Hirsh Makhija, Stephen D Schneid, Amy Kalinowski, Jess Mandel, Judy E Davidson
{"title":"Evaluating the Quality of Multiple-Choice Test Questions in the Postlicensure Environment.","authors":"Hirsh Makhija, Stephen D Schneid, Amy Kalinowski, Jess Mandel, Judy E Davidson","doi":"10.3928/00220124-20240718-03","DOIUrl":"10.3928/00220124-20240718-03","url":null,"abstract":"<p><strong>Background: </strong>Multiple-choice test questions are among the main measures of knowledge used by educators in the postlicensure environment; however, these tests are often constructed in the absence of guidelines or the means to evaluate examination quality after administration.</p><p><strong>Method: </strong>Previously, guidance was provided on constructing quality test items. Here we present instruction for professional development specialists to use postadministration test data for an item analysis, providing insight on test flaws and opportunities for iterative examination improvement.</p><p><strong>Results: </strong>The topics of item difficulty, index of discrimination, and distractor analysis are covered for independent analysis, and topics such as reliability are addressed for those who have access to a formal program.</p><p><strong>Conclusion: </strong>Three levels of strategies are described: using a learning management system for item analysis, using free open-source software, and using a minimal standards method of evaluating test items. <b>[<i>J Contin Educ Nurs</i>. 2024;55(10):487-492.]</b>.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":" ","pages":"487-492"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141876529","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 Catheter-Related Infection Control Education on Surgical Nurses' Knowledge Levels and Attitudes: A Randomized Controlled Trial.","authors":"Habibe Filiz Akdemir, Elif Gezginci","doi":"10.3928/00220124-20240617-02","DOIUrl":"10.3928/00220124-20240617-02","url":null,"abstract":"<p><strong>Background: </strong>Catheters are commonly used in health care. As nurses play an active role in the prevention of catheter-related infections, their knowledge and attitudes on this subject are important. The goal of this study was to determine the effect of an educational intervention about catheter-related infection control precautions on nurses' knowledge levels and attitudes.</p><p><strong>Method: </strong>This study was a single-center randomized controlled trial. The intervention group (<i>n</i> = 35) received evidence-based face-to-face education. The control group (<i>n</i> = 35) received routine in-service training. The nurses' knowledge and attitudes were assessed before, immediately after, and 3 months after the education.</p><p><strong>Results: </strong>After the training, the intervention group had statistically higher total scores than the control group on both scales immediately after the training (<i>p</i> < .001 and <i>p</i> = .008, respectively) and 3 months after the training (<i>p</i> = .001 and <i>p</i> < .001, respectively).</p><p><strong>Conclusion: </strong>The evidence-based structured educational intervention about catheter-related infection prevention practices positively affected the knowledge and attitudes of surgical nurses. <b>[<i>J Contin Educ Nurs.</i> 2024;55(10):479-486.]</b>.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":" ","pages":"479-486"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141447431","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":"Investigating the Influence of Simulation-Based Instruction on Advancing Nursing Proficiency: A Rapid Review.","authors":"Samer H Sharkiya, Ohana Irit","doi":"10.3928/00220124-20240529-01","DOIUrl":"10.3928/00220124-20240529-01","url":null,"abstract":"<p><strong>Background: </strong>Nursing practice is continuously evolving, requiring nurses to update their knowledge and skills. A common approach in nursing education is simulation-based training. Although its effectiveness was studied in a sample of undergraduate students, evidence of its effectiveness in nursing continuing education is lacking. This review examined the effectiveness of simulation-based instruction in advancing nursing proficiency in lifelong or continuing learning.</p><p><strong>Method: </strong>Searches of EMBASE, MEDLINE via PubMed, Web of Science, and Google Scholar were performed. Studies conducted between 2000 and 2023, focusing on postregistration or postlicensure nurses undergoing simulation-based training to improve their nursing proficiency, were considered for review. The quality of the studies was assessed using the transparency, accuracy, purpose, utility, propriety, accessibility, and specificity (TAPUPAS) criteria. Data were synthesized with narrative summaries.</p><p><strong>Results: </strong>A total of 14 studies with a total sample size of 1,204 nurses met the eligibility criteria. Studies showed that simulation-based instruction in nursing continuing education improves knowledge and skills. Some studies showed disagreements on the effectiveness of simulation-based training on other factors.</p><p><strong>Conclusion: </strong>Embracing high-fidelity simulation in continuing education is crucial for advancing proficiency. Tailoring simulation scenarios to specific competency domains is recommended to address variations in outcomes. Policymakers are encouraged to integrate simulation into education policies and support ongoing research to refine best practices and align policies with evolving nursing needs. <b>[<i>J Contin Educ Nurs.</i> 2024;55(9):433-441.]</b>.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":" ","pages":"433-441"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141248950","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":"Call to Action: Leveraging American Nurses Credentialing Center Nursing Continuing Professional Development Credit for Prior Learning-Part 2.","authors":"Jennifer Graebe, Lisa McIntyre-Hite","doi":"10.3928/00220124-20240821-02","DOIUrl":"https://doi.org/10.3928/00220124-20240821-02","url":null,"abstract":"<p><p>In \"The Future of Workforce Development in Professional Nursing Practice,\" Graebe et al. (2022) propose addressing nursing workforce shortages through Recognition of Prior Learning and related frameworks. They argue for a new health care learning model that leverages stackable certificates and accredited professional development to award academic credit, bridging the gap between current qualifications and advanced education. This approach could enhance enrollment and retention in advanced nursing programs, addressing shortages in specialty areas such as academia and leadership. By recognizing experiential learning, these methods create accessible, sustainable career pathways, fostering a more diverse and adaptable nursing workforce. <b>[<i>J Contin Educ Nurs.</i> 2024;55(9):416-420.]</b>.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":"55 9","pages":"416-420"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142094099","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":"Summarizing a Debriefing Session in Professional Development.","authors":"Karren Kowalski","doi":"10.3928/00220124-20240821-04","DOIUrl":"https://doi.org/10.3928/00220124-20240821-04","url":null,"abstract":"<p><p>The summary of the debriefing session is critical to acknowledge the work of each participant and to identify the learnings. Key approaches include the importance of including everyone and maintaining a positive, upbeat attitude. <b>[<i>J Contin Educ Nurs</i>. 2024;55(9):423-424.]</b>.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":"55 9","pages":"423-424"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142094102","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":"Development of a Critical Reflection Mentorship Program to Enhance Critical Thinking Among Novice Nurses.","authors":"Nicole C Geist, Mary Browning, Amber Messick","doi":"10.3928/00220124-20240718-01","DOIUrl":"10.3928/00220124-20240718-01","url":null,"abstract":"<p><strong>Background: </strong>The increasing complexity of care and the decrease in overall nursing experience pose a threat to patient safety and clinical outcomes in health care. Within the local environment, a critical need was identified to connect expert bedside nurses with novice nurses to support the development of critical thinking.</p><p><strong>Method: </strong>This article describes the development and pilot evaluation of a critical reflection mentorship program, Beyond the Bedside. The program was developed and deployed in three inpatient units within an adult academic health center. Critical thinking was evaluated using the Nursing Critical Thinking in Clinical Practice Questionnaire (N-CT-4 Practice) pre- and postprogram implementation.</p><p><strong>Results: </strong>Five nurses participated in the pre- and postevaluation, and the N-CT-4 Practice mean scores were significantly higher after program implementation.</p><p><strong>Conclusion: </strong>Education leaders should prioritize programs that support critical thinking among novice nurses, and the Beyond the Bedside program can be adapted for use in other health care settings. <b>[<i>J Contin Educ Nurs.</i> 2024;55(9):456-460.]</b>.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":" ","pages":"456-460"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141876528","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 Novel Approach to Supporting Ambulatory Nursing Professional Development.","authors":"Stacie Banister, Carin E Resseguie","doi":"10.3928/00220124-20240718-02","DOIUrl":"10.3928/00220124-20240718-02","url":null,"abstract":"<p><strong>Background: </strong>Because of the growth of nursing care in ambulatory clinics, nursing education and professional development needs have increased.</p><p><strong>Method: </strong>At one academic medical center, development of a combined centralized-decentralized nursing professional development model addressed the needs of this expansion.</p><p><strong>Results: </strong>Hiring dedicated nursing professional development staff for prioritized education programs improves throughputs and outputs associated with nursing professional development.</p><p><strong>Conclusion: </strong>Implementation of unit-based clinic rounding has improved staff engagement with education, professional development, and quality outcomes. <b>[<i>J Contin Educ Nurs.</i> 2024;55(9):449-455.]</b>.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":" ","pages":"449-455"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141876527","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}
Olivia W Foley, Michael G Healy, Jennifer Curran, Stephanie Schatzman-Bone, Katelin McDilda, Roger Gino Chisari, Rebecca D Minehart, Lori R Berkowitz
{"title":"Leveraging the Impact of Nurses on the Educational Experience and Professional Development of the Physician Trainee.","authors":"Olivia W Foley, Michael G Healy, Jennifer Curran, Stephanie Schatzman-Bone, Katelin McDilda, Roger Gino Chisari, Rebecca D Minehart, Lori R Berkowitz","doi":"10.3928/00220124-20240821-03","DOIUrl":"https://doi.org/10.3928/00220124-20240821-03","url":null,"abstract":"<p><p>Nurses play an essential role in the receptivity and support of the learning environment for physician trainees as they develop their clinical skills and professional identity. Although effective interprofessional teams are increasingly identified as critical to patient safety, their impact on the educational experience of learners in the clinical environment is under-recognized. We argue that highlighting nurses' contributions to physician trainee development at the start of their employment in an academic setting can encourage all providers to actively build a supportive clinical learning environment. <b>[<i>J Contin Educ Nurs.</i> 2024;55(9):421-422.]</b>.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":"55 9","pages":"421-422"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142094101","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":"Instructional Design, Industry Partnerships, and QR Codes Improve Nursing Competency Evaluation.","authors":"Anthony Scott, Maria Yefimova, Ashley Brand","doi":"10.3928/00220124-20240617-01","DOIUrl":"10.3928/00220124-20240617-01","url":null,"abstract":"<p><strong>Background: </strong>New medical devices are frequently introduced at the point of care, and nursing competence in their management is critical for safe patient care. Industry vendors often provide on-the-job in-services for new devices within the constraints of clinical priorities, yet these in-services are not usually monitored or systematically coordinated with stakeholders.</p><p><strong>Method: </strong>This project employed quick response (QR) codes and best practices in instructional design in a partnership with vendors to develop and evaluate the impact of an in-service for a new medical device on nursing competence. An online survey measured usefulness, knowledge, and the change in self-perceived competence.</p><p><strong>Discussion: </strong>A total of 536 nurses participated, and 91.2% correctly answered five or six of six questions about device management. The proportion of nurses rating their competence as <i>no experience</i> decreased from 21.2% to 4.5%, and ratings for <i>can do independently/competent</i> increased from 37.6% to 60.2%.</p><p><strong>Conclusion: </strong>The use of QR codes offers novel solutions to evaluate how structured, on-the-job education can positively impact nursing practice around medical devices. <b>[<i>J Contin Educ Nurs</i>. 2024;55(9):425-432.]</b>.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":" ","pages":"425-432"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141447429","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}