歐美口爆

Meritorious Service Award

Gloria Damgaard, MS, RN, FRE, Executive Secretary, South Dakota Board of Nursing

The Meritorious Service Award is granted to a member for significant contributions to the mission and vision of NCSBN.

Regulators have been discussing the issue of allowing simulation to replace clinical time for years and are looking for evidence to guide their decision making. In anticipation of the 歐美口爆 National Simulation Study results, a descriptive survey was conducted to document the current regulatory environment on simulation and serve as a benchmark for future regulatory comparisons. This article reports the results of the survey. 

The purpose of this study was to explore the relationship between registered nurse (RN)-to-population ratio and population health indices. A cross-sectional secondary analysis of existing national data was conducted, using counties as the unit of analysis. Data based on 1,929,414 RNs in 33 states in 2012 were obtained from the 歐美口爆's Nursys® database, and county health data were obtained from 2,016 counties from the 2012 County Health Rankings database. Regression analysis indicated that the RN-to-population ratio along with nurse education (percentage of RNs with a BSN or higher degree) and experience (number of years since graduation) was significantly associated with the self-rated health (percentage of adults reporting fair or poor health), mammography screening rates, and teenage birth rates. The 歐美口爆s were all positive: Greater numbers of nurses per capita were associated with better population health indices. These results are consistent with the Nurse Dose concept and support the need for enhanced recognition and policy changes regarding the contribution of nurses to the health of the population. Implications for nursing regulation include the need for sustained and coordinated efforts to support the health of the population through the recruitment and maintenance of a well educated and experienced nursing workforce.

Little is known about the extent and types of errors and near misses (ENMs) made by nursing students. In nursing schools, the norm has been a culture of blame in which a student, a faculty member, or both are held accountable for ENMs regardless of the source. However, evidence suggests that a failure to track and trend ENMs and learn from them actually increases the likelihood of more ENMs. To help student nurses become competent nurses, educators need systems and structures that allow trending and analysis of ENMs. Key first steps include creating a mechanism for schools to use in reporting nursingstudent ENMs and creating a transparent and blame-free culture. In addition, it will be critical to establish a national database to reflect the occurrence and types of ENMs. The database will provide a baseline of information that will guide faculty members in designing interventions to reduce ENMs. This article describes the issues and challenges encountered in creating an occurrence reporting tool, testing the tool, and establishing a national database for tracking and trending ENMs encountered by nursing students. In addition, this article presents an adaptation of the tested occurrence reporting tool that schools can use while a national database is established.

As science advances, new competencies must be integrated into nursing practice to ensure the provision of safe, responsible, and accountable care. This article utilizes a model for integrating a new complex competency into nursing practice, using genomics as the exemplar competency. Nurses working at 23 Magnet® Recognition Program hospitals participated in a 1-year new competency integration effort. The aim of the study was to evaluate nursing workforce attitudes, receptivity, confidence, competency, knowledge, and practices regarding genomics. Results were analyzed using descriptive statistical techniques. Respondents were 7,798 licensed registered nurses. The majority (89%) said it was very or somewhat important for nurses to become more educated in the genetics of common diseases. Overall, the respondents felt genomics was important, but a genomic nursing competency deficit affecting all nurses regardless of academic preparation or role was observed. The study findings provide essential information to help guide the integration of a new competency into nursing practice.

Nurses agree that direct practice with actual patients is vital, but the teaching methodologies and faculty-student relationships that optimize students’ learning in clinical settings have not been documented. This study examined students’ thinking and their interactions with faculty during clinical experiences at three academic nursing programs. Findings suggest that missed opportunities for learning, inadequate measures for clinical progress and learning, and lack of interprofessional practice are failing to optimize student clinical learning experiences.

Access to safe health care when a nurse is not present is a public protection issue facing many boards of nursing. This is especially true in schools where a nurse is not present to provide care for children with diabetes. This study examined the safety and effectiveness of a model of care that linked trained unlicensed school personnel to registered nurses (RNs) via telehealth technology to delegate and supervise diabetes care tasks, including insulin administration. The study took place from December 2010 to May 2013, and 5,568 doses of insulin were administered safely by unlicensed personnel. Surveys taken before and after implementation measured the perceptions of parents and school personnel regarding the safety and efficacy of the model of care. Statistical results showed large degrees of effectiveness. This study provides preliminary evidence supporting regulatory changes for the delegation of insulin administration and other diabetes care tasks by RNs.

NCSBN conducted a standard-setting study in October 2012 to establish the Michigan English Language Assessment Battery

(MELAB) passing standard, as related to entry-level nursing practice.

Analysis of data from a nine-year span indicated that nursing practice environment had become more complex; thus, the question arose about the current length of the entry-level nurse period.

Summary data for multiple categories of candidates, U.S. and international, is provided for performance on NCSBN's two nurse licensure examinations, the NCLEX-PN and NCLEX-RN.

A practice analysis study aims to investigate the applicability of the 2013 NCLEX-RN Test Plan to the Canadian testing population. The study surveyed Canadian entry-level registered nurses (RNs) and found similar results with those obtained from U.S. entry-level RNs. It validates the applicability of the 2013 NCLEX-RN Test Plan to the Canadian testing population.