{"title":"Exploring the link of educational environment and self-esteem with critical thinking in undergraduate nursing university students: a cross-sectional study.","authors":"Antonios Christodoulakis, Izolde Bouloukaki, Michail Zografakis-Sfakianakis, Katerina Margetaki, Athina Patelarou, Konstantinos Giakoumidakis, Georgios Fotakis, Evridiki Patelarou, Ioanna Tsiligianni","doi":"10.1515/ijnes-2025-0010","DOIUrl":"https://doi.org/10.1515/ijnes-2025-0010","url":null,"abstract":"<p><strong>Objectives: </strong>To assess CT, SE, and perceptions of EE of nursing students in Greece, and explore the potential associations between them.</p><p><strong>Methods: </strong>This cross-sectional study was conducted in a Nursing department from February to May 2024. We used the Dundee Ready Education Environment Measure (DREEM), the Critical Thinking Disposition Scale (CTDS), and the Rosenberg Self-Esteem Scale (RSE) questionnaires.</p><p><strong>Results: </strong>A total of 185 nursing students participated. EE was generally positive, with moderate CT disposition and positive self-esteem. Robust regression showed a positive association between EE and CT disposition. Structural equation modeling indicated that SE mediates this association between EE and the Reflective Skepticism sub-scale of CTDS.</p><p><strong>Conclusions: </strong>Suitable interventions could be implemented to enhance the CT of nursing students through the utilization of SE and EE.</p>","PeriodicalId":35294,"journal":{"name":"International Journal of Nursing Education Scholarship","volume":"22 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638300","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}
{"title":"Navigating global mobility: a comparative study of nursing education in Nepal and Australia.","authors":"Animesh Ghimire, Mamata Sharma Neupane","doi":"10.1515/ijnes-2024-0108","DOIUrl":"https://doi.org/10.1515/ijnes-2024-0108","url":null,"abstract":"<p><strong>Objectives: </strong>The global nursing shortage and increasing international migration of nurses highlight the urgent need for greater harmonization in nursing education. Variations in curricula worldwide pose significant challenges to the integration of internationally educated nurses (IENs). Therefore, the objective is to examine how disparities in nursing education between Nepal and Australia - particularly regarding curriculum structure, clinical hours, program length, and licensure requirements - affect the global mobility of IENs.</p><p><strong>Methods: </strong>A descriptive qualitative study was conducted using <i>three</i> online focus group discussions with 14 final-year nursing students from Nepal and Australia. Data analysis employed a two-cycle coding process, guided by a constructivist paradigm<i>,</i> to identify key themes.</p><p><strong>Results: </strong>Five major themes emerged: 1) Clinical Hours and Hands-on Experience; 2) Differing Program Lengths; 3) Curriculum Content and Specialization; 4) National Licensure Examination; and 5) Global Mobility Prospects.</p><p><strong>Conclusions: </strong>This study reveals that variations in nursing education between Nepal and Australia create significant barriers to the global mobility of IENs, affecting both their perceived readiness for practice and the recognition of their qualifications. These findings underscore the critical need for a globally harmonized nursing curriculum framework. Incorporating core competencies yet allowing for contextual adaptation, this framework is essential for facilitating nurse mobility, improving the quality and comparability of nursing qualifications, and addressing the global nursing shortage.</p>","PeriodicalId":35294,"journal":{"name":"International Journal of Nursing Education Scholarship","volume":"22 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609839","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}
{"title":"The impact of simulation-based ethical education on nursing students' moral distress levels.","authors":"Jennifer Dalton, Karen L Gordes","doi":"10.1515/ijnes-2024-0089","DOIUrl":"https://doi.org/10.1515/ijnes-2024-0089","url":null,"abstract":"<p><strong>Objectives: </strong>The purpose of this study was to determine whether integrating ethical simulation-based education (SBE) into prelicensure nursing students' curriculum would impact moral distress levels.</p><p><strong>Methods: </strong>A longitudinal mixed methods design was used to measure moral distress levels and collect qualitative data related to the SBE.</p><p><strong>Results: </strong>In the final sample (n=48), there was no statistically significant difference among moral distress scores over the three measured time points. Thematic analysis revealed four primary themes: (1) powerlessness as a student; (2) students have a basic moral understanding; (3) discomfort in speaking up with integrity; and (4) students understand the importance of emotional intelligence.</p><p><strong>Conclusions: </strong>The final and lowest survey score, combined with the results of the thematic analysis, indicates that integrating ethical SBE throughout curriculum could impact moral distress. In addition, training educators in maintaining psychologically safe environments can empower students and potentially reduce burnout.</p>","PeriodicalId":35294,"journal":{"name":"International Journal of Nursing Education Scholarship","volume":"22 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209699","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}
Kathie Lasater, Iain M Atherton, Gearóid K Brennan, Freya Collier-Sewell, Leila ElAlti, Emma Hughes, Richard G Kyle, Catherine Mahoney, Elizabeth A Richards, Mark Siemon, Jane Sime
{"title":"Pedagogical matters: a dialogue of diverse persons, perspectives, and programs.","authors":"Kathie Lasater, Iain M Atherton, Gearóid K Brennan, Freya Collier-Sewell, Leila ElAlti, Emma Hughes, Richard G Kyle, Catherine Mahoney, Elizabeth A Richards, Mark Siemon, Jane Sime","doi":"10.1515/ijnes-2024-0034","DOIUrl":"https://doi.org/10.1515/ijnes-2024-0034","url":null,"abstract":"<p><strong>Objectives: </strong>Our paper puts forward the contention that diversity of ideas will be essential if nurse education is going to have the flexibility, innovation, and dynamism needed to meet current and future challenges.</p><p><strong>Methods: </strong>We describe a unique crucible of innovation that was forged through a weekly discussion of international nurse educators.</p><p><strong>Results: </strong>Our paper sets out the resulting outcomes, stimulating new connections, curriculum development, studies, and shared learning.</p><p><strong>Conclusions: </strong>We offer insights from participants' assessment of the group's effectiveness to drive innovation in nursing education. In so doing, we urge educators to reach out, to connect, and to use resulting opportunities to learn.</p>","PeriodicalId":35294,"journal":{"name":"International Journal of Nursing Education Scholarship","volume":"22 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152149","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}
Susan A Seibert, Ashley N Carter, Christina F Buxton, Erin M Reynolds
{"title":"Affective learning assessment of beginning nursing students.","authors":"Susan A Seibert, Ashley N Carter, Christina F Buxton, Erin M Reynolds","doi":"10.1515/ijnes-2024-0077","DOIUrl":"10.1515/ijnes-2024-0077","url":null,"abstract":"<p><strong>Objectives: </strong>Nursing education commonly includes aspects of cognitive, psychomotor, and affective learning. Subsequently, the evaluation of student affective learning has been recognized as an important aspect within educational processes. Affective learning is crucial to professional nursing role development. However, a gap in the literature exists in measuring and evaluating affective learning in nursing students. Using the taxonomy developed by Krathwohl, Bloom, and Masia (1964. Taxonomy of educational objectives, handbook II: affective domain. Philadelphia: David McKay Company, Inc.), faculty developed a tool for students to rate their perceived level of affective learning.</p><p><strong>Methods: </strong>Faculty launched a quality improvement project to evaluate the accuracy of student self-assessments of affective learning at the end of their first nursing course.</p><p><strong>Results: </strong>Student and expert identification of the level of affective learning were not statistically different, which demonstrated that students accurately identified their affective level. The sample demonstrated competency through the first level of affective learning (i.e., receiving).</p><p><strong>Conclusions: </strong>Cultivating professional values can significantly impact the lives of patients and communities. Use of the tool may lead to a deeper understanding of student nurse development of affective competencies.</p>","PeriodicalId":35294,"journal":{"name":"International Journal of Nursing Education Scholarship","volume":"22 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152144","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}
{"title":"Predictors of classroom exams, standardized exams, and nursing licensure exams in U.S. and international undergraduate RN and PN nursing programs: a scoping review.","authors":"Carolyn J Kerns, Andrea Sartain, Kimberly Rogers","doi":"10.1515/ijnes-2024-0092","DOIUrl":"https://doi.org/10.1515/ijnes-2024-0092","url":null,"abstract":"<p><strong>Objectives: </strong>This scoping review aimed to identify and summarize the findings in the literature on established predictors (not mere correlations) of classroom exams, standardized exams, and nursing licensure exams in US and international undergraduate registered nurse and practical nurse programs.</p><p><strong>Methods: </strong>PubMed, CINAHL, ERIC ProQuest, PsycINFO, and Cochrane databases were searched for articles from 2008 to 2024 following a formal scoping review protocol. A three-person team followed the PRISMA reporting guidelines.</p><p><strong>Results: </strong>The review included 79 articles with a significant predictive relationship. Most articles focused on licensure exams. Predictors were grouped into categories for classroom, standardized, and licensure exams.</p><p><strong>Conclusions: </strong>While the findings yielded many predictors, standardized test scores, course grades, and GPA were the three most common predictors for the exam types overall. This scoping review can help nursing faculty decide which predictors likely apply to their nursing students to improve classroom, standardized, and licensure exam success.</p>","PeriodicalId":35294,"journal":{"name":"International Journal of Nursing Education Scholarship","volume":"22 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144017333","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}
{"title":"Examining perspectives of instructors and students on the instruction of care plans within the nursing process - a qualitative inquiry.","authors":"Meltem Özduyan Kılıç, Fatoş Korkmaz","doi":"10.1515/ijnes-2024-0079","DOIUrl":"https://doi.org/10.1515/ijnes-2024-0079","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to systematically explore the perspectives of nursing instructors and students concerning the pedagogical aspects of patient care plan instruction.</p><p><strong>Methods: </strong>This qualitative descriptive study was conducted between October 10, 2022, and January 17, 2023, at a public university in Ankara, Turkey. Data were gathered through seven focus group interviews involving eight instructors and 27 students, employing semi-structured interview questions. Thematic analysis was used.</p><p><strong>Results: </strong>The average age of the nurse educators was 36.87 years; all were female, 75 % had a Ph.D. degree, and the average number of years of professional experience was 10.12. The average age of the students was 20.40 years; 66.67 % were female, and 40.74 % were second-year students. After examining interview data, three overarching themes emerged for instructors and students: <i>Clinical Teaching Conditions of the Nursing Process</i>, <i>Engaging with Care Plans in Practice</i>, and <i>Strengthening Care Plan Teaching</i>.</p><p><strong>Conclusions: </strong>The findings underscored a notable challenge: instructors struggled to provide optimal interaction with students due to overwhelming group sizes during care plan activities. Concurrently, students faced difficulties across all phases of the nursing process when formulating patient care plans. To strengthen the teaching of specific patient care planning, it is recommended that the number of faculty members be increased and that information and communication technologies be used in clinical education.</p><p><strong>Implications for an international audience: </strong>This study's findings can help nursing faculties understand the various dimensions of the needs of nursing process education. Furthermore, nurse instructors' and students' opinions can promote technology integration in nursing education.</p>","PeriodicalId":35294,"journal":{"name":"International Journal of Nursing Education Scholarship","volume":"22 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144064727","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}
Cheryl van Daalen-Smith, Ramesh Venkatesaperumal, Samantha Johnson, Steven Cairns, Bev Beattie, Billie Hilborn
{"title":"The Doctoral Seminar in nursing: an exploration of the literature and trends found in Canadian syllabi.","authors":"Cheryl van Daalen-Smith, Ramesh Venkatesaperumal, Samantha Johnson, Steven Cairns, Bev Beattie, Billie Hilborn","doi":"10.1515/ijnes-2022-0029","DOIUrl":"https://doi.org/10.1515/ijnes-2022-0029","url":null,"abstract":"<p><strong>Objectives: </strong>A success-intended Doctoral Seminar, intentionally structured and facilitated to support students to thrive in their achievement of degree-level milestones, is assumedly the raison d'etre of the commonly-scheduled pass/fail Doctoral Seminar course in nursing doctoral programs. In this article, we review the literature regarding the Doctoral Seminar and the trends found in available Canadian Doctoral Seminar Syllabi.</p><p><strong>Methods: </strong>A review of the literature guided by Finfgeld-Connett and Johnson's process; and, a document analysis of collected doctoral syllabi.</p><p><strong>Results: </strong>Our review of Canadian Doctoral Seminar syllabi illuminated consistent attention to enabling the growth and development of doctoral skills, and a propensity towards higher-level thinking with scaffolded efforts to advance the production of new and original scholarship. Pedagogically, facilitation was the model and engagement with students was the strategy, giving way to student voice and a co-created experience.</p><p><strong>Conclusions: </strong>With global growth in doctoral nursing education, an international exploration of the best use of the doctoral seminar is therefore an imperative.</p>","PeriodicalId":35294,"journal":{"name":"International Journal of Nursing Education Scholarship","volume":"22 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144038342","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}
Ginger Schroers, Jill Pfieffer, Dina Tell, Kimberly D Johnson, Jenny O'Rourke
{"title":"Deliberate practice of medication administration among nursing students: a pilot study.","authors":"Ginger Schroers, Jill Pfieffer, Dina Tell, Kimberly D Johnson, Jenny O'Rourke","doi":"10.1515/ijnes-2024-0056","DOIUrl":"10.1515/ijnes-2024-0056","url":null,"abstract":"<p><strong>Objectives: </strong>The objective of this pilot study was to investigate the deliberate practice teaching method with medication administration skills to prepare for a future larger study.</p><p><strong>Methods: </strong>A multi-methods repeated measures design was used. Pre-licensure nursing students engaged in deliberate practice across two study visits that were spaced four to eight weeks apart. Simulated scenarios served as the pre-posttests.</p><p><strong>Results: </strong>Study procedures were feasible to implement. Medication error rates decreased from 80.9 to 22.2 %. Students voiced a need for more skills practice and that deliberate practice is beneficial.</p><p><strong>Conclusions: </strong>The deliberate practice teaching method was feasible to implement, skills improved, and students attributed their improvements to the teaching method. Skills were retained over a 4-8 week span suggesting that skill decay did not occur in this timeframe.</p><p><strong>Implications for international audience: </strong>Worldwide, improvements in medication administration safety are required. Changes in the methods used to teach medication administration may contribute to these necessary improvements.</p>","PeriodicalId":35294,"journal":{"name":"International Journal of Nursing Education Scholarship","volume":"22 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143780300","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}
{"title":"Canadian nursing students and education in medical and recreational cannabis: a preliminary evidence.","authors":"Margareth Santos Zanchetta, Kateryna Metersky, Valerie Tan, Stephanie Pedrotti Lucchese, Yana Siganevich, Prashajini Sivasundaram, Truong Thanh Binh Nguyen, Charissa Cordon, Imran Qureshi","doi":"10.1515/ijnes-2024-0009","DOIUrl":"10.1515/ijnes-2024-0009","url":null,"abstract":"<p><strong>Objectives: </strong>Explore the interest of Canadian undergraduate and graduate nursing students in medical (MC) and recreational cannabis (RC) education.</p><p><strong>Methods: </strong>Transformative learning theory framed an online survey exploring sources of information; factors and learning modalities of increasing interest in learning about MC/RC; and future career plans regarding MC/RC in practice. Survey ran from September 2022 to February 2023. Descriptive statistics and content analysis were applied.</p><p><strong>Results: </strong>Respondents (n=153) disclosed knowledge gaps in MC/RC regulations (90 %), effectiveness (88 %), and dosing best practices (86 %). Exposure to clinical opportunities and virtual resources were stimulating learning factors.</p><p><strong>Conclusions: </strong>A socially responsive curriculum is crucial to engage nursing students in becoming more knowledgeable about this topic and understand the nurse's role in enhancing practice quality. Implications for International Audience - The evidence provides a proactive approach to nursing educators in countries where cannabis is legal or in the process of being legalized.</p>","PeriodicalId":35294,"journal":{"name":"International Journal of Nursing Education Scholarship","volume":"22 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143731956","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}