Latest Comments by TiffyRN

TiffyRN, ASN, BSN, RN 14,141 Views

Joined: Sep 1, '03; Posts: 2,372 (35% Liked) ; Likes: 2,776

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  • 0

    I see Vicky hasn't checked in to this site in a couple of years. Since my earlier posting I have completed all PhD coursework and passed Comprehensive Qualifying Exams (equivalent of "orals"). At my university once you pass "comps", you form your committee and writes your dissertation research proposal. Then you defend your proposal before your committee. If approved, you then are able to apply for candidacy. I am at that stage now. My next steps are to submit my proposal to the IRB and await approval for them (my research will qualify as for exempt or expedited review). I am going with a qualitative study using Classical Grounded Theory. The plan at this stage is that my study should take approximately 1 year from recruitment of participants to final write up and defending before my committee.

    Someone asked what were the topics covered in "orals". So the exam I took was all written, at a testing center and limited to 5.5 hours. We were able to bring any and all resources such as books and notes and we had access to the internet. It was still the hardest exam I have ever seen in my life. It was split into 2 sections, one qualitative, one quantitative. It covered pretty much everything we had taken as coursework. Statistical methods, research design, and most of all critical analysis of existing research. We were given 2 articles the day before the exam and urged to break these studies down using a critique form we had practiced with for the last year. Then the questions were things like: On the Smith & Jones study, was the sample appropriate to the research question? Did the researchers address potential type I or type II errors? Could a different recruiting method have rendered a more representative sample? Were the conclusions justified? And of course, if you gave a simple yes/no question, that would have gotten you zero credit for the question.

    On the qualitative study they asked questions more appropriate to qual like "Did the researchers address trustworthiness and if they did, which model did they follow?". Did the researchers adhere to any specific theoretical model (not necessary in many qualitative methods)? What were the recruiting methods for participants and were they appropriate to the stated method? Were the analysis methods consistent with the stated method? Could there have been a more useful qualitative method for the research question? State 3 PICO questions one could generate from this study to enhance knowledge on the phenomenon of interest.

  • 0

    The unit where I work states we shouldn't friend families while the child is in the unit. They strongly discourage but do not forbid friending families after discharge. We all know that in the past families could send pictures to the unit to update the staff but of course they get very limited feed-back (awe! She looks so awesome! What cheeks!).

    In today's FB era, one thing they did I really like is the unit started a closed FB group open to graduate families and staff. This was sanctioned by management. In this space, families can share pictures and updates and get feedback from staff. You don't have to friend anyone and a responsible staff member and family volunteer (parent advisory types) moderate and make sure it doesn't become a space for soliciting medical advice or anything else inappropriate.

  • 2
    BostonFNP and elkpark like this.

    I'm still waiting on the "breaking news" we have been promised for years exposing the conspiracy of nursing academia. I swear I'll send you a Starbucks gift card if it ever comes out and they will verify that "avenging spirit" was their deep throat.

  • 3
    BCgradnurse, Meriwhen, and elkpark like this.

    Quote from avengingspirit1
    Thank you once again for two things, confirming what I already knew; that that the majority of you circling the wagons in defense of this "study" work for academia.
    Hi there. While I may not have been posting regularly recently I echo what Boston has been posting, that is, an informed analysis of the relevant literature.

    How about we just relax and await the "breaking news" when you get there avenging? It's kind of you to keep dropping in and letting us know the academia gig will soon be up. BTW, I do not work for academia, still at the bedside after 26 years.

  • 1
    elkpark likes this.

    [ATTACH=CONFIG]26367[/ATTACH]

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    Here's another more recent. As someone pointed out, it's unlikely that there will be too much research literature about outcomes of mastectomy versus lumpectomy as nurses don't really do that but might be involved in evaluating patient's experiences. This article is qualitative research, so not all numbers and statistics but important nonetheless to nursing research.


    https://onlinelibrary.wiley.com/doi/...1111/nhs.12270

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    I don't know how your database works. In my school's library I can type in my keywords, then refine from there. So for you, I typed in mastectomy versus lumpectomy. Then, there was an option to see only "nursing" articles (my library caters to all kinds of health professions). Then I restricted to articles published since 2008 (didn't know your time frame). Then a lot of times you have to look at the actual PDF to see all the qualifications of the authors. I found this one article and I'm providing a link through google scholar. Now, it is not for the whole article but will give you the information you need to look it up in your library. Don't be afraid to ask for help from your librarians!


    Are patients with breast cancer satisfied with their decision making?

    Are Patients With Breast Cancer Satisfied With Their Decision Making? A Comparison Over Time - ProQuest

  • 0

    I would really have to think hard about taking a job 1.5 hours away. We do have a nurse or two who live hours away but they schedule their days together and stay locally when they work.

  • 1
    adventure_rn likes this.

    I was one of the weirdos to do both. The college where I was getting BSN would give me 4 credits for CCRN-NIC as an elective but they would not recognize RNC-NIC. So I studied and took it first. Then, my workplace of course would only recognize RNC-NIC and not CCRN-NIC (though they did take the adult CCRN ironically enough), so while the CCRN material was fresh on my mind, I took RNC. I thought they were about the same though granted I did all this about 5 years ago. I let CCRN lapse since I had gotten my usefulness out of it. have kept RNC-NIC since my workplace gives me "brownie points" on yearly evals and they pay for the renewal and CEs.

  • 0

    Quote from jdubs99
    Thank you all for the responses so far.

    My follow-up question is, aside from what your unit may offer you, what made/makes you want to get your certification? I got mine after 3 years of NICU nursing because that was my goal when I became a new grad; I wanted to prove to myself that I was competent in my discipline and I wanted to commit to the specialty. What about you?
    I was getting my BSN and my college at the time (Excelsior) and I needed at least 3 credits of an elective. One of the options was to get my professional certification. Considering that regular courses cost $300+ per credit hour (so $900 to take a 3 credit course), paying only $300 all total was a bargain and I came away with my certification.

  • 1
    jennylee321 likes this.

    So many great topics. I'll kind of play with one of ChampagnesupeRNova's topics. How about the incidence of NEC when using all breast milk? (we've had awesome results). Or to play with yours and her topics, the rate of BPD when using positive pressure ventilation (traditional vents) versus non-invasive ventilations (like bubble CPAP). I'm almost certain you can find Cochrane reviews on both of those topics that will be full of articles you can mine for further information.

    Good luck!

  • 0

    Quote from ShayRN0217
    Hi vinsmuffin,

    I am interested in possibly pursuing my MSN as an FNP and then going on to get my PhD, but I am concerned with my age. If it's not inappropriate, may I inquire of your age? I will be 38 soon.
    I'm not sure how old you might be when you start your PhD program but you are pretty young for a nursing PhD program. I was 43 when I started my program and while there were a couple in my cohort younger than me, they dropped out and I was a good 10 years younger than the remaining people in my cohort. I am told all the time how the profession is excited to have "young" nurses like myself entering the field.

    BTW, I'm pursuing BSN to PhD in a program that is almost 100% online. I have completed my coursework, successfully passed comprehensive qualifying exams AKA "orals" (mine were all written). If all goes well, I should be sending my proposal to my committee then hopefully start data collection by the Summer semester.

  • 0

    Quote from champagnesupeRNova
    $350 one-time bonus. Exam fees and certification review class paid for.
    The unit where I work will also sponsor a few nurses every year for the RNC review course. It's not a consistent number, but most people who want to get in can.

  • 3

    The implementation of turning patients every 2 hours is not compatible with the neonatal patient's pressure injuries. I'm going to list some literature, you may have to contact your hospital's librarian to get full-text copies or perhaps some nurse in your unit is in college/university and can access them through his/her school's library.

    Pressure injuries to the skin in a neonatal unit: Fact or fiction. There are pressure injuries in the NICU, they do not tend to be on bony prominences (except the occiput), most are equipment related (NCPAP, lines, etc. . .)

    Pressure injuries to the skin in a neonatal unit: Fact or fiction - ScienceDirect

    Small Japanese study on incidence of pressure sores in a NICU. Basically, most were on the nose, one on the occiput. All the articles have a decent review of the literature you can mine for additional information:

    https://pdfs.semanticscholar.org/6b0...41745148f7.pdf

    While paper on pressure ulcers by the National Pressure Ulcer Advisory Panel. They address how it's inappropriate to use adult guidelines on neonates because of the whole "touch me not" phenomenon.

    http://www.npuap.org/wp-content/uplo...hite_paper.pdf

    Your unit needs to write their own age and developmentally appropriate skin guidelines. Perhaps propose a study to retrospectively (and prospectively) track skin breakdown and focus your interventions on the actual injuries documented.

    It is beyond irresponsible to implement interventions designed for adults on infants.

  • 0

    Our unit reimburses you for the testing fee then gives you a $500 bonus (with tax taken out). When you renew every 3 years, they give you a $250 bonus which kind of covers all the CE you have to pay for. We use RNC-NIC through NCC. As some may know, they "require" 50 CE every 3 years but give you credit for 5 when you take your knowledge assessment. Then depending on how you score, you may only need to get another 15 CE so $250 has generally covered all the CE I've needed to get on renewal. Sadly we don't get an hourly bonus. When I worked in the adult world at my first hospital (1993-1998) they would give you 25 cents/hour.


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