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The impact of wearing a white coat on the perception of older people 穿白大褂对老年人认知的影响
Pub Date : 2023-08-23 DOI: 10.5430/jnep.v13n12p36
Coline Crutzen, S. Adam, S. Willems
Objective: Previous studies have demonstrated that wearing a white coat affects patients (“the white coat effect”), the individual wearing the white coat (“enclothed cognition”), and the relationship itself between both parties. The aim of our study is to determine whether our perception of an older person differs when they are interacting with a professional caregiver wearing a white coat as opposed to when the caregiver is in civilian clothing. To the best of our knowledge, no study has been conducted on this subject thus far.Methods: In this cross-sectional study, we recorded two videos showing an older person with a professional caregiver. The videos are identical except for the caregiver's attire: white coat vs. civilian clothing. 135 volunteers from the general population took part in our online survey and watched one of the two videos. Then, the perception of the older person was evaluated with 10 pairs of opposing adjectives (such as: “independent/dependent”). Participants were asked to move the cursor between the two adjectives. Multiple regression analyses were conducted to compare the perceptions both groups.Results: The results obtained indicate that when the caregiver is wearing a white coat, the older person at their side is perceived as significantly (14.77%) more dependent as opposed to when the caregiver is in civilian clothing. The caregiver is also perceived as significantly more competent when wearing a white coat.Conclusions: Professional caregiver’s wearing a white coat is likely to have an impact on the perception of the older people in contact with said caregivers. Older people may be perceived as more dependent if the nursing staff (at home, in nursing home) wear white coats.
目的:先前的研究表明,穿白大褂会影响患者(“白大褂效应”)、穿着白大褂的个体(“封闭认知”)以及双方之间的关系本身。我们研究的目的是确定当老年人与穿着白大褂的专业护理人员互动时,与护理人员穿着便服时相比,我们对老年人的看法是否不同。据我们所知,迄今为止还没有对这一问题进行过任何研究。方法:在这项横断面研究中,我们录制了两段视频,显示一位老年人与专业护理人员在一起。除了护理人员的服装外,这些视频都是一样的:白大褂和便服。135名来自普通人群的志愿者参加了我们的在线调查,并观看了两个视频中的一个。然后,用10对相反的形容词(如:“独立/依赖”)来评估老年人的感知。参与者被要求在两个形容词之间移动光标。进行多元回归分析以比较两组的认知。结果:获得的结果表明,当护理人员穿着白色外套时,与护理人员穿着便服时相比,他们身边的老年人被认为更依赖(14.77%)。穿着白大褂的护理人员也被认为更有能力。结论:专业护理人员穿着白大褂可能会影响与所述护理人员接触的老年人的感知。如果护理人员(在家,在疗养院)穿白大褂,老年人可能会被认为更依赖。
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引用次数: 0
Using 360-degree videos to raise empathy and understanding of dementia 使用360度视频提高对痴呆症的同理心和理解
Pub Date : 2023-08-23 DOI: 10.5430/jnep.v13n12p15
Halyna Yurkiv, A. Wang, Kristine Newman
A lack of dementia understanding can complicate caring for people living with this condition. Caregivers need to connect with people living with dementia on an affective level to better understand their unique needs. 360-degree video is a type of virtual reality that can allow one to experience how it is to live with dementia. This study utilized 360-degree videos filmed from the point of view of people living with dementia to enhance nursing students and practicing nurses’ dementia empathy and understanding. Sixteen participants watched two 360-degree videos and participated in individual in-depth interviews. The cathartic powers of these videos made participants feel isolated, misunderstood, or confused, like those living with dementia. This helped participants reflect on the care they have been providing to patients living with dementia and share how they will enhance their care. Experienced nurses shared insights related to priorities and helpful strategies in providing dementia care. Novice nurses gained a better perspective of how it feels to live with dementia. It is recommended to include these videos as part of orientation, in-service training, and in nursing education curricula. Participants also recommended filming other 360-degree videos portraying scenarios with advanced care strategies useful in dementia care.
缺乏对痴呆症的理解可能会使照顾患有这种疾病的人变得复杂。护理人员需要在情感层面上与痴呆症患者建立联系,以更好地了解他们的独特需求。360度视频是一种虚拟现实,可以让人们体验痴呆症的生活方式。这项研究利用从痴呆症患者的角度拍摄的360度视频来增强护理学生和实习护士对痴呆症的同理心和理解。16名参与者观看了两个360度视频,并参加了个人深度访谈。这些视频的宣泄能力让参与者感到孤立、误解或困惑,就像痴呆症患者一样。这有助于参与者反思他们为痴呆症患者提供的护理,并分享他们将如何加强护理。经验丰富的护士分享了与提供痴呆症护理的优先事项和有用策略相关的见解。新手护士对痴呆症患者的生活感受有了更好的了解。建议将这些视频作为指导、在职培训和护理教育课程的一部分。参与者还建议拍摄其他360度视频,用先进的护理策略描绘痴呆症护理中有用的场景。
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引用次数: 0
Navigating food access and distribution during the pandemic 在大流行期间指导粮食获取和分配
Pub Date : 2023-08-15 DOI: 10.5430/jnep.v13n11p49
Angela Groves, Maria Roche-Dean, Dell G. Mars, A. Ndiwane
COVID-19 increased food insecurity among African Americans. However, little is known about the impact of COVID-19 on food access and delivery for this population in Cuyahoga County. The objective of this study was to collect insights into the facilitators of and barriers to food access and delivery from community stakeholders. Methods: A total of 10 in-depth individual interviews with community stakeholders were conducted. Content analysis was used to analyze the interviews. Results: COVID-19 led to immediate and necessary changes to food access and distribution practices. Additionally, the increased utilization of food pantries, limited food supply, and lack of transportation to food pantries were identified as challenges to food access and distribution. However, community stakeholders were able to continue serving the community despite food supply and distribution challenges. Conclusion: This study provided novel insights into the challenges faced by community stakeholders and strategies that can be used to overcome these food dissemination challenges during the COVID-19 pandemic. Nurses can play a key role in addressing food insecurities in African American communities through nursing assessments and advocacy.
COVID-19加剧了非洲裔美国人的粮食不安全状况。然而,人们对COVID-19对凯霍加县这一人口的粮食获取和交付的影响知之甚少。本研究的目的是收集社区利益相关者对粮食获取和交付的促进因素和障碍的见解。方法:对社区利益相关者进行了10次深入的个人访谈。采用内容分析法对访谈进行分析。结果:2019冠状病毒病导致粮食获取和分配做法发生了立即和必要的变化。此外,食品储藏室利用率的提高、食品供应的有限以及前往食品储藏室的交通工具的缺乏被认为是食品获取和分配面临的挑战。然而,尽管面临粮食供应和分配方面的挑战,社区利益相关者仍能够继续为社区服务。结论:本研究对社区利益相关者面临的挑战以及应对COVID-19大流行期间食品传播挑战的策略提供了新的见解。护士可以通过护理评估和倡导在解决非洲裔美国人社区的粮食不安全方面发挥关键作用。
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引用次数: 0
An innovative interprofessional rural mental health education model for baccalaureate nursing students 创新农村护本科学生跨专业心理健康教育模式
Pub Date : 2023-08-15 DOI: 10.5430/jnep.v13n12p10
Tina Switzer, E. Sawin, Timo Schulte
Background/Objective: Interprofessional collaboration is an essential skill for high-quality healthcare delivery, particularly for serving members of vulnerable populations who are managing stigmatized conditions, such as mental health disorders.  As part of a primary care-focused nursing education grant, faculty created the Interprofessional Counseling and Psychological Services (CAPS) Experience (ICE) for nursing students. This interprofessional experience focused on educating students on team-based care for people managing mental health conditions and substance use disorders in rural areas.Methods: ICE partnered registered nurses, providers, faculty, and graduate counseling students with 56 undergraduate nursing students, providing students with interprofessional mental health-focused clinical experiences in federally-designated Rural Health Clinics (RHCs).Results: Fifty-six nursing grant scholars participated in ICE. Students reported that they found ICE to be valuable.Conclusions: ICE provided nursing students with an interprofessional, team-based immersion experience, allowing them to develop an understanding of the complex mental health needs of people in underserved rural communities.
背景/目标:跨专业合作是提供高质量医疗保健的一项基本技能,尤其是对于那些正在管理污名化疾病(如精神健康障碍)的弱势群体的服务成员来说。作为以初级保健为重点的护理教育拨款的一部分,教师们为护理学生创建了跨专业咨询和心理服务(CAPS)体验(ICE)。这项跨专业的经验侧重于教育学生对农村地区管理心理健康状况和药物使用障碍的人进行基于团队的护理。方法:ICE将注册护士、提供者、教员和研究生咨询学生与56名护理本科生合作,在联邦指定的农村卫生诊所(RHC)为学生提供跨专业的心理健康临床经验。结果:56名护理资助学者参加了ICE。学生们报告说,他们发现ICE很有价值。结论:ICE为护理专业的学生提供了跨专业、基于团队的沉浸体验,使他们能够理解服务不足的农村社区中人们的复杂心理健康需求。
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引用次数: 0
Effects of high-fidelity simulation on self-efficacy in undergraduate nursing education regarding family systems care and early palliative care 高保真度模拟对家庭系统护理和早期姑息治疗本科护理教育自我效能的影响
Pub Date : 2023-07-25 DOI: 10.5430/jnep.v13n12p1
Sara Häusermann, Evelyn Huber, A. Meichtry, Fabian Gautschi, Irène Ris, D. Deufert
Objective: Family systems care and palliative care are main topics in nursing education and practice. Self-efficacy of undergraduate nursing students is strengthened by high-fidelity simulation. The aim of this study was to explore the effects of high-fidelity simulation on the self-efficacy of undergraduate nursing students regarding family systems care and early palliative care in an adult setting.Methods: A quasi-experimental study design with repeated measures was conducted. Self-Efficacy was measured using the Family Nursing Practice Scale (FNPS) and the Self-Efficacy-Subscale of the Bonner Palliativwissenstest (BPW) before the start of the theoretical family systems care and palliative care courses (t1), after completion of the courses (t2), immediately after high-fidelity simulation (t3) and 3 months after high-fidelity simulation (t4). A linear mixed model was performed to evaluate the difference of self-efficacy between the times of measurement.Results: A total of 46 undergraduate nursing students participated in the study. There were statistically significant differences regarding the FNPS between t1 and t3 (p = .0019) as well as t1 and t4 (p = .0198), and regarding the BPW between t1 and t3 (p ≤ .0001), t1 and t4 (p = .0012), as well as t2 and t3 (p = .0112). Between the other times of measurement, no statistically significant differences were found.Conclusions: High-fidelity simulation in combination with traditional learning methods can have a short- and long-term effect on undergraduate nursing students’ self-efficacy regarding family systems care and early palliative care in hospitalized adult patients.
目的:家庭系统护理和姑息治疗是护理教育和实践的主要内容。通过高保真度模拟增强护理本科生的自我效能感。本研究的目的是探索高保真模拟对成年护理本科生在家庭系统护理和早期姑息治疗方面的自我效能感的影响。方法:采用重复测量的准实验研究设计。在理论家庭系统护理和姑息治疗课程开始前(t1)、课程结束后(t2)、高保真模拟后(t3)和高保真模拟后3个月(t4),使用家庭护理实践量表(FNPS)和Bonner Paliativwissenstest的自我效能子量表(BPW)测量自我效能。采用线性混合模型来评估自我效能感在测量时间之间的差异。结果:共有46名护理本科生参与了本研究。在t1和t3(p=.0019)以及t1和t4(p=.0198)之间的FNPS,以及在t1和t3(p≤.0001)、t1和t4(p=.001 12)以及t2和t3(p=.0112)之间的BPW方面,存在统计学上的显著差异。在其他测量时间之间,未发现统计学上的显着差异。结论:高保真模拟与传统学习方法相结合,可以对护理本科生在住院成年患者家庭系统护理和早期姑息治疗方面的自我效能感产生短期和长期影响。
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引用次数: 0
Accelerating advanced practice palliative care competencies: An educational research initiative 加速高级实践姑息治疗能力:一项教育研究倡议
Pub Date : 2023-07-25 DOI: 10.5430/jnep.v13n11p31
Binu Koirala, Patricia M Davidson, R. D'Aoust, J. Silbert-Flagg, Tammy M Slater, Catherine Ling, D. Busch, C. Rushton, R. Razzak, B. Ferrell, C. D. Dennison Himmelfarb
Objective: To describe the process and impact of integrating palliative care into the nursing curriculum to accelerate advanced practice palliative care competencies.Methods: Educational research was implemented at the Johns Hopkins University School of Nursing, Baltimore, MD to integrate palliative care knowledge and skills into the advanced practice nursing curriculum. Palliative care principles and skills were threaded through the curriculum and resources and contents were shared across graduate programs, faculty members, and students throughout the school. Additionally, palliative care workshops, symposium and conference were organized at the school to increase academic-practice partnerships and disseminate project progress. The initiative was evaluated using the Palliative Care Quiz for Nursing (PCQN) and Palliative-Care Self-efficacy Scale (PCSES) among faculty and students annually. Additional data on overall feedback on research activities were collected. Data were analyzed using descriptive statistics, t-tests, and analysis of variance.Results: In total 54 students, faculty, and clinicians participated in two workshops. The evaluation of workshops identified a significant improvement in confidence scores. In total, 620 faculty and students responded to the annual school-wide survey: 203 in 2019, 242 in 2020, and 175 in 2021. There were no significant changes in palliative care knowledge and confidence scores after integrating content within the curriculum. The participants agreed or strongly agreed with the overall positive feedback for the project events regarding expectation, pace, relevance, and objective.Conclusions: The academic-practice partnership could be one model for improving palliative care competencies. More educational initiatives are needed to identify the role of educational models with appropriate evaluation measures in preparing a competent palliative care workforce.
目的:描述将姑息治疗纳入护理课程的过程和影响,以加速高级实践姑息治疗能力。方法:在马里兰州巴尔的摩市约翰霍普金斯大学护理学院实施教育研究,将姑息治疗知识和技能纳入高级实践护理课程。姑息治疗的原则和技巧贯穿了整个课程,资源和内容在研究生项目、教师和全校学生之间共享。此外,学校还组织了姑息治疗讲习班、研讨会和会议,以加强学术实践伙伴关系并传播项目进展。该计划每年在教师和学生中使用姑息治疗护理测验(PCQN)和姑息治疗自我效能量表(PCSES)进行评估。收集了关于研究活动总体反馈的其他数据。数据分析采用描述性统计、t检验和方差分析。结果:共有54名学生、教师和临床医生参加了两次研讨会。讲习班的评估确定了信心得分的显著提高。总共有620名教职员工和学生参与了全校范围的年度调查:2019年为203人,2020年为242人,2021年为175人。整合课程内容后,姑息治疗知识和信心得分无显著变化。参与者同意或强烈同意关于期望、速度、相关性和目标的项目事件的总体积极反馈。结论:学术-实践伙伴关系可作为提高姑息治疗能力的一种模式。需要更多的教育举措来确定教育模式的作用,并采取适当的评估措施,以培养合格的姑息治疗工作人员。
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引用次数: 0
Evaluating knowledge, attitudes, and practices regarding complementary feeding (weaning) among mothers of six-month-old children 评估六个月大儿童母亲关于补充喂养(断奶)的知识、态度和做法
Pub Date : 2023-07-25 DOI: 10.5430/jnep.v13n11p39
N. Alreshidi, Somia Abdalwahed Haj Saeed Gadora, Eida Habeeb, L. Alrashidi
This study evaluated the knowledge, attitude, and practice (KAP) regarding complementary feeding (weaning) among mothers with six-month-old children. A quantitative, cross-sectional, descriptive-analytical approach was employed, emphasizing the gathering, analysis, and interpretation of relevant data to portray the phenomenon accurately. The evaluation was divided into three KAP domains. A total of 200 respondents were included in the analysis. It was discovered that mothers demonstrated concerns and a lack of knowledge about enriching complementary food with iodized salt (Knowledge: M = 2.63 out of 5, SD = 1.454, Score = 52.6%). Attitude-wise, mothers reported initiating complementary feeding due to a perceived insufficiency of breast milk (Attitude: M = 1.60 out of 5, SD = 0.802, Score = 32.0%). However, mothers understood complementary feeding practices well (Practice: M = 49.68 out of 60, SD = 8.8, Score = 82.8%). Despite some awareness about sensitive health aspects such as food allergies, mothers lacked crucial knowledge regarding the enrichment of complementary food with iodized salt and iron-rich food. Mothers' decisions to initiate complementary feeding were largely driven by concerns about the sufficiency of their milk production. The study underlines the need for prenatal guidance and education for parents on desirable practices concerning complementary food.
本研究评估了有六个月大孩子的母亲对补充喂养(断奶)的知识、态度和实践(KAP)。采用了定量、横断面、描述性的分析方法,强调收集、分析和解释相关数据,以准确描述这一现象。评估分为三个KAP领域。共有200名受访者参与了分析。研究发现,母亲们对用碘盐丰富辅食表现出担忧和缺乏知识(知识:M=2.63/5,SD=1.454,得分=52.6%)。从态度上看,母亲们报告称,由于母乳不足而开始补充喂养(态度:M=1.60/5,SD=0.802,得分=32.0%)。然而,母亲们很好地理解补充喂养的做法(实践:M=49.68(满分60),SD=8.8,得分=82.8%)。尽管对食物过敏等敏感健康方面有一些认识,但母亲们缺乏关于用碘盐和富含铁的食物丰富补充食物的关键知识。母亲们决定开始补充喂养,很大程度上是出于对母乳生产充足性的担忧。该研究强调,需要对父母进行产前指导和教育,使他们了解补充食品方面的可取做法。
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引用次数: 0
Virtual reality simulation enabling high level immersion in undergraduate nursing education: A systematic review 虚拟现实模拟实现本科护理教育的高水平沉浸:系统回顾
Pub Date : 2023-07-18 DOI: 10.5430/jnep.v13n11p20
Katrin Pernica, H. Virtanen, Ida Lunddahl Bager, F. Jordan, Nadin Dütthorn, Minna Stolt
Background and objectives: Virtual reality simulation (VRS) can be used to complement experiential learning, as it enables nursing students to further learn and refine nursing skills outside of the clinical setting. However, gathering evidence for its effectiveness as a teaching method in achieving learning outcomes is still ongoing, and thus there is a lack of systematic synthesis. The objective of this systematic literature review is to analyze VRS scenarios with a high level of immersion and their impact on learning outcomes in nursing education.Methods: A literature search was performed in the MEDLINE, CINAHL, and ERIC databases in November 2022. As a result, fifteen studies were included and analyzed using deductive content analysis.Results: The studies reported twelve different scenarios for virtual reality simulations with high levels of immersion, the focus of which was on acute critical care, broader nursing processes, neonatal and pediatric care, single nursing interventions, and observation of patients’ symptoms. The associated learning objectives were mainly achieved in the domains of cognition and psychomotor skills.Conclusions: There are several VRS scenarios that show potential for use in nursing education. The VRS scenarios are effective in improving learning outcomes, particularly those related to knowledge and skills. Overall, the supportive body of evidence gained through this review may help nurse educators in integrating virtual simulations in their curricula. In the future, nursing and adult learning theories should be given greater consideration, and the aspect of affective learning could be included in design and implementation. Moreover, future research could benefit from exploring the long-term effects of learning after using VRS with a high level of immersion to provide valuable evidence for developing VRS teaching methods in nursing.
背景和目的:虚拟现实模拟(VRS)可以用来补充体验式学习,因为它使护理学生能够在临床环境之外进一步学习和完善护理技能。然而,它作为一种教学方法在取得学习成果方面的有效性的证据仍在收集中,因此缺乏系统的综合。本系统文献综述的目的是分析具有高度沉浸感的VRS情景及其对护理教育学习结果的影响。方法:于2022年11月在MEDLINE、CINAHL和ERIC数据库中进行文献检索。结果,纳入了15项研究,并使用演绎内容分析进行了分析。结果:研究报告了12种不同的高沉浸度虚拟现实模拟场景,重点是急性重症监护、更广泛的护理流程、新生儿和儿科护理、单一护理干预以及患者症状观察。相关的学习目标主要在认知和心理运动技能领域实现。结论:有几种VRS场景显示出在护理教育中使用的潜力。VRS情景在改善学习成果方面是有效的,尤其是与知识和技能相关的学习成果。总的来说,通过这项审查获得的支持性证据可能有助于护士教育工作者在课程中整合虚拟模拟。在未来,护理和成人学习理论应该得到更多的考虑,情感学习方面可以纳入设计和实施。此外,未来的研究可以受益于探索在高水平沉浸式使用VRS后学习的长期效果,为开发护理中的VRS教学方法提供有价值的证据。
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引用次数: 0
Nursing care and health promotion competencies in cardiometabolic diseases: A scoping review 心血管代谢疾病的护理和健康促进能力:范围综述
Pub Date : 2023-07-17 DOI: 10.5430/jnep.v13n10p45
Francisco Marcelo Leandro Cavalcante, Thamires Sales Macêdo, M. C. E. S. L. Cavalcanti, N. M. G. Neto, Natasha Marques Frota, J. A. Caetano, Lívia Moreira Barros
Objective: The aim was to map, in the scientific literature, nursing care and health promotion competencies in cardiometabolic diseases in the light of the Galway Consensus.Methods: This is a scoping review carried out in accordance with the JBI recommendations, from November 2021 to January 2022, in five databases. The studies were analyzed according to the Galway Consensus competency domains: catalysing change, leadership, assessment, planning, implementation, evaluation, advocacy and partnerships.Results: A total of 85 studies were included in the review, and existing scientific production points out that nurses carry out comprehensive actions, which involve educational interventions, follow-up of nursing at home and at the health institution for individuals/families, health service management and partnership articulation to guarantee longitudinal, comprehensive, qualified and network-integrated care. The most highlighted domain was catalysing change, followed by assessment, planning, implementation, partnerships, advocacy and evaluation. Care such as health education, guidance on healthy eating habits, physical activity, weight reduction, smoking cessation and foot care/shoe use stood out, in addition to guidance on drug treatment, counseling, care/support for the family, home visits, follow-up by telephone and referral to a nutritionist and other professionals.Conclusions: It is necessary to strengthen competencies such as leadership and health advocacy in health promoting nurses, considering that few studies related to such themes were identified.
目的:目的是根据戈尔韦共识,在科学文献中绘制心脏代谢疾病的护理和健康促进能力图。方法:这是一项根据JBI建议于2021年11月至2022年1月在五个数据库中进行的范围审查。这些研究是根据戈尔韦共识的能力领域进行分析的:催化变革、领导力、评估、规划、实施、评估、宣传和伙伴关系。结果:共有85项研究被纳入审查,现有的科学成果指出,护士采取了全面的行动,包括教育干预、个人/家庭在家和卫生机构的护理随访、卫生服务管理和伙伴关系表达,以确保纵向、全面、,合格和网络综合护理。最突出的领域是促进变革,其次是评估、规划、实施、伙伴关系、宣传和评价。健康教育、健康饮食习惯指导、体育活动、减肥、戒烟和足部护理/鞋子使用等护理尤为突出,此外还有药物治疗指导、咨询、家庭护理/支持、家访、电话随访以及转介给营养师和其他专业人员。结论:考虑到很少发现与这些主题相关的研究,有必要加强健康促进护士的领导能力和健康宣传能力。
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引用次数: 0
Community, population, and public health nurse educators use of clinical debriefing 社区、人口和公共卫生护士教育者使用临床述职
Pub Date : 2023-07-17 DOI: 10.5430/jnep.v13n11p12
Priscella Correa, Megan E. Gross, Teresa E Darnall, Christina Hernandez
Objective: The Next Generation NCLEX licensing examination is used to assess entry-level nurses’ ability to use clinical judgment in the care of individuals, families, and populations. An approach in developing clinical judgment is using a standardized debriefing process after a clinical experience. The purpose of this research was to examine whether community, population, and public health (CPPH) baccalaureate nurse educators received education on the use of clinical debriefing with their students and to describe the type of debriefing approaches used to transfer nursing theory into clinical practice.Methods: This study used a mixed method approach. Convenience sampling was used to conduct a descriptive survey of CPPH educators use of clinical debriefing using SurveyMonkey®. Three focus group sessions were held with participants representing a variety of BSN degree formats in nursing programs across the continental United States. These virtual meetings used the Zoom® conference platform. Each focus group was recorded with a transcription of the session. Transcriptions were evaluated using NVivo® and placed into five themes with additional subthemes.Results: The analysis indicated that CPPH BSN nurse educators lack formal training in the use of post-clinical debriefing. Educators’ debriefing approaches are not formalized or standardized across nursing programs and do not meet current best practices. Nurse educators identified barriers to debriefing with students, including geographic location, variety of clinical placements, and large numbers of students. Some nurse educators use debriefing techniques developed in non-nursing disciplines and for non-clinical debriefing situations. Focus group participants expressed interest in the development of a clinical debriefing tool for CPPH courses.Conclusions: The research demonstrates that CPPH nurse educators do not feel experientially prepared to lead debriefing. The lack of formalized education has resulted in nurse educators using debriefing methods that do not meet best practices. This could result in ineffective student development of clinical judgment.
目的:下一代NCLEX执照考试用于评估初级护士在个人,家庭和人群护理中使用临床判断的能力。发展临床判断的一种方法是在临床经验后使用标准化的汇报过程。本研究的目的是检查社区、人口和公共卫生(CPPH)本科护士教育者是否接受了临床述职培训,并描述了将护理理论转化为临床实践的述职培训方法的类型。方法:本研究采用混合方法。采用方便抽样对CPPH教育者使用SurveyMonkey®进行临床汇报进行描述性调查。三个焦点小组会议举行了与会者代表的各种BSN学位格式在整个美国大陆的护理计划。这些虚拟会议使用Zoom®会议平台。每个焦点小组都有一份会议记录。使用NVivo®对转录进行评估,并将其分为五个主题和附加的子主题。结果:分析表明CPPH BSN护理教育者缺乏临床后述职的正规培训。教育工作者的汇报方法在护理项目中没有形式化或标准化,也不符合当前的最佳实践。护士教育工作者确定了向学生述职的障碍,包括地理位置、临床实习的多样性和大量的学生。一些护士教育工作者使用在非护理学科和非临床情况下发展的述职技巧。焦点小组参与者表达了对开发CPPH课程临床报告工具的兴趣。结论:研究表明,CPPH护士教育工作者不觉得经验准备领导述职。正规教育的缺乏导致护士教育者使用的述职方法不符合最佳实践。这可能会导致学生临床判断的无效发展。
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Journal of nursing education and practice
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