{"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}
{"title":"Partnering With Nurse Inventors and Entrepreneurs: A Guide for Nursing Professional Development Leaders.","authors":"Beth A Brooks","doi":"10.3928/00220124-20241011-03","DOIUrl":"https://doi.org/10.3928/00220124-20241011-03","url":null,"abstract":"<p><p>Health care innovation and entrepreneurship are key drivers of transformation in health care, re-shaping the way care is delivered, managed, and experienced. Innovation in health care spans a range of areas, including digital health, bio-technology, medical devices, tele-health, and health information systems. Entrepreneurs are leveraging technology to create solutions to improve patient outcomes, reduce costs, and address inefficiencies. Nurse inventors and entrepreneurs are blazing new trails that require nursing professional development leaders to consider new opportunities for collaboration. For nursing professional development leaders, fostering relationships with nurse entrepreneurs can unlock numerous benefits, from improving patient safety to enhancing nursing practice and facilitating advisory board appointments. <b>[<i>J Contin Educ Nurs.</i> 2024;55(11):517-519.]</b>.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":"55 11","pages":"517-519"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548551","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}
Judy E Davidson, Amy Kalinowski, Hirsh Makhija, Stephen D Schneid, Jess Mandel
{"title":"Using Performance Improvement Methods to Evaluate Processes for Writing Multiple-Choice Test Questions in the Postlicensure Clinical Environment: A Case Study.","authors":"Judy E Davidson, Amy Kalinowski, Hirsh Makhija, Stephen D Schneid, Jess Mandel","doi":"10.3928/00220124-20240829-02","DOIUrl":"10.3928/00220124-20240829-02","url":null,"abstract":"<p><strong>Background: </strong>This article is the last of a four-part series to guide educators on the construction and evaluation of multiple-choice test items in the post-licensure environment. Previous articles in this series described the problem and the mechanics of test item construction and evaluation.</p><p><strong>Method: </strong>A replicable strategy for evaluating the organizational process for constructing multiple-choice test questions is provided. Steps taken to create change are described; work tools are provided.</p><p><strong>Results: </strong>Guidance and training are needed to create multiple-choice test questions. Many educators have not had training in item construction. Educators welcomed training. Personalized mentorship resulted in improvement. Asynchronous learning alone was helpful and well received and improved self-perceived knowledge, yet fell short of achieving competence.</p><p><strong>Conclusion: </strong>Voluntary training may not be adequate to assure enculturation of best practices without accountability standards and monitoring. Future research is indicated to assess the situation and provide national standards for adoption within health care organizations. <b>[<i>J Contin Educ Nurs.</i> 2024;55(11):535-542.]</b>.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":" ","pages":"535-542"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142127147","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":"Copyright: Who Owns What.","authors":"Patricia S Yoder-Wise","doi":"10.3928/00220124-20241011-01","DOIUrl":"https://doi.org/10.3928/00220124-20241011-01","url":null,"abstract":"","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":"55 11","pages":"512"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548549","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}
K Denise Kerley, Jean A Ross, Jennifer L Embree, Katherine Feley, Blayne Miley
{"title":"A Guide for Nurse-Led Advocacy for Safe Staffing and the Quality of Nursing Work Life.","authors":"K Denise Kerley, Jean A Ross, Jennifer L Embree, Katherine Feley, Blayne Miley","doi":"10.3928/00220124-20241011-04","DOIUrl":"https://doi.org/10.3928/00220124-20241011-04","url":null,"abstract":"<p><p>Nursing advocacy is a critical component of nursing practice. An exemplar of how nurses can advocate for an enhanced quality of nursing work environment and safe staffing is provided. Garnering state and national resources can assist in impacting statewide change. <b>[<i>J Contin Educ Nurs.</i> 2024;55(11):520-522.]</b>.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":"55 11","pages":"520-522"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548548","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":"Measuring the Success of a Transition to Practice Program With Strategic Quality Outcome Measures.","authors":"Lisa Pierce","doi":"10.3928/00220124-20240911-02","DOIUrl":"https://doi.org/10.3928/00220124-20240911-02","url":null,"abstract":"<p><p>Transition to practice programs, like many other educational programs, are scrutinized by organizations to demonstrate value to the organization in exchange for precious human and financial resources. By developing quality outcome measures aligned to the organizational strategy, transition to practice leaders can optimize support and ensure sustainability. <b>[<i>J Contin Educ Nurs.</i> 2024;55(10):464-466.]</b>.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":"55 10","pages":"464-466"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142376230","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}
Kelly Kearney, Elaheh Ashtari, Stephanie Emhoff, Calvary Fielden, Sarah Hernandez, Ana Ruiz
{"title":"Training Nurses in Trauma-Informed Care to Address Workplace Violence in Inpatient Settings.","authors":"Kelly Kearney, Elaheh Ashtari, Stephanie Emhoff, Calvary Fielden, Sarah Hernandez, Ana Ruiz","doi":"10.3928/00220124-20240829-01","DOIUrl":"10.3928/00220124-20240829-01","url":null,"abstract":"<p><strong>Background: </strong>Frontline workers in psychiatric facilities are exposed to considerable risks of verbal and physical assaults, with 40% to 65% of mental health nurses experiencing violence in the workplace. The goal of this pilot study was to assess the readiness and motivation for adopting trauma-informed care (TIC) to address workplace violence in an acute care psychiatric hospital.</p><p><strong>Method: </strong>A pre-post quality improvement study was conducted in two pilot units of a 274-bed acute care psychiatric hospital, involving a discussion-based seminar and a practical exercise. Surveys assessed participants' readiness and motivation posttraining.</p><p><strong>Results: </strong>Sixty-eight staff members completed part 1 training, with 63 (92.6%) reporting being prepared to use TIC principles afterward. All 14 staff members (100%) who completed part 1 and part 2 training reported being motivated to apply the TIC model after the intervention.</p><p><strong>Conclusion: </strong>The results show that TIC training may impact self-reported strategies for reducing workplace violence. Education in trauma-informed care may prove to be beneficial in providing nurses with the necessary skills to effectively implement TIC principles in their daily practices. <b>[<i>J Contin Educ Nurs.</i> 2024;55(10):472-478.]</b>.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":" ","pages":"472-478"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142127145","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":"Trauma-Informed Development and Education: Turning the TIDE on Transition to Practice.","authors":"Heidi Gilroy, Audrey Kobina, Tajudaullah Bhaloo","doi":"10.3928/00220124-20240829-04","DOIUrl":"10.3928/00220124-20240829-04","url":null,"abstract":"<p><strong>Background: </strong>Transition to practice (TTP), the first year of a nurse's career postlicensure, is widely recognized as a stressful time. Previous trauma exposure and additional workplace trauma exacerbate the stress of this transitional period. Trauma-informed environments are associated with clinician wellness and engagement. Because workforce training for leaders is a necessary precursor to developing supportive environments, we studied changes in trauma knowledge, awareness, and attitudes among TTP leaders.</p><p><strong>Method: </strong>Our mixed methods study included administering the Attitudes Related to Trauma-Informed Care Scale (ARTIC) pre- and post-training, with additional open-ended questions about the impact of training.</p><p><strong>Results: </strong>Paired data from participants showed overall mean improvement that was statistically significant, with a large effect size. Statistically significant knowledge gains related to trauma recognition and safety, how to respond to trauma, and how to promote healthy behaviors.</p><p><strong>Conclusion: </strong>Our study underscores the importance of trauma education, which not only increased awareness but also prompted nurse leaders to reflect on enhanced support for early nursing professionals. <b>[<i>J Contin Educ Nurs.</i> 2024;55(10):501-508.]</b>.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":" ","pages":"501-508"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142127146","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":"Nurses Filling the Gap.","authors":"Terry Doescher","doi":"10.3928/00220124-20240911-04","DOIUrl":"https://doi.org/10.3928/00220124-20240911-04","url":null,"abstract":"<p><p>A gap analysis can be a valuable tool to identify and understand nursing practice deficiencies or gaps. Failure to find and fill gaps in skills, practices, or knowledge can affect patient outcomes. Nurses, nurse leaders, and health care providers can use a gap analysis to identify practice discrepancies that can affect patient care and outcomes. Conducting a gap analysis can guide the nurse to determine the best evidence-based practice solution for an issue or problem. <b>[<i>J Contin Educ Nurs.</i> 2024;55(10):469-471.]</b>.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":"55 10","pages":"469-471"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142376231","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}