<p>Accurate and safe medication administration is an important aspect in the everyday care of the hospitalized patient. Patients put their trust and safety into the hands of those providing care and expect that care is provided in a safe and efficient manner. Nurses strive to provide high quality error free, patient care. With adult patients, medication administration accounts for 26% to 32% of hospital medication errors (Koppel, Wetterneck, Telles, &amp; Karsh, 2008). Only 2% of administration errors are corrected before reaching the patient (Dwibedi, et al., 2011). Literature supports that knowledge based medication administration programs reduce medication administration errors (Fowler, Sohler, &amp; Zarillo, 2009). The research question proposed was: What are the perceptions and beliefs of nurses using Knowledge Based Medication Administration (KBMA) bar code scanning processes in regards to patient safety? The design was a quantitative, descriptive study, using a convenience sample. The study site was west-central Illinois hospital. Data were collected and analyzed related to the perceptions and beliefs of the staff nurses using KBMA in regards to patient safety during medication administration processes. Staff nurses were surveyed using a Likert-like scale. Participants accessed the survey via My Netlearning which linked to Survey Monkey. Participation was voluntary and responses were anonymous. Future implications for quality improvement and education are considered. </p>

<p> The role of the professional nurse has evolved in numerous and unexpected ways since the founding of Nightingale&rsquo;s first school of nursing in 1860. One contemporary sphere in which nurses work is the biopharmaceutical and medical device industry, but little research exists regarding how the nurse engages with and experiences this role. </p><p> This qualitative, phenomenological study was undertaken to address the research question: What is the nature and process of the transition experience from a direct patient care role to a clinical research specialist role for the professional nurse? Two subquestions were also explored: What barriers and supports are encountered during the transition process? What facilitates successful work role transition from direct patient care to clinical research? </p><p> Ten professional nurses who had transitioned to industry based careers at least two years prior to this study were identified and selected via referral sources. Each nurse participated in a series of three in-depth recorded interviews. Through an iterative process of transcript review, coding, and thematic analysis, and utilization of Ashforth&rsquo;s (2001) ABCs of Role Identification and Nicholson&rsquo;s (1984, 2013) Work Role Transition Theory as lenses for interpretation, seven key themes emerged. These themes include: 1) I am alone: transition can be an isolating experience, 2) I am unprepared: transition requires mastery of unfamiliar skills and knowledge, 3) I am scared and sometimes overwhelmed: transition is associated with a lack of security, structure and balance, 4) I can do it: self-reliance and resourcefulness facilitate successful work-role transition, 5) I need to build new bridges: transition requires networking and support from others, 6) I am becoming: the transition experience can be empowering and offers opportunity for growth, and 7) I am still a nurse: nursing identity and values endure through transition. </p><p> This study offers several recommendations for further research to more deeply explore identified themes and ways to facilitate success in this work-role transition. In addition, using feedback from study participants, recommendations and suggestions are offered for nurse educators, professional nursing credentialing organizations, and to other nurses considering a career in the clinical research arena.</p>

<p> The purpose of this pilot protocol was to examine the process of instillation of a bladder cancer optical imaging agent for blue light cystoscopy (BLC) procedures in a preoperative area in Bronx, NY with registered nurses (RNs). The RNs followed a process flowchart and completed a checklist. </p><p> A retrospective review was completed by the Assistant Director of Research for Urology and the Study Principal Investigator on 20 charts with four time stamps. The time stamps included the &ldquo;Scheduled Time of Surgery&rdquo;, &ldquo;In Pre Procedure&rdquo;, &ldquo;Medication Administration Record (MAR)&rdquo;, and &ldquo;In Room&rdquo;. The prospective review was completed on 10 BLC procedures by the preoperative RNs. In addition to the time stamps, there were three other questions descriptively examined on consent completion, an instill catheter order, and catheter placement at the bedside. </p><p> The Wilcoxon Test Statistic was utilized to determine whether there was a significant difference between prospective and retrospective timeframes upon implementation of a standardized protocol for a preoperative procedure. The Chi-square test was performed to determine whether there was a significant difference between retrospective and prospective information on &ldquo;MAR&rdquo; documentation. </p><p> There is no standard protocol for the BLC procedure at this hospital. Inconsistent processes with instillation of the optical imaging agent can result in negative outcomes, delays, and unsafe environments. This pilot protocol for the BLC procedure is important to develop a standard protocol for all preoperative areas that utilize this technology across the United States. </p><p>