Using principal components analysis to explore competence and confidence in student nurses as users of information and communication technologies

Expanding the Informatics Competencies of Nurse Practitioners Through Online Learning

Nurse practitioners' informatics competencies are not well-understood. Limited evidence alludes to the potential need to improve the informatics competencies of nurse practitioners. The primary purpose of this study was to analyze the informatics competencies of nurse practitioners, including nurses training to become nurse practitioners, before and after completing an online learning module in nursing informatics. Six topics were covered in the investigator-developed learning module. A pretest-posttest, one-group, quasi-experimental design was used in the study. The link to the study was emailed to members of a local nurse practitioners' association in California and graduate nursing students at a public university in Missouri. The study was also shared on a professional networking Web site, LinkedIn. Data were collected from 15 nurse practitioners and two nurse practitioner students, using a demographic questionnaire and an 18-item self-assessment of informatics competency scale. A related-samples Sign test was conducted to compare the pretest and posttest scores. Statistically significant median increases ( P = .001 to <.001) were found in five areas. Findings suggest that the online learning module expanded the participants' competencies in specific areas of informatics. The results also provide an initial understanding of nurse practitioners' informatics competencies and inform future iterations of the study.

Defining core patient descriptors for perforated peptic ulcer research: international Delphi

BACKGROUND

Perforated peptic ulcer (PPU) remains a common condition globally with significant morbidity and mortality. Previous work has demonstrated variation in reporting of patient characteristics in PPU studies, making comparison of studies and outcomes difficult. The aim of this study was to standardize the reporting of patient characteristics, by creating a core descriptor set (CDS) of important descriptors that should be consistently reported in PPU research.

METHODS

Candidate descriptors were identified through systematic review and stakeholder proposals. An international Delphi exercise involving three survey rounds was undertaken to obtain consensus on key patient characteristics for future research. Participants rated items on a scale of 1-9 with respect to their importance. Items meeting a predetermined threshold (rated 7-9 by over 70 per cent of stakeholders) were included in the final set and ratified at a consensus meeting. Feedback was provided between rounds to allow refinement of ratings.

RESULTS

Some 116 clinicians were recruited from 29 countries. A total of 63 descriptors were longlisted from the literature, and 27 were proposed by stakeholders. After three survey rounds and a consensus meeting, 27 descriptors were included in the CDS. These covered demographic variables and co-morbidities, risk factors for PPU, presentation and pathway factors, need for organ support, biochemical parameters, prognostic tools, perforation details, and surgical history.

CONCLUSION

This study defines the core descriptive items for PPU research, which will allow more robust synthesis of studies.

A Cooperative Interdisciplinary Task Intervention with Undergraduate Nursing and Computer Engineering Students

: This study proposed a collaborative methodology among university students in different grades in order to find sustainable strategies that are an added value for students, teachers, and society. In daily professional practice, different professionals must develop skills to collaborate and understand each other. For that reality to be sustainable, we believe that experiences must begin in the context of higher education. Social network analysis offers a new perspective on optimizing relationships between university students. The main goal of this study was to analyze students’ behavior in their networks following an educational intervention and the association with academic performance, resilience and engagement. This was a descriptive quasi-experimental study with pre–post measures of a cooperative interdisciplinary intervention. Participants comprised 50 nursing and computer engineering students. We measured help, friendship, and negative network centrality, engagement, resilience, and academic performance. No significant differences were observed between pre–post-intervention centrality measures in the negative network. However, the help and friendship networks presented statistically significant differences between inDegreeN, OutDegreeN and EigenvectorN on the one hand, and resilience and engagement—but not academic performance—on the other. Academic performance was solely associated with the team to which participants belonged. Cooperative interdisciplinary learning increased the number of ties and levels of prestige and influence among classmates. Further research is required in order to determine the influence of engagement and resilience on academic performance and the role of negative networks in network formation in education. This study provides important information for proposals on sustainable assessments in the field of higher education.

Challenges facing the implementation of the national natural gas policy in Tanzania

Purpose

This study aims to investigate the challenges facing the implementation of the natural gas policy in Tanzania.

Design/methodology/approach

A structured questionnaire was used to collect data, while the principal component analysis and statistical tests were used to explore the relationship between the opinions on the influential factors for the natural gas policy implementation and the demographic information.

Findings

The findings showed that over 50 per cent of the respondents regarded poor community participation and transparency and accountability as the major policy implementation challenges. Most of the demographic information showed the statistically significant effects of the policy implementation influential factors.

Originality/value

This paper provides the current challenges facing the implementation of the national natural gas policy in Tanzania.