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Using logistic regression to investigate self-efficacy and the predictors for National Council Licensure Examination success for baccalaureate nursing students  [cached]
Linda Anne Silvestri,Michele C. Clark,Sheniz A. Moonie
Journal of Nursing Education and Practice , 2012, DOI: 10.5430/jnep.v3n6p21
Abstract: Objectives: Ensuring success on the National Council Licensure Examination (NCLEX ) is a complex role for nurse educators. It is vital that nurse educators attain knowledge about the predictors of NCLEX success so they can design strategies and interventions to optimize student performance. Numerous studies are noted that examined the predictors for NCLEX success, reflecting great interest in this area. However, most investigated the academic predictors; few studies examined the nonacademic predictors. The purpose of this study was to identify the effect of selected academic, nonacademic, and self-efficacy variables on NCLEX outcomes to provide new knowledge to nursing science about these predictors. Methods: This quantitative study used Albert Bandura’s Social Learning Theory as the theoretical framework to guide its focus. Academic variables were pre-nursing scores/grades and nursing course grades, while the nonacademic variables focused on personal and environmental factors/stressors, primary language spoken, and self-efficacy expectations. A national study was conducted using an online survey. After nursing graduates (n=196) received their NCLEX scores, instruments with established reliability and validity were used to collect data about their experiences while attending school. The instruments included the (1) Recent Life Changes Questionnaire (RLCQ); (2) The Brief Measure of Worry Severity (BMWS); and (3) The General Perceived Self-Efficacy scale. Multiple logistic regression was the primary data analysis method used to identify the variables that influence NCLEX passage. Correlation analysis using Pearson product-moment correlation coefficient was also done to identify relationships existing among self-efficacy, and academic and nonacademic variables of NCLEX passage. The Chi-square test for independence was used to investigate primary language spoken and NCLEX outcome. Results: Logistic regression findings demonstrated that the medical-surgical grade, home and family events and responsibilities, and self-efficacy expectations were significant variables affecting NCLEX outcomes. Correlation analysis revealed that all academic variables showed a positive correlation with self-efficacy expectations, indicating that as a course grade improved, self-efficacy increased. Also, negative correlations between the nonacademic variables and self-efficacy expectations indicated that as worry or responsibilities increased for the individual, self-efficacy decreased. The Chi-square test for independence showed a significant relationship between primary language
Factors influencing the retention of registered nurses in the Gauteng Province of South Africa  [cached]
Kgaogelo E. Mokoka,Valerie J. Ehlers,Martha J. Oosthuizen
Curationis , 2011, DOI: 10.4102/curationis.v34i1.16
Abstract: Background: South Africa is a source country for many destination countries that recruit registered nurses who emigrate for personal and/or professional reasons. A large number of South African nurses belong to the baby boomer generation (born between 1943 and 1964) who will retire within the foreseeable future. Statistics from the South African Nursing Council show a decline of 42.0% in the number of nurses who completed their training in South Africa from 1996 to 2005. These aspects combine to predict a potential dire shortage of nurses in South Africa within the foreseeable future. Objectives: Retention of registered nurses should be the focus of health-care planners to avoid crises in South Africa’s health-care services. This study attempted to identify factors that would influence registered nurses’ decisions to stay with their current employers in the Gauteng Province of South Africa. Methods: An exploratory descriptive quantitative design was adopted and questionnaires were sent to a sample of nurses, registered with the South African Nursing Council (SANC), with addresses in the Gauteng Province. A total of 108 nurses completed and returned questionnaires, of whom 77 (73.1%) had considered leaving their current employers. Results: The most important factors that would influence more than 90.0% of these nurses’ decisions to stay with their current employers related to finances, safety and security, equipment and/or supplies, management, staff and patients. Conclusions: In terms of Maslow’s Hierarchy of Needs Theory, deficiency needs (physiological, safety and social needs) should be met by improved salaries revised on an annual basis, paying long-service and outstanding-service bonuses, and improving the safety and security, as well the available equipment and supplies, at institutions. Sufficient numbers of nurses should be employed and vacancies should be filled rapidly. However, not all changes required to enhance nurses’ retention rates involve increased costs. Managers should lead by example and respect nurses, and encourage doctors as well as patients to do so, to meet nurses’ self-esteem needs. Recognising and rewarding outstanding service would meet nurses’ self-actualisation needs, as well as opportunities to further their education. How to cite this article: Ehlers, V.J. & Oosthuizen, M.J., 2011, ’Factors influencing the retention of registered nurses in the Gauteng Province of South Africa’, Curationis 34(1), Art. 16, 9 pages. http://dx.doi.org/10.4102/curationis.34i1.16
Multistate Licensure: Premature Policy
King, S.E
Online Journal of Issues in Nursing , 1999,
Abstract: A new model for nursing licensure which will weaken state licensure standards has been proposed by the National Council for State Boards of Nursing. This proposal has come forward in the absence of discussion and debate within the nursing profession and without supporting data to document the need for a drastic change in licensure. Nursing organizations, concerned with both consumer safety and the preservation of the standards of nursing practice, are questioning whether this model is acceptable, appropriate, affordable and workable. Specific policy implications and concerns are discussed, and the policy criteria adopted by the ANA House of Delegates in June, 1998, are presented.
Appraisal of the retention of the knowledge for ophthalmology specialists of the Brazilian Ophthalmology Council
Limeira-Soares, Paulo Henrique;Lira, Rodrigo Pessoa Cavalcanti;Paccola, Marcelo;Arieta, Carlos Eduardo Leite;
Arquivos Brasileiros de Oftalmologia , 2006, DOI: 10.1590/S0004-27492006000100010
Abstract: purpose: to determine the retention of knowledge along the years after certification of physicians as ophthalmology specialists. methods: the physicians, former ophthalmology residents, were selected at the department of ophthalmology, state university of campinas, s?o paulo, brazil, and randomly allocated to three groups of seven individuals, according to the time as specialists. group 1 consisted of one-year specialists, group 2 of five-year specialists and group 3 of ten-year specialists. each participant answered a test with twenty-five multiple choice randomly selected questions, based on the national certificate tests applied by the brazilian ophthalmology council between 1994 and 2003. each question scored four points. results: the mean age of groups 1, 2 and 3 was 27, 30 and 36 years, respectively. a preponderance of males was found in all groups. group 1 achieved the highest score, average of 88, group 2 achieved 77, and group 3 achieved the lowest, average of 64 (p<0,05). conclusion: loss of knowledge retention amongst specialists of the brazilian ophthalmology council, has been observed along the years after the certification.
Appraisal of the retention of the knowledge for ophthalmology specialists of the Brazilian Ophthalmology Council
Limeira-Soares Paulo Henrique,Lira Rodrigo Pessoa Cavalcanti,Paccola Marcelo,Arieta Carlos Eduardo Leite
Arquivos Brasileiros de Oftalmologia , 2006,
Abstract: PURPOSE: To determine the retention of knowledge along the years after certification of physicians as ophthalmology specialists. METHODS: The physicians, former ophthalmology residents, were selected at the Department of Ophthalmology, State University of Campinas, S o Paulo, Brazil, and randomly allocated to three groups of seven individuals, according to the time as specialists. Group 1 consisted of one-year specialists, group 2 of five-year specialists and group 3 of ten-year specialists. Each participant answered a test with twenty-five multiple choice randomly selected questions, based on the national certificate tests applied by the Brazilian Ophthalmology Council between 1994 and 2003. Each question scored four points. RESULTS: The mean age of groups 1, 2 and 3 was 27, 30 and 36 years, respectively. A preponderance of males was found in all groups. Group 1 achieved the highest score, average of 88, group 2 achieved 77, and group 3 achieved the lowest, average of 64 (p<0,05). CONCLUSION: Loss of knowledge retention amongst specialists of the Brazilian Ophthalmology Council, has been observed along the years after the certification.
Professionalism in post-licensure nurses in developed countries  [cached]
Karimah Alidina
Journal of Nursing Education and Practice , 2012, DOI: 10.5430/jnep.v3n5p128
Abstract: Professionalism is a multi-dimensional concept that provides nurses with opportunities to grow personally andprofessionally. Nurses demonstrating the attributes of professionalism impact positively on patient satisfaction and healthoutcomes. The objective of this article is to explore and analyze the phenomenon of nursing professionalism. The conceptof professionalism will be explored by analyzing Miller’s model entitled the “Wheel of Professionalism in Nursing”.Factors determining professionalism in post-licensure nurses will be identified. The Registered Nurses Association ofOntario-Best Practice Guideline, “Professionalism in Nursing”, will be used to discuss strategies to foster professionalismin nurses. Relevance of professionalism in nursing and literature gaps will also be addressed.
Licensure, Certification, and Accreditation
Barnum, Barbara Stevens
Online Journal of Issues in Nursing , 1997,
Abstract: This article provides an historical overview of the three major ways that nursing regulates the profession, its members, and their performance, i.e., licensure, certification, and accreditation. Each type of regulation mechanism is described and differences between them are explained. Current issues related to accreditation of schools of nursing are outlined.
Making the Case for Uniformity in Professional State Licensure Requirements  [cached]
Janice A. Brannon,Ellen R. Cohn,Jana Cason
International Journal of Telerehabilitation , 2012, DOI: 10.5195/ijt.2012.6091
Abstract: Telehealth, the use of communication and information technologies to deliver health services, was initially envisioned as a way for persons in rural or remote settings to receive otherwise unavailable healthcare services. Now, in addition to overcoming personnel shortages for underserved populations, telehealth shows promise in meeting the needs of a constantly mobile U.S. society and workforce. Fortunately, telerehabilitation can meet the needs of a mobile society and workforce by enabling continuity of care for individuals who are out-of-town, on vacation, in temporary residence as a university student, or on business travel. Unfortunately, outdated legislative and regulatory policies and inhospitable infrastructures currently stand in the way of a seamless continuum of care. In 2010, the American Telemedicine Association’s Telerehabilitation Special Interest Group (TR SIG) convened a License Portability Sub-Committee to explore ways to diminish barriers for state licensure portability with a particular focus on physical therapy, occupational therapy, speech therapy, and audiology. In 2011, the Subcommittee published a factsheet that detailed the challenges and potential solutions that surround the difficult issue of licensure portability. Concurrently, the American Telemedicine Association is advocating for national reform of professional licensure. At the heart of all licensure requirements is the ability to determine who should be granted the authority to practice in a particular profession. This is done by focusing on educational, examination and behavioral requirements that are deemed the minimum necessary to protect the public from harm. States, however, with whom authority for licensure of health professionals rests, have independently determined those minimum requirements. This approach has led to a myriad of requirements that vary from state to state. Licensure portability will best succeed when variability between licensure requirements is minimized and an efficient licensure process exists. In this paper, these two critical factors for licensure portability are referred to as “licensure requirements” and “the credentialing process.” Currently the variability between both of these factors is different between professions as well as between jurisdictions. To find the best solution to licensure portability, it is critical to determine which of these two elements create significant barriers for licensure mobility. This document outlines a method for the professions to begin collecting data to pinpoint the areas where agreement and
Challenges to Licensure of Enterovirus 71 Vaccines  [PDF]
Min-Shi Lee equal contributor,Fan-Chen Tseng equal contributor,Jen-Ren Wang,Chia-Yu Chi,Pele Chong,Ih-Jen Su
PLOS Neglected Tropical Diseases , 2012, DOI: 10.1371/journal.pntd.0001737
Abstract: Human enteroviruses usually cause self-limited infections except polioviruses and enterovirus 71 (EV71), which frequently involve neurological complications. EV71 vaccines are being evaluated in humans. However, several challenges to licensure of EV71 vaccines need to be addressed. Firstly, EV71 and coxsackievirus A (CA) are frequently found to co-circulate and cause hand-foot-mouth disease (HFMD). A polyvalent vaccine that can provide protection against EV71 and prevalent CA are desirable. Secondly, infants are the target population of HFMD vaccines and it would need multi-national efficacy trials to prove clinical protection and speed up the licensure and usage of HFMD vaccines in children. An international network for enterovirus surveillance and clinical trials is urgently needed. Thirdly, EV71 is found to evolve quickly in the past 15 years. Prospective cohort studies are warranted to clarify clinical and epidemiological significances of the antigenic and genetic variations between different EV71 genogroups, which is critical for vaccine design.
Resolving Barriers to Licensure Portability for Telerehabilitation Professionals  [cached]
Ellen R. Cohn,Janice A. Brannon,Jana Cason
International Journal of Telerehabilitation , 2011, DOI: 10.5195/ijt.2011.6078
Abstract: Rehabilitation professionals (e.g., audiologists, occupational therapists, physical therapists, speech-language pathologists, etc.) can only engage in telerehabilitation in states in which they hold a professional license. The current state-based licensure and regulation of rehabilitation professionals does not facilitate the practice of telerehabilitation across state lines. Given today’s equipment capabilities and consumer adoption of the electronic delivery of many kinds of services, health care providers, including rehabilitation professionals, should be able to serve clients wherever they are needed.
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