Exploring the Delivery of Healthcare in the Police Detention Center Through Remote Presence Technology.

INTRODUCTION: There is overwhelming evidence to support the delivery of high-quality health service at a lower cost with the use of advanced technologies. Implementing remote presence technology to expand clinical care has been fraught with barriers that limit interprofessional collaboration and optimal client outcomes. In Canada, government ministries responsible for correctional services, policing, and health are well positioned to link federal, provincial, and regional services to enhance service delivery at the point of care for individuals detained within the justice system. Using remote presence technology to link the detention center with relevant health services such as the emergency room has the potential to open up a new care pathway. RESEARCH QUESTION: The key research question was how a new intervention pathway for individuals detained in police service detention centers could be implemented. RESEARCH DESIGN: Utilizing an exploratory qualitative research design, interviews were undertaken with 12 police service and six healthcare participants. Data were transcribed and thematically analyzed. FINDINGS: Four main themes emerged and included role conflict, risk management, resource management, and access to services. A number of collaborative learning partnerships were identified by the participants. IMPLICATIONS: These themes reveal important facilitators and barriers to attending to the health needs of detainees within the police detention center through the utilization of remote presence.

Implementation of Electronic Objective Structured Clinical Examination Evaluation in a Nurse Practitioner Program.

BACKGROUND: The Objective Structured Clinical Examination (OSCE) is a valuable, yet resource-intensive method for evaluating clinical competence of students in health disciplines. Electronic OSCE (eOSCE) management programs have the potential to support evaluative efficiency and objectivity of OSCEs. METHOD: The processes for selecting, implementing, and evaluating use of an eOSCE management system in a Master of Nursing Primary Health Care Nurse Practitioner program are described. RESULTS: Tailored selection and implementation of an eOSCE management system to fit program needs and available resources facilitated optimal use of eOSCE, promoting grading efficiency, ability to provide prompt feedback to students, and examiner objectivity. These advantages were found to outweigh the disadvantages of extra time and effort to initially learn the eOSCE program. CONCLUSION: A program-centered approach to implementation of an eOSCE management system supports high-quality, efficient assessment of student clinical competencies. [J Nurs Educ. 2018;57(8):502-505.].

Studying abroad: Exploring factors influencing nursing students' decisions to apply for clinical placements in international settings.

BACKGROUND: For over 15 years the College of Nursing at the University of Saskatchewan has facilitated study abroad clinical placements in a number of countries to enhance student learning. Nursing students often find their study abroad experience to be a defining moment in their educational program, and in their personal and professional growth. OBJECTIVES: The main objective of this research was to explore factors influencing nursing students' decisions to study abroad. DESIGN: A descriptive longitudinal design study was conducted using an online survey. SETTINGS: The Study Abroad Survey was distributed to all undergraduate and graduate nursing students, in all years of all programs, at all sites of the College of Nursing, University of Saskatchewan in Saskatchewan, Canada. PARTICIPANTS: A total of 1058 nursing students registered in the 2013-2014 academic year were surveyed. METHODS: The data were collected using an online survey administered by Campus Labs™ (2014). RESULTS: Students indicated that their interest in study abroad international experiences was high (84%), with many perceived benefits, but barriers to participation were also high for these students. Financial barriers topped the list (71%), followed by family responsibilities (30%) and job obligations (23%). CONCLUSION: The research highlights the factors behind student decision making related to international placements, and provides the basis for improvements to the College of Nursing's International Study Abroad Program (ISAP). Previous travel and international service learning, resulting in increased perceived value of a study abroad experience may prove to be the more significant factor influencing decision making, rather than financial barrier.