Meritorious Academic Partnership Designation: Recognizing Nursing Professional Development in Graduate Curricula.

In a quantitative study to determine nursing professional development (NPD) practitioners' self-perceived influence, influence was operationally defined as political skill. A sample of 989 NPD practitioners reported high-average overall levels of political skill. For those without formal leadership positions, networking ability, a subscale of political skill, was predicted by NPD certification and a graduate degree or higher. NPD practitioners can enhance their influence competency through education, certification, professional development, mentoring, and coaching.

A common question nursing professional development (NPD) practitioners ask is, "How many NPD practitioners should my organization have?" This study examined correlations among facility size and structure, NPD practitioner characteristics and time in service, and organizational outcomes. Organizations with a higher rate of NPD full-time equivalents per bed had higher patient satisfaction with nurses' communication and provision of discharge instruction on their HCAHPS (Hospital Consumer Assessment of Healthcare Provider and Systems) scores.

Until spring 2023, nurses in professional development did not have terminal degree options tailored to their needs. In response, The Ohio State University College of Nursing launched the Doctor of Nursing Education (DNE) program with two tracks: academic nurse educator and nursing professional development (NPD). This program addresses the national shortage of doctorally prepared nurse educators and prepares graduates to lead educational change. This article describes the curriculum and leadership focus of the NPD track of the DNE program, aligned with the Association for Nursing Professional Development scope and standards of practice (2022). It highlights four capstone projects implemented by NPD practitioners in health care settings. Students conducted evidence-based, quality improvement, and program evaluation projects that improved clinical teaching, nurse certification, interdisciplinary collaboration, and new graduate nurse mentoring. These NPD projects highlight the transformative impact of the DNE program, illustrating how doctoral education drives meaningful improvements in health care practice across diverse settings.

Since its publication in 2016, the third edition of Nursing Professional Development: Scope and Standards of Practice has generated excitement for the specialty. The scope and standards has promoted uniformity of title, stimulated changes in position descriptions, fostered adherence to scope of practice, and served as a unifying framework for system-wide nursing professional development departments. However, continued action is required in the areas of advocacy, research, and engagement with the specialty organization.

This research was undertaken to delineate the future role of nursing professional development (NPD) specialists. Using a modified e-Delphi technique, seven key roles for NPD (partner for practice transitions, learning facilitator, change agent, mentor, leader, champion of scientific inquiry, and advocate for NPD specialty) and their concomitant competencies evolved. Results of this study informed the update of the NPD Scope and Standards of Practice and may be used to identify competencies for the specialty.

This study identified characteristics and perceptions of nursing faculty that best predict their intentions to leave their faculty positions. The inadequate supply of nursing faculty is a situation that requires immediate intervention, yet evidence on factors associated with nurse faculty intent to leave their faculty positions is sparse. Survey data from 4,118 nurse faculty teaching in pre-licensure and graduate nursing education programs were analyzed. A conceptual model was designed to reflect six domains of factors contributing to the nurse faculty shortage and intent to leave. Two distinct multivariate models of characteristics and perceptions were determined to predict nursing faculty's intent to leave in the next year (n = 16) and next five years (n = 17). To address predictors of nurse faculty intent to leave, data-driven strategy recommendations based on the six domains model of contributing factors are presented. These strategies represent a small but important step in the process of resolving the nurse faculty shortage.

As the new graduate nurse transitions from academia to practice, they commit to lifelong learning to enhance their professional and personal growth. This article provides a comparison between bachelor of science in nursing and associate degree nursing nurses who participated in a multisite national nurse residency program between 2015 and 2019 in areas of professional development, leadership, and academic progression during their initial 3 years of practice. It also provides nursing professional development practitioners with strategies from two national experts to support new graduate nurses during early practice.

The need for Oil and Gas (O&G) companies to adopt environmental management practices is necessitated by the potentially adverse implications of petroleum related operations primarily in developing countries where the enforcement of regulatory environmental frameworks tends to be marginal. This research aims to assess the environmental management practices of national and multinational oil companies and the level of integration achieved between health, safety and environmental systems taking the O&G companies in Lebanon as case example. Accordingly, a survey questionnaire and in-depth interviews were conducted with O&G distributing companies and concerned stakeholders, respectively. Our findings asserted that the majority of O&G companies failed to systematically integrate the fundamental tenants of environmental management into their organizational and operational constructs. Almost all respondents were incapable of differentiating between health, safety, and environmental practices. An EMS was considered by various stakeholders as a tool to ensure that laws and regulations are effectively implemented. This study underscores that while the significance of implementing environmental management practices is generally recognized; most firms primarily in developing countries underrate its importance and prioritize health and safety issues over environmental ones.

Headache and facial pain are among the most common, disabling and costly diseases in Europe, which demands for high quality health care on all levels within the health system. The role of the Danish Headache Society is to educate and advocate for the needs of patients with headache and facial pain. Therefore, the Danish Headache Society has launched a third version of the guideline for the diagnosis, organization and treatment of the most common types of headaches and facial pain in Denmark. The second edition was published in Danish in 2010 and has been a great success, but as new knowledge and treatments have emerged it was timely to revise the guideline. The recommendations for the primary headaches and facial pain are largely in accordance with the European guidelines produced by the European Academy of Neurology. The guideline should be used a practical tool for use in daily clinical practice for primary care physicians, neurologists with a common interest in headache, as well as other health-care professionals treating headache patients. The guideline first describes how to examine and diagnose the headache patient and how headache treatment is organized in Denmark. This description is followed by sections on the characteristics, diagnosis and treatment of each of the most common primary and secondary headache disorders and trigeminal neuralgia. The guideline includes many tables to facilitate a quick overview. Finally, the particular challenges regarding migraine and female hormones as well as headache in children are addressed.

Caring for a skin cancer patient is often highly collaborative, with a diverse team that can involve the following: general practice, dermatology, surgery, radiology, pathology, radiation oncology, or medical oncology. These clinicians use “referrals” to communicate details of the patient and lesion(s); unfortunately, they are generally not standardised between services. Lesion identification can vary from highly detailed clinical photography to ambiguous written descriptions and patient memory alone cannot be relied upon.1 This is relevant not only to patients referred from one clinician to another, but also for those seen over time at the same practice. For referrals regarding urgent lesions (melanoma, Merkel cell carcinoma, or poorly differentiated squamous cell carcinoma, etc.) clinicians must balance risk for wrong-site surgery (WSS) against disease progression if delay is required for lesion-site confirmation. Harm occurring due to a poor-quality referral could result in civil litigation, notifications to regulators or coronial investigations. Pursuit of a negligence claim in this context is a difficult legal question. Courts, in reviewing other fields of medicine, have confirmed that an action in negligence will lie against a clinician who fails to take reasonable care, resulting in a missed diagnosis; where there is either no or poor subsequent prospects of efficacious treatment being undertaken: Woods v QML2; Flinders Medical Centre and Anor v Waller and Anor.3 Furthermore, all clinicians have legal and professional obligations to ensure their records (including referrals) are accurate, adequate, and contemporaneous.4 Guidelines for the referral of skin cancer patients are essentially nonexistent, compounded by a paucity of explicit or standardised training from medical schools and specialty organisations. Thus, variability abounds in the quality and make up of these referrals. Underpinning these issues is the burden of regulatory and malpractice complaints: 2% of American Mohs fellows have been involved in a WSS lawsuit.5 Foremost we should empower patients to engage in the referral process. Patients identifying their own lesion location adds another layer of safety and is likely to improve their satisfaction with health care. This should include the patient retaining a copy of lesion-identifying photographs. Phone applications, that could securely store images in a readily accessible manner, would both significantly abrogate medicolegal risk and involve the patient in their care. Teledermatology plays an increasing role in skin cancer referrals though integration into referral systems moves slowly. Many clinicians are still unable to transmit imagery without significant loss of quality, epitomised by the ongoing use of the “fax machine.” Total body photography with digital dermoscopy would be the gold standard but only poses more questions for incorporation into referral pathways. Regardless, images in referrals should be accompanied by a description of their location with standardised nomenclature.6 Improvements to health systems need not only be digital in nature, and many clinicians create their own analogue solutions that assist the less technologically adept patients. For example, Rajput (2021)7 and Veitch et al.8 suggest a transparent grid positioning system that could be easily replicated by any clinic. Even more simply, if the lesion cannot be adequately identified then the patient can be referred back to the original clinician for re-identification and even repeated marking of the lesion. This is not an exhaustive exploration of possible improvements to referral pathways but underlines the necessity for standardisation of lesion identification, especially if there are several lesions within a specific anatomic location. Particularly, we would implore specialty training organisations and medical schools to review their curricula for more formal education of this vital piece of medical communication. Finally, for any concerns regarding medicolegal risk in patient care, clinicians should not hesitate to reach out to their medical defence organisation. None. HPS is a shareholder of MoleMap NZ LTD and e-Derm Consult GmbH and undertake regular teledermatological reporting for both companies, they are a Medical Consultant for Canfield Scientific Inc. and a Medical Advisor for First Derm. OB is the chief medical officer of the Medical Indemnity Protection Society. The remaining authors declare that this work was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. Not applicable. Data sharing is not applicable to this article as no new data were created or analyzed in this study.

With the ongoing evolution of military operations, future high-altitude missions are expected to present significant challenges due to extreme environmental and geographical conditions. As essential members of the medical support system, military nurses play a crucial role in various combat rescue operations-particularly in casualty care under special environmental conditions-where their competency directly influences the effectiveness of medical support. Evaluating casualty care capabilities in extreme settings not only reflects the overall performance of rescue personnel but also provides a foundation for capability development and training. This study developed a core competency scale for high-altitude extreme environment rescue among military nurses (HA-MNCS) and examined its reliability and validity, offering a practical tool for use in training and assessment by managers. Based on a literature review and semi-structured interviews, an initial item pool was constructed. The scale was refined through expert consultation, group discussions, and a pilot survey. Using convenience sampling, 220 active-duty or civilian nurses from two hospitals in China were recruited. Item analysis, reliability, and validity tests were conducted on the collected questionnaire data. The final version of the scale consists of 36 items across four dimensions: theoretical knowledge, professional skill, comprehensive ability, and personal trait. The item-content validity index (I-CVI) ranged from 0.833 to 1.000, and the scale-content validity index (S-CVI) was 0.978. Exploratory factor analysis (EFA) revealed that Bartlett's sphericity test χ 2 value was 3217.183 (p < 0.001), the KMO coefficient was 0.839, and the cumulative variance explained by the four common factors was 70.040%. The results of confirmatory factor analysis (CFA) indicated that the root mean square error of approximation (RMSEA) was <0.08, the root mean square residual (RMR) was <0.05, and the incremental fit index (IFI) and comparative fit index (CFI) were both >0.9. The Cronbach's α coefficient of the scale was 0.948, the split-half reliability was 0.810, and the test-retest reliability was 0.962. The HA-MNCS demonstrates good reliability and validity and can serve as an effective tool for evaluating the core competency of military nurses in high-altitude extreme environment rescue operations. It provides a valuable reference for improving assessment systems and optimizing training programs.

The purpose of this paper is to explore the ageing of population, changes in disease spectrum, the need for development of nursing profession, the reforms of medical and health system, especially the challenges of increasingly diverse health needs on professional competence in nurses. And then, we will analyze the existent problems of nursing education in China from different proportions of nursing personnel training, education concept and model, course offered, clinical practice teaching and teaching staff, so as to put forward the targeted measures. Key words: Nursing education; Health needs; Personnel training; Countermeasures

The coronavirus disease 2019 (COVID-19) pandemic due to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has challenged health-care systems and physicians worldwide to attempt to provide the best care to their patients with an evolving understanding of this unique pathogen. This disease and its worldwide impact have sparked tremendous interest in the epidemiology, pathogenesis, and clinical consequences of COVID-19. This accumulating body of evidence has centered around case series and often empiric therapies as controlled trials are just getting underway. What is clear is that patients appear to be at higher risk for thrombotic disease states including acute coronary syndrome (ACS), venous thromboembolism (VTE) such as deep vein thrombosis (DVT) or pulmonary embolism (PE), or stroke. Patients with underlying cardiovascular disease are also at higher risk for morbidity and mortality if infected. These patients are commonly treated with anticoagulation and/or antiplatelet medications and less commonly thrombolysis during hospitalization, potentially with great benefit but the management of these medications can be difficult in potentially critically ill patients. In an effort to align practice patterns across a large health system (Jefferson Health 2,622 staffed inpatient beds and 319 intensive care unit (ICU) beds across 14 facilities), a task force was assembled to address the utilization of anti-thrombotic and anti-platelet therapy in COVID-19 positive or suspected patients. The task force incorporated experts in Cardiology, Vascular Medicine, Hematology, Vascular Surgery, Pharmacy, and Vascular Neurology. Current guidelines, consensus documents, and policy documents from specialty organizations were used to formulate health system recommendations. Objective Our goal is to provide guidance to the utilization of antithrombotic and antiplatelet therapies in patients with known or suspected COVID-19.

Genuine ignorance, defined by John Dewey as curiosity and openmindedness in opposition to repetition of catch phrases and familiar propositions, is nurtured in graduate nursing curricula in which the educational process is congruent with course content. Preparation for advanced practice in the mental health environment of the foreseeable future required abandonment of the familiar medical model in favor of conceptual models consistent with current thinking in psychiatric nursing and exposure to current problems (homelessness, family violence, AIDS) and current problem solving strategies (brief treatment, family preservation). Involvement in practice-based research and operationalizing new perspectives on familiar clinical problems, are suggested as strategies for developing the advanced practitioner. Two of the authors, former graduate students, describe the impact of changed perspectives and research activity on their own practice.

I can't get no patient or practitioner satisfaction.