Undergraduate Supervised Clinical Practicum Activities: An Enlightening Exploration.

BACKGROUND: Clinical nursing practice is the hallmark of nursing education providing for the application of nursing knowledge to the care of patients in a contextual clinical environment. There is no universal method for educating students in the clinical arena. The literature has been limited to the evaluation of clinical education models and student perceptions of learning; however, there is a gap in the literature regarding the daily clinical activities of faculty and students. METHOD: This exploratory descriptive study examined the explicit undertakings of a clinical day among faculty and students in the southeastern United States. RESULTS: Responses from 61 survey participants described detailed activities of a clinical day including preclinical preparation, prebriefing, student and faculty clinical activities, and postconference structure. CONCLUSION: This foundational knowledge provides insight for improving clinical education with the goal of educators connecting clinical activities to the development of student competencies. [J Nurs Educ. 2022;61(10):591-593.].

Emergency Department Nursing Burnout and Resilience.

Burnout is a significant problem in emergency nursing, and it is associated with higher turnover rates than other disciplines of health care. Emergency nurses are highly susceptible to burnout due to continual exposure to traumatic events, varying work schedules, violence directed at staff, and, in recent times, due to the stressors of the COVID-19 pandemic. This literature review will (1) expose the causes of emergency department (ED) nurse burnout and (2) discuss strategies to build resilience in ED nurses. A systematic review of studies published in academic journals discussing burnout and resilience, specifically related to ED nurses, published in English between 2015 and 2019. The databases MEDLINE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Education Source, Health Source: Nursing/Academic Edition, APA PsycArticles, Military and Government Collection, Gender Studies Database, SocINDEX, and PsycINFO were searched. Sixteen studies were included in this review. Work schedules and shift work, violence toward staff, and lack of management support were factors linked to burnout. Self-discipline, optimism, and goal-oriented behaviors evolved as characteristics of resilient ED nurses. Burnout rates among ED nurses are steep. Shift work, traumatic events, violence, and management support are determinants of burnout. Specialized actions can combat burnout and increase resilience. Nursing management can provide specific education to nurses to assist in this effort.

Comparing Aerobic Exercise with Yoga in Anxiety Reduction: An Integrative Review.

Anxiety is a common mental health disorder that affects many Americans yet often goes unrecognized or undertreated. The purpose of this article is to review the current literature to assist in determining which alternative and complimentary therapy, aerobic exercise or yoga, is most beneficial in reducing anxiety symptoms. The literature search process resulted in a total of 14 articles included in the review. Results indicate that yoga is more effective in decreasing anxiety symptoms than aerobic exercise. Health care providers can use this information to help recommend an alternative form of therapy for patients.

Cannabinoid hyperemesis syndrome.

Cannabinoid hyperemesis syndrome (CHS) is characterized by severe cyclical nausea, vomiting, and abdominal pain relieved by compulsive hot water bathing in the setting of chronic cannabinoid use. This article reviews the characteristics, proposed pathophysiology, treatment modalities, and role of nurses caring for patients with CHS.

Reforming the undergraduate nursing clinical curriculum through clinical immersion: A literature review.

Clinical immersion is a method used by various academic programs to narrow the theory-to-practice gap and assist students to transition from school to a new work environment. In the clinical immersion model, students embark upon a concentrated and intensive clinical experience, typically at the end of a semester or program. This literature review explored the various methods by which programs carry out the immersion clinical experience model and if the experience improved students' readiness for entry level positions. Findings from students, faculty, and preceptors showed that immersion experiences are successful in increasing student confidence and nursing skills; however, additional objective evidence is needed to show that the use of immersion experiences can improve graduate readiness for practice. Research is also needed to explore if any differences in student performance outcomes exist between clinical immersion at the end of each semester versus one in a capstone course.

Attention Health Care Leaders: Literature Review Deems Baccalaureate Nurses Improve Patient Outcomes.

AIM: This review of studies conducted since the 2011 publication of the Institute of Medicine (IOM) report "The Future of Nursing: Leading Change, Advancing Health" evaluates the current state of evidence showing an association between an increased ratio of BSN-prepared nursing staff and improved patient outcomes. BACKGROUND: The IOM established a nationwide goal to increase the number of BSN nurses to 80 percent by 2020 to meet the challenges seen in today's health care environment. METHOD: The literature search included a five-year (2011-2016) span following the initial release of the IOM report. RESULTS: Mortality, failure to rescue, and readmission rates all decrease as the proportion of BSN nurses is increased in a nursing staffing ratio. CONCLUSION: It is the recommendation of this project that nurse leaders and organizations support the findings of this literature review and the IOM BSN recommendation.

The flip side of traditional nursing education: A literature review.

The flipped classroom (FC) andragogy purports an improvement of critical thinking and problem-solving skills in students. This literature review explores fourteen research studies and discusses outcome measures reported on the effectiveness of using this teaching modality. Students described the learning activities during the classroom meeting times as valuable and indicated the interaction and engagement were beneficial to their learning. Many students opined an increased comprehension of the subject matter. Overall, the FC required more work on the part of the students and the faculty, and the majority of students preferred the traditional classroom (TC) passive method of learning over the FC active learning andragogy as a result of the substantial time commitment required for preparation necessitated by the FC. Five of the fourteen studies evaluated student learning outcome measures; four studies showed an improvement in the FC environment compared to the TC and one reported the FC was at least as effective as the TC. Further studies with quantifiable outcome measures are required to determine the effectiveness of a FC on critical thinking and problem-solving skills of nursing students.

Student Perceptions of Stressors and the Value of Coaching in a Baccalaureate Nursing Articulation Program.

Regionally Increasing Baccalaureate Nurses (RIBN) is a unique articulation program in North Carolina. The fourth year of RIBN is challenging; students are enrolled as full-time university students while starting part-time employment as new graduate nurses. The aim of this descriptive pilot study was to explore the anticipated and actual stressors related to the fourth year experience and evaluate the impact of monthly coaching sessions. Key stressors identified were academic workload, professional awareness/role transition/workforce adjustment, time management, and obligations to support individuals. The monthly coaching sessions were beneficial in providing a means of debriefing and reframing life events.

Lessons Learned: Answering the Call to Increase the BSN Workforce.

Academic institutions across the United States are responding to the national call to action to raise the educational preparation of the nursing workforce. North Carolina has responded with the Regionally Increasing Baccalaureate Nurses program, which provides a seamless, economically sound pathway for attainment of a baccalaureate degree in nursing by using an academic partnership model between community colleges and a collaborating university. This article describes the accomplishments made and the lessons learned over the first 5 years of implementation of this educational pathway. Implications for research and educational practice are discussed.

Foreign-Educated Graduate Nursing Students and Plagiarism.

BACKGROUND: Plagiarism is a concern related to students educated in countries other than the United States, where English is not the first language spoken. The authors' experience with plagiarism by a foreign-educated nursing student prompted an investigation into this topic. METHOD: This article focuses on the occurrence of unintentional plagiarism, a common focus with foreign-educated students, addressing linguistic, as well as cultural, viewpoints. RESULTS: The findings from the literature on plagiarism among foreign-educated students are elicited and the article discusses strategies to help foreign-educated students learn about plagiarism and how to properly cite and reference sources. CONCLUSION: A variety of proactive strategies exist that can be used by both faculty and students to mitigate the occurrence of plagiarism by foreign-educated nursing students in higher education, starting with a clearer understanding of some of the antecedents to the problem of plagiarism. [J Nurs Educ. 2017;56(4):211-214.].