Education and experience make a difference: results of a predictor study.
ABSTRACT Growing evidence demonstrates the link between the quality of care nurses provide, patient outcomes, and nurses' level of qualification and expertise. Little attention has been given to measuring the influence of experience and education on nurses' perceptions of their perioperative competence. To describe the influence of years of OR experience and specialty education on nurses' perioperative competence, we surveyed 345 perioperative nurses from two Australian hospitals. We developed the 98-item survey to specifically measure perioperative competence across eight domains that reflect knowledge, skills, and attitudes. We used multiple regression to analyze the data. There were differences in nurses' perceived perioperative competence based on perioperative experience and education, with more experienced nurses and those with specialty education reporting higher competence scores. Multiple regression analysis showed that experience and specialty education contributed to 23.3% of the variance in nurses' perception of their perioperative competence. Education initiatives are commonly used to address knowledge and attitudinal deficits; however, the results of this study suggest that education may only partly address these shortfalls. Hospital education programs should include staff development strategies associated with succession planning. Strategies that build on perioperative nurses' clinical experience and expertise will provide them with opportunites to develop skills in coordination and clinical leadership. Importantly, education occurs in a context and thus is embedded in clinical practice.
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Conference Paper: Stabilization of continuous-time nonlinear switched systems[Show abstract] [Hide abstract]
ABSTRACT: The first result of this paper is a strategy for global stabilization of continuous time nonlinear switched system. The strategy is of closed loop nature (trajectory dependent) and is designed from the solution of what we call nonlinear Lyapunov-Metzler inequalities from which the stability condition is expressed. Next, results on the stabilization of nonlinear time varying polytopic systems are provided.Decision and Control, 2005 and 2005 European Control Conference. CDC-ECC '05. 44th IEEE Conference on; 01/2006
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ABSTRACT: To create new and sustainable approaches for development of the perioperative nursing workforce, perioperative nursing leaders at a hospital collaborated with administrators and faculty at a school of nursing to create an innovative learning model that reintroduces perioperative experiences to students in a nursing baccalaureate program. Key components of the initial approaches included an externship for nursing students and a revised internship for experienced nurses who wished to work in perioperative nursing. Project leaders then expanded the nursing student learning opportunity by adding two additional elective perioperative courses to the curriculum. Formation of perioperative clinical placement sites within the senior-level adult acute care course was an additional positive outcome of these initial initiatives. These initiatives resulted in decreased use of agency nurses at the clinical site where the externships take place and increased numbers of younger nurses working in the perioperative areas where they externed, with high levels of satisfaction reported by nurses involved in the program. Through this innovative collaboration, the perioperative nurse shortage at the hospital has abated, and the opportunity to continually recruit new colleagues into the practice of perioperative nursing has been established.AORN journal 01/2014; 99(1):96-105.