Incorporating a Psychiatric Telehealth Simulation in a Family Nurse Practitioner Curriculum.

The prevalence of mental health disorders in primary care is high and challenges related to the COVID pandemic warrant further training of the family nurse practitioner. A telehealth simulation learning experience that included common primary care diagnoses in mental health-general anxiety, depression, and substance use disorder-was incorporated into a non-clinical behavioral health course. Formative evaluation provided by licensed nurse practitioners confirmed the need for improving interviewing techniques, engaging clients, and promoting safety among this population. Students' confidence during the encounter was measured using the Simulation Effectiveness Tool. Findings suggest a simulation learning experience is an effective resource for training nurse practitioner students to treat mental health disorders.

Perspectives on developing moral courage in pre-licensure education: A qualitative study.

BACKGROUND: Error reporting and speaking up are mechanisms to reduce the incidence of healthcare errors. However, organizational policies don't always align with individuals' perceptions and beliefs to promote these mechanisms. When this misalignment produces fear, moral courage, which is taking action regardless of personal consequences, becomes necessary. Teaching moral courage in pre-licensure education may set a foundation for individuals to speak up in post-licensure careers. AIM: To explore health professionals' perceptions of healthcare reporting and organizational culture to inform pre-licensure education on how to promote moral courage. METHODS: Thematic analysis of four semi-structured focus groups with fourteen health professions educators followed by in-depth, semi-structured individual interviews. FINDINGS: Organizational factors, characteristics that an individual must possess to enact moral courage and priority methods to guide moral courage were identified. CONCLUSIONS: This study outlines the need for leadership education in moral courage and offers educational interventions to promote reporting and aid in developing moral courage academic guidelines to improve healthcare error reporting and speaking up behaviors.

Individual Characteristics That Promote or Prevent Psychological Safety and Error Reporting in Healthcare: A Systematic Review.

Background: Healthcare errors continue to be a safety issue and an economic burden that causes death, increased length of stays, and emotional trauma to families and the person who commits the error.  Speaking up and error reporting within a safety culture can reduce the incidence of error; however, this is complex and multifaceted. Aim: This systematic review investigates individual characteristics that support or prevent speaking up behaviors when adverse events occur.  This study further explores how organizational interventions designed to promote error reporting correlate to individual characteristics and perceptions of psychological safety.  . Methods: A systematic review of peer-reviewed articles in healthcare that contain characteristics of an individual that promote or prevent error reporting was conducted. The search yielded 1233 articles published from 2015 to 2021. From this set, 81 full-text articles were assessed for eligibility and ultimately extracted data from 28 articles evaluated for quality using Joanna Briggs Institute critical appraisal tools©. Principal Findings: The primary themes for individual character traits, values, and beliefs that influence a person's decision to speak up/report an error include self-confidence and positive perceptions of self, the organization, and leadership. Education, experience and knowledge are sub themes that relate to confidence. The primary individual characteristics that serve as barriers are 1) self-preservation associated with fear and 2) negative perceptions of self, the organization, and leadership. Conclusion: The results show that an individual's perception of their environment, whether or not it is psychologically safe, may be impacted by personal perceptions that stem from deep-seated personal values. This exposes a crucial need to explore cultural and diversity aspects of healthcare error reporting and how to individualize interventions to reduce fear and promote error reporting.

An Innovative Model Integrating an Academic-Practice Partnership in an RN-BSN Program.

ABSTRACT: Research demonstrates a higher concentration of bachelor of science in nursing (BSN)-prepared registered nurses improves patient care outcomes. To increase the BSN workforce, one academic institution, in collaboration with a practice partner, formed an academic-practice partnership. Strategic actions included the development of the integration model for the RN-BSN program as a framework for program expansion, curricular revision, nurse leader faculty integration, and student clinical placement. Partnership outcomes included the acceptance of all qualified applicants for admission, clinical placement secured for all students, excellent course evaluation ratings for faculty, and development of a sustainable and transferrable model.

Development of a Transformative Standardized Approach for Written Communication Skills in an Online RN-BS Program.

ABSTRACT: The perceived quality of health care received is highly dependent upon the quality of communication between patients and their health care providers and between members of the health care team (Institute of Medicine, 2003). A comprehensive, standardized module for developing effective writing skills was established and integrated in a research-intensive university in the southeastern United States. One year after integration, more than 60 percent of students and 50 percent of targeted courses accessed and adopted the module. The impact of the module upon student outcomes is being measured.

Longitudinal study of breast cancer risk markers.

Atypical hyperplasia (AH) and lobular carcinoma in situ (LCIS) are markers for an increased risk of breast cancer, yet outcomes for these diagnoses are not well-documented. In this study, all breast biopsies performed for radiologic abnormalities over a 10-year period were reviewed. Patients with AH or LCIS were followed for an additional 10 years to assess subsequent rates of cancer diagnosis. Long-term follow-up showed that 25 (7.8%) patients with AH and 5 patients with LCIS (5.7%) developed breast cancer over the follow-up period, a lower rate of breast cancer development than predicted by risk models.

Development of a Foundations of Simulation Teaching Course for Nurse Educators.

Academic leaders in a college of nursing were faced with an increasing need to integrate high quality simulations into their undergraduate curriculum; however, there was a general lack of expertise in the subject area among faculty. The leaders supported the development of an online course that focused on improving foundational simulation knowledge. The course, developed through collaboration between a faculty simulation expert and an instructional designer, was specifically designed to focus on key simulation objectives to improve the simulation skill set of faculty. Posttest scores revealed an increase in simulation knowledge.

The Relationship Between Levels of Fidelity in Simulation, Traditional Clinical Experiences and Objectives.

The purpose of this study was to explore the relationship of baccalaureate nursing students' (BSN) perceived learning effectiveness using the Clinical Learning Environments Comparison Survey of different levels of fidelity simulation and traditional clinical experiences. A convenience sample of 103 first semester BSN enrolled in a fundamental/assessment clinical course and 155 fifth semester BSN enrolled in a leadership clinical course participated in this study. A descriptive correlational design was used for this cross-sectional study to evaluate students' perceptions after a simulation experience and the completion of the traditional clinical experiences. The subscales measured were communication, nursing leadership, and teaching-learning dyad. No statistical differences were noted based on the learning objectives. The communication subscale showed a tendency toward preference for traditional clinical experiences in meeting students perceived learning for communication. For student perceived learning effectiveness, faculty should determine the appropriate level of fidelity in simulation based on the learning objectives.

Use of Simulation in Undergraduate and Graduate Education.

Simulation is not just technology but a teaching method used to allow students to practice in a safe environment. The focus of simulation is to improve patient safety, communication, and the ability of the student to think and act as a nurse or advanced practice nurse. As use of simulation in nursing education increases, more regulations, guidelines, and standards are being developed to assist nursing programs to obtain best outcomes. This article provides readers with an overview of simulation use in undergraduate and graduate nursing education.

Using Simulation to Promote Professional Development of Clinical Instructors.

BACKGROUND: Clinical instructors play an important role in the education of nursing students. Nursing faculty must provide orientation and support for clinical instructors to ensure quality clinical experiences for students. Simulation can be used as a teaching strategy to prepare clinical instructors for clinical teaching. The purpose of this article is to describe the use of simulation to prepare clinical instructors in the role of teaching and increase confidence to provide clinical education to students. METHOD: Clinical instructors attended an orientation program that included simulation. During the simulation, nursing student volunteers role-played situations that required instructors to intervene for patient safety. Following the simulation, clinical instructors completed an online survey to measure confidence in teaching students. RESULTS: Twenty-six clinical instructors participated in the simulation with student volunteers and completed the survey. CONCLUSION: Clinical instructors thought the simulation prepared them for clinical teaching, increased their confidence, and assisted them to provide student feedback.

Teaching Nursing Leadership: Comparison of Simulation versus Traditional Inpatient Clinical.

Nurse educators claim accountability to ensure their students are prepared to assume leadership responsibilities upon graduation. Although front-line nurse leaders and nurse executives feel new graduates are not adequately prepared to take on basic leadership roles, professional nursing organizations such as the American Nurses Association (ANA) and the Association of Colleges of Nursing (AACN) deem leadership skills are core competencies of new graduate nurses. This study includes comparison of a leadership-focused multi-patient simulation and the traditional leadership clinical experiences in a baccalaureate nursing leadership course. The results of this research show both environments contribute to student learning. There was no statistical difference in the overall score. Students perceived a statistically significant difference in communication with patients in the traditional inpatient environment. However, the students perceived a statistical significant difference in teaching-learning dyad toward simulation.

Recipe for health: impacting diabetes in African Americans through faith-based edcuation.

The Recipe For Health educational initiative was designed to increase knowledge of diabetes prevention and management for African Americans (AAs) in rural Alabama. By providing culturally competent information, training, and skill-building activities to lay leaders in faith-based settings who teach church members, Recipe For Health can create a ripple effect of diabetes knowledge that could lower disease complications in the AA population.

A volunteer citizen-servant pilot program using tailored messages to empower Alabamians to live healthier lives.

OBJECTIVES: This study examines the use of tailored messages as a learning tool to volunteer citizen servants to promote health and empower Alabama citizens to live healthier lives. DESIGN AND SAMPLE: Descriptive data of formative and summative questionnaires were analyzed from convenience sampling in this study, which encompassed 12 months. MEASURES: Researchers formed unique partnerships among community service organizations (CSO), faith-based organizations (FBO), author affiliated school of nursing, and community organizations to implement Healthy People 2010 goals. The program provided "health information stations" to focus on delivery of monthly culturally relevant messages to meet the health needs in the community. RESULTS: This program provided tailored health messages to 11 CSO and FBO. Outcome measures include an increase in health promotion knowledge, desire for furtherance and expansion of programs, and improved contacts within the community. CONCLUSIONS: The results from this study provide achievement of overall program goals, suggestions for improved evaluation strategies, implementation plans, and examples of specific topical messages.