Confidence In Readiness Research Articles

Curriculum Mapping Post-Baccalaureate Registered Nurse Residency Curriculum to Accrediting Agency Standards.

This article examines the process of mapping a post-baccalaureate registered nurse residency curriculum with Commission on Collegiate Nursing Education standards for nurse residencies. Curriculum mapping revealed gaps and redundancies in the curriculum as well as documented compliance with accreditation standards. Curriculum mapping is instrumental to developing, evaluating, and refining curricular elements. Mapping curriculum with accreditation standards simultaneously fulfills accreditation requirements and can increase confidence in readiness within organizations undergoing accreditation site visits.

Heightened vigilance and perceived discrimination in dental trainees' readiness for clinical practice.

The aims of this study were to examine associations between heightened vigilance and perceived discrimination on readiness for clinical practice and to examine the mediating effects of social support and resilience. A survey was distributed to dental trainees (dental and dental hygiene students) enrolled at a US dental school located in the mid-Atlantic region. The survey assessed readiness for clinical practice and included measures of perceived discrimination, heightened vigilance, and the following wellness measures: perceived stress, resilience, anxiety, social support, and coping. Adjusted for gender, and race/ethnicity, we regressed heightened vigilance and perceived discrimination independently on students' readiness for clinical practice. To assess mediation, we computed the direct effects of heightened vigilance and perceived discrimination and potential indirect effects mediated through social support and resilience. A total of 250 students who completed the survey had complete data on all variables. Five percent identified as Black or African Americans, 34% as Asians, and 8% as Hispanic/Latino. Sixty-two percent were female and 91% were dental students. The overall mean (SD) heightened vigilance and perceived discrimination scores were 18.9 (4.9) and 10.5 (7.6), respectively. Only the mean score for heightened vigilance differed significantly by race/ethnicity (p=0.02). Higher heightened vigilance (odds ratio [OR]=0.75 95% confidence interval [CI]: 0.25, 2.23), and perceived discrimination (OR=0.52, 95% CI: 0.33, 0.88) scores were independently associated with lower adjusted odds of reporting high confidence in readiness for clinical practice even after adjusting for the mediating effects of social support and resilience, although the association for heightened vigilance was not statistically significant. Heightened vigilance and perceived discrimination appear to negatively impact dental trainees' career readiness. Intentional efforts to prioritize an anti-racism approach within dental education programs and patient care across the nation are warranted.

Post-injury fear-avoidance and confidence in readiness to return to sport in Irish collegiate athletes

ABSTRACT Fear avoidance and low confidence in their ability to return to sport can impede athletes’ subsequent recovery and return to sport. This study aimed to identify fear avoidance and confidence in readiness to return to sport following injury in Irish collegiate athletes. Male (416) and female (256) athletes from 24 field-sport teams at one university were prospectively followed for one season. The Athlete Fear Avoidance Questionnaire (AFAQ) and pain on the Visual Analogue Scale was completed following a time-loss injury. Prior to return to sport, participants completed the AFAQ and the Injury Psychological Readiness to Return to Sport (I-PRRS). We recorded 179 injuries. Fear avoidance was evident post-injury (21.8 ± 6.7), and the mean total I-PRRS score was 48.4 ± 8.9. Those with severe injuries presented with higher fear avoidance and lower confidence. Higher pain was associated with greater fear avoidance following injury (r = 0.32, p < 0.0001), prior to return to sport (r = 0.38, p < 0.0001), and with lower confidence (r = −0.27, p < 0.0001). Low confidence and fear avoidance was identified, particularly in those with a severe injury or high pain levels. Identifying, and providing psychosocial support to athletes experiencing, these issues is recommended.

The Development, Feasibility, and Effectiveness of The Pediatric Readiness for Discharge Tool (P-REDI)

<h3>Introduction</h3> There was no standardized validated criteria for discharge to home after pediatric ambulatory surgery. Children's Hospital Colorado (CHCO) created and implemented the P-REDI Tool to assess patient readiness for discharge. This tool was validated using a quasi-experimental retrospective chart review. The results of this study have been submitted and accepted to be published in JoPAN. <h3>Identification of the problem</h3> Historically, discharge practices among CHCO Phase II PACU RNs were inconsistent and assessment of a patient's readiness for discharge varied greatly. This led to varied Phase II times, varied criteria for discharge to home, and potential safety concerns. <h3>Purpose of the Study</h3> The goal of our project was to assess the efficacy of our tool in predicting safe discharge to home of ambulatory surgery pediatric patients. Does the tool decrease the likelihood of adverse patient events at home or the likelihood of hospital readmission, ED, or unscheduled clinic visits? <h3>Methodology</h3> This research project was a quasi-experimental retrospective chart review comparing patient outcomes pre and post implementation outcomes in the 24-hour post-operative period. The chart review included patient variables in relation to patient-readmission, ED visits, and unscheduled clinic visits in the first 24 hours. The data was analyzed using ANOVA and Chi-square statistical analysis. <h3>Results</h3> Our data went through statistical analysis with the Department of Biostatistics at Children's Hospital Colorado. Our manuscript was completed in November 2020. <h3>Discussion</h3> Our data analysis was completed, and we will present the P-REDI tool as an example of successful nursing research. The impact of P-REDI includes improved post-operative patient assessment, increased nursing confidence in readiness for discharge to home, standardized assessment practice in collaboration with anesthesia, and validated criteria for safe discharge. <h3>Conclusion</h3> The P-REDI validation project is the first of its kind in Pediatric Perianesthesia Nursing. With this validation, we now hope to disseminate our findings for use at other institutions. <h3>Implications for perianesthesia nurses and future research</h3> P-REDI could impact RN discharge practices, patient safety, and hospital efficiency and expenses. Standardized assessment for discharge readiness provides a validated model of safety and nursing confidence in predicting safe discharge in the first 24 hours post-op.

Navigating the police promotion system: a comparison by gender of moving up the ranks

ABSTRACT Promotion systems form a fundamental pillar in the development of organisational leadership capability. Surprisingly, little empirical research focus has been directed towards the specific decision-making processes of officers that influence their participation and engagement in the police promotion system. Importantly, gender differences must be examined as female police now represent the biggest demographic change in the pool of potential police leaders. Based on a study of police officers employed in one Australian state police jurisdiction, the research concludes that similar factors are generally associated with engagement with the police promotion system regardless of gender. Notably, gender differences only exist for factors related to support of higher-ranking officers in the promotion application process, support of colleagues once promoted, confidence in readiness for promotion, increased work hours and child/elder care difficulties and change in remuneration. The research highlights that gender equity policies designed to encourage female participation/engagement may result in unintended, negative consequences. Almost 80% of male officers in this study strongly indicating that females are promoted based on gender rather than skills and experience. The research has significant implications for police agencies who seek to support female officers moving into leadership positions.

Association of End-Tidal Carbon Dioxide Monitoring With Nurses' Confidence in Patient Readiness for Postanesthesia Discharge

To determine if end-tidal carbon dioxide (etCO2) value increased nurses' perceptions of confidence in patients' readiness for postanesthesia care unit (PACU) discharge. Prospective, cross-sectional, comparative, one-group (pre-post) design. Nurses completed 2 assessments of confidence in readiness for discharge, before and after etCO2 monitoring. Patient (discharge pain level, body mass index, sleep apnea history, and opioid use) and nurse factors were assessed. Analyses included descriptive and comparative statistics. Of 133 patients, mean (standard deviation) etCO2 was 36.1 (5.7) mm Hg. Nurses' confidence in readiness for discharge differed before and after etCO2 assessment. Confidence score decreased when etCO2 was low (P = .003) or high (P = .005), compared with normal values. In linear regression, etCO2 remained a factor in nurses' confidence in readiness for discharge (P < .001). In a PACU, etCO2 monitoring changed nurses' perceptions of confidence in patients' readiness for discharge.