Marlene M. Rosenkoetter

Standards of Practice for Culturally Competent Nursing Care 2011 Update

University of California, San Francisco, San Francisco, CA, USA Pierce and Associates Nursing Consultants, Knoxville, TN, USA Georgia Health Sciences University, Augusta, GA, USA University of Medicine and Dentistry of New Jersey, Newark, NJ, USA Brigham Young University, Provo, UT, USA California State University, Northridge, CA, USA Vanderbilt University, Nashville, TN, USA University of Toledo, Toledo, OH, USA University of St. Francis, Joliet, IL, USA University of Delaware, Newark, DE, USA

Standards of Practice for Culturally Competent Nursing Care: A Request for Comments

Authors’ Note: This document was developed through collaboration of members of The american academy of Nursing expert Panel on global Nursing and Health and The Transcultural Nursing Society, with participation by members of The american academy of Nursing expert Panel on Cultural Competence. Sharon M. Weinstein, MS, CRNI, RN, FaaN, Larry Purnell, PhD, RN, FaaN, Cheryl Leuning, PhD, RN, and Ruth Davidhizar, DNS, RN, aRNP, BC, FaaN, also participated in the discussion and critique during the development of this document. Standards of Practice for Culturally Competent Nursing Care: A Request for Comments

American Academy of Nursing Expert Panel on Global Nursing and Health: White Paper on Global Nursing and Health: Academia Americana de Enfermería, Panel de Expertos en Enfermería Global y Salud: Documento de Opinión en Enfermería Global y Salud

The American Academy of Nursings (AAN) Expert Panel on Global Healths white paper examines critical issues in the international nursing arena, including the global shortage of nurses, legal and ethical issues in recruiting international students for nursing positions in developed countries, the nurse faculty shortage, faculty and student exchanges, effects of the U.S. Citizenship and Immigration Services law, and laws governing nursing practice within the public domain. Realistic models directed toward viable solutions to these issues are critically needed. It offers 13 recommendations to address issues from a global perspective, including hosting a conference on global nursing, health research, and faculty exchanges; annual meetings; and an international conference of world nurse leaders, the AAN, and Global Panel representatives to discuss this white paper and plan follow-up actions. The final white paper was approved by the AAN in 2005 and is published here to stimulate discussion regarding current and future initiatives.

A code of ethics for nurse educators: Revised:

Nurse educators have the responsibility of assisting students and their colleagues with understanding and practicing ethical conduct. There is an inherent responsibility to keep codes current and relevant for existing nursing practice. The code presented here is a revision of the Code of ethics for nurse educators originally published in 1983 and includes changes that are intended to provide for that relevancy.

Effectiveness, challenges, and perceptions of classroom participation systems.

A technology-driven generation of students expects faculty to use innovative and interactive approaches to teaching. To address this issue, the authors discuss their use of one classroom participation system, the i>Clicker, and student outcomes.

Implementation of an intravenous medication infusion pump system: implications for nursing.

AIM To assess perceptions of nurses regarding the implementation of intravenous medication infusion system technology and its impact on nursing care, reporting of medication errors and job satisfaction. BACKGROUND Medication errors are placing patients at high risk and creating an economic burden for hospitals and health care providers. Infusion pumps are available to decrease errors and promote safety. METHODS Survey of 1056 nurses in a tertiary care Magnet hospital, using the Infusion System Perception Scale. Response rate was 65.43%. RESULTS Nurses perceived the system would enhance their ability to provide quality nursing care, reduce medication errors. Job satisfaction was related to higher ratings of the management team and nursing staff. Perceptions verified the pump was designed to promote safe nursing practices. CONCLUSIONS It is important to consider relationships with job satisfaction, safe nursing practice and the importance of ratings of nursing staff and management teams when implementing infusion technology. IMPLICATIONS FOR NURSING MANAGEMENT Infusion pumps are perceived by nurses to enhance safe nursing practice. Results stress the importance of management teams in sociotechnological transformations and their impact on job satisfaction among nurses.

Nurses’ knowledge of intravenous connectors

No published studies assess the knowledge of staff nurses regarding intravenous connectors, yet connectors remain a primary cause of infection and mortality. Anonymous survey (N = 100) in acute hospitals revealed 78% of nurses were uninformed about different connector types and their different care and 43% could not name two complications of connectors. No significant relationship was found between education (r = 0.121, p < 0.05) or nursing specialty (r =-0.059, p < 0.05) and identifying types of connectors. Sixty-four per cent were involved in 5—6 hours of intravenous therapy and maintenance per 12-hour shift, hence connector care is significant. Education about connectors has implications for nursing associated with catheter-related bloodstream infections, occlusion and thrombosis. The Centers for Disease Control includes catheter-related bloodstream infections as a worldwide priority. This study identified a significant need for further nursing education and research regarding the types, maintenance and care of intravenous connectors.

Internationally Educated Nurses in Transition in the United States: Challenges and Mediators

International migration has doubled worldwide since 1970, and nurses are increasingly becoming a part of this trend. In 2008, approximately 5.6% of RN positions were filled by nurses educated in other countries. One of the critical issues is the transition of these immigrated nurses to the U.S. health care system and acculturation in a new society. Continuing education is necessary to promote adjustment and provide for a successful transition while ensuring quality patient care. The life patterns model provides a framework to describe the challenges and potential mediators in the transition process. J Contin Educ Nurs. 2017;48(3):139-144.

Assessment of the Psychosocial Adjustment of Well Elderly Residing in Retirement Communities

Moving to a retirement community involves a major life transition that requires adjustment to a new way of life. The purpose of this study was to develop a tool to assess the psychosocial adjustment of residents. Using the Life Patterns Model as a conceptual framework, residents of 3 retirement communities (n = 240 residents) were surveyed. Median ages were ∼84 years, Nearly 85% (202) reported that they feel good about themselves and most (92.5%; n = 221) have things to do that they enjoy. Health status was strongly associated with having nearby relatives (rs = −.232, p > .000, n = 239). A factor analysis supported the use of the conceptual framework. Findings indicate that the tool can used for the designed purpose.

Assessment of Insulin Administration Methods: Perceptions by Patients and Significant Others Instrument Development.

Background and Purpose: To develop, test, and establish the validity and reliability of 4 instruments to evaluate perceptions of paired patients and patient-identified significant others to assess the impact of continuous subcutaneous insulin infusion (CSII) and multiple daily insulin injections (MDII) on diabetes management and lifestyle. Methods: Sociotechnical systems theory and the life patterns model framed the study. Four parallel survey instruments (patient CSII and MDII and significant other CSII and MDII) were developed to elicit demographic information and perceptions concerning CSII and MDII. Results: Validity and reliability were established. Conclusions: The instruments developed for this study could be adapted or used as templates in management approach impact studies of other chronic diseases. The study should be replicated with a different geographic sample.