Shared Governance Through Bylaws: Transformation Within a College of Nursing.

BACKGROUND: Enhancing faculty voice and promoting shared governance within academia has long been called for but has not been well-reported. A college of nursing in the midwestern United States identified shortcomings in its organizational structure including lack of faculty voice, communication barriers, lack of faculty participation in decision making, and academic programs operating independently. METHOD: A workgroup was formed to transform the bylaws to promote shared governance, including faculty voice, equality, and engagement. RESULTS: The bylaws were revised and presented to faculty for discussion, further revisions, and vote. The revised bylaws were approved and implemented in August 2021. CONCLUSION: Through transformation of the bylaws, the college's 12-committee structure was reconceptualized to five standing committees and 13 subcommittees. Clear communication lines and cross-committee collaboration was established to break down the former academic program silos. Faculty with primary teaching assignments are equally represented throughout the structure with voice, vote, and responsibility. [J Nurs Educ. 2024;63(5):277-281.].

Assessment of nursing faculty retirement projections.

BACKGROUND: Nursing faculty retirement is a critical factor contributing to the nursing faculty shortage. PURPOSE: To assess the accuracy of projections on 2016 to 2025 nursing faculty retirements made in a previous study by Fang and Kesten (2017). METHODS: The 2016 to 2022 full-time nursing faculty data collected by American Association of Colleges of Nursing were used to examine the accuracy of the retirement projections for the same years. DISCUSSION: The study found that the mean age of full-time nursing faculty decreased for the first time; the number of faculty retirees and their age distributions projected by Fang and Kesten (2017) were accurate; there was a larger loss of nursing faculty at senior ranks to retirements than was anticipated; nursing faculty aged 50 to 59 in 2015 have made significant progress in doctoral attainment, senior rank, and graduate-level teaching by 2022, but they were still underrepresented in senior ranks compared to the 2016 to 2022 retirees; and for nursing faculty with a PhD degree, their growth was slower than their loss to retirements. CONCLUSION: The findings demonstrate the usefulness of the specific methods for faculty retirement projections. The decline in the mean age of nursing faculty is a positive sign that there is an increased recruitment of younger nurses into academia. The increase in the number of younger nurses entering academia with Doctor of Nursing Practice (DNP)-degree preparation can be leveraged through PhD-DNP collaboration to prepare practice-ready nursing graduates who contribute to health care improvements. Nursing schools need to implement innovative strategies to mentor younger faculty for their successful succession.

[Developing cultural competence in nursing schools]. / Le développement de la compétence culturelle en institut de formation en soins infirmiers.

Cultural competence is not mentioned as such in the training standards for future nurses, but it is essential for appropriate, personalized and effective care. Learning about and reflecting on one's own history and culture enable an open relationship with patients from other cultures.

The development and challenges of public health nursing education in China from 1912 to 1949: A historical study.

OBJECTIVE: To examine the development and challenges of public health nursing education in China during the period of the Republic of China (1912-1949). METHODS: This study utilized a historical research design that combined a social framework and a policy framework to explore the early history of public health nursing education in China. Historical data were collected from periodicals, newspapers, archives, books and other sources. RESULTS: Public health was integrated into the nursing school curriculum for the first time during the period of the Republic of China, and health facilities and nursing schools conducted early explorations of public health nurse training. However, public health nursing education faced difficulties in terms of the curriculum, personnel training, and the localization of education. CONCLUSIONS: The achievements and difficulties associated with public health nursing education in China during the period of the Republic of China provide a historical reference for the integration of public health into current basic nursing education and the compatibility between the training of public health nurses and practical needs. Comparative studies of early public health nursing education across countries are expected to offer a better understanding of current public health nursing education.

How Entering Students View Nursing as a Profession After COVID-19: A Qualitative Study.

ABSTRACT: The COVID-19 pandemic significantly affected the nursing profession. Nurses were called heroes during the pandemic, yet nursing is now suffering a staffing crisis. This phenomenological study asked 15 incoming first-semester nursing students about their perceptions of the nursing profession. Verbatim transcripts were analyzed, and three themes emerged: Vicarious Pride, Raw Gratitude, and Help Is Coming. With a need to attract more applicants and graduate more nurses, nursing schools might use these identified concepts to recruit and motivate prospective students. This research provides insight into the motivation to attend nursing school following the pandemic.

Overcoming Barriers of Incorporating Diversity, Equity, and Inclusion Initiatives in Nursing Schools.

BACKGROUND: To create an inclusive environment in nursing education, challenges to incorporating change must be addressed including institutional racism, power differences, privilege, and implicit biases (O'Connor et al.). This article discusses barriers that interfere with the implementation of diversity, equity, and inclusion (DEI) initiatives within schools of nursing and offers strategies for building a culture of inclusivity at academic institutions. METHOD: This article is based on factual, researched, and firsthand information. RESULTS: Administrators and stakeholders need to determine how DEI is incorporated into their institution's mission, vision, and values. Forming a DEI council that consists of equal representation from faculty, staff, and students will foster inclusiveness to incorporate DEI initiatives within schools of nursing and will allow outcomes to be measured. CONCLUSION: Barriers should be identified and removed to make schools of nursing a safe and inclusive zone for faculty, staff, and students. [J Nurs Educ. 2024;63(1):53-56.].

A Descriptive Study Examining the Correlation of Emotional Intelligence and Leadership Styles to Conflict Management Styles of Nursing School Administrators.

AIM: This study aimed to identify if a correlation exists among trait emotional intelligence (EI), leadership styles, and conflict management styles used by nurse education administrators. BACKGROUND: Nursing is fraught with incivility, bullying, and increasing physical aggression. Conflict surrounds nurses at every level. EI and leadership styles in nursing have been addressed. Few studies were found that addressed conflict management by nurse education administrators. METHOD: A quantitative nonexperimental correlational design using discriminant analysis was used in this study. RESULTS: Trait EI factors of emotionality and sociability correlated with conflict management styles. Leadership styles and conflict management styles were situational; management styles of integrating and compromising were underused in conflict situations. CONCLUSION: Nurse education administrators are in a position to become disruptive innovators in changing the nursing culture. The increased use of conflict management styles of integrating and compromising can help address incivility and bullying.

Sustaining success for Black nursing students.

Of the estimated 5.2 million nurses across the United States of America, only 6 % identify as Black or African American. Increasing the number of Black Registered Nurses (RNs) can benefit society by improving the well-documented healthcare disparities. Black students continue to report negative experiences in nursing school that contribute to difficulty in nursing education programs. Nursing programs struggle to adequately support Black students so that they are successful in their quest to become RNs. Often when students are unsuccessful, faculty focus attention on the student's failed strategies, as opposed to examining possible programmatic and faculty failures. The purposes of this article are to describe challenges Black students may face and to present practical strategies focused on the programmatic and faculty improvements that are needed to foster success. Strategies such as using root cause analyses, use of academic care coordinators, academic success teams, and intentional faculty development can be used to facilitate success for Black nursing students. Addressing programmatic and faculty issues may improve Black students' success in nursing programs.

Remote interviews in nurse practitioner programs: Addressing bias.

A diverse nursing workforce is key to addressing health disparities and moving the United States towards health equity. Building and sustaining a diverse nursing work force requires close attention to admissions, including interviews. Bias in nursing school interviews has been documented, particularly impacting applicants from historically excluded groups (especially racial and ethnic minorities). With the pivot to remote interviews due to Covid 19, faculty and schools now need to consider bias in remote interviews. This article describes the implementation and outcomes of a faculty training to identify and mitigate bias in remote interviews.

Llamen a las normalistas. La formación de los profesionales de la salud (educadores sanitarios y enfermeras en salud pública) en Brasil, 1920-1930 / Call teachers. Training of health professionals (health educators and public health nurses) in Brazil

El artículo se explaya sobre el proceso de reclutamiento de profesoras de enseñanza primaria, popularmente llamadas normalistas, en la evolución de la formación en Brasil de las profesiones de salud (educadoras, visitadoras sanitarias y enfermeras). Las características socioculturales de las normalistas las convirtieron en el tipo ideal de mujeres para servir a las nuevas profesiones de salud. Además de la similitud de género (profesiones femeninas), las profesiones docentes primarias y de la salud compartían saberes y prácticas de matriz biomédica e higienista y un mismo campo profesional (escuelas, centros de salud y hogares), lo que determinó afinidades entre las políticas públicas de educación y de salud.(AU)

The article discusses the mobilization of primary teachers, popularly called normalists in the process of constitution, in Brazil, of the sanitary professions (educators or health visiters and nurses). The sociocultural characteristics of normalists made them the ideal type of women recruited to the new health professions. The sociocultural characteristics of normalists made them the ideal type of women recruited to the new health professions. In addition to the similarity of gender (female professions), the primary teaching and health professions shared knowledge and practices of biomedical and hygienist matrix and the same field of professional activity (schools, health posts and households), which translated the affinities between public policies for education and heal.(AU)

Community-based nursing: a concept analysis with Walker and Avant's approach.

BACKGROUND: Community-based nursing in recent years has received much attention from nursing schools in different countries as a suitable solution in response to existing and future problems and challenges, but there is yet no comprehensive and correct understanding of this concept and considering its importance, the present study was conducted to the aim of analyzing the concept of community-based nursing. METHODS: Concept analysis was done using Walker and Avant's 8-step approach. Nursing dictionary, Persian dictionary, research articles, journals and conferences articles, dissertations, thesis, books, and other sources related to the concept of research were investigated through search engines and available databases using the keywords of nursing, community-based, concept analysis and Walker and Avant from 1990 to 2023. Finally, 54 articles related to the concept were reviewed and analyzed. RESULTS: The results showed that community-based nursing has attributes such as individual-oriented/ family-oriented/ community-oriented, social partnership with the communities and stakeholders, social justice, and group and interprofessional cooperation, the community as the main activity setting, providing services based on cultural diversity, providing services according to the context, conditions and community needs, caring for individuals and families with health problems throughout life, responding to the community needs, community-based experiences and facing real-life issues in the context of community, using a problem-based and service-based approach, providing context-based care and considering factors affecting health. In this regard, borderline and related cases (community health nursing, community-oriented nursing, population-based nursing, and public health nursing) were also presented to clarify the concept. Antecedents of community-based nursing included: determining the position of community-based nursing, making infrastructure and structure, the partnership between university, hospital and community, identifying all settings, the presence of educators proficient in education, survey of community needs, having knowledge, communication and community-based skills, expanding the role of the nurse, stakeholders' attitude towards community-oriented nursing and management and financial support. Consequences of community-based nursing included: competence development in nurses, solving community-based nursing challenges, meeting the health needs of individuals, families and communities, social justice, and increasing access to health care services. CONCLUSION: The results of this study can provide an objective and understandable image of the use of community-based nurses and their education in practice. Conducting more quantitative and qualitative studies about community-based nursing is also recommended.

Should Nursing Schools Boycott Traditional College Ranking Systems?

New measures would focus on advancing health equity.

Empowered Approaches to Critical/Challenging Encounters: Promoting PEACE in a School of Nursing.

The Promoting Empowered Approaches for Critical/Challenging Encounters (PEACE) program, developed at Duke University School of Nursing, is designed to navigate communication when there has been an exchange between community members, either with actions, words, or behaviors, that does not align with the school's core values. The goal of this program is to provide resources that promote conflict resolution through conversation, as well as managing conflict at the organizational level.

Hidden No More: Addressing the Health and Wellness of LGBTQIA+ Individuals in Nursing School Curricula.

BACKGROUND: Lesbian, gay, bisexual, transgender, queer or questioning, intersex, asexual (LGBTQIA+) individuals face barriers to equitable health care access. During clinical encounters, LGBTQIA+ individuals interact with nurses and health care providers who often lack a thorough understanding of LGBTQIA+ cultures, terminology, and strategies for culturally affirming care. This article details the process undertaken to include LGBTQIA+ health elective courses. METHOD: To outline LGBTQIA+ health education, a curriculum crosswalk was conducted. Course descriptions, objectives, and outcomes were crafted with faculty input. Priority LGBTQIA+ areas were analyzed, and textbook content was cross-referenced to identify topics for inclusion. RESULTS: In Spring 2022, two LGBTQIA+ courses were launched. Undergraduate students at New York University Meyers (n = 27) and undergraduate and graduate students at the University of Pennsylvania (n = 18) comprised the inaugural classes. CONCLUSION: LGBTQIA+ individuals experience poorer health outcomes due to longstanding health inequities. These disparities are partly fueled by the minimal exposure nursing students receive in their undergraduate education. Guidelines on the development of courses designed to highlight needs may address disparities, leading to better health outcomes. [J Nurs Educ. 2023;62(5):307-311.].

The AACN Essentials journey.

The new AACN Essentials: Core Competencies for Professional Nursing Education create an opportunity to nursing education to transform the educational preparation of our workforce with new standards for all member schools to implement into their academic programs as we prepare the future nursing workforce. With the advent of these updated academic standards, many nursing schools across the nation are reviewing program outcomes and transitioning from concepts to competencies. The purpose of the article is to describe the early phases of a quality improvement initiative to implement the new AACN Essentials within the undergraduate curriculum of a large school of nursing spanning multiple campuses. The article conveys lessons learned to help support and guide other schools of nursing.

Development and Validation of an Operational Model for Nursing Academic-Practice Partnerships.

BACKGROUND: Several definitions and guiding principles for nursing academic-practice partnerships exist. PROBLEM: There remains a gap between academic-practice partnership definitions and practical operational models, thereby limiting schools of nursing ability to engage in productive partnerships. This article describes the development and validation of a novel Operational Model for Nursing Academic-Practice Partnerships. APPROACH: An email survey of all nursing faculty (n = 228) identified quantity and types of faculty-led academic-practice partnerships. Quantitative data were analyzed using descriptive statistics. Qualitative data were analyzed via thematic analysis conducted by 2 members of the project team and validated by the full project team. OUTCOMES: The Operational Model for Academic-Practice Partnerships was created and is comprised of 8 partnership strategies: innovation, embedded faculty, joint appointment, consultant, independent practice, volunteer, scholarship, and clinical site development. CONCLUSION: We offer this model as a framework to structure the development, implementation, and evaluation of academic-practice partnerships at nursing schools.