Your search

Background: According to the Healthy People 2020 goals, the sustainability of breastfeeding duration rates within the United States has not been achieved. To increase these rates, it is important that women with breastfeeding difficulties receive the support needed to continue breastfeeding. When supplementation occurs, it is essential that the breastfeeding relationship be preserved. Various methods of supplementation are often recommended including use of the supplemental feeding tube device (SFTD). Purpose: The question guiding this brief is “What evidence exists to support the use of an SFTD as a method of supplementation for breastfed infants?” Search Strategy: The PubMed and CINAHL databases were queried for original research published in English from 1990 through July 2016. Search terms included “supplemental feeding tube,” “breastfeeding,” “term infants,” “premature infants,” “Supplemental Nursing System,” “Lact-aid,” and “supply line.” Findings: Very limited research exists on the use of SFTDs as a method of supplementation for breastfed infants; however, existing research suggests that an SFTD may be useful as a supplementation method for breastfed infants. High-quality research is needed to evaluate the efficacy of using an SFTD for supporting exclusive and all breastfeeding rates. Implications for Practice: Nurses and providers need to be educated and trained in the use of SFTDs as well as all supplemental feeding methods. Information on efficacy and SFTD use should also be included in policies related to breastfeeding and human milk use. Implications for Research: Further research should determine best methods of supplementation for breastfed infants and should examine differences in breastfeeding rates when using the SFTD for supplementation.

The complexity of the human body is such that any disturbances to its homeostatic state, unreversed, can lead to the development of illness or disease. When one considers the terminology of incivility as a concept, one does not automatically equate this concept with disease or illness. However, incivility left to persist in work environments can prove mentally and physically damaging to the victim. Mindfulness can be used as a means to help nurses experiencing workplace incivility, to begin the process of emotional and physical healing.

IntroductionIntrapartum emergencies occur infrequently but require a prompt and competent response from the midwife to prevent morbidity and mortality of the woman, fetus, and newborn. Simulation provides the opportunity for student midwives to develop competence in a safe environment. The purpose of this study was to determine the inter-rater reliability of the McMahon Competence Assessment Instrument (MCAI) for use with student midwives during a simulated shoulder dystocia scenario. MethodsA pilot study using a nonprobability convenience sample was used to evaluate the MCAI. Content validity indices were calculated for the individual items and the overall instrument using data from a panel of expert reviewers. Fourteen student midwives consented to be video recorded while participating in a simulated shoulder dystocia scenario. Three faculty raters used the MCAI to evaluate the student performance. These quantitative data were used to determine the inter-rater reliability of the MCAI. ResultsThe intraclass correlation coefficient (ICC) was used to assess the inter-rater reliability of MCAI scores between 2 or more raters. The ICC was 0.86 (95% confidence interval, 0.60-0.96). Fleiss's kappa was calculated to determine the inter-rater reliability for individual items. Twenty-three of the 42 items corresponded to excellent strength of agreement. DiscussionThis study demonstrates a method to determine the inter-rater reliability of a competence assessment instrument to be used with student midwives. Data produced by this study were used to revise and improve the instrument. Additional research will further document the inter-rater reliability and can be used to determine changes in student competence. Valid and reliable methods of assessment will encourage the use of simulation to efficiently develop the competence of student midwives.

Opioid addiction is a problem within the United States that is impacting all age groups. The elderly are a population that is seldom discussed as being affected by opioids. Physiologically, the older adult is more susceptible for complications associated with an alteration in pharmacokinetics and late diagnosis of diseases such as viral hepatitis C. Health promotion for this population is imperative in the prevention and treatment of opioid addiction problems.

A comprehensive resource that addresses the legal issues regarding school health services for school nurses, school administrators and school attorneys. Over 50 topics are included including information on federal laws, compliance, medication administration, professional licensure and malpractice, minor rights and mental health and much more. Over 70 authors include school nurse experts, and education and nurse attorneys. Each chapter is evidence based and peer reviewed by both school nurse content experts and attorneys. Responds to questions submitted by school nurses and school administrators. A reference that will support school nurse and school health practice, enhance care to children and provide guidance to protect the school and school nurse.

A comprehensive resource that addresses the legal issues regarding school health services for school nurses, school administrators and school attorneys. Over 50 topics are included including information on federal laws, compliance, medication administration, professional licensure and malpractice, minor rights and mental health and much more. Over 70 authors include school nurse experts, and education and nurse attorneys. Each chapter is evidence based and peer reviewed by both school nurse content experts and attorneys. Responds to questions submitted by school nurses and school administrators. A reference that will support school nurse and school health practice, enhance care to children and provide guidance to protect the school and school nurse.

AIM This study explored faculty responses to a survey about using technology to teach undergraduate nursing students. BACKGROUND Little is known regarding faculty confidence, technology use, or supports for integrating technology into nursing education. METHOD A descriptive correlational design was utilized to explore the relationship between technology use and technological self-efficacy in faculty (N = 272) who teach at Commission on Collegiate Nursing Education--accredited nursing programs. Instruments used were a sociodemographic questionnaire, the Roney Technology Use Scale, and the Technology Self-Efficacy Scale. RESULTS Participants who taught didactic content had moderate technology use as compared to those teaching didactic and clinical/laboratory who reported high levels of technology use. A weak relationship between age and technological self-efficacy (ρ =.127, p < .05) was also found. CONLUSION This research was an initial step in understanding levels of technology use and responses to this challenge by undergraduate nursing faculty.

Background: Schools of nursing have moved to multiple choice test questions to help prepare students for licensure and practice. However, students can buy test banks to help them “get through” nursing school. Accurate assessment of nursing students' knowledge and judgment comprises access to test banks. Method: The purpose of this exploratory study was to gain an understanding about nursing faculty's knowledge concerning test bank security issues, to assess whether publishers were aware of this issue, and vendor's reasons for supplying test banks to students. Results: Overall, the results indicated that the majority of faculty were unaware of student access to test banks, and although most do not use test banks verbatim, general consensus existed that test bank security is a concern. Conclusion: Implications include increasing faculty awareness of test bank access by students, supporting educators to develop their own test bank items, and promoting security of all examinations.

Help your students understand that community/public health nursing skills benefit their nursing practice as well as patient outcomes in acute care This student-friendly, highly visual text expands students’ viewpoints from the client-nurse relationship to a population focus. Acknowledging that population-focused tools and interventions are needed in acute care, as infection rates continue to rise and nurse-sensitive outcome indictors are closely monitored, Cherie Rector weaves in meaningful, real-life examples, case studies, and perspectives to help students understand that transitions in care are critical in today’s healthcare system. Covering a multitude of community and public settings, situations, and populations, the book helps students learn about promoting health, preventing disease (not just treating it), and protecting at-risk populations—including the elderly, the LGBT community, and veterans. This fully updated 9th Edition encourages students to think more globally and covers new innovations and emerging threats to the public’s health.KEY FEATURESNEW! QSEN sections tie key chapter concepts to quality and safety competencies, such as patient-centered care, teamwork & collaboration, evidence-based practice, quality improvement, and informatics, to help students understand the importance of these concepts.NEW! Application to Population Health explores chapter concepts from a population-focused viewpoint and offers current examples of effective population interventions.What Do YOU Think? encourages students to reflect on thought-provoking current topics or dilemmas, enhancing critical thinking skills.Evidence-based Practice demonstrates how current research examples can be applied to public/community health nursing practice to achieve optimal outcomes.From the Case Files presents case study scenarios with application-based questions, challenging students to reflect on assessment and intervention.Perspectives from nursing students, novice to expert public health nurses, faculty members, policy makers, and clients cover commonly held misconceptions about community health nursing and link between skills across settings.Healthy People 2020 highlights pertinent goals and objectives to promote health.Activities to Promote Critical Thinking at the end of each chapter challenge students, promote critical-thinking skills, and encourage active involvement in solving community health problems.Unique Levels of Prevention Pyramid boxes address a chapter topic and describe nursing actions at each of the three levels of prevention to help students understand this basic community health nursing concept. Content from the text is embedded into two integrated digital learning solutions— Lippincott CoursePoint for pre-licensure programs and Lippincott RN to BSN Online for post-licensure programs—that feature experiential, case-based instructional design aligned with the approach of the Ninth Edition. To learn more about Lippincott CoursePoint and Lippincott RN to BSN Online and to see our Video Cases, please visit http://nursingeducationsuccess.com.

In spite of growing bereavement literature, the meaning of the lived experience of parental bereavement is not well understood. This article presents selected findings from a Heideggerian hermeneutic phenomenological study which aimed to describe the lived experience of bereaved parents who experienced the death of a child due to cancer. Conversational interviews were conducted with six parents who experienced the death of a young child due to cancer at least one year prior to participation. The nature of parental bereavement was revealed to be a new state of being into which parents enter immediately after the death of a child and which has no end point. Findings will equip health professionals and others who work with bereaved parents with a deeper understanding of the meaning of parental bereavement.