Nurse Educator最新文献

Background: Nurses play a critical role in reducing health inequities in people experiencing homelessness (PEH), a key social determinant of health. Health disparities specific to PEH are exacerbated by numerous factors, including bias, stigma, and a lack of nursing competency in caring for PEH.

Purpose: The purpose of this study was to validate registered nurse key competencies; associated knowledge, skills, and attitudes; and concepts, content, and learning activities to serve as an educational framework in providing care for PEH.

Methods: Twenty-four nursing experts on the care of PEH rated draft competency and subcompetency statements for relevance and clarity, proposed revisions and missing competencies, and identified essential and useful content, concepts, and learning activities.

Results: Four key competencies, 38 subcompetencies, and associated concepts, content, and learning activities were validated by the experts.

Conclusions: This framework can be used to guide curricular development across nursing programs to advance health equity for PEH.

Background: The Next Generation National Council Licensing Examination (NCLEX) uses the Clinical Judgment Measurement Model in unfolding case studies to assess graduate nurses' clinical judgment.

Purpose: This study explored the impact of Next Generation NCLEX (NGN)-style case studies on baccalaureate nursing students' self-confidence and anxiety with clinical decision-making.

Methods: Seventy-six second-year baccalaureate nursing students participated in this 1-group convergent mixed-methods study. Students completed 7 NGN-style case studies during a Nursing Essentials course. Data were collected at the beginning and end of the semester.

Results: Anxiety with clinical decision-making significantly decreased, and self-confidence with clinical decision-making significantly increased from pretest to posttest. Five qualitative themes derived from open-ended responses: realistic application of theory to practice, critical thinking, feedback, collaboration, and NCLEX preparation.

Conclusions: This study provides preliminary evidence that formative NGN-style case studies are well received by students and result in positive outcomes. Further research is needed to more fully understand the effects of NGN-style case studies.

Background: Guided by the tenets of Kolcaba's holistic comfort theory, we developed, implemented, and evaluated a simulated online pediatric advanced practice health center. The Pediatric Comfy Care Clinic (PCCC) was created to enhance person-centered diagnostic reasoning and holistic advanced management skills for family nurse practitioner students.

Methods: Our interprofessional team used a standardized approach to online design and development while integrating essential holistic comfort theory concepts for student engagement and assessment of learning. We explored outcomes of pre- and postclinic quizzes and student reflection data using mixed methods.

Results: Significant differences (P < .001) were noted in all postpractice quizzes in each affiliated PCCC module with variable student outcomes on graded clinic encounters. Important student perspectives on teaching and learning in the virtual clinic were noted.

Conclusion: A comfort theory-driven, simulated, and digitally enhanced virtual clinic is feasible and valuable with important implications for holistic advanced practice.

Background: The COVID-19 infodemic revealed nurses are not immune from disseminating health misinformation. Furthermore, the 2021 American Association of Colleges of Nursing (AACN) Essentials require competency in social media literacy. Nurse educators need to prepare students to identify credible information online for safe and ethical practice.

Problem: Vertical reading, a traditional evaluation strategy used in nursing education, is insufficient for identifying online health misinformation.

Approach: A librarian and nursing faculty member developed an innovative reflection notebook assignment to teach lateral reading-a professional fact-checking technique-and facilitate critical self-reflection among RN-to-BSN students.

Outcomes: Reflection notebook responses demonstrated that students use online information in various ways; online information habits require active, ongoing professional development; and lateral reading can promote a more compassionate approach to patient education.

Conclusions: The reflection notebooks equip students with critical knowledge, skills, and attitudes to practice safely and ethically while demonstrating some of the AACN Essentials requirements.

Background: Research on the relationship between stress, professional commitment, and resilience among nursing students is lacking.

Purpose: To examine the mediating effect of resilience on the relationship between stress and professional commitment among nursing students during their fundamental nursing practicum.

Methods: A cross-sectional design was used. Nursing students who were aged 17 to 20 years and had completed fundamental nursing practicum within 1 week were recruited. The survey covered stress, resilience, and professional commitment. The mediation analysis was conducted using the PROCESS macro with a bootstrap approach.

Results: This study recruited 485 nursing students. Stress was significantly negatively correlated with resilience and professional commitment, whereas resilience was significantly positively correlated with professional commitment. Furthermore, resilience partially mediated the relationship between stress and professional commitment.

Conclusions: Appropriate interventions should be implemented to help nursing students reduce stress and improve their resilience, which can thus enhance their professional commitment to the nursing profession.

Background: Nurse leaders face high pressure, but self-leadership can help them thrive. Nursing students, therefore, should develop this skill before graduation.

Purpose: To investigate nursing students' self-leadership perceptions and associated factors, and to reveal when and how self-leadership strategies are utilized.

Methods: An explanatory sequential mixed-methods design with interpretative description; 943 nursing students were surveyed and 13 were selected for qualitative analysis. Descriptive data were collected, and self-leadership was assessed using the Revised Self-Leadership Questionnaire. Focus group interviews were analyzed through thematic and content analysis.

Results: Students who were employed, were involved in student clubs or organizations, held managerial roles, and had career goals exhibited higher self-leadership perceptions. Qualitative findings revealed that staying in comfort zones, overthinking, and procrastination hinder self-leadership, while self-respect, self-awareness, and self-determination enhance it.

Conclusions: Nurse educators should design interventions that enable students to take on planning roles, advance at their own pace, and engage in opportunities to develop their self-leadership skills.

Background: Experiential learning activities on care for people with disabilities (PWD) would help nursing students develop the knowledge, skills, and attitudes (KSAs) needed to provide quality care for PWD.

Purpose: The purpose of this study was to evaluate the perceived changes in nursing students' KSAs related to the care for PWD following participation in health assessment and prevention (HAP) experiential learning activities.

Methods: This was a quasi-experimental, pre- and posttest educational intervention study. Nursing students (n = 160) attended multiple experiential learning activities as a required part of their HAP coursework and completed a pre and posttest survey to assess changes in their KSAs.

Results: Participation in experiential learning activities on care for PWD was associated with significant increases in perceived knowledge, skills and positive attitudes toward PWD.

Conclusions: Experiential learning activities aligned with core competencies for health care providers caring for PWDs have the potential to change nursing care and address health inequities for this population.