This article discusses the critical role professional nurses will play and the tremendous impact nursing education and leadership development will have on the future of health care, as outlined in ...the recommendations of the Institute of Medicines report, "The future of nursing: Leading change, and advancing health." Six doctorate of nursing practice students from Case Western Reserve University analyzed the Institute of Medicine (IOM) report and developed projects to disseminate key components to selected organizations. The students developed two primary initiatives. One initiative involved presenting the report to various professional organizations, including a local chapter of an international honor society, a specialty organization, and a health care organization. The second initiative included interviewing several nurse leaders within a large multihospital health system, and a nursing leader in academia to determine (a) the level of awareness about the IOM report and (b) strategies these leaders have implemented or envisioned to address the report recommendations.
This article discusses the critical role professional nurses will play and the tremendous impact nursing education and leadership development will have on the future of health care, as outlined in ...the recommendations of the Institute of Medicine’s report, “The future of nursing: Leading change, and advancing health.” Six doctorate of nursing practice students from Case Western Reserve University analyzed the Institute of Medicine (IOM) report and developed projects to disseminate key components to selected organizations. The students developed two primary initiatives. One initiative involved presenting the report to various professional organizations, including a local chapter of an international honor society, a specialty organization, and a health care organization. The second initiative included interviewing several nurse leaders within a large multihospital health system, and a nursing leader in academia to determine (a) the level of awareness about the IOM report and (b) strategies these leaders have implemented or envisioned to address the report recommendations.
In 2007, New York State Public Health Law was revised to expand the scope of practice of radiologic technologists (RTs) to allow venipuncture, the administration of radiologic pharmaceuticals and ...contrast media, and the performance of venipuncture for that purpose. This article describes the development and implementation of a program to educate RTs in venipuncture and cardiopulmonary resuscitation in a large health system that included several tertiary hospitals community hospitals and an outpatient radiology center.
We generated 200–500 year resolution records of oceanic processes in the North Atlantic (Ocean Drilling Program Site 983, 60°24′N, 23°38′W, 1983 meters water depth) for intervals in the latest ...Pliocene (1.86–1.93 Ma) and the earliest Pleistocene (1.75–1.83 Ma) in order to examine the linkages between millennial‐scale variations in the ocean and background glacial‐interglacial climate change. Within glacial intervals we find evidence for variations similar to those observed in the late Pleistocene. We find discrete ice‐rafted debris (IRD) events that reoccur every 2–5 kyr. These events are preceded by a short cooling and accompanied by a reorganization of glacial deep waters. The timing of IRD events in the late Pliocene and early Pleistocene intervals is similar to that of Dansgaard‐Oeschger cycles, but we find no IRD events comparable in timing to late Pleistocene Heinrich events. Although interglacial intervals are much more stable, we do find evidence for low‐amplitude variations in deep water properties that reoccur every ∼2 kyr within interglacial intervals. The similarity between our late Pliocene—early Pleistocene records and late Pleistocene records implies that the mechanism driving millennial‐scale variations cannot be uniquely attributed to the strongly nonlinear linkage between climate and insolation and the large ice sheets of the late Pleistocene.
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