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ABSTRACT: This qualitative study explored the experiences of clinical nurse leaders (CNLs) as they implemented this new role. Twenty-four CNLs participated. Data were collected via an e-mail-distributed questionnaire. Data from open-ended questions were used to conduct a qualitative content analysis. Data were categorized according to question, key thoughts and phrases were established, and themes were determined. Findings revealed that nonsystematic role introduction was common. Two challenges to role implementation included role confusion and being overworked. The most positive aspect of the role was remaining close to the point of care. Participants noted that the overall response of the health care team to the role was positive despite participants' belief that the greatest roadblock to role success was the lack of support by nurse administrators. The support of nurse administrators and clear role expectations were viewed as essential for role sustain-ability. Understanding the experiences of CNLs as they launch this new role can provide insights for educators, administrators, CNLs, and other health care providers regarding the success and sustainability of the role. In addition, understanding the similarities between the clinical nurse specialist (CNS) role initiation in the past and the CNL role initiation today can foster the development of strategies for confronting the challenges of new role implementation.
Journal of professional nursing: official journal of the American Association of Colleges of Nursing 05/2012; 28(3):139-46. · 0.76 Impact Factor
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ABSTRACT: The purpose of this study was to gain an understanding of the transition-to-practice experience of second-degree prelicensure master's graduates.
Second-degree graduates are increasingly joining the nursing workforce. Scant empirical literature exists regarding this group.
Using a qualitative design, second-degree prelicensure master's graduates were interviewed 3 times through a 10-month period regarding their transition to practice.
Participants chose nursing positions based on their perceived ability to grow. Two strengths of the participants included their ability to think critically and to establish relationships. Participants expressed typical novice nurse concerns. Residency and intern programs enhanced their transition to practice. Participants perceived their interactions with the health team as positive, and graduates urged administrators to use their knowledge gained from previous degrees.
Findings enhance understanding of how second-degree prelicensure master's graduates transition to practice. Understanding their transition is imperative if these graduates are to be recruited and used at their fullest potential. Such insights can also help nurse administrators better support these new hires during the transition process.
The Journal of nursing administration 05/2010; 40(5):219-25. · 1.15 Impact Factor
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ABSTRACT: Older adults with macular degeneration use multiple driving strategies. A secondary analysis focused on driving strategies was conducted on data from two studies that had explored the experience of visual impairment in older adults diagnosed with macular degeneration. Findings revealed 24 driving strategies. Twelve categories emerged, reflecting two themes: (1) strategies used while performing the task of driving and (2) strategies used to continue driving. By understanding these strategies, nurses can assess the conditions under which these older adults drive and the risks taken. Findings guide nurses to counsel and educate older adults regarding driving.
Applied Nursing Research 06/2005; 18(2):110-6. · 1.22 Impact Factor
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ABSTRACT: Little is known about how men react to their health and illness experiences. Lack of information about the lives of older men is unfortunate considering the anticipated growth of the older male sector of society and the fact that older men age differently than older women. One health-related experience common to many older men is severe visual impairment caused by macular degeneration, a chronic eye disease that affects central vision. Understanding the health experiences of older men is imperative if nurses are to provide quality care to this growing segment of society.
The purpose of this study was to gain an understanding of the experience of severe visual impairment from the perspective of older men with macular degeneration.
A phenomenological approach was used to investigate the experience of severe visual impairment in eight older men with macular degeneration. Data were gathered through audiotaped interviews and analysed using a modified Giorgi method.
The resultant general structural description revealed six central themes: (1) older men's lives were circumscribed by what they could and could not see and could and could not do, (2) cherishing of independence, (3) creation of strategies, (4) acknowledgment of the progression of visual impairment, (5) confrontation of uncertainties, skepticism, and fears about their diagnosis and treatment, and (6) persistence with hope and optimism.
A thorough nursing history and assessment must be completed, including information about the progression of the visual impairment, strategies used for living with visual loss, and presence of other health problems that may complicate life with visual impairment. Nurses must be aware that older men with macular degeneration are often sceptical about their diagnosis and treatment. Therefore, careful education and clear communication are essential.
Journal of Advanced Nursing 08/2003; 43(1):10-8. · 1.48 Impact Factor
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ABSTRACT: The majority of stroke survivors receive home care. To offer better support, home caregivers and nurses must understand the caregiving experience. This knowledge will enable nurses to help home care givers provide more effective care and conserve their own resources.
Medsurg nursing: official journal of the Academy of Medical-Surgical Nurses 01/2003; 11(6):289-95.
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Linda Weaver Moore
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ABSTRACT: Due to the frequency of eye disorders among older adults, qualitative researchers who involve older individuals in their work must be sensitive to the multiple ways in which visual deficits can influence the research process. The author addresses some of the difficulties encountered, insights gained, and strategies developed while conducting a phenomenological study in which all the participants were severely visually impaired. The author's insights, drawn from personal experiences, reflections, and log entries kept throughout the study, are shared to help other researchers design and implement studies in which the voices of individuals with severe visual impairments can be skillfully tapped.
Qualitative Health Research 05/2002; 12(4):559-65. · 2.19 Impact Factor
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ABSTRACT: Cybernetics and cyborg technologies are rapidly developing in the field of biotechnology. Such developments have yielded a wide variety of devices and prosthetics that have promoted the quality of life for many individuals with physical limitations and generally have been applauded by society and the rehabilitation field. However, such rapid developments have given rise to multiple ethical concerns. Understanding these ethical concerns and the implications they have for rehabilitation nurses is imperative. While the potential benefits of advances in technology are great for those with disabilities and chronic conditions, ethicists suggest that skepticism must be balanced with the zeal that often accompanies cutting-edge developments. As Hook notes, "We must show not a fear of technology, but a courageous control of technology, and refuse to let technology control us" (2002, p. 67).
Rehabilitation nursing: the official journal of the Association of Rehabilitation Nurses 30(2):40-3. · 0.55 Impact Factor
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ABSTRACT: This qualitative study explored second degree prelicensure master's graduates' attraction to the nursing profession, views on nursing, and thoughts regarding their contribution to nursing. Fourteen individuals participated from a cohort of master's students enrolled in a second degree program with a Clinical Nurse Leader focus. Data were collected through researcher-participant interviews. The researchers categorized data according to interview questions using constant comparison. Within each category, central themes emerged. Findings revealed that participants were drawn to nursing because of the opportunities and the caring nature of nursing. Participants felt prepared and excited to start a second career despite having to overcome challenges. They believed that their previous education enhanced their communication abilities and broadened their views; however, they encountered difficulties integrating previously held perspectives into a nursing worldview. They found poor nurse-to-nurse relationships among some experienced nurses and the difficulty of nursing education surprising. The opportunity to help others and the people for whom they provided care were the two features the participants most liked about nursing. Understanding such insights is important to continue to attract individuals from other careers to nursing. Findings highlight the important contributions that these individuals bring to the profession.
Journal of professional nursing: official journal of the American Association of Colleges of Nursing 27(1):19-27. · 0.76 Impact Factor
