Journal of Continuing Education in Nursing最新文献

Background: Nurse residency programs (NRPs) are designed to support new graduate nurses in their transition from academia to professional practice and also improve job satisfaction and retention. Many studies highlight these benefits within the first year of nursing practice. The goal of this study is to show the longer-term effect of NRPs at 1, 2, and 3 years.

Method: This retrospective cohort study compared two Midwestern hospitals, one with a 12-month compulsory NRP and one without, using data from 2018 to 2020 to minimize academic disruptions related to coronavirus disease 2019.

Results: The hospital with an NRP had a significantly higher 3-year retention rate (55%) versus the hospital without an NRP (35.2%), suggesting that NRPs help improve retention, reduce turnover costs, and promote workforce stability.

Conclusion: The study found that NRPs significantly improve new graduate nurse retention and ease the academic to practice transition. Enhanced retention may reduce costly turnover, saving hospitals millions in recruitment and training expenses. Therefore, NRPs are a cost-effective investment in nursing workforce strength and care quality.

The Planetary Health Alliance currently includes more than 500 organizations in 80 different nations. Nursing is leading the way, with international commitments to planetary health education, research, advocacy, and practice. The Planetary Health Alliance is also committed to ensuring that all nurses have continuing education in nursing for planetary health.

Nursing presence is a foundational element of delivering patient-centered care. Adapted from the nurse executive presence framework, nursing presence emphasizes how nurses show up-physically, emotionally, and professionally-to engage patients and garner trust. This column offers teaching tips for cultivating nursing presence through character, substance, and style.

Background: Prevention of post-intensive care syndrome (PICS) has become an emerging topic in public health. Nurses' awareness of PICS is important for its management. The goal of this study was to evaluate the knowledge, attitude, and practice (KAP) of neurosurgical nurses regarding PICS and analyze associated factors.

Method: This cross-sectional study was conducted from March to May 2024. Data were collected from 274 neurosurgical nurses in 58 hospitals in China with a validated self-reported online questionnaire.

Results: The knowledge score was medium, whereas their attitude and practice scores were high. The results showed that professional title, marital status, training, specialty certification, and intensive care unit work experience may affect the knowledge, attitude, and practice of neurosurgical nurses.

Conclusion: These findings can help nurse managers and educators develop continuing education and prevention management programs for PICS to better prepare nurses for their evolving clinical roles and improve long-term outcomes.

In nursing and health care, professional development is more than the transfer of knowledge-it is a dynamic process that shapes professional identity, ethical practice, and lifelong adaptability. This column examines the significance of ontology (the nature of being), epistemology (the nature of knowing), and the continuum of pedagogy, andragogy, and heutagogy as foundational frameworks for educators in nursing continuing professional development (NCPD). These are not just abstract concepts; they are deeply rooted in the nursing profession, guiding the transformational education of nurses. Drawing on current scholarship and the American Nurses Credentialing Center Accreditation in NCPD™, it positions these "GYs" as philosophical and practical anchors for transformational education. The discussion highlights implications for educators, accreditors, and health systems and offers a reflection for integrating these concepts into practice.

Background: The population of adults with congenital heart disease is rapidly increasing, highlighting the need for lifelong access to specialized care. To provide up-to-date care, health care teams require continuous education. Digital platforms allow for hybrid learning opportunities, combining in-person and online education. Hybrid training has become an increasingly popular means of delivering continuous education to health care professionals, offering flexibility, accessibility, and ongoing professional development. Hybrid models enable health care teams to remain engaged and current, ensuring the delivery of high-quality care. This article describes the role of hybrid education in the professional development of nurses and allied health professionals.

Method: This mixed methods study assessed participant engagement, perceived usefulness, and areas for improvement after an education program.

Results: Virtual platforms and participant feedback allowed health care professionals to engage in ongoing learning. The hybrid model offered flexibility and accessibility.

Conclusion: Refining educational content based on participant feedback enhanced the learning experience and session effectiveness. With satisfaction levels increasing from 93% in year 1 to 98% in year 2, this feedback-driven approach helped to tailor the program to participant needs and may help improve quality of care.

Background: Transitioning from academia to clinical practice can be overwhelming for new nurses, often leading to uncertainty and self-doubt, known as impostor phenomenon. Prioritizing mental health is vital for improving retention, job satisfaction, and team effectiveness.

Method: The prevalence of impostor phenomenon among 340 newly hired nurses at an urban hospital in central Texas was examined in spring and summer 2022. This descriptive study used convenience sampling, with nurses invited to participate anonymously during orientation. Demographic data were collected, and the Clance Impostor Phenomenon Scale was used to assess the characteristics of impostor phenomenon. Data were analyzed with an independent samples t test.

Results: Two of eight variables-years of experience and English as the primary language-showed significant mean differences.

Conclusion: Impostor phenomenon is a significant challenge for new nurses, affecting their professional growth and career trajectory. Addressing the effects of impostor phenomenon is crucial for supporting nurses' well-being and long-term career success.

Background: Clinical preceptors play a vital role in nurse practitioner education, yet recruitment and retention remain challenging. This article describes a survey of preceptor satisfaction after the implementation of revised benefits along with motivational factors.

Method: A comprehensive online survey was distributed to more than 2,400 preceptors to assess their perceptions of the newly introduced benefits and communication strategies.

Results: Although 88.89% of preceptors perceived support, nearly half were unaware of the enhancements, indicating a significant communication gap. Although many appreciated the benefits, they did not significantly influence preceptor motivation. The survey findings highlight the need for improved communication strategies and underscore the importance of ongoing program evaluation.

Conclusion: By addressing these gaps, colleges of nursing can foster a more supportive precepting environment to enhance the quality of nurse practitioner education and the nursing profession.

Background: The transition from student to RN is challenging, contributing to high turnover of new graduate nurses (NGNs). Student externships and nurse residency programs (NRPs) bridge academic-practice gaps, contributing to improved NGN retention. This study assesses the impact of student externship participation on NGN outcomes within an NRP.

Method: The single-hospital study compares NGNs in an NRP who had completed a student externship during nursing school (Student-Extern NGNs) with those who had not (Traditional-Pathway NGNs). Validated surveys were used to collect work experience data, and comparisons were drawn between groups.

Results: Student-Extern NGNs reported higher mean scores for satisfaction, work effectiveness, organizational commitment, and group cohesion. They also showed a greater increase in self-efficacy and a lower actual turnover rate (10%) compared with Traditional-Pathway NGNs (22%).

Conclusion: Student externship participation positively influences NGNs' perceptions of their roles and work environment, enhancing satisfaction, commitment, self-efficacy, and ultimately, retention within an NRP.