Estado actual y tendencias en el proceso de formación de enfermeras(os) de cuidados críticos / Current status and trends in the training process of critical care nurses

Introducción: Las Organizaciones Internacionales reconocen que, para las profesiones de la salud, es trascendental el desarrollo de sus especialidades dado que les permite profundizar conocimientos y habilidades para una práctica profesional más cualificada que permita mejorar la calidad de atención.Objetivo: Explorar el estado del arte, aplicación de modelos y teorías de enfermería en unidades de cuidado intensivo y las tendencias en la formación en la formación del especialista en enfermería del paciente en estado crítico. Método: Investigación documental cuyo objeto de estudio fueron 17 artículos de investigaciones relacionadas con el tema, los artículos fueron capturados en bases de datos internacionales Scielo, Elsevier, ScienceDirect, publicados entre los años 2011-2021. Se utilizó como instrumentos de recolección de información una matriz para la selección de investigaciones y la Ficha Analítica de Investigación. El análisis se orientó con base a la evolución del proceso formativo, enfoques teóricos-disciplinares y tendencias y retos de la formación. Resultados: Se encontró artículos provenientes de revisiones documentales y en menor proporción de estudios de investigación cualitativa o cuantitativa. Conclusiones: El estudio permitió reconocer los avances del proceso formativo y la evolución de estrategias de enseñanza aprendizaje propias de modelos educativos tradicionales a otras que estimulan el pensamiento reflexivo y crítico. Es escasa la literatura que da cuenta de la aplicación de modelos y teorías de enfermería en las unidades de cuidado crítico, se encontró perspectivas novedosas relacionadas con la formación en enfermería para el cuidado crítico (AU)

Introduction: International Organizations recognize that, for the health professions, the development of their specialties is transcendental since it allows them to deepen knowledge and skills for a more qualified professional practice that allows improving the quality of care. Objective: To explore the state of the art, application of nursing models and theories in intensive care units and trends in the training of nursing specialists for critically ill patients.Method: Documentary research whose object of study were 17 research articles related to the subject, the articles were captured in international databases Scielo, Elsevier, ScienceDirect, published between 2011-2021. A matrix for the selection of investigations and the Investigation Analytical Sheet were used as information collection instruments. The analysis was oriented based on the evolution of the training process, theoretical-disciplinary approaches and training trends and challenges Results: Articles from documentary reviews were found and, to a lesser extent, from qualitative or quantitative research studies. Conclusions: The study allowed us to recognize the progress of the training process and the evolution of teaching-learning strategies typical of traditional educational models to others that stimulate reflective and critical thinking. The literature that accounts for the application of nursing models and theories in critical care units is scarce; novel perspectives related to nursing training for critical care were found (AU)

Nivel competencial adquirido en el abordaje de la violencia de género en estudiantes de Enfermería / Competence level achieved by Nursing students for addressing gender-based violence

Objetivo: conocer el nivel competencial en violencia de género de los estudiantes de 4º de Grado de Enfermería y comparar su nivel competencial con el adquirido por estudiantes de 1º.Método: estudio descriptivo transversal. Población de estudio: estudiantado de 1º y 4º curso del Grado en Enfermería de la Universidad Autónoma de Madrid. Recogida de datos: cuestionario validado Physician Readiness To Manage Intimate Partner Violence Survey (PREMIS).Resultados: participaron 47 estudiantes; el 96,1% en 1º y el 85,7% en 4º eran mujeres. Un 80,8% (n= 21) del estudiantado de 1º y un 57,1% (n= 12) de 4º señalaron no haber recibido ninguna formación sobre la violencia sobre la mujer infligida por su pareja (VMIP) antes de iniciar el grado. El 52,4% (n= 11) de 4º afirmó haber recibido formación teórica frente al 34,6% (n= 9) de 1º; y formación práctica el 23,8% (n= 5) de 4º frente al 3,8% (n= 1) de 1º. El alumnado de 4º obtuvo puntuaciones más elevadas en los ítems referidos a la autopercepción sobre su capacidad de actuación ante la víctima y conocimiento sobre violencia de compañero íntimo. Tanto en 1º como en 4º se identificó ser mujer como principal factor de riesgo para sufrir maltrato, y se sintieron con menos capacitación en la cumplimentación de los requisitos legales asociados a la notificación del maltrato.Conclusión: la implantación de la guía docente mejora la capacidad del estudiantado para la detección de los casos de VMIP, mostrando dificultades para aplicar el conocimiento adquirido a situaciones concretas. (AU)

Objective: to understand the competence level achieved by Nursing Degree students in their fourth year for addressing gender-based violence, and to compare their competence level with that acquired by first year students.Method: a descriptive cross-sectional study. Study population: 1st and 4th students of Nursing Degree at the Universidad Autónoma de Madrid (Madrid, Spain). Data collection: validated questionnaire Physician Readiness to Manage Intimate Partner Violence Survey (PREMIS).Results: 47 Nursing students; 96.1% in first year and 85.7% in fourth year were female. 80.8% (n= 21) of first year students and 57.1% (n= 12) of fourth year claimed that they had never received any training on Intimate Partner Violence against Women (IPVAW) before starting their degree. 52.4% (n= 11) of fourth year students stated that they had received theoretical training vs. 34.6% (n= 9) of first year students; and 23.8% (n= 5) of fourth year students had received practical training vs. 3.8% (n= 1) of first year students. Students in their fourth year achieved higher scores in those items related to self-perception of their skills of action towards the victim, and knowledge about the IPVAW. In first and fourth year, they identified that being a woman was a top factor of risk for suffering abuse. Students from both years felt less qualified to complete the legal requirements associated with abuse reporting.Conclusion: the implementation of a teaching guide improved the ability of students to detect cases of IPVAW, showing the difficulties to apply the knowledge acquired into specific scenarios. (AU)

Comunicar la Historia de la Enfermería en la universidad: motivación innovadora y co-creación / Communicating the History of Nursing at University: Innovative Motivation and Co-Creation

Objetivo principal: Conocer el desarrollo de las prácticas innovadoras educativas en la docencia de Historia de la Enfermería en el Grado de Enfermería de España, caracterizando los entornos docentes e identificando las necesidades para su potenciación. Metodología: Estudio descriptivo transversal de alcance exploratorio, con encuesta que se aplicó a docentes de esta materia de universidades españolas, tanto públicas como privadas o concertadas. Resultados principales: Se observa variabilidad de perfiles de profesorado, de horas de impartición y de competencias y metodologías docentes. Si bien las metodologías activas son utilizadas por la mayoría de los encuestados, se aprecia la falta de procesos innovadores. Conclusión principal: Es mayor la motivación del profesorado hacia la comunicación de la Historia de la Enfermería de una manera innovadora que el nivel de desarrollo alcanzado hasta ahora en las tecnologías empleadas, identificándose por tanto un importante margen de mejora de cara al futuro (Au)

Objective: To know the development of innovative educational practices in the teaching of Nursing History in the Nursing degree in Spain, characterizing the teaching environments and identifying the needs for their empowerment. Methods: Cross-sectional descriptive study with an exploratory scope, with a survey that was applied to teachers of this subject at Spanish universities, both public and private or concerted. Results: Variability in teacher profiles, teaching hours, and teaching skills and methodologies is observed. Although active methodologies are used by the majority of respondents, there is a lack of innovative processes. Conclusions: The motivation of the teaching staff towards the communication of the History of Nursing in an innovative way is greater than the level of development reached so far in the technologies used, thus identifying an important margin for improvement for the future (AU)

Trato digno en la atención de salud a la comunidad LGBTIQA+ / Dignity in treatment in health care to the LGBTIQA+ community

El trato digno, igualitario e inclusivo se ha constituido en un fenómeno de estudio en el contexto de la atención sanitaria, pero su abordaje es aún limitado frente al desconocimiento respecto al tema por parte del equipo de salud hacia las personas de la comunidad de la diversidad sexual, hoy conocida con la sigla que les representa como LGBTIQA+, quienes están inmersos fundamentalmente, en una sociedad heteronormada, donde la formación profesional con enfoque de género y diversidad sexual es aún limitada. El objetivo de la argumentación del escrito es presentar algunas referencias conceptuales, derechos legales, consecuencias para la salud que fundamentan una propuesta para el cambio de las instituciones de salud y de las enfermeras y enfermeros que iluminen el derecho de las personas de esta comunidad a recibir un trato digno.

Dignified, equal and inclusive treatment has become a study phenomenon in the context of health care, but its approach is still limited due to the lack of knowledge on the subject by the health team towards people from the diversity sexual, today known by the acronym that represents them as LGBTIQA+, who are fundamentally immersed in a heteronormative society, where professional training with a gender and sexual diversity approach is still limited. The objective of the argumentation of the writing is to present some conceptual references, legal rights, health consequences that support a proposal for the change of the health institutions and of the nurses that illuminate the right of people in this community to receive a decent deal.

Educación tanatológica en Enfermería / Thanatological education in Nursing

Todo paciente terminal y su entorno pasan por una difícil situación que involucra la muerte, el dolor y la decisión. Para cualquier profesional de la salud es necesario contar con los conocimientos necesarios acerca de los cuidados tanatológicos al paciente o familia, para lograr incrementar el grado de conciencia en lo concerniente a su significado, divulgación y accesibilidad, teniendo en cuenta que es importante la comprensión de dichos cuidados. Los cuidados tanatológicos ante situaciones terminales son la expresión y el cumplimiento de un servicio indispensable en determinadas circunstancias de la vida. El acompañamiento en la última fase de la vida debe ser comprendido con la naturaleza y el conocimiento necesario, por lo que toda escuela que forme recursos en salud debe ofrecer al alumno las herramientas adecuadas para que, a su egreso como profesional de la salud, pueda atender correctamente al paciente en esta fase. La profesión de Enfermería se ha caracterizado por su gran labor humanística, por el ímpetu de aminorar el dolor de todo enfermo, comprendiendo el eje bio-psico-social que rodea a todo paciente y su enfermedad. En el camino asistencial de todo enfermo, el personal de Enfermería juega un rol muy importante al estar en mayor contacto con el paciente, es en este punto donde dos ciencias (Enfermería y Tanatología) se unen para asistir decorosamente a pacientes terminales. Las escuelas formadoras de capital humano en salud deben enfocarse en esta nueva necesidad de la sociedad y crear modelos de atención específicos para pacientes terminales.

Every terminal patient and their environment go through a difficult situation, death, pain and decision. For any health professional, it is necessary to have the necessary knowledge about thanatological care for the individual or family, in order to increase the degree of awareness regarding its meaning, dissemination and accessibility, taking into account that it is important to understand said care. Thanatological care in terminal situations is the expression and fulfillment of an essential service in certain life circumstances. The accompaniment in the last phase of life must be understood with the nature and the necessary knowledge, so that every school that trains health resources must have the correct training so that the health professional who graduates can properly attend to the patient In this phase. The nursing profession has been characterized for many years by its great humanistic work, by the impetus to reduce the pain of every patient, understanding the bio-psycho-social axis that surrounds every patient and their illness. In the care path of every patient, the nursing staff plays a very important role by being in greater contact with the patient, it is at this point where two sciences (nursing and tanology) come together to decently assist terminal patients. Schools that train human capital in health should focus on this new need of society and create specific care models for terminal patients.

Ethics and Well-Being: The Health Professions and the COVID-19 Pandemic.

The COVID-19 pandemic has had a profound impact on health professionals, adding to the moral suffering and burnout that existed prepandemic. The physical, psychological, and moral toll of the pandemic has threatened the well-being and integrity of clinicians. The narrative of self-sacrifice and heroism bolstered people early on but was not sustainable over time. For health professions students, the learning environment changed dramatically, limiting opportunities in direct patient care and raising concerns for meeting training requirements. Learners lost social connections and felt isolated while learning remotely, and they witnessed ethical tensions between patient-centered care and parallel obligations to public health. Worries about transmission of the virus and uncertainty about its management contributed to their moral suffering. Educators adjusted curricula to address the changing ethical landscape. Preparing learners for the realities of their future professional identities requires creation of interprofessional moral communities that provide support and help develop the moral agency and integrity of its members using experiential and relational learning methods. Investing in the well-being and resilience of clinicians, implementing the recommendations of the National Academy of Medicine, and engaging learners and faculty as cocreators of ethical practice have the potential to transform the learning environment. Faculty need to be trained as effective mentors to create safe spaces for exploring challenges and address moral adversity. Ethics education will need to expand to issues related to health systems science, social determinants of health, and public health, and the cultivation of moral sensitivity, character development, professional identity formation, and moral resilience.

Impact of the COVID-19 Pandemic on the Future of Nursing Education.

Nursing is the largest health profession, with nearly 4 million providers practicing across acute, primary, and public health care settings. In response to the pandemic, nursing schools halted on-site course delivery and redesigned programs to attenuate risks to students and faculty. Key challenges faced by schools included financial cutbacks, rapid increases in online learning technology, maintaining student academic progression, disruption to clinical learning opportunities, and meeting accreditation standards, while addressing the stress and loss experienced by faculty, staff, and students. Despite challenges, nursing organizations provided guidance for decision making, new learning resources, and faculty development opportunities. Schools of nursing leveraged their resources to redesign nursing curricula, strengthen partnerships for student clinical experiences, and address needs of the community. Nursing education will look different from its prepandemic profile in the future. Lessons learned during the pandemic point to gaps in nursing education, particularly related to disaster and public health preparedness, health equity, and technology. The American Association of Colleges of Nursing's new Essentials-standards for professional nursing education-were finalized during the pandemic and reflect these lessons. The need for nurse scientists to conduct emergency response research was made evident. The importance of strong academic-practice partnerships was highlighted for rapid communication, flexibility, and responses to dynamic environments. For the future, nursing education and practice must collaborate to ensure that students and practicing nurses are prepared to address emergencies and pandemics, as well as the needs of vulnerable populations.

Competência cultural no cuidado de Enfermagem à pessoa com deficiência: notas sobre a formação do enfermeiro / Cultural competence in nursing care for disabled people: notes on nursing education / Competencia cultural en el cuidado de enfermería de la persona con discapacidad: notas sobre la formación del enfermero

O objetivo do presente estudo foi analisar a formulação de competência cultural para o cuidado de Enfermagem à pessoa com deficiência. Trata-se de um estudo descritivo e documental realizado por meio da análise de projetos pedagógicos de cursos de graduação em Enfermagem. Os dados foram analisados no software Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnairese, associado ao referencial teórico Transcultural Interprofessional Practice. A classificação hierárquica descendente originou duas classes, abordando o desenvolvimento da competência cultural para o cuidado de enfermagem individual e coletivo da pessoa com deficiência por meio de evidências científicas nos diferentes ciclos de vida e níveis de atenção, com ênfase na reabilitação e comunicação no processo saúde-doença. A formulação da competência cultural foi abordada de modo amplo e inespecífico, requerendo inclusão nos currículos de disciplinas que abordem a temática.(AU)

This study analyzed the development of cultural competence in nursing care for disabled people. We conducted a descriptive documentary study involving the analysis of education plans for undergraduate degree courses in nursing. The data were analyzed using the software Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaire Transcultural in Interprofessional Practice in conjunction with the theoretical frame of reference. The descending hierarchical classification gave rise to two categories: the development of cultural competence in individual and collective nursing care for disabled people using scientific evidence for different life cycles; and levels of care, with emphasis on rehabilitation and communication in the health-disease process. The development of cultural competence was approached in a broad and unspecific manner and should be included in the curriculums of courses that address the topic.(AU)

Analizar la formulación de competencia cultural para el cuidado de enfermería de la persona con discapacidad. Estudio descriptivo, documental realizado por medio del análisis de proyectos pedagógicos de cursos de graduación en enfermería. Datos analizados en el software Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires y asociado a la referencia teórica Transcultural Interprofessional Practice. La clasificación jerárquica descendente originó dos clases abordando el desarrollo de competencia cultural para el cuidado de enfermería individual y colectivo de la persona con discapacidad por medio de evidencias científicas en los diferentes ciclos de vida y niveles de atención con énfasis en la rehabilitación y comunicación en el proceso salud-enfermedad. La formulación de competencia cultural se abordó de modo amplio e inespecífico, requiriendo inclusión en los currículos de asignaturas que aborden la temática.(AU)

Percepción de docentes de Enfermería en torno a la investigación formativa / Percepção de docentes de enfermagem em torno da pesquisa formativa / Perception of teachers Nursing surrounding training investigation

The construction of disciplinary knowledge through research is one of the priorities of academicsettings, in which the teaching role from teaching and formative research contribute to the scientificdevelopment of nursing. Objective. To know the perceptions of the teachers of the nursing faculty onformative research. Methodology. Descriptive qualitative approach study with content analysis techniquebased on inductive categorization. Twenty-eight higher education teaching participants from the nursingfaculty were included, the information was collected through a written questionnaire. Results. Threecategories emerged: 1. Formative research as an educational training process, to solve phenomena inpractice 2. Formative research in the generation of new skills in students 3. Formative research in thegeneration of scientific knowledge for all actors. Conclusions. Formative research must be consolidatedin teachers and strengthen disciplinary knowledge, it is pertinent to implement strategies that allowteachers to align the concepts and strategies they implement in the classroom. (AU)

La construcción del conocimiento disciplinar por medio de la investigación es una de lasprioridades de los escenarios académicos, en el cual el rol docente desde la enseñanza y la investigaciónformativa contribuyen al desarrollo científico de enfermería. Objetivo. Conocer las percepciones de losdocentes de la facultad de enfermería sobre la investigación formativa. Metodología. Estudio de abordajecualitativo de tipo descriptivo con técnica de análisis de contenido basado en categorización de tipoinductivo. Se incluyeron 28 participantes docentes de educación superior de la facultad de enfermería, lainformación se recolectó por medio de un cuestionario escrito. Resultados. Surgieron tres categorías: 1.La investigación formativa como proceso de formación educativo, para dar solución a fenómenos en lapráctica 2. La investigación formativa en la generación de nuevas habilidades en los estudiantes 3. Lainvestigación formativa en la generación de conocimiento científico de todos los actores. Conclusiones.La investigación formativa debe ser consolidada en los docentes y fortalecer el conocimiento disciplinar,es pertinente la puesta en marcha de estrategias que permitan alinear en los docentes las concepciones yestrategias que implementan en el aula. (AU)

A construção de saberes disciplinares por meio da pesquisa é uma das prioridades dosambientes acadêmicos, nos quais o papel docente do ensino e da pesquisa formativa contribui para odesenvolvimento científico da enfermagem. Objetivo. Conhecer a percepção dos docentes do corpodocente de enfermagem sobre a pesquisa formativa. Metodologia. Estudo de abordagem qualitativadescritiva com técnica de análise de conteúdo baseada na categorização indutiva. Foram incluídos 28docentes do ensino superior da faculdade de enfermagem, as informações foram coletadas por meio dequestionário escrito. Resultados. Emergiram três categorias: 1. A investigação formativa como processode formação educacional, para a resolução de fenómenos na prática 2. A investigação formativa nageração de novas competências nos alunos 3. A investigação formativa na geração de conhecimentocientífico para todos os atores. Conclusões. A pesquisa formativa deve se consolidar nos professores efortalecer os saberes disciplinares, sendo pertinente implementar estratégias que permitam aosprofessores alinhar os conceitos e estratégias que implementam em sala de aula. (AU)

Parsons Mission: a reflection about the immediate effects for the implementationof modern nursing / Misión Parsons: una reflexión sobre los efectos inmediatos para laimplementación de la enfermería moderna / Parsons Mission: a reflection about the immediate effects for the implementation of modern nursing

Objective: to reflect on the immediate effects of the Technical Cooperation Mission forNursing Development in Brazil, headed by Ethel Parsons. Method: this is a theoretical reflectionon the immediate effects of the performance of the mission of nurses led by Ethel Parsons,covering the period from 1921 to 1931. Results: The Parsons Mission provided important effectsfor the implementation of nursing in Brazil, such as the creation of an Anglo-American nursingschool, the first in the country to be organized and directed by nurses; a general care hospital thatmet the practice needs of these new professionals, linked to the nursing school; a service of publichealth nurses in the National Department, to which the school and services were linked; as wellas the creation of emblems and institutional rituals, which conferred visibility and molds for theconstruction of a professional identity. Conclusions: The Parsons Mission in its 10 years ofoperation produced significant effects for the nursing profession in the country, which providedvisibility to the figure of the registered nurse and opened paths for the profession to rise to moreprestigious and active positions.

Objetivo: reflexionar sobre los efectos inmediatos de la Misión de CooperaciónTécnica para el Desarrollo de la Enfermería en Brasil, dirigida por Ethel Parsons. Método: se tratade una reflexión teórica sobre los efectos inmediatos del desempeño de la misión de enfermerasliderada por Ethel Parsons, que abarca el período de 1921 a 1931. Resultados: La Misión Parsonsbrindó efectos importantes para la implementación de la enfermería en Brasil, tales como lacreación de una escuela de enfermería angloamericana, la primera en el país en ser organizada ydirigida por enfermeras; un hospital de cuidados generales que cubriera las necesidades depráctica de estos nuevos profesionales, vinculados a la escuela de enfermería; un servicio deenfermeras de salud pública en el Departamento Nacional, al que se vinculaba la escuela y losservicios; así como la creación de emblemas y rituales institucionales, que conferían visibilidady moldes para la construcción de una identidad profesional. Conclusiones: La Misión Parsons ensus 10 años de funcionamiento produjo efectos significativos para la profesión de enfermería enel país, lo que brindó visibilidad a la figura del enfermero titulado y abrió caminos para que laprofesión ascendiera a posiciones más prestigiosas y activas.

Objetivo: refletir sobre os efeitos imediatos da Missão de Cooperação Técnica para oDesenvolvimento da Enfermagem no Brasil, chefiada por Ethel Parsons. Método: trata-se de umareflexão teórica sobre os efeitos imediatos da atuação da missão de enfermeiras lideradas porEthel Parsons, compreendendo o período de 1921 a 1931. Resultados: A Missão Parsonsproporcionou importantes efeitos para a implantação da enfermagem no Brasil, como a criação140Cultura de los Cuidados. 1º Cuatrimestre 2022. Año XXVI. nº 62de uma escola de enfermagem nos moldes anglo-americano, primeira no país organizada edirigida por enfermeiras; um hospital geral de assistência que atendesse as necessidades de práticadessas novas profissionais, vinculado a escola de enfermagem; um serviço de enfermeiras desaúde pública no Departamento Nacional, ao qual escola e serviços estavam vinculados; bemcomo a criação de emblemas e rituais institucionais, os quais conferiam visibilidade e moldespara a construção de uma identidade profissional. Conclusões: A Missão Parsons em seus 10 anosde atuação produziu efeitos significativos para a profissão de enfermagem no país, os quaisproporcionaram visibilidade à figura da enfermeira diplomada e abriu caminhos para que aprofissão galgasse mais posições de prestígio e atuação.

Evolution of nursing teaching in the use of education technology: a scoping review.

OBJECTIVE: To identify and map the technological tools of information and communication to support the teaching learning process in Nursing teaching courses. METHODS: This is a scoping review whose search was carried out in seven databases and in grey literature. After an initial analysis of the selection, 88 texts were read integrally, and 29 made up the final sample. RESULTS: Virtual learning environment and object, simulation, hypermedia, and software or cellphone applications were the tools the nursing professors used the most. Studies highlight that the application of technology was important in the teaching-learning process, since it encouraged teaching based on safe care, motivating and developing abilities/competences, supported on significant, effective, flexible, and autonomous learning. CONCLUSION: The contribution of the technology for nursing formation stands out, but it should be highlighted that its employment must be critical, reflective, based on pedagogical theories and developed by trained professors.

Academic-Service Partnerships: Increasing the Advanced Nurse Workforce.

BACKGROUND: Clinical education placement for advanced practice registered nurse (APRN) students is challenging for most graduate schools of nursing. This study describes the experiences of hospitals that formed academic-service partnerships to facilitate clinical education placement for APRN students. METHOD: Hospital staff, schools of nursing administration and clinical faculty staff, clinical preceptors, and APRN students participated in the focus group and interview sessions during the evaluation of the Graduate Nurse Education demonstration project. RESULTS: Content analysis resulted in seven themes: APRN Student Enrollment, Clinical Placements/Process, Clinical Education Sites, Clinical Preceptors, Communication and Collaboration, Sustainability, and Funding Process. CONCLUSION: Future partnerships between hospitals, schools of nursing, and clinical education sites should consider collaborating in multiple regions to increase enrollment and clinical education placement opportunities for APRN students. [J Nurs Educ. 2021;60(4):190-195.].

Advancing Evidence-Based Practice Through Implementation Science: Critical Contributions of Doctor of Nursing Practice- and Doctor of Philosophy-Prepared Nurses.

PURPOSE: Describe the evolution of implementation science and the roles and potential collaborations of doctorally prepared nurses to advance implementation science in practice settings. METHODS: Review of academic preparation and areas of expertise for doctorally prepared nurses as it relates to implementation science and evidence-based practice (EBP). FINDINGS: There have been substantial gains in the number of academic programs in healthcare that include content on EBP, resulting in healthcare teams that are motivated to align practices with best evidence. Unfortunately, many EBP initiatives stall during early stages of implementation, resulting in fragmented practices and persistent gaps between evidence and practice. Implementation science aims to bridge this gap and provides a structured, science-based approach to implementation. Few healthcare teams are familiar with implementation science, and many do not incorporate knowledge from the field when implementing EBPs. Doctorally prepared nurses are in a unique position to serve as leaders in EBP implementation due to the breadth and depth of academic preparation and their pivotal roles across practice settings. CONCLUSIONS: Collaboratively aligning existing strengths of PhD and DNP prepared nurses with knowledge of implementation science can advance implementation of EBP across practice settings to effectively incorporate and sustain meaningful change to improve outcomes. LINKING EVIDENCE TO ACTION SECTION: Doctorally prepared nurses are in a unique position to advance and apply the science of implementation in practice settings. Nurse scientists can generate evidence on effective strategies and outcomes among healthcare teams to successfully integrate evidence based practices into routine care. Nurse leaders and educators can apply these findings and use an implementation science approach when leading clinical teams in evidence-based practice changes.

The future of nurse education? Studying at the Open University in Scotland.

This article describes nurse education with the Open University in Scotland (OUiS). Although there are problems with nurse recruitment and retention across the UK, in Scotland the landscape is somewhat different, with greater support for students required in remote and rural areas. Despite these challenges, the OUiS continues to recruit to the commissioned numbers of places. OUiS nursing students are primarily health care support workers who are a key group within the health and social care workforce but historically have faced many challenges in developing clear career pathways into nursing. At the heart of the OU is the fundamental recognition of distance online pedagogy, complemented by work-based learning support by employers. Partnership working between the OU, employers and education commissioners is crucial to its success.

Simulation and student learning: will NMC policy lead to lasting change?

Emeritus Professor Alan Glasper, from the University of Southampton, discusses a new initiative from the Nursing and Midwifery Council to increase clinical learning through simulation during the COVID-19 pandemic.