when the sun drops dark
the chickens all make a fuss
not wanting to sleep

9/30 NPworld.us Karen 'n bill

  ----- Original Message ----- From: bill@advancedpracticeproviders.us To: bill@NPworld.us Sent: Tuesday, September 30, 2008 10:33 AM Subject: We posted your NP job on NPworld.us Karen 'n bill  ...   Nurse Practitioner Jobs Advanced Practice Clinician, Advanced Practice Providers Nurse Practitioner Jobs

9/29 NP job on NPworld.us Karen 'n bill

  ----- Original Message ----- From: bill@advancedpracticeclinicians.us To: bill@paworld.net Sent: Monday, September 29, 2008 1:13 PM Subject: We posted your NP job on NPworld.us Karen 'n bill  ...   Nurse Practitioner Jobs Advanced Practice Clinician, Advanced Practice Providers Nurse Practitioner Jobs

tiny ripe apple
pinot noir red and the size
of a baby's foot

plate with wax paper
reheated slice of pizza
cold pint of amber

monkey in zoo cage
too-long finger curved to nose
sitting on concrete

9/27 NPworld.us Karen 'n bill

  ----- Original Message ----- From: bill@advancedpracticeclinicians.us To: bill@NPworld.us Sent: Saturday, September 27, 2008 8:10 AM Subject: Thank you! Your jobs on NPworld.us Karen 'n bill  ...   Nurse Practitioner Jobs Advanced Practice Clinician, Advanced Practice Providers Nurse Practitioner Jobs

On a Lighter Note...

Two nuns, Sister Catherine and Sister Helen, are traveling through Europe in their car. They get to Transylvania an are stopped at a traffic light. Suddenly, out of nowhere, a tiny little Dracula jumps onto the hood of the car and hisses through the windshield.

'Quick, quick!' shouts Sister Catherine. 'What shall we do?'

'Turn the windshield wipers on. That will get rid of the abomination,' says Sister Helen.

Sister Catherine switches them on, knocking Dracula about, but he clings on and continues hissing at the nuns.

What shall I do now?' she shouts.

'Switch on the windshield washer. I filled it up with Holy Water at the Vatican ,' says Sister Helen.

Sister Catherine turns on the windshield washer.

Dracula screams as the water burns his skin, but he clings on and continues hissing at the nuns.

'Now what?' shouts Sister Catherine.

'Show him your cross,' says Sister Helen.

'Now you're talking,' says Sister Catherine.

She opens the window and shouts,

'GET THE FUCK OFF THE CAR!'

9/26 NPworld.us Karen 'n bill

  ----- Original Message ----- From: bill@NPworld.us To: bill@npworld.us Sent: Friday, September 26, 2008 7:41 AM Subject: TGIF 9/26 NPworld.us Karen 'n bill  ...   Nurse Practitioner Jobs Advanced Practice Clinician, Advanced Practice Providers Nurse Practitioner Jobs

roses are wilted
street sweeper eats the petals
a watery path

9/25 NPworld.us Karen 'n bill

  ----- Original Message ----- From: bill@advancedpracticeclinicians.us To: karen.fields@NPworld.us Sent: Thursday, September 25, 2008 9:13 AM Subject: Thank you! Your jobs on NPworld.us Karen 'n bill  ...   Nurse Practitioner Jobs Advanced Practice Clinician, Advanced Practice Providers Nurse Practitioner Jobs

a comb wound with hair
is on the kitchen table
noodles in a fork

she plays gemeinhardt
split E open hole B note
silver thin wall head

Research Abstract with Commentary: Value of Nurse Internships

Abstract: New Graduate Transitioning: Necessary or Nice?

This study investigated the influence of personal factors, orientation, continuing education, and staffing shortage on the satisfaction, intent to leave their job, and intent to leave the profession of a random sample of new graduate nurses from varied facilities and geographic locations. It further examined the influence of personal factors and orientation on turnover rates among new graduate nurses. The findings indicate that orientation programs are essential to the retention and satisfaction of new graduate nurses. Given current economic constraints, this study supports nurse executives' ability to advocate for and receive funding for transition-to-work programs as well as the placement of new graduate nurses in well-staffed units.

Scott, E. S., Engelke, M. K., & Swanson, M. (2008). New graduate transitioning: Necessary or nice? Applied Nursing Research, 21, 75-83.

Commentary by Dana N. Rutledge, RN, PhD, Nursing Research Facilitator

This timely study begins to fill a gap in nursing literature related to what factors can predict new graduate job and career satisfaction as well as actual job turnover. A well developed framework predicts that (a) anticipatory socialization (characteristics of education, experience, and expectations) can predispose or protect the new graduate from reality shock, and (b) organizational socialization (things that happen to the new nurse in the first two years of nursing such as orientation, unit culture, staffing) can enhance or inhibit work adjustment. The outcomes of job and career satisfaction, intent to stay, turnover can be predicted by factors within each of these two categories.

Using already collected data (this is called secondary analysis) from a random sample of North Carolina new graduates (< 2 years from graduation from initial RN program), researchers evaluated how this model worked with 329 nurses. They adequately described the variables they used, and ran multiple analyses to look for relationships in the model. One of the drawbacks of using already collected data is that not all factors the researchers wanted to evaluate were measured, and some that were measured contained “missing” data. However, they were able to draw several important conclusions.

Besides the finding reported in the abstract (above), the following were reported:
· Among new nurses, 54% were dissatisfied with their current job, 55% had already left one job, however, 71% were satisfied with nursing as a career.
· Orientation offered to these nurses ranged from < 1 week to 1 year (huge variability!!). The quality and quantity of orientation were associated with turnover (better/longer predictive of less turnover).
· The strongest predictor of job satisfaction was frequency of staffing shortage on a unit. Nurses reporting weekly shortages were 6 X more likely to be dissatisfied than those with less shortages.

These findings point to the need to give our new graduates the most satisfying orientation possible, and that longer orientation lengths may contribute to job satisfaction, and subsequent retention.

9/24 NPworld.us Karen 'n bill

  ----- Original Message ----- From: bill@advancedpracticeclinicians.us To: bill@NPworld.us Sent: Wednesday, September 24, 2008 8:38 AM Subject: Thank you! Your jobs on NPworld.us Karen 'n bill  ...   Nurse Practitioner Jobs Advanced Practice Clinician, Advanced Practice Providers Nurse Practitioner Jobs

9/23 NPworld.us Karen 'n bill

  ----- Original Message ----- From: bill@NPworld.us To: 1nnenna@msn.com Sent: Tuesday, September 23, 2008 8:52 AM Subject: Tuesday 9/23 NPworld.us Karen 'n bill  ...   Nurse Practitioner Jobs Advanced Practice Clinician, Advanced Practice Providers Nurse Practitioner Jobs

up-ended table
metal legs folded under
looks like an old man

9/22 NPworld.us Karen 'n bill

  ----- Original Message ----- From: bill@advancedpracticeclinicians.us To: bill@NPworld.us Sent: Monday, September 22, 2008 9:04 AM Subject: Thank you! Your jobs on NPworld.us Karen 'n bill  ...   Nurse Practitioner Jobs Advanced Practice Clinician, Advanced Practice Providers Nurse Practitioner Jobs

sack of joint compound
steel attic ventilator
five gallon shop-vac

box office at two
doors open at two thirty
but I'm there at one

today a cold day
sun through leaves turning brown, red
I wear a sweater

9/20 NP jobs NPworld.us Karen 'n bill

  ----- Original Message ----- From: bill@advancedpracticeclinicians.us To: bill@NPworld.us Sent: Saturday, September 20, 2008 9:18 AM Subject: Thank you! Your jobs on NPworld.us Karen 'n bill  ...   Nurse Practitioner Jobs Advanced Practice Clinician, Advanced Practice Providers Nurse Practitioner Jobs

he called me MRS
and I told him to shove it
trees are dropping leaves

9/19 NPworld.us Nurse Practitioner Jobs

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next door they play wii
pretending to be a band
simulated life

9/18 NPworld.us Karen 'n bill

  ----- Original Message ----- From: bill@advancedpracticeclinicians.us To: bill@NPworld.us Sent: Thursday, September 18, 2008 7:24 AM Subject: Thank you! Your jobs on NPworld.us Karen 'n bill  ...   Nurse Practitioner Jobs Advanced Practice Clinician, Advanced Practice Providers Nurse Practitioner Jobs

addictive learning
he scans the computer screen
for precise info

OIIQ Exam

Well, the time has come! I am taking the OIIQ Boards this coming weekend. The OSCEs are Sunday and the written is Monday. I do not feel prepared at all, and frankly fully expect to fail it this time around.. which if I do, is a huge waste of $500! BUT really, the prep book they sell us I find to be very lacking and has mistakes in it! (mainly b/c it is translated from the French).

The OSCEs are 16 scenarios, and the written is 100 short answer questions.. INSANE!

Wish me luck, those who pray, well pray away for me! All this stress to become part of the Order of Nurse and be able to write RN after my name!

9/17 NPworld.us Karen 'n bill

  ----- Original Message ----- From: bill@advancedpracticeclinicians.us To: bill@NPworld.us Sent: Wednesday, September 17, 2008 6:27 AM Subject: Thank you! Your jobs on NPworld.us Karen 'n bill  ...   Nurse Practitioner Jobs Advanced Practice Clinician, Advanced Practice Providers Nurse Practitioner Jobs

NPworld.us Nurse Practitioner Jobs 9/17

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celebrity death
and stray tragic accidents
always front page news

NPworld.us Nurse Practitioner Jobs 9/16

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9/15 NPworld.us Karen 'n bill

  ----- Original Message ----- From: bill@advancedpracticeclinicians.us To: bill@NPworld.us Sent: Monday, September 15, 2008 6:57 AM Subject: Thank you! Your jobs on NPworld.us Karen 'n bill  ...   Nurse Practitioner Jobs Advanced Practice Clinician, Advanced Practice Providers Nurse Practitioner Jobs

NPworld.us Nurse Practitioner Jobs 9/155

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ten black powerlines
the pole is lashed up with wires
tall opposition

fliers for cell phones
monthly subscription to talk
life is a fees list

9/13 NPworld.us Karen 'n bill

  ----- Original Message ----- From: bill@advancedpracticeclinicians.us To: bill@NPworld.us Sent: Saturday, September 13, 2008 6:27 AM Subject: Thank you! Your jobs on NPworld.us Karen 'n bill  ...   Nurse Practitioner Jobs Advanced Practice Clinician, Advanced Practice Providers Nurse Practitioner Jobs

Job for Nurse in Al-Omooma Hospital Kuwait

Al-Omooma Hospital service offerings include gynecology, Obstetrics, and assisted reproduction. This is Private Women’s Hospital in KUWAIT, located in Reggae Region. The Hospital is built in compliance with AIA healthcare facilities standards and equipped with state of art technology appropriate to the provision of quality patient care services. Recently they are looking for the Nurses who want to work with them as Manager in Patient care services.

The Hospital will be operational in February 2008, For the Nurses who are interesting to the Job position and match with the require qualification bellow :

BS Nursing or Midwifery & Diploma in Nursing Management

Minimum of 5 years in an obstetrics service

Minimum of 3 years in a senior management position

Job for Nurse in Al-Omooma Hospital Kuwait
They can submit their job's application or updated CVs to the email : omooma@theadvisorygroup.org

The Nurses who are working with them as position Manager in patient care services will be responsible to her job, such as Nursing staff management, patient care management, and performance monitoring & improvement.

a precious haiku
about flowers and blue sky
fist clenched resistance

9/12 NPworld.us Karen 'n bill

  ----- Original Message ----- From: bill@advancedpracticeclinicians.us To: bill@NPworld.us Sent: Friday, September 12, 2008 3:02 AM Subject: Thank you! Your jobs on NPworld.us Karen 'n bill  ...   Nurse Practitioner Jobs Advanced Practice Clinician, Advanced Practice Providers Nurse Practitioner Jobs

paper folds over
cash register bings and shuts
gimme my cookie

9/11 NPworld.us Karen 'n bill

  ----- Original Message ----- From: bill@advancedpracticeclinicians.us To: bill@NPworld.us Sent: Thursday, September 11, 2008 6:29 AM Subject: Thank you! Your jobs on NPworld.us Karen 'n bill  ...   Nurse Practitioner Jobs Advanced Practice Clinician, Advanced Practice Providers Nurse Practitioner Jobs

steam from the pot curls
smoke from oven grit spreads wide
faucet spray fragments

9/10 NPworld.us Karen 'n bill

  ----- Original Message ----- From: bill@advancedpracticeclinicians.us To: bill@NPworld.us Sent: Wednesday, September 10, 2008 5:26 AM Subject: Thank you! Your jobs on NPworld.us Karen 'n bill  ...   Nurse Practitioner Jobs Advanced Practice Clinician, Advanced Practice Providers Nurse Practitioner Jobs

zigzag hook hanger
aunt Eleanor's book of quotes
a stamped and cut tin mask

9/9 NPworld.us Karen 'n bill

  ----- Original Message ----- From: bill@advancedpracticeclinicians.us To: bill@NPworld.us Sent: Tuesday, September 09, 2008 9:12 AM Subject: Thank you! Your jobs on NPworld.us Karen 'n bill  ...   Nurse Practitioner Jobs Advanced Practice Clinician, Advanced Practice Providers Nurse Practitioner Jobs

adobe flash script
controller false notify
error has occurred

NPworld.us Nurse Practitioner Jobs 9/8

  ----- Original Message ----- From: bill@advancedpracticeclinicians.us To: bill@NPworld.us Sent: Monday, September 08, 2008 9:57 AM Subject: Thank you! Your jobs on NPworld.us Karen 'n bill  ...   Nurse Practitioner Jobs Advanced Practice Clinician, Advanced Practice Providers Nurse Practitioner Jobs

one branch is longer
the round shaggy maple tree
defies pruning sheers

I hold the wood frame
while he unrolls wire mesh
in time, a bird cage

NPworld.us Nurse Practitioner Jobs 9/6

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searching for templates
it's supposed to be easy
my day shot to hell

GREY MATTERS: a practical search tool for evidence based medicine

The Canadian Agency for Drugs and Technologies in Health (CADTH) has developed a new, free tool to assist in the process of identifying "gray literature" for evidence based medicine. While this is oriented towards EBM, it does have applicability to Evidence Based Nursing. First off, what exactly is "gray literature"? Gray literature is defined in wikipedia as "... a term used variably by the intelligence community, librarians, and medical and research professionals to refer to a body of materials that cannot be found easily through conventional channels such as publishers, "but which is frequently original and usually recent" in the words of M.C. Debachere". It goes without saying that gray literature usually does not appear in customary databases such as Pubmed and CINAHL. There are several resources for identifying gray literature but none are quite as comprehensive as the newly released tool from the CADTH GREY MATTERS: a practical search tool for evidence based medicine.
To access this tool, scroll down the page to Information Services and follow instructions to download the document.

While most of us would never go through this intensity of research for clinical topics, if you are developing a meta-analysis or systematic review, this could be useful. This tool will help you search for evidence based topics in both the international and US grey literature.

NPworld.us Nurse Practitioner Jobs 9/5

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when I park at home
the cat is there to greet me
and share of his day

Taking research posters to the units

The Nursing Research Council at St. Joseph Hospital in Orange, California is activating its plan to take research to the units. Members of the Research Council were charged with finding a current nursing research article which might have special application to their specific unit. Leaders of the Nursing Research Council developed a template poster which summarizes a key article into the following sections:

The Research Question

• Methods


• Results


• Discussion


• Implications for SJH Nursing Practice

Of special note is the section noting implications for St. Joseph Hospital nursing practice. An effort is made to show how the practice implications may mesh with our hospital's values and with our Watson nursing model. The posters will be placed in a unit's lounge area and are intended to make the salient points of a complex research article more accessible and increase interest in nursing research. This photo shows team members at a working meeting in which they identified an article of interest and then summarized it into this reseach poster template.

knitting through a glass
sand running through my fingers
branches rasp the glass

Student Nurse Humour

A male patient is lying in bed in the hospital, wearing oxygen mask
over his mouth and nose.
A young, student nurse appears to give him a partial sponge bath.

'Nurse', he mumbles, from behind the mask. 'Are my testicles black?'

Embarrassed, the young nurse replies, 'I don't know, Sir I'm only here
to wash your upper body and feet.'

He struggles to ask again, 'Nurse, please check. Are my testicles
black?'

Concerned that he may elevate his blood pressure and heart rate from
worry about his testicles, she overcomes her embarrassment and pulls
back the covers. She raises his gown, holds his manhood in one hand and
his testicles in the other. Then, she takes a close look and says,
'...there's nothing wrong with them, Sir!'

The man pulls off his oxygen mask, smiles at her and says very slowly,
'Thank you very much. That was wonderful, but listen very, very
closely...

'A r e - m y - t e s t - r e s u l t s -b a c k?

9/3 you're NP job posted on NPworld.us thank you, bill

  ----- Original Message ----- From: bill@advancedpracticeclinicians.us To: bill@NPworld.us Sent: Wednesday, September 03, 2008 8:51 AM Subject: See you're NP job posted on NPworld.us thank you, bill  ...   Nurse Practitioner Jobs Advanced Practice Clinician, Advanced Practice Providers Nurse Practitioner Jobs

what world is this where
all the women are called ma'am
and art is for sale

Our House Flooded

Some of our readers have e-mailed asking why we are settled in South Georgia again this school year. The answer is becoming less and less clear given what happened the weekend before last and what is going on right now.

The weekend before last we were visited by Tropical Storm Fay which decided to stick around for two and a half days before moving on. The storm moved through at about 4 mph and dropped 25 inches of rain in two days. I felt like it would never leave. By the time it left our living and tv rooms had an inch of water on the floor.
See all that red just above the Florida line where the arrow is pointing. Yeah. That's where we live.

NPworld.us Nurse Practitioner Jobs 9/2

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on the way to work
see the Obama sticker
phallus fills the M