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Incorporating Evidence-Based Practice Learning Activities Throughout Family Nurse Practitioner Clinical Practicum Courses. 在家庭护士临床实践课程中融入循证实践学习活动。
IF 2 4区 医学 Q2 NURSING Pub Date : 2024-09-20 DOI: 10.3928/01484834-20240612-01
Monica Lee,Heidi Bobek,Kelly Casler
BACKGROUNDEvidence-based practice (EBP) is crucial to high-quality health care, yet nurse practitioner graduates report low levels of confidence in their EBP abilities. This may be because of limited incorporation of EBP learning opportunities outside of foundational course-work.METHODFamily nurse practitioner (FNP) program faculty incorporated EBP learning activities across the three-semester clinical year curriculum, and the activities scaffolded in complexity. Initial activities included appraisal and application of clinical practice guidelines to patient case scenarios. Later, students used the seven steps of EBP to present frequently asked patient questions and EBP clinical challenges in their clinical rotations to their peers.RESULTSThis innovative way to thread EBP across the clinical year allowed faculty to continue to evaluate and guide students toward EBP competency.CONCLUSIONThe integration of EBP learning activities across the clinical year is a feasible strategy to further expand FNP student competency in EBP. [J Nurs Educ. 2024;63(X):XXX-XXX.].
背景基于证据的实践(EBP)对高质量的医疗保健至关重要,但执业护士毕业生对自己的EBP能力信心不足。家庭护士执业者(FNP)项目的教师在三个学期的临床年课程中纳入了 EBP 学习活动,并且活动的复杂程度不断增加。最初的活动包括评估临床实践指南并将其应用于患者案例情景。结果这种将EBP贯穿于临床年的创新方式使教师能够继续评估和指导学生的EBP能力。结论将EBP学习活动整合到临床年是进一步扩展FNP学生EBP能力的可行策略。[J Nurs Educ. 2024;63(X):XXX-XXX.].
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引用次数: 0
Unveiling the SChematic Organization of Pharmacological Information for Nurses: A New Approach to Pharmacology Education for Nurses. 为护士揭开药理学信息 SChematic 组织的神秘面纱:护士药理学教育新方法》。
IF 2 4区 医学 Q2 NURSING Pub Date : 2024-09-20 DOI: 10.3928/01484834-20240522-03
Rafael Venson
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引用次数: 0
Incorporating Social Needs Screening in Simulation for Family Nurse Practitioner Students. 将社会需求筛查纳入家庭护士实习生的模拟教学中。
IF 2 4区 医学 Q2 NURSING Pub Date : 2024-09-20 DOI: 10.3928/01484834-20240521-01
Autherine Abiri,Shaquita Starks,Allison Leppke,Vallea Woodbury,Michael McFarland,Pamela Vohra-Khullar,Amy Becklenberg
BACKGROUNDA pilot simulation was implemented at a private university school of nursing to provide an opportunity for family nurse practitioner (FNP) students to apply their knowledge of assessing and addressing social determinants of health (SDOH).METHODThe Social Needs Screening Tool (SNST), developed by the American Academy of Family Physicians, and SDOH content were incorporated into a tele-health simulation-based learning experience. Using Zoom [Zoom Video Communications, Inc.], students encountered a standardized patient who sought care for shoulder pain and shared concerns about transportation and finances.RESULTSThirty-nine FNP students individually completed the simulation. Evaluation was conducted via an adapted Simulation Effectiveness Tool-Modified and written feedback to assess confidence and skills. Eighty-nine percent of students reported they felt more comfortable using the SNST following the simulation.CONCLUSIONIncorporating SDOH content and the SNST within simulation-based learning is an effective learning activity to enhance FNP student confidence and skills in assessing and addressing SDOH. [J Nurs Educ. 2024;63(X):XXX-XXX.].
背景在一所私立大学护理学院实施了一项试点模拟项目,为家庭护士执业者 (FNP) 学生提供了一个机会,使他们能够运用所学知识评估和解决健康的社会决定因素 (SDOH)。方法将美国家庭医生学会开发的社会需求筛查工具 (SNST) 和 SDOH 内容纳入基于远程健康模拟的学习体验中。学生们使用 Zoom [Zoom Video Communications, Inc.],遇到了一位因肩部疼痛而寻求治疗的标准化病人,并分享了对交通和经济问题的担忧。通过改编的模拟效果工具(Simulation Effectiveness Tool-Modified)和书面反馈来评估学生的信心和技能。结论在基于模拟的学习中融入 SDOH 内容和 SNST 是一项有效的学习活动,可增强 FNP 学生在评估和解决 SDOH 问题方面的信心和技能。[J Nurs Educ. 2024;63(X):XXX-XXX.].
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引用次数: 0
The Impact of the Power of NursingTM on Classroom Connectedness. 护理力量 TM 对课堂联系的影响。
IF 2 4区 医学 Q2 NURSING Pub Date : 2024-09-20 DOI: 10.3928/01484834-20240614-01
LiliAnna Baz Radwan,Barbara Baudler,Suzanne Scheller
BACKGROUNDThe coronavirus disease 2019 pandemic brought awareness to the benefits of creating cultures of belonging and connection in academic and professional settings. The Power of NursingTM (PON), a transformative course focusing on shared experiences, permits the exploration of classroom connectedness from a unique interpersonal perspective where teachers and students meet as equals. The purpose of this study is to measure senior-level nursing students' perceived connectedness following a 5-week PON program.METHODUndergraduate senior-level nursing students' perceived connectedness was measured using the Connected Classroom Climate Inventory. Additionally, a qualitative thematic analysis was applied to responses post-course.RESULTSResults indicated a significant difference in students' perceived connectedness scores, while thematic analysis supported this finding with key themes of generous nonjudgmental listening, vulnerability, sharing experiences, and a want for connection enhancing meaningful learning.CONCLUSIONThe PON provides an excellent platform for cultivating connections with peers and mentors. Students can effectively utilize the insight gained from this course to form and build meaningful connections with their future patients. [J Nurs Educ. 2024;63(X):XXX-XXX.].
背景2019年冠状病毒疾病大流行使人们认识到在学术和专业环境中创建归属和联系文化的益处。护理的力量TM(PON)是一门注重分享经验的变革性课程,它允许从独特的人际角度探索课堂联系,在课堂上教师和学生平等相见。本研究的目的是测量高年级护理专业学生在参加为期 5 周的 PON 课程后感知到的连通性。方法 使用连通课堂氛围量表测量高年级护理专业本科生感知到的连通性。结果表明,学生感知到的连通性得分存在显著差异,而主题分析支持了这一结果,其关键主题包括:慷慨的非评判性倾听、脆弱性、分享经验以及希望通过连通性促进有意义的学习。结论 PON 为培养与同伴和导师的连通性提供了一个极好的平台。学生可以有效地利用从本课程中获得的洞察力,与未来的病人形成并建立有意义的联系。[J Nurs Educ. 2024;63(X):XXX-XXX.].
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引用次数: 0
Simulation Experiences Focusing on Addressing Culturally Based Hidden Bias and RacisM (A-CHARM). 以解决基于文化的隐性偏见和种族主义为重点的模拟体验 (A-CHARM)。
IF 2 4区 医学 Q2 NURSING Pub Date : 2024-09-20 DOI: 10.3928/01484834-20240612-04
Jenny S Li,Michaela Patterson,Nathaniel P Gumapac,Crystal Sau,Sumaya Mohamed,Hayan Amina Yusef,Monakshi Sawhney
BACKGROUNDRacism experienced by nursing students contributes to a loss of confidence and anxiety. The Addressing Culturally Based Hidden Bias and RacisM (A-CHARM) nursing project simulation experiences (SEs) provide opportunities to practice addressing racism/inappropriate comments experienced in the clinical setting. The aim is to describe the development of the A-CHARM nursing project SEs.METHODThe frameworks used in the development of the SEs include the (1) six-step approach, (2) ERASE framework, (3) SENSE debriefing model, and (4) Microaggressions Triangle model.RESULTSFive SEs were created that depicted scenes where a nursing student encounters racism/inappropriate comments. Each SE aligned with one of the frameworks and users utilized the framework to navigate the SE.CONCLUSIONThe A-CHARM nursing SEs may benefit nursing students by enhancing their knowledge and skills related to racism or inappropriate comments in clinical settings. Future research will evaluate the impact of the SEs on nursing students and clinical faculty. [J Nurs Educ. 2024;63(X):XXX-XXX.].
背景护生经历的种族主义会导致他们丧失信心和焦虑。解决基于文化的隐性偏见和种族主义(A-CHARM)护理项目模拟体验(SEs)为解决临床环境中的种族主义/不当评论提供了实践机会。方法模拟体验的开发框架包括:(1)六步方法;(2)ERASE 框架;(3)SENSE 汇报模型;(4)微侵害三角模型。结果创建了五个模拟体验,描述了护理学生遭遇种族主义/不当评论的场景。结论A-CHARM 护理 SE 可使护理专业学生受益,增强他们在临床环境中与种族主义或不当评论相关的知识和技能。未来的研究将评估 SEs 对护理学生和临床教师的影响。[J Nurs Educ. 2024;63(X):XXX-XXX.].
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引用次数: 0
Simulation Expert Modeling to Teach Sensitive Screening in Nursing Education. 模拟专家建模在护理教育中教授敏感筛查。
IF 2 4区 医学 Q2 NURSING Pub Date : 2024-09-20 DOI: 10.3928/01484834-20240522-05
Janet Adams Tucker,Lisa D Beasley,Jacque Bradford
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引用次数: 0
Innovative Nursing Faculty Education for Novice Educators. 针对教育新手的创新护理师资教育。
IF 2 4区 医学 Q2 NURSING Pub Date : 2024-09-20 DOI: 10.3928/01484834-20240522-01
Elizabeth N Austin,Kathleen T Ogle,Nancy M Hannafin,Elizabeth P Crusse,Hayley Mark
BACKGROUNDThe nursing faculty shortage in the United States affects enrollment of qualified nursing applicants. The gap may be filled by contracting with clinical nursing experts who often lack the content knowledge as academic nurse educators. Such content includes management of the classroom, evaluation, and legal issues. This article describes a course to provide new faculty with essential information for classroom teaching.METHODNursing faculty were recruited from multiple education programs and enrolled in one of three sections of a course for new educators. Learners completed activities related to curriculum, evaluation, and academic roles.RESULTSFocus group evaluations were conducted. Themes emerged related to classroom teaching, learning experiences, improved understanding of nursing education, and knowledge for the scope of nursing faculty responsibilities.CONCLUSIONEach course provided experience in nursing education pedagogy and practice. Learners developed a wider array of teaching expertise and awareness of the faculty role in the classroom. [J Nurs Educ. 2024;63(X):XXX-XXX.].
背景美国护理师资短缺影响了合格护理申请人的入学率。可以通过与临床护理专家签约来填补这一缺口,这些专家往往缺乏学术护士教育者所需的内容知识。这些内容包括课堂管理、评估和法律问题。本文介绍了一门为新教师提供课堂教学基本信息的课程。方法:从多个教育项目中招募护理教师,让他们参加为新教育工作者开设的三门课程中的一门。学习者完成了与课程、评价和学术角色相关的活动。结果每门课程都提供了护理教育教学法和实践方面的经验。学习者掌握了更多的教学专业知识,并认识到教师在课堂上的作用。[J Nurs Educ. 2024;63(X):XXX-XXX.].
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引用次数: 0
Preparing for the Next Generation NCLEX Using a Virtual Simulation. 使用虚拟仿真为下一代 NCLEX 做准备。
IF 1.6 4区 医学 Q2 NURSING Pub Date : 2024-07-01 Epub Date: 2023-07-27 DOI: 10.3928/01484834-20230713-01
Tammy R Legge, Abbey Holthaus, Beth Hallmark, Kayla Alexander

Background: Virtual clinical simulation is a digital innovation that augments clinical reasoning and clinical judgment, narrowing the theory-practice gap, preparing new graduates for the Next Generation NCLEX (National Council Licensure Examination), and mitigating the demand for clinical placement and clinical faculty.

Method: The purpose of this article is to describe an educational innovation employing a virtual clinical simulation using the tenets of Tanner's Clinical Judgment Model and a National League for Nursing Advancing Care Excellence for Seniors unfolding case.

Results: A virtual clinical simulation successfully served to replace direct care clinical for 86 undergraduate nursing students enrolled in a foundation nursing course, augmenting the students' ability to transfer and apply theoretical knowledge to clinical practice.

Conclusion: This virtual clinical simulation served as a viable platform for teaching clinical reasoning and clinical judgment, mitigating the education-practice gap for new graduate registered nurses. [J Nurs Educ. 2024;63(7):485-489.].

背景:虚拟临床模拟是一种数字化创新,它可以增强临床推理和临床判断能力,缩小理论与实践之间的差距,帮助应届毕业生为下一代 NCLEX(美国全国护士执照考试)做好准备,并缓解对临床实习和临床教师的需求:本文旨在描述一种教育创新,即利用坦纳临床判断模型的原则和美国国家护理联盟(National League for Nursing Advancing Care Excellence for Seniors)正在展开的案例进行虚拟临床模拟:结果:虚拟临床模拟成功地取代了86名护理专业本科生的直接临床护理,增强了学生将理论知识迁移和应用到临床实践的能力:该虚拟临床模拟是临床推理和临床判断的可行教学平台,可减轻新毕业注册护士的教育与实践差距。[护理教育杂志,2024;63(7):485-489]。
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引用次数: 0
Post-Exam Wrappers: A Tool for Critical Reflection 考后包装:批判性反思的工具
IF 2 4区 医学 Q2 NURSING Pub Date : 2024-04-29 DOI: 10.3928/01484834-20240417-01
Emily G. Chin, PhD, RNC, CNE, Ginger Schroers, PhD, RNC, CNE, Laura Gonzalez, PhD, Lise Hauser, DNP, RN, Olga Lazala, PhD, APRN, Yeyin Yi, DNP, APRN, AGACNP-BC

Background:

Post-exam review sessions that reveal a completed exam to students can be time-consuming and ineffective. Additionally, the review may jeopardize exam integrity by exposing the individual items.

Method:

To promote critical reflection, an exam wrapper, without the return of a completed exam, was implemented. Students were encouraged to take deeper ownership of learning and be active in the process of exam review.

Results:

Most students strongly agreed or agreed that they adjusted their study strategies based on their self-reflection (68.5%) or on the instructor feedback (66.7%) provided through the wrapper. All faculty stated the process of using wrappers was much more or more valuable and efficient, compared to prior post-exam feedback methods.

Conclusion:

Using an exam wrapper as a stand-alone, post-exam debrief, students assume a more proactive role by reflecting on individual exam preparation and learning strategies without the return of a completed exam. [J Nurs Educ. 2024;63(X):XXX–XXX.]

背景:考后复习时向学生透露已完成的考试可能既耗时又无效。方法:为了促进批判性反思,我们采用了一种考试包装方法,不返还已完成的考试。结果:大多数学生非常同意或同意他们根据自我反思(68.5%)或教师通过包装提供的反馈(66.7%)调整了学习策略。所有教师都表示,与之前的考后反馈方法相比,使用包装袋的过程更有价值或更有效率。结论:使用考试包装袋作为独立的考后汇报,学生可以通过反思个人备考和学习策略,而无需交还已完成的考试,从而发挥更积极主动的作用。[J Nurs Educ.
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引用次数: 0
Story-Sharing Facilitation Guide: An Educational Strategy to Develop Strengths-Based Nursing and Healthcare Leaders 故事分享促进指南:培养基于优势的护理和医疗保健领导者的教育策略
IF 2 4区 医学 Q2 NURSING Pub Date : 2024-04-12 DOI: 10.3928/01484834-20240315-01
Michele Durrant, RN, MSc, Laurie N. Gottlieb, RN, PhD

Background:

A reflective praxis process has been developed to facilitate story-sharing, an educational strategy grounded in narrative pedagogy.

Method:

This article describes this strategy, the Story-Sharing Facilitation Guide (SSFG). The guide allows educators to facilitate the telling of a story that often triggers a memory of similar or contrasting experiences. Sharing stories helps learners find personal and professional meaning, develop new insights, and revise actions. The SSFG is underpinned by Dreyfus and Taylor's Contact Theory of how human beings learn and come to know and understand their different life-worlds.

Results:

The SSFG was developed and used by faculty in a leadership training program. Evaluation results of the program found this to be an effective educational method.

Conclusion:

The guide provides educators with an intentional process of reflection that deepens learning and allows for labeling the experience and linking it with the concepts being taught. [J Nurs Educ. 2024;63(X):XXX–XXX.]

背景:为促进故事分享这一基于叙事教学法的教育策略,我们开发了一个反思性实践过程。方法:本文介绍了这一策略,即《故事分享促进指南》(SSFG)。该指南使教育者能够促进故事的讲述,而故事往往会引发对相似或对比经历的回忆。分享故事有助于学习者找到个人和职业的意义,形成新的见解,并修正行动。SSFG以德雷福斯和泰勒的 "接触理论"(Contact Theory)为基础,研究人类如何学习、认识和理解不同的生活世界。结论:该指南为教育者提供了一个有意识的反思过程,加深了学习,并允许对经验贴标签,将其与所教授的概念联系起来。[J Nurs Educ.
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引用次数: 0
期刊
Journal of Nursing Education
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