An Innovative Experiential Approach to Learning About Quality Improvement Processes.

ABSTRACT: Baccalaureate nursing students receive education to develop quality and safety competencies. Approaches vary due to time constraints and availability of clinical sites. In this innovative, semester-long activity, student groups applied quality improvement resources from the Institute for Healthcare Improvement, addressing problems such as stethoscope hygiene practices and weekly screen time. Students' evaluation of the experience indicated a growth in knowledge, skills, and positive attitudes toward quality improvement. Experiential nonclinical practices are an innovative and effective way to prepare baccalaureate students for participation in quality improvement activities.

Teaching Baccalaureate Students Research Concepts Using Colored Candies.

ABSTRACT: A collaborative, experiential learning activity was designed to develop nursing students' understanding of research concepts. Working in pairs, students determine if a candy company is filling bags with equal numbers of each candy color. Pairs receive 100 colored candies and instructions to obtain simple random, systematic, stratified, and cluster samples. Color counts from each sampling method are entered on a Google spreadsheet. During debriefing, students explore results, unexpected problems (e.g., inconsistent technique, missing candies), representativeness of samples (size, inclusion/exclusion criteria), and ethical conduct. Students develop knowledge to be better consumers of research and more capable advocates for high-quality nursing care.

COVID-19 Disruption of Nursing Education and the Effects on Students' Academic and Professional Confidence.

BACKGROUND: In spring 2020, the novel coronavirus prompted a sudden shift in nursing education. This study evaluated students' perceptions of their ability to adjust to these challenges. METHODS: A cross-sectional survey of students (n = 286) in BSN programs throughout the United States was conducted via email to examine 3 areas of student confidence (academic success, NCLEX-RN success, and patient care delivery) and to determine how these were affected by the abrupt transition to remote learning. RESULTS: Variables, including alignment of remote instruction styles with learning styles, ease of transition to distance learning, and educating children at home, were significantly associated with students' confidence in their ability to be successful academically, on NCLEX-RN, and in patient care. CONCLUSIONS: With potential for ongoing challenges due to the coronavirus, faculty need to identify and support students at greater risk of experiencing difficulties and threats to success, thereby preventing attrition and ensuring preparation of a diverse workforce.

Using Combined Tabletop and Simulation Activities to Improve Nursing Students' Attitudes About Quality Improvement: A Feasibility Study.

ABSTRACT: Nursing students' attitudes about quality improvement (QI) reflect poor understanding of its importance. In a mixed-method interventional feasibility study, students received instruction about QI processes, plus information about factors contributing to central line-associated bloodstream infection (CLABSI) rates at a hypothetical hospital. Experimental group students observed a high-fidelity simulation bedside report for a CLABSI-affected patient. Both groups independently completed tabletop QI exercises to solve the CLABSI problem and had equivalent improvement in attitudes. Joint debriefing revealed how experimental group students developed greater understanding of interrelated, system-wide contributing factors. Hybrid learning activities with tabletop and simulation positively influence students' attitudes about QI.