Browsing by Author "Anderson-Johnson, Pauline"
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- ItemAcademic performance: The role of cognitive engagement among student nurses in a Jamaican community college(2016-03-17) Taylor-Smith, Cassia Yolanda; Stephenson-Wilson, Kayon G.; Munroe, Dawn; Walker, Melissa; Anderson-Johnson, Pauline; Non-member
Session presented on Saturday, July 25, 2015:
Purpose: Evidence indicates that a positive relationship exists between cognitive engagement and academic performance. The transition of nursing education from hospital based training to universities and colleges in the Caribbean; require that nursing students engage at a higher cognitive level to secure academic success. Examination of the literature reveals gaps in understanding how cognitive engagement impact on the academic performance of nursing students internationally and nationally. Therefore, the purpose of this study was to determine if nursing students were cognitively engaged in the teaching-learning process, and the relationship that existed between their cognitive engagement and academic performance at a Rural Community College in Jamaica.
Methods: A cross-sectional descriptive correlational design was employed. All students (BSN and Assistant Nursing (AN)) enrolled at a rural community college in Jamaica were included (n = 117). To collect demographic and cognitive engagement data, items from the NSSE 2013 The College Student Report and The Engagement in Academic Work tool were combined to form a 33-item Cognitive Engagement Survey. Respondents' grade point averages (GPA) were obtained from anonymized records. The relationships between cognitive engagement and GPA were examined using Spearman's rho, Tukey post-hoc test and ANOVA, assisted by SPSS version 20.
Results: The response rate was 88% (n=103); 69 from the BSN years one to three and 34 from the AN group. Most respondents were 22 years and older (67%). Mean GPA was 2.49 +/- 0.518; 59.2% of respondents achieved GPAs between 2.00 and 2.99, 23.3% had GPA ? 3.00, while 17.5% failed (GPA ? 1.00). The majority BSN and Assistant Nursing students (80% & 62% respectively) reported surface cognitive processing. A statistically significant relationship existed between deep cognitive engagement and academic performance (F [ 2, 100 ] = 3.35, p = .039).
Conclusion: Most students utilized surface levels of cognitive engagement regardless of programme type with little effect on pass rates; however, deep cognitive engagement influenced the quality of academic performance. The need for critical clinical reasoning in patient care requires that teaching methodologies be examined with a view to stimulating the use of deep cognitive engagement among nursing students.
- ItemPerceived barriers to research utilization among registered nurses in an urban hospital in Jamaica(2016-07-13) Anderson-Johnson, Pauline; Norman-McPherson, Andrea; Foster-Jackson, Stacey; Beta Tau
Session presented on Friday, July 22, 2016:
Background: Applying research-based evidence into the clinical practice reflects the gold standard of quality and cost effective patient-centered care. Practicing without evidence-based knowledge limits nurses in providing competent care. The international Council of Nurses (ICN) has stipulated that nurses globally use research evidence in the clinical practice in order to close the existing gap between research and practice in nursing. However despite these directives, routine practices still persist (ICN, 2012).While there are numerous clinically pertinent research-based knowledge available as well as an increase in access, the pace of adopting the evidence to provide nursing care has either been slow or lacking (Squires, Hutchinson, Bostrom, O'Rourke, Cobban & Estabrooks, 2011). It has also been noted that though research is high on the agenda of hospitals, the process according to Melnyk and Fineout-Overholt (2015) is lengthy and could take years. A number of studies have highlighted various obstacles to research utilization (Buhaid, Lau & O'Connor, 2014; Chien, Bai, Wong, Wang and Lu (2013), but studies of this nature are lacking in the Caribbean of differing cultural context.
Purpose: The purpose of this study was to examine the barriers to research utilization among Registered Nurses (RN) in their clinical practice and the socio-demographic characteristics of the nurses that may have influenced their perception.
Methods: A descriptive correlational study was conducted among a randomly selected sample of 178 registered nurses at a 500-bed urban hospital. Following ethical approval, data were collected using the BARRIERS Scale (Funk et al., 1991), a self-administered 35-item questionnaire along with a socio-demographic data form. Twenty nine of the items were rated on a five-point likert scale. The data were analyzed using SPSS version 20. Univariate and bivariate descriptive statistics were used to summarize the data and statistical tests; t-test and ANOVA were used to examine the relationships among key variables. The dependent variable, Barriers scores with 29 items was analyzed according to the four subscales, settings, nurse, presentation and research.
Results: The response rate was 94.4% (168). The mean age of respondents was 32.07 +/- 6.98 years and most were 30 years old and younger (47.6%). Of the top ten ranked barriers, 6 items were related to the "Setting" subscale. 'A lack of authority to change patient care procedures' was the highest ranked barrier by 83.3% of the respondents followed by 'facilities are inadequate for implementation' (78.3%) and 'nurse feels results are not generalizable to own setting' (74.6%). Only educational level showed a significant relationship to the overall barrier scores (p = 0.02) - respondents with diploma in nursing had significantly higher scores (77.2 +/- 17.3) compared to those with a bachelor's degree (68.4 +/- 14.7).
Conclusion: Most of the barriers highlighted were in the 'setting' subscale. Challenges surrounding lack of authority, support and structural resources of the work setting were obstacles that were predominantly perceived by the nurses. In addition education at the bachelor's level is important to minimize the barriers. Findings from this study can provide valuable direction for administrators and educators to collaboratively develop strategic intervention programmes to increase the use of evidence thus augmenting the delivery of quality patient care.
- ItemSocio-demographic characteristics and life satisfaction in Jamaican women aged 15 to 24 yearsMcIntyre, Suzanne; Sandcroft, Annalisa; Aiken, Joyette L.; Anderson-Johnson, Pauline; The University of the West Indies, St. Andrew, Jamaica; Non-member
Life satisfaction plays a key role in the lives of adolescents and emerging adults. Findings from this secondary data analysis showed that overall, the majority of young Jamaican women aged 15 -24 years are satisfied with their lives
- ItemStepping stones to leadership(Sigma Theta Tau International, 2020-09-23) Stallings, Devita T.; Jenkins, Peggy A.; Reigle, Beverly S.; Hernandez, Monina; Anderson-Johnson, Pauline; Saint Louis University, St. Louis, Missouri, USA; Delta Lambda at-Large
We need nurses to accept the call to leadership to achieve Sigma’s mission of improving the health of all people. Nurses function as leaders daily by inspiring, educating, and advocating for patients, families, communities, student nurses, and colleagues. It is time for all of us to self-reflect on the contributions we are making to Sigma. What role are you playing to fulfill the mission of Sigma? Why not use the leadership skills that you already have or are developing to make a global impact by volunteering as a Sigma leader? While there is no blueprint for leadership in all situations, there are stepping stones to becoming an effective Sigma leader.
- ItemStrategies for successful implementation of best practices guidelines in a nursing curriculumBrown, Kimarie T.; Abdul-Kareem, Kameel N.; Kahwa, Eulalia; Anderson-Johnson, Pauline; The University of the West Indies, Kingston, Jamaica; Non-member
The UWI School of Nursing, Mona (UWISON) became the first in the Caribbean to be designated a Best Practice Spotlight Organization through the Registered Nurses' Association of Ontario (RNAO). This paper outlines strategies used by UWISON's implementation team to successfully integrate select RNAO Best Practice Guidelines into their nursing curriculum.
- ItemTesting a model of clarity of self, role, and system as predictors of job satisfaction of nurses in Jamaica(2012-9-12) Anderson-Johnson, Pauline; Nelson, John W.; Zeta
Research in job satisfaction has positioned the organization as the primary entity responsible for improving the work environment. This study tests a model that positions the individual nurse as the primary source to create their own satisfying job. Creation of a satisfying job begins with being clear in self, role, and system. Clarity of self facilitates nurse understanding what they can and cannot do so they can collaborate with others in the work team who has strengths which they lack while at the same time accelerating in their individual strengths. Clarity of role facilitates efficient and safe use of their own role while understanding how to maximize the role and collaboration of other professionals. Clarity of system allows the nurse to tap into resources needed to maximize the use of self, within their role, to care for the patient. Clarity of self, role, and system will also assist with the nurses stating what their need is within their respective role to create resources needed within patient care. Participative Action Research (PAR) was used to make the findings actionable with staff. PAR is a process where analysts/researchers, management, and staff all work together to interpret and apply findings. Data from this study was presented to every unit/ward in the University hospital so staff and management could interpret and action plan around the findings. This presentation will review the model fit of how clarity of self, role, and system predicts the latent variable of job satisfaction as well as each facet of job satisfaction. The presentation will also review how the organization used the staff's articulated clarity of self, role, and system to create their own action plans on building and refining the structure and infrastructure to meet the needs articulated by staff clear in self, role, and system.
- ItemUsing nursing documentation as a proxy for quality of care at public hospitals in Jamaica(2016-07-13) Lindo, Jascinth L. M.; Anderson-Johnson, Pauline; Waugh-Brown, Veronica H.; Bunnaman, Donna Marie; Stennett, Rosain N.; Stephenson-Wilson, Kayon G.; Non-member
Session presented on Friday, July 22, 2016:
Using Nursing Documentation as a proxy for quality of care at public hospitals in Jamaica Abstract: The complex task of nursing documentation is often guided by the nursing process, a framework for solving patient care problems and ensuring the provision of high quality nursing care (Yildirim, & Ozkahraman, 2011). Nursing documentation is a written or electronic communication tool, which describes patient?s care and response to treatment. Among others, Universal Health Coverage advocates, recommend research activities relating to measurable indicators such as nursing documentation to assist in determining the overall quality of care delivered to clients (Dye, Reeder, & Terry, 2013).
Objectives: This study assessed the quality of nursing documentation on medical wards at three hospitals in Jamaica with a view of making inferences about the quality of care provided for hospitalized clients.
Methods: This cross sectional study audited a multi-level stratified sample of 245 client's records from three type 'B' hospitals (referred to as H1, H2 and H3) in Jamaica. Data extraction was facilitated using an audit instrument which assessed nursing documentation of client's history, biological data, physical assessment, nursing standards, discharge planning and patient teaching. Eligibility of records included length of stay for 4 days or more. The study incorporated the learning activities of final year undergraduate students from four schools of nursing who were trained as data collectors. Data analysis was done using SPSS, Version 19 and univariate and bivariate descriptive statistics completed the data analysis process.
Findings: A total of 245 male and female records from three hospitals [H1-119; 48.6%, H2-56; 22.9%, H3=70; 28.6%] across Jamaica were audited. Documented elements of nursing assessments audited showed, client's chief complaint (81.6%), history of present illness, (78.8%), past health (79.2%) were present in majority of the records audited. While family health, number of children, marital status, occupation, education, religious affiliation or living accommodations of clients were far less likely to be present. The conduct of a physical assessment within 24 hours of admission was noted in 90% of patients' records and nurses favored focused assessments (44.7%). Almost all the records (98-100%) assessed had been timed, dated and signed by a nurse. Within the first three days of admission less than 5 % of dockets had any evidence of patient teaching and 14% had documented discharge planning.
Conclusions: This study underscores weaknesses in nursing documentation on the medical wards at the institutions studied where student nurses gained valuable clinical experience. Additional training of nurses and evaluation of documentation are indicated at health facilities across Jamaica. Finally, in light of the current epidemiologic transition of chronic diseases in the region continuous monitoring of nursing documentation may be an appropriate means of quality assurance.