This study examines the role transition that occurs during RN-to-family nurse practitioner (FNP) education, described in an earlier qualitative study that identified a role transition framework of influential positive forces and obstacles. The purposes of the study were to validate the educational phase of the original framework and explore other role transition issues. The study used a descriptive correlational design by asking all FNPs in two rural western states to participate by answering a questionnaire. Findings evidenced a stronger level of agreement with the positive forces than with the obstacles. In addition, two significant relationships were found between the positive forces and obstacles and personal life circumstances. These included personal support systems, which were significant for those who had to travel to class, and personal sacrifices, which were significant for those who had children at home. Further research will focus on testing across nurse practitioner specialties nationally.
Important underlying beliefs influencing student attitudes, which could be emphasized in academia, include the advantages of getting to know elderly patients and their families and having pleasant patients to work with. Faculty are encouraged to positively reinforce these beliefs throughout the curricula. Results of this study support using a theory-based model to identify predictors of job selection among physical therapist and RN graduates.
Client satisfaction surveys have served as a valued appraisal tool of quality nursing care in various health care settings, but there is a paucity of published research using these tools in the occupational health setting. Employing a modified version of the SERVQUAL questionnaire, this study identified employees' current levels of satisfaction and perceived importance of nursing care provided by an occupational health program. Two hundred randomly selected employees were asked to participate by completing the survey, with 86 (43%) responding. Results indicated a positive correlation between client satls
This study determined the effect of co-payment on the use of medical services by approximately 700 male and female prisoners in Idaho. Two way ANOVAs were computed to determine whether there were effects of gender, co-payment, and the interaction between gender and co-payment on the use of medical services. Findings included significant differences between male and female inmate medical requests after co-payment. Another finding was that the average number of requests significantly decreased for dental hygienists and sick care after co-payment, and significant interactions between gender and co-payment occurred for dental hygienists and sick care requests. Also found was a decrease in sick care requests by both male and female prisoners by about 40%. These findings support that co-payment does have a significant impact on the use of medical services in the prisons studied.
This study examined the numbers and types of female inmate health care requests, the health care providers used to service the requests, and if there was a relationship between the number of requests and time incarcerated. The most frequent requests were for medications, infections, and dental, gynecological, and gastrointestinal difficulties. Physicians provided health care services more frequently than nurses and nurse practitioners. Inmates with shorter incarcerations had both more health care requests and used health care provider services more frequently than inmates with prolonged incarcerations. The authors recommend that more resources need to be allocated to cover the health care needs of female inmates with short-term incarcerations.
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