Enhancing delirium assessment and management through nursing education interventions: A scoping review.

AIM/OBJECTIVE: The purpose of this scoping review was to explore the characteristics and outcomes of education interventions for nurses focused on delirium assessment and management. BACKGROUND: Delirium is a prevalent acute and reversible neuropsychiatric syndrome in hospitalized patients. Delirium can cause cognitive, psychiatric and physical impairments and result in prolonged hospital stay, increased risk of readmission and elevated morbidity and mortality rates. Nurses play an essential role in managing delirium. There is a lack of understanding of the existing nursing educational interventions on delirium management. DESIGN: The study was a scoping review. METHODS: In this scoping review, we used Arksey and O'Malley's (2005) scoping review framework. We searched articles published between 2019 and 2023 in Academic Search Premier, the Cumulative Index to Nursing and Allied Health Literature (CINAHL) and MEDLINE using the following CINAHL/MeSH suggested subject terms: "delirium" in conjunction with "education" "intervention" and "nurse", "nurses" or "nursing." Studies on improving nursing knowledge and practices regarding delirium were included while those focusing on nursing students were excluded. Initial screening involved evaluating article titles and abstracts for relevance from 164 identified articles, followed by a full-text review of 42 articles. Finally, 17 articles were selected for comprehensive analysis. We extracted relevant information from each article and charted the findings in an evidence table. RESULTS: The 17 selected articles showcased a variety of interventions used to educate nursing staff, such as workshops, simulations, group discussions, online modules and one-on-one coaching. Educational interventions primarily focused on delirium definition, risk factors, assessment and management. These educational interventions enhanced nurses' perception of delirium, boosting their confidence and knowledge in managing delirium. These interventions also led to increased compliance with delirium assessment and management protocols, which ultimately resulted in improved documentation accuracy and patient outcomes. CONCLUSIONS: Findings from this scoping review suggest that nursing administration need to provide support and education for delirium prevention and management to enhance nursing staff confidence and competence in assessing and managing delirium. The use of interactive educational techniques has demonstrated profound benefits in schema development, expertize promotion and critical thinking. These findings have significant implications for future research, including the identification of essential nursing competencies for educational interventions and the assessment of long-term knowledge retention and its application in nursing practice.

The effect of self and peer assessment training on stoma care skills of nursing students: A randomised controlled experimental study.

BACKGROUND: In nursing education, it is important to acquire and assess psychomotor skills. Traditional assessment and evaluation methods are outcome-oriented and educator-centred. In education, there is a greater need for the use of process-oriented and student-oriented complementary assessment methods. AIM: The aim of this study is to examine the effect of self and peer assessment training given to nursing students on stoma care skill success. METHODS: This study was conducted using a randomised controlled experimental design model. The sample consisted of a total of 53 students (27 in the intervention group and 26 in the control group). The data were collected using the Information Form, the Stoma Care Skill Rubric, the View Scale for Peer and Self Assessment and the Impression Scale for the Peer and Self Assessment. The intervention group received a training on self and peer assessment. The students were trained on stoma care and they were asked to practice stoma care. The applications were recorded on video. At the end of application, each student in both the intervention and control groups was assessed by himself, his peers and the educator. Number, percentage, mean, standard deviation, Shapiro-Wilk, chi-square, Mann-Whitney U tests were used to analyse the data. RESULTS: No difference was found in the stoma care skill scores in the intervention and control groups at the end of stoma care practice. When the stoma care skill scores were examined within the group, there was a significant difference between the self assessment scores and the peer, educator and self-assessment-video watching scores in both groups. No difference was observed between the self assessment-video watching scores and the peer and educator scores. In the intervention and control groups, the scores of the view scale for the peer and self assessment and the scores of the impression scale for the peer and self assessment increased, but there was no significant difference between them. The students stated that they intended to use the self and peer assessment method in other skills as well since it enabled them to notice its mistakes and helped them learn the skill better. CONCLUSIONS: It is recommended that the use of self and peer assessment methods be expanded in nursing education during skill acquisition and assessment practices. It is thought that using video recording, scales, or rubrics in conjunction with these methods would be beneficial.

The Binary Order of Things: A Discursive Study of Nursing Students' Talk on Providing, and Learning About, LGBT Patient Care.

Against the backdrop of the healthcare inequities and maltreatment facing LGBT patients, recommendations have been made for the inclusion of LGBT health topics in nursing curricula. Based on data collected in focus group discussions with South African nursing students, we complicate the assumption that training focused on health-specific knowledge will effectively reform providers' prejudicial practices. Findings reveal ambivalence: silence and discrimination versus inclusive humanism. Participants drew on discourses of ignorance, religion, and egalitarian treatment to justify their inadequacy regarding LGBT patients; while doing so, however, they deployed othering discourses in which homophobic and transphobic disregard is rendered acceptable, and "scientifically" supported through binary, deterministic views of sexuality and gender. Such "expert" views accord with Foucault's notion of "grotesque discourse." We conclude with a discussion of the findings' implications for nursing education; we call for the recognition and teaching of binary ideology as a form of discursive violence over LGBT lives.

Equity, diversity, and inclusion in open educational resources: An interpretive description of students' perspectives.

BACKGROUND: Although often assumed as objective, texts in nursing education are value-laden artifacts. Not unlike many educational materials, nursing texts are socially situated and often reflect dominant discourses of white supremacy, patriarchy, colonialism, cis/heteronormativity, gender binaries, and ableism. In addition to conveying what institutions and educators value, the discourses that are mediated through text socialize students in their ways of thinking and acting. There is a collective responsibility to critically examine how and why particular discourses persistently permeate texts used in nursing education. Open educational resources, as one type of text in nursing, are often touted as symbols of social justice because they are accessible for use by diverse learners and can be adapted to suit educators' needs. OBJECTIVES: With a focus on better understanding how equity, diversity, and inclusion can inform the design and production of open education resources, our guiding research question was: How do students perceive and envision equity, diversity, and inclusion in nursing-related open educational resources? DESIGN: Guided by a social justice framework, we used interpretive description methodology informed by participatory action research values to answer this question. SETTING, PARTICIPANT AND METHODS: Sixteen students participated from a post-secondary year-one nursing course in two focus groups and thirty-three students completed an open-ended survey. RESULTS: Data analysis yielded four themes: representation, learning, identities, and self. CONCLUSION: Nurse educators have the opportunity to design open educational resources in ways that empower students and elevate social justice. Thus, a more nuanced and critical approach towards social justice is needed to better integrate diversity in nursing-related resources.

Satisfacción de educación en línea de estudiantes de enfermería / Satisfaction of online education of nursing students

Introducción: los procesos de evaluación educativa constituyen un elemento indispensable no solo para conocer la perspectiva del alumno hacia su educación sino también para el diseño de estrategias que mejoren la experiencia de los alumnos en el aula. A partir de la pandemia de COVID-19, la mayoría de los sistemas educativos en México pasaron a la educación en línea. La Escuela de Enfermería en Tijuana del Instituto Mexicano del Seguro Social (IMSS) aplicó esta misma estrategia, por lo que es necesario evaluar metodológicamente la satisfacción de los alumnos ante esta modalidad educativa. Objetivo: evaluar la satisfacción respecto a la educación en línea de una muestra de alumnos de enfermería ante la contingencia de COVID-19. Metodología: estudio cuantitativo, descriptivo transversal, con una muestra de 285 alumnos de la Escuela de Enfermería IMSS-UABC Tijuana. Se aplicó el Cuestionario de satisfacción de alumnos universitarios hacia la formación online, además de un cuestionario breve sobre tecnologías de la información y la comunicación. Resultados: de manera general los resultados fueron positivos en cuanto a satisfacción, con una media de 3.10, y hubo una mayor satisfacción en segundo y sexto semestre; la dimensión con mayor satisfacción fue la de profesor-tutor. Conclusiones: la satisfacción percibida por parte de los alumnos fue adecuada; sin embargo, factores como el no contar con dispositivos de acceso a internet pueden influir en la satisfacción percibida de la educación en línea.

Introduction: The educational evaluation processes constitute an essential element not only to know the perspective of the student towards his education but also is a basic tool for the design of strategies that improve the experience of the students in the classroom. From the start of COVID-19 pandemic onwards, most of the educational systems in Mexico switched to distance education. The Mexican Institute for Social Security's (IMSS, according to its initials in Spanish) Nursing School in Tijuana carried out this same strategy, which is why it was necessary to evaluate the satisfaction of the students in a methodological way in the presence of this new educational modality. Objective: To evaluate the satisfaction concerning online education of a sample of nursing students in the face of the COVID-19 contingency. Methodology: Quantitative, descriptive cross-sectional study, with a sample of 285 students from the IMSS-UABC Tijuana nursing school. The instrument called Satisfaction questionnaire of university students towards online training was administered, in addition to a brief questionnaire on technologies of information and communication. Results: In general, the results were reported as positive with regards to satisfaction with an average of 3.10, finding greater satisfaction in the second and sixth semesters. The teacher-tutor dimension was the one with the highest satisfaction. Conclusions: The satisfaction perceived by the students was appropriate; however, factors such as not having devices to access internet can influence the perceived satisfaction of online education.

The use of community problem solving in undergraduate nurse education: A literature review.

BACKGROUND: To effectively realise their role in health promotion nurses need a clear understanding of the social determinants of health. In 1987 the WHO recommended that students participate in meaningful community based problem-solving to prepare them for health promotion practice, including actual or simulated community health projects. OBJECTIVE: To explore the use of community problem-solving in undergraduate nurse education and its impact on students' understanding of population health. METHOD: This literature review used a five-stage iterative method, to explore the following research question; how is community problem-solving being used in undergraduate nurse education and to what effect? Following a systematic database search (CINAHL, MEDLINE, ERIC and ProQuest BNI), forward citation and snowballing, 82 studies were screened against the inclusion and exclusion criteria. A critical appraisal of the studies was conducted using COREQ and data was extracted using a summary table. Thematic analysis was used to identify major themes from the literature. RESULTS: Ten studies were identified which explore the use of community problem-solving these provide some useful insight into the design, application and the apparent benefits of the approach in undergraduate nurse education. Three key themes emerge: students develop a broader vison of their future role in health promotion, a deeper understanding of community and social determinants, as well as identifying the role of community assets for health. Only one of the studies included in the review evaluated the impact of community problem-solving on health promotion practice after graduation. CONCLUSION: The concept of CPS in undergraduate nurse education has been around for many years, but there has never been a comprehensive review of its implementation or effectiveness. Research into its impact is needed to examine whether it increases students' understanding of their future role in health promotion. If nurses are expected to play a key role in public health, nurse educators need research evidence to support the design and delivery of CPS to implement a population health approach to undergraduate nurse education.

Educational effects of community service-learning involving older adults in nursing education: An integrative review.

BACKGROUND: Community service-learning is a structured experiential learning approach in which students engage in service activities in response to identified community need(s). Service-learning programmes are developed to promote understanding of societal issues and facilitates critical learning for the learners, with emphasis on learning through reflection. OBJECTIVES: To synthesize findings from published and grey literature related to the educational effects of community service-learning involving older adults in nursing education and evaluate the quality of existing service-learning programmes. DESIGN: Integrative review following Whittemore and Knafl's framework to analyse and synthesize a broader range of evidence. DATA SOURCES: Six databases (PubMed, ScienceDirect, CINAHL, PsycINFO, ERIC and ProQuest) were systematically searched from inception until 30 July 2021. Reference lists of relevant studies and reviews were also assessed for eligible studies. We also searched for grey literature and dissertations in ProQuest and Google Scholar. REVIEW METHODS: The 5-step method was used: problem identification, literature search, data evaluation, analysis, and presentation. Included studies were appraised using the Mixed Methods Appraisal Tool checklist. Service-learning programmes were evaluated using the Service-Learning Quality Assessment Tool. RESULTS: A total of 21 studies were included. Educational benefits of service-learning in the three domains of learning (cognitive, affective and psychomotor) were identified. Nine service-learning programmes achieved adequate quality and implementation of service-learning principles, while 12 exhibited emergent quality and implementation. CONCLUSIONS: Service-learning provides various benefits in nursing education. Existing empirical studies do not always follow established service-learning principles, and the quality of evidence is considered low. Future studies should use more rigorous methodologies and improve the reporting of research.

Nursing Education during the SARS-CoV-2 Pandemic: Assessment of Students' Satisfaction with e-Learning Environment.

The disease caused by the SARS-CoV-2 coronavirus led to the disruption of normality with respect to education, public healthcare and new technologies. Education is a fundamental pillar to increase the knowledge and morale of people. However, due to the lockdown implemented to protect the population from an infection of unknown aetiology, the education system decided to switch from face-to-face education to virtual education. This modality has affected the teaching-learning process in the Degree of Nursing, since its competencies and knowledge demand in-presence learning. The aim of this study was to evaluate the impact that telematic education had on students of the Degree of Nursing who were studying in the final year of said degree, which involves their imminent entry into the labour market. We used the client satisfaction questionnaire of Bob Hayes to gather data and analyse the satisfaction level of the nursing students. As a result, a considerable amount of information was obtained about teaching, which shows the absence of practical activities and the lack of information about safety and protection measures related to the pandemic. Most educators themselves were struggling to understand the implications of the virus and implement appropriate safety measures, since there was quite a bit of conflicting information relating to the effectiveness of personal protective safety equipment and the lifespan of the virus on various media outside of the host. It is, therefore, not surprising that education for students in this regard was lacking. In general, most of the students showed dissatisfaction with the virtual education they received.

Two-Tier Instant-Feedback Assessment Strategy for Improvement of Student Concentration.

In this study, a two-tier instant-feedback assessment model was constructed using the Zuvio instant-feedback system and oral questions; this model was applied to conduct formative assessments for an introductory computer course. We adopted a one-group pretest-posttest approach with 52 first-year nursing students. The course ran for 6 weeks with two classes per week. The course content of mBlock language and the educational robotic kit mbot was introduced in the first 2 weeks. From the third to the sixth week, the two-tier instant assessment strategy was added. At the end of the teaching experiment, surveys on concentration and course satisfaction were administered. Our results were as follows: (1) two-tier instant-feedback assessment can enhance student concentration, as the results showed that students' concentration improved; (2) in the subscale, the "competitive selection" dimension reached a significant difference; and (3), the students held positive views toward the incorporation of two-tier instant-feedback assessment into the course.

Social justice education in nursing: An integrative review of teaching and learning approaches and students' and educators' experiences.

OBJECTIVES: To synthesize literature about teaching social justice to nursing students and identify approaches for effective teaching of social justice issues in nursing education. DESIGN: An integrative review. DATA SOURCES: Literature was searched in CINAHL, PubMed, Scopus, Science Direct, and OVID databases. In total, 32 articles were assessed for full-text eligibility, and 18 articles published from January 2011 until August 2021 were critically appraised and reviewed. REVIEW METHODS: Articles were appraised using Mixed Methods Appraisal Tool. Data analysis and synthesis were completed using literature summary tables, constant comparative analysis, and thematic synthesis. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines were followed for reporting. RESULTS: Two themes: Teaching Approaches Fostering Student Learning of Social Justice and Capabilities Promoting Effective Teaching and Learning about Social Justice were generated. The teaching and learning approaches included experiential, reflective and case based. The necessary capabilities to foster social justice education were intrapersonal assessment and collaboration of educators and students. CONCLUSIONS: Participating in interactive, group, and relational simulations and service-learning, interpersonal dialogues, and collaborative work in critical community-based pedagogies has the potential to develop students' competencies to practice social justice in their everyday practice. Nurse educators should be mindful of personal biases and competencies concerning social justice and take proactive steps to develop competencies for effectively teaching students. Nurse educators can implement teaching strategies integrating real clinical cases to improve students learning of social justice and impartial care for vulnerable populations.

Comparative analysis of ageing in Nigeria and United Kingdom using life course approach: the implication for the Nursing profession in Nigeria.

The population of Nigerian older persons is expected to reach 26 million by 2050 from 9 million reported in 2016. This population change has several implications, thus the need to pay attention to healthy ageing. Hence, this report aims to compare ageing and its facilitators in Nigeria and the United Kingdom (UK). The life course theory was used to explore the influence of early life factors and experiences on ageing. Unlike the UK, little attention is given to the care of Nigerian older persons. Therefore, Nigerian stakeholders must design and implement a comprehensive policy on healthy ageing. Also, there is an urgent need for training nurses to meet this demand as it arises.

Effect assessment of the application value of evidence-based nursing intervention in operating room nursing: A protocol for a systematic review and meta-analysis.

BACKGROUND: The advantages of evidence-based nursing (EBN) intervention in health care settings have been widely disseminated to nurses throughout the world. More researches are reporting the effectiveness of EBN intervention in operating room nursing. However, the results are inconsistent. This study focuses on conducting a meta-analysis and systematic evaluation aimed at determining the usefulness of EBN intervention in operating room nursing. METHODS: The Preferred Reporting Items for Systematic Reviews and Meta-analysis for Protocols criteria were used to write this paper. We will look for relevant studies from 2 Chinese databases (China National Knowledge Infrastructure and Wanfang database and also from 3 English databases such as Web of Science, Cochrane Library, PubMed, and EMBASE), to locate all relevant randomized controlled trials and observational studies assessing the application value of EBN intervention in operating room nursing from their commencement to June 2021. Separately, 2 authors will choose the studies, do the data extract and conduct the assessment probing into the likelihood of bias. If there is a disagreement, it will be resolved by the third author. RevMan 5.3 software and Stata 15.0 software will be used to conduct the meta-analysis. RESULTS: The usefulness of EBN intervention in operating room nursing will be assessed in this study. CONCLUSION: The purpose of this research is to conclude the value of EBN intervention in operating room nursing and the quality of current data. ETHICS AND DISSEMINATION: Since there is no requirement for data on the individual patient, hence there will be no need for ethical approval. OSF NUMBER: DOI 10.17605/OSF.IO/MSXNF.

A philosophical analysis of anti-intellectualism in nursing: Newman's view of a university education.

Canadian and international nursing educators are increasingly concerned with the quality of university nursing education. Contemporary nursing education is fraught by a growing anti-intellectualism coupled with the dominance of neoliberalism and corporate university business culture. Amid these challenges, nursing schools must prepare nurses to provide care in an era compounded by social and health inequities. The purpose of this paper was to explore the philosophical and contextual factors influencing anti-intellectualism in nursing education. We use John Henry Newman's view of the purpose of a university education as a heuristic perspective to examine anti-intellectualism in nursing. We contend that the ideological worship of technological advances, a culture of consumerism, quality improvement and risk management, the primacy of doing over thinking, competency-based curricula and business models rooted in neoliberal financial policies reinforce anti-intellectualism in nursing. Anti-intellectualism is a complex issue to address within the corporate university culture. We propose multiple strategies at the disciplinary, university and sociopolitical levels to decrease anti-intellectualism. Counteracting anti-intellectualism requires critical thinking, praxis and emancipation. Nurses should critically examine this anti-intellectual trend as it limits the advancement of the discipline and marginalizes its contributions within the academy. If nurses do not address this challenge, the survival of nursing as an academic discipline may be jeopardized.

Challenges and needed reforms in midwifery and nursing regulatory systems in India: Implications for education and practice.

BACKGROUND: In India, nursing regulation is generally weak, midwifery coexists with nursing, and 88% of nursing and midwifery education is provided by the private health sector. The Indian health system faces major challenges for health care provision due to poor quality, indeterminate regulatory functions and lack of reforms. METHODS: We undertook a qualitative investigation to understand midwifery and nursing education, and regulatory systems in India, through a review of the regulatory Acts, and an investigation of the perceptions and experiences of senior midwifery and nursing leaders representing administration, advocacy, education, regulation, research and service provision in India with an international perspective. RESULTS: There is a lack of importance accorded to midwifery roles within the nursing system. The councils and Acts do not adequately reflect midwifery practice, and remain a barrier to good quality care provision. The lack of required amendment of Acts, lack of representation of midwives and nurses in key governance positions in councils and committees have restrained and undermined leadership positions, which have also impaired the growth of the professions. A lack of opportunities for professional practice and unfair assessment practices are critical concerns affecting the quality of nursing and midwifery education in private institutions across India. Midwifery and nursing students are generally more vulnerable to discrimination and have less opportunities compared to medical students exacerbated by the gender-based challenges. CONCLUSIONS: India is on the verge of a major regulatory reform with the National Nursing and Midwifery Commission Bill, 2020 being drafted, which makes this study a crucial and timely contribution. Our findings present the challenges that need to be addressed with regulatory reforms to enable opportunities for direct-entry into the midwifery profession, improving nursing education and practice by empowering midwives and nurses with decision-making powers for nursing and midwifery workforce governance.

Effect of a theory-driven educational intervention on the level of knowledge, attitudes, and assessment practices regarding breakthrough cancer pain (BTCP) management among medical nurses in Hong Kong.

PURPOSE: To examine the effect of an educational intervention intended to improve medical nurses' adherence to breakthrough cancer pain (BTCP) assessment practices and their level of knowledge, attitudes and perceived assessment practices regarding BTCP management. METHODS: Nurses working in a regional hospital were recruited to this quasi-experimental study. The intervention group received a 3-h educational workshop and one session of individual clinical instruction, whilst the control group did not receive any intervention. Chart audits were performed to examine adherence to BTCP assessment practices as the primary outcome. A self-developed questionnaire was used to measure nurses' knowledge, attitudes and perceived assessment practices regarding BTCP management as the secondary outcomes. The chi-square or Fisher's exact test was used to compare the rate of adherence to BTCP assessment practices between groups. A generalised estimating equation was used to compare changes in knowledge, attitudes, and perceived assessment practices between groups over time. RESULTS: One hundred and five nurses completed the study. The chart audits revealed a significantly higher rate of adherence to BTCP assessment practices in the intervention group after the intervention (p < .05). The intervention group exhibited significant positive changes in scores for knowledge (ß = 25.49, p < .001), attitude (ß = 0.98 to 2.81, p < .01), and their perceived assessment practices (ß = 1.33 to 3.14, p < .002) when compared with the control group. CONCLUSIONS: This theory-driven educational intervention significantly improved the medical nurses' adherence to BTCP assessment practices and their level of knowledge attitudes and perceived assessment practices regarding BTCP management.

Percepción de la Calidad del Proceso enseñanza-aprendizaje según las dimensiones planificación, ejecución y evaluación en estudiantes de maestría de enfermería / Nursing Master's Students' Perception about the Quality of the Teaching-Learning Process in the Dimensions Planning, Execution and Evaluation

Introducción: La búsqueda de la calidad educativa es un desafío permanente en las instituciones universitarias, está asociada a diversos factores, entre los que predomina el proceso enseñanza-aprendizaje; que es una política establecida por la Universidad Nacional Mayor de San Marcos que se orienta al buen vivir y a responder a las necesidades del país. Objetivo: Describir la percepción de la calidad del proceso enseñanza-aprendizaje según las dimensiones: planificación, ejecución y evaluación en estudiantes de maestría de enfermería. Métodos: Investigación descriptiva, transversal, en la Universidad Nacional Mayor de San Marcos, Facultad de Medicina, Maestría en Enfermería, período 2014 -2016. Se trabajó con toda la población, 65 estudiantes de maestría de enfermería. Se usó como técnica la entrevista y como instrumento una escala tipo Likert modificada, previamente validada por ocho jueces expertos y la prueba binomial (0,035), confiable mediante prueba piloto y el coeficiente de correlación de Pearson (0,96). Resultados: Sobre la calidad del proceso de enseñanza-aprendizaje, 73 por ciento tenía una percepción medianamente favorable. En cuanto a las dimensiones se obtuvo similar percepción en la planificación 62 por ciento; 75 por ciento en ejecución y respecto a la evaluación 68 por ciento. Conclusiones: En los estudiantes de maestría de enfermería predominó la percepción medianamente favorable sobre la calidad del proceso enseñanza-aprendizaje, lo que implica establecer estrategias de retroalimentación para mejorar estos aspectos(AU)

Introduction: The search for educational quality is a permanent challenge in university institutions. It is associated with various factors, among which the teaching-learning process is highlighted. This is a policy established by Universidad Nacional Mayor de San Marcos oriented towards good living and responding to the needs of the country. Objective: To describe a nursing master's students' perception about quality of the teaching-learning process according to the dimensions planning, execution and evaluation. Methods: Descriptive and cross-sectional research carried out in the Nursing Master's course taught at the School of Medicine of Universidad Nacional Mayor de San Marcos, in the period 2014-2016. We worked with the entire population of 65 nursing master's students. The interview was used as a technique. As an instrument, a modified Likert-type scale, previously validated by eight expert judges, was used, together with the binomial test (0.035), reliable by means of a pilot test, as well as Pearson's correlation coefficient (0.96). Results: Regarding quality of the teaching-learning process, 73 percent had a moderately favorable perception. Regarding the dimensions, a similar perception was obtained: 62 percent in planning, 75 percent in execution, and 68 percent in evaluation. Conclusions: Nursing master's students had a prevailing moderately favorable perception of the quality of the teaching-learning process, which implies establishing feedback strategies to improve these aspects(AU)

Configuration of Mobile Learning Tools to Support Basic Physical Assessment in Nursing Education: Longitudinal Participatory Design Approach.

BACKGROUND: As many students in higher education are skilled users of mobile technology, mobile learning (mLearning) can be a promising educational strategy to enhance their learning experience. mLearning might also be well suited for nursing students as they navigate between multiple learning contexts in their educational curriculum. As an educational strategy, mLearning may also reduce challenges caused by the theory-practice gap in nursing by supporting skills and knowledge transfer between the university and clinical settings. As the introduction of basic physical assessment skills (B-PASs) into Norwegian bachelor's degree education in nursing occurred quite recently, there is a lack of competence in supervision and teaching in both university and clinical settings. As such, mLearning appears to be a good strategy to support student B-PAS learning and knowledge transfer across learning contexts. OBJECTIVE: This study aims to explore and elicit the perspectives of students regarding the way in which a selection of digital learning resources supports B-PAS learning and application in clinical rotation, which of the selected digital learning resources are beneficial to include in a suite of mLearning tools, and how the selected digital learning resources could support the transfer of skills and knowledge from the academic to clinical context. METHODS: We used a longitudinal participatory design approach to co-design a suite of mLearning tools. The co-design processes took place in several workshops (WSs) over a period of 3 months: 2 WSs with first-year students (n=6), 3 WSs with second-year students (n=6), and 3 WSs with third-year students (n=8). The students evaluated several digital learning resources in both academic and clinical contexts. The digital learning resources included digital simulation with virtual patients, massive open online courses, and multimedia learning material. In the co-design WS, the potential and benefits of these digital learning resources for the learning and application of B-PASs were explored. RESULTS: The students reported that the digital learning resources stimulated learning in 7 different ways. They also emphasized the importance of including all selected and tested digital learning resources. Moreover, students supported the inclusion of additional learning material, such as multiple-choice tests and written assignments, aimed at providing feedback and contributing to knowledge development. CONCLUSIONS: The co-design processes and collaboration with the nursing students provided insight into how a suite of mLearning tools may support the learning and application of B-PASs and human bioscience knowledge in clinical rotation. From the students' perspective, one of the strengths of the suite of mLearning tools was the range of content, as this met a broader range of student learning preferences regarding learning B-PASs. The suite of mLearning tools contributes to and supports skills training and knowledge transfer between multiple learning contexts.