Nursing Education Perspectives最新文献

Aim: The aim of this systematic review was to evaluate the effectiveness of using objective structured clinical examinations (OSCEs) and standardized patient (SP) simulations in family nurse practitioner (FNP) education to increase students' knowledge and skill competency.

Background: Many programs use OSCE and SP simulation, but there is limited empirical data demonstrating their effectiveness for Kirkpatrick's level of learning.

Method: A systematic search of published and unpublished literature was conducted in seven databases/registries in February 2023. Quantitative, experimental studies and quasi-experimental studies with comparison and explicit FNP learner population were included.

Results: Of 4,442 records, zero studies met the inclusion criteria. Some studies with eligible designs investigated different populations (e.g., acute care nurse practitioner, prelicensure students).

Conclusion: The absence of included studies in this systematic review upholds the established need for continued investigation and can be used to support funding opportunities addressing this critical gap in nursing education science.

Abstract: Incivility is prevalent in the clinical workplace and can lead to reduced self-confidence, adverse health effects, and negative implications for patient care. Cognitive rehearsal training (CRT) serves as a mental plan that individuals can use to counter incivility. This mixed-methods study examined select outcomes related to experiencing incivility for nursing students before and after receiving CRT and early into their professional practice. Many participants described experiencing incivility. Most found CRT useful and implemented the general approach of pausing and thinking before responding. Incorporating CRT into prelicensure education has potential for decreasing the effects of incivility and protecting professional well-being.

Abstract: Nursing students experience inadequate sleep because of academic demands, with detrimental effects on academic performance. Objective and subjective data informed students' sleep patterns. Actigraphy data revealed that students (n = 46) slept for 392 minutes per night. Among the 38 participants who completed actigraphy and demographic and survey data, Pearson correlation testing revealed significant relationships between self-efficacy and perceived stress (r = -.604, p = .001), as well as average sleep time (r = -.371, p = .022). Qualitative data revealed the impact sleep has on physical and mental well-being. Individual and environmental influences resulted in students achieving insufficient sleep.

Abstract: Gamification, the use of game-styled learning methods in non-game contexts, encourages student participation, increases learning motivation, and maximizes the amount of information students can retain. An intervention was designed utilizing gamification principles to reinforce material learned during a week-long regional anesthesia intensive. Students participated in team-based competitions consisting of knowledge-based questions, critical thinking, and hands-on ultrasound skills. Anonymous survey results demonstrated a statistically significant increase in post-intervention student knowledge, confidence, and motivation. This project's impact may encourage the integration of gamification in nursing education to increase student motivation and confidence while providing feedback to decrease knowledge gaps.

Abstract: Limited pediatric primary care clinical placement sites and preceptors have made it difficult for family nurse practitioner (FNP) students to meet pediatric preventive clinical competencies. The purpose of this project was to evaluate a faculty-led clinical model to meet pediatric preventive care competencies through a pediatric mobile clinic. A pre-post evaluation design was used to evaluate student perceptions of their achievement of competencies. Students demonstrated improvement in all seven competencies. A faculty-led clinical model through a pediatric mobile clinic may be an effective way to improve pediatric clinical competencies for FNP students.

Abstract: Competency in communication and collaboration is essential in forming interprofessional partnerships for nursing practice. However, many students in nursing programs struggle with professional oral and written communication, leading to poor communication and incivility. Generational differences and expectations exacerbate communication breakdown and incivility among students and faculty. Implementing communication guidelines using a standardized communication tool in a traditional bachelor of science in nursing program helped facilitate professional and civil communication between students and faculty. Using the standardized tool improved student civility, professionalism, and accountability.

Abstract: Cultural awareness is linked with improved patient outcomes across populations but can be challenging for nurse educators to teach. The purpose of this study was to evaluate the impact of a multimodal strategy for increasing cultural awareness in prelicensure nursing students using a quasi-experimental, mixed-methods design. Following implementation of curricular revisions, analysis of the Cultural Competence Self-Assessment Checklist was completed for a sample of 106 students. Results were statistically significant across all areas and analysis of reflective writing resulted in three major themes. Designing cultural awareness learning activities should be a major focus of nurse educators.

Abstract: Career planning is an important but often neglected component of a nursing program curriculum. To increase retention and encourage professional advancement at the school of nursing of a large, public university in the Northeast, a virtual simulated career development day was established to provide students with the tools needed to navigate the job acquisition process and secure appropriate employment. Course outcomes and student feedback indicated that a successful transition to practice and advancement to higher levels of professional nursing can be promoted through the development of superior interviewing skills, a strong resume, and insight regarding one's professional goals and values.

Abstract: Questions persist regarding the evaluation of cognitive processes related to clinical reasoning when resolving situations in a learning by concordance tool. This Delphi technique study aimed to validate a clinical reasoning assessment rubric based on script theory. Seventeen experts participated in the study. Two rounds of consultation were conducted to obtain a consensus on the accuracy and clarity of the rubric descriptors (clarity index and content validity index ≥ 0.9). The results inform future research procedures and the intended use of the rubric to facilitate evaluator inferences, provide student feedback, and support the development of learners' clinical reasoning.