Education Commons^™

Adaptation De L’Instrument « Évaluation De L’Environnement D’Apprentissage Clinique » : Ajout De La Composante De La Dynamique De Groupe, Marjolaine Dionne Merlin, Frances Gallagher, Stéphan Lavoie

Quality Advancement in Nursing Education - Avancées en formation infirmière

Résumé

Contexte et problématique : Lors d’un stage en groupe, la dynamique entre les stagiaires du groupe peut compromettre leurs apprentissages et nuire à l’expérience de stage. Les instruments de mesure recensés permettent d’évaluer différentes composantes de l’environnement d’apprentissage clinique (EAC) associées à l’expérience d’apprentissage de stagiaires, sans toutefois inclure la composante de la dynamique de groupe en lien avec leur expérience d’apprentissage. Il en est ainsi pour l’instrument de mesure Évaluation de l’environnement d’apprentissage clinique (EEAC), composé de trois sous-échelles. Ce manque ne permet pas de documenter la composante de l’EAC, qui délimite les actions d’amélioration par les personnes …

Post-Graduate Integration Programs For Recently Graduated Nurse Practitioners: A Rapid Review, Li-Anne Audet, Amale Ghandour, Irene Sarasua

Quality Advancement in Nursing Education - Avancées en formation infirmière

Aim

The purpose of this paper is to present a rapid review of the literature that describes and evaluates post-graduate professional integration programs for recently graduated nurse practitioners.

Background

Recently graduated nurse practitioners face numerous challenges upon entry to practice, these include high patient caseloads, lack of confidence and difficulty integrating into the interprofessional team. In response to these challenges, numerous post-graduate professional integration programs have emerged to support the transition of recently graduated nurse practitioners into practice.

Design

A rapid review was conducted following McMaster University Rapid Review Guidebook’s Guidelines.

Method

Studies describing and evaluating post-graduate professional integration programs …

Healthcare Ai: A Revised Quebec Framework For Nursing Education, Maggie Lattuca, Diane Maratta, Ute Beffert, Annie Chevrier, Laura Winer

Quality Advancement in Nursing Education - Avancées en formation infirmière

Artificial Intelligence Health Technologies (AIHT) are taking their place in the practice of nursing. However, the curricula have not evolved to include competencies required of nursing graduates to incorporate their impact on theory and practice. This project was born of an identified need by nurse educators to articulate new competencies grounded in the literature and expert knowledge. Based on extensive literature reviews and an iterative process of expert validation, this paper provides recommendations for five new competencies that will be needed for nurses to use AIHT responsibly, ethically, and intelligently in the best interests of patient care. The methodology started …

Nursing Student Experiences During A Clinical Re-Assignment To Long Term Care In The Omicron Wave Of The Pandemic, Lisa J. Doucet, Paula D'Eon

Quality Advancement in Nursing Education - Avancées en formation infirmière

Background: The peak of the Omicron wave of COVID-19 created a sudden and unanticipated shortage of healthcare workers, particularly in long term care (LTC) triggering the provincial government’s call for aid. This culminated into a collaboration between universities and government to engage undergraduate nursing students to assist by re-assigning their clinical placements. This required a shift in location to LTC from acute care, and time frame, from end of semester to mid-semester.

Purpose: The purpose of this descriptive qualitative study was to explore nursing students’ experiences at one university who participated in a clinical reassignment during the peak …

Practicum Structures And Nursing Student Retention/Achievement Rates In A United Kingdom University: A Quantitative Analysis, Phil M. Coleman

Quality Advancement in Nursing Education - Avancées en formation infirmière

This study sought to examine whether the consistent application of a specific placement design to student practice learning experiences within two pre-registration nursing degree programmes offered by a university in the United Kingdom (UK) affected retention and achievement levels. The quantitative analysis involved a sample of 460 employer-sponsored undergraduates, all of whom worked as non-registrant carers, within two cohorts of a part-time adult (physical) or mental health nursing degree programme, both of four years duration, offered by a large academic institution with a presence in all four UK nations. Cross-tabulation and multinomial logistic regression analyses found no statistically significant relationship …

Impact Of The Covid-19 Pandemic On Nursing Students’ Clinical Learning Experiences In British Columbia: The Student Perspective, Krista Sferrazza, Maura Macphee, Farinaz Havaei, Suzanne Hetzel Campbell

Quality Advancement in Nursing Education - Avancées en formation infirmière

The clinical learning environment is where nursing students gain knowledge, practice skills and become socialized into the nursing profession. Traditionally, in Canada, the clinical learning environment takes place hospital and community settings. The COVID-19 pandemic required quick thinking by nursing faculty to replace on-site clinical hours. Given the quick change-over, there was minimal consideration given to nursing students' perspectives in the planning stages. This study aimed to investigate nursing students' experience in the clinical learning environment before and during the COVID-19 pandemic. The perceived quality of students' learning experiences was assessed using the Clinical Learning Environment, Supervision and Nurse Teacher …

University Competency-Based Courses For Internationally Educated Nurses (Iens) In Ontario: A Pilot Education Pathway To Registered Nurse (Rn) Licensure, Elaine E. Santa Mina Dr, Ayesha Bhatti, Patricia Bradley, Elizabeth Manafo, Alice Ormiston, Linda Patrick, Kirsten Woodend

Quality Advancement in Nursing Education - Avancées en formation infirmière

In 2014, a team of nurse educators and champions of internationally educated nurses (IENs) in Ontario, Canada, came together to address the issue of supporting IEN transition to practice as one route to help address nursing shortages. Courses were developed with funding from the Government of Ontario, and policy and coordination support from the Council of Ontario Universities, to pilot an educational bridging pathway for IENs. The faculty team across four Ontario universities used a consortium approach to coalesce province-wide expertise in IEN education. What began as a selection of targeted, competency-based courses has since evolved into a full Competency-Bridging …

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 …

Canadian Nursing Students’ Understanding, And Comfort Levels Related To Medical Assistance In Dying, Shelley E. Canning Dr., Christine Drew

Quality Advancement in Nursing Education - Avancées en formation infirmière

Background: Recent legislation regarding medical assistance in dying (MAiD) has important implications for nursing practice and education. It follows that Canadian nursing programmes must integrate theoretical and clinical practice related to MAiD in current curricula. Understanding student knowledge and comfort regarding MAiD provides important direction for developing curricula.

Purpose: To explore the understanding and comfort levels of BSN students regarding MAiD.

Methods: An applied health research methodology drawing on Interpretive Description was employed. Forty BSN students were surveyed before receiving MAiD education delivered through coursework and clinical experiences; 32 students participated in post intervention surveys; six students participated in individual …

Knowledge And Attitudes Of Pharmacogenetics Among Canadian Nurses: Implications For Nursing Education, Noopur Swadas, Sarah Dewell, Sandra J. Davidson

Quality Advancement in Nursing Education - Avancées en formation infirmière

Pharmacogenetic testing is used to tailor medication recommendations based on an individual's genetic makeup. Increased precision in prescribing medication through the use of genetics leads to a reduction in adverse drug reactions resulting in decreased morbidity and mortality. Due to the noted benefits to patient health outcomes and reduction in healthcare costs, a growing number of Canadian health centers and community pharmacies are beginning to offer pharmacogenetic testing. Previous studies indicate that Canadian nurses have minimal education in genomics; however, there has been an increase in attention to nursing roles in the implementation of genomic health practices in recent years. …

Self-Study: A Method For Continuous Professional Learning And A Methodology For Knowledge Transfer, Judy C. Woods

Quality Advancement in Nursing Education - Avancées en formation infirmière

Purpose: Clinical nursing instructors must participate in continuous professional learning to maintain competency in nursing practice and in clinical instruction to prepare nursing students adequately for professional practice. The purpose of this research was to examine self-study as a method of continuous professional learning in nursing education.

Procedures: A clinical instructor undertook to improve her clinical instruction with regard to five formative assessment strategies illustrated to promote student learning in regular classrooms. She translated and then implemented these strategies in nursing education. This self-study of instructional practice employed a reflective journal and systematic documentation of iterative processes of planning, action, …

Online Tea Cafés: Using Caring Science To Transform Digital Learning Spaces And Advance Nursing Leadership, Lisa Sara Goldberg, Les T. Johnson, Sandra F. Murphy

Quality Advancement in Nursing Education - Avancées en formation infirmière

Given the current trend toward online nursing education and the recent changes to teaching and learning modalities as a result of a global pandemic, developing a distance-learning pedagogy for students that seeks to explore the power of compassion in the digital world is both timely and necessary. Drawing on pedagogical strategies used in an online nursing course including asynchronous online discussions called Tea Cafés, the authors showcase how they advanced knowledge and understanding in relation to nursing leadership and professional formation. By underpinning the authors’ distance-learning pedagogy in caring science, students not only thrived, but created a strong sense of …

Clinical Nurse Instructor Competencies: An Exploratory Study Of Role Requirements, Natalie A. Bownes, Michelle A. Freeman

Quality Advancement in Nursing Education - Avancées en formation infirmière

Background: Baccalaureate nursing education consists of theoretical and practical training that prepares students for the role of competent nursing care providers. The practical application of knowledge and skills is vital in nursing curricula worldwide. Nursing programs have changed over the last few decades and have become increasingly dependent on part-time Clinical Instructors (CIs) to teach the clinical components of the curricula. However, CIs receive minimal instruction to prepare for this complex role. It has been acknowledged in Canada that there is limited research to inform CI specific competencies.

Purpose: The purpose of this research was to conduct an exploratory study …

Near Peer Learning To Facilitate Nursing Students’ First Medical Surgical Clinical Experience / Apprentissage Par Les Pairs Proches De Manière À Faciliter Les Premières Expériences Cliniques En Médecine Et Chirurgie Pour Les Étudiantes En Sciences Infirmières, Patricia Alfaro, Vanessa Di Criscio, Sandie Larouche, Margaret A. Purden, Alexander Sasha Dubrovsky

Quality Advancement in Nursing Education - Avancées en formation infirmière

Introduction and Background: Ensuring an appropriate clinical experience for students is becoming more challenging in the context of a global nursing shortage, more acutely ill clientele, and limited numbers of educators, academics and clinical instructors. Near Peer Learning Activities (NPLA) have been shown to be effective and may help students to feel prepared and confident to begin the clinical rotation. This study explored nursing students’ experiences in their first medical-surgical practicum following a NPLA involving Health and Physical Assessment (HPA). Methods: Educators at one Canadian University recently designed and implemented a NPLA in the clinical setting where junior nursing …

The Pedagogical Practices Of Clinical Nurse Educators - Les Pratiques Pédagogiques Des Infirmières Formatrices Cliniques, Anita Jennings, Clare Brett

Quality Advancement in Nursing Education - Avancées en formation infirmière

Clinical practice are an important component of undergraduate nursing education and involve clinical nurse educators who are primarily responsible for teaching student nurses in that context. Twelve nurse educators who taught in the clinical arena participated in this grounded theory study. These participants taught in a number of undergraduate nursing programs in a large metropolitan city in Ontario, Canada. The results revealed several insights and in this article the authors focus on one in particular: the various intersecting forms of knowledge that nurse educator participants brought to their teaching practice. The results from this study provide a more detailed understanding …

Valuing Curriculum Evaluation As Scholarship: A Process Of Developing A Community Of Scholars (Valoriser L’Évaluation De Programmes D’Études Comme Forme De Scholarship : Un Processus De Création D’Une Communauté De Chercheuses), Betty Tate, Marilyn Chapman, Cheryl Zawaduk, Doris Callaghan

Quality Advancement in Nursing Education - Avancées en formation infirmière

Curriculum evaluation is an essential and complex activity intended to foster understanding of how teaching-learning practices serve to meet educational goals. This position paper provides a retrospective from the authors' lived experience of one multi-institutional collaborative nursing programs' history of curriculum evaluation and scholarship growth over twenty-five years. Key themes include an overview of collaborative curriculum evaluation underpinned by three philosophical perspectives, the influence of accreditation and re-mandated post-secondary institutions on scholarship development, an affirmation of curriculum evaluation as a form of knowledge development as supported by Boyer’s model of scholarship, and the development of scholarship expertise across collaborative partners …

La Classe Inversée: Impact Sur Le Sentiment D'Efficacité Personnelle Et L'Utilisation Des Résultats Probants Chez Des Étudiantes En Sciences Infirmières (Flipped Classroom: Impact On Self-Efficacy And Evidence-Based Practice For Nursing Students), Laurence Harvey, Marjolaine Héon, Jacinthe I. Pepin, Louise Boyer

Quality Advancement in Nursing Education - Avancées en formation infirmière

Résumé

Contexte : La pratique fondée sur des résultats probants (PFRP) s’impose comme l’approche de préférence quant à la prise de décisions cliniques afin de répondre à la complexité croissante des situations de santé (DiCenso, Guyatt et Ciliska, 2005). Malgré son importance dans l’offre de soins de qualité, l’utilisation des résultats probants demeure sous-optimale dans la prise de décisions cliniques des infirmières (Forsman, Wallin, Gustavsson, et Rudman, 2012; Melnyk, Fineout Overholt, Gallagher-Ford et Kaplan, 2012; Pravikoff, Tanner, et Pierce, 2005), ce qui serait lié à différents facteurs tels que les habiletés (Jones, Crookes et Johnson, 2011; Melnyk et al., 2012), …

Promoting Scholarship And Faculty Development Through Faculty Learning Communities, Olive J. Yonge Dr., Sandra J. Davidson

Quality Advancement in Nursing Education - Avancées en formation infirmière

Faculty learning communities (FLCs), whether they are topic or cohort-based, are a form of professional development that promote scholarship and collegiality among faculty members. This article describes how a number of FLCs were initiated in a Faculty of Nursing (FoN). Members who participated described the FLCs as scholarly, creative and morale enhancing. One of the most significant impacts in the topic-based FLCs was having members create a scholarly product such as articles, letters, theatrical performances, books, faculty modules, briefs and paintings. For the cohort-based FLC the product was preparing pre tenure faculty for tenure. It is recommended FLCs be voluntary, …

Exploring Self-Efficacy And Anxiety In First-Year Nursing Students Enrolled In A Discipline-Specific Scholarly Writing Course, Kim M. Mitchell, Tom Harrigan, Torrie Stefansson, Holly Setlack

Quality Advancement in Nursing Education - Avancées en formation infirmière

Background: Very few studies measuring writing self-efficacy or anxiety in undergraduate nursing students exist in the education literature. The purpose of the present investigation was to identify if changes to writing self-efficacy and writing anxiety will occur in first-year baccalaureate nursing students who are exposed to a discipline-specific scholarly writing course employing scaffolding strategies as the primary instructional method. Concurrently, this study was the pilot test for a new measure assessing writing self-efficacy, The Self-Efficacy Scale for Academic Writing.

Method: A one-group pre-test/posttest design was employed. Sixty-four (64) paired questionnaires were available for analysis. Bandura’s self-efficacy theory and a scaffolding …

Investigating The Integration Of Student Learning Resources In Preparation For The Nclex-Rn: Phase One Of A Canadian Two-Phase Multi-Site Study, Shelley L. Cobbett, Willena I. Nemeth, Joanne Macdonald

Quality Advancement in Nursing Education - Avancées en formation infirmière

Evidence-informed education practices are critical in determining effective student preparatory learning resources for the NCLEX-RN examination. Standardized testing in nursing education programs has been demonstrated to increase students NCLEX-RN success. A widely researched assessment tool for predicting NCLEX-RN examination outcomes is the HESI^TM RN Exit Exams. The HESI Exit Exam (E²) was determined to be between 93.36% and 99.16% accurate in predicting NCLEX-RN success (N = 49,115) with samples derived from various nursing programs throughout the United States.

Purpose: This two-phase, multi-site ex-post facto study was to investigate NCLEX-RN Student Preparatory Learning Resources within the Canadian context. …

Discerning Success Of Indigenous Health Students In Community-Based Programs, Marti Harder, Barbara Astle, Sonya Grypma, Evelyn Voyageur

Quality Advancement in Nursing Education - Avancées en formation infirmière

In recent years, there has been a shift in Canadian healthcare education. In some regions where access to healthcare education may be limited, post-secondary educational institutions have partnered with local Indigenous groups to provide community-based healthcare educational programs to attract and support Indigenous students. The purpose of this study was to explore how members of a community with a community-based healthcare program describe student success and the factors that influence it. As part of a qualitative study, eight participants from a northern Canadian community were interviewed about their descriptions of success, and its influencing factors in a community-based healthcare program. …

Theory-Based Practice As Plural Interpretations: A Case Of The The Integration Of The Humanbecoming Theory In A Palliative Care Setting, Diane Tapp, Mireille Lavoie, Nicolas Vonarx

Quality Advancement in Nursing Education - Avancées en formation infirmière

Nurses and students are generally encouraged to base their practice on nursing grand theories and models. However, the concrete benefits of these models in practice are often debated. Given that past studies were mostly dedicated to documenting the benefits of nursing theories in practice and were conducted by their supporters, their contribution to the debate is questionable. In 2012, we conducted a retrospective case study in a palliative care unit in Canada where caregivers have based their practice on the Humanbecoming theory since two years. We aimed to examine the process of integration and its effects. Data was obtained from …

Writing Assignments: A Relatively Emotional Experience Of Learning To Write In One Baccalaureate Nursing Program, Susan Chaudoir, Gerri Lasiuk, Katherine Trepanier

Quality Advancement in Nursing Education - Avancées en formation infirmière

This article specifically reports findings from an interdisciplinary case study that explored classroom experiences of learning to write across one baccalaureate nursing degree program in Canada. A combination of rhetorical genre and situated learning theories and institutional ethnography methods were used to help document student and instructor experiences of learning to write two recurring writing assignments called the scholarly paper and journal of reflective practice, which students composed in each semester of their program. Data included 38 classroom/student observations, 22 assignment instruction documents, and 39 voluntary, semi-structured interviews with 34 students and 5 instructors from 4 courses. Interviews focused primarily …

Cognitive Rehearsal Training For Upskilling Undergraduate Nursing Students Against Bullying: A Qualitative Pilot Study, Florriann C. Fehr Dr., L. Michelle Seibel Ms.

Quality Advancement in Nursing Education - Avancées en formation infirmière

The purpose of this qualitative study is to examine the effectiveness of an anti-bullying intervention called Cognitive Rehearsal Training (CRT) using a workshop format to increase third year nursing students’ knowledge and confidence to address bullying behaviour. A lanyard card identifying ten common bullying behaviours and possible phrases to stand up to bullying was used as a tool to Stop! Reflect! and Respond! as a process to resolve conflict (Griffin, 2004; Griffin & Clark, 2014). Although similar bullying interventions have been studied among practicing nurses, few studies exist that involve students within their pre-licensure training program (Iheduru-Anderson, 2014; Thomas, 2010) …

The Techno-Numerate Nurse: Results Of A Study Exploring Nursing Student And Nurse Perceptions Of Workplace Mathematics And Technology Demands, Daniel H. Jarvis, Andrea Kozuskanich, Barbi Law, Karey D. Mccullough

Quality Advancement in Nursing Education - Avancées en formation infirmière

In this paper, we report on the findings of a research study that sought to answer the following questions: (i) How do current nursing students’ perceptions compare with those of actual working nurses regarding the mathematics and technology demands involved in nursing?; and, (ii) What types of course structures, content, pedagogy, or other recommendations could more effectively prepare nurses for the realities of the workplace in light of mathematics and technology demands? The study involved online open-response questions and semi-structured interviews. Seventy-six participants, including both 4^th-year nursing students (n = 8) and working nurses (n = 68), completed …

Integrating Global Citizenship Through Local Teaching Practices, Sharon D. Simpson, Sonya L. Jakubec, Cheryl Zawaduk, Cheryl Lyall

Quality Advancement in Nursing Education - Avancées en formation infirmière

As university and nursing programs place more emphasis on global perspectives in their strategic plans and goals, it is frequently unclear how these perspectives are integrated into curricula and pedagogical practices. With globalization processes impacting health and education throughout the world, it is timely to understand the current context and expertise in order to move ahead to promote the development of professional nurses as global citizens.

This interpretive descriptive study explored the characteristics and qualities of global citizenship and global health from the perspective of 12 expert informant nursing education leaders from undergraduate nursing programs within Canada. The study also …

Clinical Nursing Reasoning In Nursing Practice: A Cognitive Learning Model Based On A Think Aloud Methodology, Johanne Goudreau, Louise Boyer, Dimitri Létourneau

Quality Advancement in Nursing Education - Avancées en formation infirmière

Background. The current context of increasingly complex nursing care requires a high level of clinical reasoning in nursing practice. Still, teaching clinical reasoning in nursing remains a challenge for educators in the field. Although several studies have been conducted to try to understand clinical reasoning in nursing, neither its developmental stages nor the corresponding critical milestones have been uncovered. Therefore, nursing educators cannot rely on a cognitive learning model (a description of how people learn and develop a specific competency) to facilitate the learning of this crucial competency.

Objectives. This study was conducted to develop a cognitive learning model of …