About: Advanced practice registered nurse is a research topic. Over the lifetime, 299 publications have been published within this topic receiving 4376 citations.
TL;DR: It is concluded that nurses entering the field are not equipped with the essential knowledge and skills for today's practice nor prepared to continue learning for tomorrow's nursing.
Abstract: The Carnegie Foundation for the Advancement of Teaching joins a chorus of calls for transformation of prelicensure nursing education (Benner, Sutphen, Leonard, & Day, 2009). Citing the shift of significant responsibility to nurses for managing complex medical regimens, as well as the increasing complexity of community-based practices, Benner and colleagues concluded that nurses entering the field are not equipped with the essential knowledge and skills for today's practice nor prepared to continue learning for tomorrow's nursing (p. 31). They found: a) weak curricula in natural sciences, technology, social sciences, and humanities, and in developing cultural competency; b) weak classroom instruction and limited integration between classroom and clinical experiences; c) limited strategies in helping students develop habits of inquiry, raising clinical questions, seeking evidence for practices; d) faculty and student perception that students are ill prepared for their first job and dissatisfaction with the teaching preparation of current nursing faculty; and e) multiple pathways to eligibility for the licensure examination, with tremendous variability in prerequisites, curricular requirements, and the quality of offerings.
TL;DR: A better understanding of current research on CF through narrative review, development of a concept analysis, and further exploration of its impact on HCPs has the potential to improve the overall well-being of H CPs, ultimately leading to better patient care and retention within the profession.
Abstract: Purpose
The purpose of this integrative review was to identify, review, synthesize, and analyze the existing literature addressing compassion fatigue (CF) in healthcare providers (HCPs), with careful attention to provider role and practice area. CF needs to be better understood to identify, prevent, and treat it before it becomes problematic for HCPs. CF is representative of the cost of caring and results in physical, emotional, and psychological symptoms that contribute to the decision of the HCP to leave the profession.
Methods
A literature search, guided by search terms related to CF, was conducted using the Cumulative Index to Nursing and Allied Health Literature (CINAHL) and PubMed encompassing publications between 2005 and 2015. The selected literature was then systemically reviewed and synthesized for this narrative review.
Results
These preliminary searches resulted in 307 articles, of which 43 met inclusion criteria. These 43 articles were reviewed and reported that CF and related concepts (CF and RCs) were pervasive and affected a wide variety of HCPs working in many clinical settings; however, advanced practice registered nurses (APRNs), respiratory therapists, physical therapists, and occupational therapists were not well represented. The literature provided information regarding prevalence, risk factors, prevention measures, and symptoms of CF and RCs.
Conclusions
While CF and RCs have been explored in a myriad of medical professionals, there is little published regarding APRNs, respiratory therapists, physical therapists, and occupational therapists. More research is needed to evaluate for the presence of CF in HCPs working in a variety of settings and the degree to which it affects personal and professional well-being, including interactions with patients, patient outcomes, and the quality of professional life. Additionally, as the definition and use of the term compassion fatigue has evolved, a need for a well-developed concept analysis has also become evident.
Clinical Relevance
A better understanding of current research on CF through narrative review, development of a concept analysis, and further exploration of its impact on HCPs has the potential to improve the overall well-being of HCPs, ultimately leading to better patient care and retention within the profession.
TL;DR: Results indicate that obstacles to full scope of APRN practice have the potential to negatively impact the nation's health and action should be taken to remove barriers.
TL;DR: This article proposes that DNP projects be defined as practice improvement partnerships between academia and community agencies that can improve care while preparing the next generation of nurses for the demands of increasingly complex healthcare environments.
TL;DR: Seven themes emerged from a think tank involving 20 thought leaders representing multiple disciplines in nursing education: academic practice co-design, standardized preclinical preparation, standardized student assessment, entrustable professional activities, immersive clinical experiences, interprofessional education for team-based care, and innovative education practices.