Khanh Bao Luong, Son Anh Dao, Hang Thi Thu Hoang, Anh Thi My Bui, Tuan Minh Tran, Luong Huy Duong, Thu Thi Hoai Nguyen
{"title":"From Communication Strengths to Cultural Gaps: Patient Safety Competencies in a Vietnamese Provincial Hospital.","authors":"Khanh Bao Luong, Son Anh Dao, Hang Thi Thu Hoang, Anh Thi My Bui, Tuan Minh Tran, Luong Huy Duong, Thu Thi Hoai Nguyen","doi":"10.3928/00220124-20260210-03","DOIUrl":"10.3928/00220124-20260210-03","url":null,"abstract":"<p><strong>Background: </strong>Patient safety is critical to health care quality, yet frontline staff competencies in low- and middle-income countries are understudied. Understanding these competencies is vital for designing interventions to enhance patient safety culture.</p><p><strong>Method: </strong>A cross-sectional survey was conducted in July 2024 involving 418 nurses, midwives, and technicians in Vietnam. The Health Professional Education in Patient Safety Survey assesses six patient safety domains on a 5-point Likert scale. Multivariable logistic regression identified predictors of high patient safety confidence (mean score ≥ 3.0).</p><p><strong>Results: </strong>The mean competency score was 3.75 (<i>SD</i> = 0.5), with 89.0% scoring ≥ 3.0. Highest scores were in communicating effectively (3.83) and working in teams (3.79); lowest were in culture of safety (3.69). Higher confidence was correlated with age 30 to 39, nursing role, postgraduate education, >10 years' experience, and perceiving excellent hospital safety.</p><p><strong>Conclusion: </strong>Moderate patient safety confidence exists, but gaps in cultural competencies and barriers to speaking up persist. Targeted training and nonpunitive systems are needed to strengthen patient safety in Vietnam.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":" ","pages":"220-226"},"PeriodicalIF":1.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147516148","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}
Patricia E Allen, Ronda D Mintz-Binder, Seungman Kim, Carol A Boswell
{"title":"Doctor of Nursing Practice National Study, Part I: Instrument Development.","authors":"Patricia E Allen, Ronda D Mintz-Binder, Seungman Kim, Carol A Boswell","doi":"10.3928/00220124-20260128-05","DOIUrl":"10.3928/00220124-20260128-05","url":null,"abstract":"<p><strong>Background: </strong>This article describes the development of the Doctor of Nursing Practice (DNP) Leaders in Practice Assessment (DNPLPA) Tool and assessment of the psychometric properties of this 33-item instrument.</p><p><strong>Method: </strong>This study used a descriptive mixed-methods design to collect data. A national convenience sample of 208 practicing DNP nurses completed the 28-item online tool that focused on five specific outcome sections, each followed by five open-ended questions.</p><p><strong>Results: </strong>Cronbach's alpha reliability coefficient for instrument dissemination was 0.969. Parallel analysis and scree plot results suggested that a four-factor solution was the most appropriate model. Confirmatory factor analysis also confirmed a four-factor model.</p><p><strong>Conclusion: </strong>The DNPLPA Tool addressed many of the key recommendations listed by the American Association of Colleges of Nursing and offers a reliable and valid instrument to collect leadership outcome data. From factor analysis results, a wording-specific revision is warranted in one of the outcome sections.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":" ","pages":"201-206"},"PeriodicalIF":1.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147516121","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":"Make More Mistakes.","authors":"Jan Jones-Schenk","doi":"10.3928/00220124-20260326-01","DOIUrl":"https://doi.org/10.3928/00220124-20260326-01","url":null,"abstract":"<p><p>The fear of discomfort and labeling is a barrier to achievement of greater levels of competence and confidence in leading and educating. Adam Grant's book <i>Hidden Potential</i> raises important questions about making mistakes and how making mistakes contributes to faster learning.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":"57 5","pages":"196-197"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822852","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":"Learning Never Ends: A History of Continuing Education in Nursing by Signe Skott Cooper.","authors":"Myrna L Armstrong, Barbara A Gessner","doi":"10.3928/00220124-20260409-01","DOIUrl":"https://doi.org/10.3928/00220124-20260409-01","url":null,"abstract":"","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":"57 5","pages":"191-192"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822836","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}
Denise M Connelly, Kristin Prentice, Melissa E Hay, Nicole A Guitar, Anna Garnett
{"title":"Perceptions of Nurse Bridging Education Programs as a Strategy for Workforce Recruitment and Retention: An Interpretive Description Study.","authors":"Denise M Connelly, Kristin Prentice, Melissa E Hay, Nicole A Guitar, Anna Garnett","doi":"10.3928/00220124-20260210-02","DOIUrl":"10.3928/00220124-20260210-02","url":null,"abstract":"<p><strong>Background: </strong>Long-term care and home and community care sectors face severe nursing shortages, intensified by COVID-19. Nurse bridging education (NBE) programs may enhance career mobility, professional development, and workforce stability in these sectors. This study explored perceptions of nurse educators, supervisors, and bridging students of the role of NBE programs in recruitment and retention.</p><p><strong>Method: </strong>Interpretive description guided focus groups with educators and supervisors, and individual interviews with students. Thematic analysis was used to interpret the data.</p><p><strong>Results: </strong>Twenty-five participants (4 educators, 6 supervisors, 15 students) contributed. Two themes emerged: (1) Supporting Bridging Students Through Role Transition, and (2) Optimizing Learning Experiences for Working Students. System-level challenges, including funding allocation, limited placements, and wage disparities, constrained recruitment and retention.</p><p><strong>Conclusion: </strong>Findings suggest supervisors can improve retention through mentorship and flexibility, whereas academic-practice partnerships and government investment in placements and wage parity are critical to addressing workforce shortages.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":" ","pages":"213-219"},"PeriodicalIF":1.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624267","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":"Collaboration Between Nursing and Music Therapy.","authors":"Victoria Davenport, Jennifer L Embree","doi":"10.3928/00220124-20260326-02","DOIUrl":"10.3928/00220124-20260326-02","url":null,"abstract":"<p><p>Music therapy, an established health profession guided by evidence-based research, uses music to address patients' biopsychosocial needs. Nursing staff are vital in the delivery of music therapy services for their patients. A limited body of research exists about nurse's perceptions and attitudes toward music therapy. Professional development specialists can help guide nurses in collaborating with music therapists. This column describes how this collaboration can benefit music therapy services and improve patient care.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":"57 5","pages":"198-200"},"PeriodicalIF":1.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822892","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":"Leveraging Generative AI Within the ADDIE Model: A Transformative Approach for Nursing Professional Development.","authors":"Maryann Windey, John Bruewer","doi":"10.3928/00220124-20260210-01","DOIUrl":"10.3928/00220124-20260210-01","url":null,"abstract":"<p><strong>Background: </strong>This article explores how nursing professional development (NPD) practitioners can use artificial intelligence (AI) and generative artificial intelligence (Gen AI) across each phase of the ADDIE (Analyze, Design, Develop, Implement, Evaluate) instructional design model to drive timely, personalized, data-driven education that aligns with health care system priorities, boosts learner engagement, and improves outcomes.</p><p><strong>Method: </strong>The authors describe ways to use AI according to the ADDIE framework for NPD education, including the benefts and risks of this technology.</p><p><strong>Results: </strong>Integrating Gen AI within the ADDIE framework positions NPD practitioners as strategic enablers of agile, responsive education. It allows for faster, tailored content development, real-time learner adaptation and evaluation, and alignment of education with organizational performance.</p><p><strong>Conclusion: </strong>Applying Gen AI within the ADDIE framework provides a structured, yet flexible strategy to operationalize innovation. When intentionally integrated within the ADDIE framework, these technologies allow NPD practitioners to assess, design, develop, implement, and evaluate education programs that are agile, scalable, and directly aligned with organizational goals.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":" ","pages":"236-240"},"PeriodicalIF":1.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624163","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 Reflection on 360-Degree Assessment for Leaders.","authors":"Jennifer Graebe","doi":"10.3928/00220124-20260413-01","DOIUrl":"10.3928/00220124-20260413-01","url":null,"abstract":"<p><p>A 360-degree assessment is used in leadership development, performance management, and organizational assessment because it captures how individuals are perceived across professional relationships, offering a broader alternative to traditional top-down appraisal. This column explores the connection among leadership, formative feedback, and professional development to enhance self-awareness and identify growth opportunities as well as how this connection can be distorted in environments characterized by weak feedback practices, poor communication, unresolved conflict, and limited leadership maturity.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":"57 5","pages":"193-195"},"PeriodicalIF":1.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822862","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":"Designing Self-Directed Defibrillator Training With Immersive 360° Extended Reality: A Mixed-Methods Study.","authors":"Jiyoung Kim","doi":"10.3928/00220124-20251209-03","DOIUrl":"10.3928/00220124-20251209-03","url":null,"abstract":"<p><strong>Background: </strong>This study evaluated the effectiveness of self-directed defibrillator training with immersive 360° extended reality for newly licensed nurses.</p><p><strong>Method: </strong>A concurrent mixed-methods design was used. Through convenience sampling 27 newly licensed nurses in South Korea were recruited. The participants underwent immersive 360° extended reality training, followed by self-directed practice. Quantitative data were analyzed, and the training experience was analyzed with qualitative content analysis.</p><p><strong>Results: </strong>Attitudes toward nurse-led defibrillation and related knowledge improved significantly from pretraining to posttraining (<i>p</i> < .001). Defibrillation performance was assessed after training. Qualitative content analysis showed a positive immersive learning experience with some limitations.</p><p><strong>Conclusion: </strong>The findings highlight the effectiveness and educational benefits of combined immersive 360° extended reality training and self-directed practice.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":"57 4","pages":"175-185"},"PeriodicalIF":1.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595958","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":"Evaluation of an Instrument to Measure Knowledge and Decision-Making Skills of Newly Graduated Nurses Managing Diabetes-Related Ketoacidosis of Adults.","authors":"Jasper Erwin L Tolarba","doi":"10.3928/00220124-20251204-02","DOIUrl":"10.3928/00220124-20251204-02","url":null,"abstract":"<p><strong>Background: </strong>Newly graduated nurses often experience challenges in managing diabetes-related ketoacidosis, yet few validated instruments are available to assess their knowledge and decision-making in this high-acuity condition. This study was conducted to establish the content validity and psychometric properties of the modified Test of Registered Nurses' Knowledge and Decision-Making Processes in the Management of Adults with Diabetic Ketoacidosis (TKDM Short Form). A secondary goal was to examine the applicability of the instrument across two onboarding educational modalities to ensure the tool performs consistently in varied learning environments.</p><p><strong>Method: </strong>The study used a two-phase design. Phase I involved expert content validation of the TKDM Short Form. Phase II consisted of psychometric testing with pretests and posttests during onboarding. Participants were exposed to either fully immersive virtual reality or traditional education. Analyses included item performance, internal consistency, and factor analysis to evaluate reliability and validity while assessing instrument stability across the two modalities.</p><p><strong>Results: </strong>Content validity was strong. Pretest reliability was acceptable for both knowledge and decision-making. Posttest reliability was lower.</p><p><strong>Conclusion: </strong>The TKDM Short Form shows promise as an educational assessment tool.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":"57 4","pages":"161-168"},"PeriodicalIF":1.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595971","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}