Other Nursing Commons^™

Student Peer Mentorship In Prelicensure Nursing Programs: A Scoping Review, Jacqueline Avanthay Strus, Julie Savard, Chloe Manaigre, Teaghan Mitchell, Ariane Gauthier, Patricia Bourrier, Rhéanne Girard, Danielle De Moissac

Quality Advancement in Nursing Education - Avancées en formation infirmière

Abstract

A scoping review was undertaken to inform the development of a peer mentoring program in the nursing faculty of an official-language francophone minority post-secondary institution in Western Canada. Semi-structured interviews were conducted with mentorship coordinators in seven undergraduate nursing programs across Canada. The results of the semi-structured interviews were used to corroborate the information gathered during the scoping review.

Analysis of the scoping review showed that the mentoring programs were designed based on a perceived need expressed by faculty and students. All programs involved a multi-stage implementation and evaluation process. Many articles focused on the benefits of implementing mentoring …

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

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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

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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 …

The Importance Of Being Uncomfortable And Unfinished, Caroline Foster-Boucher, Jody Nelson, Sydney Bremner, Colleen Maykut

Quality Advancement in Nursing Education - Avancées en formation infirmière

Our initial intention was to outline the structure of an entity, the Bear Healing Lodge, within the Faculty of Nursing at MacEwan. This structure was created out of the Truth and Reconciliation’s Calls to Action. However, as we engaged in critical discussions we realized that who we were becoming as persons, as we unpacked out privilege and power, was invaluable and informative to prepare us for authentic allyship and partnership. We realized that outcomes and endings were not the end goals, but being uncomfortable and unfinished were necessary for the creation of an ethical space for members to engage in …

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

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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. …

Examining The Impact Of Double Time Written Tests In Nursing Education: A Mixed Methods Study, Nadine M. Janes, Lesley Stoltz, Sue Mccarthy, Shahrzad Janani

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Background: Nursing education is stressful for students: an inherent quality of a competitive professional degree program leading to a career where client safety and quality healthcare are dependent on graduates with high levels of intellectual and emotional capacities. In the interest of student health and well-being, it is worthwhile taking a moment to pause and consider what, if any, stressors can be minimized or eliminated. This study resulted from such a moment of pause to consider norms related to in-person timed written tests and how the factor of time might be contributing to modifiable student stress.

Purpose: The purpose of …

Nurse Educators' Perceptions Of Ecoliteracy In Undergraduate Nursing Education, Jennifer L. Morin, Benita Cohen, Nicole Harder, Shirley Thompson

Quality Advancement in Nursing Education - Avancées en formation infirmière

Introduction: Increased human health concerns related to the natural environment and climate change are having a growing impact on nursing practice. This past year in Canada, for example, British Columbia reported the highest number of heat related deaths, followed by devasting forest fires in many provinces that have disproportionately impacted Indigenous Peoples. Nurses are well positioned to address the direct health impacts associated with climate change. As a result, nurses require an increased level of ecoliteracy to address the health impacts linked to climate change. The role of the nurse in addressing the health impacts of climate change are vast, …

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, …

Clinical Reasoning To Advance Medication Safety By Senior Nursing Students, Elizabeth Domm, Bonnie Raisbeck, Megan Pearce

Quality Advancement in Nursing Education - Avancées en formation infirmière

Nursing students in their final year of their nursing education program are expected to administer medications to patients safely and competently. Currently, there is a lack of research with regard to how senior nursing students are using clinical reasoning to support medication safety in the clinical setting. This qualitative descriptive case study explored how senior nursing students applied critical thinking and clinical reasoning to support medication safety in their final clinical practicums. The study took place in 2019 and consisted of 13 face-to-face interviews with senior nursing students in their final clinical rotation. Six themes emerged from the interviews. Students …

A Call To Revisit And Address The Histories Of Bullying In Nursing Education, Zachary Daly, Kathy O'Flynn-Magee, Patricia Rodney

Quality Advancement in Nursing Education - Avancées en formation infirmière

The issue of bullying in nursing, and particularly in nursing education has been examined in numerous contexts, both in Canada and elsewhere. In this paper, we reflect on the ongoing prevalence of bullying in nursing’s history, its impacts, and question why it has continued to be problematic in nursing and in nursing education. We argue that part of the issue is a reluctance to come to terms with bullying’s historical origins in nursing. While we note that discussions of the issue of bullying in nursing start to appear in the 1970s, and more dedicated discussions of bullying in nursing education …

Digital Health In Canadian Schools Of Nursing—Part B: Academic Nurse Administrators’ Perspectives, Lynn M. Nagle, Manal Kleib, Karen Furlong

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While much progress has been achieved in advancing nursing informatics capacity in Canada, more work is needed to keep pace with the 21^st century technological revolution. Nursing programs and educators are at the forefront of this change, and are key to ensuring successful integration of digital health and informatics in nursing education and practice.

In 2018, a mixed methods study was conducted including a survey of nursing school administrators and nurse educators, telephone interviews, and one focus group meeting. The purpose of this research was to understand the current state of digital health and informatics content integration in nursing …

Staying Ahead Of The Digital Technological Curve Using Survey Methods, Upinder Sarker, Sandra J. Davidson, Olive Yonge, Christy Raymond, Heather Kanuka, Colleen Norris

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In the early twentieth century, surveys were an innovative and neoteric methodology. Collected in-person or by mail, researchers could ascertain the thoughts and opinions of a small sample, which could then be applied to the general population. Almost one hundred years later, the use of surveys has become pervasive in society due to digital technological advancement. However, while the digital evolution has not only altered the possibilities of how, when, and where surveys may be administered, the threats to this methodology has also evolved. While issues related to previously known errors (i.e. sampling error, non-response error, etc.) remain and have …

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

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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 …

Evaluating Preceptor Perception Of Role Development And Support Initiatives In A Collaborative Bachelor Of Science In Nursing Program, Florence Loyce Luhanga, Sheri Mccrystal, Elizabeth Domm

Quality Advancement in Nursing Education - Avancées en formation infirmière

Background: Nurse preceptors fulfill a vital role in the success of preceptorship experiences during clinical education of nursing students in their final year of study. Literature does not provide insight on preceptors’ perceptions about whether they feel supported in their knowledge about how to guide undergraduate nursing students in complex clinical learning environments.

Objectives: The purpose of this study was to explore Saskatchewan preceptors’ perceptions of their role preparation/development and support, and make recommendations to enhance preceptors’ support to ensure quality learning for preceptored nursing students.

Methods: The sample comprised of registered nurses who were current or past preceptors …

Les Effets Potentiels De La Version Française Du Nclex-Rn® Sur Le Choix De La Langue De Formation D'Étudiantes Infirmières Francophones En Situation Minoritaire., Michelle Lalonde, Julie Chartrand, Brandi Vanderspank- Wright, Linda Mcgillis Hall, Amélie Gosselin-Bélanger, Jessica Adèle Fullum

Quality Advancement in Nursing Education - Avancées en formation infirmière

Contexte : Un très faible taux de réussite a été remarqué chez les étudiantes infirmières francophones en situation minoritaire ainsi qu’une chute du nombre de candidates qui choisissent de passer en français le nouvel examen d’autorisation, le NCLEX-RN®, qui a été introduit en 2015. Ces données sont préoccupantes s’agissant de la qualité et de la pérennité des services de santé en français dans les régions linguistiques minoritaires au Canada. Objectifs : Le but de cet article est de présenter les résultats concernant les expériences des étudiantes inscrites dans un programme de formation initiale en sciences infirmières en français sur leur …

Un Modèle De Développement Et De Déploiement De Compétences Pour Les Enseignants Et Les Formateurs Cliniques En Sciences Infirmières / A Model Of Competency Development And Deployment For Nurse Academics And Clinical Educators, Martin Charette, Johanne Goudreau, Anne Bourbonnais

Quality Advancement in Nursing Education - Avancées en formation infirmière

La communication entre les milieux d’enseignement en sciences infirmières et les milieux cliniques ne se fait pas de façon optimale. L’utilisation d’un langage commun partagé par les enseignants et les formateurs cliniques, en particulier en ce qui concerne les notions de développement et de déploiement de compétences, permettrait de situer les attentes envers les étudiants et les nouveaux diplômés sur un continuum débutant lors de la formation initiale et se poursuivant dans le milieu clinique. Cet article présente un modèle de développement et de déploiement de compétences en pratique infirmière, construit théoriquement par l’intégration des travaux de Patricia Benner sur …

Is University Nursing Education In Canada Taking The Lead In A World Focused On Sustainable Development? / La Formation Universitaire Au Canada Est-Elle À L’Avant-Plan Dans Un Monde Centré Sur Le Développment Durable?, Ginger Sullivan, Jennifer Bell Ms, Mona Haimour, Solina Richter Dr.

Quality Advancement in Nursing Education - Avancées en formation infirmière

Global Health is widely being adopted by universities and higher education institutions in Canada and around the world. The current global climate has given rise to an emphasis on the necessity of global health education for nurses. Nursing educators as well as nursing students are seeking guidance as they integrate global health as part of their learning, teaching, research and practice. In September 2015, the member states of the United Nations adopted the Sustainable Development Goals (SDGs): seventeen goals to end poverty, protect the environment, and ensure health and well-being for all. These seventeen goals will guide the world’s development …

Integrating Quality Of Life Assessments In Student Clinical Learning Experience / Intégration D’Une Évaluation De La Qualité De Vie Dans Les Situations D’Apprentissage Clinique Des Étudiantes, Tracy Stephen, Andrea Orr, Landa Terblanche, Richard Sawatzky

Quality Advancement in Nursing Education - Avancées en formation infirmière

Healthcare organizations and governments increasingly emphasize the importance of viewing patients and families as equal members of the care team, with the right to participate in decisions affecting their care. In order to support the imperatives of person-centred care, Quality of Life (QOL) assessments are utilized more as part of routine clinical care. QOL assessments involve the use of standardized, validated questionnaires completed by patients to assess their health and quality of life from their own point of view.

In an effort to support transformational learning about QOL assessments, fourth-year students in a BSN program completed an assignment that involved …

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 …

Becoming A Nurse: Student Experience Of Transformation And Professional Identity - Devenir Infirmière : L’Expérience De Transformation Et L’Identité Professionnelle Des Étudiantes, Pamela M. Nordstrom, Genevieve Currie, Shirley Meyer

Quality Advancement in Nursing Education - Avancées en formation infirmière

Nursing education programs are designed to respond to the evolving requirements of nursing practice while supporting student transformation in becoming a nurse. Students in these programs often refer to them as academically challenging and stressful. The aim of this study was to understand the experience of nursing students compared to the general university student population and specifically, to explore if nursing students are perceiving more stress than students in other university programs. This study arises from an earlier study conducted annually for four years at a western Canadian university following the method referred to as the “Harvard Assessment Seminar” (Light, …

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 …