Deborah Raines - Academia.edu (original) (raw)

Papers by Deborah Raines

Topics in Advanced Practice Nursing E Journal, 2007

International Journal of Human Caring, 2007

Can a program of study enhance the caring abilities of its students? This program evaluation stud... more Can a program of study enhance the caring abilities of its students? This program evaluation study used a prepost survey design to measure the caring abilities of second-degree students enrolled in an accelerated BSN program. Placed in a college grounded in a philosophy of caring, the challenge was to design a curriculum that achieved clinical competence while focusing on the humanism of caring. A partnership model to the study of nursing was designed to emphasize dialogue and reflection over the year of study. The findings of this study provide evidence that students' caring abilities, as measured by the Caring Abilities Inventory, were enhanced as an outcome of the program of study.

Journal of Nursing Education, Jun 1, 2007

Worldviews on evidence-based nursing / Sigma Theta Tau International, Honor Society of Nursing, 2016

Neonatal network : NN, 2016

Nurses are actively involved in the development of innovative practice projects and in the develo... more Nurses are actively involved in the development of innovative practice projects and in the development of evidence-based guidelines. But rarely are the ideas of nurses and clinical leaders shared in professional publications. This column discusses the importance of sharing one's work through publication and provides strategies to get started.

Neonatal network: NN

Research is a word that evokes feeling of fear and dread in many nurses. Maybe its memories of th... more Research is a word that evokes feeling of fear and dread in many nurses. Maybe its memories of the research course required in their nursing education program, hours spent in the library, or deciphering the statistics section in a research article. Most nurses want to focus on nursing skills and are unaware of the relationship between research and nursing care skills, such as administering medications, protecting skin integrity, or educating an anxious parent. Many nurses see research as distinct from patient care and nursing practice, but nothing is further from the truth. Quality nursing care is based on questioning the things nurses do and looking at the relationship between nursing care and patient outcomes. For a long time, nursing practices were based on tradition. Even the emergence of the neonatal intensive care unit (NICU) was grounded in the tradition of the adult intensive care unit. Equipment and practices were downsized without evidence that what worked with an adult pa...

Online journal of issues in nursing

The fastest growing university-based nursing programs are the accelerated programs of study for s... more The fastest growing university-based nursing programs are the accelerated programs of study for students who hold a baccalaureate degree in another discipline and desire to change careers. Understanding the factors that attract these individuals to the study and practice of nursing is important for nursing recruitment and retention. In this article the author describes how she analyzed the stories of the first two cohorts of students (N=66) admitted to an accelerated, second degree program in the Southeastern United States. These stories, written by prospective students, described the factors that influenced their decision to pursue the study of nursing as a second career. A content analysis identified three themes: What I bring to nursing; Seeking satisfying work; and The missing piece. The findings provide insight into the factors that attract the second degree/career changing learner to the study of nursing. The author begins with a review of literature related to the reasons for...

The Journal of nursing education, 2007

Western Journal of Nursing Research, 1994

The purpose of this research was to identify the values influencing the nurses' perceptio... more The purpose of this research was to identify the values influencing the nurses' perception and choice of behavior in a hypothetical clinical situation. The theoretical framework was Rokeach's theory on the nature of human values and value systems. A descriptive study using a mailed survey was conducted on a random sample of 331 members of the National Association of Neonatal Nurses. Data on individual nurse's values, perception of information, and behavioral choices were collected with an investigator-developed questionnaire consisting of a values scale, and an information scale and choice alternatives related to three hypothetical vignettes: a low-birthweight infant, an infant with chromosomal anomalies, and a chronically ill infant. Results of this study indicate that nurses identified a hierarchy of values related to their practice. Information related to infant characteristics was consistently most important; however, in uncertain situations, rules or external protocols had an increased influence on the behavioral choice process. The behavioral choice option with the greatest agreement was different for each situation. A consistently negative correlation between the options within each vignette indicates that nurses have clearly defined choice preferences. Model testing revealed a consistent relationship across the three vignettes between the variable being just and protocol, doing right and infant characteristics, and infant characteristics and the choice options (p < .05).

MCN, The American Journal of Maternal/Child Nursing, 2008

To gain an understanding of the lived experience of pregnant women in Thailand who have preterm l... more To gain an understanding of the lived experience of pregnant women in Thailand who have preterm labor. Phenomenology using purposeful sampling with pregnant Thai women diagnosed with preterm labor and admitted to two government hospitals in Bangkok, Thailand. A semi-structured interview was conducted in the native language of the participants. Transcripts were analyzed for common themes as appropriate for phenomenological inquiry. Words, statements, and paragraphs were extracted to identify the meaning of the onset of preterm labor to these women. These participants shared a change in the pregnancy experience from a joyful life-cycle event to a medical complication that threatened fetal and family well-being. Three themes emerged from the data: knowing something was wrong, concern for fetal well-being, and taking on the sick role. The findings from this research demonstrate the importance of acknowledging and incorporating a woman's personal knowledge of her body and the associated changes in planning nursing care and patient education guidelines.

Nursing Made Incredibly Easy!, 2014

International Journal of Nursing Education Scholarship, 2009

The article, "CAN-Care: An Innovative Model of Practice-Based Learning&a... more The article, "CAN-Care: An Innovative Model of Practice-Based Learning" was published in the International Journal of Nursing Education Scholarship in 2006 (Article 20). Reported in this paper are the findings of a program evaluation study with 58 participants who completed a survey questionnaire at the end of the program of study and six-months post graduation. The data reveal that the model resulted in graduates who perceived themselves to be competent and effectively prepared for real-world nursing practice. This is contrary to the existing literature which reports graduates' perceived lack of readiness for RN practice. The participants in this study also identified the opportunity to work with a consistent unit-based nurse and having the nursing practice course experiences on consecutive days and for the entire 12-hour shift as significant factors in the effectiveness of their learning experience.

Topics in Advanced Practice Nursing E Journal, 2007

International Journal of Human Caring, 2007

Can a program of study enhance the caring abilities of its students? This program evaluation stud... more Can a program of study enhance the caring abilities of its students? This program evaluation study used a prepost survey design to measure the caring abilities of second-degree students enrolled in an accelerated BSN program. Placed in a college grounded in a philosophy of caring, the challenge was to design a curriculum that achieved clinical competence while focusing on the humanism of caring. A partnership model to the study of nursing was designed to emphasize dialogue and reflection over the year of study. The findings of this study provide evidence that students' caring abilities, as measured by the Caring Abilities Inventory, were enhanced as an outcome of the program of study.

Journal of Nursing Education, Jun 1, 2007

Worldviews on evidence-based nursing / Sigma Theta Tau International, Honor Society of Nursing, 2016

Neonatal network : NN, 2016

Nurses are actively involved in the development of innovative practice projects and in the develo... more Nurses are actively involved in the development of innovative practice projects and in the development of evidence-based guidelines. But rarely are the ideas of nurses and clinical leaders shared in professional publications. This column discusses the importance of sharing one's work through publication and provides strategies to get started.

Neonatal network: NN

Research is a word that evokes feeling of fear and dread in many nurses. Maybe its memories of th... more Research is a word that evokes feeling of fear and dread in many nurses. Maybe its memories of the research course required in their nursing education program, hours spent in the library, or deciphering the statistics section in a research article. Most nurses want to focus on nursing skills and are unaware of the relationship between research and nursing care skills, such as administering medications, protecting skin integrity, or educating an anxious parent. Many nurses see research as distinct from patient care and nursing practice, but nothing is further from the truth. Quality nursing care is based on questioning the things nurses do and looking at the relationship between nursing care and patient outcomes. For a long time, nursing practices were based on tradition. Even the emergence of the neonatal intensive care unit (NICU) was grounded in the tradition of the adult intensive care unit. Equipment and practices were downsized without evidence that what worked with an adult pa...

Online journal of issues in nursing

The fastest growing university-based nursing programs are the accelerated programs of study for s... more The fastest growing university-based nursing programs are the accelerated programs of study for students who hold a baccalaureate degree in another discipline and desire to change careers. Understanding the factors that attract these individuals to the study and practice of nursing is important for nursing recruitment and retention. In this article the author describes how she analyzed the stories of the first two cohorts of students (N=66) admitted to an accelerated, second degree program in the Southeastern United States. These stories, written by prospective students, described the factors that influenced their decision to pursue the study of nursing as a second career. A content analysis identified three themes: What I bring to nursing; Seeking satisfying work; and The missing piece. The findings provide insight into the factors that attract the second degree/career changing learner to the study of nursing. The author begins with a review of literature related to the reasons for...

The Journal of nursing education, 2007

Western Journal of Nursing Research, 1994

The purpose of this research was to identify the values influencing the nurses' perceptio... more The purpose of this research was to identify the values influencing the nurses' perception and choice of behavior in a hypothetical clinical situation. The theoretical framework was Rokeach's theory on the nature of human values and value systems. A descriptive study using a mailed survey was conducted on a random sample of 331 members of the National Association of Neonatal Nurses. Data on individual nurse's values, perception of information, and behavioral choices were collected with an investigator-developed questionnaire consisting of a values scale, and an information scale and choice alternatives related to three hypothetical vignettes: a low-birthweight infant, an infant with chromosomal anomalies, and a chronically ill infant. Results of this study indicate that nurses identified a hierarchy of values related to their practice. Information related to infant characteristics was consistently most important; however, in uncertain situations, rules or external protocols had an increased influence on the behavioral choice process. The behavioral choice option with the greatest agreement was different for each situation. A consistently negative correlation between the options within each vignette indicates that nurses have clearly defined choice preferences. Model testing revealed a consistent relationship across the three vignettes between the variable being just and protocol, doing right and infant characteristics, and infant characteristics and the choice options (p < .05).

MCN, The American Journal of Maternal/Child Nursing, 2008

To gain an understanding of the lived experience of pregnant women in Thailand who have preterm l... more To gain an understanding of the lived experience of pregnant women in Thailand who have preterm labor. Phenomenology using purposeful sampling with pregnant Thai women diagnosed with preterm labor and admitted to two government hospitals in Bangkok, Thailand. A semi-structured interview was conducted in the native language of the participants. Transcripts were analyzed for common themes as appropriate for phenomenological inquiry. Words, statements, and paragraphs were extracted to identify the meaning of the onset of preterm labor to these women. These participants shared a change in the pregnancy experience from a joyful life-cycle event to a medical complication that threatened fetal and family well-being. Three themes emerged from the data: knowing something was wrong, concern for fetal well-being, and taking on the sick role. The findings from this research demonstrate the importance of acknowledging and incorporating a woman's personal knowledge of her body and the associated changes in planning nursing care and patient education guidelines.

Nursing Made Incredibly Easy!, 2014

International Journal of Nursing Education Scholarship, 2009

The article, "CAN-Care: An Innovative Model of Practice-Based Learning&a... more The article, "CAN-Care: An Innovative Model of Practice-Based Learning" was published in the International Journal of Nursing Education Scholarship in 2006 (Article 20). Reported in this paper are the findings of a program evaluation study with 58 participants who completed a survey questionnaire at the end of the program of study and six-months post graduation. The data reveal that the model resulted in graduates who perceived themselves to be competent and effectively prepared for real-world nursing practice. This is contrary to the existing literature which reports graduates' perceived lack of readiness for RN practice. The participants in this study also identified the opportunity to work with a consistent unit-based nurse and having the nursing practice course experiences on consecutive days and for the entire 12-hour shift as significant factors in the effectiveness of their learning experience.