Linda White

Continuing Education for Nurses: A Complete Guide to Effective Programs

Inevitably, reading is one of the requirements to be undergone. To improve the performance and quality, someone needs to have something new every day. It will suggest you to have more inspirations, then. However, the needs of inspirations will make you searching for some sources. Even from the other people experience, internet, and many books. Books and internet are the recommended media to help you improving your quality and performance.

Pay for Performance

Based upon my own experience with the system, both staff and supervisors believe that the advantage of pay for performance outweigh the disadvantages. I frequently encountered issues such as how to get a higher rating, what is the incentive to identify a difficult objective if one can pick an easier objective and still receive a higher rating, and where do individuals fall in the ratings compared to peers. In response to achieving a higher rating, the supervisors reviewed the rating system and developed objectives that would receive higher ratings. The supervisors and administrators put emphasis on improved performance, rather than on points. To convince employees to choose more difficult objectives, we explained that objectives should reflect the skills and goals of each employee. The objective serves as an indicator of how well the employee achieved a goal. In dealing with the ranking problem, we told the staff where they ranked in relation to others (eg, top, middle, bottom), but emphasized that the evaluation is confidential and that the results are not to be shared. In conclusion, pay for performance offers a supervisor a detailed objective format for reviewing an employees performance. For the employees, it provides a means in which their performance review is based on individual achievement of self-selected objectives. Employees are measured against their own standards rather than being compared with others performing the same job.

Nursing Management A Systems Approach.

We may not be able to make you love reading, but nursing management a systems approach will lead you to love reading starting from now. Book is the window to open the new world. The world that you want is in the better stage and level. World will always guide you to even the prestige stage of the life. You know, this is some of how reading will give you the kindness. In this case, more books you read more knowledge you know, but it can mean also the bore is full.

Midtrimester abortion patients

Linda Dickey White, RN Paul F White, MD roviding nursing care for patients undergoing midtrimester P abortion by dilatation and evacuation (D and E) can be a difficult decision for many nurses. Over 50,000 abortions are performed each year by the D and E meth0d.l At the University of California, San Francisco, Medical Center six to ten midtrimester abortions are performed by D and E each week on an outpatient basis. An important aspect in the nursing care of these patients is the attitude of the staff toward abortion and the patient population seeking midtrimester abortions. Practicing perioperative care has been helpful in establishing rapport with these patients. To gain a better understanding of this patient population, we conducted a study to measure their anxiety levels using the Institute for Personality and Ability Testing (IPAT) trait anxiety scale and to measure mood states with the Profile of Mood States (POMS). The purpose of the study was to identify common characteristics among the patients and acquaint the staff with emotional needs of this patient population. Midtrimester abortion by D and E offers women an alternative to prostaglandin (amnio) procedures. Amnio abortions consist of placement of intracervical laminaria followed by an intraamniotic prostaglandin E injection. Laminaria are thin pieces of desiccated seaweed that cause cervical dilatation as they absorb moisture from the body and expand. The prostaglandin stimulates uterine contractions, which induce labor and fetal expulsion. The D and E method requires insertion of laminaria 12 to 24 hours prior to surgery in the physician’s office or clinic. After induction of anesthesia, the patient is placed in the lithotomy position. The physician performs a bimanual exam and removes the laminaria. After sterile preparation of the patient, the