A citation analysis of dissertations accepted in the Department of Chemistry at The Ohio State University between 1996-2000 was performed as a way to determine material use. The 30 dissertations studied generated a total of 3,704 citations. Types of materials cited, currency of literature, and dissertation topics were all analyzed.
The current results corroborate past research by other authors. Journal articles were cited more frequently than monographs: 85.8% of the citations were journal articles and 8.4% of the citations were monographs. The results of this study may be used to assist OSU and other universities in chemistry collection development.
Background: Health care organizations use advanced practice registered nurses (APRNs) to expand patient access and support high-quality care. However, turnover, often exacerbated by inadequate engagement, has steep financial and experiential costs.Local problem: The project site, a large urban academic institution with quaternary care capabilities, employs more than 300 APRNs to provide patient care. Due to variations in hiring entity, leadership structure, and organizational visibility, efforts to maintain APRN engagement were complex. In addition, inconsistencies in standardization of clinical, credentialing, and privileging procedures created organizational risk.Methods: Quality improvement principles informed the implementation of a shared governance council for APRNs that included nurse practitioners and certified registered nurse anesthetists. Data were collected pre and postintervention using validated engagement questions.Intervention: Implementation of a shared governance council to support the organizational engagement of APRNs through decisional involvement in professional practice issues.Results: Analysis included the percentage of change in aggregate scores and the Wilcoxon rank-sum test to obtain p values of the 2 independent samples. There was an 8.9% increase in aggregate postintervention scores and statistical improvement in measures of quality improvement involvement.
Conclusion:Participation in the shared governance council increased APRN engagement through enhanced opportunities to communicate professional and clinical practice issues, decisional involvement, and collaboration. Statistically significant improvements in quality improvement involvement values potentially affirm the council's role in facilitating work environment improvements. Potential long-term gains include improved job satisfaction, retention, and organizational cost savings.
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