Contextual Factors
- Workforce shortages and ensuring that there are adequate healthcare professionals in the workforce
- Insufficient clinical placement and experiences
- An appropriate transitional plan between the end of the experience and first employment
- Fiscal restraint
- Complex healthcare organizations
- Increasing patient acuity
- The explosion of knowledge and technology
Do contextual factors affect nursing expertise?
We hypothesized that contextual factors affect expertise above and beyond individual factors. Our study contributes evidence about the theoretical relationships between individual and contextual factors and expertise that may guide efforts to improve nurses' expertise.
What is a contextual approach in nursing?
A contextual approach is particularly useful for understanding organizational phenomena where individuals are nested within larger systems such as nurses within hospitals. In our framework the individual characteristics of the nurse, such as education level and years of experience, influence an individual nurse's clinical expertise.
What are contextual factors in education?
Contextual factors are internal and external forces, situations, and circumstances that can influence the educational institution, healthcare program, and curriculum (Iwasiw, Goldenberg, & Andrusyszyn, 2009).
What does contextual influences on his health mean?
So, looking at a person as a contextual being is overdone fancy-speak for "looking at a person as a part of his surroundings/milieu/or situation all put together." "Contextual influences on his health" would be the things in his environment or situation that influence his health.
What are contextual factors?
1. factors which reflect a particular context, characteristics unique to a particular group, community, society and individual. Learn more in: Conceptualizing a Contextual Measurement for Digital Divide/s: Using an Integrated Narrative. 2.
What are contextual factors in healthcare?
Findings from the evidence synthesis further distilled the four domains into eight key contextual factors: leadership, organisational culture, individual skills and capabilities, organisational capacity and capability, data and technical infrastructure, readiness for change, championship and relationships.
What are the 5 contextual factors?
Five contextual factors have an effect on the purpose an individual wishes to use an explanation for, and on how you should deliver your explanation:domain you work in;impact on the individual;data used;urgency of the decision; and.audience it is being presented to.
What are positive contextual factors?
Using data derived from the National Survey of Children's Health 2011-12 (N = 43,864), we calculated the distribution of positive contextual factors (very good/excellent maternal mental health, neighborhood and school safety, and child resilience) and AFEs across weight status.
What are examples of contextual influences?
These contextual influences included various events, experiences, and relationships. In analyzing these events, experiences, and relationships, the following domains of contextual influence emerged: college entry, curriculum, co-curriculum, travel, life issues, and college departure.
What are different types of context?
Four Types of Context in Writing. There are several types of context, including cultural, historical, physical, and rhetorical.
What are the four contextual factors?
The four contextual factors that appear to be most significantly related to team performance are the presence of adequate resources, effective leadership, a climate of trust, and a performance evaluation and reward system that reflects team contributions.
What are contextual factors in assessment?
Contextual factors affecting individual students include age, gender, culture and personal interests. Teachers should anticipate student needs based on these attributes. For example, younger students may not be able to pay attention to activities as long as older students can.
Why is it important to understand contextual factors?
Contextual factors, a way to categorize the outside effects, are attributes of the community, the students, and the school itself that may affect the process of teaching and learning. Teaching and learning do not happen in a bubble. The process is affected by the world beyond the classroom.
What is contextual example?
The definition of contextual is depending on the context, or surrounding words, phrases, and paragraphs, of the writing. An example of contextual is how the word "read" can have two different meanings depending upon what words are around it. adjective.
What are social and contextual factors?
One's social context and day-to-day realities are shaped by sociodemographic characteristics, which may influence a range of interrelated health behaviors. For example, socioeconomic position, race and ethnicity, nativity, gender, and age are important correlates of health outcomes.
What is the meaning of context?
2. background, milieu, climate. Since we can eliminate the mushroom, um, context, let's look at the rest of it. Context means the set of circumstances or facts that surround and influence a particular event or situation.
What is the goal of nursing?
The goal of nursing is to promote adaptation of the client during both health and illness in all four of the modes. Actions of the nurse begin with the assessment process, The family is assessed on two levels. First, the nurse makes a judgment with regard to the presence or absence of maladaptation.
What are dependent behaviors?
Dependent behaviors include affection seeking, help seeking, and attention seeking. Independent behaviors include mastery of obstacles and initiative taking. According to Hanson (1984), when assessing this mode in families, the nurse tries to determine how successfully the family lives within a given community.
What are contextual factors?
Contextual factors are internal and external forces, situations, and circumstances that can influence the educational institution, healthcare program, and curriculum (Iwasiw, Goldenberg, & Andrusyszyn, 2009). Internal contextual factors include the mission, vision, philosophy, goals, culture, history, financial resources, programs and policies, and infrastructure of the educational institution and healthcare program. External contextual factors originate from outside the educational institution and include demographics, culture, health, healthcare, professional standards and trends, technology and informatics, the environment, and social, political, and economic conditions.
What are the challenges of clinical practice?
Challenges to Evaluation of Practicum Progress 1 Rapid expansion of healthcare knowledge has resulted in theoretical and practical difficulties in evaluation. 2 Clinical courses require the evaluation of cognitive, affective, and psychomotor skills of progressively increasing complexity. 3 Many healthcare programs are adopting competency-based curricula, creating a need for students to demonstrate that they are clinically able and have other essential skills. 4 The reductionist approach of many evaluation tools do not allow for comprehensive, holistic, and context-sensitive evaluation. 5 While it may be easy to evaluate progress throughout a single course, it is more challenging to evaluate progress throughout the program. 6 Tools are needed for the evaluation of students in the laboratory, simulation, and real-patient environments. 7 It is critical that assessment and training is linked directly to learning objectives, with a balance for each domain of competence. 8 Separate evaluation tools are needed for formative and summative evaluation. 9 Integrating competency standards into clinical teaching.
What is human factors?
The discipline of human factors can be defined as enhancing clinical perfor- mance through an understanding of the effects of teamwork, tasks, equipment, workspace, culture, organization of human behaviour and abilities, and application of that knowledge in clinical settings (Clinical Human Factors Group 2019).
What is the purpose of the Royal Marsden Manual of Clinical Nursing Procedures?
One of the original purposes of The Royal Marsden Manual of Clinical Nursing Procedureswas to promote patient safety through standardized and evidence-based approaches to care . Patient safety is an essential part of nursing care that aims to prevent avoidable errors and patient harm.
When will the new nursing standards be available?
All programmes o˜ered by Approved Education Institutions must be aligned to the new standards by September 2020. The new pro˚ciencies and nursing procedures apply to all ˚elds of nursing practice.
Abstract
Context shapes the effectiveness of knowledge implementation and influences health improvement. Successful healthcare quality improvement (QI) initiatives frequently fail to transfer to different settings, with local contextual factors often cited as the cause.
Background
Evidence-based healthcare is the translation of evidence derived from valid and reliable research and evaluation to improve healthcare practice and patient outcomes [ 1 ]. Quality improvement (QI) is the systematic application of specific methodologies to make improvements in how services are configured and delivered.
Methods
The review will follow the fundamentals of realist inquiry, a theory-driven interpretive approach that seeks to explain the root causes of programme outcomes and diverse patterns of impacts and effects, by evaluating evidence from a range of sources [ 39 ].
Discussion
This study will use a realist review approach to synthesise the available evidence and to enable a greater understanding of ‘what works, for whom, in what circumstances, when, how and why’, in terms of the influence of contextual factors on quality improvement initiatives in healthcare settings, thus providing a new insight into the ‘problem of context’ in QI.
Abbreviations
Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols
Rights and permissions
Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/ ), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author (s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
What are contextual effects?
Generally, contextual effects occur when the collective properties of individuals (e.g., nurses) in an organization like a hospital have an effect on an outcome (e.g., expertise) over and above the effect of individual characteristics (Blalock, 1984).
What is clinical nursing expertise?
Clinical nursing expertise is fundamental to quality of care. Research on the foundations of expertise has focused on individual characteris tics—particularly a nurse's years of experience and level of education. Debate continues about the respective contributions of experience and education to expertise.
What is compositional effect?
Compositional effects are usually measured as the aggregate mean of an individual phenomenon. In this study, education and experience were examined both as individual-level variables (the education and experience of a nurse) and compositional variables (the mean education and experience for all nurses in a hospital).
How can an executive favor individual characteristics?
Executives can favor individual characteristics (a BSN or more experience) through recruitment or retention and advancement. Clinical advancement programs based on expertise and the use of expert nurses as clinical preceptors and educators may also augment the overall expertise within a hospital (Moore, 2008).
