Effects of Using Licensed Practical Nurses to Assist with Telephone Consultation Management

2006 ◽  
Author(s):  
Jennifer L. Wiley
Keyword(s):  
Telephone Consultation ◽  
Licensed Practical Nurses ◽  
Practical Nurses

Nurses’ Attitudes Towards People with Dementia: the semantic differential technique

2006 ◽  
Vol 13 (3) ◽  
pp. 264-274 ◽  
Author(s):  
Karl-Gustaf Norbergh ◽  
Yvonne Helin ◽  
Annika Dahl ◽  
Ove Hellzén ◽  
Kenneth Asplund
Keyword(s):  
Negative Attitude ◽  
Semantic Differential ◽  
Measures Of Association ◽  
Four Dimensions ◽  
Licensed Practical Nurses ◽  
Differential Technique ◽  
People With Dementia ◽  
Wide Range ◽  
Practical Nurses ◽  
Semantic Differential Technique

One important aspect of the nurse-patient relationship is nurses’ attitudes towards their patients. Nurses’ attitudes towards people with dementia have been studied from a wide range of approaches, but few authors have focused on the structure of these attitudes. This study aimed to identify a structure in licensed practical nurses’ attitudes towards people with dementia. Twenty-one group dwelling units for people with dementia at 11 nursing homes participated in the study. A total of 1 577 assessments of 178 patients were sent out to 181 respondents and 1 237 answers were returned. The semantic differential technique was used. The scale had 57 bipolar pairs of adjectives that estimate an unknown number of dimensions of nurses’ attitudes towards an identified patient. The assessments were analysed using entropy-based measures of association combined with structural plots. The analysis revealed four dimensions, which related to licensed practical nurses’ opinions of the patients: an ethical and aesthetic dimension; an ability to understand; an ability to experience; and an ability for social interaction. The results of the study indicated that, on the positive to negative attitude continuum, the nurses’ attitudes fell at the positive to neutral end. This is an important finding owing to the personhood perspective, from which it is reasonable to assume that, with a more positive attitude to people with dementia, the prerequisites for person-centred care will improve.

Multifaceted competence requirements in care homes: Ethical and interactional competence emphasized

2017 ◽  
Vol 38 (1) ◽  
pp. 48-58 ◽  
Author(s):  
Outi Kiljunen ◽  
Tarja Välimäki ◽  
Pirjo Partanen ◽  
Päivi Kankkunen
Keyword(s):  
Older People ◽  
Registered Nurses ◽  
Delphi Study ◽  
Care Home ◽  
Care Homes ◽  
Interactional Competence ◽  
Licensed Practical Nurses ◽  
Modified Delphi ◽  
Practical Nurses ◽  
Care For Older People

Nurses need versatile competence to care for older people in care home settings. A modified Delphi study was conducted to identify competencies registered nurses and licensed practical nurses need to care for older people in care homes. A total of 38 panelists consisting of experienced professionals in clinical and managerial roles were recruited to identify types of competencies these nurses require. In total, 80 competencies for licensed practical nurses and 81 competencies for registered nurses were identified as necessary. This study has shown that licensed practical nurses are required to have similar competencies to registered nurses in care homes. Nurse managers, nurse educators, and policy makers should pay more attention, to nurses’ work requirements, especially for licensed practical nurses, and support nurses to meet the needs of older people living in care homes.

Assessment of Staffing Needs for Registered Nurses and Licensed Practical Nurses at Primary Care Units in Brazil Using the Workload Indicators of Staffing Need (WISN) Method

2021 ◽  
Author(s):  
Daiana Bonfim ◽  
Ana Carolina Cintra Nunes Mafra ◽  
Danielle da Costa Palacio ◽  
Talita Rewa
Keyword(s):  
Primary Care ◽  
Registered Nurses ◽  
Supply And Demand ◽  
Licensed Practical Nurses ◽  
Primary Health ◽  
Practical Nurses ◽  
High Workload ◽  
Planning Methods ◽  
Staffing Needs ◽  
The City

Abstract Background The balance between supply and demand for primary health care (PHC) services is one of the main challenges to the health system in Brazil. In this context, the application of planning methods could benefit the decision-making process for human resources organizations. Hence, the objective of this study was to assess the staffing needs for registered nurses (RNs) and licensed practical nurses (LPNs) at PHC services using the WISN method. Methods The Workload Indicators of Staffing Need (WISN) methodology was applied at 13 Primary Care Units (PCU) located in the city of São Paulo, Brazil. It included 87 RNs and 174 LPNs, and used data from 2017 to 2019. Results The WISN results found that RNs were under high workload pressure at 10 PCUs (77%) in 2017 and 2018, with a decrease to 8 PCUs (61%) in 2019. For LPNs, high workload pressure increased from 2 PCUs (15%) in 2017 to 13 PCUs (100%) in 2018, with a decrease to 11 (85%) in 2019. Conclusion The assessment of staffing needs for RNs and LPNs at the PCUs included in the study identified a consistent deficit in the number of professionals, and high workload pressure in most services throughout the study period.

scholarly journals The Nursing Stress Scale-Spanish Version: An Update to Its Psychometric Properties and Validation of a Short-form Version in Acute Care Hospital Settings

2020 ◽  
Vol 17 (22) ◽  
pp. 8456
Author(s):  
Ana María Porcel-Gálvez ◽  
Sergio Barrientos-Trigo ◽  
Sara Bermúdez-García ◽  
Elena Fernández-García ◽  
Mercedes Bueno-Ferrán ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Registered Nurses ◽  
Psychometric Properties ◽  
Internal Consistency ◽  
Short Form ◽  
Licensed Practical Nurses ◽  
Stress Scale ◽  
Nursing Stress ◽  
Practical Nurses ◽  
Good Internal Consistency

Stressful working conditions are correlated with a negative impact on the well-being of nurses, job satisfaction, quality of patient care and the health of the staff. The Nursing Stress Scale (NSS) has been shown to be a valid and reliable instrument to assess occupational stressors among nurses. This study updates the psychometric properties of the “NSS-Spanish version” and validates a short-form version. A cross-sectional design was carried out for this study. A reliability analysis and a confirmatory factor analysis and an exploratory factor analysis were undertaken. Items were systematically identified for reduction using statistical and theoretical analysis. Correlation testing and criterion validity confirmed scale equivalence. A total of 2195 Registered Nurses and 1914 Licensed Practical Nurses were enrolled. The original 34-item scale obtained a good internal consistency but an unsatisfactory confirmatory and exploratory factor analysis. The short-form Nursing Stress Scale (11-items) obtained a good internal consistency for Registered Nurses (α = 0.83) and for Licensed Practical Nurses (α = 0.79). Both Nursing Stress Scales obtained a strong correlation for Registered Nurses (rho = 0.904) and for Licensed Practical Nurses (rho = 0.888). The 11-item version of the Nursing Stress Scale is a valid and reliable scale to assess stress perception among Registered Nurses and Licensed Practical Nurses. Its short-form nature improves the psychometric properties and the feasibility of the tool.

scholarly journals Second Job Holding Among Direct Care Workers and Nurses: Implications for COVID-19 Transmission in Long-Term Care

2020 ◽  
pp. 107755872097412
Author(s):  
Reagan A. Baughman ◽  
Bryce Stanley ◽  
Kristin E. Smith
Keyword(s):  
Registered Nurses ◽  
Long Term Care ◽  
The United States ◽  
Personal Care ◽  
Term Care ◽  
Licensed Practical Nurses ◽  
Care Workers ◽  
Practical Nurses ◽  
Nursing Aides

One reason that nursing homes are a primary source of COVID-19 infections and deaths in the United States may be that workers hold multiple jobs. We use 2010-2019 Current Population Survey data to document the rate of second jobholding among nursing and long-term care workers. On average, 6.41% of personal care and nursing aides and 6.23% of licensed practical nurses and registered nurses hold second jobs; second job holding rates are 35% and 32% higher than those of other workers, respectively. Both wages and hours in the primary job are negatively associated with the probability of holding a second job for personal care and nursing aides, while lower hours are more strongly correlated with a second job for registered nurses and licensed practical nurses. Many of these workers move across health settings from their first to second jobs, and 15% of second jobs for personal care and nursing aides are in other “essential” occupations.

scholarly journals Becoming Socialized into a New Professional Role: LPN to BN Student Nurses' Experiences with Legitimation

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Sherri Melrose ◽  
Jean Miller ◽  
Kathryn Gordon ◽  
Katherine J. Janzen
Keyword(s):  
Adult Learners ◽  
Professional Socialization ◽  
Student Nurses ◽  
Baccalaureate Degree ◽  
Descriptive Study ◽  
Clinical Experiences ◽  
Licensed Practical Nurses ◽  
Practical Nurses ◽  
Qualitative Descriptive ◽  
Socializing Agents

This paper presents findings from a qualitative descriptive study that explored the professional socialization experiences of Licensed Practical Nurses (LPNs) who attended an online university to earn a Baccalaureate degree in nursing (BN), a prerequisite to writing the Canadian Registered Nurse (RN) qualifying exam. The project was framed from a constructivist worldview and Haas and Shaffir’s theory of legitimation. Participants were 27 nurses in a Post-LPN to BN program who came from across Canada to complete required practicums. Data was collected from digital recordings of four focus groups held in different cities. Transcripts were analyzed for themes and confirmed with participants through member checking. Two overarching themes were identified and are presented to explain how these unique adult learners sought to legitimize their emerging identity as Registered Nurses (RNs). First, Post-LPN to BN students need little, if any, further legitimation to affirm their identities as “nurse.” Second, practicum interactions with instructors and new clinical experiences are key socializing agents.

Managing the Secrets of Dying Backstage: The Voices of Nursing Home Staff

2006 ◽  
Vol 53 (3) ◽  
pp. 193-207 ◽  
Author(s):  
Debra Parker Oliver ◽  
Davina Porock ◽  
David B. Oliver
Keyword(s):  
Nursing Home ◽  
End Of Life Care ◽  
Interaction Analysis ◽  
Nursing Home Residents ◽  
Home Setting ◽  
Licensed Practical Nurses ◽  
Practical Nurses ◽  
Interview Guide ◽  
Nursing Home Setting ◽  
Staff Experiences

The project analyzed staff descriptions of undocumented care given to dying nursing home residents. Registered nurses, licensed practical nurses, certified nurse aids, and social service designees were interviewed using an unstructured interview guide. Transcripts were coded by two members of the team and a thematic analysis was guided with the theoretical framework of Erving Goffman's dramaturgical model of social interaction. Analysis of interview transcripts revealed practices related to end of life care that went undocumented. Viewed through the lens of Goffman's theoretical model, this undocumented care revealed “secrets” related to socialization processes, communication, tension, superstitions, and interactions between staff and dying residents. Findings show that while dying is not formally acknowledged in the nursing home setting, staff experiences the reality of death and informally responds to the special needs of residents.

scholarly journals Overcrowding in psychiatric wards and physical assaults on staff: data-linked longitudinal study

2011 ◽  
Vol 198 (2) ◽  
pp. 149-155 ◽  
Author(s):  
Marianna Virtanen ◽  
Jussi Vahtera ◽  
G. David Batty ◽  
Katinka Tuisku ◽  
Jaana Pentti ◽  
...  
Keyword(s):  
Longitudinal Study ◽  
Psychiatric Hospitals ◽  
Hospital Staff ◽  
Small Scale ◽  
Bed Occupancy ◽  
Licensed Practical Nurses ◽  
Practical Nurses ◽  
Ward Level ◽  
Violent Acts ◽  
Hospital Wards

BackgroundPatient overcrowding and violent assaults by patients are two major problems in psychiatric healthcare. However, evidence of an association between overcrowding and aggressive behaviour among patients is mixed and limited to small-scale studies.AimsThis study examined the association between ward overcrowding and violent physical assaults in acute-care psychiatric in-patient hospital wards.MethodLongitudinal study using ward-level monthly records of bed occupancy and staff reports of the timing of violent acts during a 5-month period in 90 in-patient wards in 13 acute psychiatric hospitals in Finland. In total 1098 employees (physicians, ward head nurses, registered nurses, licensed practical nurses) participated in the study. The outcome measure was staff reports of the timing of physical assaults on both themselves and ward property.ResultsWe found that 46% of hospital staff were working in overcrowded wards, as indicated by >10 percentage units of excess bed occupancy, whereas only 30% of hospital personnel were working in a ward with no excess occupancy. An excess bed occupancy rate of >10 percentage units at the time of an event was associated with violent assaults towards employees (odds ratio (OR) = 1.72, 95% CI 1.05–2.80; OR = 3.04, 95% CI 1.51–6.13 in adult wards) after adjustment for confounding factors. No association was found with assaults on ward property (OR = 1.06, 95% CI 0.75–1.50).ConclusionsThese findings suggest that patient overcrowding is highly prevalent in psychiatric hospitals and, importantly, may increase the risk of violence directed at staff.

scholarly journals Voices That Care: Licensed Practical Nurses and the Emotional Labour Underpinning Their Collaborative Interactions with Registered Nurses

2011 ◽  
Vol 2011 ◽  
pp. 1-10 ◽  
Author(s):  
Truc Huynh ◽  
Marie Alderson ◽  
Michelle Nadon ◽  
Sylvia Kershaw-Rousseau
Keyword(s):  
Registered Nurses ◽  
Emotional Regulation ◽  
Nursing Leadership ◽  
Interpersonal Process ◽  
Licensed Practical Nurses ◽  
Emotional Labour ◽  
Collaborative Interactions ◽  
Practical Nurses ◽  
Group 2 ◽  
Interpersonal Factor

Recognizing the emotional labour underlying interprofessional collaborations (IPCs) could be considered a crucial step towards building a cohesive nursing team. Although IPCs between registered nurses (RNs) and licensed practical nurses (LPNs) have been linked to quality nursing care, little is known about the emotions experienced by LPNs during their interactions with RNs or those factors that influence IPCs. A questionnaire administered to 309 LPNs found that (1) the professional identity of LPNs has evolved into a that of a unique social group; (2) LPNs define IPC as an interpersonal process of exploring similar or dissimilar assessments of a patient's status with RNs and, together, establishing a course of nursing actions; (3) the primary organizational factor facilitating IPCs is inclusive nursing leadership; (4) the interpersonal factor promoting IPCs is the level of trust RNs extend to LPNs; and (5) an LPN's emotional labour (i.e., internal emotional regulation) is most tangible during uncollaborative interactions with RNs.

Sign in / Sign up

Export Citation Format

Share Document