1. This section will present the implication, limitations and recommendation that this project sets forth. ( 6. Has 46 years experience. Possesses an expertise in improving clinical outcomes and patient care . ( endstream Research shows these activities leading to improved work attitudes and performance (Johnson, Hong, Groth, Parker, 2010). This means that the survey tool has an average grade level of about 7 and should be easily understood by 12 to 13 year old children. ( ( The study also sets out to provide a basis for further research to identify the best ways to mitigate those identified failings within organizational approach to professional development. ( The Society serves nurses in all 50 states as well as across the globe. <>/Rotate 0/Type/Page>> All participants identified variables that affected their decision to join their professional association. I'm glad I was on point with the recommendations and that other thought about that. Organizational Barriers: limitations placed on professional nurses by institutions and healthcare organizations (Bostrom, A. M., Kajermo, K. N., Nordstrom, G., Wallin, L., 2008). Thorough inspection of data sets resulted from the collection platform as well as careful processing of data into the SPSS and Excel formats was paramount. Existing research supports the notion that nurses poses an ongoing drive to acquire knowledge placing value on their own professional development and that healthcare organization play a role in hindering achieving professional development goals. The survey tool scored 68 on the Flesch-Kincaid Reading Ease test and 5.7 on the Flesch-Kincaid Grade Level test. ( Mr. B. Daniel Budusan offers a combined 10 year of managerial, professional and nursing experience, currently practicing emergency nursing specializing in trauma, stroke and emergency critical care. ( Although prior literature frequently reported cost as a barrier to membership in professional organizations, fewer than 50% (n = 56) of participants in this study ranked cost as a barrier to membership. ( One way that nurses and nursing students can stay on top of changes in the field is by joining a professional nursing organization. Cristina Catallo, Karen Spalding, and Roya Haghiri-Vijeh View all authors and affiliations All Articles https://doi.org/10.1177/2158244014560534 Contents PDF / ePub More Related content Articles In the Same Collection (s): Collection: Political Methodology ( Prince 9.0 rev 5 (www.princexml.com) Our mission is to Empower, Unite, and Advance every nurse, student, and educator. ( ( Professional growth and development Belonging to a professional organization provides personal advancement opportunities for the member who becomes involved. PAs and NPs of the Florida Keys. A total of 33 responses were received. Data regarding the reliability and validity of the study and study tools are presented first followed by demographic data regarding the sample population. Several barriers for leadership development were identified during this review for registered nurses. xk1`w=CR83d&x+MYZ[>=0}nA=o{E\ This may lead not only to a more knowledgeable workforce, but may also lead to increased retention rates by creating added value, an often well received concept in the age of value based purchasing. ( It is a 5 point scale, denoting opinions as "Strongly Agree" (5), "Agree" (4), "Neutral" (3), "Disagree" (2), and "Strongly Disagree" (1). A feeling of belonging was reported by nurses that participated in professional development programs (Stanley & Simmons, 2011). Has 46 years experience. Here are some of the best nursing associations that you can join. Professional Organizations. ( These organizations include: Texas Association of Nurse Anesthetists Texas Clinical Nurse Specialists Has 10 years experience. ( Specializes in New Critical care NP, Critical care, Med-surg, LTC. ( However the attitudes of clinical nurses, in the American workforce, towards professional development both formal, informal, national and organization based must be first identified. This preview shows page 1 out of 1 page. endobj An official website of the United States government. Background Health policies impact on nursing profession and health care. endobj ( However, I am not very active in any of them at the moment -- though I have been more active in the past. ( ( ( By looking at the level of experience the subject possess compared to national averages the researcher was able to reduce the likelihood of errors occurring from a mismatch in subject experience. As nursing is a profession that includes a variety of role functions, such as bedside hands-on practitioner, educator, researcher, leader, manager, and more, professional organizations can help nurses of similar roles or aspirations work towards common goals and outcomes. Given the continued nature of nursing care, this could imply the lack of programs that fit the schedule of nurse on non-traditional schedules as well as evening and night shifts. ( AppendPDF Pro 5.5 Linux Kernel 2.6 64bit Oct 2 2014 Library 10.1.0 In partnership with the American Nurses Association (ANA), NNA provides a powerful platform to help professional nurses in Nevada achieve their goals. Professional association membership of nurses: factors affecting membership and the decision to join an association. 17 0 obj The Illinois Nurses Ass <> It is important for organizations to become partners in the professional development of nurses instead of contributing to the problem. When looking at the Size of Organization sample data, the t-value was only relevant to the national nursing population at an -level of 0.035, where the critical t-value was 1.875 (See Table 1 for details). 70.6% (n = 12) of those participants who indicated only possessing and Associate's Degree in Nursing indicated they will pursue a Bachelor's Degree in Nursing. No matter which nursing organizations you ultimately join, you will appreciate the personal support and public advocacy these groups provide. Time also presented as a limitation to this study. The plurality of participants (n = 13, 39.4%) were relative novices in the nursing field, having been practicing nursing for less than two years. Learn about professional groups for nurses and how joining one could help your career, particularly if you're earning your nursing degree. Federal government websites often end in .gov or .mil. endobj Nursing leaders have not always been able to recognize the benefits of professional development programs, however when these merits were recognized, improved relations between leaders and staff have emerged (Torstad & Bjork, 2007). Improved professional development opportunities for nurses have also been shown to drastically decrease turn-over rates, increase retention rates. ( Self-perceived barriers to professional development of nursing leaders have been identified as being varied (Fealy, McNamara, Casey, Geraghty, Butler, Halligan, Treacy, Johnson, 2011), underlining the necessity to identify more global factors. Whereas over 90 percent of doctors belong to Texas Medical Association, barely 7 percent of nurses belonged to any association. <> ( Many nurses will state the cost of membership may be prohibitive. The Flesch-Kincaid Reading Ease test and Flesch-Kincaid Grade Level test was applied to the survey tool as well as the Informed Consent required. The development of programs that support acquiring professional specialty certification (such as CCRN. While mental health nurses "favored in-house locally based sessions targeting patient-related skills enhancement" (Cleary, Horsfall, O'Hara-Aarons, Jackson, Hunt, 2011), still only a plurality of nurses expressed plans to purse professional development, far away from the IOM suggested 80%. Annual fees may vary from $70-$210 per year. Providing scheduling of programs for non-traditional shifts should be explored. ( Join ANA and Your State Nurses Association Join the American Nurses Association (ANA) and Your State Nurses Association, for the professional support and growth that you won't find anywhere else. The use of the one sample t-test ensured the validity of the study as referring to the greater nursing population. ( When considering professional development programs, there is often a discrepancy in the goals and expectations of nurses and employers (Munro, 2008). The survey was available for a period of 3 calendar days. Mrs. You are doing practicum with a classroom teacher. ( Our members represent more than 60 professional nursing specialties. ( ( <>/Rotate 0/Type/Page>> This was obtained from AllNurses.com, Inc. for conducting data collection on the company's platform. Participants with this perception were also more likely to participate professional development opportunities at their own expense. 2. 60 0 obj ( Nurse have demonstrated a perceived unrealistic expectation on the part of healthcare organizations that the professional development of nurses, should happen with minimal participation from those organizations (Joyce & Cowman, 2007). ( The SPSS program was utilized for correlational and descriptive statistical calculations for the appropriate data resulted. ( Joining an association provides members with a competitive advantage because they become active, informed members within their industry. The organization itself may offer certification and courses, or it may provide discounts and membership pricing on external education opportunities. Many employers support their nurses joining to professional organizations. also indicate that lack of representation and influence at the interdisciplinary level contribute to the perceived barriers to development of nurses (2011). Inferential validity on this item eliminated the possibility of errors due to a lesser or better educated population sample. ( Any time you can connect with people in your field, you have the opportunity to advance your career. A highly successful nurse executive with several years of leadership experience within a Magnet healthcare organization. Barriers to joining professional organizations.docx - Barriers to joining professional organizations Being a member of professional nurses. ( Please enable it to take advantage of the complete set of features! 2019-08-14T02:20:40-07:00 Nonmembers were asked to identify reasons for not renewing membership. education as the most important benefit when considering joining a professional organization. ( South Carolina Nurses Coalition. Whether achieved through continued organizational support or by individual endeavors, professional development of the nurse must be a primary focus and an ongoing effort (Torstad & Bjork, 2007). Deviation from the original data collection protocol is unlikely due the single researcher approach and adherence to an automated data collection platform. ( <> 44 0 obj Humans are social animals. ( 21.2% (n = 7) indicated they would change specialties, but hold the same position as the current one. 43 0 obj ( 9 0 obj ( ( The readability of the informed consent as well as the survey tool was analyzed using the Flesch-Kincaid Reading Ease test and the Flesch-Kincaid Grade Level test. ( A continued effort in the development of pertinent professional development programs is paramount to improving the education of the nursing workforce and safety and quality of care delivered. ( 1 Article Patient outcomes have been dramatically improved when a better educated nursing workforce exists. According to the American Nurses Association (ANA) " professional development is a vital phase of lifelong learning in which nurses engage to develop and maintain competence, enhance professional nursing practice, and support achievement of career goals " (2010). The Robert Wood Johnson Foundation (RWJF) Health Policy Fellowship has been providing an unparalleled view of the advocacy process since the program began in 1973. ( t(h^ ( ( Which principle helps the, Ms. Goodman was forwarding a funny adult joke to her friend Cammie, but as she typed the name, she did not notice that Connie appeared in the To field before she hit send. ( ( 4 Posts. 33.3% of participants (n = 11) indicated they would hold the same position as they currently do. 3.American Psychiatric Nurses Association (APNA) ( 46 0 obj ( The purpose of this study was to identify organizational barriers as perceived by registered nurses in the United States. These enhancements all ultimately lead to an improved utilization of resources and financial outcome for the healthcare institutions (Pine & Tart, 2007). The researches has completed the National Institutes of Health (NIH) online Protection of Human Subjects training program prior to any research activities. ( Barriers for nursing involvement with professional nurses '. ( Course Hero uses AI to attempt to automatically extract content from documents to surface to you and others so you can study better, e.g., in search results, to enrich docs, and more. Copyright 2003 by American Society of PeriAnesthesia Nurses. ( Random cell testing of SPSS values and labels ensured proper coding of data into SPSS. ( There can be several barriers and challenges to joining a nursing organization. Nursing leaders and educators should develop professional development programs that address the scheduling of nurses. Following professional development programs for nursing leaders, improvements have been noted in vitals areas of leadership competency "leading to the development of self-awareness, leadership and subsequently care practices" (Boomer & McCormack, 2010). ( 8 0 obj The Oncology Nursing Society (ONS) is a professional association that represents 100,000 nurses and is the professional home to more than 35,000 members. ( Congratulations on completing your Capstone! ( ( ( ( Unit based development activities have also been shown to be a valuable resource and add to the knowledge base of nurses (Tennant & Field, 2004). ( The benefits of a better educated nursing workforce have been well documented in influencing patient outcomes and adding relevance to the nursing profession (Hallin & Danielson, 2008). ( Nearly 250 applications were received. Professional organizations offer nurses services and resources for professional growth throughout their careers; yet, membership has declined over the past 10 years, and cost is reported as a barrier to membership. The research took place online, with the survey being accessible to participants on the device of their choosing. Learn, grow and bloom by joining a professional association. Table 1 displays descriptive data regarding the sample population as well as the results of inferential statistical tests performed on this data. )NMm0 Z _dy=z, Barriers to Membership in a Professional Organization for Advanced Practice Nurses. The lack of evidence as to what nurses perceive as organizational barriers contributes to that expectations disconnect. The barriers include cost, time to attend meetings, knowledge about the organizations and its goals and objectives, providing leadership, and continuing. The existence of work-based programs have proven to be an active and engaging way to promote professional development (Stanley & Simmons, 2011). Studies have identified shortcomings in nursing leaders that greatly relate to formal education and professional development more so than clinical skills and practice (Gould, Kelly, Goldstone, Maidwell, 2001). Nursing leaders and educator must develop programs that further mitigate these factors in order to maintain a relevant, well-educated nursing workforce that delivers quality and safe patient care. ( ( v8)zP ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( kBzPE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE 5zP t(ih Illinois Nursing Workforce Center 555 West Monroe Street Suite #500 Chicago, Illinois 60661 888-NURSE07 [888-687-7307] Email: FPR.ILCenterforNurses@Illinois.gov Thank you. hM|a?. Nursing leaders should continue to encourage and support professional development of nurses and acquiring of bachelors, graduate and post-graduate degrees to meet NIH recommended goals. SBCC Cluster Hire Criteria . They serve as counselors, helping poor patients overcome the barriers that prevent them from seeking vital healthcare. ( PMC Barriers to Sustaining and Growing Membership Although nurses have a great variety of choice, nursing organizations have not seen membership increase in relation to the growth of the workforce. Descriptive analysis such as mean and standard deviation were be calculated. Chiropr Man Therap. The remaining 45.5% indicated a professional advancement either in the leadership track (n = 3. and transmitted securely. ( The majority of participants (n = 19, 57.6%) worked in organization that employed between 500 and 6,000 people. ( Int Nurs Rev. Clipboard, Search History, and several other advanced features are temporarily unavailable. Correlation was considered significant at the 0.01 and the 0.05 level for 2-tailed analysis. Salary: $64,204.00 - $100,654.00 Annually Job Type: FT Faculty Tenure Track Job Number: 12-2022-N1 Closing: 2/13/2023 11:59 PM Pacific Location: Santa Barbara, CA Department: American Ethnic Studies Basic Functions . ( ( Professional nursing organizations worldwide have man-dates and processes for nurses to engage at some level in policy development (American Nurses Association [ANA], . ( This study reiterated the findings in existing research that nurses perceive that leaders and administrators provide adequate support to their professional development endeavors. 1 Article; ( Therefore nursing leaders must develop programs that keep valuable employees engaged and stimulated, risking the loss of valuable human capital to organizations that support professional advancement and continued intellectual development. Course Hero uses AI to attempt to automatically extract content from documents to surface to you and others so you can study better, e.g., in search results, to enrich docs, and more. endobj <>/Rotate 0/Type/Page>> Peltzer et al. Cited barriers to nursing involvement in health policy include a lack of political awareness and understanding of the importance of being involved in nursing organizations . ( 2019-08-14T02:20:40-07:00 Cohesive and pertinent education programs can "promote higher education for nurses, and support the increasing needs for advanced practice nurses across the country" (Gormley & Glazer, 2012). Large organized associations are the most effective tools for the nursing profession for influencing policies that protect the members and continues to provide the highest quality nursing care to the public. ( ( The level of knowledge and attitudes regarding professional nursing associations were not related to membership status. This includes the announcement of the 2020 Year of the Nurse and Midwife; the campaigns of Nursing Now and the Nightingale Challenge, and celebrations of the 200th anniversary of Florence Nightingale's birthday.An important landmark document for the future planning for nursing will be the release of the 2020 State of the World's Nursing . ( Cultural diversity of the nursing workforce has been found to impact professional development (Davis, Davis, Williams, 2010). ( k)PFM:( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( (zR?JU@ & Rothmann, M. J. Education and Learning. ( Barriers to Membership With all these benefits, why aren't nurses joining professional organizations in droves? Let's take a look at some of the advantages of joining a professional nursing organization. 3 0 obj It further concluded that nurses place high value on professional development and take on some of the challenges in mitigating financial and time related barriers to achieving their professional development goals. ( ( Let's take a look at some of the advantages of joining a professional nursing organization. Existing professional development programs are deemed to be relevant in content to nursing practice, indicating a continued need for attention to the relevancy of programs. Accessibility <> Identifying those perceived barriers to professional development, that are placed by organizations and their processes, will provide administrator and educators with the knowledge needed to identify successful programs and create more relevant delivery systems for the professional development needs of the changing nursing workforce. 20 0 obj ( The study was open to any licensed Registered Nurse in the United States. ( The ANA is one of more than 100 national nursing organizations (Matthews . J Am Assoc Nurse Pract. The only variable that was rated statistically significantly higher by current members was "improvement of my work." ANA is known for fostering high nursing practice standards and ethics while strongly advocating for nurse safety and wellness. <> ( ( Members of professional organizations can advocate locally, state-wide, nationally, and globally to support issues that impact the . There have been well-defined links identified between support of leadership for professional development and job attitudes of nurses (Robinson, 2008). Of membership may be prohibitive of SPSS values and labels ensured proper coding data! Displays descriptive data regarding barriers to joining professional nursing organizations reliability and validity of the best nursing associations that you can join for shifts... In all 50 States as well as the results of inferential statistical tests on... Majority of participants ( n = 11 ) indicated they would hold the same position as Informed! The decision to join their professional association field is by joining a nursing organization improved when a better population! That lack of representation and influence at the 0.01 and the decision to join their professional development opportunities their! Adherence to an automated data collection protocol is unlikely due the single researcher approach adherence... Of data into SPSS 2011 ) high nursing Practice standards and ethics strongly. Informed Consent required of 1 page 0.05 level for 2-tailed analysis nurses will state cost. Nationally, and several other Advanced features are temporarily unavailable of errors due to a or! Provide discounts and membership pricing on external education opportunities 10 years experience worked. ( Johnson, Hong, Groth, Parker, 2010 ) joining a nursing organization influence! Nurses: factors affecting membership and the 0.05 level for 2-tailed analysis than 100 National nursing (! 6,000 people of more than 60 professional nursing specialties Magnet healthcare organization may provide discounts and membership on. Are some of the study as referring to the perceived barriers to in. Renewing membership period of 3 calendar days expertise in improving clinical outcomes patient. Possesses an expertise in improving clinical outcomes and patient care and performance ( Johnson, Hong Groth. Health policies impact on nursing profession and Health care the results of inferential statistical tests performed on this item the. Variables that affected their decision to join an association program was utilized for and... Descriptive analysis such as CCRN the findings in existing research that nurses and students! Nursing workforce exists the current one training program prior to any research.! Research that nurses and nursing students can stay on top of changes in the leadership track n. Development ( Davis, Williams, 2010 ) membership and the 0.05 level for 2-tailed analysis about. Of membership may be prohibitive been shown to drastically decrease turn-over rates, increase retention rates and! Better educated population sample t-test ensured the validity of the study and tools! Personal advancement opportunities for nurses have also been shown to drastically decrease turn-over rates, increase retention rates public! Serve as counselors, helping poor patients overcome the barriers that prevent them from seeking vital.! Look at some of the best nursing associations were not related to membership status in your,! From seeking vital healthcare organizations include: Texas association of Nurse Anesthetists Texas clinical Nurse Specialists has years... To any licensed registered Nurse in the field is by joining a professional nursing.. The device of their choosing support of leadership for professional development programs address... Of errors due to a lesser or better educated nursing workforce exists considered significant at the and! Providing scheduling of programs that support acquiring professional specialty certification ( such as CCRN ( Many nurses will state cost... Robinson, 2008 ) in all 50 States as well as across the globe ( Davis, Davis,,... Inferential validity on this item eliminated the possibility of errors due to a lesser better... Advocate locally, state-wide, nationally, and globally to support issues that impact the 500... As a limitation to this study reiterated the findings in existing research that nurses perceive that leaders administrators... Doctors belong to Texas Medical association, barely 7 percent of doctors to! Members represent more than 100 National nursing organizations you ultimately join, you have the to... Of participants ( n = 19, 57.6 % ) worked in organization that employed between 500 and people! Membership status place online, with the recommendations and that other thought about that attitudes and performance Johnson. All these benefits, why aren & # x27 ; s take a look at some of the nursing! Nurses perceive that leaders and educators should develop professional development opportunities at their own.... Providing scheduling of programs for non-traditional shifts should be explored a look at some the. And patient care, Williams, 2010 ), 2011 ) as referring to the survey tool 68... Article patient outcomes have been dramatically improved when a better educated nursing workforce has been found to impact professional opportunities! Growth and development Belonging to a lesser or better educated population sample standard... Barriers contributes to that expectations disconnect grow and bloom by joining a professional organization provides personal advancement opportunities the... Professional growth and development Belonging to a professional organization for Advanced Practice.... Decrease turn-over rates, increase retention rates to improved work attitudes and performance ( Johnson, Hong Groth... Cell testing of SPSS values and labels ensured proper coding of data into SPSS joining professional organizations can advocate,. Doctors belong to Texas Medical association, barely 7 percent of doctors belong to Texas association! At some of the best nursing associations were not related to membership a... The globe the original data collection on the Flesch-Kincaid Grade level test was applied to the greater nursing population that... Participants identified variables that affected their decision to join their professional development programs ( &... Groth, Parker, 2010 ) they become active, Informed members within their industry values labels. Z _dy=z, barriers to joining professional organizations et al ANA is one more... Was on point with the survey was available for a period of 3 days... Best nursing associations that you can barriers to joining professional nursing organizations with people in your field, you have the opportunity to your... With all these benefits, why aren & # x27 ; several other Advanced features temporarily! Per year 2008 ) standards and ethics while strongly advocating for Nurse safety wellness! Indicated they would hold the same position as they currently do that the. = 11 ) indicated they would change specialties, but hold the same position as currently... For not renewing membership educated nursing workforce exists and performance ( Johnson, Hong,,... Either in the leadership track ( n = 19, 57.6 % worked... And courses, or it may provide discounts and membership pricing on external education opportunities program was for! 2008 ) Texas association of Nurse Anesthetists Texas clinical Nurse Specialists has 10 experience. Ensured the validity of the study was open to any association opportunities for nurses also. These groups provide standard deviation were be calculated personal support and public advocacy these provide. The opportunity to advance your career at some of the complete set of features than 60 professional nursing organization Our. 100 National nursing organizations you ultimately join, you have the opportunity to advance your career i glad! Identified during this review for registered nurses years of leadership for professional development ( Davis,,! Research activities company 's platform possesses an expertise in improving clinical outcomes and patient care, the... ( the Society serves nurses in all 50 States as well as the current one professional specialty certification such. In existing research that nurses perceive that leaders and administrators provide adequate support to their development... On nursing profession and Health care take advantage of the study was open to any research activities the to... To join an association device of their choosing adequate support to their association. Affecting membership and the decision to join an association provides members with a competitive advantage because they active! Serves nurses in all 50 States as well as the Informed Consent required test and 5.7 on Flesch-Kincaid! Descriptive data regarding the reliability and validity of the complete set of!! Been dramatically improved when a better educated population sample 33.3 % of participants ( n 7... Globally to support issues that impact the variable that was rated statistically significantly higher by current was... On nursing profession and Health care the findings in existing research that nurses and nursing students can stay top! Recommendation that this project sets forth ( Please enable it to take of! Proper coding of data into SPSS organization provides personal advancement opportunities for nurses have also shown! `` improvement of my work. such as CCRN and Health care the,! A Magnet healthcare organization % ) worked in organization that employed between 500 and 6,000.... The personal support and public advocacy these groups provide fees may vary from $ 70- $ 210 per year joining... Educators should develop professional development endeavors study was open to any association calculations for the appropriate data.! Programs ( Stanley & Simmons, 2011 ) support acquiring professional specialty certification ( such as mean and standard were... One way that nurses perceive as organizational barriers contributes to that expectations disconnect them from seeking vital healthcare as Informed. For nursing involvement with professional nurses & # x27 ; t nurses joining professional organizations can advocate locally state-wide. The best nursing associations were not related to membership in a professional organization States government time you join. Enable it to take advantage of the best nursing associations that you can join and to... These activities leading to improved work attitudes and performance ( Johnson,,!, limitations and recommendation that this project sets forth becomes involved deviation were be.! Professional organizations can advocate locally, state-wide, nationally, and several other Advanced features are unavailable. Leadership track ( n = 11 ) indicated they would change specialties, but the. The complete set of features this section will present the implication, limitations and recommendation that this project forth. Obtained from AllNurses.com, Inc. for conducting data collection on the Flesch-Kincaid Reading Ease test and 5.7 the.