Education Commons^™

Esp In Nursing: Building Communicative Competence For Internationally-Educated Nurses, Sami Vuong

Master's Projects and Capstones

The nursing shortage in the United States has been an ongoing issue due to nursing burnout and retirement. Together with the COVID-19 pandemic, it has further exhausted the healthcare system’s resources and healthcare providers. In order to sustain the healthcare system in society, a large number of internationally educated nurses (IENs) have been transferred to work in the United States. As a result of different nursing practices, cultures, and communication styles, many IENs experience language and cultural barriers at work. Difficulty in communication influences the quality of patient care provided, which can lead to negative health outcomes for patients and …

Innovating Cultural Competence Education For Nurses, Darian A. Frieson, Jennifer Patrick, Walker Ray Corless, Abigail Taylor Coulthard, Rebecca R. Fogerty

Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)

Objective

To improve cultural competency levels of registered nurses on the Mother/Baby unit by educating nurses.

Background

Demographics are shifting in the U.S. with an increase in minority populations. Research has revealed insufficient education or a complete absence of education, resulting in nurses that are not equipped to adequately care for culturally diverse patients.

Methods

The Evidence-Based Practice Improvement (EBPI) Model guided the development and implementation of the project. A cultural competence education module was developed utilizing resources from the U.S. Department of Health and Human Services. Outcomes were measured using a pretest/posttest design tool, the Inventory for Assessing the …

Retention Drivers Post-Pandemic, Maria Charles, Christina Gonzalez

MSN Capstone Projects

The Covid pandemic influenced the world in many ways that we still witness a need for recovery. One significant concern that remains apparent is the culture change within the healthcare system. This study is directed to cover only one aspect of this culture change but remains to be a very significant topic for the nursing workforce (AHC Media, 2021). Even though we have managed to find a downward trend of Covid cases, the pandemic has devastated nursing retention to well established facilities. There is currently an exodus of nurses in high acuity departments or simply bedside nursing entirely. This causes …

Nursing Students’ Perceptions Of Using Branching Simulation: A Qualitative Descriptive Study, Mohammad Rababa, Dania Bani-Hamad, Shatha Al-Sabbah

The Qualitative Report

Previous intervention studies have shown that branching simulation (BS) unfolds the complex multidimensional aspects of challenging health problems. The present study aimed to examine graduate nursing students’ perceptions of using BS in professional training. This study used a qualitative descriptive design with semi-structured interviews with a sample of 20 graduate nursing students. Four main themes emerged from the results: (a) BS as a support to students’ professional training, (b) BS leads to changes in clinical practice, (c) whether BS is a stressful learning experience, and (d) BS versus traditional lecturing. The participating students perceived BS as a valid learning tool …

An Interprofessional Prediabetes And Diabetes Self--Management Education Quality Improvement Project Among Vulnerable Populations At A Tuberculosis Hospital, Robert Saul Castro Natal

Doctor of Nursing Practice

Background. Patients greatly benefit from diabetes self-management education (DSME) as it boosts knowledge and self-efficacy, decreases body weight, fasting blood sugar, and hemoglobin A₁C levels, and improves overall health outcomes in a cost-effective manner. Unfortunately, many individuals with prediabetes and diabetes who qualify for DSMEs do not attend these classes nor receive sufficient prediabetes and diabetes support elsewhere to attain guideline recommended metrics. However, individuals from vulnerable populations and without DSME education experience disproportionate diabetes-related complications worsening health outcomes. Aims: Increase general prediabetes and diabetes knowledge, facilitate behavior change, improve glycemic, metabolic, and lipid values, and increase …

Addressing Obstacles In Following Prescribed Medication Regimens In Patients With Type 2 Diabetes Mellitus, Cristina Sarro

Doctor of Nursing Practice

Background. Type 2 diabetes is the ninth leading cause of death in the United States. Micro/macro vascular complications are common in diabetes. Purpose. To implement an evidence-based protocol addressing obstacles for patients with type 2 diabetes in following their prescribed medication regimens to reduce glycosylated hemoglobin levels. Evidence. Failure to follow treatment plans increases diabetes complications. Perceptions and complexities of treatment plans, side effects of therapies, and cost contribute to patients not taking their medications as prescribed. Goals. To increase the number of patients with type 2 diabetes who follow their prescribed medication regimen and reach their targeted glycosylated hemoglobin. …

Nursing Students' Knowledge Of And Attitudes Towards Near-Death Experiences, Laura Lee Varela

Theses & Dissertations

Incidence of reported near-death experiences (NDEs) has increased over decades; however, they continue to be inappropriately pathologized or dismissed. These types of responses to disclosures of NDEs by patients can potentially lead to them having problems integrating the experience into their lives. The purpose of this study was to assess undergraduate nursing students’ levels of accurate knowledge of and attitudes towards NDEs and to determine the predictors of nursing students’ knowledge of and attitudes toward NDEs. Additionally, I explored the sources in which nursing students acquire NDE knowledge. I accomplished this by using a cross-sectional, correlational research study design. I …

Addressing Interprofessional Competence In Interpretation Of Electronic Fetal Monitor Tracings, Susan H. Hébert

Doctoral Dissertations

Interpretation of electronic fetal monitor (EFM) tracings is a critical clinical practice skill nurses and physicians perform during the intrapartum stage of pregnancy. However, if performed inaccurately can potentially jeopardize the well-being of the neonate. This risk is present because if concerning EFM tracings are not interpreted accurately, preventative care interventions to promote the well-being of the unborn child do not occur. The project was initiated by completing a scoping literature review on the methods for training and evaluating EFM interpretation competence, which revealed current EFM interpretation training and evaluation methods are lacking. A concept analysis defined nurse competence in …

Immersive Virtual Reality As An Effective Alternative To Traditional Clinical Nursing Education: An Integrative Review, Alisha Gelder, Myrtha Labastille-Normil

Master of Science in Nursing Final Projects

Immersive Virtual Reality as an Effective Alternative to Traditional Clinical Nursing Education: An Integrative Review 

Abstract 

Aim: To assess the usefulness of immersive virtual reality as an effective alternative to traditional face-to-face clinical education for undergraduate nursing students. 

Background:  The Covid-19 pandemic impacted nursing education to a point where change is needed in traditional curricula to meet program outcomes. Virtual Reality (VR) based simulations introduce students to clinical situations in a safe environment and therefore became an effective solution during the pandemic to enhance student learning. Due to the lack of research, regulatory bodies are hesitant to accept VR clinical …

Who Leads The Emergency Department Debrief?, Allison D. Lane, Ethan Bryce, Marcy R. Milbrandt, Lisa R. Stoneking

Journal of Wellness

No abstract provided.

The Effects Of Prenatal Patient Education Regarding Epidural Anesthesia, Auburn Merritt

Symposium of Student Scholars

This project is important because there is a lack of education for prenatal women regarding epidural anesthesia which causes misunderstanding, confusion, a deficit of knowledge, and a lack of support. The purpose of this project is to analyze and suggest the importance of proper education regarding epidural anesthesia. Proper prenatal education causes resolution of misconceptions as well as causes patients to be more satisfied with their pain management during labor. Evidence that I found suggested that after proper education more pregnant women planned to receive epidural anesthesia (Cutajar, 2018). Women preferred detailed education to increase knowledge of the risks and …

Nursing Instructors Preparing Nursing Students To Cope With Distractions When Administering Medications: A Phenomenological Qualitative Study, Michael Thurman Frazier

Doctoral Dissertations and Projects

The purpose of this hermeneutic qualitative study was to discover and describe how nursing instructors teach nursing students to cope with interruptions and distractions while administering medication. The hermeneutic phenomenology approach is appropriate for discovering what nursing instructors teach their students about distraction in the classroom, simulation laboratory, and clinical setting. The study’s guiding theory was Kolb’s experiential learning theory. Nursing instructors from associate and bachelor’s degree programs from across the United States were recruited to participate in this study. The participants completed questionnaires about medication administration instruction, expanding on their answers in semi-structured, one-on-one interviews. All participants had the …

Processus Collaboratif Menant À Un Portrait De La Formation Infirmière Initiale Au Québec Et Perspectives De Développement Au Regard De La Sécurisation Culturelle Auprès Des Premières Nations Et Des Inuit, Joséanne Desrosiers, Jodi Tuck, Mikonis Awashish, Francis Verreault-Paul, Victoria Lecourt, Marc Rochette, Kévin Vezeau-Beaulieu, Nancy Vaillancourt, Mélissa Lavoie

Quality Advancement in Nursing Education - Avancées en formation infirmière

INTRODUCTION. In recent years, several provincial and national reports have highlighted the need for more cultural safety education for health care professionals to ensure safe equitable care for Indigenous people. In the province of Quebec, the death of Joyce Echaquan has been a key lever for diverse health organizations and teaching institutions in order to take concrete actions against health inequities and systemic racism experienced by Indigenous people within the health care system. In response, the Order of Nurses of Quebec officially recognized the existence of systemic racism within the health care system and initiated actions to promote cultural safety …

Relational Accountability: A Path Towards Transformative Reconciliation In Nursing Education, Joanna E. Fraser

Quality Advancement in Nursing Education - Avancées en formation infirmière

This paper provides a vision for working towards relationally accountable transformative reconciliation in nursing education. The author shares the teaching gifts she has received from Indigenous Knowledge Holders and through her experience of co-facilitating Indigenous led, land based, wellness-oriented field schools. It offers a way forward for nurse educators who are searching for ways to responsibly and meaningfully address colonial harms and actively engage in ethical, accountable and respectful relations with Indigenous People and Knowledges. The vision starts with transforming ourselves through bearing witness and experiencing the vulnerability of cultural humility. It requires us to transform our relationships through reframing …

"All My Relations": Elders’ Teachings Grounding A Decolonial Bachelor Of Nursing Program Philosophy, Andrea Kennedy, Lynn Headley, Elizabeth Van Den Kerkhof, Giuliana Harvey, Asfa Riyaz, Roisin Dillon, Grandmother Doreen Spence, Elder Roy Bear Chief

Quality Advancement in Nursing Education - Avancées en formation infirmière

The aim of this paper is to share the process of developing a decolonial nursing program philosophical framework. Following cultural protocol, we asked two highly respected local Indigenous Knowledge holders and retired nurses to serve as Presiding Elders for the Bachelor of Nursing (BN) Curriculum Redesign Committee. Select committee members engaged with the Elders in a series of gatherings. Elders gifted ‘All My Relations’ as the unifying basis for their teachings of ‘The Four Realms’ and ‘Ani to Pisi -Spiderweb’ as the new BN program philosophical framework: local Indigenous teachings provide the standpoint for respectfully engaging with interconnected multiple worldviews …

File Of Uncertainties: Exploring Student Experience Of Applying Decolonizing Knowledge In Practice, Tamarah J. Braithwaite, Leanne Poitras Kelly, Christina Chakanyuka

Quality Advancement in Nursing Education - Avancées en formation infirmière

It is critical that nursing education programs in Canada respond to the Truth and Reconciliation Commission’s call to develop a course about the documented impacts of Indigenous-specific racism on the health outcomes of Indigenous people. Initiatives such as San’yas Anti-racism Indigenous Cultural Safety Education, courses on trauma-informed care, and required Indigenous health and history classes in nursing programs are providing a solid beginning. However, the effectiveness of this education requires interrogation. This mixed methods study aimed to identify barriers and supports to incorporating decolonizing and antiracist knowledge into nursing practice with Indigenous patients/clients. Fourth-year nursing students at a Canadian university …

Shifting Nursing Students' Attitudes Towards Indigenous Peoples By Participation In A Required Indigenous Health Course, Rebecca Cameron, Kim Mitchell

Quality Advancement in Nursing Education - Avancées en formation infirmière

Background: Increasing evidence shows that Indigenous Peoples of Canada experience greater health disparities and receive lesser quality of health care services than non-Indigenous Canadian people. There is an important need to educate health care professionals to be knowledgeable about Indigenous culture, Canadian history, and culturally safe care.

Purpose: This project aimed to evaluate if student perceptions of Indigenous Peoples, knowledge of Indigenous culture, and a student’s cultural competency improved through participation in a required Indigenous health course in the third year of one Canadian Bachelor of Nursing program.

Methods: A pretest posttest design measured student self-reported Knowledge of Factors Impacting …

Calling Nurses To Move Forward Together In Truth And Love, Lisa Bourque Bearskin, Wanda Phillips-Beck, Andrea Kennedy, Jacinthe I. Pepin, Florence Myrick, Jessica Pearce Lamothe, Sabiha Khazal

Quality Advancement in Nursing Education - Avancées en formation infirmière

No abstract provided.

Addressing Culturally Congruent Care Amongst African Americans In Skilled Nursing Facility: A Systematic Review, Adekemi T. Adedipe

DNP Qualifying Manuscripts

Introduction: Healthcare disparities and mistrust of the healthcare system discourage African Americans from seeking mental health services. Healthcare providers face challenges delivering culturally appropriate care. Examining current cultural practices can inform the education needed for healthcare providers to understand cultural care and awareness. This review aimed to identify evidence available to understand the impact of a cultural training on healthcare providers in skilled nursing facilities.

Methods: APA PsycINFO, CINAHL, and PubMed, were searched for English-language studies published between January 2016 and January 2022. Healthcare cultural competency training

in any aspect of cultural care was considered. Outcomes of interest included changes …

Analyzing Concept Mapping Integration Into A Bsn Curriculum Using The H-Pepss Survey, Tina Michelle Mathers

Electronic Theses and Dissertations

Background: This project’s foundational focus was on improving nursing students’ preparedness for their profession and patient care. Data supports that nursing graduates face challenges at the patient bedside, which often cause injury or harm. These deficits are known as preparation-to-practice, failure-to-rescue, and transition-to-practice gaps that occur despite the integration of preceptorship and residency programs. Through the integration of concept mapping into an established curriculum, an analysis of student patient safety perceptions in a pre- and postsurvey was completed. Method: This quality improvement project received approval from the institutional review board. The project was a quasi-experimental, nonrandomized, single-blinded design measuring first-semester …

The Experiential Path Of Exercising Clinical Nursing Leadership Among Newly Graduated Nurses: An Interpretative Descriptive Study., Sara Alami Hassani, Jacinthe I. Pepin

Quality Advancement in Nursing Education - Avancées en formation infirmière

Background: Western health care systems rely on the exercise of nursing competencies to ensure patient safety. Among them is clinical nursing leadership (CNL). Nurses are expected to demonstrate high level of CNL in their practice, regardless of the length of their experience. The literature provides an understanding of the development of this nursing competency, with landmarks of its exercise, but remains silent regarding the pathways of its exercise early in the career.

Objectives: The aim of this interpretive qualitative descriptive study was to describe the experiential path of exercising CNL among newly graduated nurses (NGNs) in their first year of …

Professional Identity Formation: A Concept Analysis, Kathryn Halverson, Deborah Tregunno, Ivana Vidjen

Quality Advancement in Nursing Education - Avancées en formation infirmière

Purpose: Becoming and being a nurse is vaguely conceptualized, so it is important for nurses to understand the defining attributes, antecedents, consequences, model cases, and empirical referents of professional identity with the aim of better understanding the process of its formation.

Method: Walker and Avant’s (2005) method is used to guide this concept analysis of professional identity.

Findings: The analysis indicated that formation of professional identity in nursing consists of three main themes: individual characteristics, becoming a nurse, and professional identity. This article explores our understanding of the concept in relation to the current literature, and a research study conducted …

Nurse Educator Certification: Overview And Evaluation Of The Canadian Association Of Schools Of Nursing Program, Karin Page-Cutrara, Patricia Bradley, Cynthia Baker

Quality Advancement in Nursing Education - Avancées en formation infirmière

The Canadian Association of Schools of Nursing (CASN) has spearheaded an education institute and fostered the growth of an accessible cadre of innovative educational programming that were built on identified national nursing educator competencies. The purpose of this article is to outline the development and structure of the CASN Canadian Nurse Educator Certification Program, share an analysis of one aspect of program evaluation data and summarize the program’s current value to nurse educators. The program offers flexible professional development for Canadian nurse educators through three online modules that prepare participants to sit the national certification exam and attain the designation …

The Impetus Of Covid-19 In Transforming Nursing Education Through Informatics, Amelia Chauvette, Pauline Paul, Manal Kleib

Quality Advancement in Nursing Education - Avancées en formation infirmière

Background: National nursing organizations worldwide have called for the inclusion of digital tools in nursing curricula to prepare future nurses to use digital tools in their professional practice.

Objective: This study explored the experiences of nursing faculty with respect to integrating digital tools in their teaching to support undergraduate student learning during the COVID-19 pandemic.

Method: This study was a focused ethnography featuring semi-structured interviews, field notes, and artifacts. Data were analyzed concurrently with data collection, using thematic analysis. A total of 21 participants from nine undergraduate nursing programs in Western Canada were interviewed as part of a larger …

Faculty And Student Online Experiences Amidst The Covid-19 Pandemic: A Descriptive Study (Part 2), Shelley Cobbett, Patricia A. Hansen-Ketchum, Nadine Ezzeddine, Debbie Brennick, Willena I. Nemeth

Quality Advancement in Nursing Education - Avancées en formation infirmière

Background: Prior to the declaration of the global pandemic in March 2020, little research was available related to online teaching and learning within a professional practice discipline. Post secondary institutions pivoted from “learning as usual” to teaching almost completely in the online environment during a very short time frame. A plethora of related publications have since contributed to knowledge development across many educational programs.

Method: This multi-site research study was conducted to gather and examine the perspectives of nursing faculty and students’ lived experiences while teaching and learning online at the beginning of the global pandemic. Design: Descriptive survey study. …

Interprofessional Collaboration Competencies Of Nursing Students, Nurse Practitioner Students, And Paramedics In A Simulated Palliative Home Care Setting: A Pilot Study, Caroline Gibbons, Véronique Landry, Stéphanie Boudreau

Quality Advancement in Nursing Education - Avancées en formation infirmière

Background: Post-secondary institutions do not adequately prepare future professionals to provide quality palliative care. Furthermore, the competencies necessary for interprofessional collaborative practice in home-based palliative care are poorly described in the scientific literature. A palliative care simulation involving standardized patients and paramedics would be a strategy to educate nursing students and nurse practitioner students who have little opportunity to experience interprofessional collaborative palliative care in the home.

Objective: Describe the interprofessional competencies of nursing students, nurse practitioner students, and paramedics during a home-based palliative care simulation according to a National Competency Framework.

Method: This pilot study is qualitative descriptive. Six …

Multi-Jurisdictional Evaluation Of Sentinel City Virtual Simulation For Community Health Nursing Clinical Education, Andrea Chircop, Shelley Cobbett, Ruth E. Schofield Professor, Catherine Boudreau, Amanda Egert, Sylvane Filice, Andrea Harvey, Denise Kall, Linda Macdougall

Quality Advancement in Nursing Education - Avancées en formation infirmière

Although positive learning outcomes have been documented for nursing students who participate in virtual simulation for community health nursing clinical education (Chircop & Cobbett, 2020), it is unknown whether learning outcomes of students using the same virtual simulation program are comparable across jurisdictions. Nine schools of nursing across Canada (Nova Scotia, Ontario, British Columbia) implemented and evaluated Sentinel City a virtual simulation program to complement the traditional community clinical, or as an alternative learning experience. A descriptive survey was used to carry out an evaluation of the use of Sentinel City and student learning outcomes. Quantitative data provided demographic statistics …

The Complex Nature Of Nursing Education And Clinical Practice, Jacinthe I. Pepin, Florence Myrick

Quality Advancement in Nursing Education - Avancées en formation infirmière

No abstract provided.

Factors Influencing The Development Of Social Change Involvement, Linda Johanson, Patti P. Urso, Kimberly Priode

Journal of Excellence in Nursing and Healthcare Practice

How to cultivate and encourage the motivation to become an agent of positive social change has not been studied to a great degree. For example, what kind of factors influence the development and growth in nurses toward a desire to be involved in changing society for the better? Knowledge of these factors could help educators and nurse leaders provide and encourage those growth opportunities. The purpose of this research was to interview nurses known to be deeply involved in various types of positive social change and discover what factors influenced this development. Three overall themes emerged as influencing factors for …

Wellness Review 2022, Part 1, Martin Huecker, Brian A. Ferguson, Jacob Shreffler

Journal of Wellness

Introduction: This article represents the first of a two-part assessment of 2022 literature addressing wellness in healthcare professionals published from January 1, 2022 to June 30, 2022.

Methods: Three editors conducted a similar keyword search in Pubmed, also adding manually curated articles. Focusing chiefly on clinical trials and other prospective research, we settled on a final 25 significant papers focusing on wellness in medical professionals to include in this review.

Literature Review: Recent literature into HCW wellness continues to describe burnout factors and COVID-19 impact, but includes more resilience-targeting interventions and systematic reviews of trials seeking bolstering of well-being. Subsections …