Medicine and Health Sciences Commons^™

Scaffolded Simulation In Psychiatric Mental Health Nursing Education, Lori Bobo, Stacy Mikel, Yolanda Chandler, Hungwei Tseng

Higher Learning Research Communications

Objectives: The purpose of this study was to investigate the impacts of using scaffolded clinical simulations on nursing students’ confidence in clinical reasoning, clinical judgment, and critical thinking skills. Next, we also attempted to gain insights into students’ perceptions of the benefits of scaffolded clinical simulations.

Method: We used a mixed-methods research design to investigate the impacts of using scaffolded clinical simulations on 133 second-semester baccalaureate nursing students’ confidence in clinical reasoning, clinical judgment, and critical thinking skills.

Results: Findings from this study indicate that students who perceived the benefits of scaffolded simulation activities (i.e., peer observations, debriefings, and self-reflections) …

Transitions In A Phd In Nursing Program: A Critical Reflection On Students' Perceptions, Paulina Bleah, Jovina Concepcion Bachynski, Rianne Carragher, Benjamin Carroll, Corey Heerschap, Emily Macleod, Martha Whitfield, Amina Silva

Quality Advancement in Nursing Education - Avancées en formation infirmière

Introduction: The purpose of this critical reflection is to share the collective experiences of eight doctoral students transitioning through a PhD nursing program at a Canadian University.

Background: Globally, a nursing shortage of over a million nurses threatens to significantly impact patient safety and quality of care. One proposed response to the nursing shortage is to increase enrollment of students in nursing programs, with the aim of graduating more qualified nurses. However, a concurrent shortage of nursing faculty is impacting the profession’s ability to effectively respond to this issue, with fewer nurses completing doctorate degrees than there are existing vacant …

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 …

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 …

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 …

Exploring Belongingness In An Accelerated Nursing Program: A Qualitative Study, Elisabeth Bailey, Mathurada Jullamon

Quality Advancement in Nursing Education - Avancées en formation infirmière

Accelerated baccalaureate nursing programs have proliferated to meet the demands of the current and projected nursing shortage. While these programs serve an important function, accelerated nursing students face unique challenges related to fast pacing, content-heavy courses, and swift transition into complex clinical learning environments. These challenges, coupled with the realities of a strained nursing educator workforce, are potential threats to learning environments that are supportive of students’ academic tenacity and social belonging. While a clear link between nursing students’ positive sense of belonging and their success in clinical learning environments has been established, there is scant research looking at the …

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. …

Climate Change: Broaching The Concern In Nursing Education | Changements Climatiques : Aborder La Question Au Cours De La Formation Infirmière, Florence Myrick, Jacinthe I. Pepin

Quality Advancement in Nursing Education - Avancées en formation infirmière

No abstract provided.

Nursing Education: What Fits Best In A Changing World Of Education Gogies?, Christy Raymond, Sherry Dahlke Phd

Quality Advancement in Nursing Education - Avancées en formation infirmière

Nursing education has roots in religious organizations, and apprenticeship approaches to ‘training’ nurses. Over time nursing education has moved to universities; yet retaining the critical practice nature of nursing. As a practice profession, nursing educators have to face the realities of ensuring that knowledge, skills, and values are taught in order for graduates to meet the entry to practice competencies. As graduates, nurses must also have the capacity to assess their knowledge gaps and be self-directed in filling those gaps so that they are providing evidence-based practice to those in their care. Educators must facilitate learning within best education practice, …

Comparative Study Of Knowledge Acquisition, Satisfaction, Self-Confidence And Perceived Support In Nursing Students Experiencing Simulation Versus Clinical Placement In Perinatal Care, Catherine Pépin, Marilyn Aita, Andréane Lavallée, Johanne Goudreau

Quality Advancement in Nursing Education - Avancées en formation infirmière

The aim of this study was to compare nursing students experiencing simulations (SIM group) (n=25) versus clinical placement (CPG) (n=55) in perinatal care. Questionnaires on satisfaction, self-confidence and perceived support were completed by both groups. Knowledge acquisition was assessed using standardized course evaluation. The Student’s t-test showed that differences between groups were not statistically significant for knowledge acquisition and satisfaction, while they were statistically significant for self-confidence and perceived support with higher scores in the CPG group. This study contributes to knowledge development since few have compared simulations as a learning method to replace totally clinical placement. Findings support the …

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, …

Physical Assessment Skills Used By Registered Nurses, Sherry Morrell, Gina Pittman, Natalie Giannotti, Fabrice Mowbray

Quality Advancement in Nursing Education - Avancées en formation infirmière

Background: Nurses work in a wide variety of settings. Therefore, it is essential for nursing educators to continually evaluate and adapt nursing programs to ensure that the curricula prepare students to practice in a variety of health care settings. In this study, we sought to determine which skills were routinely used by registered nurses and to examine whether the cumulative number of practice settings influenced the number, and type, of physical assessments used.

Methods: An electronic or a paper survey was distributed to registered nurses who worked as nursing clinical instructors at a mid-sized university in this cross-sectional study. Measures …

Transforming Academic Internationalization In Nursing Education In Ghana, Emmanuel Akwasi Marfo, Desire Urindwanayo

Quality Advancement in Nursing Education - Avancées en formation infirmière

The development of formal nursing education in Ghana has been influenced by international organizations since its beginning in the mid-1940s. Some of the 218 accredited nursing institutions in Ghana engage in academic internationalization through several international activities. Today, the focus of nursing education and healthcare delivery worldwide appears to be shifting towards globalization owing to the emerging market economies and political alliances that lean towards neo-liberal perspectives. In this paper, the aspects of internationalization and globalization of Ghanaian nursing education that need to be retained and those aspects that require transformation are discussed. International student exchange programs with a western …

Lessons Learned From Historical Analysis Of Seven Decades Of Educational Scholarship At Mcmaster University School Of Nursing, Janet Landeen, Kathryn Fisher, Iris Mujica, Barb Carpio, Ruth Chen, Lynn Martin, Olive Wahoush, Marissa Bird

Quality Advancement in Nursing Education - Avancées en formation infirmière

The McMaster School of Nursing (SON) was approaching its 70^th anniversary prompting a time of reflection on its contributions to nursing education. Were there lessons learned from the past that could provide a compass to navigate current day challenges and orient future strategies in the continued pursuit of excellence in nursing education? While the history of nursing education in Canada has been previously documented, there has been limited research into the evolution of different educational approaches. We decided to conduct in-depth historical analysis of the conditions that fostered educational scholarship and practice at our SON from 1946 to 2016. …

Approachability Of The Nursing Clinical Instructor: Psychometric Assessment Of A Scale Development, Angela Collier

International Journal of Health Sciences Education

Approachability of nursing clinical instructors is largely unknown and misunderstood, yet critical for millennial students which currently comprise 82% of nursing students (National League for Nursing, 2014). Nursing education consists of both a didactic and a clinical component. Clinical education is dynamic and allows the student an experiential learning opportunity. Therefore, clinical nursing educators are vitally important. Approachability has been identified in many studies as a leading characteristic of an effective instructor. Although the importance of approachability of the instructor is established, currently no scale exists to measure this concept. The purpose of this study was to examine the validity …

Reflections On Study Abroad: Insights From Registered Nurses, Marie Dietrich Leurer, Arlene E. Kent-Wilkinson, Janet Luimes, Lee Murray, Vicki Squires, Linda M. Ferguson, Carmen Dell

Quality Advancement in Nursing Education - Avancées en formation infirmière

Globalization has resulted in the increased internationalization of higher education with most universities hosting international students and sending domestic students on international learning experiences. As part of this trend, many undergraduate nursing programs offer study abroad clinical placements to promote cultural sensitivity and global citizenship. While there is an abundance of research evaluating student perceptions of specific international study abroad experiences soon upon their return, there is little research exploring longer-term perspectives of participants across a range of diverse international placement sites. To provide guidance for their study abroad program, a nursing school in western Canada gathered the perspectives of …

Facilitation Of Disorientating Events For The Rpn To Bscn Learner / Soutenir, Par Des Occasions Déconcertantes, Les Apprentissages De L’Infirmière Diplômée D’Un Programme Collégial (Rpn En Ontario) Pour Devenir Infirmière Bachelière (B.Sc.), Maurine Parzen, Katharine Janzen

Quality Advancement in Nursing Education - Avancées en formation infirmière

Jack Mezirow’s transformative learning theory provides a framework in which to explore learning experiences that facilitate the Registered Practical Nurses (RPN) who returns to school to upgrade their credentials to that of a Registered Nurse (RN). It is through self-exploration and critically reflection upon previous nursing knowledge that RPNs can begin to enhance their knowledge and transform their practice. Mezirow claims there are precursor steps that adult learners contemplate as they engage in the process of perspective transformation which is initiated by disorientating dilemmas. RPNs who return to school to upgrade their credentials to that of an RN need to …

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 …

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 …

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, …

A Partnership Between Nursing Faculty, Students, And Urban Community Centers To Provide Vision Screenings For Low-Income Immigrant Women: An Experiential Case Study, Rose C. O'Halloran, Kerry A. Milner, Kim Foito

Sacred Heart University Scholar

Given the current health care climate, it is critical for nurse educators to provide learning opportunities for students to collaborate with leaders in the community to provide much-needed services to vulnerable populations. We developed, implemented, and evaluated a process for vision screenings and referrals to a local eye center for low-income, immigrant women over three years in an urban setting in the United States. This is a report on the program, including the challenges faced by the faculty and lessons learned by the nursing students.

Producing Flexible Nurses: How Institutional Texts Organize Nurses’ Experiences Of Learning To Work On Redesigned Nursing Teams (Préparer Des Infirmières Polyvalentes : Comment Des Documents Officiels Orientent Les Expériences D’Apprentissage Des Infirmières En Fonction Du Travail Au Sein D’Équipes Reconfigurées), Diane L. Butcher, Karen Mackinnon, Anne W. Bruce

Quality Advancement in Nursing Education - Avancées en formation infirmière

The purpose of this qualitative research was to utilize an Institutional Ethnographic (IE) lens to trace how various institutional (regulatory, educational, union, governmental, or health authority) texts and resources organize baccalaureate (RN) and diploma (vocational or practical) nurses’ experiences of learning to practice on acute care teams. Functional care models have been introduced in acute care, creating RN-LPN-health care aide (HCA) teams in conjunction with expanded practice scopes for LPNs. Questions arise as to how nurses (RNs and LPNs) learn to work together on these intra-professional teams. Beginning from the standpoint of front-line workers provides an entry-point into understanding how …

Increasing Emotional Intelligence In Online Rn-Bsn Students: Is It Possible?, Karie Stamer

Northwestern Review

Emotional intelligence (EI) is an essential component to nursing practice and research suggests it can be increased through targeted teaching strategies (Cherry, Fletcher & O’Sullivan, 2013; Freshwater & Stickley, 2004), yet no research has been done within the setting of online RN-BSN education. The purpose of this non-experimental pretest posttest pilot study utilizing retrospective data was to examine the impact EI education has on the EI levels of online RN-BSN students enrolled in a nursing program in the Midwest. The Trait Emotional Intelligence Questionnaire - Short Form (TEIQue-SF) was used as the pretest and posttest tool. The pretest was completed …

Using Case Study To Examine Simulation In A Problem-Based Course, Joanna Pierazzo, Mary Allan, Grace Mclaren, Dorothy Baby

Quality Advancement in Nursing Education - Avancées en formation infirmière

Background: In the last decade, simulation-based learning has flourished with the context of professional practice and education. Within this development, the value of enhancing problem-based learning (PBL) with technology, specifically high-fidelity simulation has not been well-investigated. More specifically, baccalaureate nursing students’ perspectives in using a high-fidelity simulation (HFS) activity during a theoretical problem-based nursing course have not been examined. Purpose: This study explored the perceptions of second year nursing students when HFS and PBL were integrated in a theoretical nursing course. Method: In this study, a descriptive, qualitative research design, specifically case study methodology (Stake, 2005) was used to explore …

Use Of Flipped Classroom Methods In Nursing Education: A Narrative Review Of Literature, Shanthi Ramasubramaniam Ms, Vijayalakshmi Gopalan Nair Ms, Jayanthi Radhakrishnan Dr

Manipal Journal of Nursing and Health Sciences

Introduction: Deployment of flipped lecture room techniques in undergraduate nursing program can be a very useful tool in increasing the student’s attention and learning process. It brings in a lot of accountability for selflearning among nursing students. Aim: The main aim of this review was to identify studies that have been conducted in nursing education using flipped classroom methods or techniques, to identify the benefits achieved by students and faculty members, to describe the current practice from studies reviewed and to develop a feasible model for practice. Materials and methods: The review was done using the electronic data bases including …

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 …

Host Agency Perspectives On Facilitating Community-Based Clinical Experiences For Nursing Students, Sheryl Reimer-Kirkham, Landa Terblanche, Richard Sawatzky, Catherine Hoe Eriksen

Quality Advancement in Nursing Education - Avancées en formation infirmière

Nurse educators have developed many innovations for nursing education in response to the current shortage of clinical placements. Nursing programs are increasingly relying on placements in community-based agencies (some of which are not health agencies) and university-agency collaborations are being developed to enhance capacity for student placements. Our interest in this qualitative study was to elicit the perspectives of host agencies in these alternate sites regarding hosting undergraduate student clinical placements. Aims were to gain insight about (1) how community-based host agencies decide to host students, including how the number of students hosted is determined; (2) the nature of agency-university …

Nursing Students Critical Thinking And Research Utilization, Salima Moez Meherali, Joanne Profetto-Mcgrath, Pauline Paul

Quality Advancement in Nursing Education - Avancées en formation infirmière

Background: In the nursing profession critical thinking (CT) has increasingly been the focus of investigation for the past several years. CT dispositions and skills are valuable in nursing practice. Nurses need complex thinking skills to effectively manage the fast-paced and constantly changing health care environments in which they work. CT is also vital in developing evidence-based nursing practice. Nurses who are disposed to think critically are more likely to critically interpret the available evidence, and able to make high quality judgments and draw valid inferences. Currently, no published studies could be located that specifically examined the relationship between Critical …

A National Study Of Nursing Students’ Recommendations Regarding End Of Life Content In Nursing Education Curricula, Danielle Shkapich, Barbara Heise

Journal of Undergraduate Research

The purpose of this qualitative study was to analyze the recommendations of nursing students nationwide who have experienced a patient death while in nursing school regarding end-of-life (EOL) curricula. Many nursing students are not adequately instructed on how to perceive and react to death. For registered nurses, dealing with death is an evitable part of their careers. Without adequate instruction, student nurses are less prepared to deal with such circumstances in their future practice. While many studies regarding the benefits of EOL training have been published, this study takes the next step in determining, on a national basis, what students …

Confronting The Social Mandate For Nursing Scholarship – One School Of Nursing’S Journey., Susan M. Duncan, Star Mahara, Victoria Holmes

Quality Advancement in Nursing Education - Avancées en formation infirmière

The move to advance the qualification of nurses has necessitated the expansion of baccalaureate degree level nursing education to colleges and other less research-intensive post-secondary institutions in Canada and beyond. Shifts in the post-secondary institutional contexts of nursing education necessitate a re-thinking of the mandate and purpose of scholarship in nursing and how it can be sustained. Over a span of forty years, Thompson Rivers University School of Nursing has evolved from a community college program to one situated in a university college, and most recently within a new university. In this paper, we describe the purpose and process of …