rural area were Self-Reliance, Learning Through Play, One Big Rural Family, Rural Surroundings, and Money Matters.

Autologous platelet-rich fibrin matrix as cell therapy in the healing of chronic lower-extremity ulcers.

A novel autologous platelet-rich fibrin matrix membrane (PRFM) was assessed for the ability to facilitate healing in patients with chronic lower-extremity ulcers. Preliminary data are presented from a prospective trial (n=21). Twelve patients were identified with 17 venous leg ulcers (VLU) and nine bearing 13 nonvenous lower-extremity ulcers.

Student evaluations: advice for novice faculty.

Student evaluations can be a valuable method to transform teaching strategies and course design in nursing education. Negative student comments are difficult to view as constructive criticism and have the potential to lead to negative changes, rather than positive, productive changes for improved instruction and course design. This article provides a glimpse of recent empirical evidence regarding student evaluations of instructors as well as providing novice faculty with suggestions for promoting positive change in teaching strategies.

Perceptions of nursing student clinical placement experiences.

There is an unprecedented shortage of registered nurses (RNs) in the United States of America. Efforts to educate more RNs have been limited by a shortage of both clinical placements and preceptors for nursing students. The purpose of this study was to examine nursing education issues associated with student clinical placement as experienced by hospital personnel who coordinate the placements with various schools of nursing.

Recruitment and retention of novice faculty.

As nursing faculty members younger than 35, we consider ourselves to be in the minority. Our concern about the future of nursing education has driven us to consider ways to recruit and retain new, young faculty. To stimulate discussion, 10 suggestions for schools of nursing in the recruitment and retention of new faculty are presented: provide guidance, foster socialization, encourage flexibility, conduct orientation, provide support, facilitate collaboration, allow for mistakes, coordinate teaching assignments, grow your own, and offer rewards.