Journal of Continuing Education in Nursing最新文献

In today's health care landscape-marked by rapid advancement of medical technology, application of artificial intelligence, strains on workforce supply and demand, and significant changes in organizational structure-nursing professional development specialists find themselves at a pivotal intersection. They carry the responsibility of nurturing individual nursing competence and organizational resilience. To that end, they must meet formidable leadership challenges.

Background: Nurses working in maternity care deserts must be vigilant in recognizing the vague symptoms of postpartum complications.

Method: The project used a pre-post knowledge design to evaluate the effectiveness of a two-phase education program in improving RNs' knowledge and confidence in triaging women of childbearing age and identifying postpartum complications. Nurses in a rural emergency department viewed a 20-minute YouTube video and participated an interactive face-to-face session 2 weeks after the online presentation. Changes in knowledge and self-efficacy were assessed immediately after the online education and 2 months after the interactive session.

Results: Of the 13 RNs, six viewed the video and 10 attended the interactive sessions. Of the five RNs who completed the post-video assessments, knowledge and self-efficacy scores showed improvement of 33.67% and 12.23%, respectively. Only two RNs completed the assessments following the interactive sessions.

Conclusion: Nurses' knowledge and confidence in triaging and identifying postpartum patients and complications improved after online education. Low-cost, accessible continuing education programs can offer an effective means for furthering competence and confidence.

Nurses often transition to leadership roles with little to no formal education or experience in meeting the demands of their new responsibilities. At the University of Michigan Health, a structured and robust transition to practice program for nurse leaders, aligned with the American Nurses Credentialing Center's Practice Transition Accreditation Program^®, has been implemented. As a result, the Nurse Leader Fellowship has improved leaders' confidence, knowledge, skills, and abilities, as well as retention and advancement rates.

The convergence of civility, professional identity in nursing, and a healthy work environment offers a promising approach to strengthening the nursing profession. This column introduces a novel framework for assessing, understanding, and enhancing both academic and clinical practice work environments by integrating the conceptual domains of civility, professional identity in nursing, and a healthy work environment.

Background: Post-pandemic staffing challenges require innovative approaches to rapidly train novice preceptors.

Method: The One-Minute Preceptor (OMP) model incorporates five microskills that facilitate the clinical teaching of orientees by preceptors. This study employed a pretest-posttest survey design to evaluate preceptor skills, self-evaluation, confidence levels, and the orientee's assessment of the preceptor before and after an educational intervention.

Results: The paired t test results from the orientee's survey indicated a statistically significant improvement in the preceptor's microskills following the intervention.

Conclusion: The OMP model may be an effective tool for training novice preceptors, yet more robust study designs are necessary to further validate this model.

Background: The study developed and validated the Nursing Environment Fit Index (NEFI) to guide new graduate nurse (NGN) work and lifestyle preference assessment.

Method: The MEASURE approach guided instrument development and pilot testing. End users provided qualitative face validity assessment, and content validity was evaluated through a content validity index. Once initial validity was established, the NEFI was pilot tested.

Results: Four NGNs provided face validity. Five experts provided content validity assessment. Twelve criteria were maintained (0.733 Scale-level Content Validity Index/Average), nine criteria met Item-level Content Validity Index threshold (0.80), and one criterion from each category did not meet thresholds and was modified but retained. Ninety-two participants pilot tested the NEFI. Almost 100% agreed questions were relevant, and 84% agreed the NEFI helped them decide what clinical area to apply for. Twenty-nine participants completed a 6-month questionnaire. Sixty-five percent indicated they applied following NEFI recommendations. Seventy-three percent agreed taking the NEFI when seeking a job would be beneficial.

Conclusion: Initial testing showed reliability and validity of the NEFI. The NEFI appears to have success informing NGN decisions within the pediatric setting.

Background: Emergency department overcrowding affects patient safety and service efficiency. Although the Canadian Triage and Acuity Scale (CTAS) is widely implemented in Saudi Arabia, variability in triage accuracy remains as a result of limited formal training. This study assessed the impact of a structured CTAS educational intervention on nurses' triage knowledge and the performance of a hospital-based urgent care center.

Method: A quasi-experimental pretest/posttest design was used. Fifteen nurses at a high-volume urgent care center completed a 1-day CTAS Proficiency Training Course. A 15-item scenario-based questionnaire measured knowledge before and after training. The urgent care center time-based indicators (registration-to-triage, triage-to-decision, and total length of stay) were extracted for 1 month before and after the intervention, covering 33,720 patient visits. Data were analyzed with the Mann-Whitney U and Wilcoxon signed-rank tests.

Results: Knowledge scores improved significantly (p = .015). All of the urgent care center time intervals decreased (p < .001), with CTAS Level II waiting times dropping from 33 to 9 minutes.

Conclusion: The CTAS training enhanced nurse triage knowledge and improved urgent care efficiency. Structured triage education is recommended.

Background: This study evaluated nurses' knowledge of and approaches in acute situations requiring resuscitation in a hospital environment.

Method: This study was conducted between December 2023 and July 2024 with 137 nurses at a public hospital. It was designed as a descriptive correlational study. Data were collected with a data collection form prepared on the basis of the literature and analyzed with IBM SPSS software.

Results: Among the nurses, 47.4% accurately reported the rate of chest compressions, whereas 61.3% correctly identified the depth of chest compressions. The percentage of those who knew the ventilation rate during cardiopulmonary resuscitation was 68.6%, with the ability to recognize ventricular tachycardia and ventricular fibrillation at 67.2% and 82.5%, respectively.

Conclusion: Nurses in intensive care units performed better in in-hospital resuscitation skills compared with those in other departments; however, these skills need improvement. The effectiveness and frequency of cardiopulmonary resuscitation training should be increased.

Background: Traditional conference presentations may not engage audiences, particularly in virtual or lengthy formats. Therefore, our nursing conference committee adopted the PechaKucha (PechaKucha, Inc.) presentation style, characterized by concise, visually engaging storytelling. This study evaluates the effect of this format on engagement, presenter experience, and logistical efficiency.

Method: This quality improvement project piloted PechaKucha presentations, which feature 20 slides auto-advancing every 20 seconds, at our annual conference. Presenters received training in the use of this format, and both presenters and attendees completed postconference surveys assessing engagement and satisfaction. We used thematic analysis and descriptive statistics to evaluate feedback.

Results: Attendees found the PechaKucha format engaging, with 68% rating it outstanding. Although presenters reported challenges with rigid timing, many enjoyed the presentation style. The format enabled more presentations within the conference schedule while maintaining attendee engagement.

Conclusion: Pecha Kucha fosters engagement and logistical efficiency, although increasing preparation resources and timing flexibility could enhance its implementation.