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The Journal of Continuing Education in Nursing最新文献

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Stroke Admission Simulation: Engaging Novice and Expert Nurses 脑卒中入院模拟：让护士新手和专家都参与进来
The Journal of Continuing Education in Nursing Pub Date : 2023-12-06 DOI: 10.3928/00220124-20231130-03
Ann E. Sybrandt
{"title":"Stroke Admission Simulation: Engaging Novice and Expert Nurses","authors":"Ann E. Sybrandt","doi":"10.3928/00220124-20231130-03","DOIUrl":"https://doi.org/10.3928/00220124-20231130-03","url":null,"abstract":"\u0000 In today's changing health care climate, clinical nurse educators are being challenged to educate nurses with a wide range of experience. This article describes the development and facilitation of a low-fidelity simulation used to educate nurses about identified gaps in standardized care during stroke admissions on a medical-surgical stroke unit at Legacy Emanuel Medical Center. The simulation was developed for use by novice and expert medical-surgical stroke nurses simultaneously. With the use of Bloom's Revised Taxonomy (\u0000 Anderson et al., 2001\u0000 ), roles within the simulation were tailored to encourage the learning of nurses with varying levels of expertise. Overall, learners appeared to benefit from the class, which included the stroke admission simulation. Mean test scores increased from 55% pretest to 80% posttest. Additionally, 98% of learners found the simulation and lecture moderately helpful or extremely helpful.\u0000 \u0000 [\u0000 J Contin Educ Nurs.\u0000 202x;5x(x):xx–xx.]\u0000 \u0000","PeriodicalId":119872,"journal":{"name":"The Journal of Continuing Education in Nursing","volume":"56 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138595131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Multisite Implementation of the Tiered Skills Acquisition Model for Orientation: Review and Analysis 多站点实施定向分层技能学习模式：回顾与分析
The Journal of Continuing Education in Nursing Pub Date : 2023-12-06 DOI: 10.3928/00220124-20231130-02
M. E. Joswiak, Shelley M. Wolfe, Dawn M. Nelson
{"title":"Multisite Implementation of the Tiered Skills Acquisition Model for Orientation: Review and Analysis","authors":"M. E. Joswiak, Shelley M. Wolfe, Dawn M. Nelson","doi":"10.3928/00220124-20231130-02","DOIUrl":"https://doi.org/10.3928/00220124-20231130-02","url":null,"abstract":"\u0000 Nursing professional development (NPD) directors and practitioners are called to lead practice changes. Knowledge of implementation science and diffusion theory equips NPD professionals with the tools necessary for successfully influencing nursing practice. This article analyzes a multisite implementation of the tiered skills acquisition model for clinical orientation and provides NPD directors and practitioners with recommendations for effective implementation strategies that translate beyond clinical orientation to a variety of NPD programs and initiatives.\u0000 \u0000 [\u0000 J Contin Educ Nurs.\u0000 202x;5x(x):xx–xx.]\u0000 \u0000","PeriodicalId":119872,"journal":{"name":"The Journal of Continuing Education in Nursing","volume":"49 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138596535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Introduction of the Development Nurse Role to Advance Critical Thinking Skills of New Nurses 引入发展护士角色，提高新护士的批判性思维能力
The Journal of Continuing Education in Nursing Pub Date : 2023-12-06 DOI: 10.3928/00220124-20231130-23
Clare E. Evenson, Erica L. Byars
{"title":"Introduction of the Development Nurse Role to Advance Critical Thinking Skills of New Nurses","authors":"Clare E. Evenson, Erica L. Byars","doi":"10.3928/00220124-20231130-23","DOIUrl":"https://doi.org/10.3928/00220124-20231130-23","url":null,"abstract":"\u0000 This article explores the development and implementation of an innovative method for advancing critical thinking and skill development among new nurses after initial orientation. By creating a development nurse role, this pediatric intensive care unit was able to better train and retain its staff. Features of this program are generalizable to nursing units across various settings. A key for this unit was a structure that allowed for individualization based on each nurse's needs.\u0000 \u0000 [\u0000 J Contin Educ Nurs\u0000 . 202x;5x(x):xx–xx.]\u0000 \u0000","PeriodicalId":119872,"journal":{"name":"The Journal of Continuing Education in Nursing","volume":"68 29","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138594833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparison of the Effectiveness of Single-Loop and Double-Loop Debriefing Techniques 单环和双环汇报技术的效果比较
The Journal of Continuing Education in Nursing Pub Date : 2023-12-06 DOI: 10.3928/00220124-20231130-25
Chun-Ti Yu, Fei-Hsiu Hsiao
{"title":"Comparison of the Effectiveness of Single-Loop and Double-Loop Debriefing Techniques","authors":"Chun-Ti Yu, Fei-Hsiu Hsiao","doi":"10.3928/00220124-20231130-25","DOIUrl":"https://doi.org/10.3928/00220124-20231130-25","url":null,"abstract":"\u0000 \u0000 The goal of this study is to compare the quality between single-loop and double-loop debriefing techniques from the perspectives of new nurses, preceptors, and senior nurses. Single-loop debriefing techniques were used in traditional nursing education. In recent years, double-loop debriefing techniques have been used in nursing education.\u0000 \u0000 \u0000 \u0000 This study adopted a prospective observational design, and the sample included three groups, new nurses, preceptors, and senior nurses, each with 53 participants. The Debriefing Assessment for Simulation in Healthcare (DASH) instrument was used to measure the quality of different debriefing techniques.\u0000 \u0000 \u0000 \u0000 The DASH scores for double-loop debriefing techniques were significantly higher than the scores for single-loop debriefing techniques among the three groups. The scores for new nurses were higher than those for the senior nurses and preceptors.\u0000 \u0000 \u0000 \u0000 \u0000 The results indicated that double-loop debriefing techniques are more effective than single-loop debriefing techniques. Double-loop debriefing techniques can improve teaching satisfaction.\u0000 \u0000 [\u0000 J Contin Educ Nurs.\u0000 202x;5x(x):xx–xx.]\u0000 \u0000 \u0000","PeriodicalId":119872,"journal":{"name":"The Journal of Continuing Education in Nursing","volume":"53 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138595190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Challenge of Surveying New Graduate Nurses 调查新毕业护士面临的挑战
The Journal of Continuing Education in Nursing Pub Date : 2023-12-06 DOI: 10.3928/00220124-20231130-01
Bobbi Shatto, Geralyn Meyer
{"title":"The Challenge of Surveying New Graduate Nurses","authors":"Bobbi Shatto, Geralyn Meyer","doi":"10.3928/00220124-20231130-01","DOIUrl":"https://doi.org/10.3928/00220124-20231130-01","url":null,"abstract":"\u0000 Random samples are the gold standard when surveying a nationwide population, such as new graduate nurses. The goal of this article is to detail the challenges experienced when sampling and surveying newly licensed RNs who entered the health care environment during the coronavirus disease (COVID-19) pandemic. To create a random sample of this population, all 51 U.S. state boards of nursing were contacted. State boards of nursing are the best resource for this information, but obtaining contact information, soliciting a response, and dealing with privacy laws as well as the cost of the lists reduced the survey frame. Of the 51 state boards, eight provided usable lists of participants. Obtaining a sampling frame was challenging. Once created, other issues arose. Finding ways to obtain random sampling lists of RNs and encouraging nurses to participate in research are key elements of addressing issues in health care today.\u0000 \u0000 [\u0000 J Contin Educ Nurs.\u0000 202x;5x(x):xx–xx.]\u0000 \u0000","PeriodicalId":119872,"journal":{"name":"The Journal of Continuing Education in Nursing","volume":"7 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138594248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Using Simulation-Based Training to Improve Neonatal Resuscitation Clinical Competency, Confidence, and Comfort Level of NICU Caregivers 利用模拟培训提高新生儿重症监护室护理人员的新生儿复苏临床能力、信心和舒适度
The Journal of Continuing Education in Nursing Pub Date : 2023-12-06 DOI: 10.3928/00220124-20231130-21
April Felton, Kristy Cheshire
{"title":"Using Simulation-Based Training to Improve Neonatal Resuscitation Clinical Competency, Confidence, and Comfort Level of NICU Caregivers","authors":"April Felton, Kristy Cheshire","doi":"10.3928/00220124-20231130-21","DOIUrl":"https://doi.org/10.3928/00220124-20231130-21","url":null,"abstract":"\u0000 \u0000 Approximately 10% of newborns require resuscitation at delivery or during a neonatal intensive care unit (NICU) stay. Neonatal intensive care unit caregivers competent in providing neonatal resuscitation decrease perinatal mortality and improve neonatal outcomes. Infrequency of resuscitation events, lack of repetition, and inexperience leave caregivers feeling un-prepared for emergency situations. There is a need for educational strategies to maintain competency and increase confidence and comfort level.\u0000 \u0000 \u0000 \u0000 This quality improvement project used a pre-post survey design. Competency was assessed during simulated mock codes using the Creighton Competency Evaluation Instrument. Self-perceived confidence and comfort level were assessed using a pre-post survey.\u0000 \u0000 \u0000 \u0000 Descriptive statistics indicated that the average score on the Creighton Competency Evaluation Instrument fell below the targeted minimally competent goal of 80%. Practical significance was noted between the pre-intervention and post-intervention means of both perceived confidence and comfort level.\u0000 \u0000 \u0000 \u0000 \u0000 Simulation-based education may increase the competency, confidence, and comfort level of NICU caregivers and should be conducted routinely. Similar projects could be replicated at other institutions to address continuing competency with neonatal resuscitation.\u0000 \u0000 [\u0000 J Contin Educ Nurs\u0000 . 202x;5x(x):xx–xx.]\u0000 \u0000 \u0000","PeriodicalId":119872,"journal":{"name":"The Journal of Continuing Education in Nursing","volume":"85 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138595886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Using Simulation Training to Reduce Skill Decay Among Certified Registered Nurse Anesthetists 利用模拟训练减少注册麻醉师的技能衰退
The Journal of Continuing Education in Nursing Pub Date : 2023-12-06 DOI: 10.3928/00220124-20231130-22
Joshua Olson, Arthur Ko, Katherine A. Nowak, Katie Latack, Gregory Bozimowsky
{"title":"Using Simulation Training to Reduce Skill Decay Among Certified Registered Nurse Anesthetists","authors":"Joshua Olson, Arthur Ko, Katherine A. Nowak, Katie Latack, Gregory Bozimowsky","doi":"10.3928/00220124-20231130-22","DOIUrl":"https://doi.org/10.3928/00220124-20231130-22","url":null,"abstract":"\u0000 \u0000 Skill decay refers to the loss of skills and knowledge resulting from lack of consistent use. Among certified registered nurse anesthetists (CRNAs), skill decay can lead to negative results. One method that has been shown to mitigate skill decay is low-dose, high-frequency (LDHF) simulation. There is a gap in the LDHF simulation literature regarding CRNAs to determine its effectiveness in reducing skill decay or increasing confidence levels.\u0000 \u0000 \u0000 \u0000 This study used a quasi-experimental pretest-posttest follow-up design. The pretests and posttests were evaluated using a Wilcoxon signed rank test to determine CRNAs' proficiency and confidence in central venous catheter (CVC) insertion before and after a simulated refresher training course.\u0000 \u0000 \u0000 \u0000 \u0000 The CRNAs showed a significant improvement in CVC insertion proficiency, from a 50% pretest average to a 94% posttest average (\u0000 p\u0000 < .0001), and they retained proficiency 6 months later (91%,\u0000 p\u0000 = .0109). There was no significant change in CRNAs' confidence level following the training (\u0000 p\u0000 = .4486).\u0000 \u0000 \u0000 \u0000 \u0000 \u0000 A program of LDHF simulation training is an important activity in meeting the continuing education/training needs of CRNAs in improving and retaining CVC insertion proficiency. This study demonstrates the efficacy of a LDHF simulation program for CRNAs and helps to bridge the gap in the literature on the use of LDHF simulation among CRNAs.\u0000 \u0000 [\u0000 J Contin Educ Nurs\u0000 . 202x;5x(x):xx–xx.]\u0000 \u0000 \u0000","PeriodicalId":119872,"journal":{"name":"The Journal of Continuing Education in Nursing","volume":"55 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138595627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Implementing LGBTQ Culturally Appropriate Affirmation Training in the Southern United States: An Evidence-Based Practice Project 在美国南部实施与文化相适应的 LGBTQ 肯定培训：循证实践项目
The Journal of Continuing Education in Nursing Pub Date : 2023-12-06 DOI: 10.3928/00220124-20231130-04
Misti Schneidewind
{"title":"Implementing LGBTQ Culturally Appropriate Affirmation Training in the Southern United States: An Evidence-Based Practice Project","authors":"Misti Schneidewind","doi":"10.3928/00220124-20231130-04","DOIUrl":"https://doi.org/10.3928/00220124-20231130-04","url":null,"abstract":"\u0000 \u0000 The lesbian, gay, bisexual, transgender, or queer (LGBTQ) community is diverse, and members have a shared need for culturally competent health care (CCH). Best practices show that culturally appropriate affirmation training (CAAT) bridges the sociocultural knowledge gap between patient and provider, resulting in increased access to CCH.\u0000 \u0000 \u0000 \u0000 \u0000 The pre-/posttest project design used validated tools to measure group changes in knowledge, attitude, and skills before and after delivery of LGBTQ CAAT. The sample included staff interacting with or making decisions on behalf of patients (\u0000 n\u0000 = 11) at a nonprofit clinic in the southern United States.\u0000 \u0000 \u0000 \u0000 \u0000 \u0000 A Wilcoxon signed-rank test showed an increase in health care team scores for knowledge, attitude, and skills (knowledge,\u0000 p\u0000 = .006,\u0000 r\u0000 = −.59; attitude,\u0000 p\u0000 = .123,\u0000 r\u0000 = −.33; skills,\u0000 p\u0000 = .005,\u0000 r\u0000 = −.60). Qualitative analysis (thematic analysis) (a) showed that participants explored sensitive subjects in a nonjudgmental way; (b) connected the dots between minority stress, bias, and patient-provider trust; and (c) showed increased staff confidence in providing care to LGBTQ patients.\u0000 \u0000 \u0000 \u0000 \u0000 \u0000 As staff undergo LGBTQ CAAT, access to CCH will increase, health outcomes will improve, and LGBTQ health disparities will decrease.\u0000 \u0000 [\u0000 J Contin Educ Nurs.\u0000 202x;5x(x):xx–xx.]\u0000 \u0000 \u0000","PeriodicalId":119872,"journal":{"name":"The Journal of Continuing Education in Nursing","volume":"68 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138594606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Using Virtual Reality to Increase Nurses' Knowledge of Adolescent Suicide Precautions 利用虚拟现实技术增加护士对青少年自杀预防措施的了解
The Journal of Continuing Education in Nursing Pub Date : 2023-12-06 DOI: 10.3928/00220124-20231130-20
Emily L. Rappolt, Cindy Jean Hadenfeldt
{"title":"Using Virtual Reality to Increase Nurses' Knowledge of Adolescent Suicide Precautions","authors":"Emily L. Rappolt, Cindy Jean Hadenfeldt","doi":"10.3928/00220124-20231130-20","DOIUrl":"https://doi.org/10.3928/00220124-20231130-20","url":null,"abstract":"\u0000 \u0000 Adolescents are disproportionately impacted by suicide, making it imperative nurses know how to identify those at high risk of suicide and provide safe care in the hospital setting. The purpose of this pilot study was to determine the efficacy of a virtual escape room as a learning strategy to increase nursing knowledge of suicide precautions for adolescent patients.\u0000 \u0000 \u0000 \u0000 A 360-degree virtual escape room was developed to increase nursing knowledge of hospital policy related to suicide. Small groups of participants navigated through two virtual hospital rooms with embedded clues and questions related to suicide screening and precautions. Pretest-posttest questionnaires were used to measure changes in knowledge.\u0000 \u0000 \u0000 \u0000 Nurses demonstrated improved knowledge of hospital policy following completion of the activity. Participants also expressed a high level of satisfaction with this form of learning.\u0000 \u0000 \u0000 \u0000 \u0000 The use of a virtual escape room was an effective method for educating nurses on standards related to suicide prevention.\u0000 \u0000 [\u0000 J Contin Educ Nurs\u0000 . 202x;5x(x):xx–xx.]\u0000 \u0000 \u0000","PeriodicalId":119872,"journal":{"name":"The Journal of Continuing Education in Nursing","volume":"67 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138594687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Newly Licensed Nurse Resiliency and Interventions to Promote Resiliency in the First Year of Hire: An Integrative Review 新执照护士的弹性和干预措施，以促进弹性在雇用的第一年:综合评价
The Journal of Continuing Education in Nursing Pub Date : 2019-04-09 DOI: 10.3928/00220124-20190319-05
Lisa Concilio, J. Lockhart, M. Oermann, Rebecca Kronk, James B. Schreiber
{"title":"Newly Licensed Nurse Resiliency and Interventions to Promote Resiliency in the First Year of Hire: An Integrative Review","authors":"Lisa Concilio, J. Lockhart, M. Oermann, Rebecca Kronk, James B. Schreiber","doi":"10.3928/00220124-20190319-05","DOIUrl":"https://doi.org/10.3928/00220124-20190319-05","url":null,"abstract":"","PeriodicalId":119872,"journal":{"name":"The Journal of Continuing Education in Nursing","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127434700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 12
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