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Refining nursing skills through self-reflection in competency-based education 通过能力教育中的自我反思来提高护理技能
IF 1.7 Q2 NURSING Pub Date : 2025-08-26 DOI: 10.1016/j.teln.2025.07.031
Ashley B. McMath DNP, RN, CNE, Rebekah D. Day DNP, CRNP, ACNPC-AG, Caroline E. Littleton DNP, RN, CNEcl, CHSE
Competency-based education in nursing emphasizes not only psychomotor skills but also the development of clinical judgment, self-awareness, and critical thinking. This teaching tip introduces a structured self-reflection assignment designed to follow independent skill practice, using the National Council of State Boards of Nursing Clinical Judgment Model (CJM). Through Socratic questioning aligned with the CJM’s six steps—recognize cues, analyze cues, prioritize hypotheses, generate solutions, take action, and evaluate outcomes—students are guided to explore their motivations, decision-making processes, and emotional responses. The reflection prompts encourage learners to consider both clinical indicators and patient perspectives, fostering empathy and deeper understanding. This approach enhances students’ clinical reasoning and allows educators to identify and address misconceptions. By bridging theoretical knowledge with hands-on practice, CJM-based self-reflection supports holistic skill development and promotes meaningful learning in nursing education.
以能力为基础的护理教育不仅强调心理运动技能,而且强调临床判断、自我意识和批判性思维的发展。这个教学技巧介绍了一个结构化的自我反思作业,旨在遵循独立的技能实践,使用国家委员会护理临床判断模型(CJM)。通过与CJM的六个步骤(识别线索、分析线索、优先考虑假设、产生解决方案、采取行动和评估结果)相一致的苏格拉底式提问,引导学生探索他们的动机、决策过程和情绪反应。反思提示鼓励学习者考虑临床指标和患者的观点,培养同理心和更深层次的理解。这种方法提高了学生的临床推理能力,并使教育者能够识别和解决误解。通过将理论知识与实践相结合,基于cjm的自我反思支持整体技能的发展,并促进护理教育中有意义的学习。
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引用次数: 0
Mixed reality simulation to enhance neonatal care skills in nursing students 混合现实模拟提高护生新生儿护理技能
IF 1.7 Q2 NURSING Pub Date : 2025-08-25 DOI: 10.1016/j.teln.2025.07.027
Ah Rim Kim

Background

Prelicensure nursing students may face restricted access to hands-on training in neonatal care, especially in high-risk and gender-sensitive environments.

Aim

This study examined whether mixed reality (MR) simulation using HoloLens 2 could enhance engagement, performance confidence, and learning flow in neonatal nursing education.

Methods

A quasi-experimental design was used with 30 nursing students assigned to intervention (MR-based training) or control (text-based learning) groups. Participants completed pre- and post-tests assessing key learning outcomes.

Results

MR-based training significantly improved learning interest (p = 0.012), performance confidence (p < 0.001), and postintervention learning flow (p < 0.001) compared to the control. Significant group effects were observed for all outcomes, with performance confidence also showing a significant interaction effect (p = 0.006). Participants reported high usability, strong immersion, and high educational satisfaction with the MR training experience.

Conclusions

MR simulation supports immersive and equitable clinical training in neonatal care, helping to bridge theory–practice gaps in nursing education. These findings support its integration into undergraduate and prelicensure nursing curricula, including associate degree programs, to enhance skill acquisition and learner engagement.
护理学预科学生在新生儿护理方面的实践培训可能受到限制,特别是在高风险和性别敏感的环境中。目的探讨使用HoloLens 2进行混合现实(MR)模拟是否可以提高新生儿护理教育的参与度、绩效信心和学习流程。方法采用准实验设计,将30名护生分为干预组(基于核磁共振的训练)和对照组(基于文本的学习)。参与者完成了评估主要学习成果的前后测试。结果与对照组相比,基于smr的训练显著提高了学习兴趣(p = 0.012)、表现信心(p < 0.001)和干预后学习流程(p < 0.001)。所有结果均观察到显著的组效应,表现置信度也显示出显著的相互作用效应(p = 0.006)。参与者报告了高可用性、强沉浸感和高教育满意度的MR培训经验。结论smr模拟支持沉浸式、公平的新生儿护理临床培训,有助于弥合护理教育理论与实践的差距。这些研究结果支持将其纳入本科和执照前护理课程,包括副学士学位课程,以提高技能习得和学习者的参与度。
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引用次数: 0
AI-assisted prebriefing to enhance simulation readiness in nursing education 人工智能辅助预习提高护理教育的模拟准备
IF 1.7 Q2 NURSING Pub Date : 2025-08-24 DOI: 10.1016/j.teln.2025.07.030
Mohamed Benfatah PhD , Ilham Elazizi MSN , Abderrahmane Lamiri PhD , Hajar Belhaj PhD , Elmadani Saad PhD , Abdelghafour Marfak PhD , Abderraouf Hilali PhD , Ibtissam Youlyouz-Marfak PhD

Background

Prebriefing is essential in clinical simulation to cognitively and emotionally prepare nursing students. Artificial intelligence (AI) offers promising opportunities to personalize this phase based on learner profiles.

Aim

To assess the effectiveness of AI-assisted personalized prebriefing on nursing students’ perceived preparation, self-confidence, and simulation performance.

Methods

A randomized controlled trial was conducted with 60 second-year nursing students. Participants were randomly assigned to a control group receiving standard prebriefing or an intervention group using an AI chatbot. The chatbot provided tailored recommendations based on each student’s learning style, clinical experience, and confidence level. Outcomes were assessed through self-reported questionnaires and performance ratings using the Ottawa Global Rating Scale.

Results

Students in the AI group reported significantly higher perceived preparation (p < 0.001), increased self-confidence (p = 0.004), and improved simulation performance (p < 0.01) compared to the control group. The AI tool was positively received for its personalized guidance.

Conclusions

AI-assisted prebriefing enhances student readiness, confidence, and performance in clinical simulation, reinforcing learner-centered strategies in nursing education.
背景:在临床模拟中,预习对护理学生的认知和情感准备是必不可少的。人工智能(AI)提供了基于学习者概况的个性化这一阶段的有希望的机会。目的评估人工智能辅助个性化预习对护生感知准备、自信和模拟表现的影响。方法对60名护理专业二年级学生进行随机对照试验。参与者被随机分配到接受标准简报的对照组或使用人工智能聊天机器人的干预组。聊天机器人根据每个学生的学习方式、临床经验和自信程度提供量身定制的建议。结果通过自我报告的问卷和使用渥太华全球评级量表的表现评级来评估。结果与对照组相比,人工智能组的学生报告了明显更高的感知准备(p < 0.001),增强了自信心(p = 0.004),并改善了模拟性能(p < 0.01)。该人工智能工具因其个性化指导而受到好评。结论ai辅助下的预习提高了学生在临床模拟中的准备程度、信心和表现,强化了护理教育中以学习者为中心的策略。
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引用次数: 0
Reflective practice: an integrative review of collaborations between nursing and creative arts students 反思实践:护理与创意艺术学生合作的综合回顾
IF 1.7 Q2 NURSING Pub Date : 2025-08-23 DOI: 10.1016/j.teln.2025.07.024
Shelley Gower PhD , Suzanne Srdarov PhD , Pam Nichols PhD , Kerreen Ely-Harper PhD , Melisa Young MN , Janie Brown PhD

Objectives

To demonstrate how interdisciplinary collaborative creative practice has contributed to nursing and creative arts students’ wellbeing, professionalism, communication skills, and reflective practice.

Design

Integrative literature review.

Data sources

Following a discussion with a health librarian CINAHL, Medline, ProQuest, PubMed, Scopus, Web of Science, and Wiley databases, and Google Scholar were searched.

Review methods

Titles and abstracts of n = 2443 records were independently screened by two reviewers, with 2341 records excluded. Of the remaining n = 102 reports, n = 98 were available for full text review. Five reports, with an additional n = 2 from reference list screening, were included.

Results

Collaborations between nursing and creative arts students may build professional identity, enhance communication and reflective skills, and improve cross-disciplinary understanding. Implementing projects requires time, the provision of a safe space, and freedom to focus on the process.

Conclusions

Collaborations between nursing and creative arts students led to positive outcomes yet there are few examples. Despite implementation challenges, more collaborative interdisciplinary projects are required to build understandings of how they can be used as effective WIL opportunities.
目的展示跨学科合作创意实践如何促进护理和创意艺术学生的健康,专业精神,沟通技巧和反思实践。设计:综合文献综述。数据来源与卫生馆员讨论后,检索了CINAHL、Medline、ProQuest、PubMed、Scopus、Web of Science和Wiley数据库以及b谷歌Scholar。2位审稿人独立筛选n = 2443篇文献的标题和摘要,排除2341篇文献。在剩余的n = 102份报告中,n = 98份可用于全文审查。纳入5份报告,另外n = 2份来自参考文献列表筛选。结果护理与创意艺术专业学生的合作可以建立专业认同,增强沟通和反思能力,促进跨学科理解。实施项目需要时间、安全空间的提供以及专注于过程的自由。结论护理与创意艺术专业学生的合作取得了积极的效果,但实例较少。尽管实施方面存在挑战,但需要更多的跨学科合作项目,以建立对如何将其作为有效的WIL机会的理解。
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引用次数: 0
Enhancing nursing student clinical judgment through collaborative learning with ExamSoft 通过ExamSoft协同学习提高护生临床判断能力
IF 1.7 Q2 NURSING Pub Date : 2025-08-23 DOI: 10.1016/j.teln.2025.08.004
Cristen Walker PhD, CRNP, CNE
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引用次数: 0
Standard care pathways assignment: Understanding admission to discharge planning 标准护理路径分配:了解入院到出院计划
IF 1.7 Q2 NURSING Pub Date : 2025-08-21 DOI: 10.1016/j.teln.2025.07.020
Sarah Koplow PhD, APRN , Jim LaFeir DNP, RN , Marjorie Lima DNP, RN , Marrice King MSN, RN
Bringing evidenced-based clinical practice into the classroom using practical application projects allows students to problem-solve scenarios they may experience in an increasingly challenging healthcare environment. Faculty developed a standardized care pathway clinical project into the classroom, immersing students with innovative active learning strategies that will help them achieve the undergraduate curriculum outcomes.
通过实际应用项目将循证临床实践带入课堂,使学生能够解决他们在日益具有挑战性的医疗环境中可能遇到的问题。教师在课堂上开发了一个标准化的护理路径临床项目,让学生沉浸在创新的主动学习策略中,帮助他们实现本科课程的成果。
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引用次数: 0
Evaluating a stress management workshop on nursing student mental health and well-being 评估护理学生心理健康和幸福的压力管理研讨会
IF 1.7 Q2 NURSING Pub Date : 2025-08-21 DOI: 10.1016/j.teln.2025.04.022
Christina J. Ezemenaka , Abby G. Horton , Kacie W. Duncan

Background

Nursing students experience unique stressors and may benefit from stress management interventions to help build resilience and coping.

Aim

The purpose of this study is to explore knowledge and self-perception of stress, resilience, and coping following a stress management workshop.

Methods

Participants (N = 44) in this pre–post-test study were 3rd Semester Practical Nursing students attending a Historically Black Community College (HBCC) in the Southeastern United States. Participants attended a 1.5- hour workshop and completed the Perceived Stress Scale (PSS), Resilience Scale (RS), and Proactive Coping Subscale (PCS). T-tests compared survey responses of twenty-four completers.

Results

Of the 24 completers, 95.8% reported moderate to high stress levels (Mean = 23.2), moderate resilience (Mean = 135.1), and moderate coping (Mean = 44.2), with low (8.3%) support service utilization at enrollment. Post-test familiarity with coping strategies and RS scores significantly improved, both p < .05. Knowledge of stress symptoms, PSS scores, and PCS scores also improved.

Conclusion

Stress management education supports nursing student well-being and should be incorporated into the nursing curriculum.
护理专业的学生经历了独特的压力源,可以从压力管理干预中受益,帮助他们建立弹性和应对能力。目的本研究旨在探讨学生在压力管理工作坊后对压力的认知、自我知觉、适应力和应对能力。方法受试者(N = 44)为美国东南部一所历史黑人社区学院(HBCC)第三学期实习护理专业的学生。参与者参加了一个半小时的工作坊,完成了感知压力量表(PSS)、弹性量表(RS)和主动应对量表(PCS)。t检验比较了24个完成者的调查结果。结果在24名完成者中,95.8%报告中至高压力水平(平均 = 23.2),中等恢复力(平均 = 135.1)和中等应对(平均 = 44.2),入组时支持服务使用率低(8.3%)。测验后应对策略熟悉度和RS得分显著提高,p < 0.05。对压力症状的认知、PSS评分和PCS评分也有所提高。结论压力管理教育有助于护生的幸福感,应纳入护理课程。
{"title":"Evaluating a stress management workshop on nursing student mental health and well-being","authors":"Christina J. Ezemenaka ,&nbsp;Abby G. Horton ,&nbsp;Kacie W. Duncan","doi":"10.1016/j.teln.2025.04.022","DOIUrl":"10.1016/j.teln.2025.04.022","url":null,"abstract":"<div><h3>Background</h3><div>Nursing students experience unique stressors and may benefit from stress management interventions to help build resilience and coping.</div></div><div><h3>Aim</h3><div>The purpose of this study is to explore knowledge and self-perception of stress, resilience, and coping following a stress management workshop.</div></div><div><h3>Methods</h3><div>Participants (N = 44) in this pre–post-test study were 3rd Semester Practical Nursing students attending a Historically Black Community College (HBCC) in the Southeastern United States. Participants attended a 1.5- hour workshop and completed the Perceived Stress Scale (PSS), Resilience Scale (RS), and Proactive Coping Subscale (PCS). T-tests compared survey responses of twenty-four completers.</div></div><div><h3>Results</h3><div>Of the 24 completers, 95.8% reported moderate to high stress levels (Mean = 23.2), moderate resilience (Mean = 135.1), and moderate coping (Mean = 44.2), with low (8.3%) support service utilization at enrollment. Post-test familiarity with coping strategies and RS scores significantly improved, both p &lt; .05. Knowledge of stress symptoms, PSS scores, and PCS scores also improved.</div></div><div><h3>Conclusion</h3><div>Stress management education supports nursing student well-being and should be incorporated into the nursing curriculum.</div></div>","PeriodicalId":46287,"journal":{"name":"Teaching and Learning in Nursing","volume":"20 4","pages":"Pages e1036-e1041"},"PeriodicalIF":1.7,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145049922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Artificial intelligence course impact on nursing students’ readiness for medical artificial intelligence 人工智能课程对护生医学人工智能准备的影响
IF 1.7 Q2 NURSING Pub Date : 2025-08-21 DOI: 10.1016/j.teln.2025.07.025
Şefika Tuğba Yangöz PhD , Hatice Ceylan PhD

Background

Artificial intelligence is increasingly used in healthcare and nursing. Artificial intelligence courses are essential for preparing students to apply artificial intelligence in these fields. However, evidence of the impact of such courses on nursing students’ artificial intelligence readiness is limited.

Aim

To assess the effect of an artificial intelligence course's effect on undergraduate nursing students' perceived medical artificial intelligence readiness.

Methods

This quasi-experimental study used a one-group design with pre-test and post-test measures conducted at a Turkish health college from September to December 2024. Second-year nursing students attended a 14-week, two-hour weekly artificial intelligence course. The primary outcome was perceived readiness for medical artificial intelligence.

Results

Of 137 students, significant differences were found in total readiness scores and in cognition, ability, and vision sub-dimensions, with small effect sizes. However, no significant change was observed in the ethical sub-dimension.

Conclusions

The artificial intelligence course effectively enhanced medical artificial intelligence readiness in nursing students, with implications for nursing education.
人工智能在医疗保健和护理领域的应用越来越广泛。人工智能课程对于培养学生在这些领域应用人工智能至关重要。然而,这些课程对护理学生的人工智能准备的影响的证据是有限的。目的评价人工智能课程对本科护生感知医学人工智能准备程度的影响。方法采用单组准实验设计,于2024年9 - 12月在土耳其某卫生学院进行前测和后测。护理专业二年级的学生参加了为期14周、每周两小时的人工智能课程。主要结果是人们对医疗人工智能的准备程度。结果137名学生在总准备得分和认知、能力、视觉子维度上存在显著差异,且效应量较小。然而,在伦理子维度上没有观察到显著的变化。结论人工智能课程有效提高了护生的医学人工智能准备水平,对护理教育具有一定的指导意义。
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引用次数: 0
Gamified learning enhances psychiatric symptom knowledge in nursing students 游戏化学习增强护生对精神症状的认识
IF 1.7 Q2 NURSING Pub Date : 2025-08-21 DOI: 10.1016/j.teln.2025.07.028
Kamonchanok Moonchai MNS, Duangjai Vatanasin PhD, Pornpimon Pramnoi MNS, Silpthai Thamruangrit MNS

Background

Psychiatric symptom assessment challenges nursing students due to abstract concepts and complex terminology. Gamification-based learning is an alternative educational approach to supplement traditional lecture-based instruction in mental health nursing education.

Method

This quasi-experimental study investigated the effectiveness of Mental Bus, a mobile, gamified learning application focusing on the assessment of symptoms related to depression, bipolar disorder, and schizophrenia, on participants’ knowledge of psychiatric symptom assessment and learning satisfaction. Third-year nursing students (n = 112) were randomly assigned to either an experimental (n = 56) or control (n = 56) group. The experimental group used the gamified application, while the control group received conventional instruction. Data were analyzed using descriptive statistics, paired t-tests, and independent t-tests.

Results

The experimental group demonstrated significant improvement in psychiatric symptom assessment knowledge from pretest to posttest (p < .001) and scored significantly higher than the control group at posttest (p < .001). Participants also reported high satisfaction with the gamified intervention and provided positive reflections regarding enhanced engagement and understanding.

Conclusion

Gamified learning applications effectively enhance psychiatric symptom assessment knowledge and student engagement, supporting their integration as complementary educational strategies in mental health nursing curricula.
精神病学症状评估由于概念抽象和术语复杂而给护生带来挑战。在心理健康护理教育中,游戏化学习是对传统授课教学的一种补充。方法采用准实验研究的方法,考察心理巴士(Mental Bus)这一专注于抑郁症、双相情感障碍和精神分裂症相关症状评估的移动、游戏化学习应用程序对参与者精神症状评估知识和学习满意度的影响。护理专业三年级学生(n = 112)随机分为实验组(n = 56)和对照组(n = 56)。实验组采用游戏化应用,对照组采用常规教学。数据分析采用描述性统计、配对t检验和独立t检验。结果实验组精神症状评估知识从前测到后测均有显著提高(p < .001),且后测得分显著高于对照组(p < .001)。参与者还报告了对游戏化干预的高满意度,并对增强参与和理解提供了积极的反馈。结论在心理健康护理课程中,应用社会化学习能有效提高学生对精神疾病症状评估的认识,提高学生的参与度。
{"title":"Gamified learning enhances psychiatric symptom knowledge in nursing students","authors":"Kamonchanok Moonchai MNS,&nbsp;Duangjai Vatanasin PhD,&nbsp;Pornpimon Pramnoi MNS,&nbsp;Silpthai Thamruangrit MNS","doi":"10.1016/j.teln.2025.07.028","DOIUrl":"10.1016/j.teln.2025.07.028","url":null,"abstract":"<div><h3>Background</h3><div>Psychiatric symptom assessment challenges nursing students due to abstract concepts and complex terminology. Gamification-based learning is an alternative educational approach to supplement traditional lecture-based instruction in mental health nursing education.</div></div><div><h3>Method</h3><div>This quasi-experimental study investigated the effectiveness of Mental Bus, a mobile, gamified learning application focusing on the assessment of symptoms related to depression, bipolar disorder, and schizophrenia, on participants’ knowledge of psychiatric symptom assessment and learning satisfaction. Third-year nursing students (<em>n</em> = 112) were randomly assigned to either an experimental (<em>n</em> = 56) or control (<em>n</em> = 56) group. The experimental group used the gamified application, while the control group received conventional instruction. Data were analyzed using descriptive statistics, paired t-tests, and independent t-tests.</div></div><div><h3>Results</h3><div>The experimental group demonstrated significant improvement in psychiatric symptom assessment knowledge from pretest to posttest (<em>p</em> &lt; .001) and scored significantly higher than the control group at posttest (<em>p</em> &lt; .001). Participants also reported high satisfaction with the gamified intervention and provided positive reflections regarding enhanced engagement and understanding.</div></div><div><h3>Conclusion</h3><div>Gamified learning applications effectively enhance psychiatric symptom assessment knowledge and student engagement, supporting their integration as complementary educational strategies in mental health nursing curricula.</div></div>","PeriodicalId":46287,"journal":{"name":"Teaching and Learning in Nursing","volume":"21 1","pages":"Pages e52-e56"},"PeriodicalIF":1.7,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145842842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reinforcing the foundations: elevating community, public, and population health (CPPH) in ADN nursing education 加强基础:提高社区、公众和人口健康(CPPH)在ADN护理教育中的地位
IF 1.7 Q2 NURSING Pub Date : 2025-08-20 DOI: 10.1016/j.teln.2025.07.007
Rick García PhD, RN, CCM, FAAOHN, FAADN, FAAN
{"title":"Reinforcing the foundations: elevating community, public, and population health (CPPH) in ADN nursing education","authors":"Rick García PhD, RN, CCM, FAAOHN, FAADN, FAAN","doi":"10.1016/j.teln.2025.07.007","DOIUrl":"10.1016/j.teln.2025.07.007","url":null,"abstract":"","PeriodicalId":46287,"journal":{"name":"Teaching and Learning in Nursing","volume":"20 4","pages":"Pages 310-311"},"PeriodicalIF":1.7,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145050540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Teaching and Learning in Nursing
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