{"title":"Dynamic Branching Virtual Simulation for Management of Medication-Induced Anaphylaxis by Pediatric Nurses: A Pilot Educational Evaluation.","authors":"Sixi Wang, Dan Wang","doi":"10.3928/00220124-20260526-01","DOIUrl":"https://doi.org/10.3928/00220124-20260526-01","url":null,"abstract":"<p><strong>Background: </strong>Pediatric inpatient anaphylaxis requires rapid recognition and prompt intramuscular administration of epinephrine. A dynamic branching, engine-driven virtual simulation was developed that delivers guided training and exports time-stamped performance logs.</p><p><strong>Method: </strong>In a unit-based educational evaluation, 12 pediatric nurses completed baseline assessment, one guided training run, and a posttraining variant assessment. System Usability Scale scores and log-derived performance metrics were summarized.</p><p><strong>Results: </strong>All participants completed all phases and generated analyzable log report files; mean performance scores increased from 9.7 to 15.5 (range, 0-20), and epinephrine completion rates increased from 33% to 100%. Mean System Usability Scale score was 62.5.</p><p><strong>Conclusion: </strong>Engine-driven virtual simulation was feasible within routine unit workflow and showed signals of improved time-critical actions, supporting further refinement and broader evaluation.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":" ","pages":"1-6"},"PeriodicalIF":1.2,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148450179","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":"Taking Action: Implementation and Outcomes of an Instructor-Led Evidence-Based Practice Course in a Magnet Hospital.","authors":"Kelley McGuire, Maria C Ballard","doi":"10.3928/00220124-20260324-01","DOIUrl":"10.3928/00220124-20260324-01","url":null,"abstract":"<p><strong>Background: </strong>Use of evidence-based practice (EBP) is imperative to ensure safe patient care; however, literature reveals that nurses identify barriers to developing and implementing EBP, such as lack of knowledge, training, and mentorship. The purpose of this study was to explore the effects of an instructor-led EBP program on nurses' beliefs, implementation self-efficacy, and competency using EBP in a clinical setting.</p><p><strong>Method: </strong>The eight-session program included instruction and interactive activities covering EBP implementation strategies following the Iowa Model Revised: Evidence-Based Practice to Promote Excellence in Health Care. Pre- and post-program survey data were used to evaluate program effectiveness.</p><p><strong>Results: </strong>Statistical analysis of survey responses from 11 participants revealed significant improvements in EBP beliefs and self-perceived competency to engage in EBP. Non-significant improvements were seen in EBP implementation self-efficacy.</p><p><strong>Conclusion: </strong>The findings validate the effectiveness of an intentional, RN-tailored educational initiative in elevating nurses' EBP beliefs, competency, and implementation self-efficacy.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":" ","pages":"317-323"},"PeriodicalIF":1.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700469","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":"Leading Nurses Down the Yellow Brick Road to Nursing Competency.","authors":"Dorothy Chan","doi":"10.3928/00220124-20260513-01","DOIUrl":"10.3928/00220124-20260513-01","url":null,"abstract":"<p><p>Nurse educators and professional development specialists must be innovative and engaging in facilitating nurse learning and competency validation. Facilitating learning requires a shift toward creative, interactive methods, especially given a multigenerational workforce with diverse learning styles. The use of gamification, adult learning principles, and a variety of validation methods, while incorporating a creative theme, fosters the learning and competency validation process.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":"57 7","pages":"301-303"},"PeriodicalIF":1.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148362970","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":"Building on Our Past and Moving Forward.","authors":"Patricia S Yoder-Wise","doi":"10.3928/00220124-20260609-01","DOIUrl":"https://doi.org/10.3928/00220124-20260609-01","url":null,"abstract":"","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":"57 7","pages":"295"},"PeriodicalIF":1.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148362940","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}
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":"10.3928/00220124-20260407-02","url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Method: </strong>A total of 13 articles were selected for inclusion based on their relevance to LAST education.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":" ","pages":"305-316"},"PeriodicalIF":1.2,"publicationDate":"2026-07-01","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}
{"title":"A Hermeneutic Qualitative Study of the Orientation Experiences of Early Career Nurses.","authors":"Kerrin Hampton","doi":"10.3928/00220124-20260407-01","DOIUrl":"10.3928/00220124-20260407-01","url":null,"abstract":"<p><strong>Background: </strong>With national nursing turnover peaking, this study was conducted to explore the orientation experiences of early career nurses.</p><p><strong>Method: </strong>A hermeneutic phenomenological approach was used, with web-based interviews that were recorded, transcribed, and thematically analyzed.</p><p><strong>Results: </strong>Emerging themes included seeking comprehensive information, the pivotal role of preceptors, emotional complexity, loss or absence, reaffirming purpose, and positive progress. Outliers included \"the preceptor turned her back,\" \"thrown to the wolves,\" and \"the unicorn.\"</p><p><strong>Conclusion: </strong>Participants described orientation experiences and remained in their initial roles. However, reality and transition shock persist. Consistent support from preceptors, educators, and leaders remains essential for successful transition.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":" ","pages":"324-329"},"PeriodicalIF":1.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845055","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":"Exploring the Transition Process of Novice Pediatric Nurses: A Qualitative Study With Implications for Simulation-Based Continuing Education Guided by Meleis's Transitions Theory.","authors":"Yung-Mi Yoon, Mi-Jeong Bae","doi":"10.3928/00220124-20260327-02","DOIUrl":"10.3928/00220124-20260327-02","url":null,"abstract":"<p><strong>Background: </strong>This study explored the transition experiences of newly graduated nurses in pediatric clinical practice through the lens of Meleis's Transitions Theory and examined how simulation-based education can support this transition.</p><p><strong>Method: </strong>A qualitative study was conducted using focus group interviews with six novice nurses in a tertiary hospital in South Korea. Data were analyzed using directed content analysis based on Meleis's Transitions Theory.</p><p><strong>Results: </strong>Three major themes emerged: Difficulty Managing Caregivers' Emotions and Building Trust, Limited Age-Specific Communication Skills, and Lack of Exposure to Diverse or Complex Pediatric Conditions. Participants reported that current simulation programs emphasize technical procedures and lack preparation for the emotional and relational aspects of care.</p><p><strong>Conclusion: </strong>Emotional preparedness is a critical yet underdeveloped component of continuing education for novice pediatric nurses. Incorporating emotionally immersive and developmentally diverse simulation scenarios may enhance clinical readiness and support professional identity formation.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":" ","pages":"330-336"},"PeriodicalIF":1.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786784","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":"Articulating the Value of Accredited Nursing Continuing Professional Development Programs.","authors":"Jillian Roy","doi":"10.3928/00220124-20260518-01","DOIUrl":"10.3928/00220124-20260518-01","url":null,"abstract":"<p><p>The work of American Nurses Credentialing Center (ANCC) Nursing Continuing Professional Development (NCPD) Accredited Providers is essential to advancing nursing practice, workforce readiness, and organizational outcomes. Yet, the value of these programs is often underarticulated. The 2025 ANCC NCPD Accreditation™ criteria emphasize mission clarity, intentional expected results, and program-level outcome analysis through the structural capacity and quality outcomes criteria. This column examines how the criteria function as leadership and administrative tools rather than solely accreditation requirements and explores how mission-driven planning and meaningful outcome analysis enable Accredited Provider Program Directors to articulate impact, strengthen strategic alignment, and position NCPD as a driver of organizational success.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":"57 7","pages":"296-298"},"PeriodicalIF":1.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148363487","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":"Seeing and Being Seen.","authors":"Jan Jones-Schenk","doi":"10.3928/00220124-20260527-01","DOIUrl":"10.3928/00220124-20260527-01","url":null,"abstract":"<p><p>Medical gaslighting is a significant barrier to care, and it contributes to delays in accurate diagnosis. Implicit bias is a factor in medical gaslighting, as is the absence or decline of caregiver empathy. Regeneration of skills such as empathy, listening, and creating psychological safety for patients is as important as maintaining more technical clinical skills. Patient advocacy is not possible if patients do not feel seen and heard.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":"57 7","pages":"299-300"},"PeriodicalIF":1.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148363043","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":"Building Nursing Home Staff Knowledge and Confidence in Communicating About Advance Care Planning.","authors":"Hsiu-Hui Chen, Hsiao-Yun Chang, Pin-Hsuan Huang, Hsiu-Ling Chiu","doi":"10.3928/00220124-20260211-01","DOIUrl":"10.3928/00220124-20260211-01","url":null,"abstract":"<p><strong>Background: </strong>Advance care planning is essential in nursing homes to ensure end-of-life care aligns with residents' values, yet staff often lack the knowledge and confidence to lead these discussions.</p><p><strong>Method: </strong>This study evaluated an advance care planning training program for 37 nursing home staff in Taiwan using a participatory action research design. The 3-month intervention included lectures, videos, role-playing, and biweekly case discussions. Data were collected at four time points (T0-T3).</p><p><strong>Results: </strong>The program led to statistically significant, sustained improvements in advance care planning knowledge and communication confidence across all measurement points. Qualitative findings revealed two themes: enhanced readiness for advance care planning consultations and persistent barriers to implementation.</p><p><strong>Conclusion: </strong>Structured training in advance care planning can strengthen staff capacity for meaningful end-of-life discussions; however, ongoing education and case-based support remain essential to address contextual challenges and maintain communication competence.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":" ","pages":"277-284"},"PeriodicalIF":1.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700529","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}