Knowledge, Attitudes, and Self-Efficacy Changes in Advance Care Planning with a High-Fidelity Simulation PDF Download
Are you looking for read ebook online? Search for your book and save it on your Kindle device, PC, phones or tablets. Download Knowledge, Attitudes, and Self-Efficacy Changes in Advance Care Planning with a High-Fidelity Simulation PDF full book. Access full book title Knowledge, Attitudes, and Self-Efficacy Changes in Advance Care Planning with a High-Fidelity Simulation by Amisha Parekh de Campos. Download full books in PDF and EPUB format.
Author: Amisha Parekh de Campos Publisher: ISBN: Category : Languages : en Pages : 0
Book Description
Background: Advance care planning (ACP) conversations aim to ensure the articulation and documentation of patients' health care goals. These conversations should occur early and longitudinally. However, they are often not done or not done iteratively. Clinicians lack training and knowledge in ACP to have effective conversations. Therefore, a simulation was developed and tested among registered nurses (RN). Aim: This study aimed to examine the feasibility of an ACP simulation called Conversations Had at Trying Times (CHATT) among RNs, and to explore changes in knowledge, attitudes, and self-efficacy. Theoretical Framework: A framework was developed with the National League of Nursing Jeffries Simulation Theory and Bandura's Self-Efficacy Theory. Method: The study consisted of two phases: a) simulation development, and b) simulation testing. Construct and content validity guided the development of the simulation using DeVellis's (2017) scale development guidelines and the International Association of Clinical Simulation in Learning Standards of Best Practice: Simulation DesignSM. Simulation testing consisted of a pilot one-group pre/posttest design. The Caring Efficacy Scale and the Advance Care Planning Knowledge, Attitudes, and Practice Behaviors Scale were used to assess knowledge, attitudes, and self-efficacy among RNs. Evaluation of the simulation was done with the Simulation Design Scale and Student Satisfaction and Self Confidence in Learning Scale. Data analysis consisted of statistical analysis of mean change from pre-to-post simulation, and calculations of correlations between variables and demographics. Results: A researcher-designed high-fidelity simulation enhanced nurses' skills with CHATT. Thirty-six RNs completed the simulation in groups of four to eight in six simulation sessions. Knowledge, attitudes, and self-efficacy increased pre-to posttest. Evaluations post-simulation confirmed the feasibility of the simulation. The largest variation in results was found among the scores and experiences of the graduate nurse resident groups who worked as RNs for less than one year. Significance and Conclusions: This is the first high-fidelity simulation that was developed and validated for RN education in ACP conversations. Newer nurses with less than one year of experience had the lowest scores, which suggests a need for professional development in hospice and palliative care, curriculum development among nursing schools, and strong mentorship in caring for seriously ill patients.
Author: Amisha Parekh de Campos Publisher: ISBN: Category : Languages : en Pages : 0
Book Description
Background: Advance care planning (ACP) conversations aim to ensure the articulation and documentation of patients' health care goals. These conversations should occur early and longitudinally. However, they are often not done or not done iteratively. Clinicians lack training and knowledge in ACP to have effective conversations. Therefore, a simulation was developed and tested among registered nurses (RN). Aim: This study aimed to examine the feasibility of an ACP simulation called Conversations Had at Trying Times (CHATT) among RNs, and to explore changes in knowledge, attitudes, and self-efficacy. Theoretical Framework: A framework was developed with the National League of Nursing Jeffries Simulation Theory and Bandura's Self-Efficacy Theory. Method: The study consisted of two phases: a) simulation development, and b) simulation testing. Construct and content validity guided the development of the simulation using DeVellis's (2017) scale development guidelines and the International Association of Clinical Simulation in Learning Standards of Best Practice: Simulation DesignSM. Simulation testing consisted of a pilot one-group pre/posttest design. The Caring Efficacy Scale and the Advance Care Planning Knowledge, Attitudes, and Practice Behaviors Scale were used to assess knowledge, attitudes, and self-efficacy among RNs. Evaluation of the simulation was done with the Simulation Design Scale and Student Satisfaction and Self Confidence in Learning Scale. Data analysis consisted of statistical analysis of mean change from pre-to-post simulation, and calculations of correlations between variables and demographics. Results: A researcher-designed high-fidelity simulation enhanced nurses' skills with CHATT. Thirty-six RNs completed the simulation in groups of four to eight in six simulation sessions. Knowledge, attitudes, and self-efficacy increased pre-to posttest. Evaluations post-simulation confirmed the feasibility of the simulation. The largest variation in results was found among the scores and experiences of the graduate nurse resident groups who worked as RNs for less than one year. Significance and Conclusions: This is the first high-fidelity simulation that was developed and validated for RN education in ACP conversations. Newer nurses with less than one year of experience had the lowest scores, which suggests a need for professional development in hospice and palliative care, curriculum development among nursing schools, and strong mentorship in caring for seriously ill patients.
Author: Zaccagnini Publisher: Jones & Bartlett Publishers ISBN: 1284079708 Category : Medical Languages : en Pages : 596
Book Description
The newly revised Third Edition of The Doctor of Nursing Practice Essentials: A New Model for Advanced Practice Nursing is the first text of its kind and is modeled after the eight DNP Essentials as outlined by the American Association of Colleges of Nursing (AACN). Important Notice: the digital edition of this book is missing some of the images or content found in the physical edition.
Author: Martin S. Hagger Publisher: Cambridge University Press ISBN: 1108750117 Category : Psychology Languages : en Pages : 730
Book Description
Social problems in many domains, including health, education, social relationships, and the workplace, have their origins in human behavior. The documented links between behavior and social problems have compelled governments and organizations to prioritize and mobilize efforts to develop effective, evidence-based means to promote adaptive behavior change. In recognition of this impetus, The Handbook of Behavior Change provides comprehensive coverage of contemporary theory, research, and practice on behavior change. It summarizes current evidence-based approaches to behavior change in chapters authored by leading theorists, researchers, and practitioners from multiple disciplines, including psychology, sociology, behavioral science, economics, philosophy, and implementation science. It is the go-to resource for researchers, students, practitioners, and policy makers looking for current knowledge on behavior change and guidance on how to develop effective interventions to change behavior.
Author: Debra Nestel Publisher: Springer Nature ISBN: 981153344X Category : Education Languages : en Pages : 1757
Book Description
This book compiles state-of-the art and science of health professions education into an international resource showcasing expertise in many and varied topics. It aligns profession-specific contributions with inter-professional offerings, and prompts readers to think deeply about their educational practices. The book explores the contemporary context of health professions education, its philosophical and theoretical underpinnings, whole of curriculum considerations, and its support of learning in clinical settings. In specific topics, it offers approaches to assessment, evidence-based educational methods, governance, quality improvement, scholarship and leadership in health professions education, and some forecasting of trends and practices. This book is an invaluable resource for students, educators, academics and anyone interested in health professions education.
Author: Adam I. Levine Publisher: Springer Science & Business Media ISBN: 1461459931 Category : Medical Languages : en Pages : 718
Book Description
The Comprehensive Textbook of Healthcare Simulation is a cohesive, single-source reference on all aspects of simulation in medical education and evaluation. It covers the use of simulation in training in each specialty and is aimed at healthcare educators and administrators who are developing their own simulation centers or programs and professional organizations looking to incorporate the technology into their credentialing process. For those already involved in simulation, the book will serve as a state-of-the-art reference that helps them increase their knowledge base, expand their simulation program’s capabilities, and attract new, additional target learners. Features: • Written and edited by pioneers and experts in healthcare simulation • Personal memoirs from simulation pioneers • Each medical specialty covered • Guidance on teaching in the simulated environment • Up-to-date information on current techniques and technologies • Tips from “insiders” on funding, development, accreditation, and marketing of simulation centers • Floor plans of simulation centers from across the United States • Comprehensive glossary of terminology
Author: Institute of Medicine Publisher: National Academies Press ISBN: 0309208955 Category : Medical Languages : en Pages : 700
Book Description
The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles-including limits on nurses' scope of practice-should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing.
Author: Joyce Newman Giger Publisher: ISBN: Category : Medical Languages : en Pages : 692
Book Description
Transcultural Nursing: Assessment and Intervention, 4/e, addresses specific assessment and intervention strategies needed for clients from a variety of cultural backgrounds. Part 1 provides a systematic model of nursing assessment and intervention which takes into account six cultural phenomena: communication, space, social organization, time, environmental control, and biological variations. In Part 2 these six cultural phenomena are systematically applied to the assessment and care of individuals in specific cultures. Since the first edition Giger & Davidhizar has been praised for its quick reference, user-friendly assessment tool for use with clients in diverse clinical settings. Giger throughout provides clarification of some of the biological variations for select cultural groups. Transcultural Nursing also has an outstanding holistic overview of genetics in Chapter 7 that helps the student understand genetics and genetic based diseases that are cultural, racially, and ethnic based. The 4th edition will be thoroughly updated throughout with an emphasis on including new genetic and biologic variations. Features Giger and Davidhizar's Transcultural Assessment Model, with a full chapter devoted to each of the six aspects of cultural assessment, to help the reader apply this model to any client of any culture. Presents critical thinking questions at the end of each chapter to help students apply the assessment framework in practice. Includes an expansion of the spiritual component throughout, with an emphasis on various religions. Offers clarification of some of the biological variations for select cultural groups. A holistic overview of genetics helps readers understand genetics and genetic based diseases that are cultural, racially, and ethnic based. Update throughout with an emphasis on including new genetic and biologic variations New appendix includes a competency test with over 70 comprehensive multiple choice questions
Author: Institute of Medicine Publisher: National Academies Press ISBN: 0309140781 Category : Medical Languages : en Pages : 296
Book Description
Today in the United States, the professional health workforce is not consistently prepared to provide high quality health care and assure patient safety, even as the nation spends more per capita on health care than any other country. The absence of a comprehensive and well-integrated system of continuing education (CE) in the health professions is an important contributing factor to knowledge and performance deficiencies at the individual and system levels. To be most effective, health professionals at every stage of their careers must continue learning about advances in research and treatment in their fields (and related fields) in order to obtain and maintain up-to-date knowledge and skills in caring for their patients. Many health professionals regularly undertake a variety of efforts to stay up to date, but on a larger scale, the nation's approach to CE for health professionals fails to support the professions in their efforts to achieve and maintain proficiency. Redesigning Continuing Education in the Health Professions illustrates a vision for a better system through a comprehensive approach of continuing professional development, and posits a framework upon which to develop a new, more effective system. The book also offers principles to guide the creation of a national continuing education institute.
Author: Amisha Parekh de Campos
Author: Amisha Parekh de Campos
Author: Jared M. Kutzin
Author: Zaccagnini
Author: Martin S. Hagger
Author: Pamela R. Jeffries
Author: Debra Nestel
Author: Adam I. Levine
Author: Institute of Medicine
Author: Joyce Newman Giger
Author: Institute of Medicine