J Contin Educ Nurs
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The dedicated education unit (DEU) is an emerging model of nursing education. Instead of an instructor-led clinical group, students are partnered with a unit staff nurse for precepted learning. ⋯ Precepting nursing students in a DEU is different from precepting newly hired staff nurses and traditional clinical students. This article describes the DEU model implemented at one university, the challenges associated with preparing staff nurses to precept nursing students, the development of a face-to-face DEU preceptor orientation, and progression to an innovative online orientation course.
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Little information is known about the use, knowledge, and attitudes toward evidence-based practice (EBP) among nurses in a large academic hospital. This cross-sectional, descriptive study examined the knowledge, attitudes, and use of EBP by nurses at a large academic, Magnet(®)-designated medical center. ⋯ Continuing education for nurses makes a difference in nurses' attitudes, knowledge, and use of EBP in practice. Participation in EBP and research educational activities or Council meetings may affect EBP culture in a large academic medical center.
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Rapid response is a mature concept that is undergoing metamorphosis. The ideal structure and function of these safety teams has not yet been realized but new developments in the field of rapid response systems are evolving.
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The goal of the development phase of the CPR Instructor Real-time Review through Use of Simulation (CIRRUS) research program was to create a video library portraying a spectrum of objectively verified simulation chest compression performances. Investigators scripted and recorded 12 two-person cardiopulmonary resuscitation (CPR) videos with specific chest compression parameters encompassing a range of hand positions, rates, depths, and chest releases in combinations that proportionately reflected typical learner cohort performances. ⋯ Deviations from specification were 1 to 10 cpm (mode = 4 cpm) for compression rate and -1.4 to 1.3 cm (mode = 0.9 cm) for depth. The program's collection of simulated CPR videos with objectively verified chest compression performances may help researchers and educators study and improve CPR instruction and provider preparation for the effective delivery of optimal patient care.
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Ventilator-associated pneumonia (VAP) is associated with high morbidity and mortality rates in mechanically ventilated patients in the United States. Routine oral care has been shown to have a direct effect on reducing VAP rates. ⋯ Significant reductions in VAP rates may be achieved through improved education and implementation of oral care protocols with 0.12% chlorhexidine solution.