Embracing Paradigmatic Diversity in Nursing: The Stadium Model in Nursing.

Arguably, the quest for a central, unifying paradigm in nursing has distracted from moving disciplinary knowledge forward in an accessible, meaningful manner. In this discursive philosophical article, we uphold that multiparadigmatic research teams and diverse approaches inform effective nursing praxis. We provide an overview of our worldviews (dialectical pluralism, critical realism, humanism, and pragmatism) and their philosophical assumptions and describe how they are commensurate with nursing. We present the Stadium Model in Nursing as a metaphor to illustrate how various worldviews function like different sections of a stadium to offer diverse, yet important vantages of our nursing phenomena of interest.

Primary care nursing competencies in Canadian undergraduate nursing programs: A national cross-sectional survey.

AIM: To assess the extent to which Canadian undergraduate baccalaureate nursing programs have incorporated Canadian competencies for Registered Nurses in primary care into their curricula. BACKGROUND: Canadian competencies for Registered Nurses in primary care have several benefits, including their ability to inform primary care education in undergraduate nursing programs and to assist in building a robust primary care nursing workforce. DESIGN: We conducted a national cross-sectional survey of undergraduate baccalaureate nursing programs (n = 74). METHODS: The survey was conducted between April-May 2022. We used a modified version of the "Community Health Nurses' Continuing Education Needs Questionnaire". Respondents indicated their level of agreement on a 6-point Likert scale with 47 statements about the integration of the competencies in their program (1 = strongly disagree; 6 = strongly agree). RESULTS: The response rate was 51.4%. The overall mean across the six competency domains was 4.73 (SD 0.30). The mean scores of each domain ranged from 4.23 (SD 1.27) for Quality Assurance, Evaluation and Research to 5.17 (SD 0.95) for Communication. CONCLUSIONS: There are gaps in how these competencies are included in undergraduate education programs and opportunities to strengthen education for this growing workforce in Canada.

Integration of primary care education into undergraduate nursing programs: a scoping review protocol.

OBJECTIVE: The objective of this scoping review is to examine and map literature related to primary care education in undergraduate nursing programs and to describe the attributes and extent of primary care education. INTRODUCTION: Primary care is a model of first-contact, continuous, comprehensive, and coordinated health care. Registered nurses are integral in successful collaborative team models of primary care. However, it is unclear how undergraduate nursing programs offer opportunities to learn about nursing practice within primary care settings. A better understanding of the attributes and extent of primary care education in undergraduate nursing programs will direct research, inform teaching-learning, and develop a stronger primary care nursing workforce. INCLUSION CRITERIA: This review will consider articles that include faculty/administrators, preceptors, or students of nursing programs that qualify graduates for entry-level registered nursing practice. Articles that report on undergraduate teaching-learning related to primary care will also be considered. Practical nursing, advanced practice, and post-licensure programs will be excluded. Teaching-learning related to settings other than primary care will also be excluded. METHODS: The Framework of Effective Teaching-Learning in Clinical Education will be the organizing framework for this scoping review. A 3-step search strategy will be followed to identify published and unpublished literature. Articles published in English or French will be included. Data extracted from eligible articles will include details on the study design/method, participants, context, type of teaching-learning activity, attributes associated with dimensions of the teaching-learning environment, and relevant outcomes. The results will be reported in tabular and/or diagrammatic format, accompanied by a narrative summary. REVIEW REGISTRATION NUMBER: Open Science Framework: https://osf.io/cw5r3.

Hindsight Is 2020: A Graduate Student Perspective.

The year 2020 was unpredictable and brought about unimaginable change for our world, disrupting operations within the nursing profession and healthcare systems at large. In this discussion paper, we revisit a report from the Canadian Nurses Association, Toward 2020: Visions for Nursing (Villeneuve and MacDonald 2006), from a graduate student perspective. In this 2006 report, the authors presented a series of predictions for the preferred future of nursing in Canada in 2020. Even without the pandemic, the pre-existing trends in healthcare and nursing did not favour success for the visions presented in this national nursing report. Now, two years after 2020, we examine the extent to which these predictions held true in the following areas: health systems, nursing practice, nursing workforce, nursing education and nursing regulation. We conclude that most of the preferred scenarios were unmet or partially met, and argue that it is critical to enact relevant preferred scenarios now. While the deleterious effects of the pandemic will be felt by the nursing profession for years, these experiences did not hinder our collective ability to lead change in Canada. We offer insights to provide recommendations for nursing actions toward a healthier future for Canadians. The best of nursing in Canada is within sight.