Charleen McNeill

Professional values, job satisfaction, career development, and intent to stay

Background: Hospitals are experiencing an estimated 16.5% turnover rate of registered nurses costing from

Risk: A Multidisciplinary Concept Analysis

44,380 -

Emergency Preparedness of Persons Over 50 Years Old: Further Results From the Health and Retirement Study.

63,400 per nurse—an estimated

Stories after disaster survival: Preparing, heeding warnings, and self-reliance

4.21 to

Quantifying Supply of Home Health Services for Public Health Emergencies

6.02 million financial loss annually for hospitals in the United States of America. Attrition of all nurses is costly. Most past research has focused on the new graduate nurse with little focus on the mid-career nurse. Attrition of mid-career nurses is a loss for the profession now and into the future. Research objective: The purpose of the study was to explore relationships of professional values orientation, career development, job satisfaction, and intent to stay in recently hired mid-career and early-career nurses in a large hospital system. Research design: A descriptive correlational study of personal and professional factors on job satisfaction and retention was conducted. Participants and research context: A convenience sample of nurses from a mid-sized hospital in a metropolitan area in the Southwestern United States was recruited via in-house email. Sixty-seven nurses met the eligibility criteria and completed survey documents. Ethical considerations: Institutional Review Board approval was obtained from both the university and hospital system. Findings: Findings indicated a strong correlation between professional values and career development and that both job satisfaction and career development correlated positively with retention. Discussion: Newly hired mid-career nurses scored higher on job satisfaction and planned to remain in their jobs. This is important because their expertise and leadership are necessary to sustain the profession into the future. Conclusion: Nurse managers should be aware that when nurses perceive value conflicts, retention might be adversely affected. The practice environment stimulates nurses to consider whether to remain on the job or look for other opportunities.

Listeriosis: A Resurfacing Menace

PURPOSE To analyze the concept of risk utilizing Walker and Avants method of analysis to determine a conceptual definition applicable within nursing and nursing research. CONCLUSION The mental constructs and consequences of risk have a proactive connotation compared with the negative behaviors often identified as illustrations of risk. PRACTICE APPLICATION A new conceptual definition of risk provides insight into an understanding of risk regardless of discipline. Its application to the metaparadigm of nursing should be the impetus for action and education. Formalizing the mental constructs of the concept of risk in a clear manner facilitates the inclusion of its latent constructs in nursing research.McNeill Purpose To analyze the concept of risk utilizing Walker and Avants method of analysis to determine a conceptual definition applicable within nursing and nursing research. Conclusion The mental constructs and consequences of risk have a proactive connotation compared with the negative behaviors often identified as illustrations of risk. Practice Application A new conceptual definition of risk provides insight into an understanding of risk regardless of discipline. Its application to the metaparadigm of nursing should be the impetus for action and education. Formalizing the mental constructs of the concept of risk in a clear manner facilitates the inclusion of its latent constructs in nursing research.

Changes in Self-Reported Household Preparedness Levels among a Rural Population after Exposure to Emergency Preparedness Campaign Materials

OBJECTIVE This article conceptualized emergency preparedness as a complex, multidimensional construct and empirically examined an array of sociodemographic, motivation, and barrier variables as predictors of levels of emergency preparedness. METHODS The authors used the 2010 wave of the Health and Retirement Studys emergency preparedness module to focus on persons 50 years old and older in the United States by use of logistic regression models and reconsidered a previous analysis. RESULTS The models demonstrated 3 key findings: (1) a lack of preparedness is widespread across virtually all sociodemographic variables and regions of the country; (2) an authoritative voice, in the role of health care personnel, was a strong predictor of preparedness; and (3) previous experience in helping others in a disaster predisposes individuals to be better prepared. Analyses also suggest the need for caution in creating simple summative indexes and the need for further research into appropriate measures of preparedness. CONCLUSION This population of older persons was generally not well prepared for emergencies, and this lack of preparedness was widespread across social, demographic, and economic groups in the United States. Findings with implications for policy and outreach include the importance of health care providers discussing preparedness and the use of experienced peers for outreach. (Disaster Med Public Health Preparedness. 2017;11:80-89).

Survey of Nursing Students' Self-Reported Knowledge of Ebola Virus Disease, Willingness to Treat, and Perceptions of their Duty to Treat

OBJECTIVE The purpose of the study was to examine the content of stories told by people personally impacted by disasters. DESIGN Semistructured, qualitative interviews. SETTING Northwest part of a mid-south state. PARTICIPANTS Fourteen disaster survivors who were recruited through their attendance at an emergency preparedness-related fair. MAIN OUTCOME MEASURES Interview schedule based on previous research using the family resilience framework. RESULTS Three themes emerged: prior emergency preparation, heeding warnings of impending disaster, and rural self-reliance. CONCLUSIONS Participants had made prior emergency preparedness plans, but their personal experiences led to them adjusting their plans, or making more relevant plans for future disasters. Participants expressed the importance of sharing their experiences with family and community members, expressing hope that others would learn, vicariously rather than first-hand, from their experiences.

Mumps: A Call for Vigilance

The number of persons seeking medical treatment during a public health emergency could quickly overwhelm the capacity of hospitals and emergency rooms. The amount of surge capacity home health care could provide during a public health emergency is unknown. The purpose of this research is to quantify the surge capacity of the home health sector in four emergency scenarios. According to the model developed, routine demand will exceed scenario capacity for almost all home health agencies in all pessimistic cases for the four scenarios discussed. However, home health agencies have the surge capacity to contribute to the provision of care for patients during times of demand under routine operating conditions as well as in conditions where demand may be moderately increased.