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Virtual reality to aid in competency-based online nurse practitioner curriculum (VR-NP) 虚拟现实技术辅助基于能力的在线执业护士课程(VR-NP)
IF 2.8 3区 医学 Q1 NURSING Pub Date : 2024-09-18 DOI: 10.1016/j.profnurs.2024.09.009
Kelly Casler DNP, APRN-CNP, CHSE, EBP-C, FAANP , Kate Sustersic Gawlik DNP, APRN-CNP, FAANP, FNAP, FAAN , Jeffrey Messinger MS
Virtual reality (VR) simulation use in graduate nursing education is a growing innovative trend that can help with competency-based education. The Virtual Reality Simulation to aid in competency-based online nurse practitioner curriculum (VR-NP) pilot innovation and quality improvement project sought to deliver VR simulation as an educational strategy in an online graduate nursing program advanced health assessment course that enrolled sixty-six students. Twenty-nine of the students were provided loaner VR equipment to complete simulated advanced health assessments from their home while the remainder of students completed the same simulations using screen-based technology. For all students, weekly simulations were paired with follow-up debriefing led by faculty using synchronous web conferencing. Students using VR completed a mid-implementation and post-implementation survey, consisting of the System Usability Scale (SUS), Simulation Effectiveness Tool-Modified (SET-M), and open ended questions. Students using screen-based technology, completed similar surveys with only the SET-M and open-ended questions. Necessary adjustments were made to the implementation process based on data received mid-implementation. Overall students were satisfied with the use of VR simulation from a distance and minimal implementation challenges were encountered. Recommendations for integration of VR into other graduate nursing programs are shared.
在研究生护理教育中使用虚拟现实(VR)模拟是一种不断发展的创新趋势,有助于开展能力本位教育。虚拟现实模拟辅助基于能力的在线执业护士课程(VR-NP)试点创新和质量改进项目旨在将 VR 模拟作为一种教育策略,应用于在线研究生护理项目的高级健康评估课程中,该课程招收了 66 名学生。其中 29 名学生获得了借用的 VR 设备,可在家中完成模拟高级健康评估,其余学生则使用基于屏幕的技术完成相同的模拟。对所有学生而言,每周的模拟活动都与教师通过同步网络会议进行的后续汇报相配合。使用虚拟现实技术的学生完成了由系统可用性量表(SUS)、模拟效果工具(SET-M)和开放式问题组成的实施中期和实施后期调查。使用屏幕技术的学生也完成了类似的调查,但只有 SET-M 和开放式问题。根据实施中期收到的数据,对实施过程进行了必要的调整。总体而言,学生对远距离使用 VR 模拟感到满意,在实施过程中遇到的挑战极少。此外,还分享了将虚拟现实技术融入其他护理研究生课程的建议。
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引用次数: 0
The Transformative Teaching Framework: A roadmap for 21st century teaching 变革性教学框架:21 世纪教学路线图
IF 2.8 3区 医学 Q1 NURSING Pub Date : 2024-09-18 DOI: 10.1016/j.profnurs.2024.09.010
Mary K. Fey , Kate J. Morse
The US healthcare system has changed dramatically in the past several decades. Nursing education, conversely, has not. This disparity, with a widening academic-practice gap prompted The National Academies to call on nursing education bodies to lead transformational change in nursing education to create the entry level and advanced practice nurses needed in the 21st century healthcare system (Wakefield et al., 2021). The Publication of The Essentials: Core Competencies for Professional Nursing Education is the catalyst for this change. Revising curricula in nursing schools will not affect the changes needed without a transformation in how nurse educators approach their practice. The Transformative Teaching Framework provides a roadmap for faculty to embody their role differently. Adopting the new role of Faculty Coach, nurse educators cultivate a teacher-learner relationship grounded in the neuroscience of learning, relational and developmental actions aimed at the professional formation of clinicians, and mutual trust. The Transformative Teaching Framework has the power to guide faculty as they develop clinicians who can thrive in the 21st century healthcare system.
在过去的几十年里,美国的医疗保健系统发生了翻天覆地的变化。相反,护理教育却没有发生变化。这种差距以及不断扩大的学术与实践差距促使美国国家科学院呼吁护理教育机构引领护理教育的转型变革,以培养 21 世纪医疗保健系统所需的入门级和高级实践护士(Wakefield 等人,2021 年)。要点》的出版:专业护理教育的核心能力》的出版是这一变革的催化剂。如果护士教育者不转变其实践方式,护理学校的课程修订将不会影响所需的变革。变革性教学框架为教师以不同方式体现其角色提供了路线图。护士教育者采用教员教练的新角色,培养以学习神经科学为基础的师生关系、以临床医生的专业培养为目标的关系和发展行动以及相互信任。在培养能够在 21 世纪医疗保健系统中茁壮成长的临床医生时,"变革性教学框架 "具有强大的指导作用。
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引用次数: 0
Improving nurse faculty job satisfaction: An action guide for academic nurse leaders 提高护士教师的工作满意度:学术护士领导行动指南
IF 2.8 3区 医学 Q1 NURSING Pub Date : 2024-09-12 DOI: 10.1016/j.profnurs.2024.09.005
Cori Heier PhD, RN, CNE, CHSE, NE-BC , Lucy Leclerc PhD, RN, NPD-BC , Ericka Sanner-Stiehr PhD, RN, COI , Cara A. Busenhart PhD, APRN, CNM, FACNM , Shin Hye Park PhD, RN , Heather Nelson-Brantley PhD, RN, NEA-BC

Background

Academic nurse leadership is associated with nurse faculty job satisfaction, yet there is a gap between theoretical understanding of leadership concepts and specific actionable behaviors that can be implemented to increase nurse faculty job satisfaction.

Purpose

The purpose of this study was to create an evidence-based action guide for academic nurse leaders at all leadership levels to use to improve nurse faculty job satisfaction.

Methods

A two-phase approach was used. In Phase 1, a review of the literature was conducted to identify core concepts of 5 relational leadership theories (adaptive, authentic, servant, transformational, and human-centered leadership in healthcare). In Phase 2, the leadership core concepts were cross analyzed and mapped to academic nurse leader behaviors that impact nurse faculty job satisfaction.

Results

Human-centered leadership in healthcare emerged as the best-fit leadership theory to academic nurse leader behaviors that improve nurse faculty job satisfaction. Servant, transformational, and authentic leadership were somewhat aligned, and adaptive leadership was least aligned.

Conclusion

Core concepts of human-centered leadership in healthcare informed the creation of an action guide for academic nurse leaders, which details getting to know your faculty, contributing to a positive work environment, and investing in yourself. The action guide can be used by academic nurse leaders at all levels to enhance nurse faculty satisfaction.

背景学术护士的领导力与护士教师的工作满意度有关,但在对领导力概念的理论理解与可用于提高护士教师工作满意度的具体可操作行为之间存在差距。在第一阶段,我们对文献进行了回顾,以确定 5 种关系型领导理论(医疗保健领域的适应型领导、真实型领导、仆人型领导、变革型领导和以人为本型领导)的核心概念。在第二阶段,对领导力核心概念进行交叉分析,并将其映射到影响护士长工作满意度的学术护士长行为上。结果医疗保健中以人为本的领导力成为最适合提高护士长工作满意度的学术护士长行为的领导力理论。结论医疗保健领域以人为本的领导力的核心理念为创建学术护士领导者行动指南提供了依据,该指南详细介绍了了解你的教师、为积极的工作环境做贡献以及对自己进行投资等内容。该行动指南可供各级学术护士领导使用,以提高护士教员的满意度。
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引用次数: 0
Nurse practitioner program enrollment trends and predictions 执业护士计划招生趋势和预测
IF 2.8 3区 医学 Q1 NURSING Pub Date : 2024-09-12 DOI: 10.1016/j.profnurs.2024.09.007
Marcy Ainslie EdD, APRN, FNP-BC , Esmaeil Bahalkeh PhD , Mary Beth Bigley DrPH, ANP-BC, FAAN

Background

As the fastest growing segment of the healthcare workforce, understanding NP enrollment is vital.

Purpose

This work aimed to guide healthcare workforce forethought, academic planning, and policy initiatives.

Method

This secondary data analysis investigated nurse practitioner (NP) program enrollment trends from 2013 to 2022, including sub-analyses of master's versus doctoral enrollment, clinical tracks (acute care, primary care, psychiatric mental health), and enrollment status (part-time vs. full-time). An autoregressive integrated moving average (ARIMA) projection modeling is used to forecast enrollment for four years, 2023–2026.

Results

  • A shift toward Doctor of Nursing Practice (DNP) NP program availability and adoption.
  • Part-time NP student enrollment is the preferred enrollment status across NP tracks through 2026.
  • Robust growth demonstrated and predicted in psychiatric mental health NP programs.
  • An expectation that acute care enrollment will recover post-pandemic, while primary care faces a more complex trajectory.

Conclusion

Increased enrollments in doctoral NP programs, visible in DNP NP program and enrollment growth, may offer advantages for the healthcare workforce. Part-time enrollment prevalence requires attention in workforce planning due to the potential for extended graduation timelines. These findings hopefully will lead to an effective healthcare response to meet the demand for high-quality care in a changing landscape.
背景作为医疗保健劳动力中增长最快的部分,了解 NP 的招生情况至关重要。目的这项工作旨在指导医疗保健劳动力的前瞻性思考、学术规划和政策倡议。方法这项二手数据分析调查了 2013 年至 2022 年执业护士(NP)项目的招生趋势,包括硕士与博士招生、临床方向(急症护理、初级护理、精神心理健康)和招生状态(兼职与全职)的子分析。结果--向护理实践博士(DNP)NP 项目的可用性和采用转变。-结论从 DNP NP 项目和注册人数的增长中可以看出,博士 NP 项目注册人数的增加可能会为医疗保健劳动力带来优势。由于非全日制招生可能会延长毕业时间,因此需要在劳动力规划中予以关注。希望这些发现能为医疗保健行业带来有效的应对措施,以满足在不断变化的环境中对高质量医疗服务的需求。
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引用次数: 0
A comparison of the American Association of Colleges of Nursing's basic principles and benefits of competency-based nursing education and Fink's taxonomy 美国护理学院协会基于能力的护理教育的基本原则和益处与芬克分类法的比较
IF 2.8 3区 医学 Q1 NURSING Pub Date : 2024-09-12 DOI: 10.1016/j.profnurs.2024.09.008
Pamela B. Dunagan Ph.D., R.N.
For over a century, Bloom's hierarchical taxonomy has been the gold standard for writing objectives for curricula and courses in programs of nursing. Development of courses and curricula with demonstration of nursing competencies as the outcome requires a more robust taxonomy. The American Association of Colleges of Nursing (AACN) The Essentials: Core Competencies for Professional Nursing Education requires nursing students to meet competencies in assertive leadership, personal development around adapting to ambiguity and change, and professional life-long learning. The purpose of this review was to compare Fink's taxonomy with the AACN basic principles and benefits of competency-based education. In conclusion, Fink's taxonomy of significant learning experiences provides an integrative framework to meet competencies of foundational knowledge, application, and integration of knowledge. Moreover, Fink's taxonomy includes additional areas of learning needed in nursing education such as learning how to learn, leadership and interpersonal skills such as in a human dimension of learning, caring about learning, and the ability to adapt to change. Educators should consider all kinds of learning for nursing practice and should reconsider the use of a hierarchical and content-centered teaching approach, with learning objectives written only at the cognitive level.
一个多世纪以来,布鲁姆分层分类法一直是编写护理专业课程和课程目标的黄金标准。以展示护理能力为成果的课程和教学大纲的开发需要更强大的分类法。美国护理学院协会(AACN)的《要点》:专业护理教育的核心能力》要求护理专业学生在自信领导、围绕适应模糊性和变化的个人发展以及专业终身学习方面达到能力要求。本次回顾的目的是比较芬克的分类法与 AACN 的基本原则以及能力本位教育的益处。总之,芬克的重要学习经验分类法提供了一个综合框架,以满足基础知识、应用和整合知识的能力要求。此外,芬克的分类法还包括护理教育中所需的其他学习领域,如学习如何学习、领导力和人际交往技能,如学习的人文维度、关心学习和适应变化的能力。教育者应考虑护理实践中的各种学习,并应重新考虑使用分层和以内容为中心的教学方法,仅在认知层面编写学习目标。
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引用次数: 0
Examining observed and forecasted nursing PhD enrollment and graduation trends in the United States: Implications for the profession 研究观察和预测的美国护理博士入学和毕业趋势:对护理专业的影响
IF 2.8 3区 医学 Q1 NURSING Pub Date : 2024-09-11 DOI: 10.1016/j.profnurs.2024.09.006
Olivia M. Halabicky PhD, RN , Paul W. Scott PhD , Jasmine Carpio , Joshua Porat-Dahlerbruch PhD, RN

The U.S. is facing a mounting nursing faculty shortage. The size of one key group of potential faculty members, new nursing PhD graduates, is declining. The first step to programmatic and policy development to increase the number of PhD faculty is understanding recent and future trends in nursing PhD graduates and enrollments. This study aimed: 1) to analyze 10-year observed trends in the number of nursing PhD graduates, enrollments, and programs; 2) describe the geographical distribution of nursing PhD programs; and 3) forecast enrollment and graduation trends nationally and regionally. Data were from the American Association of Colleges of Nursing Annual Survey from academic years 2012–13 to 2021–22. From 2012–13 through 2021–22, the number of nursing PhD programs remained stable, and graduation rates increased by 13.9 %, though enrollments decreased by about 14.5 %. Forecasted trends suggest that both enrollments and graduates will decrease in the next ten years, with some regional variation. Overall, fewer PhD-prepared nurses may impact the capacity to educate more nurses in bachelor's and master's programs and limit input into future research and policy advancements. Recommendations include education about the nurse PhD role, programmatic changes and student financial support, and increasing diversity and multidisciplinarity in nursing.

美国正面临着日益严重的护理师资短缺问题。潜在教职员工的一个关键群体--护理专业的新博士毕业生的规模正在下降。要制定增加博士教师数量的计划和政策,首先要了解护理专业博士毕业生和注册人数的近期和未来趋势。本研究旨在:1)分析 10 年来所观察到的护理博士毕业生、注册人数和课程的趋势;2)描述护理博士课程的地理分布;3)预测全国和地区的注册人数和毕业趋势。数据来自美国护理学院协会 2012-13 学年至 2021-22 学年的年度调查。从 2012-13 学年到 2021-22 学年,护理博士课程的数量保持稳定,毕业率上升了 13.9%,但入学率下降了约 14.5%。预测趋势表明,未来十年的入学人数和毕业生人数都将减少,但地区之间会有一些差异。总体而言,博士学位护士人数的减少可能会影响到在本科和硕士课程中培养更多护士的能力,并限制对未来研究和政策进展的投入。建议包括开展有关护士博士角色的教育、课程改革和学生经济支持,以及增加护理工作的多样性和多学科性。
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引用次数: 0
The year long journey: Transforming the BSN-DNP curriculum 长达一年的旅程:改革 BSN-DNP 课程
IF 2.8 3区 医学 Q1 NURSING Pub Date : 2024-09-07 DOI: 10.1016/j.profnurs.2024.09.002
LaMicha Hogan, Emily Merrill, Patricia Allen

Background

Revising a doctor of nursing practice (DNP) curriculum for family nurse practitioner and psychiatric mental health nurse practitioner education with an eye on future changes in competencies required planning and consensus among taskforce members. Major priorities included: the need to embed competency- based education (CBE), the National Taskforce Criteria for Nurse Practitioner (6th ed.) education, and the Essentials: Core competencies for professional nursing education (American Association of Colleges of Nursing (AACN) Essentials, 2021).

Findings

Challenges began with faculty knowledge of CBE, NP faculty skills in curriculum building, buying in to the revised degree, and reviewing all current literature on the DNP NP knowledge, skills and attitudes needed for current practice. The year long journey yielded a comprehensive curriculum model to share as well as several lessons learned and recommendations for this journey.

Conclusion

The process resulted in a curriculum revision that thus far, is better suited to development of the “work-ready” graduate while still supporting individualized student needs in attending a doctoral-level program. Ongoing work is focused on specific “pillars” of program support including clinical preceptor placement and partnerships, preceptor resources, student retention resources, and exploration of competency-based tracking data management.
Considering the impact on faculty workload, program leadership should actively assess levels of curricular expertise of faculty involved to determine additional development or training needs for individual professional growth.
背景修订家庭护士执业者和精神心理健康护士执业者教育的护理实践博士(DNP)课程,着眼于未来能力的变化,需要特别小组成员的规划和共识。主要优先事项包括:嵌入基于能力的教育(CBE)的必要性、执业护士教育国家工作组标准(第 6 版)和要点:研究结果挑战始于教师对能力本位教育的了解、NP 教师在课程建设方面的技能、对修订后学位的认同,以及对当前实践所需的 DNP NP 知识、技能和态度的所有最新文献的审查。在长达一年的历程中,形成了一个全面的课程模型,并分享了在这一历程中吸取的若干经验教训和建议。结论这一过程导致了课程的修订,到目前为止,该课程更适合培养 "为工作做好准备 "的毕业生,同时仍然支持学生参加博士水平课程的个性化需求。考虑到对教师工作量的影响,项目领导应积极评估相关教师的课程专业知识水平,以确定个人专业成长的额外发展或培训需求。
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引用次数: 0
Using the Four Ps of telehealth framework to enhance doctor of nursing practice (DNP) Telehealth Curriculum 使用远程保健的 "四个 P "框架加强护理实践博士(DNP)远程保健课程
IF 2.8 3区 医学 Q1 NURSING Pub Date : 2024-09-03 DOI: 10.1016/j.profnurs.2024.09.001
Rebecca Martinez DNP, FNP-BC, MPH , Jacqueline F. Webb DNP, FNP-BC, RN , Margaret R. Scharf DNP, PMHNP/CNS-BC , Cynthia K. Perry PhD, RN, FAHA

Background

Telehealth is now a necessary component of health care delivery, and its use among health care professionals was accelerated by the COVID-19 pandemic.

Problem

Nurse practitioner (NP) programs generally incorporate telehealth competencies within their curriculum, preparing NPs to effectively deliver telehealth and improve health outcomes.

Approach

We developed and implemented a telehealth blueprint to enhance telehealth content within our clinical Doctor of Nursing Practice (DNP) program guided by the Four Ps of the Telehealth Framework planning, preparing, providing, and performance evaluation.

Outcomes

The Four Ps for Telehealth Framework assisted us in scaffolding content across the 3 years of the DNP program. Telehealth competencies were delivered through multiple modalities: online modules, experiential and clinical learning, and discussions of challenges related to telehealth. Students overwhelming reported that they were prepared to use telehealth technology upon graduation.

Conclusions

The Four Ps for Telehealth Framework was used to successfully integrate telehealth content into our DNP curriculum.

背景远程医疗现已成为医疗保健服务的必要组成部分,COVID-19 大流行加速了远程医疗在医疗保健专业人员中的使用。问题执业护士(NP)课程通常将远程医疗能力纳入其课程中,以培养执业护士有效提供远程医疗并改善医疗效果。方法我们开发并实施了一个远程保健蓝图,在远程保健框架的四个 P 计划、准备、提供和绩效评估的指导下,在临床护理实践博士(DNP)课程中加强远程保健内容。远程保健能力是通过多种方式传授的:在线模块、体验和临床学习,以及对远程保健相关挑战的讨论。绝大多数学生都表示,他们已经为毕业后使用远程保健技术做好了准备。
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引用次数: 0
Fostering scholarly writing development using a scaffolding approach 使用支架法促进学术写作发展
IF 2.8 3区 医学 Q1 NURSING Pub Date : 2024-09-03 DOI: 10.1016/j.profnurs.2024.09.004
Kelley McGuire PhD, CNE, RN

Satisfactory scholarly writing is identified as a barrier to successful completion for students enrolled in graduate nursing programs. In this semester-long activity, students work collaboratively to develop and apply strategies including PICO(T) question development, appraisal of primary and secondary literature, and literature matrix development to enhance their professional writing. Students' demonstration of inquiry and scholarly writing improved throughout the semester. This innovative teaching approach to fostering scholarly writing development is an effective way to prepare students for dissemination.

令人满意的学术写作被认为是护理研究生课程学生顺利完成学业的障碍。在这一学期的活动中,学生们合作开发和应用包括 PICO(T) 问题开发、主要和次要文献评估以及文献矩阵开发在内的策略,以提高他们的专业写作水平。在整个学期中,学生的探究能力和学术写作能力都得到了提高。这种促进学术写作发展的创新教学方法是为学生的传播做准备的有效途径。
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引用次数: 0
Professional Nursing Advisor: An innovative approach to professional development 专业护理顾问:专业发展的创新方法
IF 2.8 3区 医学 Q1 NURSING Pub Date : 2024-09-03 DOI: 10.1016/j.profnurs.2024.09.003
Amanda LaMonica-Weier DNP, APRN, FNP-BC, CNL, Heide Cygan DNP, RN, PHNA-BC, Mallory Bejster DNP, RN, CNL

Background

Professional development is an expectation for nurses and is part of lifelong learning. The American Association of Colleges of Nursing's Essentials: Core Competencies for Professional Nursing Education identify professional development as a core competency for nursing students.

Problem

At an urban pre-licensure nursing program, most students reported meeting with their academic advisor once a year or less and did not receive professional development opportunities from their advisor.

Approach

A centralized Professional Nursing Advisor role was created to provide access to professional development opportunities for nursing students in a sustainable, consistent approach.

Outcomes

Outcomes included a centralized approach to communicate with students regarding professional development and more consistent professional development offerings. Lessons learned include the need to educate all stakeholders regarding the new advising role.

Conclusions

The Professional Nursing Advisor role can be effective in providing consistent professional development opportunities to nursing students. Next steps include further alignment to professional competencies.

背景专业发展是护士的期望,也是终身学习的一部分。美国护理学院协会的《专业护理教育核心能力要点》将专业发展确定为护理专业学生的核心能力:问题在一个城市的护理执照预科项目中,大多数学生表示每年与他们的学术顾问会面一次或更少,并且没有从他们的顾问那里获得专业发展的机会。结论专业护理顾问的角色可以有效地为护理专业学生提供持续的专业发展机会。接下来的步骤包括进一步与专业能力保持一致。
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引用次数: 0
期刊
Journal of Professional Nursing
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