Journal of Continuing Education in Nursing最新文献

Educational Strategies to Improve Knowledge Retention and Clinical Competency in the Management of Local Anesthetic Systemic Toxicity: An Integrative Review. 提高局麻全身性毒性管理知识保留和临床能力的教育策略：一项综合综述。

IF 1.4 4区医学

Journal of Continuing Education in Nursing Pub Date : 2026-05-05 DOI: 10.3928/00220124-20260407-02

Hannah G Adams, Sensei Kin Mariae Y Silab, Alexander E Halstead

{"title":"Educational Strategies to Improve Knowledge Retention and Clinical Competency in the Management of Local Anesthetic Systemic Toxicity: An Integrative Review.","authors":"Hannah G Adams, Sensei Kin Mariae Y Silab, Alexander E Halstead","doi":"10.3928/00220124-20260407-02","DOIUrl":"https://doi.org/10.3928/00220124-20260407-02","url":null,"abstract":"Background: Local anesthetic systemic toxicity (LAST) is a rare but life-threatening complication of anesthetic administration. Nurses are often the first to observe subtle signs of toxicity, yet studies show gaps in knowledge and preparedness. This integrative review was conducted to evaluate effective educational strategies for clinicians to identify and manage LAST in the clinical setting.Method: A total of 13 articles were selected for inclusion based on their relevance to LAST education.Results: Thirteen studies met the inclusion criteria. Four primary educational strategies were identified: didactic instruction, simulation-based learning, web-based modules, and cognitive aids. All modalities showed significant short-term improvement in knowledge. Combined approaches, particularly simulation with didactic instruction, showed the strongest outcomes. Knowledge decay was identified as a persistent challenge, with only five studies assessing retention beyond 3 months.Conclusion: Preparing nurses and students for LAST requires integrated strategies that combine accessible content with experiential practice. Future research should emphasize long-term knowledge retention and innovative modalities to strengthen LAST education.","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":" ","pages":"1-12"},"PeriodicalIF":1.4,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Hermeneutic Qualitative Study of the Orientation Experiences of Early Career Nurses. 早期职业护士入职经验的解释学质性研究。

IF 1.4 4区医学

Journal of Continuing Education in Nursing Pub Date : 2026-05-05 DOI: 10.3928/00220124-20260407-01

Kerrin Hampton

引用次数: 0

Bootstrap-Validated Structural Equation Modeling of the Role of Career Calling in Enhancing Job Satisfaction and Innovative Behavior of Resident Nurses. 职业召唤对提高住院护士工作满意度和创新行为作用的结构方程模型。

IF 1.4 4区医学

Journal of Continuing Education in Nursing Pub Date : 2026-05-05 DOI: 10.3928/00220124-20260128-02

Yuxin Liu, Mengling He, Yu Yin, Ling Liu

{"title":"Bootstrap-Validated Structural Equation Modeling of the Role of Career Calling in Enhancing Job Satisfaction and Innovative Behavior of Resident Nurses.","authors":"Yuxin Liu, Mengling He, Yu Yin, Ling Liu","doi":"10.3928/00220124-20260128-02","DOIUrl":"https://doi.org/10.3928/00220124-20260128-02","url":null,"abstract":"Background: Innovative behavior drives nursing advancement, yet the mechanism linking career calling to innovative behavior for resident nurses remains unclear. This study used bootstrap-validated structural equation modeling to examine the mediating role of career calling between job satisfaction and innovative behavior.Method: A cross-sectional survey of 247 resident nurses at a Sichuan tertiary hospital (April-July 2024) completed the McCloskey-Mueller Satisfaction Scale, 12-item calling scale, and Nurse Innovative Behavior Scale. Structural equation modeling was used to test the direct and mediating effects with bootstrap validation.Results: Career calling (42.83 ± 12.24), job satisfaction (119.19 ± 25.16), and innovative behavior (36.18 ± 8.48) were positively correlated (p < .01). Job satisfaction significantly predicted career calling and innovative behavior (beta = 0.263), and career calling also predicted innovative behavior (beta = 0.547). The mediation effect (0.14, 58.75%) was significant, with good model fit (comparative fit index = 0.974, root mean square error of approximation = 0.111).Conclusion: Career calling partially mediates the effect of job satisfaction on innovative behavior, highlighting its pivotal role in fostering innovation among nurses. Enhancing both job satisfaction and career calling may effectively strengthen the innovative capacity and professional engagement of nurses.","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":" ","pages":"1-8"},"PeriodicalIF":1.4,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Doctor of Nursing Practice National Study, Part II: Study Findings. 护理实践博士全国研究，第二部分：研究结果。

IF 1.4 4区医学

Journal of Continuing Education in Nursing Pub Date : 2026-05-01 Epub Date: 2026-03-26 DOI: 10.3928/00220124-20260128-01

Ronda D Mintz-Binder, Carol A Boswell, Patricia E Allen

引用次数: 0

Integration of Game-Based Chatbot With Kahoot! for High-Alert Medication Education for Newly Graduated Nurses: A Randomized Controlled Trial. 基于游戏的聊天机器人与Kahoot！新毕业护士高危用药教育的随机对照试验

IF 1.4 4区医学

Journal of Continuing Education in Nursing Pub Date : 2026-05-01 Epub Date: 2026-04-06 DOI: 10.3928/00220124-20260216-03

Ting-I He, Shu-Fen Niu, Chu-Yu Huang, Ming-Zhong Li, Tzu-Ling Chen, Su-Fen Cheng

{"title":"Integration of Game-Based Chatbot With Kahoot! for High-Alert Medication Education for Newly Graduated Nurses: A Randomized Controlled Trial.","authors":"Ting-I He, Shu-Fen Niu, Chu-Yu Huang, Ming-Zhong Li, Tzu-Ling Chen, Su-Fen Cheng","doi":"10.3928/00220124-20260216-03","DOIUrl":"10.3928/00220124-20260216-03","url":null,"abstract":"Background: Unsafe medication administration poses significant risks to global health care, and insufficient nurse knowledge of high-alert medications (HAMs) further elevates the likelihood of errors. Integrating a game-based chatbot with Kahoot! may enhance HAM learning outcomes.Method: In this two-group, repeated-measures randomized controlled trial, 77 newly graduated nurses were randomized to (1) game-based chatbot + Kahoot! with classroom (n = 42) or (2) Kahoot! with classroom (n = 35). Participants completed HAM knowledge (HAMK) and HAM self-competence (HAMSC) assessments pre-intervention (T0), at training completion (T1), and 1-month post-intervention (T2).Results: Demographic characteristics were comparable between the groups, except for work unit. Generalized estimating equation analysis showed no significant group-by-time interaction on HAMK or HAMSC (p > .05), but difference-in-differences analysis revealed superior retention in the experimental group from T1 to T2 (p < .05).Conclusion: Both groups improved in HAM knowledge and competence, affirming the value of traditional teaching approaches. It is essential to optimize the chatbot design for enhanced learning outcomes and engagement.","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":" ","pages":"227-235"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Doctor of Nursing Practice National Study, Part I: Instrument Development. 护理实践博士全国研究，第一部分：仪器开发。

IF 1.4 4区医学

Journal of Continuing Education in Nursing Pub Date : 2026-05-01 Epub Date: 2026-03-26 DOI: 10.3928/00220124-20260128-05

Patricia E Allen, Ronda D Mintz-Binder, Seungman Kim, Carol A Boswell

{"title":"Doctor of Nursing Practice National Study, Part I: Instrument Development.","authors":"Patricia E Allen, Ronda D Mintz-Binder, Seungman Kim, Carol A Boswell","doi":"10.3928/00220124-20260128-05","DOIUrl":"10.3928/00220124-20260128-05","url":null,"abstract":"Background: This article describes the development of the Doctor of Nursing Practice (DNP) Leaders in Practice Assessment (DNPLPA) Tool and assessment of the psychometric properties of this 33-item instrument.Method: This study used a descriptive mixed-methods design to collect data. A national convenience sample of 208 practicing DNP nurses completed the 28-item online tool that focused on five specific outcome sections, each followed by five open-ended questions.Results: Cronbach's alpha reliability coefficient for instrument dissemination was 0.969. Parallel analysis and scree plot results suggested that a four-factor solution was the most appropriate model. Confirmatory factor analysis also confirmed a four-factor model.Conclusion: The DNPLPA Tool addressed many of the key recommendations listed by the American Association of Colleges of Nursing and offers a reliable and valid instrument to collect leadership outcome data. From factor analysis results, a wording-specific revision is warranted in one of the outcome sections.","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":" ","pages":"201-206"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147516121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

From Communication Strengths to Cultural Gaps: Patient Safety Competencies in a Vietnamese Provincial Hospital. 从沟通优势到文化差距：越南省级医院的患者安全能力。

IF 1.4 4区医学

Journal of Continuing Education in Nursing Pub Date : 2026-05-01 Epub Date: 2026-03-26 DOI: 10.3928/00220124-20260210-03

Khanh Bao Luong, Son Anh Dao, Hang Thi Thu Hoang, Anh Thi My Bui, Tuan Minh Tran, Luong Huy Duong, Thu Thi Hoai Nguyen

{"title":"From Communication Strengths to Cultural Gaps: Patient Safety Competencies in a Vietnamese Provincial Hospital.","authors":"Khanh Bao Luong, Son Anh Dao, Hang Thi Thu Hoang, Anh Thi My Bui, Tuan Minh Tran, Luong Huy Duong, Thu Thi Hoai Nguyen","doi":"10.3928/00220124-20260210-03","DOIUrl":"10.3928/00220124-20260210-03","url":null,"abstract":"Background: Patient safety is critical to health care quality, yet frontline staff competencies in low- and middle-income countries are understudied. Understanding these competencies is vital for designing interventions to enhance patient safety culture.Method: A cross-sectional survey was conducted in July 2024 involving 418 nurses, midwives, and technicians in Vietnam. The Health Professional Education in Patient Safety Survey assesses six patient safety domains on a 5-point Likert scale. Multivariable logistic regression identified predictors of high patient safety confidence (mean score ≥ 3.0).Results: The mean competency score was 3.75 (SD = 0.5), with 89.0% scoring ≥ 3.0. Highest scores were in communicating effectively (3.83) and working in teams (3.79); lowest were in culture of safety (3.69). Higher confidence was correlated with age 30 to 39, nursing role, postgraduate education, >10 years' experience, and perceiving excellent hospital safety.Conclusion: Moderate patient safety confidence exists, but gaps in cultural competencies and barriers to speaking up persist. Targeted training and nonpunitive systems are needed to strengthen patient safety in Vietnam.","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":" ","pages":"220-226"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147516148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Make More Mistakes. 犯更多的错误。

IF 1.4 4区医学

Journal of Continuing Education in Nursing Pub Date : 2026-05-01 DOI: 10.3928/00220124-20260326-01

Jan Jones-Schenk

引用次数: 0

Learning Never Ends: A History of Continuing Education in Nursing by Signe Skott Cooper. 学习永无止境：护理继续教育的历史，作者：Signe scott Cooper。

IF 1.4 4区医学

Journal of Continuing Education in Nursing Pub Date : 2026-05-01 DOI: 10.3928/00220124-20260409-01

Myrna L Armstrong, Barbara A Gessner

引用次数: 0

Perceptions of Nurse Bridging Education Programs as a Strategy for Workforce Recruitment and Retention: An Interpretive Description Study. 护士桥接教育计划作为劳动力招聘和保留策略的看法：一项解释性描述研究。

IF 1.4 4区医学

Journal of Continuing Education in Nursing Pub Date : 2026-05-01 Epub Date: 2026-04-06 DOI: 10.3928/00220124-20260210-02

Denise M Connelly, Kristin Prentice, Melissa E Hay, Nicole A Guitar, Anna Garnett

{"title":"Perceptions of Nurse Bridging Education Programs as a Strategy for Workforce Recruitment and Retention: An Interpretive Description Study.","authors":"Denise M Connelly, Kristin Prentice, Melissa E Hay, Nicole A Guitar, Anna Garnett","doi":"10.3928/00220124-20260210-02","DOIUrl":"10.3928/00220124-20260210-02","url":null,"abstract":"Background: Long-term care and home and community care sectors face severe nursing shortages, intensified by COVID-19. Nurse bridging education (NBE) programs may enhance career mobility, professional development, and workforce stability in these sectors. This study explored perceptions of nurse educators, supervisors, and bridging students of the role of NBE programs in recruitment and retention.Method: Interpretive description guided focus groups with educators and supervisors, and individual interviews with students. Thematic analysis was used to interpret the data.Results: Twenty-five participants (4 educators, 6 supervisors, 15 students) contributed. Two themes emerged: (1) Supporting Bridging Students Through Role Transition, and (2) Optimizing Learning Experiences for Working Students. System-level challenges, including funding allocation, limited placements, and wage disparities, constrained recruitment and retention.Conclusion: Findings suggest supervisors can improve retention through mentorship and flexibility, whereas academic-practice partnerships and government investment in placements and wage parity are critical to addressing workforce shortages.","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":" ","pages":"213-219"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0