{"title":"Comparing Narrative and Visual Arts for Empathy Enhancement in Nursing Postgraduate Education: A Mixed Method Study.","authors":"Sichen Yi, Xuerong Cao, Xiaodan Wang, Qi Zhang","doi":"10.3928/00220124-20250121-08","DOIUrl":"10.3928/00220124-20250121-08","url":null,"abstract":"<p><strong>Background: </strong>Traditional empathy teaching methods fall short in addressing the heightened empathy demands of in-service postgraduate nurses. Art-based approaches offer potential solutions.</p><p><strong>Method: </strong>We adopted a mixed method study with a quasi-experimental design. Two groups of in-service postgraduate nurses participated in narrative (<i>n</i> = 14) and visual (<i>n</i> = 13) arts interventions. Participants underwent four 45-minute sessions, including theory lectures and art-based interventions. Pre- and postcourse questionnaires assessed empathy and psychological capital.</p><p><strong>Results: </strong>The narrative arts group showed increased resilience (<i>t</i> = -2.775, <i>p</i> = .016) and secondary traumatic stress (<i>t</i> = -2.320, <i>p</i> = .037) postcourse. The visual arts group showed enhanced compassion satisfaction (<i>t</i> = -3.431, <i>p</i> = .005). Qualitative analysis identified two themes: empathy among participants and the benefits and challenges of the curriculum.</p><p><strong>Conclusion: </strong>Incorporating both narrative and visual arts into nursing education could enhance empathy and well-being. Narrative arts enhanced resilience but increased secondary traumatic stress. Visual arts improved compassion satisfaction and offered a calming experience. <b>[<i>J Contin Educ Nurs.</i> 2025;56(2):78-84.]</b>.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":"56 2","pages":"78-84"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068708","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":"Community of Inquiry-Guided Design of Asynchronous Online Continuing Professional Development for Pediatric Nurses.","authors":"Clare Davis, Laurie Posey, Nonhlanhla Mtolo, Ilana Webber, Lee-Ann White, Minette Coetzee","doi":"10.3928/00220124-20250121-06","DOIUrl":"10.3928/00220124-20250121-06","url":null,"abstract":"<p><strong>Background: </strong>Nurses play a pivotal role in the provision of health care for children across Africa. With limited pediatric nursing content in undergraduate nursing programs and few available pediatric postgraduate nursing programs, there is a need for additional continuing professional development opportunities to prepare nurses with the knowledge, skills, and confidence needed to care for children.</p><p><strong>Method: </strong>To address this need, and mindful of the unique profile of potential participants, the Children's Nursing Development Unit at the University of Cape Town developed a suite of asynchronous short online courses. Course design was grounded in the Community of Inquiry framework, a widely adopted and researched framework that integrates cognitive, social, and teaching presences for optimal online learning.</p><p><strong>Results: </strong>This article illustrates how the three Community of Inquiry presences were integrated into the courses.</p><p><strong>Conclusion: </strong>As evidenced by the examples, nurse educators effectively used the Community of Inquiry framework to create deep and meaningful learning experiences in an asynchronous online professional development program for pediatric nurses. <b>[<i>J Contin Educ Nurs.</i> 2025;56(2):63-69.]</b>.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":"56 2","pages":"63-69"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068703","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}
Muhammad W Darawad, Maysoon S Abdalrahim, Elham H Othman, Ahmad H Abu Raddaha, Mansour Mansour
{"title":"It's All About Empowerment and Confidence: Experience of Newly Registered Nurses in an Intensive Clinical Training Course.","authors":"Muhammad W Darawad, Maysoon S Abdalrahim, Elham H Othman, Ahmad H Abu Raddaha, Mansour Mansour","doi":"10.3928/00220124-20241107-02","DOIUrl":"10.3928/00220124-20241107-02","url":null,"abstract":"<p><strong>Background: </strong>This study investigated how intensive clinical nursing training influences the confidence of newly registered nurses in speaking up about their opinions and concerns within their current work settings.</p><p><strong>Method: </strong>A qualitative approach with thematic analysis was used. In-depth interviews were conducted with 64 newly graduated RNs to explore their experience in attending an undergraduate intensive clinical training course.</p><p><strong>Results: </strong>Four main themes emerged from the texts: (a) facing the workplace reality with confidence, (b) being equipped with knowledge and skills, (c) merging with the health care team, and (d) being empowered with high self-esteem.</p><p><strong>Conclusion: </strong>The newly graduated nurses believed that the intensive clinical nursing training course enhanced their confidence, improved their communication skills, and empowered them to speak up for their rights and those of their patients. <b>[<i>J Contin Educ Nurs.</i> 2025;56(1):14-19.]</b>.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":" ","pages":"14-19"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631341","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}
Jing Marrero, Bradley Jerson, Michael Brimacombe, Dena Hopkins, Katherine A Hinderer, Jeffrey S Hyams
{"title":"Partnering With School Nurses for Continuing Education in Inflammatory Bowel Disease.","authors":"Jing Marrero, Bradley Jerson, Michael Brimacombe, Dena Hopkins, Katherine A Hinderer, Jeffrey S Hyams","doi":"10.3928/00220124-20240927-02","DOIUrl":"10.3928/00220124-20240927-02","url":null,"abstract":"<p><strong>Background: </strong>With the rising incidence of inflammatory bowel disease (IBD) in pediatric populations, school nurses are increasingly called on to care for and support these students.</p><p><strong>Method: </strong>The research team surveyed Connecticut school nurses about their experiences, knowledge, and confidence in addressing IBD in the school setting. The team also developed and implemented an online education intervention to improve knowledge and confidence gaps during the 2022-2023 academic year.</p><p><strong>Results: </strong>Most participants have cared for one to two (46%, <i>n</i> = 66) or several (30%, <i>n</i> = 44) students with IBD. However, 24% (<i>n</i> = 35) have not cared for any students with IBD. School nurses shared their perspectives with three themes identified from the qualitative feedback: (a) limited knowledge and experience with IBD, (b) importance of support at school, and (c) need for interprofessional collaborative practice.</p><p><strong>Conclusion: </strong>The online education significantly improved school nurses' knowledge (<i>p</i> < .001) and confidence scores (<i>p</i> < .001). Participants found this intervention beneficial to their work. <b>[<i>J Contin Educ Nurs.</i> 2024;55(12):589-595.]</b>.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":" ","pages":"589-595"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373347","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}
Jiyoung Han, Meeyoung Kim, Kum Hei Ryu, Kwangsoo Shin
{"title":"Acceptance of Digital Health Care Technology and the Role of Nursing Education.","authors":"Jiyoung Han, Meeyoung Kim, Kum Hei Ryu, Kwangsoo Shin","doi":"10.3928/00220124-20241107-03","DOIUrl":"10.3928/00220124-20241107-03","url":null,"abstract":"<p><strong>Background: </strong>As digital health care technology develops, the use of technology in the nursing field has become an essential part of nursing education. However, few studies have linked nurses' awareness of digital health care with nursing education. This study examines the direct effects and mediating effects of factors in technology acceptance on nurses' intention to accept digital health care technology.</p><p><strong>Method: </strong>To empirically investigate these relationships, a survey was conducted among nurses in South Korea.</p><p><strong>Results: </strong>This study emphasizes the importance of a multifaceted approach that considers personal, organizational, and innovation-related factors in understanding nurses' intentions toward acceptance of digital health care technologies.</p><p><strong>Conclusion: </strong>The findings confirm that performance expectancy and facilitating conditions play crucial roles in nurses' acceptance of digital health care technologies. The mediating effects of performance expectancy and facilitating conditions on intentions to accept technologies suggest that these factors can also play vital indirect roles. <b>[<i>J Contin Educ Nurs.</i> 2024;55(12):575-587.]</b>.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":" ","pages":"575-587"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631246","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":"Cultural Humility in Nursing: A Concept Analysis.","authors":"Erin Salahshurian, Tiffany A Moore","doi":"10.3928/00220124-20240927-03","DOIUrl":"10.3928/00220124-20240927-03","url":null,"abstract":"<p><strong>Background: </strong>The ability of nurses to deliver culturally mindful health care may be vital to improving the patient-clinician relationship and subsequent health outcomes for marginalized populations. Continuing education in cultural training should be designed to enhance a nurse's cultural humility.</p><p><strong>Method: </strong>This study explores the concept of nurse cultural humility using the methods outlined by Walker and Avant (2018): define the attributes, offer a model case exemplifying the attributes, discuss the antecedents and consequences, and determine empirical referents.</p><p><strong>Results: </strong>The defining attributes of cultural humility in nursing are a lifelong process of reflexivity, an understanding and appreciation that the cultural backgrounds of both nurse and patient influence health care encounters, and a commitment to redress and mitigate power imbalances in the patient-clinician relationship.</p><p><strong>Conclusion: </strong>By clearly defining nurse cultural humility, leaders will be able to develop cultural training interventions to enhance nurse cultural humility and measure the concept accurately. <b>[<i>J Contin Educ Nurs.</i> 2024;55(12):596-603.]</b>.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":" ","pages":"596-603"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373345","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":"Transition to Professional Practice in the United States: Exploring the Experiences of Internationally Educated Nurses.","authors":"Marlene T Porter, Kate Williams, Leslie Gembol","doi":"10.3928/00220124-20241107-01","DOIUrl":"10.3928/00220124-20241107-01","url":null,"abstract":"<p><strong>Background: </strong>Many countries facing workforce shortages rely on internationally educated nurses (IENs) to supplement the nursing workforce. The goal of this study is to investigate the experiences of IENs during the peak of their acculturation to their new environment.</p><p><strong>Method: </strong>A descriptive qualitative approach was used with focus groups conducted 6 to 9 months after the IENs' start date. Purposive sampling was used to recruit participants at a large academic hospital. Focus groups were conducted in person, audiorecorded, and transcribed. Data were analyzed with reflexive thematic analysis.</p><p><strong>Results: </strong>Twenty-seven subjects participated in the focus groups. Three key themes were identified to describe the experiences: (a) navigating the challenging journey, (b) unlearning-relearning nursing practice, and (c) adapting to the work environment.</p><p><strong>Conclusion: </strong>This study was the first to examine IENs' experiences 6 to 9 months after arriving in the United States. Study findings show the importance of developing transition programs to support this population of nurses. <b>[<i>J Contin Educ Nurs.</i> 2024;55(12):568-574.]</b>.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":" ","pages":"568-574"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631342","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":"Improving the Recognition and Assessment of ICU Delirium.","authors":"Abbie Tuomisto, Patrick Kennedy","doi":"10.3928/00220124-20240829-03","DOIUrl":"10.3928/00220124-20240829-03","url":null,"abstract":"<p><strong>Background: </strong>Delirium is acute neurological failure that alters cognition and results in a state of confusion and lack of self-awareness. It commonly affects critically ill patients within intensive care units (ICUs), and the wide array of fluctuating symptoms frequently leads to underdiagnosis. Delirium results in cognitive impairment and increased rates of fatality, and accurate assessments are essential for improving patient outcomes. Barriers to delirium assessment stem from a lack of knowledge and assessment training among ICU nurses.</p><p><strong>Method: </strong>Using the Cumulative Index to Nursing and Allied Health Literature electronic database, a literature synthesis was conducted, analyzing journal articles addressing delirium education and training among ICU nurses and barriers associated with assessment.</p><p><strong>Results: </strong>Current literature identifies methods to overcome barriers through training, education, and continuous reinforcement of delirium assessment. The goals of this review are to identify the barriers to delirium assessment and make recommendations for education methods to increase the confidence of ICU nurses in the recognition of delirium to improve patient outcomes.</p><p><strong>Conclusion: </strong>Early identification of delirium is crucial to improving patient outcomes. A standardized delirium educational program should be developed and implemented throughout the U.S. health care system. <b>[<i>J Contin Educ Nurs.</i> 2024;55(11):530-534.]</b>.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":" ","pages":"530-534"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142127144","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":"Effectiveness of Cognitive Rehearsal in Addressing Nursing Incivility: An Integrative Review.","authors":"Janet L Givler, Lynn Varagona","doi":"10.3928/00220124-20240927-01","DOIUrl":"10.3928/00220124-20240927-01","url":null,"abstract":"<p><strong>Background: </strong>Incivility is detrimental to nurses, patients, and health care organizations. Cognitive rehearsal has shown promise in addressing incivility, yet the most recent review of cognitive rehearsal training contained articles published in 2014 and earlier. This review integrates current knowledge of the effectiveness of cognitive rehearsal training in addressing nursing incivility.</p><p><strong>Method: </strong>Four databases were searched from January 2018 to April 2023. Thematic analysis was used to analyze 22 studies.</p><p><strong>Results: </strong>Three main themes emerged: (a) theoretical frameworks, (b) participant responses to cognitive rehearsal training, and (c) work culture influences. Nine theoretical frameworks uncover the mechanism behind nursing incivility and provide guidance on how to remedy it.</p><p><strong>Conclusion: </strong>Cognitive rehearsal training that includes four core components can foster skills and confidence to address nursing incivility and, in turn, decrease its occurrence, but training alone is not sufficient. Nurse managers and leaders need to model civil behavior, support zero tolerance, create a safe environment for reporting incivility, and intervene effectively. <b>[<i>J Contin Educ Nurs.</i> 2024;55(11):523-529.]</b>.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":" ","pages":"523-529"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373346","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":"How Certification Exams Reflect Current Practice.","authors":"Tara L Myers, Sean DeGarmo, Marianne Horahan","doi":"10.3928/00220124-20241011-02","DOIUrl":"https://doi.org/10.3928/00220124-20241011-02","url":null,"abstract":"<p><p>Certification exams are often the least understood aspect of certification processes. This article delves into the development of certification exams, highlighting their crucial role in assessing the knowledge and skills required for effective job performance. It explores how exams are meticulously crafted to align with specific job tasks, knowledge areas, and skill sets within various nursing specialties. Through collaborative efforts between practicing nurses and exam developers, these exams are designed to uphold validity, reliability, and fairness standards. Ultimately, certification exams are pivotal in evaluating nurses' competencies in vital aspects of clinical practice, facilitated by ongoing partnerships between nurses and certifying bodies. <b>[<i>J Contin Educ Nurs.</i> 2024;55(11):513-516.]</b>.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":"55 11","pages":"513-516"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548550","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}