Pilot Study to Determine the Effectiveness of a Home Health Nursing Simulation.

Demand for home care has increased due to the expansion of preventive care, people living longer with chronic conditions, and the need for healthcare services as the baby boom population ages. Nurses must be prepared to meet the needs of patients and families in the home setting. Home care nursing simulations have been utilized as a teaching-learning strategy in baccalaureate nursing education, yet less is known about their use with practicing home care nurses and associate degree nursing students. The purpose of this pilot study using simulation was to prepare practicing nurses and student nurses to respond using nursing skills and clinical judgment. The convenience sample consisted of associate degree nursing students (n = 9), practicing home healthcare nurses (n = 8), and nursing faculty (n = 2). The Simulation Effectiveness Tool - Modified (SET-M) Survey (Leighton et al., 2015) was utilized for data collection. Participants perceived the home healthcare simulation to be an effective practice experience with high overall agreement for Pre-briefing, Scenario-Confidence, Scenario-Learning, and Debriefing. The findings of this study provide data to support partnerships to provide home care simulation experiences for associate degree nursing students and practicing home care nurses.

Nursing Student Experiences with the Mental Health Population: A Scoping Review of Qualitative and Quantitative Evidence.

Nursing students must increasingly deliver quality care to the psychiatric mental health population during their educational experiences and as graduate nurses. This review examines experiences and adds practical knowledge on the development of teaching strategies for nursing programs, supporting nurse educators, future new nurses, and nurse leaders in psychiatric mental health nursing. Fourteen studies from the CINAHL, PsycInfo, Medline, PubMed, and Web of Science databases were included. Two themes emerged: mental health nursing modality experiences and student perspectives. Rigorous scientific studies are needed highlighting the influence and effectiveness of psychiatric-behavioral and mental health nursing clinical education.

Undergraduate nursing students' attitudes towards incarcerated persons and their perceptions of clinical experiences.

BACKGROUND: In 2019, an estimated 6.3 million persons were under the supervision of the United States adult correctional systems and one in 40 adult persons were under correctional supervision. At year-end of 2019, nearly seven in ten persons under correctional supervision were supervised in the community. A nurse's attitudes and beliefs about incarcerated persons may influence their behavior. PURPOSE: The purpose of this study was to examine nursing student's attitudes towards incarcerated persons and their perceptions of a clinical experience at a correctional facility. METHODS: Data from 137 nursing students were collected through a cross-sectional, electronic survey. The Attitude Towards Prisoners Scale (Melvin et al., 1985) was used. A post hoc analysis of perceptions of their clinical experience at a correctional facility was explored. RESULTS: The mean scores of 93 and 94 (potential range of scores 0 to 144) suggest positive attitudes towards incarcerated persons exist, yet few nursing students report an interest in correctional nursing as a career. Although few (n = 5) students had a correctional nursing clinical experience, most perceived it as an effective clinical learning setting. CONCLUSION: With high rates of incarceration, the researchers recommend that baccalaureate nursing programs include educational teaching strategies that focus on incarceration, incarceration stigma, and explore clinical learning experiences.

Integrating Home Care: An Innovative Approach for Simulation Learning.

BACKGROUND: The nature of a nurse's job is changing dramatically. Nurses are assuming expanded roles for a broad range of patients in community-based care. Nurse educators have a responsibility to teach nursing students about the needs of patients and families in the home care setting. METHOD: To describe how the creation of a home care video series and a medication reconciliation simulation scenario were used as a teaching strategy in a simulation center. RESULTS: The teaching strategy supported senior-level nursing students' understanding of the complexity of home care nursing and the nurse's role and responsibilities in care coordination, care transitions, and interprofessional practice. CONCLUSION: The home care video scenario was received favorably by nursing students. Additional simulation video scenarios are needed that address the health disparities among underrepresented and vulnerable groups. There is potential to offer the simulation in a virtual-online format during the COVID-19 pandemic and social distancing mandates. [J Nurs Educ. 2021;60(3):172-176.].

U.S. nurse practitioners' HIV screening behaviors and health center characteristics.

ABSTRACT: One of the most effective strategies to end the human immunodeficiency virus (HIV) epidemic is HIV screening technologies. Routine HIV screening reaches the first-time tester, people with undiagnosed HIV, and those persons who are in need of frequent retesting due to their ongoing risk. This secondary analysis examined nurse practitioners' (NPs) rates of offering routine HIV screening and health center HIV screening characteristics. A convenience sample of NPs completed either a paper and pencil or an online survey in February 2016. Nurse practitioners responded to several questions about their behaviors and the health center characteristics where they work related to HIV screening. Many NPs (31%) never offer routine HIV screening to patients. Efforts are needed to implement structural changes to increase HIV screening rates among NPs and the health centers where they work. Nurse practitioners, health centers, and the health center policies must align to address the HIV epidemic and implement national HIV screening recommendations.

U.S. Nurse Practitioner Beliefs About Routine HIV Screening: Predicting Behaviors.

HIV is a preventable infection. Effective HIV prevention interventions, which include routine HIV screening, have reduced HIV transmission. As health care providers, nurse practitioners (NPs) have a role in screening for HIV. In this study, we explored NP attitudinal, social normative (expectation and priority), and behavioral control (perceived barriers and facilitators) beliefs that predicted their self-reported HIV screening behaviors. The Theory of Planned Behavior guided the study. Data from 141 NPs were collected through a cross-sectional, paper and pencil survey. Findings revealed that the belief that "my office staff supports routine HIV screening with my patients" predicted HIV screening, whereas the belief that "consent from a parent/guardian should be obtained before screening for HIV in a person younger than 18 years" predicted less HIV screening. Nurse practitioners identified social normative expectations to be most influential in predicting their routine HIV screening behaviors.

HIV screening intentions, behaviors, and practices among nurse practitioners.

BACKGROUND AND PURPOSE: HIV/AIDS is a significant public health issue for individuals living in the United States. Federal agencies and key stakeholders recommend routine HIV/AIDS screening among individuals aged 13-64 of age, yet few studies focus on the nurse practitioner's (NP) perspective. The purpose of this study was to examine routine HIV screening intentions, behaviors, and practices using a national sample of NPs. METHODS: Cross-sectional study utilizing a random sample of 600 NPs from the American Association of Nurse Practitioners™ organization. A total of 141 NPs returned complete responses to the paper and pencil questionnaire and were included in the study. CONCLUSIONS: One-quarter (25%, n = 35) of the NPs reported routine HIV screening behavior. Half (48%, n = 67) reported intentions to increase routine HIV screening in the next year. HIV screening practices were reported as risk-based and patient-initiated among this sample of NPs. IMPLICATIONS FOR PRACTICE: In the U.S. healthcare system, NPs serve as leaders in primary and secondary prevention, screening and identifying individuals who are unaware of their HIV infection. Greater coordinated efforts and new system approaches are needed to help NPs adapt HIV screening recommendations and practice guidelines.

Victimization and perpetration of sexual violence in college-aged men and women.

OBJECTIVE: Sexual violence is a significant public health issue on college campuses. Much of the research to date has focused on sexual violence victimization with less data on perpetration of sexual violence. This analysis describes sexual violence victimization and perpetration experiences in a sample of college students. METHODS: We sought to recruit college students attending three universities in the United States. A cross-sectional survey design was used to contact students through e-mail or voluntary gatherings. Each participant completed a questionnaire focused on experiences of sexual violence. RESULTS: A total of 1,978 students consented to participate in the study with 1,829 completing the questions related to victimization experiences and 1,479 completing the questions related to perpetration experiences. Thirty-eight percent (n = 700) of the sample (men and women) reported sexual violence victimization. Victimization among women and men was 42.6% and 28.7%, respectively. Almost 6% (n = 100) of the sample reported sexual violence perpetration. Men reported a higher rate of perpetration, 14.5% (n = 60), compared to women, 3.8% (n = 40). CONCLUSION: This study provides data on both victimization and perpetration experiences of college students. Both college men and women reported experiences of being victimized as well as perpetrating sexual violence. Understanding victimization and perpetration on college campuses will increase awareness, thus piercing the silence, of unwanted sexual experiences and help move college campuses toward a response.