Pearls for surviving unprecedented healthcare challenges: Qualitative research responses from nurses.

Purpose: Before the COVID-19 pandemic, nurses had little experience providing care during a pandemic. This project aimed to identify Pearls (suggestions) to survive a pandemic as a nurse.

Methods: A phenomenologic design was implemented.

Perceptions of providing nursing care during the COVID-19 pandemic.

Purpose: To characterize the experience of providing nursing care amid the COVID-19 pandemic.

Methods: A qualitative, phenomenology method was used. Data were collected via a confidential electronic survey.

Nurses' Values and Perspectives on Medical Aid in Dying: A Survey of Nurses in the United States.

The aim of this study was to describe the values and perspectives of nurses regarding medical aid in dying (MAiD). The values of nurses regarding this controversial topic are poorly understood. A cross-sectional electronic survey was sent to American Nurses Association nurse members; 2390 responded; 2043 complete data sets were used for analysis.

Moral Agency in the Context of Global Volunteering.

Today there are many global volunteer opportunities for nurses and student nurses. While the intentions of volunteers may be good, the result may be harmful to the volunteer and/or the host, creating a situation of moral distress. An ethical code provides guidance and promotes moral agency.

A comparison of nurse attitudes before implementation and 6 and 18 months after implementation of an electronic health record.

The implementation of an electronic health record is a dramatic change in a healthcare organization; however, little is known about how nurse attitudes toward the electronic health record change over time. The purpose of this research project was to compare nurses' attitudes before and at 6 and 18 months after implementation of a comprehensive electronic health record. A presurvey-postsurvey design using a modified Nurses' Attitudes Toward Computerization Questionnaire was implemented with a population of nurses employed at an academic medical center.

Living kidney donor advocacy program: a quality improvement project.

Objective: : In 2007, the Centers for Medicare & Medicaid Services mandated that kidney transplant programs establish a living donor advocate program to ensure safe care and support for living organ donors. This quality improvement project assessed the impact of establishing a living donor advocate program and identified the ethical commitments and threats living kidney donors perceive throughout the donation process.

Method: : This quality improvement project reflects a mixed-methods methodology.

Learning from within to ensure a successful implementation of an electronic health record.

Implementation of an electronic health record has multiple facility-wide challenges affecting all direct care providers. Because the dialysis unit and emergency department had already undergone transition with differing electronic systems several years before, could anything be learned from these past experiences to inform the future institution-wide implementation? Utilizing focus groups and surveys, recurring themes emerged: "It will take one hundred charts"; allowing for "self-discovery" of individual learning progression; establishing and communicating "clear processes" for use of the electronic record; and ensuring adequate support to facilitate a "customer-focused" approach in learning how to utilize electronic documentation. Although training related to the electronic health record was discussed in all focus groups, training was not described as a main concern, which challenged our initial presumptions that education was the key resource for a successful change.

Does good documentation equate to good nursing care?

Good documentation does not necessarily equate to good care. This article explores the potential underpinnings of poor documentation from an ethical decision-making lens. Nursing standards of care related to documentation are reviewed.

Critique of 'advance directives: curriculum content and preparation of nursing students'.

This research study reflects an important topic for the practice of nursing and nursing education. The descriptive design utilized clear sampling methods. Clear research questions were identified; however, other data analysis methods may have been more appropriate.

Working with standardized patients: a primer.

This paper presents concepts and strategies for using standardized patients (SP) in teaching and evaluation of nursing students. SP encounters are an alternative to clinical experiences and a standardized criterion for student performance evaluation. Careful development of encounters, selection and training of SPs, support and debriefing of all participants are essential to a positive SP encounter.

Promoting a good death for persons with dementia in nursing facilities: family caregivers' perspectives.

The experience of dying from Alzheimer's disease (AD) in a nursing home setting is a poorly understood phenomenon. Fifty-seven family member caregivers of persons with Alzheimer's disease, who had died as a resident in a national nursing home chain, participated in a structured telephone interview. Despite the belief that their loved one had died with dignity, 16 out of 57 (28%) family member caregivers believed that their loved one had not experienced a good death.