Search

Background: Clinical judgment is a critical nursing competency. Unfolding case study is a pedagogy used to develop clinical judgment. The Omaha System is an accepted taxonomy for standardizing nursing documentation. Method: An unfolding case study was developed from a simulation scenario by encoding 33 nursing interventions with the Omaha System, then developed multiple true-false response items which were sent electronically in survey format to prelicensure baccalaureate nursing students. Differences between identified essential and distractor interventions were evaluated. Results: Participants ( n = 101) identified correct interventions ( M = 74.6%, standard deviation [SD] = 12%). A paired t-test indicated the percentage of correctly identified essential interventions ( M = 78%, SD = 18.7%) was significantly higher than distractor interventions ( M = 67%, SD = 18%). Discussion: Nursing students can identify appropriate interventions using the Omaha System, demonstrating potential to extend highly effective and low-cost learning experiences using unfolding case study and multiple true-false response items. [ J Nurs Educ . 2023;62(4):237–239.]

Most of the extant social work research on biracial children and families has focused on the experiences of transracially adopted black or biracial children and their white parents or Afro-Caribbean/white children and their white mothers in the United Kingdom. This study adds to the body of knowledge by using focus group interviews analyzed through a feminist lens to understand the experiences of a diverse group of white women parenting their biological black/white biracial children. The findings suggest that having children locates them in a liminal space between whiteness and blackness. Many face racism from their families and communities, which they are unprepared for, given their upbringing as white Americans. Yet despite these experiences, many still practice color-blind perspective in socializing their children. Implications of these findings include the need for early intervention and support for white mothers raising biracial children as well as the need to challenge the assumption that mothers are solely responsible for the well-being and cultural and racial socialization of their children.

Background Debriefing for Meaningful Learning (DML), an evidence-based debriefing method, promotes thinking like a nurse through reflective learning. Despite widespread adoption of DML, little is known about how well it is implemented. To assess the effectiveness of DML implementation, an evaluative rubric was developed and tested. Sample Three debriefers who had been trained to use DML at least 1 year previously, submitted five recorded debriefings each for evaluation. Methods Three raters who were experts in DML scored each of the 15 recorded debriefing session using DML Evaluation Scale (DMLES). Observable behaviors were scored with binary options. These raters also assessed the items in the DMLES for content validity. Results Cronbach's alpha, intraclass correlation coefficients, and Content Validity Index scores were calculated to determine reliability and validity. Conclusion Use of DMLES could support quality improvement, teacher preparation, and faculty development. Future testing is warranted to investigate the relationship between DML implementation and clinical reasoning.

In the USA, African-American children are overrepresented in the child welfare system. However, little is known about the child welfare system experiences of biracial children, who are predominately both White and African-American. To better understand this population, data from public child welfare in a US county were used to examine biracial children in the child welfare system. Results showed significant racial differences between children in the child welfare system. Despite the common belief that biracial children will have experiences similar to African-American children, the child welfare system seems to view them differently. Biracial children are more likely to be referred, rated as high risk and investigated compared with White or African-American children. Their mothers were younger, and were more often assessed as having physical, intellectual or emotional problems. These caregivers were also considered to have lower parenting skills and knowledge compared with White or African-American caregivers. Although the disproportionate representation of African-American children in the system has been well documented, this study provides evidence that biracial children are also overrepresented. Despite the fact that this is a rapidly growing population in the USA, there is little research available about biracial children and their families.

Throughout American history, race, minority issues, and inequity of treatment have affected every area of human life. Child welfare systems and the demographic makeup of the systems’ participants are influenced by these issues and much of our current literature focuses on African-American/Black communities and their disproportionate representation in human services and criminal justice systems. Other minority groups have also experienced both disproportionate representation and disparate treatment in child welfare systems, including Native Americans, Latinos/Hispanics, and Asian Americans/Pacific Islanders (AAPI). The scope of child welfare concerns makes a clear case for cooperative efforts between child welfare providers and researchers to provide additional studies of the dynamics that contribute to disproportionality and unequal policy implementation, as well as practices in child welfare service delivery for minority children as a whole and African Americans in particular.

A translocation between chromosomes 3 and 8, t(3;8)(p14.2;q24.13), has been reported in a family with hereditary renal cell carcinoma. Using somatic cell hybrids, we have isolated, separately, both derivative chromosomes. We find that the c-myc oncogene (8q24.1) has been translocated to the derivative 3 [der(3)]. We have not detected a rearrangement within an approximately equal to 21-kilobase region around the c-myc gene using restriction enzyme digestion and Southern blot hybridization analysis. The translocated c-myc gene should provide a probe to the chromosome 3p14 region, which appears to be important not only in renal cell carcinoma but also in small cell carcinoma of the lung. These hybrids have also been useful for the regional mapping of the Chinese hamster ovary cell Gly-B defect to 8q22.1----q24.13 and support the regional assignment of acylase I to 3p21.