Optimization of faculty practice.

Nursing faculty practice encompasses multiple roles including direct and indirect provision of nursing/clinical services, research, education, consultation, administration, and other collaborative agreements. While faculty practice is encouraged by both American Association of Colleges of Nursing and National Organization of Nurse Practitioner Faculties, not all universities and colleges incorporate faculty practice as part of academia. The purpose of this paper is to discuss how one midwestern University optimized faculty practice over a four-year period by improving supporting infrastructure, contracts, aligning faculty and practice partners, and accountability. Pertinent data, decisions, and processes for each area are described here as well as the management of revenue generated.

Modelo pedagógico predominante en un grupo de profesores de una escuela de enfermería: estudio exploratorio / Pedagogical predominant model in a group of teachers in a school of Nursing: exploratory study

Introducción. En los últimos años se ha propuesto un modelo enseñanza-aprendizaje centrado en el estudiante. Objetivo. Elaborar un diagnóstico del modelo pedagógico predominante en los profesores y las metodologías educativas más relevantes en términos de aprendizaje desde la perspectiva de los estudiantes. Sujetos y métodos. Se recogió información de características demográficas y académicas y formación pedagógica de los profesores y se les aplicó el instrumento Approaches to Teaching Inventory (ATI). Los estudiantes respondieron una encuesta para identificar las metodologías más relevantes en términos de su aprendizaje y la frecuencia con que los profesores las utilizaban. Resultados. La muestra estuvo constituida por 35 profesores (68,6%), que en promedio tienen 13,6 ± 10,5 años de experiencia en docencia universitaria y han realizado 3,86 ± 3,19 actividades de formación pedagógica. De acuerdo al ATI, la mayoría enfoca su enseñanza en los estudiantes, lo que se refuerza en la intención y estrategias que refieren. Con respecto a los estudiantes, la muestra quedó constituida por 444 alumnos de pregrado (82,6%), los cuales identifican claramente las metodologías más favorables para su aprendizaje y la frecuencia con que los docentes las utilizan. Conclusiones. La mayoría de los profesores refiere que se centra en el estudiante y su aprendizaje, y se enfoca en la adquisición de conceptos. Los alumnos reconocen claramente algunas metodologías como muy favorables para su aprendizaje y la frecuencia con que se practican

Introduction. In the last years there has been proposed a model teaching focused on the student and his learning. Aim. To develop a diagnostic about the predominant teaching model in teachers and relevant educational methodologies in terms of learning from the perspective of students. Subjects and methods. Demographic, academic information and pedagogical training of teachers were collected and were applied the Approaches to Teaching Inventory (ATI) instrument. Students answered a survey to identify the most relevant methodologies in terms of their learning and how often teachers used them. Results. The sample consisted of 35 teachers (68.6%) on average have 13.6 ± 10.5 years in university teaching experience and have made 3.86 ± 3.19 teacher training activities. According to the ATI the majority report that your teaching focusing on student learning. Regarding students, the sample was composed of 444 undergraduate students (82.6%), which clearly identifies the most favorable methodologies for your learning and teachers often use them. Conclusions. Most of the teachers focuses on the student and learning and in the acquisition of concepts. Students clearly recognize some methodologies as very favorable for learning and the frequency with which these are used

Building a Culture of Authentic Partnership: One Academic Health Center Model for Nursing Leadership.

Senior nursing leaders from the University of Kentucky (UK) College of Nursing and UK HealthCare have explored the meaning of an authentic partnership. This article quantifies the tangible benefits and outcomes from this maturing academic nursing and clinical practice partnership. Benefits include inaugural academic nursing participation in health system governance, expanded integration of nursing research programs both in the college and in the health science center, and the development of collaborative strategies to address nursing workforce needs.

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Work Factors of Importance to Adjunct Nursing Faculty.

BACKGROUND: The use of adjunct faculty has increased exponentially in the past decade. It is essential that resources to retain adjuncts are identified and made available to adjunct faculty. To identify the appropriate factors, it is essential to discover what nursing adjunct instructors perceive to be the factors of importance to their work role. The purpose of the article was to determine the perceived factors of importance and availability of work role needs of adjunct faculty. METHOD: A quantitative, exploratory design was developed, using an anonymous online Adjunct Instructor Likert Scale Survey. The sample included participating adjunct instructors from a possible total of 91 midsized, midwestern baccalaureate nursing programs. RESULTS: Fourteen of 18 pairs were significantly different (p < .05) in adjunct perception. CONCLUSION: Using these data, colleges of nursing may be able to identify adjunct work factors in that can be improved to increase adjunct faculty recruitment, satisfaction, and retention. [J Nurs Educ. 2016;55(5):245-251.].

Building Genetic Competence Through Partnerships and Interactive Models.

BACKGROUND: Nurses are increasingly using genetic-directed therapies in routine care, but evidence indicates that nurse educators lack knowledge about basic genetic concepts and related clinical implications. Educators are the key to preparing future nurses for effective practice in the genomic era, and creative approaches are needed for faculty development. METHOD: Nurse educators in academic and clinical settings partnered with science educators who use sophisticated DNA, RNA, and protein models to explore ways to teach abstract genetic concepts. RESULTS: Hands-on learning enabled the workshop participants to understand how transcription of gene mutations leads to the translation of defective proteins responsible for specific diseases. Participants found using the models helped clarified complex concepts that occur at the cellular level. CONCLUSION: Partnerships with science educators can address gaps in nurse educators' knowledge about genetics and introduce creative teaching strategies. [J Nurs Educ. 2016;55(5):300-303.].

Trabajo final de grado y plan de acción tutorial en el curriculum del grado en enfermería. Diseño, desarrollo y evaluación / Final project degree and tutorial action plan in the curriculum of the degree in nursing. Design, development and evaluation

La acción tutorial (PAT), en los estudios universitarios de Enfermería, se halla en el centro de la acción docente del profesorado. El tutor/a orienta en el proceso de aprendizaje y en la preparación del Trabajo Final de Grado (TFG). En este artículo presentamos los resultados de la investigación realizada con tutores y estudiantes, que tiene por objetivo evaluar el diseño y desarrollo del TFG, los resultados académicos y su vivencia y experiencia. Diseño mixto cuantitativo descriptivo y cualitativo de investigación acción participación. Muestra total de 124 estudiantes de 4º curso de Grado Enfermería y 37 tutores del TFG. Técnicas de recogida de datos: resultados académicos y evaluativos; 3 grupos focales con estudiantes y profesores; 3 entrevistas semiestructuradas abiertas a estudiantes. Los resultados constatan que las tipologías más elegidas fueron revisiones bibliográficas (38,75%) y Planes de cuidados (24,2%). El 63,9 % de la temática escogida es Enfermería Maternal, Pediátrica y Clínica. Estudiantes y tutores viven con dificultad la elaboración del TFG y se requiere una mayor cultura tutorial. Es un proceso complejo de organización y coordinación que, sin embargo, permite un trabajo colaborativo de todo el equipo docente (AU)

The Tutorial Action Plan (PAT) in the University School of Nursing, is central to the teaching action of professors. The tutor orients in the learning process and the preparation of the Final Degree Project (TFG). In this paper we present the results of research conducted with tutors and students, which aims to evaluate the design and development of the TGF, academic results and their experience and expertise. A descriptive qualitative and quantitative joint design of research and participation. A total sample of 124 students of 4th year in the nursing degree and 37 TGF tutor. Data collection techniques: Academic and evaluation results; 3 focus groups with students and professors; three semi-structured interviews open to students. Results indicate that the most commonly chosen typologies were literary reviews (38.75%) and care plans (24.2%). 63.9% of the chosen topics include Maternal, Pediatric and Clinical Nursing. Students and tutors struggle to develop the TGF and greater tutorial culture is required. It is a complex process of organization and coordination which, however, allows collaborative work of the entire faculty (AU)

Percepción de la actividad física en estudiantes de enfermería frente a fisioterapia / Perception of physical activity among nursing students versus physiotherapy

La actividad física en la actualidad se convierte en una estrategia de prevención de enfermedades, la percepción de los profesionales en formación se convierte en un proceso importante al momento de generar estrategias de intervención en la población. Objetivo: Establecer la percepción frente a la realización de actividad física en estudiantes de dos programas de ciencias de la salud. Método: Se realizó un estudio de corte transversal descriptivo e inferencial en estudiantes de primero y segundo semestre de la Universidad de la Sabana. Chía, Colombia. Resultados: La población de estudio estuvo conformada por 99 estudiantes; en la evaluación de la percepción frente a la actividad física se evidencian diferencias estadísticamente significativas entre los estudiantes (p=0,000) Discusión: La percepción frente a la actividad física es importante al momento de generar estilos de vida saludable en la población, la actividad física es un factor determinante en estilos de vida saludable (AU)

Physical activity now becomes a disease prevention strategy, the perception of undergraduate students becomes an important process when generating intervention strategies in the population. Objective: To establish the perception towards the realization of physical activity for students in two programs in health sciences. Method: A descriptive and inferential study was performed in cross section from first and second half of the Universidad de la Sabana. Chia, Colombia. Results: The study population consisted of 99 students; the evaluation of perception from physical activity statistically significant differences between students (p = 0.000) Discussion: Perception from physical activity are important when generating healthy lifestyles in the population, physical activity is a key factor in healthy lifestyles (AU)

The establishment of evidence-based practice competencies for practicing registered nurses and advanced practice nurses in real-world clinical settings: proficiencies to improve healthcare quality, reliability, patient outcomes, and costs.

BACKGROUND: Although it is widely known that evidence-based practice (EBP) improves healthcare quality, reliability, and patient outcomes as well as reduces variations in care and costs, it is still not the standard of care delivered by practicing clinicians across the globe. Adoption of specific EBP competencies for nurses and advanced practice nurses (APNs) who practice in real-world healthcare settings can assist institutions in achieving high-value, low-cost evidence-based health care. AIM: The aim of this study was to develop a set of clear EBP competencies for both practicing registered nurses and APNs in clinical settings that can be used by healthcare institutions in their quest to achieve high performing systems that consistently implement and sustain EBP. METHODS: Seven national EBP leaders developed an initial set of competencies for practicing registered nurses and APNs through a consensus building process. Next, a Delphi survey was conducted with 80 EBP mentors across the United States to determine consensus and clarity around the competencies. FINDINGS: Two rounds of the Delphi survey resulted in total consensus by the EBP mentors, resulting in a final set of 13 competencies for practicing registered nurses and 11 additional competencies for APNs. LINKING EVIDENCE TO ACTION: Incorporation of these competencies into healthcare system expectations, orientations, job descriptions, performance appraisals, and clinical ladder promotion processes could drive higher quality, reliability, and consistency of healthcare as well as reduce costs. Research is now needed to develop valid and reliable tools for assessing these competencies as well as linking them to clinician and patient outcomes.

How effective are hospital adjunct clinical instructors?

BACKGROUND: Within the past several years, an innovative model for collaboration has emerged between schools of nursing and hospitals to increase the enrollment in schools of nursing by utilizing experienced staff nurses as hospital adjunct clinical instructors (HACI). The HACI is temporarily released from typical job duties to serve as a clinical instructor for a group of undergraduate nursing students. AIM: The purpose of this study is to determine if HACIs are as effective as faculty employed by schools of nursing. METHOD: A convenience sample of new graduate nurses participated in the descriptive study. The nurses were asked to evaluate their senior year medical-surgical clinical instructor using Reeve's Instrument to Measure Effectiveness of Clinical Instructors. RESULTS: There was no statistically significant difference in the clinical teaching effectiveness of HACIs and school of nursing faculty. CONCLUSION: This study provides early support for the use of HACIS. However, more studies are needed to validate their effectiveness.

La formación clínica de las enfermeras y la figura del tutor en el siglo XXI, un reto para los docentes / O ensino clínico de enfermagem eo tutor no século XXI, um desafio para os professores / The clinical training of nurses and the tutor in the XXI century, a challenge for educators

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Developing nurse educator competency in the pedagogy of simulation.

Faculty development is needed for nurse educators to effectively use simulation as a learning tool. A synthesis of research evidence regarding current practices in preparing educators to use simulation provided a foundation for faculty development. Implementation of a two-pronged approach within a regional collaboration of four schools of nursing is described; results of the evaluation of the approaches are presented. Use of the National League for Nursing Core Competencies of Nurse Educators as the organizing framework and Roger's Diffusion of Innovations Model as the theoretical framework is discussed. An overview is provided of the two prongs: (a) a short course for novice educators, and (b) examples of continuing education programming for experienced faculty members new to simulation to enhance effective application of this pedagogy. Recommendations include designing faculty development for simulation within a framework for systems change, maintaining flexibility to meet diverse needs, and using existing online resources.

Systematic review: process of forming academic service partnerships to reform clinical education.

The aim of our systematic review was to retrieve and integrate relevant evidence related to the process of formation and implementation of the academic-service partnership, with the aim of reforming the clinical education program. Despite a plethora of research evidence about implementing the academic- service partnership, no one to date has undertaken a robust systematic review about its process. An electronic search was performed to identify published studies between 1995 and 2008. Search strategies adapted from the University of York's Centre for Reviews and Dissemination were used. Fifteen papers were accepted based on the inclusion criteria and assessed for quality. Data were summarized thematically. Four main stages emerged: Mutual Potential Benefits, Moving From Being Competitors to Collaborators, Joint Practice, and Beneficial Outcomes. This study's findings can provide practical guidelines to steer partnership programs within the academic and clinical bodies, with the aim of providing a collaborative partnership approach to clinical education.

The role of the nurse lecturer in clinical practice in the Republic of Ireland.

Undergraduate nurse education in Ireland transferred into the third level sector in 2002. As a result nurse lecturers are expected to develop a model of clinical practice that enables them to be involved in practice and its development while maintaining their own nursing expertise and credibility [An Bord Altranais, 2005. Requirements and Standards for Nurse Registration Education Programmes, third ed. An Bord Altranais, Dublin]. In light of this the researchers set out to explore the perceptions of the nurse lecturers' role in clinical practice among nurse lecturers, preceptors, clinical nurse managers, clinical placement co-ordinators and students. A qualitative research design using focus groups was chosen. A purposive sampling strategy generated the sample for 5 in-depth focus group interviews with the aforementioned key stakeholders and the data was thematically analysed. Five themes emerged which centred on the maintenance of lecturers' clinical credibility, the lecturers' role as a resource to clinical staff, teaching and assessing students in practice, the value of fostering relationships in practice and role duplication. The findings from this study supports the anecdotal evidence that confusion exists around the role but more importantly it gives the nurse lecturer population guidance on how to develop the role in partnership with the various stakeholders in a way that supports the nursing students and clinical staff in practice in an effective manner.

Core competencies of nurse educators: inspiring excellence in nurse educator practice.

The National League for Nursing Core Competencies of Nurse Educators with Task Statements provide a comprehensive framework for preparing new nurse educators, implementing the nurse educator role, evaluating nurse educator practice, and advancing faculty scholarship and lifelong professional development. This article describes how one nursing department uses the core competencies with current faculty and in a graduate program that prepares nurse educators.

An evaluation framework for faculty practice.

Faculty practice is promoted in schools of nursing for the purposes of strengthening the clinical expertise of faculty, maintaining clinically relevant curricula, fostering student learning, and generating revenue. For clinical faculty, this practice often provides the foundation for academic scholarship. The integration of this scholarship into the traditional academic triad of education, research, and service has proved difficult. Pohl et al notes, "In promotion and tenure decisions, 68 percent of faculty reported that practice was weighted less than teaching and research in their institutions." There appears to be an inherent tension between the requirements for scholarly faculty practice and the academic missions of schools of nursing. The purpose of this article is to describe a framework for the evaluation of faculty practice at the Johns Hopkins University School Nursing (JHUSON) and the actions taken to align the scholarship of faculty practice with the academic research mission of the School.

The role of performance feedback in the self-assessment of competence: a research study with nursing clinicians.

Performance feedback has the potential to contribute to a nurse's self-awareness and, in turn, their ability to self-assess their level of competence. Because a declaration of self-assessment of competence is a current requirement for continuing nursing registration within South Australia, Queensland and Tasmania, the search to identify sources and processes that may assist nurses to self-assess their performance is potentially of benefit to the profession. This paper is based on one aspect of a PhD study exploring the utility of performance feedback primarily from a nursing clinicians' perspective. Focus group interviews were conducted with hospital-based nursing clinicians and the data were analysed using a process of thematic analysis. Findings highlighted that nursing clinicians frequently engaged in a process of performance self-monitoring that was a balance between feeling competent and feeling uncertain in relation to their own level of clinical competence. On a daily basis, nursing clinicians held an assumption of competence to practise that was based on their ability to act in a situation, receiving positive feedback from others and in the absence of evidence to the contrary. At times feelings of doubt or uncertainty intervened especially in situations that were unfamiliar or challenging or when receiving feedback from others that questioned their own perceptions of competence. The findings of the study provide support for the types of self-monitoring processes that serve to enhance both the relevance of feedback for nurses and the quality of evaluative data regarding ongoing competence.