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Building a model for retention: Every student counts 建立留用模式:每个学生都很重要
IF 2.9 3区 医学 Q1 NURSING Pub Date : 2025-10-26 DOI: 10.1016/j.profnurs.2025.10.009
Gwendolyn C. Sims , Jennie Alspach , Kristin Ashley , Jessica G. Bumpus , Laketa Huddleston-Pettiway , Kevin Keane , Peter Tofan , Kaitrin Parris , Linda Moneyham
The longstanding shortage of nurses in the U.S., intensified by the COVID-19 pandemic, has prompted nursing schools to critically assess their capacity to graduate more nurses. Common barriers to expanding enrollment include faculty shortages, limited classroom space, competition for clinical sites and preceptors, and a decline in applications to prelicensure nursing programs. One promising strategy to increase the number of nursing graduates is to improve retention rates in prelicensure nursing programs. This article presents the development, implementation, and evaluation of the Student Success Champion program designed to support prelicensure BSN students at-risk of academic failure by addressing multiple factors influencing academic performance. Key components included risk factor assessment, intrusive advising, and the integration of metacognitive strategies and evidence-based teaching practices. The program mobilized both academic and non-academic resources to create a comprehensive support system. Its impact was immediate: retention rates improved, leading to a higher number of annual BSN graduates while maintaining strong NCLEX-RN pass rates.
美国长期以来的护士短缺,加上新冠肺炎疫情加剧,促使护理学校严格评估其培养更多护士的能力。扩大招生的常见障碍包括师资短缺、教室空间有限、对临床场地和导师的竞争,以及申请护士资格预审课程的人数下降。增加护理毕业生数量的一个很有希望的策略是提高护士执照前课程的保留率。本文介绍了学生成功冠军计划的发展、实施和评估,该计划旨在通过解决影响学业表现的多种因素来支持有学业失败风险的BSN预科学生。主要内容包括风险因素评估、侵入式建议、元认知策略和循证教学实践的整合。该计划调动了学术和非学术资源,建立了一个全面的支持系统。它的影响是立竿见影的:保留率提高了,导致每年BSN毕业生人数增加,同时保持了强劲的NCLEX-RN通过率。
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引用次数: 0
Guiding steps for a student-focused academic-practice partnership: Building clinical nursing capacity 以学生为中心的学术实践伙伴关系的指导步骤:建立临床护理能力
IF 2.9 3区 医学 Q1 NURSING Pub Date : 2025-10-25 DOI: 10.1016/j.profnurs.2025.10.008
Linda Hickman PhD, RN, FACHE, Mary Etta Mills ScD, RN, NEA-BC, FAAN
The current nursing workforce and faculty shortfall challenges academic institutions and healthcare organizations to reexamine relationships and align in ways to meet the need for a qualified, competent nursing workforce. Establishment of academic-practice partnerships has been widely acknowledged as a bridge between academia and clinical care delivery resulting in outcomes supporting the advancement of professional practice. The American Organization of Nurse Leaders and the American Association of Colleges of Nursing have been collaborating since 2010 to address how academic-practice partnerships can most effectively advance the profession by preparing a well-educated workforce. A strategic approach organizations can take to align and meet this need is to embark on a student-focused partnership building clinical nursing capacity. This article offers a step-by-step guide to developing such a partnership and relates this plan to how the University of Maryland School of Nursing and 22 Maryland hospital organizations partnered to address regional nursing workforce and faculty challenges. The guide and model example can aid academic nursing and healthcare organizations seeking to jointly address faculty and workforce shortages through the educational advancement of nurses.
当前的护理人员和教师短缺挑战学术机构和医疗保健组织重新审视关系,以满足对合格,有能力的护理人员的需求。建立学术-实践伙伴关系已被广泛认为是学术和临床护理之间的桥梁,其结果支持专业实践的进步。自2010年以来,美国护士领袖组织和美国护理学院协会一直在合作,探讨如何通过培养受过良好教育的劳动力,使学术实践伙伴关系最有效地促进这一职业的发展。组织可以采取一种战略方法来协调和满足这一需求,即建立以学生为中心的伙伴关系,建立临床护理能力。本文提供了建立这种伙伴关系的逐步指导,并将该计划与马里兰大学护理学院和22家马里兰医院组织如何合作解决区域护理人员和教师挑战联系起来。指南和模型示例可以帮助学术护理和医疗保健组织寻求通过护士的教育进步共同解决教师和劳动力短缺问题。
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引用次数: 0
Authenticity and academic integrity in Generative Artificial Intelligence (GenAI) use among undergraduate nursing students 生成性人工智能(GenAI)在护理本科生中应用的真实性和学术完整性
IF 2.9 3区 医学 Q1 NURSING Pub Date : 2025-10-22 DOI: 10.1016/j.profnurs.2025.10.007
Chiew-Jiat Rosalind Siah PhD, RN , Junwei Vincent Lim MPH, RN , Meng Meng Lyu PhD, RN , Tracy Levett-Jones PhD, RN , Ihsan Mattar PhD, RN

Background

The use of large Generative Artificial Intelligence (GenAI) in higher education is reshaping how students learn. While GenAI offers significant benefits and the potential to improve education, it also poses ethical challenges and may affect students' ability to identify learning gaps and engage with course content.

Purpose

This study aims to explore students' experiences with GenAI related to academic integrity and the authenticity of work, including their awareness and attitudes toward acceptable use.

Method

This study employed a qualitative descriptive approach. The participants were recruited from the Bachelor of Science (Nursing) program in an academic university during the period October 2024 to January 2025.

Results

Fourteen undergraduates in their second- and third-year of study participated in group interviews. The qualitative data analysis revealed five key themes: 1) integration with learning, 2) trust and credibility of GenAI information, 3) ethical considerations, 4) addressing academic integrity, and 5) guidance on using GenAI.

Conclusion

These five key themes underscore the need to better understand the role of GenAI in higher education, particularly in self-directed learning and managing learning activities. With regards to academic integrity, clear guidelines must be put in place for educators to guide the use of GenAI, emphasizing its use as an instrument to augment, and not replace original work.
大生成人工智能(GenAI)在高等教育中的应用正在重塑学生的学习方式。虽然GenAI提供了巨大的好处和改善教育的潜力,但它也带来了伦理挑战,并可能影响学生识别学习差距和参与课程内容的能力。目的本研究旨在探讨学生使用GenAI与学术诚信和工作真实性相关的体验,包括他们对可接受使用的意识和态度。方法本研究采用定性描述方法。参与者是在2024年10月至2025年1月期间从一所学术大学的理学学士(护理)项目中招募的。结果14名二、三年级本科生参加了小组访谈。定性数据分析揭示了五个关键主题:1)与学习的整合,2)GenAI信息的信任和可信度,3)伦理考虑,4)解决学术诚信问题,5)使用GenAI的指导。这五个关键主题强调了更好地理解基因人工智能在高等教育中的作用的必要性,特别是在自主学习和管理学习活动方面。在学术诚信方面,必须为教育工作者制定明确的指导方针,以指导GenAI的使用,强调其作为一种工具来增强,而不是取代原始作品。
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引用次数: 0
When education turns critical: A rapid review of undergraduate and graduate nursing students' experiences and needs with critical events 当教育变得关键:对本科和研究生护理学生的经历和关键事件的需求的快速回顾
IF 2.9 3区 医学 Q1 NURSING Pub Date : 2025-10-20 DOI: 10.1016/j.profnurs.2025.10.004
Jenny Kubitza , Dominik Hinzmann , Susanne Heininger

Background

Many nursing students experience critical events during clinical education. As students are rarely prepared for such events, they can perceive them as traumatic, doubt their competence, or even drop out of education. Little is known about which events are perceived as critical by nursing students, how they affect them, and what support is required.

Aim

This rapid review examines, summarises, and critically evaluates the available evidence on critical events in nursing students.

Methods

The researchers conducted a rapid review following the steps from the Cochrane Rapid Reviews Methods Group to examine the existing literature and systematically and rapidly summarise the evidence relating to the research aims. The literature search was conducted via three databases and Google Scholar.

Results

Seventeen studies examined critical events among nursing students and highlighted that, besides nurse-oriented types, individual and organisational types also influence the perception of critical events. The biopsychosocial effects of nursing students can be mitigated if they receive professional support before (education), during (guidance), and after (debriefing) these events.

Conclusion

Nursing schools and healthcare institutions are responsible for preparing nursing students and their professional environment to deal with critical events. The combination of interventions that occur before, during, and after a critical event is favoured by students and positively impacts their psychological recovery after a critical event.
许多护理专业的学生在临床教育中都经历过重大事件。由于学生们很少为这些事件做好准备,他们可能会将其视为创伤,怀疑自己的能力,甚至辍学。很少知道哪些事件被护理学生认为是关键的,它们是如何影响他们的,以及需要什么支持。目的:本快速回顾检查,总结和批判性评估护理学生关键事件的现有证据。研究人员按照Cochrane快速回顾方法组的步骤进行了快速回顾,以检查现有文献并系统快速地总结与研究目标相关的证据。文献检索通过三个数据库和谷歌Scholar进行。结果17项研究调查了护理学生的关键事件,并强调,除了以护士为导向的类型,个人和组织类型也会影响关键事件的感知。如果护生在教育之前、指导期间和汇报之后得到专业支持,他们的生物心理社会影响可以得到缓解。结论护理学校和卫生保健机构有责任为护生及其专业环境做好应对重大事件的准备。在关键事件发生之前、期间和之后进行的干预组合受到学生的青睐,并对他们在关键事件发生后的心理恢复产生积极影响。
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引用次数: 0
Clinical learning: The perspective of nursing students with learning disabilities 临床学习:学习障碍护生的视角
IF 2.9 3区 医学 Q1 NURSING Pub Date : 2025-10-20 DOI: 10.1016/j.profnurs.2025.10.006
Lisa Hesser

Background

A scarcity of research exists exploring the lived experiences of prelicensure nursing students with learning disabilities in the clinical learning environment. Exploration of this perspective is necessary to promote student success within nursing education.

Purpose

The purpose of this study was to gain insight into the student experience to answer the research question: What is the lived experience of the prelicensure baccalaureate nursing student with a learning disability in the clinical learning environment?

Method

As outlined by Husserl (1970), descriptive phenomenology served as this study's philosophical framework. Colaizzi's (1978) analytical framework guided data analysis.

Results

Interviews with 11 prelicensure baccalaureate nursing students with learning disabilities revealed three themes. The emergent themes include Challenges, Student Recommendations, and Supportive Practices.

Conclusion

Interviews conducted with prelicensure nursing students described their lived experiences with learning disabilities in the clinical learning environment. Although current literature exists confirming discrimination as described in student interviews, additional research is necessary to explore methods to decrease the stigmatization of learning disabilities in nursing. Lastly, guidelines for clinical accommodations must be established to increase successful outcomes for nursing students with learning disabilities.
背景关于护理学预科生学习障碍在临床学习环境中的生活体验,目前缺乏相关研究。探索这一观点对于促进学生在护理教育中的成功是必要的。目的本研究旨在了解护理学学士预科生在临床学习环境中的生活体验,以回答研究问题:学习障碍的护理学学士预科生在临床学习环境中的生活体验是什么?方法如胡塞尔(1970)所述,描述现象学作为本研究的哲学框架。Colaizzi(1978)的分析框架指导了数据分析。结果对11名护理本科学习障碍学生的访谈显示了三个主题。新出现的主题包括挑战、学生建议和支持性实践。结论对护理预科生的访谈描述了他们在临床学习环境中学习障碍的生活经历。虽然目前的文献证实了学生访谈中所描述的歧视,但需要进一步的研究来探索减少护理中学习障碍的污名化的方法。最后,必须建立临床住宿指南,以增加学习障碍护理学生的成功结果。
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引用次数: 0
Mind the gap: Bridging leadership skill development in entry-level professional nursing through competency-based education 注意差距:通过以能力为基础的教育,在初级专业护理中架起领导技能发展的桥梁
IF 2.9 3区 医学 Q1 NURSING Pub Date : 2025-10-13 DOI: 10.1016/j.profnurs.2025.10.005
Jihane Frangieh PhD, MSN, RN,CNE , Dorna Hairston PhD, RN, NEA-BC, NPD-BC , Linda Johanson , Laura Lucas DNP, APRN-CNS, RNC-OB , Victoria Hughes DNS, MA, RN, FAAN
Competencies are observable and measurable behaviors cultivated across a nursing program. Building on the American Association of Colleges of Nursing (AACN) essentials and competency-based education (CBE), leadership training must be integrated into entry level professional nursing education to meet practice demands and prepare nurses to lead from the start. Many nurses enter leadership roles without formal education, highlighting the urgent need for structured leadership development. The American Organization for Nursing Leadership (AONL) offers a strong framework for developing these competencies. Leadership education is essential, not just for clinical proficiency, but for empowering nurses to lead change within healthcare systems and communities. Nurses must graduate with the ability to communicate clearly, think critically, and manage time effectively. This article reviews current evidence on entry level leadership education and explores how AACN competencies align with the AONL framework. Strategies for embedding leadership skills into nursing education and early practice are delineated to ensure a smooth transition into the first year of clinical practice with essential leadership capabilities. Integrating leadership training into simulations and coursework can transform nursing education and outcomes, equipping early-career nurses to serve as capable leaders and mentors. This shift has broad implications for healthcare institutions and policymakers alike.
能力是在护理项目中培养的可观察和可衡量的行为。在美国护理学院协会(AACN)的基础知识和能力教育(CBE)的基础上,领导力培训必须融入入门级专业护理教育,以满足实践需求,并从一开始就为护士做好领导准备。许多护士在没有受过正规教育的情况下进入领导角色,这突出了对结构化领导力发展的迫切需要。美国护理领导组织(AONL)为发展这些能力提供了一个强有力的框架。领导力教育是必不可少的,不仅对临床熟练程度,而且对赋予护士领导医疗系统和社区变革的能力。护士毕业时必须具备清晰沟通、批判性思考和有效管理时间的能力。本文回顾了目前关于入门级领导力教育的证据,并探讨了AACN能力如何与AONL框架保持一致。将领导技能嵌入护理教育和早期实践的策略,以确保顺利过渡到具有基本领导能力的临床实践的第一年。将领导力培训整合到模拟和课程中可以改变护理教育和成果,使早期职业护士成为有能力的领导者和导师。这种转变对医疗机构和政策制定者都有广泛的影响。
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引用次数: 0
Using race conscious principles to guide graduate nurse leadership 运用种族意识原则指导研究生护士领导
IF 2.9 3区 医学 Q1 NURSING Pub Date : 2025-10-10 DOI: 10.1016/j.profnurs.2025.10.003
Sara Adams , Terry Gallagher , Glenda Morris-Burnett , Shawna Hebert , Marie Statler , Wrenetha Julion , Monique Reed
Experiences of discrimination based on race and ethnicity are associated with poor health outcomes including stress, anxiety, sleep disturbances, substance use, and worsening chronic disease. Implicit bias in healthcare providers can lead to inferior care delivery and can result in mistrust in the healthcare systems.
Creating spaces during nursing education to address discrimination and bias is essential to the development of future nurse leaders who can adequately address structural inequities in healthcare.
Evidence-based teaching strategies were used to revise an existing leadership course using a race conscious lens. The Public Health Critical Race Praxis model served as framework to restructure course objectives and to scaffold assignments in alignment with multiple leadership competencies. The course was designed as an initial effort to thread race-based health disparities and social justice across all the nursing curricula.
Nurse educators can advance nursing leadership through pedagogical revisions that allow nursing students the opportunity to view healthcare through a race conscious framework.
基于种族和族裔的歧视经历与健康状况不佳有关,包括压力、焦虑、睡眠障碍、药物使用和慢性疾病恶化。医疗保健提供者的隐性偏见可能导致低劣的医疗服务,并可能导致医疗保健系统的不信任。在护理教育中创造解决歧视和偏见的空间,对于培养能够充分解决医疗保健结构性不平等问题的未来护士领导者至关重要。基于证据的教学策略被用于修改现有的领导力课程,使用种族意识的镜头。公共卫生关键种族实践模型是重构课程目标的框架,并根据多种领导能力来指导作业。这门课程的设计初衷是将基于种族的健康差异和社会公正贯穿于所有护理课程中。护理教育工作者可以通过教学修订,使护理学生有机会通过种族意识的框架来看待医疗保健,从而提高护理领导能力。
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引用次数: 0
Profiles of academic resilience and associated factors among undergraduate nursing students: A latent profile analysis 本科护生学业弹性及相关因素分析
IF 2.9 3区 医学 Q1 NURSING Pub Date : 2025-10-10 DOI: 10.1016/j.profnurs.2025.09.014
Ting Yi , Shimeng Dai , Jingrui Tao , Yifan Chen , Yan Wang , Yiwen Hu , Chaoqun Dong

Background

Undergraduate nursing students face significant academic and practical challenges, with their responses reflecting their academic resilience. However, most studies have overlooked the differences in their levels of academic resilience and the factors contributing to these differences.

Purpose

To identify the latent profiles of undergraduate nursing students' academic resilience and to analyze their influencing factors.

Methods

A cross-sectional study was carried out among 1795 undergraduate nursing students from November 2022 to October 2023 by employing the general information questionnaire, the academic resilience questionnaire for college students, and the brief 2-way social support scale. Latent profile analysis (LPA) was used to analyze the latent profiles of academic resilience, and multiple logistic regression was utilized to explore the factors associated with the identified profiles.

Results

Four potential profiles were identified: low academic resilience group, moderate academic resilience group, high academic resilience but low focus and dissociation group, and high academic resilience group. Residence, attitude towards the nursing profession, self-directed study duration, academic performance rank, received and provided instrumental support were found to be associated with the different profiles.

Conclusions

These findings highlight the heterogeneity in academic resilience and support tailored educational interventions based on students' specific academic resilience profiles.
本科护理学生面临着重大的学术和实践挑战,他们的反应反映了他们的学术弹性。然而,大多数研究都忽略了他们在学业弹性水平上的差异以及造成这些差异的因素。目的了解本科护生学业弹性的潜在特征,并分析其影响因素。方法采用一般信息问卷、大学生学业弹性问卷和简易双向社会支持量表,对2022年11月至2023年10月1795名护理本科学生进行横断面调查。采用潜剖面分析(Latent profile analysis, LPA)对学业弹性的潜剖面进行分析,并利用多元逻辑回归分析与潜剖面相关的因素。结果发现了低学业弹性组、中等学业弹性组、高学业弹性但低关注和分离组和高学业弹性组四个潜在特征。居住、对护理专业的态度、自主学习时间、学业成绩等级、获得和提供的工具支持与不同的概况有关。结论这些发现突出了学业弹性的异质性,并支持基于学生特定学业弹性特征的定制教育干预。
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引用次数: 0
Enhancing your career journey with insights from the Wizard of Oz 从《绿野仙踪》中汲取灵感,提升你的职业生涯
IF 2.9 3区 医学 Q1 NURSING Pub Date : 2025-10-09 DOI: 10.1016/j.profnurs.2025.10.002
Dianne Morrison-Beedy PhD, RN, CGNC, FFNMRCSI, FANP, FAANP, FAAN
Nursing offers a host of career opportunities across settings and roles. Despite recruitment and retention challenges still faced by our profession, there are sound recommendations and evidence-based approaches that can help nurses experience career success and fulfillment, no matter their career stage. Using Dorothy and the Wizard of Oz as a metaphor, this article provides career roadmap insights and exemplifies how rewarding and long-term nursing careers are established through thoughtful and evidence-based career guidance. Key aspects for career development to thrive (not just survive) in a nursing career include seeking mentorship, establishing well-defined career goals, being smart and selective about choices and opportunities, acting courageously in the face of failure, and aligning career goals with personal passions. Attention to developing work-life balance requires a focus on integrating physical, emotional, social, and professional “success” approaches presented in this article. The practical strategies offered act as a flexible guide for empowering nurses to take control of their careers and find personal success.
护理提供了许多跨环境和角色的职业机会。尽管我们的职业仍然面临着招聘和留住人才的挑战,但有一些合理的建议和基于证据的方法可以帮助护士体验职业成功和成就感,无论他们的职业生涯处于什么阶段。本文以多萝西和绿野仙踪为隐喻,提供了职业路线图的见解,并举例说明了如何通过周到和循证的职业指导来建立有益和长期的护理职业。在护理职业生涯中,职业发展(不仅仅是生存)的关键方面包括寻求指导,建立明确的职业目标,明智地选择和选择机会,勇敢地面对失败,将职业目标与个人激情结合起来。注意发展工作与生活的平衡,需要把这篇文章中提出的身体、情感、社会和职业“成功”的方法集中在一起。所提供的实用策略作为一种灵活的指导,使护士能够控制自己的职业生涯并获得个人成功。
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引用次数: 0
Anti-intellectualism in nursing 护理中的反智主义
IF 2.9 3区 医学 Q1 NURSING Pub Date : 2025-10-04 DOI: 10.1016/j.profnurs.2025.10.001
Jamie C. Davis

Background

The COVID-19 pandemic and the public health response have been widely identified as a period that brought to light and amplified anti-intellectual attitudes within society, including distrust in healthcare institutions (Chen et al., 2023; Casselman-Hontalas et al., 2024; Merkley & Loewen, 2021). Anti-intellectualism is not a lack of intelligence but the minimization of intellectual value (Hofstadter, 1963). Despite its significance, empirical research on anti-intellectualism remains limited, particularly within the field of nursing.

Method

This descriptive, quantitative study utilizes a convenience sample of 639 practicing nurses to determine the existence of anti-intellectualism. Demographic data and anti-intellectualism levels were collected through an online survey.

Results

The statistical analysis revealed the presence of anti-intellectualism across all ranges of nursing education levels and licensures.

Conclusion

While academia is traditionally regarded as a mechanism for mitigating anti-intellectualism, these findings imply that engagement within a nursing-specific educational context does not, necessarily, reduce these attitudes. Therefore, the nursing profession must proactively investigate this issue to address its potential impact on education and practice.
2019冠状病毒病大流行和公共卫生应对已被广泛认为是一个揭露和放大社会反智态度的时期,包括对医疗机构的不信任(Chen等人,2023年;Casselman-Hontalas等人,2024年;Merkley & Loewen, 2021年)。反智主义不是智力的缺乏,而是智力价值的最小化(Hofstadter, 1963)。尽管具有重要意义,但对反智主义的实证研究仍然有限,特别是在护理领域。方法采用描述性、定量研究方法,对639名执业护士进行抽样调查,以确定是否存在反智主义。人口统计数据和反智主义水平是通过在线调查收集的。结果统计分析显示,反智主义存在于各个护理教育水平和执照范围。虽然学术界传统上被认为是减轻反智主义的一种机制,但这些发现表明,在护理特定的教育环境中参与并不一定会减少这些态度。因此,护理专业必须积极调查这一问题,以解决其对教育和实践的潜在影响。
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引用次数: 0
期刊
Journal of Professional Nursing
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