Nurse Education in Practice最新文献

{"title":"Effectiveness of scenario-based simulation teaching on advance care planning competencies in geriatric nurses: A quasi-experimental study.","authors":"Guihua Zhu, Wenfei Zhou, Xinrui Li, Xin Wu, Huifen Wang, Guiping Wu, Qing Zhang, Huili Chen, Zhijie Zou","doi":"10.1016/j.nepr.2026.104955","DOIUrl":"https://doi.org/10.1016/j.nepr.2026.104955","url":null,"abstract":"<p><strong>Aim: </strong>To compare the effectiveness of scenario-based simulation versus case-based teaching in improving geriatric nurses' multiple competencies for Advance Care Planning (ACP).</p><p><strong>Background: </strong>Geriatric nurses are pivotal in ACP but often lack adequate preparedness, necessitating training that addresses both knowledge and behavioral-attitudinal components. Simulation-based education offers a safe environment to develop such complex clinical skills.</p><p><strong>Design: </strong>A quasi-experimental, non-equivalent control group pretest-posttest design.</p><p><strong>Method: </strong>Within a provincial geriatric nursing training program in China, 196 nurses were allocated by cohort: 80 to simulation teaching and 116 to case-based teaching. Outcomes were measured at baseline and post-intervention using validated instruments assessing ACP knowledge, communication skills, self-efficacy and practice preference. Analysis included 183 participants after attrition.</p><p><strong>Results: </strong>Groups were comparable at baseline. Both groups improved in ACP knowledge, with no significant between-group differences. However, the simulation group showed significantly greater gains in communication skills, self-efficacy and practice preference (all p < 0.05). Participants also rated the simulation experience highly (Simulation Effectiveness Tool Modified scores: 45.98/57).</p><p><strong>Conclusion: </strong>Scenario-based simulation teaching is more effective than case-based teaching in enhancing communication skills, self-efficacy and practice preference for ACP in geriatric nursing, while being equally effective in improving ACP knowledge. Integrating simulation into ACP education is recommended. Future research should employ randomized designs and assess long-term outcomes.</p>","PeriodicalId":48715,"journal":{"name":"Nurse Education in Practice","volume":"96 ","pages":"104955"},"PeriodicalIF":4.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148888893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preceptorship and critical thinking among undergraduate midwifery students: Mediating role of the clinical learning environment.","authors":"Yang Zhao, Meng Wang, Bixia Zhang, Honghua Guo, Yanyan Lyu, Yan Quan, Jenny Gamble, Debra K Creedy, Na Wang","doi":"10.1016/j.nepr.2026.104957","DOIUrl":"https://doi.org/10.1016/j.nepr.2026.104957","url":null,"abstract":"<p><strong>Aim: </strong>To identify predictors of critical thinking among Chinese undergraduate midwifery students and examine the extent to which the clinical learning environment mediates the association between preceptorship and students' critical thinking.</p><p><strong>Background: </strong>Critical thinking is a core competency for safe, woman-centred midwifery practice and a key global educational goal. However, little is known about links between preceptorship, the clinical learning environment and critical thinking especially in non-Western contexts.</p><p><strong>Design: </strong>This multi-centre cross-sectional study recruited 654 undergraduate midwifery students from 10 universities in mainland China.</p><p><strong>Methods: </strong>The online self-report survey included translated versions of the Midwifery Student Evaluation of Practice (MidSTEP) and student version of the Carter Assessment of Critical Thinking in Midwifery (CACTiM). Statistical analyses included bivariate tests, stepwise linear regression and mediation analysis using SPSS PROCESS (Model 4).</p><p><strong>Results: </strong>Five significant predictors of critical thinking were identified: passion for the midwifery profession, opting for a midwifery major, facilitating > 5 births, smaller clinical group size and no exposure to disrespectful maternity care. Critical thinking was positively correlated with both the clinical learning environment and preceptorship, with the clinical learning environment fully mediating the association between preceptorship and critical thinking.</p><p><strong>Conclusions: </strong>Our findings extend an existing conceptual model of midwifery critical thinking by establishing the effect of the clinical learning environment. This finding supports the development of quantifiable clinical placement benchmarks and provides an evidence base for targeted educational reform in undergraduate midwifery programs to foster critical thinking competencies for safe, woman-centred maternity care.</p>","PeriodicalId":48715,"journal":{"name":"Nurse Education in Practice","volume":"96 ","pages":"104957"},"PeriodicalIF":4.5,"publicationDate":"2026-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148866628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond the headset: Does virtual reality make nurses ready for clinical reality?","authors":"Jayson Mark C Verdeda","doi":"10.1016/j.nepr.2026.104959","DOIUrl":"https://doi.org/10.1016/j.nepr.2026.104959","url":null,"abstract":"","PeriodicalId":48715,"journal":{"name":"Nurse Education in Practice","volume":" ","pages":"104959"},"PeriodicalIF":4.5,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148841806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From AI adoption to AI-enhanced pedagogy: A call for evidence-informed integration in nursing education.","authors":"Linda Nugent, Bridget Murray","doi":"10.1016/j.nepr.2026.104953","DOIUrl":"https://doi.org/10.1016/j.nepr.2026.104953","url":null,"abstract":"","PeriodicalId":48715,"journal":{"name":"Nurse Education in Practice","volume":" ","pages":"104953"},"PeriodicalIF":4.5,"publicationDate":"2026-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148820069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Creating therapeutic time: The use of distress tolerance as a watchful waiting psychological approach to supporting young people experiencing gender dysphoria.","authors":"Jason Watson","doi":"10.1016/j.nepr.2026.104951","DOIUrl":"https://doi.org/10.1016/j.nepr.2026.104951","url":null,"abstract":"","PeriodicalId":48715,"journal":{"name":"Nurse Education in Practice","volume":" ","pages":"104951"},"PeriodicalIF":4.5,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148814643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving poor research: What should nursing prioritize?","authors":"Alexander M Clark, David R Thompson","doi":"10.1016/j.nepr.2026.104950","DOIUrl":"https://doi.org/10.1016/j.nepr.2026.104950","url":null,"abstract":"","PeriodicalId":48715,"journal":{"name":"Nurse Education in Practice","volume":" ","pages":"104950"},"PeriodicalIF":4.5,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148820108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nursing education, Nightingale, UK health and social care: The Mandy Rice-Davies effect.","authors":"Ann Bradshaw","doi":"10.1016/j.nepr.2026.104952","DOIUrl":"https://doi.org/10.1016/j.nepr.2026.104952","url":null,"abstract":"","PeriodicalId":48715,"journal":{"name":"Nurse Education in Practice","volume":" ","pages":"104952"},"PeriodicalIF":4.5,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148814578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From admission to advancement: Building professional identity in nursing education.","authors":"Bonnie Johnston, Sarah Oerther","doi":"10.1016/j.nepr.2026.104947","DOIUrl":"https://doi.org/10.1016/j.nepr.2026.104947","url":null,"abstract":"","PeriodicalId":48715,"journal":{"name":"Nurse Education in Practice","volume":" ","pages":"104947"},"PeriodicalIF":4.5,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148761108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"When providing effective informed consent is uncertain, can a watchful waiting intervention constitute an appropriate initial clinical response?","authors":"Jason Watson","doi":"10.1016/j.nepr.2026.104942","DOIUrl":"https://doi.org/10.1016/j.nepr.2026.104942","url":null,"abstract":"","PeriodicalId":48715,"journal":{"name":"Nurse Education in Practice","volume":" ","pages":"104942"},"PeriodicalIF":4.5,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148764056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Learning flow in nursing education: Development and psychometric validation of a multidimensional scale","authors":"Wachiraporn Chotipanut,&nbsp;Charin Suwanwong,&nbsp;Narulmon Prayai","doi":"10.1016/j.nepr.2026.104946","DOIUrl":"10.1016/j.nepr.2026.104946","url":null,"abstract":"<div><h3>Aim</h3><div>To develop and validate the Learning Flow Scale for Thai nursing students.</div></div><div><h3>Background</h3><div>Learning flow is a key psychological state that promotes deep engagement, skill development and optimal learning outcomes in nursing education. However, standardized instruments specifically designed to assess learning flow among Thai nursing students remain limited.</div></div><div><h3>Design</h3><div>A descriptive cross-sectional design was employed.</div></div><div><h3>Methods</h3><div>A total of 471 undergraduate nursing students across multiple public nursing colleges in Thailand participated in the scale development and validation process. Scale items were generated using both inductive and deductive approaches based on literature review, qualitative insights and theoretical frameworks of flow in learning contexts. The underlying factor structure was explored using exploratory factor analysis (EFA) and subsequently confirmed through confirmatory factor analysis (CFA).</div></div><div><h3>Results</h3><div>A 23-item Learning Flow Scale with a four-factor structure was identified. The four dimensions were labeled ‘Goal–Activity Alignment’, ‘Real-Time Reflective Clarity’, ‘Autonomous Learning Experience’ and ‘Deep Concentration and Immersion’. The overall scale demonstrated excellent internal consistency (Cronbach’s α = 0.958), with subscale reliability coefficients ranging from 0.802 to 0.926. Model fit indices from CFA supported the adequacy of the proposed measurement model.</div></div><div><h3>Conclusion</h3><div>The Learning Flow Scale for Thai nursing students demonstrates strong psychometric properties and provides a valid and reliable tool for assessing learning flow in nursing education. The scale may support educators in identifying students’ engagement patterns and designing pedagogical strategies that enhance meaningful and effective learning experiences.</div></div>","PeriodicalId":48715,"journal":{"name":"Nurse Education in Practice","volume":"95 ","pages":"Article 104946"},"PeriodicalIF":4.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148737854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}