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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 …

Academic Allyship In Nursing: Deconstructing A Successful Community-Academic Collaboration, Jason Hickey, Mike Crawford, Patsy Mckinney

Quality Advancement in Nursing Education - Avancées en formation infirmière

Public health and social care systems in Canada are frequently racist and discriminatory towards Indigenous people and exacerbates health inequities that Indigenous people experience. In New Brunswick, there are a range of culturally informed health and social services being offered within First Nations communities and by Indigenous organization that operate outside of reserves. Some of these services and organizations rely on support from non-Indigenous allies to meet the needs of their community members.

However, it can be challenging for non-Indigenous people to engage in allyship due to unconscious bias, false assumptions, and lack of cross-cultural understanding. Effective allyship can also …

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 …

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 …

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 …

A Nurse's Journey With Cultural Humility: Acknowledging Personal And Professional Unintentional Indigenous-Specific Racism, Deanne Schmalz, Holly Graham, Arlene Kent-Wilkinson

Quality Advancement in Nursing Education - Avancées en formation infirmière

This is a first-person reflection of my journey through cultural humility to identify a connection between my inherent beliefs about Indigenous Peoples and Indigenous-specific systemic racism. The co-authors of this paper provided guidance, mentorship, and support in organizing the framework due to the challenging and sensitive nature of the content. As part of my relational practice, I worked with a Cree scholar to write this paper. As a descendant of white European colonial settlers, I grew up in a small community in western Canada populated by people of similar backgrounds. My exposure to Indigenous Peoples and culture was very minimal; …

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.

Incivility In Nursing Education: Sources Of Bullying And Their Impact On Nursing And Psychiatric Nursing Students, Kathryn Chachula, Nora Ahmad, Nadine Smith, Nadine Henriquez

Quality Advancement in Nursing Education - Avancées en formation infirmière

Purpose: The purpose of this study was to identify who were the key sources of incivility, how frequently uncivil behaviours occurred, and determine the impact of incivility among a sample of Bachelor of Nursing (BN) and Bachelor of Psychiatric Nursing (BPN) students at one university in a western Canadian province.

Methods: A mixed-methods study was conducted that incorporated findings from an anonymous cross-sectional survey of second, third-, and fourth-year students from the BN and BPN programs (n = 68) and narrative findings from a live discussion forum (n = 48) with third-year student participants.

Results: The most frequent sources of …

Élaboration Et Évaluation De L’Implantation D’Un Programme De Préceptorat Pour L’Infirmière Novice À L’Unité Des Soins Intensifs, Annie Perron, Manon Champagne, Abir El-Haouly

Quality Advancement in Nursing Education - Avancées en formation infirmière

Résumé

Contexte : Au Québec, 61 % des infirmières et infirmiers de la relève débutent leur carrière avec un niveau de formation collégiale. Les nouvelles et nouveaux diplômé(e)s commencent tôt leur carrière dans les unités de soins intensifs (USI). Or, elles et ils sont peu préparé(e)s à assumer leur rôle dans une unité de soins critiques, puisque les compétences en soins critiques sont développées dans la portion universitaire du programme intégré DEC-BAC. Un programme de préceptorat a été mis en place par le ministère de la Santé et des Services sociaux pour soutenir les novices dans leur intégration. En Abitibi-Témiscamingue …

Besoins D’Apprentissages Et De Soutien Des Infirmières Débutantes Préceptrices Sur Une Unité Collaborative D’Apprentissage En Milieu Hospitalier, Jennifer Pierre, Amélie Blanchet Garneau

Quality Advancement in Nursing Education - Avancées en formation infirmière

Résumé

Contexte : La présence limitée d’infirmières et infirmiers expérimenté(e)s force les milieux de soin à solliciter les infirmières et infirmiers débutant(e)s avec peu d’expérience pour jouer le rôle de préceptrice ou précepteur. Pour tenter de remédier à la difficulté de recrutement de préceptrices ou précepteur, l’unité collaborative d’apprentissage (UCA) a été mise en place en 2003 en Colombie-Britannique. L’UCA est un modèle d’enseignement et d’apprentissage où une étudiante ou étudiant est assigné(e) à une unité plutôt qu’à une préceptrice ou à un précepteur spécifique.

Objectifs : Le but de cette étude était d’explorer les besoins d’apprentissage et de soutien …

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.

Éducation Des Patients Diabétiques Hospitalisés : Analyse Des Besoins De Formation Auprès Des Infirmières D’Un Hôpital Libanais, Nisrine Moubarak Ph.D, Frederic Douville Ph.D

Quality Advancement in Nursing Education - Avancées en formation infirmière

Résumé

La conception d’une formation en éducation des patients diabétiques hospitalisés devrait s'inspirer des besoins manifestés par les infirmières concernées en termes de compétences dans ce domaine. L’objectif de cette étude qualitative était d’identifier les besoins de formation des infirmières travaillant dans les unités de médecine et de chirurgie dans un hôpital libanais en matière d’éducation des habiletés essentielles aux patients diabétiques hospitalisés [EHEPDH]. Méthode : la méthode de groupes focalisés a été utilisée pour la collecte des données à l’aide d’un guide d’entrevue semi-dirigée. Les besoins exprimés par les trente-deux infirmières participantes ont été classés dans des catégories du …

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 …

Quest To Belong: Nursing Students’ Perceptions While Transitioning From College To University, Janet Montague, Joyce Tsui, Roya Haghiri-Vijeh, Michelle Connell

Quality Advancement in Nursing Education - Avancées en formation infirmière

Background: Students face challenges throughout their undergraduate nursing programs. Adapting to university, accessing resources, and transitioning from one year to the next and between institutions are examples of these challenges. Limited research exists on the perceptions of undergraduate nursing students’ sense of belonging while transitioning from college to university in a collaborative nursing degree program in Canada.

Purpose of the Study: The purpose of the study was to examine third year undergraduate nursing students’ perception of sense of belonging while transitioning from college to university in a collaborative nursing degree program. More specifically, the study aimed to identify factors that …

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 …

Changes In Cognitive Control Following A Novel Resilience-Focused Nursing Educational Program: An Exploratory Study, Shannon Dames, Wendy Young, Olave Krigolson, Kelly Zhang, Lincoln Stoller, Robyn Bartle

Quality Advancement in Nursing Education - Avancées en formation infirmière

Patient care is currently challenged by various factors including stress and nurse fatigue that can negatively impact nurses’ health and patient safety. Emotional exhaustion and burnout among nurses are at an all-time high. Canadian nurses are reporting clinical rates of depression, anxiety, and panic at disproportionately higher rates than other public safety personnel. Innovative educational programs are desperately needed to mitigate stress and relieve distress, which will ultimately promote a healthier and more productive workforce. Little is known about the effectiveness of research informed cognitive control education within a community of practice (COP) to help nurses and nursing students process …

Just Because I Am A “Student” Does Not Mean I Should Tolerate It: Students’ Perspectives Of Forum Theatre To Address Bullying In Nursing Education, Kathy O'Flynn-Magee, Caryn Dooner, Agnes Choi, Raluca Radu, Ranjit Dhari, Lynne Esson, Amy Fong-Yuk Poon, Patricia Rodney

Quality Advancement in Nursing Education - Avancées en formation infirmière

The authors of this paper developed a CRAB (Cognitive Rehearsal to Address Bullying) Workshop, using Forum Theatre as an innovative pedagogical approach to explore the overly prevalent issue of bullying in nursing education. We designed two open-ended descriptive written surveys to obtain feedback from students on the efficacy of the workshop with respect to students’ ability to address bullying, and with respect to their capacity to engage in related embodied learning through Forum Theatre. We collected survey data at two points in time; 1) following a workshop during students’ first year in the program and 2) following a workshop during …

Establishing A Community Of Practice For Doctoral Studies Amidst The Covid-19 Pandemic, Christina M. Cantin, Sara Brune, Laura Killam, Tyler Glass, Ruth Walker, Emma Vanderlee

Quality Advancement in Nursing Education - Avancées en formation infirmière

In this discussion paper, we describe our experience completing the first year of the doctorate in nursing program at a large urban academic centre during the COVID-19 pandemic. We highlight the current nursing shortage and the importance of supporting all nursing students, including nurses in doctoral programs, towards successful graduation. We describe the development of a virtual community of practice incorporating five key strategies: Building community, fostering collaboration, strengthening connection, enhancing creativity, and promoting consistency. We believe that utilizing these strategies will contribute to our success and may be relevant to nursing leaders seeking to support the development of more …

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. …

Relationship Between Vaccine Knowledge And Attitudes Of Undergraduate Nursing Students, Caitlyn D. Wilpstra, Jody L. Ralph, Kathryn D. Lafreniere, Linda J. Patrick

Quality Advancement in Nursing Education - Avancées en formation infirmière

Background: Vaccine hesitancy is a growing threat to public health worldwide. While COVID-19 vaccinations and vaccine hesitancy have dominated headlines recently, routine immunizations will continue to be an important focus both during and after the COVID-19 pandemic. Nursing students represent the next generation of immunizers and health promoters; however, the vaccine knowledge and attitudes of this population are largely unknown.

Purpose: The purpose of this study was to assess baccalaureate nursing students’ knowledge of, and attitudes toward, routine vaccinations. Students’ self-reported vaccination influences were also examined.

Methodology: A quantitative descriptive research design was utilized along with correlational methodology. Vaccine knowledge …

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.