Facilitating the Transition of Nurse Clinician to Nurse Scientist: Significance of Entry PhD Courses

Deborah K. Armstrong; Mary McCurry; Nancy M. Dluhy

doi:10.1016/j.profnurs.2016.06.005

Changing relationships: how does patient involvement transform professional identity? An ethnographic study

BMJ Open ◽

10.1136/bmjopen-2020-045520 ◽

2021 ◽

Vol 11 (7) ◽

pp. e045520

Author(s):

Marie-Pierre Codsi ◽

Philippe Karazivan ◽

Ghislaine Rouly ◽

Marie Leclaire ◽

Antoine Boivin

Keyword(s):

Quality Improvement ◽

Data Collection ◽

Health Professionals ◽

Clinical Care ◽

Ethnographic Study ◽

Structured Interviews ◽

Administrative Team ◽

Nurse Clinician ◽

New Perspective ◽

Relational Framework

ObjectivesTo understand identity tensions experienced by health professionals when patient partners join a quality improvement committee.DesignQualitative ethnographic study based on participatory observation.SettingAn interdisciplinary quality improvement committee of a Canadian urban academic family medicine clinic with little previous experience in patient partnership.ParticipantsTwo patient partners, seven health professionals (two family physicians, two residents, one pharmacist, one nurse clinician and one nurse practitioner) and three members of the administrative team.Data collectionData collection included compiled participatory observations, logbook notes and semi-structured interviews, collected between the summer of 2017 to the summer of 2019.Data analysisGhadiri’s identity threats theoretical framework was used to analyse qualitative material and to develop conceptualising categories, using QDA Miner software (V.5.0).ResultsAll professionals with a clinical care role and patient partners (n=9) accepted to participate in the ethnographic study and semi-structured interviews (RR=100%). Transforming the ‘caregiver–patient’ relationship into a ‘colleague–colleague’ relationship generated identity upheavals among professionals. Identity tensions included competing ideals of the ‘good professional’, challenges to the impermeability of the patient and professional categories, the interweaving of symbols associated with one or the other of these identities, and the inner balance between the roles of caregiver and colleague.ConclusionThis research provides a new perspective on understanding how working in partnership with patients transform health professionals’ identity. When they are called to work with patients outside of a simple therapeutic relationship, health professionals may feel tensions between their identity as caregivers and their identity as colleague. This allows us to better understand some underlying tensions elicited by the arrival of different patient engagement initiatives (eg, professionals’ resistance to working with patients, patients’ status and remuneration, professionals’ concerns toward patient ‘representativeness’). Partnership with patients imply the construction of a new relational framework, flexible and dynamic, that takes into account this coexistence of identities.

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Telehealth Monitoring With Nurse Clinician Oversight—Reply

Archives of Internal Medicine ◽

10.1001/2013.jamainternmed.276 ◽

2012 ◽

Vol 172 (20) ◽

pp. 1612 ◽

Cited By ~ 3

Author(s):

Paul Y. Takahashi ◽

Nilay D. Shah ◽

James M. Naessens

Keyword(s):

Nurse Clinician

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Nurse Clinician

AJN American Journal of Nursing ◽

10.1097/00000446-197411000-00026 ◽

1974 ◽

Vol 74 (11) ◽

pp. 1993-1997

Author(s):

BEATRICE E. THOMSTAD ◽

BARBARA HOCKEY KAPLAN

Keyword(s):

Nurse Clinician

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Improving the wait time to triage at the emergency department

BMJ Open Quality ◽

10.1136/bmjoq-2019-000708 ◽

2020 ◽

Vol 9 (1) ◽

pp. e000708 ◽

Cited By ~ 1

Author(s):

Yuzeng Shen ◽

Lin Hui Lee

Keyword(s):

Emergency Department ◽

Wait Time ◽

Baseline Period ◽

Quality Improvement Effort ◽

Nurse Clinician ◽

Reduce Wait Time ◽

Key Steps ◽

Improvement Effort ◽

Period Duration ◽

Nursing Manpower

Triaging of patients at the emergency department (ED) is one of the key steps prior to initiation of doctor consult. To improve the overall wait time to consultation, we have identified the need to reduce the wait time to triage for ED patients. We seek to determine if the implementation of a series of plan, do, study, act (PDSA) cycles would improve the wait time to triage within 1 year. The interventions related to the PDSA cycles include the refining of triage criteria, ‘eyeball’ triage by senior nurses to facilitate direct bedding of patients, formation of a triage nurse clinician role, and a needs analysis of required nursing manpower. The baseline period for this study was from January 2017 to April 2017, with the results following implementation of the respective PDSA cycles sequentially tracked from May 2017 to March 2019. There was an improvement in the wait time to triage from a baseline duration of 18 min to the postimplementation period duration of 13 min, with a 25% decrease in variance from 16 to 12 min. The improvements were sustained. Strategies to further reduce wait time to triage at the ED are discussed. We also highlight the importance of adequate triage manpower, data-driven decision making and continued engagement of stakeholders in enabling positive outcomes from this quality improvement effort.

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Becoming a Transformative Nurse Educator: Finding Safety and Authenticity

International Journal of Nursing Education Scholarship ◽

10.1515/ijnes-2018-0073 ◽

2019 ◽

Vol 16 (1) ◽

Author(s):

Renee Hoeksel ◽

Linda L Eddy ◽

Lida Dekker ◽

Dawn Doutrich

Keyword(s):

Nursing Education ◽

Nursing Faculty ◽

Nurse Educators ◽

Nurse Educator ◽

Role Transition ◽

Faculty Shortage ◽

Nursing Faculty Shortage ◽

Interpretive Analysis ◽

Shared Stories ◽

Nurse Clinician

AbstractThe study purpose was to evaluate and strengthen this program’s nursing education curriculum to better prepare and develop future nurse faculty. As the dire nursing faculty shortage increases, the transition of expert nurse clinician to novice educator is receiving more attention. In order to prepare, recruit, and retain the nursing faculty needed to meet the growing nurse shortage, understanding what nurse educators need in order to be successful is essential. Fourteen participants from four focus groups of nurse educators shared stories about their role transition. Two administrators were interviewed to determine what they identified as crucial in hiring new nurse educators. Interpretive analysis focused on identification of themes and possible paradigm cases. Themes that emerged included: a) culture of academia surprises, b) exciting “Aha!” moments, and c) Safety with a capital “S”. These findings were used to strategically revise the entire nurse educator curriculum.

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