Nashi M Alreshidi, Afaf M Alrimali, Wadida D Alshammari, Malihah M Alreshidi, Debora M Tabungar, Eida H Alshammari, Melody B Lacbao, Abeer Q Alenezi, Jenifer M Thomas
{"title":"Mastering Midwifery Competencies: Impact of the M.I.D.W.I.F.E. Program on the Knowledge, Clinical Confidence, and Performance of Midwives.","authors":"Nashi M Alreshidi, Afaf M Alrimali, Wadida D Alshammari, Malihah M Alreshidi, Debora M Tabungar, Eida H Alshammari, Melody B Lacbao, Abeer Q Alenezi, Jenifer M Thomas","doi":"10.3928/00220124-20251118-02","DOIUrl":"10.3928/00220124-20251118-02","url":null,"abstract":"<p><strong>Background: </strong>Midwives play a central role in maternal and newborn outcomes, yet many face gaps in clinical competence and confidence because of limited training.</p><p><strong>Method: </strong>This quasi-experimental study evaluated the Mastering Integrated Development for Women's and Infants' Focused Excellence (M.I.D.W.I.F.E.) program. A total of 32 midwives were randomly assigned to either an intervention group or a control group. The intervention included interactive lectures, simulation-based learning, and a supervised clinical practicum. Outcomes (knowledge, clinical competency, and confidence) were assessed at baseline, posttraining, and at 3-month follow-up with validated tools.</p><p><strong>Results: </strong>The intervention group showed significant improvements in knowledge (from 80.19% to 86.88%, <i>p</i> < .001, Cohen's <i>d</i> = 2.8), clinical competency (91.3% vs. 81.4%, <i>p</i> < .001, <i>d</i> = 3.7), and confidence across all domains (<i>p</i> < .001, <i>d</i> > 2.0). Confidence gains were sustained at follow-up.</p><p><strong>Conclusion: </strong>The M.I.D.W.I.F.E. program effectively enhanced knowledge, skills, and confidence. Structured, simulation-based training with supervised practice holds promise for improving the quality of midwifery care.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":"57 2","pages":"81-89"},"PeriodicalIF":1.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146195911","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}
{"title":"Short Shares for a Short Month.","authors":"Patricia S Yoder-Wise","doi":"10.3928/00220124-20260105-01","DOIUrl":"https://doi.org/10.3928/00220124-20260105-01","url":null,"abstract":"","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":"57 2","pages":"55-56"},"PeriodicalIF":1.4,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146195992","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}
{"title":"Evolving Standards for Advanced Practice Provider Fellowship Accreditation: A Comparative Analysis of 2023 Versus 2027 Standards.","authors":"Sheri Cosme","doi":"10.3928/00220124-20260105-02","DOIUrl":"10.3928/00220124-20260105-02","url":null,"abstract":"<p><p>Since 2023, the American Nurses Credentialing Center has been recognizing advanced practice provider fellowships through the Advanced Practice Provider Fellowship Accreditation (APPFA<sup>®</sup>). In January 2026, the newest version of the standards was released to the public: the 2027 Advanced Practice Provider Fellowship Accreditation (APPFA<sup>®</sup>) Application Manual. This column explores the five domains that make up APPFA and describes some of the new standards.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":"57 2","pages":"57-58"},"PeriodicalIF":1.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146195812","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}
Jennifer L Embree, Katie Feley, Cathy Wichman, Matthew S Howard, Tatiana Laitano Rodriguez, Caroline Mullins
{"title":"Collaborating with Nursing Organizations to Support Research and Mentoring.","authors":"Jennifer L Embree, Katie Feley, Cathy Wichman, Matthew S Howard, Tatiana Laitano Rodriguez, Caroline Mullins","doi":"10.3928/00220124-20260105-04","DOIUrl":"10.3928/00220124-20260105-04","url":null,"abstract":"<p><p>Little research has been done on differences between professional identity in nursing, healthy work environment, and civility for nurses who belong to professional organizations and those who do not belong to these organizations. To identify baseline levels, a faculty researcher and the chief executive officers of two statewide organizations led a research study. This column describes the process that was followed. This process can be replicated in practice with nursing professional development specialists by identifying practice and academic stakeholders to support research and mentoring.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":"57 2","pages":"61-64"},"PeriodicalIF":1.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146195828","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}
James S Cho, Stephanie Chan, Min Yang, Harmony Huang, Laura Ream, Daniel Saddawi-Konefka, David Hao
{"title":"Leveling Up: A Video Game for Critical Care Nursing Education.","authors":"James S Cho, Stephanie Chan, Min Yang, Harmony Huang, Laura Ream, Daniel Saddawi-Konefka, David Hao","doi":"10.3928/00220124-20251113-01","DOIUrl":"10.3928/00220124-20251113-01","url":null,"abstract":"<p><strong>Background: </strong>Gamified learning may offer an accessible, time-efficient, and engaging modality for continuing education for nurses working in an intensive care unit (ICU). This study evaluated the effectiveness of a role-playing video game in improving ICU nurses' knowledge of train-of-four monitoring and assess attitudes toward gamified learning.</p><p><strong>Method: </strong>A single-arm pretest-posttest study was conducted with 17 nurses working in a surgical ICU. Participants completed an eight-item test before and after a 15-minute tablet-based game involving clinical decision-making. The Wilcoxon signed-rank test was used to compare pretest and posttest results. An 11-item postgame survey was used to assess engagement, usability, and the learning experience.</p><p><strong>Results: </strong>Mean scores improved from 3.41 to 7.12 of a possible score of 8 (<i>p</i> < .001). Most nurses found the game engaging (88.2%), easy to use (94.1%), and educationally effective (100%). Participant comments praised its relevance and interactivity.</p><p><strong>Conclusion: </strong>A short, gamified intervention was well received and was associated with improved knowledge of train-of-four monitoring. Gamification may be a valuable tool for the future of clinical education.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":"57 2","pages":"74-80"},"PeriodicalIF":1.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146195989","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}
{"title":"If You Build It, They Might Not Come: Barriers to APRN ECHO Engagement in Missouri.","authors":"Karry L Weston, Linda K Anderson, Rachel E Mutrux","doi":"10.3928/00220124-20251118-01","DOIUrl":"10.3928/00220124-20251118-01","url":null,"abstract":"<p><strong>Background: </strong>Historically, advanced practice registered nurses (APRNs) have participated in Show-Me Project Extension for Community Health Care Outcomes (ECHO) sessions at lower rates than physicians and other clinicians. This study explored reasons for low APRN attendance.</p><p><strong>Method: </strong>With an explanatory sequential mixed methods design, the study began with an investigator-developed survey, followed by semi-structured interviews for deeper insight.</p><p><strong>Results: </strong>Data from 116 surveys and 14 interviews were analyzed to identify program improvements. Four key themes emerged: (1) time constraints and limited financial incentives, (2) varying familiarity and engagement with ECHO, (3) influence of colleagues and collaborators, and (4) perceived benefits of participation.</p><p><strong>Conclusion: </strong>Although APRNs value peer learning, barriers, including scheduling challenges and limited awareness, reduce participation. Employers should allow protected time for attendance, and Show-Me ECHO should enhance outreach efforts to APRNs to improve engagement and ultimately patient care.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":"57 2","pages":"91-96"},"PeriodicalIF":1.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146195936","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}
Courtney Matchey, Heather M Englund, Brent MacWilliams
{"title":"From Classroom to Clinical Confidence: An Integrative Review of Mentorship for New Nurses.","authors":"Courtney Matchey, Heather M Englund, Brent MacWilliams","doi":"10.3928/00220124-20251114-01","DOIUrl":"10.3928/00220124-20251114-01","url":null,"abstract":"<p><strong>Background: </strong>New graduate registered nurses (NGRNs) frequently experience stress, low confidence, and difficulty adjusting to clinical practice. Without adequate support, these challenges can contribute to burnout, dissatisfaction, and early attrition. Structured mentorship programs are a key strategy to facilitate transition, promote clinical competence, and enhance retention.</p><p><strong>Method: </strong>An integrative review of 15 peer-reviewed studies published between 2011 and 2025 was conducted with CINAHL, MEDLINE, PsycINFO, and EBSCOhost. The studies focused on structured mentorship programs for NGRNs within their first year of practice and were analyzed with inductive thematic analysis.</p><p><strong>Results: </strong>Five themes regarding mentorship emerged: It improves retention, enhances job satisfaction, supports professional development, provides emotional support, and faces barriers to implementation. Mentorship was linked to improved self-confidence, communication, decision-making, and team integration.</p><p><strong>Conclusion: </strong>Structured mentorship supports NGRNs during transition to practice, improving outcomes and workforce resilience. Health care organizations should prioritize implementing and evaluating mentorship as part of retention strategies.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":"57 2","pages":"65-73"},"PeriodicalIF":1.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146195963","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}
Louis Davis, Arthur Ko, Jill A Turner, Renay Gagleard
{"title":"Brilliant at the Basics Part II: An Academic- Practice Partnership Collaboration and Its Impact on the Nursing and Health Care Leadership Workforce.","authors":"Louis Davis, Arthur Ko, Jill A Turner, Renay Gagleard","doi":"10.3928/00220124-20251009-02","DOIUrl":"10.3928/00220124-20251009-02","url":null,"abstract":"<p><strong>Background: </strong>The Brilliant at the Basics Leadership Presentation Series represents an output of a strategic collaboration between academic and clinical partners that addresses the gap between theoretical leadership education and practical application in health care settings.</p><p><strong>Method: </strong>In response to evolving post-pandemic challenges and changing organizational needs, this initiative delivered an enhanced 8-month program focused on developing core leadership competencies (e.g., decision-making, conflict resolution, and communication) among nursing and interprofessional leaders that built on the framework of the original series from 2018.</p><p><strong>Results: </strong>Participant feedback reflected overall program satisfaction, and both partners regarded the leadership series as beneficial.</p><p><strong>Conclusion: </strong>This article offers insight for nurses and institutions interested in offering continuing education in leadership development, especially within the academic-practice partnership setting. In addition, this article describes an academic-practice partnership that successfully collaborated in sustaining a much needed up-to-date training program.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":"57 1","pages":"47-52"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145851565","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}
{"title":"AI for Nurses: Did You Know There Is an AI for That?","authors":"Linda Travis Macomber","doi":"10.3928/00220124-20251209-02","DOIUrl":"10.3928/00220124-20251209-02","url":null,"abstract":"<p><p>Beyond artificial to the very real, this column helps nurse leaders prepare for conversations about thoughtful adoption of artificial intelligence (AI) in health care. By reimagining what is possible, nurse leaders can create pathways to a new renaissance where human insight and digital intelligence are synchronized to advance health care. From nurses' daily lives with AI to the diagnosis of rare diseases, this column discusses past progress and current practices. The evolution of AI has included algorithmic, analytical, and artistic eras, each building on the previous. Through real examples and adoption strategies, this column explores how AI assistants can offer nurses the gift of time to care, synthesize complex patient information, detect risks earlier, and coordinate care teams.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":"57 1","pages":"8-10"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145851534","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}
{"title":"The Effect of Short Messaging on Improving Nurses' Hand Hygiene Behaviors: A Randomized Controlled Trial.","authors":"Bahar Özduran Ören, Duygu Kes","doi":"10.3928/00220124-20251009-01","DOIUrl":"10.3928/00220124-20251009-01","url":null,"abstract":"<p><strong>Background: </strong>Nurses' hand hygiene is critical for preventing nosocomial infections, yet evidence on effective interventions is limited. This study examined the effect of short messaging on nurses' hand hygiene behaviors.</p><p><strong>Method: </strong>A randomized controlled trial was conducted with 60 nurses in Turkey (intervention, 30; control, 30). The intervention group received eight educational Short Message Service-based messages twice weekly for 4 weeks. Data were collected using validated hand hygiene assessment tools. Analyses included two-way robust tests, Bonferroni, and Mann- Whitney <i>U</i> tests.</p><p><strong>Results: </strong>Posttest scores for the Hand Washing Form, Surgical Hand Washing Form, and Form for Hand Rubbing with Antiseptic Agent were significantly higher in the intervention group compared with baseline (<i>p</i> < .001).</p><p><strong>Conclusion: </strong>The Short Message Service-based education significantly improved nurses' hand hygiene and represents a practical, scalable strategy for clinical training and behavior change.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":"57 1","pages":"29-35"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145851546","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}