Role Of RN Research Articles

599 - Role of Clinical Trial Coordinator RN within Immunotherapy Clinic

599 - Role of Clinical Trial Coordinator RN within Immunotherapy Clinic

Environmental/Occupational Exposure to Radon and Non-Pulmonary Neoplasm Risk: A Review of Epidemiologic Evidence.

Although Radon (Rn) is a known agent for lung cancer, the link between Rn exposure and other non-pulmonary neoplasms remains unclear. The aim of this review is to investigate the role of Rn in the development of tumors other than lung cancer in both occupational and environmental exposure. Particularly, our attention has been focused on leukemia and tumors related to brain and central nervous system (CNS), skin, stomach, kidney, and breast. The epidemiologic literature has been systematically reviewed focusing on workers, general population, and pediatric population. A weak increase in leukemia risk due to Rn exposure was found, but bias and confounding factors cannot be ruled out. The results of studies conducted on stomach cancer are mixed, although with some prevalence for a positive association with Rn exposure. In the case of brain and CNS cancer and skin cancer, results are inconclusive, while no association was found for breast and kidney cancers. Overall, the available evidence does not support a conclusion that a causal association has been established between Rn exposure and the risk of other non-pulmonary neoplasms mainly due to the limited number and heterogeneity of existing studies. To confirm this result, a statistical analysis should be necessary, even if it is now not applicable for the few studies available.

New Graduate RN Perinatal Internship.

Successful transition to perinatal practice and retention rates are affected due to nursing school education and support of graduate nurses when transitioning to the role of RN. A perinatal internship was developed to address the unique issues faced by new graduate nurses transitioning from school to practice and to ensure a successful transition to practice, strong foundation of knowledge, and an increase in retention rates. Through the development, implementation, and necessary redesign of the program, the authors found retention rates to be an average of 74% for the organization with ongoing program revisions being conducted to improve current retention rates. The use of agency nurses has also been dramatically reduced since the implementation of the program. [J Contin Educ Nurs. 2021;52(1):47-52.].

Rhinacanthus nasutus "Tea" Infusions and the Medicinal Benefits of the Constituent Phytochemicals.

Rhinacanthus nasutus (L.) Kurz (Acanthaceae) (Rn) is an herbaceous shrub native to Thailand and much of South and Southeast Asia. It has several synonyms and local or common names. The root of Rn is used in Thai traditional medicine to treat snake bites, and the roots and/or leaves can be made into a balm and applied to the skin for the treatment of skin infections such as ringworm, or they may be brewed to form an infusion for the treatment of inflammatory disorders. Rn leaves are available to the public for purchase in the form of “tea bags” as a natural herbal remedy for a long list of disorders, including diabetes, skin diseases (antifungal, ringworm, eczema, scurf, herpes), gastritis, raised blood pressure, improved blood circulation, early-stage tuberculosis antitumor activity, and as an antipyretic. There have been many studies investigating the roles of Rn or compounds isolated from the herb regarding diseases such as Alzheimer’s and other neurodegenerative diseases, cancer, diabetes and infection with bacteria, fungi or viruses. There have, however, been no clinical trials to confirm the efficacy of Rn in the treatment of any of these disorders, and the safety of these teas over long periods of consumption has never been tested. This review assesses the recent research into the role of Rn and its constituent compounds in a range of diseases.

Knockdown of rotund gene through larval RNA interference affects genital and elytral morphology in the ground beetle Carabus maiyasanus (Coleoptera: Carabidae)

AbstractInterspecific variation in genital morphology contributes to prezygotic reproductive isolation in many insect species. However, developmental genes affecting genital morphology are poorly understood. We undertook larval RNA interference (RNAi) experiments with rotund (rn) gene in the ground beetle Carabus (Ohomopterus) maiyasanus to examine the knockdown effects of this gene on genital development. We injected double‐stranded RNA (dsRNA) into third instar larvae of C. maiyasanus. The injection of rn dsRNA resulted in the absence or deformation of the copulatory piece in the male genitalia, which is a characteristic part playing a role in species‐specific genital coupling between the sexes. In addition, the rn dsRNA injection resulted in shortened elytra in both sexes, which is related to the known role of rn in forewing formation in Drosophila. Our study suggests that rn plays a previously underappreciated role in male genital development and potentially contributes to genital diversity in this beetle group.

Critical Practice Study of Nursing Evaluated by Teachers

Purpose: Competent nursing care is essential to positive patient outcomes and quality patient care. Graduate nurses begin practice as novices in knowledge and experience often entering an environment where patients have several disease processes complicating their care. A strong foundation of educational competencies prior to entering practice is vital for the development and growth of graduate nurses into the role of RN. The purpose of this study was to examine the use of the Nurse Competence Scale among nursing faculty.Method: Nursing faculty were surveyed to determine which competencies were a priority in nursing practice. The Nurse Competence Scale was used to identify and categorize nurse competences. Brenner’s novice to expert theoretical framework was used to apply findings to curricular programs. IRB approval was granted from each educational institution. SPSS statistical analysis was used to analyze survey results.Results: Among the categories of the Nurse Competence Scale, nursing faculty identified Acting appropriately in life-threatening situations in the Managing Situations section as most important to practice. In the category of Helping, Planning patient care according to individual needs was identified as most important. Additionally the nursing faculty surveyed rated Contributing to further development of multidisciplinary clinical paths in the Therapeutic Interventions category as the lowest.Conclusion: This study contributes to the discussion on nursing competence. Priorities for nursing faculty aligned with register nurses in practice. This study helps pair nursing education with practice in several ways including aligning current practice with education. Nurse Educators may use these findings to help join curricular outcomes with practice. Evaluating each item on the Nurse Competence Scale using the critical to practice scale provides insight to the necessary skills and knowledge needed to be competent in nursing. In addition the results may be compared to current practice guidelines to ensure best practice. Further research linking education and practice using nursing competence is needed.

RN-BSN Students' Perceptions of the Differences in Practice of the ADN- and BSN-Prepared RN.

This study explored RN-BSN students' perceptions of practice differences between nurses prepared with an ADN and BSN. Five themes were identified in 20 students' discussion posts: "a nurse is a nurse" at the bedside, beyond the bedside, BSN wanted, digging deeper, and appraisal. Results illustrate the need for educators to assist nurses in translating the differentiated educational competencies to the practice role of the bedside RN.

Reflective Journaling for Critical Thinking Development in Advanced Practice Registered Nurse Students.

Critical thinking, clinical decision making, and critical reflection have been identified as skills required of nurses in every clinical situation. The Educating Nurses: A Call for Radical Transformation report suggested that critical reflection is a key to improving the educational process. Reflective journaling is a tool that helps develop such skills. This article presents the tool of reflective journaling and the use of this process by educators working with students. It describes the use of reflective journaling in graduate nursing education, as well as a scoring process to evaluate the reflection and provide feedback. Students and faculty found the journaling to be helpful for reflection of a clinical situation focused on critical thinking skill development. The rubric scoring tool provided faculty with a method for feedback. Reflective journaling is a tool that faculty and students can use to develop critical thinking skills for the role of the advanced practice RN. A rubric scoring system offers a consistent format for feedback.

Persistent Fatigue in STEM CELL Transplant Survivors: A Biobehavioral Perspective

s / Biol Blood Marrow Transplant 21 (2015) S114eS126 S126 Discussion & Implications: Giving students the opportunity to experience blood and marrow transplant nursing in a controlled setting has allowed for smoother transitions into the role of RN, allowing for shorter new nurse orientation, low turnover rates and high retention rates. The opportunity of working with experienced blood and marrow transplant nurses provides new nurses with the tools and support needed to be successful in a challenging specialty. TRANSPLANT NURSING RESEARCH

Political Astuteness: Informing Education for Advocacy and Efficacy

The Political Astuteness Inventory (PAI) was used in an undergraduate RN to BSN health policy course to determine student knowledge and civic skills. Based on knowledge from the field of political science, instructors should acknowledge that adults may acquire civic skills in many ways throughout life. Having data regarding student skill levels at the outset of a course and again at the conclusion of the course can inform appropriate instructional activities. The nursing literature emphasizes the role of the RN as patient advocate, although the definition and implementations are imprecise. This study using the PAI identifies skills that can be infused into curriculum for maximum efficacy as voters and political influencers. A pre-test/post-test survey design was used (n=234, 204). Pre-test findings indicated that most students are aware of health care policy issues but only a small percentage participate to effect change such as serving as a resource to professional organizations or elected officials. Post-test findings indicated that while conceptual knowledge increased, actions as influencers did not increase. Conclusions to be drawn include the necessity of including exposure to political processes by interacting with the federal, state or local environment as part of the curriculum.

Hysteresis responses of evapotranspiration to meteorological factors at a diel timescale: patterns and causes.

Evapotranspiration (ET) is an important component of the water cycle in terrestrial ecosystems. Understanding the ways in which ET changes with meteorological factors is central to a better understanding of ecological and hydrological processes. In this study, we used eddy covariance measurements of ET from a typical alpine shrubland meadow ecosystem in China to investigate the hysteresis response of ET to environmental variables including air temperature (T a), vapor pressure deficit (VPD) and net radiation (R n) at a diel timescale. Meanwhile, the simulated ET by Priestly-Taylor equation was used to interpret the measured ET under well-watered conditions. Pronounced hysteresis was observed in both T a and VPD response curves of ET. At a similar T a and VPD, ET was always significantly depressed in the afternoon compared with the morning. But the hysteresis response of ET to R n was not evident. Similar hysteresis patterns were also observed in the T a/VPD response curves of simulated ET. The magnitudes of the measured and simulated hysteresis loops showed similar seasonal variation, with relatively smaller values occurring from May to September, which agreed well with the lifetime of plants and the period of rainy season at this site. About 62% and 23% of changes in the strength of measured ET-T a and ET-VPD loops could be explained by the changes in the strength of simulated loops, respectively. Thus, the time lag between R n and T a/VPD is the most important factor generating and modulating the ET-T a/VPD hysteresis, but plants and water status also contribute to the hysteresis response of ET. Our research confirmed the different hysteresis in the responses of ET to meteorological factors and proved the vital role of R n in driving the diel course of ET.

Orienting a new generation of nurses: Expectations of the millennial new graduate

Generational diversity provides a unique quandary for nursing leaders and educators to enlist, orient, and retain nurses. Millennials are the largest cohort since the Baby Boomers and the age group from which the nursing profession will build its future workforce. This study examined the experiences of the new graduate nurse of the millennial generation as they navigate orientation in an acute care setting. Using a Web-based survey to conduct the study allowed nurses from across the country to participate while providing easy access to the study questions. Analysis of the data through qualitative content analysis demonstrated a dominate theme of seeking structure while expecting an individualized orientation. The survey also revealed the importance of the preceptor and manager in the perceived success of this generation’s transition and a need to assimilate into the professional role of RN. Recognizing that there is a need to promote a more individualized orientation with improved mentoring for novice nurses and their preceptors is evident and challenges nursing leaders and educators to rethink current practices to retain new nurses. Established roles within the hospital and individual nursing units are changing and traditional strategies for recruitment and retention no longer apply. A structured orientation can facilitate the transition from new graduate to professional nurse and assist in the retention of qualified nurses and ultimately safe patient care.

The Invisible Nurse—Behind the Scenes in an Australian OR

THE DWINDLING NUMBER of RNs choosing to work in the OR has been caused by many factors, such as restricted undergraduate exposure to the perioperative experience and fewer postgraduate opportunities. PRESSURE TO IDENTIFY alternative health care workers to replace RNs in the OR is escalating to a point where the role of the perioperative RN, as currently understood, is threatened. FINDINGS from an Australian ethnographic study suggest that both patients and non-nursing colleagues have limited appreciation of the contribution that perioperative nurses make. THE NEED FOR NURSES to take a proactive stance on this subject is discussed within the context of professional and structural change.

Walking a fine line: graduate nurses' transition experiences during orientation.

A phenomenological study was conducted to investigate graduate nurses' transition experiences during orientation. A purposive sample of 10 graduate nurses participated. Ten theme clusters emerged when the formulated meanings were organized into categories. Graduates experienced mixed emotions as they began orientation. Preceptors played a key role in the transition process, affecting participants' thoughts and progress. Graduates quickly realized the many differences between work and school, and were surrounded by feelings of stress as they assumed the new role of RN. For some, coping with death and dying was an emotionally difficult experience for which they felt unprepared. Finding a rhythm brought graduates confidence and feelings of accomplishment, and self-reflection emerged as an important and integral part of the transition process. Despite the challenges and stress of orientation, graduates found great meaning in their work, and most expressed readiness to be on their own by the end of 12 weeks.

The role of radionuclide brain imaging and computerized tomography in the early diagnosis of herpes simplex encephalitis

We have reviewed the medical records and radiographic examinations of 12 patients with herpes simplex encephalitis to assess the role of RN and CT in the early diagnosis of this disease. The initia RN study was positive in 83% (10/12) of cases while the initial CT study was positive in 75% (9/12) of cases. The earliest positive RN was seen on the second day after the onser of neurologic signs or symptoms while the earliest positive CT was seen on the third day. We describe various abnormal patterns encountered in HSE and discuss their diagnostic reliability. We make recommendations for the diagnosis of HSE based on our findings and on the information available in the literature.