CINXE.COM
The Journal of Continuing Education in Nursing
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last-child style </script> <!-- /nav --> <!-- main-content --> <div id="main-content-journals2col"> <!-- breadcrumbs --> <!-- breadcrumbs --> <p id="breadcrumbs"> <a href="/web/20131103102657/http://www.healio.com/"> Healio</a> <span>›</span> <a href="/web/20131103102657/http://www.healio.com/journals"> Journals</a> <span>›</span> <a href="/web/20131103102657/http://www.healio.com/journals/jcen"> The Journal of Continuing Education in Nursing</a> </p> <!-- /breadcrumbs --> <!-- /breadcrumbs --> <div class="journals-content" xmlns:webutil="http://www.sitecore.net/webutil"><div class="journal-tab-group"><ul class="journal-tabs"><li><a href="#" class="current">Current Issue</a></li><li><a href="/web/20131103102657/http://www.healio.com/journals/jcen/m/oar"> Online Advanced Release </a></li><li><a href="/web/20131103102657/http://www.healio.com/journals/jcen/m/past-issues"> Past Issues </a></li></ul><div class="journal-panes"><div><ul class="pub-info"><li class="cover"><img src="/web/20131103102657im_/http://www.healio.com/~/media/Journals/JCEN/2013/10_October/JCEN1013cover.jpg?mw=180" alt="" width="180" height="241"/><br><p> PRINT ISSN: 0022-0124<br> ONLINE ISSN: 1938-2472</p><script language="javascript" type="text/javascript"><!-- function goToSubscribe() { var url = "/subscribe"; var location = (url + "?ja=" + encodeURIComponent('JCEN')); window.open(location,"_self"); } --></script><input name="subscribe" value="Subscribe" style="margin:10px 0 0 0;" type="button" onclick="goToSubscribe()"></li><li><p>The <i>Journal of Continuing Education in Nursing</i> is a monthly peer-reviewed publication providing original articles on continuing nursing education that are directed towards continuing education and staff development professionals, nurse administrators, and nurse educators in all health care settings for over 40 years. Begin to explore the <i>Journal</i> and all of its great benefits such as:<br/> • Features include “Teaching Tips”, “Administrative Angles”, and “Clinical Updates”<br/> • Inclusion of the Annual Survey of State Boards of Nursing and Selected National Professional Certifying Boards/Association<br/> • Access to current articles, as well as several years of archived content<br/> • Read manuscripts online just two months after acceptance<br/> • A recognized Journal indexed in MEDLINE/PubMed and CINAHL<br/> • Impact factor of .0714<br/> • Continuing Nursing Education credits available</p></li><ul class="issue-info"><li><strong>Current Issue</strong></li><li>October 2013</li><li> Volume 44 路 Issue 10</li></ul></ul><h3 class="toc-head">Table of Contents</h3><ul class="toc"><li class="kicker">CNE Article</li><li><h4><a href="/web/20131103102657/http://www.healio.com/nursing/journals/jcen/{79931dea-0630-4cb4-96c0-e9a034e7f659}/practice-uncertainty-changing-perceptions">Practice Uncertainty: Changing Perceptions</a></h4></li><li class="meta-info">Patrycja R. Vaid, RN, BN; Carol Ewashen, RN, PhD; Theresa Green, RN, PhD</li></ul><ul class="toc"><li class="kicker">CNE Quiz</li><li><h4><a href="/web/20131103102657/http://www.healio.com/nursing/journals/jcen/{2f83fd79-a865-4876-8f5b-414c19930cfb}/practice-uncertainty-changing-perceptions">Practice Uncertainty: Changing Perceptions</a></h4></li><li class="meta-info"></li></ul><ul class="toc"><li class="kicker">Original Article</li><li><h4><a href="/web/20131103102657/http://www.healio.com/nursing/journals/jcen/{5c52b3c5-955e-4cbe-97d8-ce1b01d1a657}/a-hospital-nursing-research-enhancement-model">A Hospital Nursing Research Enhancement Model</a></h4></li><li class="meta-info">Karen-Leigh Edward, RN, BN, MHSc, PhD; Cally Mills, RN, BN, MAdvancedNursPrac</li></ul><ul class="toc"><li class="kicker">Original Article</li><li><h4><a href="/web/20131103102657/http://www.healio.com/nursing/journals/jcen/{9d9e3650-4b2d-4646-b65b-a0b2011952e0}/concept-mapping-in-a-critical-care-orientation-program-a-pilot-study-to-develop-critical-thinking-and-decision-making-skills-in-novice-nurses">Concept Mapping in a Critical Care Orientation Program: A Pilot Study to Develop Critical Thinking and Decision-Making Skills in Novice Nurses</a></h4></li><li class="meta-info">Stacy E. Wahl, PhD, RN-BC, CCRN; Anita M. Thompson, MA, RN, CCRN</li></ul><ul class="toc"><li class="kicker">Original Article</li><li><h4><a href="/web/20131103102657/http://www.healio.com/nursing/journals/jcen/{43a176e3-b99e-4699-ae6e-bc8d3345bdc2}/patient-navigation-in-oncology-nursing-an-innovative-blended-learning-model">Patient Navigation in Oncology Nursing: An Innovative Blended Learning Model</a></h4></li><li class="meta-info">Joanne Crawford, RN, BScN, CON(C), MScN; Liat Brudnoy, BA, MA; Tracy Soong; Thomas Graham, BA</li></ul><ul class="toc"><li class="kicker">Original Article</li><li><h4><a href="/web/20131103102657/http://www.healio.com/nursing/journals/jcen/{48715d92-edcf-4ef5-abf8-2980e0d50858}/implementation-of-a-continuing-education-model-for-nurses-in-bangladesh">Implementation of a Continuing Education Model for Nurses in Bangladesh</a></h4></li><li class="meta-info">Lynda A. Tyer-Viola, RNC, PhD, FAAN; Emily Timmreck, RN, MSN, ACNP; Ganga Bhavani, RN, MS</li></ul><ul class="toc"><li class="kicker">Editorial</li><li><h4><a href="/web/20131103102657/http://www.healio.com/nursing/journals/jcen/{4596120a-ab30-4d3c-ae94-267014600886}/on-scholarly-writing">On Scholarly Writing</a></h4></li><li class="meta-info">Patricia S. Yoder-Wise, RN, EdD, NEA-BC, ANEF, FAAN</li></ul><ul class="toc"><li class="kicker">Administrative Angles</li><li><h4><a href="/web/20131103102657/http://www.healio.com/nursing/journals/jcen/{69856a6b-14d4-4c5b-a430-fdd34ab040c7}/more-on-gap-analysis">More on Gap Analysis</a></h4></li><li class="meta-info">Lynore D. DeSilets, EdD, RN-BC; Pamela S. Dickerson, PhD, RN-BC; Sibyl Lavin, MSN, RN</li></ul><ul class="toc"><li class="kicker">Clinical Updates</li><li><h4><a href="/web/20131103102657/http://www.healio.com/nursing/journals/jcen/{ef74e6c8-ccd9-48f4-a021-74c5748ab1ef}/using-social-media-to-share-the-death-experience-discussion-points">Using Social Media to Share the Death Experience: Discussion Points</a></h4></li><li class="meta-info">Luanne Billingsley, DNP, MBA, APRN, ACNS-BC; Paula S. Currie, PhD, CCC-SLP</li></ul><ul class="toc"><li class="kicker">Teaching Tips</li><li><h4><a href="/web/20131103102657/http://www.healio.com/nursing/journals/jcen/{6eccfd1c-103b-443a-a70f-aa2db9540c0f}/the-flipped-classroom-for-professional-development-part-i-benefits-and-strategies">The Flipped Classroom for Professional Development: Part I. Benefits and Strategies</a></h4></li><li class="meta-info">Katie McDonald, MS; Charlene M. 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