Journal of Nursing Education最新文献

Background: There is a need for RNs to be skilled at coordinating care and improving transitions within and across a wide variety of clinical settings and in diverse populations. A care coordination and transition management (CCTM) course was developed to address this growing need.

Method: The course was designed to promote enhanced clinical reasoning as well as synthesis and application of CCTM concepts while focusing on the patient and family perspectives. Learning activities incorporated individual writing assignments, discussion board assignments, and a group project.

Results: Students demonstrated the application of CCTM concepts in individual and group assignments and used prior and current clinical experiences to connect theory to practice.

Conclusion: This course helped preli-censure students learn and apply CCTM concepts. Learning activities within the CCTM course could be adapted to be effective in all forms of undergraduate programs as well as graduate nursing programs. [J Nurs Educ. 2023;62(8):471-474.].

Background: The current nursing faculty shortage rapidly has expanded the need to hire faculty. New faculty are clinical experts in their own practice; however, many lack formal knowledge about the academic setting, making the transition from practice to academia difficult.

Method: A qualitative descriptive study was developed to identify how new faculty transition into their academic positions. The sample consisted of 12 clinical nursing faculty participants.

Results: A total of 12 themes emerged: awful day as faculty, career plans, compensation, finding my place in academia, great day at clinical, "I wanted to be successful," preparation for the faculty role, struggling, student experiences, support, lack of support, and surprise. Finding ways to recruit and retain qualified faculty is imperative.

Conclusion: Inadequate support for transitioning to the faculty role may contribute to faculty turnover; developing a strong mentoring program may help retain qualified faculty. [J Nurs Educ. 2023;62(8):433-442.].

Background: Procedural failures during medication administration include a lack of appropriate hand hygiene and failure to verify patient identification prior to administration of medication. Procedural failures are common among nurses and nursing students and can lead to serious patient harm.

Method: A descriptive cross-sectional research design was used to collect observational data from a simulation-based experience of a medication administration scenario.

Results: Thirty-five senior baccalaureate nursing students from two geographically distant universities in the United States participated in the study. All of the participants made at least one procedural failure during the simulated experience. Hand hygiene compliance was 40.3%, and patient identification compliance was 43.8%.

Conclusion: Students often failed to comply with medication administration safety guidelines. Nursing programs must make changes to the methods used to teach safe medication administration to prepare students for this critical skill. [J Nurs Educ. 2023;62(7):403-407.].

Background: There is a growing concern in nursing education related to the shortage of nursing faculty. The experiences of nursing students, including their relationships with nursing faculty, could influence their decision to pursue graduate studies or academic nursing education.

Method: This phenomenological study explored the experiences of Master of Science in Nursing education students and graduates that led them to pursue nursing education. Semistructured interviews were conducted with 10 participants.

Results: Based on participants' responses, five themes emerged: (1) faculty encouragement, mentoring, and enthusiasm; (2) teaching experience; (3) exposure to the faculty role; (4) awareness of the nurse faculty shortage; and (5) funding.

Conclusion: Findings from this study contribute to nursing education by highlighting strategies that could be reinforced into graduate or possibly undergraduate experiences to encourage students to pursue advanced study and academic nursing education, which potentially could help mitigate the nursing faculty shortage. [J Nurs Educ. 2023;62(7):393-398.].

Background: Learning to implement developmental surveillance and anticipatory guidance are critical components of clinical nursing education.

Method: The purpose of the Well-Child Video Project was to provide nursing students opportunities to develop confidence in providing early childhood health supervision. The faculty team curated more than 100 video clips of children age 0 to 6 years demonstrating key developmental milestones. Nurse practitioner students (N = 33) enrolled in an online course participated in a collaborative learning activity and completed pre- and post-assignment surveys assessing their level of confidence and evaluating their engagement.

Results: Students reported increased confidence in their ability to perform developmental surveillance and deliver anticipatory guidance following the clinical learning activity. Students (93.75%) agreed that the video strategy enhanced their learning.

Conclusion: The Well-Child Video Project served as a cost-effective, easily accessible, user-friendly digital resource for designing innovative learning activities to increase student engagement in practicing developmental surveillance and anticipatory guidance. [J Nurs Educ. 2023;62(7):412-415.].

Background: Nursing programs continue to use more adjunct faculty members to keep up with the demanding needs of the nursing workforce. Although various nursing programs use adjunct faculty, they differ in the available support and resources offered. A midwestern university offering postlicensure online nursing programs developed an adjunct teaching model to aid teaching requirements.

Method: The authors proposed innovative strategies the nursing programs could use to enhance adjunct support and retention.

Results: The integration of onboarding, orientation, and mentorship processes enhanced adjunct faculty support and overall retention within the programs.

Conclusion: The need for nursing adjunct faculty is expected to continue, and programs must be prepared to use innovative strategies to support them. The use of the outlined onboarding, orientation, and mentorship processes are vital in supporting adjunct job satisfaction and retention. [J Nurs Educ. 2023;62(7):408-411.].

Background: Faculty charged with ensuring appropriate clinical experiences for prelicensure students face numerous challenges, including limited access to specialty acute care sites, particularly maternal-child, ambulatory and community settings to prepare students to care for clients outside of the hospital.

Method: An innovative collaboration with a pediatric medical day care provided prelicensure Bachelor of Science in Nursing students exposure to nursing roles in caring for medically fragile children outside of the acute care environment.

Results: Providing care for children with special needs allowed students to make connections between theory and practice, explore developmental concepts, and practice specific nursing skills. Student reflection logs and feedback from the facility staff were enthusiastic and positive about the collaboration.

Conclusion: Clinical rotations in a pediatric medical day care provided opportunities for students to care for children with medical fragilities and gain new perspectives on nursing roles in the community. [J Nurs Educ. 2023;62(7):420-422.].