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Virpi V, Anna‐Maria T, Kristina M. Practical nursing students' learning and assessment during work-based placement: A qualitative study. Nurs Open 2023; 10:6150-6164. [PMID: 37221922 PMCID: PMC10416049 DOI: 10.1002/nop2.1849] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2022] [Revised: 02/18/2023] [Accepted: 05/05/2023] [Indexed: 05/25/2023] Open
Abstract
AIM To describe practical nursing students', mentors' and educators' perceptions of student learning and assessment of learning progress during work-based learning. DESIGN A qualitative descriptive study. METHODS The research data were collected by interviewing eight practical nursing students, 12 mentors and eight educators (total n = 28) from three vocational institutions and four social- and health care organizations in Finland during November 2019-September 2020. The interviews were conducted as focus group interviews, after which the collected material was subjected to content analysis. The researchers had received appropriate research permits from the target organizations. RESULTS Work-based learning depends on the student, who must be goal-oriented and responsible for their own learning. The mentor also plays a key role in the learning process as the supporter and enabler of a student's goal-oriented learning process. The educator is responsible for instructing both students and mentors, and supporting a student's goal-oriented learning process. The vocational institution also has a role in successful learning among practical nursing students as an enabler of students' individual learning process. The participants shared that the workplace is responsible for ensuring a secure learning environment.
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Affiliation(s)
- Välimaa Virpi
- Research Unit of Health Sciences and TechnologyUniversity of Oulu, Oulu; Vaasa University of Applied SciencesVaasaFinland
| | - Tuomikoski Anna‐Maria
- Oulu University Hospital, The Wellbeing Services County of North Ostrobotnia, Oulu; Research Unit of Health Sciences and TechnologyUniversity of OuluOuluFinland
| | - Mikkonen Kristina
- Research Unit of Health Sciences and TechnologyUniversity of Oulu, Oulu, Medical Research Center Oulu, Oulu University Hospital and University of OuluOuluFinland
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Sánchez-Conde P, Beltrán-Velasco AI, Clemente-Suárez VJ. Analysis of the Objective and Subjective Stress Response of Students and Professors in Practical Nursing Exams and Their Relationship with Academic Performance. Int J Environ Res Public Health 2022; 19:ijerph19159121. [PMID: 35897482 PMCID: PMC9332375 DOI: 10.3390/ijerph19159121] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/07/2022] [Revised: 07/21/2022] [Accepted: 07/23/2022] [Indexed: 12/04/2022]
Abstract
The aim of the present research was to analyse the objective and subjective stress responses of students in a clinical case evaluation and the correlation with academic performance, as well as to analyse the differences in grade and difficulty perceptions between students and professors that designed the clinical case. A sample of 103 first-year students from a nursing degree was studied. In this sample, the objective stress was analysed by measuring the autonomic modulation (through the heart rate variability); moreover, the subjective stress was analysed using the SUDS scale. Furthermore, the difficulty perception and academic performance were measured using scales for both students and professors. The measures were taken before and after the clinical exams. A large subjective and objective stress response was observed at the beginning of the clinical case, and this response was related to a high academic performance perception. Upon completion of the clinical evaluation, both the stress response and the academic performance perception decreased. The professors and students presented different grade and difficulty perceptions concerning the clinical case.
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Affiliation(s)
- Paula Sánchez-Conde
- Faculty of Sports Sciences, Universidad Europea de Madrid, 28001 Madrid, Spain; (P.S.-C.); (A.I.B.-V.)
| | | | - Vicente Javier Clemente-Suárez
- Department of Psychology, Faculty of Life and Natural Sciences, University of Nebrija, 28240 Madrid, Spain
- Grupo de Investigación en Cultura, Educación y Sociedad, Universidad de la Costa, Barranquilla 080001, Colombia
- Correspondence:
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Jeffrey P, Harris R, Sherman J. Quality improvement: A practical nursing program's admission test. Nurse Educ Today 2019; 73:65-70. [PMID: 30522047 DOI: 10.1016/j.nedt.2018.11.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/28/2018] [Revised: 10/22/2018] [Accepted: 11/20/2018] [Indexed: 06/09/2023]
Abstract
INTRODUCTION Academic institutions are under pressure to maintain a nearly flawless retention rate, while graduating successful students. The use of standardized admission tests to provide data driven decisions regarding applicant selection is common. The varying reliability and validity of current standardized tests inspired a large Canadian academic institution to use a faculty developed admission test for admission to its practical nursing (PN) program. METHODS The target population for this project was a purposive, convenience sample of graduated PN students from a large publically funded polytechnic institution in southern Ontario, Canada, who had completed the Canadian Practical Nurse Registration Examination (CPNRE) within 2014-2016 (n = 293). Data was obtained retrospectively, and included program entry grade-point average (GPA) and CPNRE result, as well as chemistry, English, biology, and math admission test scores. RESULTS The predictors of chemistry, English, math admission test scores, and program entry GPA did not have an effect beyond the effects of the model's predictors. In this model, the R2 suggests that 9% of the variance can be explained, and 91% not explained. In consideration of all independent variables, findings indicate that mean biology admission test scores (M =74.96) are a predictor of student CPNRE success. Additionally, students who pass the CPNRE have a higher program GPA. CONCLUSIONS Academic factors including program entry GPA, English, math, biology and chemistry admission scores are a fragment of the characteristics to be considered when determining the predictability of success in PN students. Therefore, it is imperative that program admission processes identify and measure nonacademic program entry criteria, as academic criterion have limited predictability. Furthermore, in isolation, academic admission criteria could be used to identify at-risk-students for appropriate remediation/counselling or as a placement test.
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Affiliation(s)
- Paul Jeffrey
- Nursing, Humber Institute of Technology and Advanced Learning, 205 Humber College Blvd, Etobicoke, ON M9W 5L7, Canada.
| | - Robin Harris
- University of Missouri, 430 Sinclair School of Nursing, University of Missouri, Columbia, MO 65211, United States of America.
| | - Jan Sherman
- Department of Child Health, School of Medicine, University of Missouri, 430 Sinclair School of Nursing, University of Missouri, Columbia, MO 65211, United States of America.
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Abou El Fadl R, Blair M, Hassounah S. Integrating Maternal and Children's Oral Health Promotion into Nursing and Midwifery Practice- A Systematic Review. PLoS One 2016; 11:e0166760. [PMID: 27880790 PMCID: PMC5120808 DOI: 10.1371/journal.pone.0166760] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2016] [Accepted: 11/03/2016] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND Globally, oral diseases contribute to major disease problems and oral health disparities persistently exist amongst vulnerable population groups. Two contributory factors to these challenges are the shortage of dental practitioners and the characteristic separation between the medical and dental professions. Nurses and midwives, in particular, are in a potentially excellent position to assist in basic oral health services such as dental health education and intraoral screening. We aimed to assess the effectiveness of integrating promotion of oral health of young children and their mothers into nursing and midwifery practice. METHODS AND FINDINGS Seven electronic databases including CENTRAL, EMBASE, MEDLINE, GLOBAL HEALTH, CINHAL, Scopus, and Web of Science were systematically searched whereas conference proceedings and theses were retrieved via PROQUEST. Only randomized, non-randomized trials and observational studies on preventive oral health programs delivered by nurses or midwives in healthcare settings or through home visits were included. Two investigators reviewed full-text articles independently to decide on eligibility for inclusion. Quality assessment was done using Cochrane tool for risk of bias for randomized trials and Downs and Black assessment tool for all other studies. Out of 3162 retrieved records, twenty one trials on oral health interventions incorporated into standard nursing practice were reviewed. Eighteen programs reported significant positive outcomes including reduction in caries experience, better oral hygiene and dietary habits and increased rates of dental visits amongst young children as reported by their caregivers. CONCLUSIONS Incorporating oral health promotion into nursing practice is a promising initiative for reducing oral health disparities by contributing to a downward trend in caries experience and increased access to dental care especially amongst the poor disadvantaged communities.
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Affiliation(s)
- Reham Abou El Fadl
- MPH, School of Public Health, Imperial College of London. Pediatric Dentistry and Dental Public Health Department, Faculty of Dentistry, Ain Shams University, Cairo, Egypt
| | - Mitch Blair
- Department of Paediatrics, River Island Academic Centre for Paediatrics and Child Health, Imperial College London, London, United Kingdom
| | - Sondus Hassounah
- WHO Collaborating Centre for Public Health Education and Training, Department of Primary Care and Public Health, Imperial College London, London, United Kingdom
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Abstract
Despite evidence that hospital use of licensed practical nurses (LPNs) declined in the 1990s, the current registered nurse (RN) shortage has prompted interest in LPNs as substitutes for RNs. Hospitals, being the dominant employer of RNs, have an economic incentive to use less expensive LPNs as substitutes. Beside wages, there are several forces underlying hospital demand for LPNs. In this article, the authors model and estimate hospital demand for LPNs as a function of nurse wages and hospital, market, and patient characteristics using a longitudinal data set of short-term general hospitals in the United States. The authors find evidence that higher RN wages increase hospital demand for LPNs, both in levels and relative to RNs, suggesting that hospitals at least partially substitute RNs with LPNs.
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Affiliation(s)
- Joanne Spetz
- Department of Community Health Systems, School of Nursing, University of California, San Francisco, USA
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Sharne. ENS DESERVE RECOGNITION. Aust Nurs Midwifery J 2016; 23:46. [PMID: 27255002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
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AN ENS ROLE. Aust Nurs Midwifery J 2016; 23:47. [PMID: 27257669] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
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Aged care: Proposal to remove ENs from skill mix. Nurs N Z 2016; 22:40. [PMID: 27039591] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
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Gingrich G. The importance of LPNs. Nurs Manag (Harrow) 2014; 45:8. [PMID: 25114998] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
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Turjamaa R, Hartikainen S, Kangasniemi M, Pietilä AM. Living longer at home: a qualitative study of older clients' and practical nurses' perceptions of home care. J Clin Nurs 2014; 23:3206-17. [PMID: 25453125 DOI: 10.1111/jocn.12569] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
AIMS AND OBJECTIVES To identify descriptions of older (75+) home care clients and practical nurses regarding the current structure of home care available for older clients and the elements promoting the ability of clients to continue living at home. BACKGROUND The ageing population is a major global challenge in social and health care. In many countries, the focus of care for older clients has shifted from institutional care towards a model of home care. Increasing attention has been paid to maximising the resources of older clients and aiming to support their living at home for as long as possible. DESIGN A descriptive qualitative study METHODS Data were collected from individual interviews by using videotaped home care visits as a tool for stimulated recall interviews. Two groups of participants were interviewed: 14 practical nurses and 23 older clients. Data were analysed by using the inductive content analysis. RESULTS Both participant groups, practical nurses and older home care clients, described home care as organisationally driven, but highlighted the importance of individual encounters. In addition, both groups noted that clients' living at home can be supported by offering individually designed care. Individually designed care refers to showing respect to clients' opinions and promoting their individual resources. CONCLUSION In order to be able to promote older home clients' living at home, the provided home care needs to be individually designed and must take into account clients' resources and their perspectives of meaningful and inspirational activities. RELEVANCE TO CLINICAL PRACTICE The information produced by this study can be used to promote older clients' living at home for as long as possible. Therefore, practical nurses are required the ability to recognise older clients' individual resources and design individual care plans accordingly.
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QNU wins orders against Blue Care--but the battle is not over. Qld Nurse 2014; 33:30. [PMID: 24624513] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
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Parsons A, Orkin A, Newbery S. Ada Parsons: "Giving birth should be a special time": Narrative 9 of the Marathon maternity oral history project. Interview date: August 22, 2008. Can Fam Physician 2014; 60:e81-e83. [PMID: 24452587 PMCID: PMC3994819] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
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Medication management: RNs and AINs. Qld Nurse 2013; 32:26-7. [PMID: 24627928] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
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McCarthy A. Practice nurse campaign update. Aust Nurs J 2012; 20:23. [PMID: 23256213] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
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Stanaway P. From patient to nurse---my journey. Nurs N Z 2012; 18:25. [PMID: 22866467] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
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Showman TC. My journey from LPN to RN. Alta RN 2012; 68:32-34. [PMID: 22913042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
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Canadian Institute for Health Information. Regulated nurses in Canada: what do we know about them? Alta RN 2011; 67:10-1. [PMID: 22165791] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
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Hewlett R. No workforce plan for enrolled nurses. Nurs N Z 2011; 17:3-4. [PMID: 21898932] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
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Spring D. Are enrolled nurses being misled? Nurs N Z 2011; 17:3. [PMID: 21739631] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
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Schoenbeck SL. Experiences of the dying. J Pract Nurs 2011; 61:7-9. [PMID: 23252027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
It is often a mystery to us how we have come to know and believe in certain things. Beliefs are like guests who come up to a door. They come in only if the host opens it and invites them in. Otherwise they are turned away, unable to enter. LPNs/LVNs are invited to reflect on their experiences and expand their knowledge and beliefs. There is growing recognition that bedside talks of the dying, spirit travel and near-death events are real events for the people who experience them. LPNs/ LVNs are encouraged to expand their knowledge and beliefs about dying.
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O'Dell S. The heart of a true caregiver. Tenn Nurse 2011; 74:9. [PMID: 21850904] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
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Palumbo MV, McLaughlin V, McIntosh B, Rambur B. Practical nurses' health and safety in nursing homes. J Health Hum Serv Adm 2011; 34:271-301. [PMID: 22359843] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
PURPOSE Practical nurses (PNs) rated their general and emotional health and their employers' attention to their health and safety. These components were examined in relationship to work setting and intention to leave for the purpose of exploring workforce issues involving these important care providers of frail elders. DESIGN/METHODS A relicensure survey mailed to all PNs in one rural state included the Minimum Data Set for nurse workforce supply plus questions from the Health and Retirement Survey. Data were analyzed using Kruskal-Wallis nonparametric ANOVA, t-test, and chi-square tests. RESULTS Of the state's working PNs, 813 responded, (71%) and 34% (n=269) reported nursing home employment. Overall, age and work role were not significantly associated with self-rated general health (p=0.14 and p=0.12). Males reported poorer general (p=0.09) and emotional (p=0.004) health. PNs working in nursing homes rated their general and emotional health lower than PNs in other settings (p<0.001). Of the PNs in nursing homes, 28% reported they were likely to leave their position within one year, versus 19% in other work settings (p=0.003). PNs with higher evaluations of their employer safety practices were less likely to leave. IMPLICATIONS Understanding PNs perceived general/emotional health and perceptions of workplace health/safety efforts can inform interventions to reduce turnover.
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QNU member successfully appeals QNC decision. Qld Nurse 2010; 29:22-3. [PMID: 21138092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
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Jeffs L, Barber C, Clarke J, Scullion J. Losing touch with patients. Nurs Stand 2010; 24:28-29. [PMID: 20527482] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
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Skillman SM, Andrilla CHA, Patterson DG, Tieman L, Doescher MP. The licensed practical nurse workforce in the United States: one state's experience. Cah Sociol Demogr Med 2010; 50:179-212. [PMID: 20653219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
BACKGROUND Licensed practical nurses (LPNs) are employed in multiple health care settings in the United States, with the largest portion providing nursing care in long-term care, skilled nursing, and nursing home facilities, which largely provide custodial care and rehabilitative services to elderly residents. Rapid growth in the size of the elderly population in the U.S., combined with retirements from an aging LPN workforce, are expected to increase the demand for LPNs in the coming decades. This paper describes the characteristics of LPNs in one state, Washington, and makes projections of LPN supply and demand in the state through 2026. METHODS The study uses data from a 2007 survey of LPNs with Washington State licenses to describe the demographic, education, and practice characteristics of the workforce. The projections of LPN supply and demand were built from the baseline survey data and changes over time were estimated using available data and literature from a variety of sources. RESULTS Of the 14,446 LPNs with Washington licenses in 2007, 72% practiced in the state. The work setting in which the largest percentage worked was long-term care (37%). Of the average 37 hours worked per week by LPNs, 25 hours were spent in direct patient care. The average age of practicing LPNs was 46 and 12% of LPNs were male. The racial/ethnic distribution of Washington's LPNs resembled that of the overall state population, with 17% non-White and 4% Hispanic. Nearly three quarters obtained their LPN education within Washington. If the 2007 number of completions from LPN schools in Washington is sustained, the projected supply of practicing LPNs in 2026 will be more than 3,500 (24%) below estimated demand. If the current education completion number increased by 200 LPNs (nearly 20%) in 2011, and this number was maintained through 2026, the projected supply of practicing LPNs would increase but would still be 2,052 LPNs below estimated demand in 2026. Neither projection scenario produces enough LPNs to maintain the 2007 LPN-to-population ratio through 2026. CONCLUSIONS/POLICY IMPLICATIONS: It is not known precisely whether or how LPN workforce roles will change in the future, but the projected LPN shortages in Washington State mirror similar findings from other parts of the U.S., with major growth in projected LPN demand due to increases in, and aging of the state's population. The number of LPNs completing education programs in the state is unlikely to keep pace with the decline in supply from retirements unless a significant expansion of education programs takes place. The LPN profession is an important entry point into the nursing profession, and increasing the number of LPNs educated in-state could expand the pipeline leading to registered nurse (RN) careers, another nursing profession for which major shortages are predicted. Carefully articulated LPN-to-RN education programs could improve the attractiveness of the profession and increase the supply of LPNs.
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Affiliation(s)
- Susan M Skillman
- Center for Health Workforce Studies, University of Washington, Seattle, Washington, USA
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Robinson MA. How is your nurse-thinking? Alta RN 2010; 66:46. [PMID: 20358721] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
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Wong-Felix P. How to make a small difference in your chosen profession. J Pract Nurs 2010; 60:3. [PMID: 21534438] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
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Evaluating nursing staff mix decisions in long-term care. Can Nurse 2009; 105:26-7. [PMID: 19263939] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
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Abstract
PURPOSE Few studies have examined interventions that help adolescents who run away. This study both describes a home-visiting intervention program for young, sexually assaulted runaways (10-14 years old) and provides preliminary outcomes from the first 20 female participants. DESIGN AND METHODS Using a strengths-based approach, advanced practice nurses provided frequent home and school visits and case management, and assisted girls to access an empowerment group over a 1-year period. RESULTS Teens' risk behaviors decreased, including truancy, runaway episodes, sexually transmitted infections, and substance use. CONCLUSIONS Preliminary results suggest that this is an effective intervention for reducing risk behaviors and helping younger runaways reconnect to school and family. PRACTICE IMPLICATIONS Client-centered interventions in community settings can address the complex health needs of vulnerable young runaways.
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Affiliation(s)
- Laurel D Edinburgh
- Midwest Children's Resource Center, Children's Hospitals and Clinics of Minnesota, St. Paul, MN, USA
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Gauthier M, Herman C. Assignment between nurses. Nurs BC 2008; 40:17-18. [PMID: 19119583] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
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Concerns over endorsement program. Aust Nurs J 2008; 16:4. [PMID: 19018632] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
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Arnetz JE, Winblad U, Arnetz BB, Höglund AT. Physicians' and Nurses' Perceptions of Patient Involvement in Myocardial Infarction Care. Eur J Cardiovasc Nurs 2008; 7:113-20. [PMID: 17581793 DOI: 10.1016/j.ejcnurse.2007.05.005] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/04/2006] [Revised: 05/22/2007] [Accepted: 05/23/2007] [Indexed: 10/23/2022]
Abstract
BACKGROUND Patients' involvement in their healthcare has been associated with better health outcomes. However, few studies have examined whether patient involvement affects the work of healthcare professionals. A better understanding of professionals' views and behaviour is necessary for improving clinical practice and optimizing patient involvement. AIM To measure perceptions and behaviour regarding patient involvement among physicians and nursing staff caring for patients with acute myocardial infarction. METHODS A questionnaire study conducted in 2005 among cardiology staff at twelve Swedish hospitals. The questionnaire included six scales measuring staff views and behaviour. RESULTS Physicians, registered nurses, and practical nurses did not differ significantly in their views of patient involvement, but did differ significantly in behaviour (p<.001). All three groups felt that an actively involved patient enriched their work, at the same time increasing their work load and taking time from other tasks. Physicians discussed daily activities and lifestyle changes with myocardial infarction patients before hospital discharge to a greater extent than nursing staff (p<.001). CONCLUSION Physicians and registered nurses viewed time constraints as a hinder for patient involvement, while practical nurses felt unsure in communicating with patients. Considering these organizational and professional issues may improve patient involvement and health outcomes in myocardial infarction care.
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Affiliation(s)
- Judith E Arnetz
- Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
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Rapley P, Davidson L, Nathan P, Dhaliwal SS. Enrolled nurse to registered nurse: is there a link between initial educational preparation and course completion? Nurse Educ Today 2008; 28:115-9. [PMID: 17449145 DOI: 10.1016/j.nedt.2007.03.006] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/11/2006] [Revised: 12/22/2006] [Accepted: 03/07/2007] [Indexed: 05/15/2023]
Abstract
There is a shortage of registered nurses (RN) globally and equally in rural areas of Australia. The sparsely populated areas of rural Australia prompted the development of an external-mode EN-to-RN pathway course for enrolled nurses (EN) who want to complete a nursing degree. However, the awarding of advanced standing for EN clinical experience, regardless of educational background, is a new initiative that needs to be evaluated. Hence, this paper reports on the link between initial EN educational preparation and its impact on course completion. This exploratory correlation study used existing course data from four cohorts between 2000 and 2003. The comparisons included educational background, years of experience, and location of the EN-to-RN students. Significant differences were not found between rural and metropolitan students who completed or who withdrew from the course. Logistic regression analysis indicated that ENs in this sample with a hospital-based certificate rather than a technical college qualification were more likely to complete the course: Location and years of experience as an EN did not contribute significantly to course completion. The findings provide support for the same recognition of prior learning, regardless of educational background, for ENs entering a bachelor level nursing degree. The findings have relevance for Australia and other countries with similar challenges for ENs who want to become RNs without relocating to a city.
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Affiliation(s)
- Pat Rapley
- School of Nursing and Midwifery, Curtin University of Technology, GPO Box U1987, Perth, Western Australia 6845, Australia.
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Boblin S, Baxter P, Alvarado K, Baumann A, Akhtar-Danesh N. Registered nurses and licensed/registered practical nurses: a description and comparison of their decision-making process. Nurs Leadersh (Tor Ont) 2008; 21:56-72. [PMID: 19029845 DOI: 10.12927/cjnl.2008.20288] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
In many parts of Canada, nursing care is provided by registered nurses (RNs) and licensed/registered practical nurses (L/RPNs). The profession, regulatory bodies and employers are struggling to define their similarities and differences in their attempts to ensure patients are receiving the right care by the right care provider. An understanding of the decision making of nurses presents one way of differentiating between their overlapping roles. Nursing decision-making is a complex cognitive process. Assessment occurs and problems are postulated. Possible alternatives, with their risks and benefits, outcomes and likelihood of outcomes are identified. Preferences and values are considered, and an intervention is selected. The best way to implement an intervention is determined, implementation follows and evaluation takes place. In this research, a triangulated design was used to examine and compare the decision-making process of RNs and L/RPNs. Analysis revealed that nurses consider themselves to be frequently involved in elements that are part of the decision-making process. Nurses attribute the difficulty encountered to the context within which decision making occurs. Differences exist between the RN and L/RPN in the frequency of their involvement with most of the elements of the process. Differences in difficulty encountered with these elements were less pronounced.
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Affiliation(s)
- Sheryl Boblin
- School of Nursing, McMaster University, Hamilton, Ontario, Canada
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Thrall TH. Patient care. OB triage unit helps hospital slash diversions. Hosp Health Netw 2007; 81:20. [PMID: 17929353] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
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The truth, the whole truth, and nothing but the truth. J Pract Nurs 2006; 56(4)-57(1):5. [PMID: 17484388] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/15/2023]
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Oklahoma board of nursing summary of FY 2006 annual report. Okla Nurse 2007; 52:9-11. [PMID: 17591167] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
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Abstract
PURPOSE This article describes a case study relating to trends in nurse-to-patient ratios and nursing staff mix in Israel. BACKGROUND In recent years, there has been a worldwide trend towards changing nurse-to-patient ratios and nursing staff mixes. On the one hand, the patient's status has become more complex and requires a more professional nursing staff to maintain treatment, safety and quality, on the other hospitals have become more economically focused. In light of this, the need to re-examine the issues of nurse-to-patient ratio and nursing staff mix are of primary importance to the health system. Legislation of nurse-to-patient ratios is being widely discussed in nursing circles, and nurse-to-patient ratios are now mandatory in the State of California, USA, and the State of Victoria, Australia. CONCLUSION The trend in nursing staff mix in Israel has been towards increased hiring of academic registered nurses, leading to the clinical development of quality treatment programmes and decreased mortality rates. Subsequently, license practical nurses are phased out, and where necessary auxiliary staff, which represents a cheaper work force, provides unskilled care. Today, the staff mix distribution in Israeli general governmental hospitals consists of 73% registered nurses, 11% licensed vocational nurses, and 16% auxiliary staff. In addition, there is a special collective agreement related to the allocation of nursing positions, including a classification method involving 10 categories of inpatient wards.
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Affiliation(s)
- M Rassin
- Nursing Research Unit, Nursing Care menagement, Asaf HaRofe Medical Center, Zerifin, Be'er Yaakov, Israel.
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Loper C. Response to LPN letters. Am J Nurs 2007; 107:16. [PMID: 17251760] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/13/2023]
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Meyer J. The 40-year-old health care virgin: I did it my--highly unorthodox--way. Creat Nurs 2007; 13:5-6. [PMID: 18507248] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Affiliation(s)
- Jim Meyer
- Dakota County Technical College, Rosemount, MN, USA
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Cuddy MLS. Multiple sclerosis. J Pract Nurs 2007; 57:5-14. [PMID: 17941188] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
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Abstract
This descriptive study, based on the Organizational Engineering conceptual framework, investigates the information-processing styles of nursing staff (RNs, LPNs, nursing assistants, and unit secretaries) that impact how they accept and deal with change and innovation. The study sample was made up of 578 nursing staff and nurse managers. The major finding is that both nursing staff overall and RNs as a separate group are clustered in the "Conservator" (Logical Process--Hypothetical Analyzer) quadrant of the Organizational Engineering Model. In contrast, the nurse managers were significantly more likely to be in the "Changer" (Reactive Stimulator--Relational Innovator) quadrant.
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Maeno T, Ohta A, Hayashi K, Kobayashi Y, Mizunuma H, Nakai S, Ohashi Y, Suzuki S. Impact of reproductive experience on women's smoking behaviour in Japanese nurses. Public Health 2006; 119:816-24. [PMID: 15913677 DOI: 10.1016/j.puhe.2004.10.017] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2004] [Revised: 09/21/2004] [Accepted: 10/26/2004] [Indexed: 11/17/2022]
Abstract
OBJECTIVES The objectives of this study were to describe current and past smoking behaviour of female Japanese nurses, to examine factors associated with developing and stopping a smoking habit, and to examine how their reproductive experiences affect their smoking behaviour. STUDY DESIGN A cross-sectional study. This study was a baseline survey of a prospective occupational cohort study. METHODS A self-administered survey of 1748 female Japanese nurses aged over 20 years was conducted in Gunma prefecture, Japan, in 1999. RESULTS Overall, 27.2% developed a smoking habit (current smokers, 19.8%; ex-smokers, 7.4%) and 72.2% were never smokers. Logistic regression analysis showed that the type of nursing certificate was statistically associated with developing a smoking habit. It also showed that the type of nursing certificate, work place, marital status and current pregnancy were statistically associated with smoking cessation. Currently pregnant women were more likely to stop smoking than non-pregnant women (adjusted odds ratio, 3.18; 95% confidence intervals, 1.25-8.06). For women aged 20-29 years, the proportions of current smokers, ex-smokers and never smokers among pregnant women were 11.5, 23.1 and 65.4%, respectively; among non-pregnant women of this age, the values were 22.3, 4.3 and 73.4%, respectively. There was a statistically significant difference in such proportions between the two groups (chi2=19.27; P<0.0001). More than half of the ex-smokers who were currently pregnant had stopped smoking in the last 12 months. Smoking behaviour showed no statistically significant difference between women who had had at least one delivery and women who had not. CONCLUSIONS The results suggest that pregnancy provides a good opportunity for smoking cessation, but a large proportion of women who successfully quit smoking during pregnancy relapse after delivery.
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Affiliation(s)
- T Maeno
- Total Health Evaluation Centre Tsukuba, 1-2 Amakubo, Tsukuba, Ibaraki 305-0005, Japan.
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Abstract
In-office conversations about hepatitis C can impact patients' perceptions of outcomes, as well as medication adherence. This study analyzed interactions between physicians, nonphysician healthcare providers (including nurses), and patients with hepatitis C virus infection in order to examine differences based on number and type of providers participating. Gastroenterologists, nonphysician healthcare providers, and patients with hepatitis C virus infection were video- and audio-recorded during regularly scheduled visits. Recordings were transcribed and analyzed using validated sociolinguistic techniques. Thirty-four visits took place with a physician only, 4 with a nonphysician healthcare provider only, and 25 with both providers (9 concurrent and 16 consecutive). Differences among the participant schema included visit length, patient "talk-time," and motivation provided. When providers saw patients consecutively, differing information was sometimes provided. In visits where providers saw the patient concurrently, competing authority between providers and exclusion of the patient through use of medical jargon were obstacles to ideal communication. Differences in hepatitis C-related interactions based on the number and type of participants suggest opportunities for improved communication. In visits with multiple providers, physicians and nurses should attempt to ensure that they (a) avoid supplying differing information, (b) present a "unified front" to avoid competing authority, and (c) minimize the use of medical jargon, which excludes patients from participating in their own healthcare.
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Affiliation(s)
- Heidi E Hamilton
- Department of Linguistics, Georgetown University, Washington, DC, USA
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Abstract
OBJECTIVES The aim of the investigation was to describe situations with a significant influence on healthy diet and exercise habits among nurses working night shift. METHODS A qualitative descriptive design with a Critical Incident Technique approach was used. Situations were collected by means of interviews with 27 registered/enrolled community nurses. RESULTS A total of 143 situations were identified comprising two main areas: coping ability at work and coping ability during leisure hours. Coping ability at work included 81 critical incidents grouped into two categories: the nurses' diet and exercise habits were influenced by social interaction with colleagues at work and by the disruption to their circadian rhythm. Coping ability during leisure hours included 62 critical incidents grouped into two categories: the diet and exercise habits were influenced when the nurses recovered from the disruption to their circadian rhythm and when they took advantage of the freedom of action offered by night work. CONCLUSIONS By identifying the factors that influence diet and exercise habits among nurses working night shift, strategies can be developed in order to strengthen the factors with a positive influence.
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Affiliation(s)
- M Persson
- School of Social and Health Sciences, Halmstad University, Halmstad, and Development Unit for Primary Health Care, Jönköping, Sweden.
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Kane RL, Rockwood T, Hyer K, Desjardins K, Brassard A, Gessert C, Kane R, Mueller C. Nursing Home Staffʼs Perceived Ability to Influence Quality of Life. J Nurs Care Qual 2006; 21:248-55. [PMID: 16816606 DOI: 10.1097/00001786-200607000-00010] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Nurses, certified nursing assistants, activity personnel, social workers, and physicians in 5 cities rated their ability to affect each of 17 quality of life (QoL) items for 2 hypothetical cases. Those closest to the residents feel the most empowered to make a difference. Overall, certified nursing assistants were consistently the most optimistic about their ability to influence QoL. Perceptions of ability to influence QoL were correlated with attitudes about nursing homes. These perceptions may be helpful in retaining such staff.
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Affiliation(s)
- Robert L Kane
- University of Minnesota School of Public Health, Minneapolis, Minn, USA.
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Abstract
PURPOSE To evaluate a range of staffing measures and data sources for long-term use in public reporting of staffing as a quality measure in nursing homes. METHOD Eighty-seven research articles and government documents published from 1975 to 2003 were reviewed and summarized. Relevant content was extracted and organized around 3 themes: staffing measures, quality measures, and risk adjustment variables. Data sources for staffing information were also identified. RESULTS There is a proven association between higher total staffing levels (especially licensed staff) and improved quality of care. Studies also indicate a significant relationship between high turnover and poor resident outcomes. Functional ability, pressure ulcers, and weight loss are the most sensitive quality indicators linked to staffing. The best national data sources for staffing and quality include the Minimum Data Set (MDS) and On-line Survey and Certification Automated Records (OSCAR). However, the accuracy of this self-reported information requires further reliability and validity testing. CONCLUSIONS A nationwide instrument needs to be developed to accurately measure staff turnover. Large-scale studies using payroll data to measure staff retention and its impact on resident outcomes are recommended. Future research should use the most nurse-sensitive quality indicators such as pressure ulcers, functional status, and weight loss.
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Affiliation(s)
- Jane E Bostick
- University of Missouri-Columbia, Columbia, MO 65211, USA.
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Cunico L, Chinchiolo P, Rigoni S, Vallaperta E. [Recent graduated entering the working world]. Assist Inferm Ric 2006; 25:88-91. [PMID: 16869183] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/11/2023]
Affiliation(s)
- Laura Cunico
- Corso di Laurea in Infermieristica, Università di Verona
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McGrath C. Rn staffing and long-term care. Am J Nurs 2006; 106:15; author reply 15-6. [PMID: 16534369 DOI: 10.1097/00000446-200603000-00004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Abstract
Through exploring the geographically differentiated effects of restructuring on the work of home care practitioners, labor process change is found to be spatially specific. It is through examining the spatiallity of labor process change that the differential impacts of health care restructuring on human health care resources can be determined. This has implications for human health care resource availability and service provision, which is particularly an issue for medically under-serviced regions. The restructuring approach, together with regulation theory, is used in this paper as tools for exploring the effects of health care reform on the local labor process. Both quantitative and qualitative data collected from home care practitioners in Ontario (Canada) show that the general trends in labor process change (work transfer down the home care hierarchy, increased time constraints, and enhanced job stress) are being similarly experienced, while shedding light on specific local differences. Findings show two working life factors to be differently experienced across the size of the place in which practitioners live and work. Two representative localities provide a closer examination of local differences in labor process change via the examination of local service cultures, local institutional practices, and local practitioner advocacy. The two sites are Sault Ste. Marie, located in northern Ontario's medically under-serviced northern health region, and Guelph, found in the province's well-serviced southern region.
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Affiliation(s)
- Allison M Williams
- McMaster School of Geography and Geology, Burke Science Building, Room 343, 1280 Main Street West, Hamilton, Ont., Canada L8S 4K1.
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