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Racial microaggressions against Black students in health professions education: An integrative review with implications for Bachelor of Science in Nursing Education 卫生专业教育中黑人学生的种族微侵犯:一项对护理教育理学士的综合评价
IF 2.9 3区 医学 Q1 NURSING Pub Date : 2025-11-13 DOI: 10.1016/j.profnurs.2025.11.006
Andrea Paige Krispin, Julie K. Zadinsky

Background

Racial microaggressions are present in health professions education. Research has shown that Black students in health professions education programs frequently experience racial microaggressions, leading to negative mental, emotional, and behavioral outcomes.

Purpose

The purpose of this integrative review of the literature was to examine the presence and effect of racial microaggressions experienced by Black students in health professions education and to explore the implications for Bachelor of Science in Nursing education.

Method

Using Toronto and Remington's methods, a review of the literature was conducted to evaluate the presence and effects of racial microaggressions in Black health education profession students.

Results

Racial microaggressions were present in health professions education and were frequently experienced by Black nursing students. Black nursing students who experienced racial microaggressions reported negative emotional and behavioral consequences in both didactic and clinical environments.

Conclusions

Nursing programs should provide training for students and faculty about racial microaggressions and provide support for Black students. More nursing specific research is needed to further understand the effects of racial microaggressions in nursing students.
背景:在卫生专业教育中存在着种族微侵犯现象。研究表明,卫生专业教育项目中的黑人学生经常经历种族微侵犯,导致消极的心理、情感和行为结果。目的本研究旨在探讨黑人学生在卫生专业教育中所经历的种族微侵犯的存在及其影响,并探讨其对护理学学士学位教育的启示。方法采用多伦多法和雷明顿法,对黑人健康教育专业学生种族微侵犯行为的存在及其影响进行文献回顾。结果黑人护生在卫生专业教育中普遍存在种族微侵犯行为。经历过种族微侵犯的黑人护理专业学生在教学和临床环境中都报告了负面的情绪和行为后果。结论护理项目应对学生和教师进行有关种族微侵犯的培训,并为黑人学生提供支持。为了进一步了解种族微侵犯对护生的影响,需要更多的护理研究。
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引用次数: 0
Standardized patient simulation in undergraduate mental health nursing education: A scoping review 大学生心理健康护理教育中标准化病人模拟:范围综述
IF 2.9 3区 医学 Q1 NURSING Pub Date : 2025-11-10 DOI: 10.1016/j.profnurs.2025.11.004
Michelle R. Pinto , Mary K. McCurry , Jennifer Dunbar Viveiros

Background

A global shortage of trained mental health professionals and pervasive stigma towards individuals with mental health conditions have intensified the need to prepare nurses entering practice with the knowledge, skills, and confidence to care for patients with mental health conditions (MHCs). Simulation with standardized patients can be used in undergraduate mental health nursing courses to provide students with realistic opportunities to practice skills and improve self-efficacy.

Objective

To map the scope of literature available regarding the use of standardized patient simulation in traditional undergraduate mental health nursing education.

Method

A scoping review of published research between 2016 and 2024 was conducted as per the JBI Scoping Review Framework and PRISMA-ScR guidelines. This included systematic search of the electronic databases CINAHL, Medline, and PsycINFO, and a hand search of bibliographies. Study selection followed a three-stage review process. Studies were included if standardized patient simulation was used in the mental health nursing course in a traditional undergraduate nursing program. At the conclusion of stage three, 29 studies were selected for data extraction and charted to facilitate identification of themes in the research.

Results

The scope of available research between 2016 and 2024 supports standardized patient simulation positively impacted student preparedness for clinical experiences by increasing confidence and decreasing student anxiety. Students valued realism, a safe environment for practicing skills, and more varied experiences than provided by clinical experiences alone. Two studies measured the effect of standardized patient simulation on student attitudes towards patients with mental illness.

Conclusions

The use of standardized patient simulation in mental health nursing education has been studied at universities around the world and across study designs to improve knowledge, skills, confidence, and preparedness for clinical experiences. The addition of standardized patient simulation to mental health nursing clinical courses may reduce negative attitudes towards patients with mental health conditions. Future research on the impact of standardized patient simulation on empathy and attitudes of student nurses towards patients with mental illness is needed.
背景:全球缺乏训练有素的精神卫生专业人员以及对精神卫生状况患者普遍存在的耻辱感加剧了对护士的需求,使其具备护理精神卫生状况患者(MHCs)的知识、技能和信心。在本科心理健康护理课程中采用标准化患者模拟,为学生提供实践技能、提高自我效能感的现实机会。目的了解在传统本科心理健康护理教育中使用标准化病人模拟的文献范围。方法根据JBI范围审查框架和PRISMA-ScR指南对2016年至2024年已发表的研究进行范围审查。这包括对电子数据库CINAHL、Medline和PsycINFO的系统搜索,以及对参考书目的手工搜索。研究选择遵循三个阶段的审查过程。在传统护理专业的心理健康护理课程中采用标准化病人模拟进行研究。在第三阶段结束时,选择29项研究进行数据提取并绘制图表,以方便确定研究的主题。结果2016年至2024年间的现有研究范围支持标准化患者模拟,通过增加信心和减少学生焦虑,积极影响学生为临床经验做好准备。学生们看重现实主义,一个安全的练习技能的环境,以及比单纯的临床经验提供的更多样化的经验。两项研究测量了标准化病人模拟对学生对待精神病患者态度的影响。结论在世界各地的大学和不同的研究设计中,对在心理健康护理教育中使用标准化患者模拟进行了研究,以提高知识、技能、信心和临床经验的准备。在心理健康护理临床课程中加入规范化的患者模拟,可以减少对心理健康患者的消极态度。标准化患者模拟对学生护士对精神疾病患者共情和态度的影响有待进一步研究。
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引用次数: 0
The comfort communication simulation instrument (Sim-Comfort): A relationship-centered approach to assessing communication competency 舒适沟通模拟工具(Sim-Comfort):以关系为中心的沟通能力评估方法
IF 2.9 3区 医学 Q1 NURSING Pub Date : 2025-11-10 DOI: 10.1016/j.profnurs.2025.11.002
Leah Burt , Elaine Wittenberg , Joy Goldsmith , Bob Kiser , Christine Park

Background

Although the importance of person-centered communication was recently recognized in both updated nursing and medical education accreditation standards, few instruments exist to assess relationship-centered communication competency in simulation.

Purpose

This study describes development, content validity testing, and interrater reliability of the Comfort Communication Simulation Instrument (Sim-Comfort), meant to assess communication competency during simulation-based education. Sim-Comfort emphasizes holistic and relational person-centered communication, aligning with current competency-based education standards.

Methods

The instrument was iteratively developed by an interdisciplinary team representing advanced practice nursing, medicine, and communication studies. Content validity was explored through a standardized patient (SP) simulation scenario, followed by focus groups. Preliminary inter-rater reliability was established by SP raters.

Results

The Sim-Comfort instrument consists of seven competency domains to be scored during simulation. Feedback from SPs resulted in significant revisions to increase item clarity yet no new domains were identified, supporting content validity. In the context of interrater reliability, the intraclass correlation coefficient was 0.59, indicating moderate rating consistency.

Conclusions

Findings support Sim-Comfort as a promising instrument for structured assessment of relationship-centered communication in simulation. Sim-Comfort represents a novel, theory-based approach to integrating relational communication skills assessment into simulation-based curricula for nursing learners. Future validity and reliability testing is needed.
虽然以人为中心的沟通的重要性最近在更新的护理和医学教育认证标准中得到认可,但很少有工具可以评估模拟中以关系为中心的沟通能力。目的本研究描述了舒适沟通模拟量表(Sim-Comfort)的开发、内容效度测试和口译员信度,以评估模拟教育中的沟通能力。Sim-Comfort强调整体和关系的以人为本的沟通,与当前以能力为基础的教育标准保持一致。方法该仪器由一个代表高级护理实践、医学和传播学研究的跨学科团队迭代开发。通过标准化患者(SP)模拟场景探索内容效度,随后进行焦点小组。通过SP评价者初步建立了评价者间信度。结果模拟舒适量表由七个能力域组成,在模拟过程中进行评分。来自sp的反馈导致了重大修订,以增加项目的清晰度,但没有发现新的领域,支持内容有效性。在等级间信度方面,等级内相关系数为0.59,表明等级一致性中等。结论研究结果支持模拟舒适作为一种有前途的工具来结构化评估模拟中以关系为中心的沟通。模拟舒适代表了一种新颖的,基于理论的方法,将关系沟通技巧评估整合到护理学习者的模拟课程中。需要进一步的效度和信度测试。
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引用次数: 0
Teaching primary palliative nursing care: A model of competency-based education 初级姑息护理教学:能力本位教育模式
IF 2.9 3区 医学 Q1 NURSING Pub Date : 2025-11-10 DOI: 10.1016/j.profnurs.2025.11.003
Hannah Murphy Buc , Melissa McClean , Janet Armstead Wulf
Holistic care models such as primary palliative care offer individuals a coordinated, interprofessional and compassionate approach in any healthcare setting regardless of condition. Currently, palliative and end-of-life nursing care content is either threaded throughout nursing curricula or not included at all. As a result, new nurses report being inadequately prepared to provide quality palliative or end-of-life care in practice (Parekh de Campos et al., 2022; Lippe, 2019).
A team of expert nurse faculty at a large public university utilized the RE-AIM framework to describe the development and implementation of a primary palliative care nursing course. Course objectives incorporate recommended palliative care competencies mapped to the domains and sub-competencies of The Essentials (2021). Classes emphasize opportunities for interactive practice, demonstration of growing competence, and ways to address suffering in patients, organizations, and themselves (ANA, 2017; Rushton et al., 2021; Glover et al., 2025). Course evaluations indicate that the class was well received and valuable to students' learning experience. This article documents the development of a required primary palliative care course in a baccalaureate nursing program and shares recommendations on competency-based teaching and evaluation methods to encourage implementation in other academic nursing settings.
整体护理模式,如初级姑息治疗为个人提供协调,跨专业和富有同情心的方法,在任何医疗保健环境中,无论病情如何。目前,姑息和临终护理内容要么贯穿整个护理课程,要么根本不包括在内。因此,新护士报告说,他们在实践中没有做好充分准备,无法提供高质量的姑息治疗或临终关怀(Parekh de Campos等人,2022;Lippe, 2019)。一所大型公立大学的专业护士教师团队利用RE-AIM框架来描述初级姑息治疗护理课程的发展和实施。课程目标包括推荐的姑息治疗能力,映射到基本要素(2021)的领域和子能力。课程强调互动实践的机会,展示不断增长的能力,以及解决患者、组织和自己的痛苦的方法(ANA, 2017; Rushton等人,2021;Glover等人,2025)。课程评估表明,这门课很受欢迎,对学生的学习经验很有价值。本文记录了护理学士课程中初级姑息治疗课程的发展,并分享了基于能力的教学和评估方法的建议,以鼓励在其他学术护理环境中实施。
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引用次数: 0
A quality improvement project on creating a curriculum development process to integrate the AACN essentials 一个质量改进项目,创建一个课程开发过程,以整合AACN要点
IF 2.9 3区 医学 Q1 NURSING Pub Date : 2025-11-09 DOI: 10.1016/j.profnurs.2025.11.005
Jennifer Brodie, Jelena Peric Kljajic, Ximena Gonzales
Nursing education is currently undergoing significant curriculum revisions to transition to competency-based education framework. This shift is guided by the 2021 American Association of Colleges of Nursing (AACN) Essentials: Core Competencies for Professional Nursing Education, a comprehensive framework for professional nursing education programs. Grounded in evidence-based practice, the AACN Essentials aims to prepare future nursing graduates with the skills and readiness required for competent patient care. The purpose of this article is to share the quality improvement project aimed at integrating the Essentials into Level I and Level II programs through a reflection on the development process at Grand Canyon University. While integrating the Essentials framework, the project team created a detailed curriculum development process, outlining and organizing each development phase. The authors of this quality improvement project share checklists that outline the development phases created to organize tasks and maintain efficient timelines. Nursing educators play a crucial role in facilitating these program changes through collaboration and dedication to the curriculum development process. This article details our quality improvement project delivering a collaborative curriculum development process that guides the organized integration of the Essentials framework utilized in all levels of nursing programs.
护理教育目前正在进行重大的课程修订,以过渡到以能力为基础的教育框架。这一转变是在2021年美国护理学院协会(AACN)要点:专业护理教育核心能力的指导下进行的,这是一个专业护理教育计划的综合框架。基于循证实践,AACN要点旨在为未来的护理毕业生提供合格患者护理所需的技能和准备。本文的目的是通过对大峡谷大学发展过程的反思,分享旨在将基本要素整合到一级和二级项目中的质量改进项目。在集成Essentials框架的同时,项目团队创建了详细的课程开发过程,概述并组织每个开发阶段。这个质量改进项目的作者分享了列出开发阶段的检查表,这些阶段是为了组织任务和维护有效的时间表而创建的。护理教育工作者在促进这些计划的变化中发挥着至关重要的作用,通过合作和致力于课程开发过程。本文详细介绍了我们的质量改进项目,提供了一个协作课程开发过程,指导在各级护理项目中使用的基本框架的有组织整合。
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引用次数: 0
Beyond the lecture: Using formative assignments to overcome classroom challenges 课堂之外:利用形成性作业来克服课堂挑战
IF 2.9 3区 医学 Q1 NURSING Pub Date : 2025-11-07 DOI: 10.1016/j.profnurs.2025.11.001
David Sanford, Amy Snow

Background

Effective knowledge transfer in the classroom requires overcoming challenges for both students and faculty.

Problem

Varied learning preferences and classroom constraints create challenges to the receiving and sending of information effectively. The need for student engagement and restricted time allowances for class are two examples of hindrances to education goals.

Approach

Using supplemental content (SC), reinforcing activities (RA), and practice/performance support (PS) (SCRAPS) through formative style assignments supports a pedagogical style of knowledge transfer to stimulate multiple modes of learning, expand classroom parameters, and achieve a deeper level of learning to promote success in program outcomes. Qualitative data obtained through multiple surveys reveal positive feedback from students, including an appreciation of opportunities to demonstrate content understanding beyond the traditional exam style assessment.

Conclusions

The use of Supportive Content, Reinforcing Activities, and Practice/ Performance Support allows faculty to overcome classroom boundaries while engaging the diverse learning styles of students to achieve a higher quality learning experience.
课堂上有效的知识转移需要学生和教师共同克服挑战。不同的学习偏好和课堂限制给有效地接收和发送信息带来了挑战。对学生参与的需求和课堂时间的限制是阻碍教育目标实现的两个例子。采用补充内容(SC)、强化活动(RA)和实践/表现支持(PS) (hips),通过形成性风格作业支持知识转移的教学风格,以刺激多种学习模式,扩展课堂参数,并实现更深层次的学习,以促进项目成果的成功。通过多次调查获得的定性数据显示了学生的积极反馈,包括对展示超越传统考试风格评估的内容理解的机会的赞赏。支持性内容、强化活动和实践/绩效支持的使用使教师能够克服课堂界限,同时吸引不同学习风格的学生,以获得更高质量的学习体验。
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引用次数: 0
Undergraduate nursing students' knowledge and attitudes toward dementia by country income level: A systematic review and meta-analysis 国家收入水平对本科护生痴呆知识和态度的影响:系统回顾和荟萃分析
IF 2.9 3区 医学 Q1 NURSING Pub Date : 2025-11-03 DOI: 10.1016/j.profnurs.2025.10.012
Sumandar MSN, RN , Hsin-Tien Hsu PhD, RN , Hsiu-Fen Hsieh PhD, RN , Pi-Ling Chou PhD, RN , Shu-Fen Wung PhD, MS, RN, ACNP-BC, FAAN , Pei-Chao Lin PhD, RN

Background

It is essential for nursing students to possess a thorough understanding of dementia care and to maintain a positive attitude toward this area of healthcare.

Objective

The purpose of this meta-analysis is to examine the knowledge and attitudes of undergraduate nursing students regarding dementia.

Methods

A comprehensive search was performed in the PubMed, Web of Science, Embase, CINAHL, and ProQuest databases, covering the period from their inception until March 18, 2025. The primary outcome measures included the Alzheimer's Disease Knowledge Scale (ADKS) and the Dementia Attitudes Scale (DAS). Two independent researchers conducted literature searches, screened the studies, extracted relevant data, and performed critical appraisals. The pooled mean sores for knowledge and attitudes toward dementia were analyzed across all studies and subgroups.

Results

A total of 23 studies from 14 countries were included in the analysis. The findings indicate that nursing students demonstrated moderate knowledge (mean score: 19.13, 95 % CI: 17.85–20.42) and moderate positive attitudes (mean score: 95.18, 95 % CI: 94.19–96.17) toward dementia. Subgroup analyses showed that both pooled knowledge and attitudes were significantly higher among students from high-income countries compared to their counterparts from other countries. Sensitivity analyses yielded robust results.

Conclusions

There is considerable opportunity for improving nursing students' knowledge and attitudes toward dementia care, particularly in developing countries.
对护理专业的学生来说,对痴呆症护理有一个全面的了解,并对这一领域的医疗保健保持积极的态度是至关重要的。目的探讨本科护生对痴呆的认知和态度。方法在PubMed、Web of Science、Embase、CINAHL和ProQuest数据库中进行综合检索,检索时间从数据库建立到2025年3月18日。主要结果测量包括阿尔茨海默病知识量表(ADKS)和痴呆症态度量表(DAS)。两位独立研究人员进行文献检索,筛选研究,提取相关数据,并进行批判性评估。对所有研究和亚组的痴呆知识和态度的汇总平均值进行分析。结果共纳入来自14个国家的23项研究。结果显示,护生对痴呆的认知程度中等(平均得分:19.13,95% CI: 17.85 ~ 20.42),对痴呆的积极态度中等(平均得分:95.18,95% CI: 94.19 ~ 96.17)。亚组分析显示,与其他国家的学生相比,高收入国家学生的综合知识和态度都要高得多。敏感性分析得出了可靠的结果。结论护理专业学生对痴呆症护理的知识和态度有很大的提高空间,特别是在发展中国家。
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引用次数: 0
White coat or white box? A novel, symbolic welcome to undergraduate nursing students 白大褂还是白盒子?以新颖、象征性的方式欢迎护理本科生
IF 2.9 3区 医学 Q1 NURSING Pub Date : 2025-11-01 DOI: 10.1016/j.profnurs.2024.03.013
Kathleen M. Huun
{"title":"White coat or white box? A novel, symbolic welcome to undergraduate nursing students","authors":"Kathleen M. Huun","doi":"10.1016/j.profnurs.2024.03.013","DOIUrl":"10.1016/j.profnurs.2024.03.013","url":null,"abstract":"","PeriodicalId":50077,"journal":{"name":"Journal of Professional Nursing","volume":"61 ","pages":"Pages 169-170"},"PeriodicalIF":2.9,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141039859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Letter to the editor Re: DNP: Research or not – That is the question 回复:DNP:研究与否-这是一个问题
IF 2.9 3区 医学 Q1 NURSING Pub Date : 2025-11-01 DOI: 10.1016/j.profnurs.2024.01.006
Julee Waldrop DNP
{"title":"Letter to the editor Re: DNP: Research or not – That is the question","authors":"Julee Waldrop DNP","doi":"10.1016/j.profnurs.2024.01.006","DOIUrl":"10.1016/j.profnurs.2024.01.006","url":null,"abstract":"","PeriodicalId":50077,"journal":{"name":"Journal of Professional Nursing","volume":"61 ","pages":"Page 168"},"PeriodicalIF":2.9,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145622856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
More than a stethoscope 不仅仅是听诊器
IF 2.9 3区 医学 Q1 NURSING Pub Date : 2025-11-01 DOI: 10.1016/j.profnurs.2025.09.006
Christine Dianne Nepomuceno
{"title":"More than a stethoscope","authors":"Christine Dianne Nepomuceno","doi":"10.1016/j.profnurs.2025.09.006","DOIUrl":"10.1016/j.profnurs.2025.09.006","url":null,"abstract":"","PeriodicalId":50077,"journal":{"name":"Journal of Professional Nursing","volume":"61 ","pages":"Page A10"},"PeriodicalIF":2.9,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145622847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","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
Journal of Professional Nursing
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