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1.
J Nurs Educ ; 60(6): 346-351, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34077322

RESUMO

BACKGROUND: The COVID-19 pandemic necessitated sweeping changes in a neonatal nurse practitioner (NNP) program's approach to distance-accessible learning. Prioritizing student learning and safety, we developed a new alternative model for individualized simulation. METHOD: The scenario created for a student to deliver an unexpected diagnosis of trisomy 21, or Down syndrome, to a postpartum mother was redesigned to take place using web-conference technology. RESULTS: We successfully transitioned the planned in-person individualized simulation for NNP students delivering an unexpected diagnosis to a web-conference environment and added nurse-midwifery (NM) students. CONCLUSION: This simulation presented an authentic clinical situation encountered in practice, supporting the specialty-specific competencies for the NNP, NM, and core competencies for interprofessional collaborative practice. The web-conference platform is an effective strategy for simulation. Advanced practice nurses completing individualized simulation through technology are uniquely poised to leverage these skills as telemedicine increasingly influences their future clinical practice. [J Nurs Educ. 2021;60(6):346-351.].


Assuntos
Educação à Distância , Educação em Enfermagem , 57419 , Educação em Enfermagem/organização & administração , Humanos , Aprendizagem , Pesquisa em Educação de Enfermagem , Pesquisa em Avaliação de Enfermagem , Estudantes de Enfermagem/psicologia
2.
J Nurses Prof Dev ; 37(3): E5-E9, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33961369

RESUMO

The nursing professional development practitioner's call to action at a large, acute care academic facility during the novel coronavirus pandemic required adaptability and resiliency. When rapid, unprecedented challenges altered nursing professional development workflow, a department of 16 practitioners split into three teams. The teams achieved goals by meeting the demand for education and training of frontline staff during the surge in novel coronavirus patients.


Assuntos
/enfermagem , Profissionais de Enfermagem/psicologia , Recursos Humanos de Enfermagem no Hospital/educação , /epidemiologia , Hospitais de Ensino , Humanos , Relações Interprofissionais , New Jersey/epidemiologia , Pesquisa em Avaliação de Enfermagem
3.
J Nurs Educ ; 60(5): 298-300, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-34039139

RESUMO

BACKGROUND: As COVID-19 forced in-person courses to transition online, an active learning course focused on design thinking in health and health care embraced the challenge. Lessons learned, mistakes made, and thoughts on the future of online education in nursing are discussed. METHOD: During the online transition, it was thought the flipped-classroom approach would transition well using the same design thinking methodology taught in the course. Because the course promoted rapid innovation and iteration, such a challenge served as a call to action, and the course became a valuable real-time case study. RESULTS: Based on student surveys, the overall quality of the transitioned course increased slightly compared with the previous semester's in-person course, indicating schools of nursing can innovate both the way students are taught as well as what students are taught. CONCLUSION: Rather than mourn the loss of in-person learning, the newfound possibilities of virtual education should celebrated. [J Nurs Educ. 2021;60(5):298-300.].


Assuntos
Currículo , Educação à Distância , Educação em Enfermagem , Educação à Distância/organização & administração , Educação em Enfermagem/organização & administração , Humanos , Pesquisa em Educação de Enfermagem , Pesquisa em Avaliação de Enfermagem , Aprendizagem Baseada em Problemas , Estudantes de Enfermagem/psicologia , Inquéritos e Questionários
4.
Clin Nurse Spec ; 35(3): 138-146, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33793176

RESUMO

PURPOSE: The COVID-19 pandemic has significantly challenged healthcare organizations across the globe, forcing innovation, resourcefulness, and flexibility. The purpose of this article is to describe the impact of clinical nurse specialist practice on COVID-19 preparation at a military hospital. ENVIRONMENT OF CARE CHANGES: The pandemic required facilities to develop expansion plans to facilitate a potential surge of COVID-19 patients. Clinical nurse specialists collaborated to develop a plan to expand care capacity and streamline testing while designating specific critical care and medical-surgical areas for COVID-19 patients. STAFFING CONSIDERATIONS: To capitalize on the expanded bed capacity, clinical nurse specialists identified and trained outpatient nursing staff to serve as nurse extenders. DISCUSSION: Early in the pandemic, a lack of strong evidence-based interventions to mitigate transmission and treatment necessitated the development of innovative solutions. The clinical nurse specialist team established designated transport routes for COVID-19 patients, leveraged technology to improve methods of care, and cultivated a culture of innovation by providing on-the-spot meaningful recognition to staff. CONCLUSION: As leaders in healthcare, clinical nurse specialists are change agents that work to maintain high-quality, safe patient care even during a global pandemic.


Assuntos
/enfermagem , Hospitais Militares/organização & administração , Enfermeiras Clínicas/organização & administração , /epidemiologia , Humanos , Liderança , Pesquisa em Avaliação de Enfermagem , Estados Unidos/epidemiologia
6.
Hu Li Za Zhi ; 68(2): 43-52, 2021 Apr.
Artigo em Chinês | MEDLINE | ID: mdl-33792018

RESUMO

BACKGROUND: Team-Based Learning (TBL) is a potentially effective method of instruction that has been applied only infrequently in nursing education in Taiwan. PURPOSE: This study was developed to examine the effects of incorporating the TBL strategy into the course "Advanced Medical Nursing English". METHODS: A quasi-experimental, single group, and pre-post test design was adopted. Nursing students who took the "Advanced Medical Nursing English" elective course used the TBL strategy for 8-weeks. Students were assigned to heterogenic groups of 12 students each based on their scores on an English pre-test. The collected data included the scores on individual and group readiness tests, a self-directed learning questionnaire, learning satisfaction, and an English posttest. Self-completed reflection papers and focused group interviews were used for qualitative appraisal. RESULTS: A total of 72 students were enrolled. Nearly all (93.1%) were female and 21-22 years of age. The results of a paired samples t-test applied to examine the effects of the TBL strategy on learning outcomes showed that English posttest and self-directed learning ability scores had both improved significantly (all p < .05). The results of ANOVA tests showed that students with lower pre-test scores improved more than those with higher pre-test scores. The results of a sample t-test with a test value of 4.0 applied to examine learning satisfaction found a non-significant change (p > .05), indicating no change in perceived satisfaction. The qualitative analysis identified four themes regarding perceptions of the TBL strategy, including "friendships in learning", "harmonious atmosphere and participations", "inertial shock and adjustments", and " excessive learning load". CONCLUSIONS: TBL was shown to be an effective learning strategy for RN-BSN students in a Medical Nursing English Course, particularly those with relatively low pre-test scores. Future studies should focus attention on reading assignments to avoid overburdening students. The results of this study may serve as a reference for medical nursing English education.


Assuntos
Educação em Enfermagem , Processos Grupais , Aprendizagem , Estudantes de Enfermagem , Currículo , Educação em Enfermagem/métodos , Feminino , Humanos , Idioma , Masculino , Pesquisa em Educação de Enfermagem , Pesquisa em Avaliação de Enfermagem , Pesquisa Metodológica em Enfermagem , Estudantes de Enfermagem/psicologia , Estudantes de Enfermagem/estatística & dados numéricos , Taiwan , Adulto Jovem
7.
Br J Nurs ; 30(7): 434-439, 2021 Apr 08.
Artigo em Inglês | MEDLINE | ID: mdl-33830806

RESUMO

BACKGROUND: The authors were unable to find studies comparing the critical thinking skills of nursing students on advanced standing programmes (ASP) and on traditional 4-year BN programmes in Canada. The ASP is a condensed Bachelor of Nursing (BN) programme, designed for students who already have a university degree or similar qualification. AIM: To measure and compare the critical thinking skills of ASP students and traditional 4-year BN students. METHOD: A cross-sectional study using a self-administered questionnaire used to collect data from 100 nursing students at a university in Canada. Data were analysed using descriptive and inferential statistics. All research ethics were taken into consideration. FINDINGS: All participants scored highly in their critical thinking skills. However, ASP students scored significantly higher than their counterparts on the 4-year programme (M=21.6 vs M=18.9, F=4.75, P=0.035). CONCLUSION: Higher critical thinking skills among ASP nursing students is a promising sign to expand and support this type of programme as a fast and effective method to cover the shortage in nurses.


Assuntos
Competência Clínica , Educação em Enfermagem , Estudantes de Enfermagem , Pensamento , Canadá , Competência Clínica/estatística & dados numéricos , Estudos Transversais , Educação em Enfermagem/organização & administração , Educação em Enfermagem/estatística & dados numéricos , Bacharelado em Enfermagem , Humanos , Pesquisa em Educação de Enfermagem , Pesquisa em Avaliação de Enfermagem , Estudantes de Enfermagem/psicologia , Estudantes de Enfermagem/estatística & dados numéricos
8.
J Nurses Prof Dev ; 37(3): 151-153, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33788809

RESUMO

The decision to continue a career advancement program in midst of our health system's response to the COVID-19 pandemic was made after weighing the pros and cons. At a time when high priority was placed on educating the frontline nurses on rapidly changing protocols and supporting mental health, our organization reallocated resources and ways of doing things in order to maintain some form of normalcy. By doing so, we were able to demonstrate our commitment to professional development even in the face of adversity and highlight the resourcefulness of nursing professional development practitioners. As the COVID-19 crisis has laid bare, we live in an increasingly complex and interconnected world, and agility will be essential to future nursing professional development practice.


Assuntos
/enfermagem , Mobilidade Ocupacional , Recursos Humanos de Enfermagem/educação , Desenvolvimento de Pessoal/organização & administração , Humanos , Pesquisa em Avaliação de Enfermagem
9.
J Nurs Adm ; 51(4): 175-176, 2021 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-33734173

RESUMO

This month's Magnet® Perspectives column examines American Nurses Credentialing Center's Magnet Recognition Program® and Pathway to Excellence® Program as partners for nursing excellence. We explore the differences between the programs, how they complement one another, and how they can be combined to impact a host of key measures, including nurse engagement, interprofessional collaboration, and patient safety. Nursing leaders at 2 dual-designated hospitals share their decision to pursue both credentials and ways in which the combined designation adds value for nurses and the patient care environment. They discuss how the essential elements of a Magnet and Pathway culture contributed to a nimble, innovative response to the COVID-19 pandemic and strategies nursing leaders can employ to create and sustain an environment where change flourishes and nurses thrive.


Assuntos
Credenciamento , Liderança , Recursos Humanos de Enfermagem no Hospital/normas , Humanos , Pesquisa em Avaliação de Enfermagem , Cultura Organizacional , Qualidade da Assistência à Saúde
10.
Soins ; 66(852): 58-60, 2021.
Artigo em Francês | MEDLINE | ID: mdl-33750564

RESUMO

Advanced practice is an opportunity for nurses wishing to develop their career while keeping their hand in clinical practice, in direct contact with the patient. This new role is in its infancy. Its implantation in the hospital setting must be thought through and assessed by the whole team in order to demonstrate the benefit it can offer.


Assuntos
Prática Avançada de Enfermagem , Competência Clínica , Prática Avançada de Enfermagem/organização & administração , Hospitais , Humanos , Papel do Profissional de Enfermagem , Pesquisa em Avaliação de Enfermagem
11.
J Nurs Educ ; 60(3): 172-176, 2021 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-33657237

RESUMO

BACKGROUND: The nature of a nurse's job is changing dramatically. Nurses are assuming expanded roles for a broad range of patients in community-based care. Nurse educators have a responsibility to teach nursing students about the needs of patients and families in the home care setting. METHOD: To describe how the creation of a home care video series and a medication reconciliation simulation scenario were used as a teaching strategy in a simulation center. RESULTS: The teaching strategy supported senior-level nursing students' understanding of the complexity of home care nursing and the nurse's role and responsibilities in care coordination, care transitions, and interprofessional practice. CONCLUSION: The home care video scenario was received favorably by nursing students. Additional simulation video scenarios are needed that address the health disparities among underrepresented and vulnerable groups. There is potential to offer the simulation in a virtual-online format during the COVID-19 pandemic and social distancing mandates. [J Nurs Educ. 2021;60(3):172-176.].


Assuntos
Difusão de Inovações , Educação em Enfermagem/organização & administração , Enfermagem Domiciliar/educação , Treinamento por Simulação/métodos , Educação à Distância , Humanos , Aprendizagem , Pesquisa em Educação de Enfermagem , Pesquisa em Avaliação de Enfermagem , Estudantes de Enfermagem/psicologia , Estados Unidos/epidemiologia , Gravação de Videoteipe
12.
Nurse Educ ; 46(2): 126-129, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33755385

RESUMO

BACKGROUND: Integration of telehealth preparation for nurse practitioner (NP) students varies across programs. PROBLEM: Nurse practitioner students had gaps in the preparation for using telehealth technology to deliver care and manage specific disorders. APPROACH: The purpose of this article is to describe the development and implementation of a telehealth simulation training experience for NP students to prepare them for practice in rural settings. OUTCOMES: Nurse practitioner students from various specialties completed the telehealth simulation training experience. The change in presimulation/postsimulation confidence and readiness scores were statistically significant. CONCLUSION: This telehealth simulation training experience provided an opportunity for NP students to engage in activities to enhance their knowledge and preparation in providing care via telehealth in a rural setting.


Assuntos
Educação de Pós-Graduação em Enfermagem , Profissionais de Enfermagem , Treinamento por Simulação , Estudantes de Enfermagem , Telemedicina , Educação de Pós-Graduação em Enfermagem/organização & administração , Humanos , Profissionais de Enfermagem/educação , Pesquisa em Educação de Enfermagem , Pesquisa em Avaliação de Enfermagem , Serviços de Saúde Rural , Treinamento por Simulação/organização & administração , Estudantes de Enfermagem/psicologia
13.
Nurs Outlook ; 69(2): 136-146, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33573826

RESUMO

BACKGROUND: The COVID-19 pandemic highlighted nurses' compassionate presence during stressful conditions. Strategies to reduce workplace stress are needed. PURPOSE: The purpose of this study was to evaluate a stress reduction strategy, an Internet-based Mantram Repetition Program (MRP), for nurses caring for hospitalized Veterans. METHODS: A one group pre-/post-test design was used to assess change in nurses' perceived outcomes after participating in the MRP. A post-test-only design was used to assess hospitalized Veterans' perceptions of nursing presence and satisfaction with care. Qualitative interviews were used to supplement quantitative data. FINDINGS: Patients perceived high levels of presence and satisfaction with care. Post MRP, nurses perceived increased mindfulness, compassion satisfaction, spiritual well-being, and nursing presence. Increased mindfulness was associated with greater compassion satisfaction and less burnout. DISCUSSION: For nurses working on the front lines of patient care, the potential for experiencing stress and burnout is a reality. Participating in a MRP could lessen these effects and facilitate nursing presence.


Assuntos
Intervenção Baseada em Internet , Relações Enfermeiro-Paciente , Recursos Humanos de Enfermagem no Hospital/psicologia , Estresse Ocupacional/prevenção & controle , Assistência Centrada no Paciente/organização & administração , Terapias Espirituais , Adulto , Idoso , Esgotamento Profissional/prevenção & controle , Empatia , Feminino , Humanos , Satisfação no Emprego , Masculino , Pessoa de Meia-Idade , Atenção Plena , Pesquisa em Avaliação de Enfermagem , Recursos Humanos de Enfermagem no Hospital/estatística & dados numéricos , Satisfação do Paciente/estatística & dados numéricos , Pesquisa Qualitativa , Veteranos/psicologia , Adulto Jovem
15.
Nurse Educ ; 46(2): 76-81, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33587411

RESUMO

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.


Assuntos
Educação à Distância , Bacharelado em Enfermagem/organização & administração , Autoeficácia , Estudantes de Enfermagem/psicologia , Adulto , Estudos Transversais , Feminino , Humanos , Masculino , Pesquisa em Educação de Enfermagem , Pesquisa em Avaliação de Enfermagem , Estudantes de Enfermagem/estatística & dados numéricos , Estados Unidos/epidemiologia
16.
Pflege ; 34(2): 92-102, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33535840

RESUMO

Effects of Guided Clinical Reasoning on the Advanced Nursing Process quality - An experimental intervention study Abstract. Background: The correctly applied Advanced Nursing Process leads demonstrably to more accurate nursing diagnoses and better nursing outcomes. It requires nurses' knowledge, clinical decision-making competency, and a positive attitude. Former Guided Clinical Reasoning (GCR) trainings significantly enhanced the Advanced Nursing Process quality. However, the congruence between nursing records, care situations, and patient interviews was not yet investigated. Research question: Which effects has GCR on nurses' knowledge, attitude, clinical performance, and on the quality of the Advanced Nursing Process? Methods: An experimental intervention study was carried out from 2016 until 2018 in a Swiss hospital. The 5-month intervention contained four seminar days and GCR-case meetings and was investigated by an evaluation model (n = 95 nurses, n = 24 patients, n = 225 nursing records). Results: After GCR training, nurses showed greater knowledge (p < 0,0001) and a more positive attitude (p = 0,004) on the Advanced Nursing Process than the control group. The congruence of nursing diagnoses, interventions, and outcomes between observations, interviews, and nursing records was higher in the intervention group. At the last measurement point, nursing diagnoses were stated significantly more accurate, interventions were more effective, and better patient outcomes were achieved (all p < 0,0005). Conclusions: GCR trainings should be used to enhance the Advanced Nursing Process quality, so that based on more accurate nursing diagnoses better patient outcomes are achieved.


Assuntos
Prática Avançada de Enfermagem , Processo de Enfermagem , Humanos , Diagnóstico de Enfermagem , Pesquisa em Avaliação de Enfermagem , Registros de Enfermagem
17.
Rev Infirm ; 70(268): 40-41, 2021 Feb.
Artigo em Francês | MEDLINE | ID: mdl-33608097

RESUMO

Healthcare professionals have an obligation to maintain their knowledge at the highest level throughout their careers. To this end, the hospital team of a pharmacy for indoor use has developed an original and entertaining training course, mainly intended for nurses, on the subject of analgesics.


Assuntos
Recursos Humanos de Enfermagem no Hospital , Humanos , Aprendizagem , Pesquisa em Avaliação de Enfermagem , Recursos Humanos de Enfermagem no Hospital/educação , Recursos Humanos de Enfermagem no Hospital/psicologia , Jogos e Brinquedos
18.
Eur J Oncol Nurs ; 51: 101912, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33610929

RESUMO

PURPOSE: Cancer patients are a particularly vulnerable population group, facing an increase in physical, mental, logistical and financial difficulties. This, as well as Ireland's increased focus on primary care with the Sláintecare health plan, led to the development of the Community Oncology Nursing Programme, where community nurses are trained to provide cancer care in the community. This paper sought to explore the lived experiences of the patients and nurses involved in this programme in order to examine its impact as well as determine facilitators and roadblocks for future development. METHODS: A qualitative examination of the service was carried out by interviewing cancer patients receiving care as part of the programme as well as the nurses delivering care, both in the community and hospital day-ward. Thematic analysis was used. RESULTS: Themes of improved patient experience, nurse-patient relationship, the importance of location and roadblocks to further implementation of the programme emerged. There was a universal belief that the programme offered benefits to the patient and improved their care in some manner. CONCLUSIONS: The Community Oncology Nursing Programme has been well received by both nurses and patients. The service provided by community nurses as part of this programme offers benefits to patients and an improved cancer service.


Assuntos
Enfermagem em Saúde Comunitária , Neoplasias/enfermagem , Serviço Hospitalar de Enfermagem , Enfermagem Oncológica , Serviço Hospitalar de Oncologia , Adulto , Feminino , Humanos , Irlanda , Masculino , Pessoa de Meia-Idade , Pesquisa em Avaliação de Enfermagem , Pesquisa Qualitativa
19.
Eur J Oncol Nurs ; 51: 101923, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33618229

RESUMO

PURPOSE: Information can help parents of children with cancer by reducing uncertainty and giving them a sense of control in a chaotic situation. Although providing information to parents is a core activity of paediatric oncology nursing, few studies focus on interventions for informing parents. Thus, the aim of this study is to evaluate parents' experiences after participating in a person-centred information intervention for parents of children with cancer. METHOD: This study is part of a process evaluation of a person-centred informational intervention in paediatric oncology for patients' parents. Qualitative semi-structured interviews with 13 parents who had taken part in the intervention were analysed using qualitative content analysis. RESULTS: An opening for healing emerged as the overarching theme, consisting of three categories. Gaining a deeper understanding of the entire situation describes how parents benefitted from processing current topics and moving forward by learning. Caring reflections in a safe space describes how parents appreciated having a moment just for themselves and feeling better by venting their feelings. Meeting a competent and compassionate nurse describes how parents experienced trust and being listened to. CONCLUSION: Having individual information meetings integrated as a primary nursing responsibility, mediated by competent and compassionate nurses also responsible for the care of the child, could enhance person-centred care and individualise parental education.


Assuntos
Comunicação , Neoplasias/enfermagem , Enfermagem Oncológica/métodos , Pais/psicologia , Enfermagem Pediátrica/métodos , Relações Profissional-Família , Adolescente , Adulto , Idoso , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pesquisa em Avaliação de Enfermagem , Satisfação do Paciente , Pesquisa Qualitativa
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