Tag Archives: improving

CAN YOU PROVIDE EXAMPLES OF MENTORSHIP PROGRAMS THAT HAVE BEEN SUCCESSFUL IN IMPROVING NURSE RETENTION

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Nurse mentorship programs have been shown to be an effective strategy for improving nurse retention. When nurses have the support of experienced mentors, they are more likely to feel engaged in their work and committed to their organizations long-term. Here are some examples of successful mentorship programs that have demonstrated positive impacts on retention:

One of the largest and most comprehensive nurse mentorship programs is the University HealthSystem Consortium/AACN Nurse Residency Program. This year-long program pairs new graduate nurses with experienced nurses to help with their transition from education to clinical practice. Over 10,000 new nurses have completed the program since it began in 2007. Studies have found that 1 year retention rates for nurses who complete the program are over 90%, compared to only around 57-60% retention nationally for new nurses without a residency program. After 3 years, retention is still around 85% for program graduates versus only around 33% for new nurses without mentorship support.

Another well-established program is the University of South Alabama Medical Center Nurse Internship Program. This 8 month internship pairs new nurses with mentors who are experienced BSN-prepared nurses. Mentors guide the interns through orientation, skill building, and help them adjust to their new role. Retention rates after the program are over 94% at 1 year and over 90% after 2 years for program graduates. In comparison, retention rates before the program was introduced in 2010 were only around 60-70% at 1 and 2 years.

At New York Presbyterian Hospital, they implemented a nurse mentorship program specifically focused on specialty units like oncology, cardiac care, neonatal ICU, and behavioral health. Experienced nurses are trained to be mentors and have protected time each week to meet formally with new nurses and be available informally as well. After completion of the 6-12 month program, over 90% of nurses remained working in their specialty unit, and 98% remained employed with the hospital. This specialty mentorship program helped address higher than average turnover in specialty areas.

Another approach is OHSU Hospital’s nurse residency program in Portland, Oregon, which includes didactic education and clinical mentoring over the course of 13 months. After completion of the program, 1 year retention was above 93% compared to only around 60% before the program was implemented. Even 5 years later, over 78% of graduates were still employed at OHSU, demonstrating strong long-term retention impacts.

At Boston Medical Center in Massachusetts, they found that new graduate nurses were leaving within their first year at an alarming rate of 50%. To address this, they launched a nurse residency program pairing new nurses with experienced mentors. The focus of the mentorship was on improving confidence, competence, and coordination of care. After the first year of the new program, retention increased to over 92%. Now in its 10th year, they have retained over 90% of new nurses annually who complete the residency program.

A systematic review and meta-analysis published in the Journal of Nursing Management examined the impact of nurse residency programs on new graduate retention and competence. The analysis of data from over 2,700 nurses across multiple health systems found that nurse residency program graduates had a 71% lower odds of leaving their first job in the first year when compared to new graduate nurses without a residency. Residents also demonstrated higher competence scores on objective skill evaluations.

Clearly, nurse mentorship plays a vital role in supporting new nurses and easing their transition into practice. When done well through formal residency programs with dedicated mentors, it can significantly improve retention both short and long-term. The financial impact of higher retention is estimated to save organizations over $22,000 per nurse retained according to the University HealthSystem Consortium. With the continuing nursing shortage, retention should be a top priority – and mentorship has proven to be highly effective strategy for keeping nurses in the profession and with their current employers. Future research could explore best practices for mentor selection and training to optimize program outcomes. But overall, the examples here provide strong evidence that mentorship is a strategy worth adopting to boost nurse satisfaction and career longevity.

The nurse mentorship programs described demonstrate very promising results for enhancing retention of new nurses beyond their first year on the job, as well as long-term retention over several years. By pairing graduates with experienced mentors who help ease the transition to practice, providing dedicated time and support, these programs have boosted 1 year retention rates to over 90% consistently – well above the 50-60% rates typical without mentorship. This investment in onboarding and supporting new nurses through mentorship clearly pays off to improve workforce stability for healthcare organizations and enrich careers in nursing. Formal, standardized mentorship should be regarded as a best practice for easing nurses into their roles and keeping them satisfied and committed to the profession and their employers over the long run.

HOW CAN CAPSTONE PROJECTS IN THE FIELD OF DRIVERLESS CARS CONTRIBUTE TO IMPROVING CYBERSECURITY IN AUTOMATED DRIVING SYSTEMS

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Capstone projects undertaken by students in fields related to driverless cars and automated vehicle systems present a significant opportunity to advance cybersecurity in this important and rapidly developing industry. As autonomous vehicles become increasingly connected and rely on various onboard and offboard computing and sensor systems, they become potential targets for malicious attacks that could seriously endanger passengers and other road users if not properly addressed. Through hands-on research and development work, capstone projects allow students to explore vulnerabilities in driverless car systems and propose innovative solutions to strengthen security protections.

Some of the key ways in which capstone projects can help improve autonomous vehicle cybersecurity include identifying new threat vectors, vulnerability testing systems to exposure weaknesses, developing intrusion detection methods, and building more robust access controls and authentication schemes. For example, a group of computer science students may choose to examine how well an autonomous vehicle’s sensors and perception systems stand up to adversarial attacks that aim to fool or compromise the sensors with manipulated input. They could generate synthetic sensor data designed to obscure obstacles or incorrectly identify the vehicle’s surroundings. By testing how the autonomous driving software responds, valuable insights could be gained around weaknesses and new defensive techniques explored.

Another potential capstone topic is penetration testing the various communication protocols and networks that connect autonomous vehicles and the backend systems that control or assist them. As vehicles become more connected, relying on V2X and cellular connections to infrastructure like traffic control centers, these network layers present expanded surfaces for hackers to infiltrate. Students could attempt to intercept wireless messages between vehicles and infrastructure, inject malicious commands or falsified data, and evaluate how well intrusion is detected and what damage could result. From there, recommendations for stronger authentication, encryption, and intrusion detection across vehicle networks could be proposed.

A third major area capstone projects could address is improving vehicle system and software access controls. As autonomous vehicles will rely on increasingly complex software stacks and vehicle control units running various operating systems and applications, students may choose to audit and penetration test how well these diverse onboard systems are isolated and protected from one another. They could explore techniques for hijacking lower-level mechanism like the vehicle’s CAN bus to gain unauthorized access to safety-critical control software. From such testing, better compartmentalization, access control lists, system integrity monitoring and root cause analysis tools may be designed.

Additional topics capstone groups could delve into include designing artificial intelligence and machine learning techniques to recognize anomalous or malicious activities in real-time vehicle system telemetry and data feeds. This could help autonomous vehicles gain a self-aware, adaptive sense of security similar to how computer antivirus definitions are regularly updated. Cryptographic protocols and digital signatures ensuring over-the-air software and firmware updates remain unmodified and come from trusted vendors is another prime area. Simulation-based projects examining how well vehicles defend against coordinated multi-vehicle attacks swarming autonomous fleets are yet another relevant approach.

The hands-on, practical nature of capstone projects provides an environment for students to not just theorize about potential security issues but to directly experiment with vehicle and autonomous driving systems. This experience of confronting real challenges during the development process is invaluable for surface weaknesses that may have otherwise gone unnoticed. It allows future security engineers and researchers to gain a deeper, experiential understanding of both vulnerabilities and effective mitigation approaches within these complex, safety-critical systems. The testing and solutions developed through capstone work can then be published or shared with developers to immediately strengthen protections as the driverless industry continues to evolve rapidly. Capstone research makes a key contribution to improving the cyber-resilience of autonomous vehicles through an active, student-led process of identify-test-solve within a controlled, supervised environment.

As automated driving systems take to our roads in coming years, cybersecurity must be a top priority to ensure public safety. Capstone projects allow students to play an active role in surveying the cybersecurity landscape within this emerging field and devising innovative solutions through hands-on practical research and development. The testing performed identifies weaknesses while the solutions proposed help secure these advanced systems from the earliest stages of development. Capstone work is thus an impactful method for enhancing cyber protections for driverless vehicles and mitigating threats to promote responsible, safe innovation within this important new mobility revolution.

CAN YOU PROVIDE MORE EXAMPLES OF CAPSTONE PROJECTS FOCUSED ON IMPROVING QUALITY OF LIFE FOR HOSPICE PATIENTS

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Some potential capstone project ideas focused on improving quality of life for hospice patients could include developing new programs, activities, or technologies aimed at providing comfort, enjoyment and fulfillment during end-of-life care. Here are some specific examples:

Developing and piloting a virtual/augmented reality program for hospice patients. Using VR/AR headsets and specially designed experiences/apps, patients could virtually visit meaningful places, do activities they enjoyed in the past or view scenic nature scenes/meditations to provide mental escape and relaxation. The project would develop several VR experience options tailored for end-of-life patients, test them with a small group of patients/caregivers to assess impact on mood, pain and quality of life, then make recommendations on further rollout and development of the program.

Creating and evaluating a music therapy/songwriting program for hospice patients and their families. Led by a music therapist, small group sessions would allow patients to work together to write original songs expressing feelings/memories from their life and journey. Family members could be involved to contribute their perspectives too. The project would assess impacts on patient mood, connection with loved ones, sense of legacy/purpose. It would also provide recommendations on expanding the program long-term and training other staff to continue facilitating music therapy.

Designing and piloting a volunteer-led reminiscence/life review program for hospice patients. Trained volunteers would visit patients one-on-one to go through photographs, mementos and have thoughtful conversations about the patient’s life—favorite memories, accomplishments, lessons learned. The goal would be facilitating reflection and finding closure/peace. Impact of the program on quality of life indicators like depression, anxiety and sense of dignity would be evaluated. Based on outcomes, recommendations could include formalizing training protocols and expanding the volunteer base long-term.

Developing and testing a smartphone/tablet lending program for hospice patients to facilitate virtual connection. Smart devices loaded with video chat/calling apps would be loaned to patients to use staying in touch with distant family or participating in the music/storytelling programs from their room. Data collection on device usage patterns along with patient/family surveys would evaluate impacts on mood, loneliness and sense of social support from virtual visits. Recommendations could include seeking funding to establish an ongoing lending library of devices and connectivity packages for patients in need.

Creating and piloting a nature/wildlife care program for hospice patients utilizing indoor plants and a closed-circuit outdoor wildlife camera. Volunteers would care for different plants in patient rooms tailored to individual interests like flowering, herbs or succulents. A live-streaming outdoor cam focused on local wildlife like birds or small mammals could also be set up. Evaluating impacts on stress reduction, sense of beauty/peace and engagement through surveys/physiological measures could help determine value of expanding the program on a larger scale.

Developing and testing a memory box/legacy project program for end-of-life patients. Working with an art therapist, patients and families could collaboratively select meaningful photos, letters, mementos to compile in decorated boxes as a way to preserve personal history and relationships. Short videos or audio recordings capturing patients sharing stories could also be included. Follow up surveys with family would gauge impacts on sense of completion, quality time spent together and bereavement support received from the box after patient passing.

These are just a few examples of potential capstone project ideas focused on developing novel programs and technologies to enhance care, connection, fulfillment and quality of life for hospice patients near the end of life. All would require thorough feasibility assessment, ethical review processes, data collection and evaluation of impacts to produce actionable results and recommendations for the hospice organization. The overarching goal is to creatively support patients’ physical, emotional and social well-being during their final important moments.