University of Maryland, Baltimore. Nursing. Ph.D. 2008 ; Background. The study of nursing political participation is important because nurses need to develop skills required to move nursing's political agenda's forward. Nursing is 2.9 million strong but lacks the voice to take charge of its destiny. Nursing has the potential to be a powerful force in setting the agenda for health care reform. The purpose for this study was to evaluate political participation of nurses across all levels of education, to determine how nurses define political participation, identify the factors that motivate/hinder activity, and establish the stage of political development for the sample. Methods. The study utilized a cross sectional mail survey design to measure political participation at the individual nurse's level. The sample was surveyed utilizing the 2004 modification of Hanley's (1983, 1987) Political Participation tool. Open-ended questions were added to the survey to obtain the meaning of political action, note the prompts for action, and if not active to suggest what could be done to increase participation. Through analysis of both the qualitative and quantitative data, the researcher was able to evaluate the sample's level of political development as identified by Cohen et al. (1996). Findings. Nurses possessing advanced degrees were more politically active with respect to campaigning activities. Participatory, involved, informed, voting and effecting changes were the major themes derived from the qualitative data. Multiple linear regression was utilized to identify factors contributing to political activity. Organizational membership, age, political attitudes, and family background variables were found to be significantly and independently associated with nurses' political activity. Analysis of the sample's stage of political development demonstrated that the sample is in the initial stages of political development. Conclusions. This study explored political participation of nurses across all levels of education with ...
Objective. To systematically review the effectiveness of intervention studies promoting diet and physical activity (PA) in nurses. Data Source. English language manuscripts published between 1970 and 2014 in PubMed, Scopus, CINAHL, and EMBASE, as well as those accessed with the PICO tool, were reviewed. Study Inclusion and Exclusion Criteria. Inclusion criteria comprised (1) nurses/student nurses working in a health care setting and (2) interventions where PA and/or diet behaviors were the primary outcome. Exclusion criteria were (1) non–peer-reviewed articles or conference abstracts and (2) interventions focused on treatment of chronic conditions or lifestyle factors other than PA or diet in nurses. Data Extraction. Seventy-one full texts were retrieved and assessed for inclusion by two reviewers. Data were extracted by one reviewer and checked for accuracy by a second reviewer. Data Synthesis. Extracted data were synthesized in a tabular format and narrative summary. Results. Nine (n = 737 nurses) studies met the inclusion criteria. Quality of the studies was low to moderate. Four studies reported an increase in self-reported PA through structured exercise and goal setting. Dietary outcomes were generally positive, but were only measured in three studies with some limitations in the assessment methods. Two studies reported improved body composition without significant changes in diet or PA. Conclusions. Outcomes of interventions to change nurses' PA and diet behavior are promising, but inconsistent. Additional and higher quality interventions that include objective and validated outcome measures and appropriate process evaluation are required.
Many nursing scholars, professional nursing organizations, and other health-focused organizations, expect and encourage nurses to engage in socio-political activities. Yet, studies have shown that nurse participation in political activities remains low. A descriptive cross-sectional survey was used to collect data from 225 registered nurses in three hospitals and two nursing training schools in Tamale, Ghana, using a structured questionnaire. Study findings suggested that nurses are generally very active in registering to vote, voting, and registering to be a member of a professional nursing organization; however, they often do not participate in other forms of political activities. The authors discuss their findings, and conclude that nurses may not participate in high intensity level political activities, but they do engage in low intensity actions, such as voting in elections.
Background: Healthy lifestyle is important in promoting health and reducing risk of chronic diseases. Nurses' lifestyle could be affected negatively by working night shifts or always rotating shifts, long working hours and high exposure to work-related stress. Purpose: This study aims to assess nurses' lifestyle and factors associated with it. Methods: A cross-sectional design with an online survey was used in this study. The sample included 203 Jordanian nurses from four hospitals. Sleep quality was assessed using the Pittsburgh Sleep Quality Index, while dietary habits were assessed using the Rapid Eating Assessment for Participants-Shortened Version. Physical activity was assessed using the International Physical Activity Questionnaire. Results: Nurses' mean age was 32.7±5.66 years and on average, they have 8.27±5.63 years of experience. Approximately, 25% of nurses were tobacco smokers. The majority of nurses reported poor sleep quality (n = 174, 85.5%). Approximately, 58% of nurses were overweight or obese and 41.9% of nurses had poor dietary habits. Only 39.5% of nurses reported moderate or high levels of activity. Conclusion: Jordanian nurses' lifestyle showed poor quality in most aspects. Implications for Nursing: Nurses should be aware of the importance of adopting a healthier lifestyle to prevent possible complications. Nurse leaders should consider the health status of nurses and prevent illnesses by encouraging a healthier lifestyle of nurses. Keywords: Nurses, Lifestyle, Sleep quality, Dietary habits, Nutritional status, Physical activity.
Vols. 3-4 are loose-leaf. ; v. 1. Introduction. Federal cases.--v. 2. State cases.--v. 3. Case supplement.--v. 4. Instructions, appendix, index-digest, and cumulative supplement. ; Mode of access: Internet.
In many states, outdated rules and regulations restrict nurse practitioners (NPs) from practicing to their full potential, often limiting patients' access to primary care. Modernizing NP state scope of practice laws and allowing patients greater access to NPs services is a priority. Unlike other professions, nurse practitioners have been unable to consistently influence legislative changes to health policy. This study examined the political efficacy and participation of nurse practitioners in the United States today (N=632). A descriptive cross sectional design, in conjunction with a political efficacy framework, evaluated nurse practitioners' participation in political activities and their internal and external political efficacy. Increased internal political efficacy was significantly (p < 0.001) associated with NPs who were older, had specific health policy education, and have been mentored in health policy. Our findings show that NPs vote at consistently higher rates (94%) than the general population and almost 50% report contacting legislators via mail/email/phone. As a group however, NPs report limited participation in other political activities, especially grassroots efforts. These findings hold significant implications for the profession as we strive to make policy changes across the country. It is important that educators assess our current methods of educating NPs about politics and health policy. Professional organizations and policy makers must reexamine outreach and strategies to inspire greater grassroots engagement of NPs.
Scientific Problem Health care is the underlying value for a society aspiring after quality of life. This is a field where the quality of services is assessed by experts, not by service receivers. For this reason, results can be visible after quite a long time when it is too late to correct them. The inherent human right to have better health, a healthy environment and acceptable, accessible and appropriate health care is defined in the Health System Legislation of the Lithuanian Republic (1994). The main goal of the entire health care system is to assure this inherent human right. Health policy began to take shape in 1990, at the restoration of independence in Lithuania. Financing according to the rigid articles of financial estimates, extensive increase in the number of stationary services and health care specialists, passive policy, oriented only to the treatment of diseases, and a biomedical attitude towards health were all gradually replaced. Attention has been focussed on the creation of active policy. One of the main orientations of health system development has been the reorganization of training for health care specialists – nurses – in accordance with EU standards, especially to ensure that practising nurses have the opportunity for professional expression. The reform of the health care system has also created more tasks – planning of nursing staff demand, licensing of specialists, their motivation, etc. The reform of nursing science, training of general care nurses, development of the legal basis, regulating rights, responsibilities and liabilities of specialists, bear witness to the fact that sufficient attention is being directed to the development of health care human resources. However, the low financing of the health sector, uneven distribution of human resources, reduction in the number of nurses and the growing emigration tendency remain relevant questions on the agenda of those determining Lithuanian health policy. Nursing specialists are the most numerous group of health care specialists. They are independent specialists, equal members of the personal health care specialists' team, able to execute these basic functions: • nursing – identification of problems, planning, anticipation of actions, procedures and their implementation, nursing supervision and assessment; • teaching, consulting - are part of the nursing process, requiring specific knowledge and skills; • management – could be a team leader, nursing administrator; • investigation – applied research, which assures feedback, improved nursing facilities. According to Lithuanian Health Information Centre data, 25169 nurses worked in health care institutions in 2006; this number comprises 32 % of all specialists working in the health care sector. Exceptional features of this decade – reform of nursing science has been developed intensively, general care nurses have been trained following requirements of EU sectoral Directive, the legal basis, regulating rights, responsibilities, and liabilities of specialists have been established. However, while intensively pursuing health reform, optimizing the net of institutions, redistributing functions among different health care sectors, changing the subordination of health care institutions (decentralisation), and transferring administration to municipal or county levels, the demand for nurses has not yet been calculated or planned. This factor responded to changes in the number of specialists, since the number of nurses in the labour market fell by 20,2 % from 1993 to 2006. Nursing science, or nursing as a discipline or profession, challenges nurses to accept the health care organizational culture during their period of professional socialization (formation). Organizational culture is identified with socialization, because social changes are concurrent with the specialist's acquisition of professional values and attitudes. A socialized nurse is dedicated to this profession, envisages the evident perspective of nursing by identifying and solving problems, thinks like a nurse possessing critical thinking skills. The process of professional socialization and its analysis is valuable because it enables nurses to perform their professional role in an appropriate way. The lack of socialization in the nursing profession is to be related with employee turnover, burn-out and diminished productivity. The essence of health care reform is the process of systemic and structural change, aspiring to provide the population of a country with better and higher quality health care services at lower cost. The activity of a health system depends on people who are providing health care services, knowledge, skills, attitudes and motivation, i.e. professional socialization.
Scientific Problem Health care is the underlying value for a society aspiring after quality of life. This is a field where the quality of services is assessed by experts, not by service receivers. For this reason, results can be visible after quite a long time when it is too late to correct them. The inherent human right to have better health, a healthy environment and acceptable, accessible and appropriate health care is defined in the Health System Legislation of the Lithuanian Republic (1994). The main goal of the entire health care system is to assure this inherent human right. Health policy began to take shape in 1990, at the restoration of independence in Lithuania. Financing according to the rigid articles of financial estimates, extensive increase in the number of stationary services and health care specialists, passive policy, oriented only to the treatment of diseases, and a biomedical attitude towards health were all gradually replaced. Attention has been focussed on the creation of active policy. One of the main orientations of health system development has been the reorganization of training for health care specialists – nurses – in accordance with EU standards, especially to ensure that practising nurses have the opportunity for professional expression. The reform of the health care system has also created more tasks – planning of nursing staff demand, licensing of specialists, their motivation, etc. The reform of nursing science, training of general care nurses, development of the legal basis, regulating rights, responsibilities and liabilities of specialists, bear witness to the fact that sufficient attention is being directed to the development of health care human resources. However, the low financing of the health sector, uneven distribution of human resources, reduction in the number of nurses and the growing emigration tendency remain relevant questions on the agenda of those determining Lithuanian health policy. Nursing specialists are the most numerous group of health care specialists. They are independent specialists, equal members of the personal health care specialists' team, able to execute these basic functions: • nursing – identification of problems, planning, anticipation of actions, procedures and their implementation, nursing supervision and assessment; • teaching, consulting - are part of the nursing process, requiring specific knowledge and skills; • management – could be a team leader, nursing administrator; • investigation – applied research, which assures feedback, improved nursing facilities. According to Lithuanian Health Information Centre data, 25169 nurses worked in health care institutions in 2006; this number comprises 32 % of all specialists working in the health care sector. Exceptional features of this decade – reform of nursing science has been developed intensively, general care nurses have been trained following requirements of EU sectoral Directive, the legal basis, regulating rights, responsibilities, and liabilities of specialists have been established. However, while intensively pursuing health reform, optimizing the net of institutions, redistributing functions among different health care sectors, changing the subordination of health care institutions (decentralisation), and transferring administration to municipal or county levels, the demand for nurses has not yet been calculated or planned. This factor responded to changes in the number of specialists, since the number of nurses in the labour market fell by 20,2 % from 1993 to 2006. Nursing science, or nursing as a discipline or profession, challenges nurses to accept the health care organizational culture during their period of professional socialization (formation). Organizational culture is identified with socialization, because social changes are concurrent with the specialist's acquisition of professional values and attitudes. A socialized nurse is dedicated to this profession, envisages the evident perspective of nursing by identifying and solving problems, thinks like a nurse possessing critical thinking skills. The process of professional socialization and its analysis is valuable because it enables nurses to perform their professional role in an appropriate way. The lack of socialization in the nursing profession is to be related with employee turnover, burn-out and diminished productivity. The essence of health care reform is the process of systemic and structural change, aspiring to provide the population of a country with better and higher quality health care services at lower cost. The activity of a health system depends on people who are providing health care services, knowledge, skills, attitudes and motivation, i.e. professional socialization.
Scientific Problem Health care is the underlying value for a society aspiring after quality of life. This is a field where the quality of services is assessed by experts, not by service receivers. For this reason, results can be visible after quite a long time when it is too late to correct them. The inherent human right to have better health, a healthy environment and acceptable, accessible and appropriate health care is defined in the Health System Legislation of the Lithuanian Republic (1994). The main goal of the entire health care system is to assure this inherent human right. Health policy began to take shape in 1990, at the restoration of independence in Lithuania. Financing according to the rigid articles of financial estimates, extensive increase in the number of stationary services and health care specialists, passive policy, oriented only to the treatment of diseases, and a biomedical attitude towards health were all gradually replaced. Attention has been focussed on the creation of active policy. One of the main orientations of health system development has been the reorganization of training for health care specialists – nurses – in accordance with EU standards, especially to ensure that practising nurses have the opportunity for professional expression. The reform of the health care system has also created more tasks – planning of nursing staff demand, licensing of specialists, their motivation, etc. The reform of nursing science, training of general care nurses, development of the legal basis, regulating rights, responsibilities and liabilities of specialists, bear witness to the fact that sufficient attention is being directed to the development of health care human resources. However, the low financing of the health sector, uneven distribution of human resources, reduction in the number of nurses and the growing emigration tendency remain relevant questions on the agenda of those determining Lithuanian health policy. Nursing specialists are the most numerous group of health care specialists. They are independent specialists, equal members of the personal health care specialists' team, able to execute these basic functions: • nursing – identification of problems, planning, anticipation of actions, procedures and their implementation, nursing supervision and assessment; • teaching, consulting - are part of the nursing process, requiring specific knowledge and skills; • management – could be a team leader, nursing administrator; • investigation – applied research, which assures feedback, improved nursing facilities. According to Lithuanian Health Information Centre data, 25169 nurses worked in health care institutions in 2006; this number comprises 32 % of all specialists working in the health care sector. Exceptional features of this decade – reform of nursing science has been developed intensively, general care nurses have been trained following requirements of EU sectoral Directive, the legal basis, regulating rights, responsibilities, and liabilities of specialists have been established. However, while intensively pursuing health reform, optimizing the net of institutions, redistributing functions among different health care sectors, changing the subordination of health care institutions (decentralisation), and transferring administration to municipal or county levels, the demand for nurses has not yet been calculated or planned. This factor responded to changes in the number of specialists, since the number of nurses in the labour market fell by 20,2 % from 1993 to 2006. Nursing science, or nursing as a discipline or profession, challenges nurses to accept the health care organizational culture during their period of professional socialization (formation). Organizational culture is identified with socialization, because social changes are concurrent with the specialist's acquisition of professional values and attitudes. A socialized nurse is dedicated to this profession, envisages the evident perspective of nursing by identifying and solving problems, thinks like a nurse possessing critical thinking skills. The process of professional socialization and its analysis is valuable because it enables nurses to perform their professional role in an appropriate way. The lack of socialization in the nursing profession is to be related with employee turnover, burn-out and diminished productivity. The essence of health care reform is the process of systemic and structural change, aspiring to provide the population of a country with better and higher quality health care services at lower cost. The activity of a health system depends on people who are providing health care services, knowledge, skills, attitudes and motivation, i.e. professional socialization.
Scientific Problem Health care is the underlying value for a society aspiring after quality of life. This is a field where the quality of services is assessed by experts, not by service receivers. For this reason, results can be visible after quite a long time when it is too late to correct them. The inherent human right to have better health, a healthy environment and acceptable, accessible and appropriate health care is defined in the Health System Legislation of the Lithuanian Republic (1994). The main goal of the entire health care system is to assure this inherent human right. Health policy began to take shape in 1990, at the restoration of independence in Lithuania. Financing according to the rigid articles of financial estimates, extensive increase in the number of stationary services and health care specialists, passive policy, oriented only to the treatment of diseases, and a biomedical attitude towards health were all gradually replaced. Attention has been focussed on the creation of active policy. One of the main orientations of health system development has been the reorganization of training for health care specialists – nurses – in accordance with EU standards, especially to ensure that practising nurses have the opportunity for professional expression. The reform of the health care system has also created more tasks – planning of nursing staff demand, licensing of specialists, their motivation, etc. The reform of nursing science, training of general care nurses, development of the legal basis, regulating rights, responsibilities and liabilities of specialists, bear witness to the fact that sufficient attention is being directed to the development of health care human resources. However, the low financing of the health sector, uneven distribution of human resources, reduction in the number of nurses and the growing emigration tendency remain relevant questions on the agenda of those determining Lithuanian health policy. Nursing specialists are the most numerous group of health care specialists. They are independent specialists, equal members of the personal health care specialists' team, able to execute these basic functions: • nursing – identification of problems, planning, anticipation of actions, procedures and their implementation, nursing supervision and assessment; • teaching, consulting - are part of the nursing process, requiring specific knowledge and skills; • management – could be a team leader, nursing administrator; • investigation – applied research, which assures feedback, improved nursing facilities. According to Lithuanian Health Information Centre data, 25169 nurses worked in health care institutions in 2006; this number comprises 32 % of all specialists working in the health care sector. Exceptional features of this decade – reform of nursing science has been developed intensively, general care nurses have been trained following requirements of EU sectoral Directive, the legal basis, regulating rights, responsibilities, and liabilities of specialists have been established. However, while intensively pursuing health reform, optimizing the net of institutions, redistributing functions among different health care sectors, changing the subordination of health care institutions (decentralisation), and transferring administration to municipal or county levels, the demand for nurses has not yet been calculated or planned. This factor responded to changes in the number of specialists, since the number of nurses in the labour market fell by 20,2 % from 1993 to 2006. Nursing science, or nursing as a discipline or profession, challenges nurses to accept the health care organizational culture during their period of professional socialization (formation). Organizational culture is identified with socialization, because social changes are concurrent with the specialist's acquisition of professional values and attitudes. A socialized nurse is dedicated to this profession, envisages the evident perspective of nursing by identifying and solving problems, thinks like a nurse possessing critical thinking skills. The process of professional socialization and its analysis is valuable because it enables nurses to perform their professional role in an appropriate way. The lack of socialization in the nursing profession is to be related with employee turnover, burn-out and diminished productivity. The essence of health care reform is the process of systemic and structural change, aspiring to provide the population of a country with better and higher quality health care services at lower cost. The activity of a health system depends on people who are providing health care services, knowledge, skills, attitudes and motivation, i.e. professional socialization.
Scientific Problem Health care is the underlying value for a society aspiring after quality of life. This is a field where the quality of services is assessed by experts, not by service receivers. For this reason, results can be visible after quite a long time when it is too late to correct them. The inherent human right to have better health, a healthy environment and acceptable, accessible and appropriate health care is defined in the Health System Legislation of the Lithuanian Republic (1994). The main goal of the entire health care system is to assure this inherent human right. Health policy began to take shape in 1990, at the restoration of independence in Lithuania. Financing according to the rigid articles of financial estimates, extensive increase in the number of stationary services and health care specialists, passive policy, oriented only to the treatment of diseases, and a biomedical attitude towards health were all gradually replaced. Attention has been focussed on the creation of active policy. One of the main orientations of health system development has been the reorganization of training for health care specialists – nurses – in accordance with EU standards, especially to ensure that practising nurses have the opportunity for professional expression. The reform of the health care system has also created more tasks – planning of nursing staff demand, licensing of specialists, their motivation, etc. The reform of nursing science, training of general care nurses, development of the legal basis, regulating rights, responsibilities and liabilities of specialists, bear witness to the fact that sufficient attention is being directed to the development of health care human resources. However, the low financing of the health sector, uneven distribution of human resources, reduction in the number of nurses and the growing emigration tendency remain relevant questions on the agenda of those determining Lithuanian health policy. Nursing specialists are the most numerous group of health care specialists. They are independent specialists, equal members of the personal health care specialists' team, able to execute these basic functions: • nursing – identification of problems, planning, anticipation of actions, procedures and their implementation, nursing supervision and assessment; • teaching, consulting - are part of the nursing process, requiring specific knowledge and skills; • management – could be a team leader, nursing administrator; • investigation – applied research, which assures feedback, improved nursing facilities. According to Lithuanian Health Information Centre data, 25169 nurses worked in health care institutions in 2006; this number comprises 32 % of all specialists working in the health care sector. Exceptional features of this decade – reform of nursing science has been developed intensively, general care nurses have been trained following requirements of EU sectoral Directive, the legal basis, regulating rights, responsibilities, and liabilities of specialists have been established. However, while intensively pursuing health reform, optimizing the net of institutions, redistributing functions among different health care sectors, changing the subordination of health care institutions (decentralisation), and transferring administration to municipal or county levels, the demand for nurses has not yet been calculated or planned. This factor responded to changes in the number of specialists, since the number of nurses in the labour market fell by 20,2 % from 1993 to 2006. Nursing science, or nursing as a discipline or profession, challenges nurses to accept the health care organizational culture during their period of professional socialization (formation). Organizational culture is identified with socialization, because social changes are concurrent with the specialist's acquisition of professional values and attitudes. A socialized nurse is dedicated to this profession, envisages the evident perspective of nursing by identifying and solving problems, thinks like a nurse possessing critical thinking skills. The process of professional socialization and its analysis is valuable because it enables nurses to perform their professional role in an appropriate way. The lack of socialization in the nursing profession is to be related with employee turnover, burn-out and diminished productivity. The essence of health care reform is the process of systemic and structural change, aspiring to provide the population of a country with better and higher quality health care services at lower cost. The activity of a health system depends on people who are providing health care services, knowledge, skills, attitudes and motivation, i.e. professional socialization.
