scholarly journals Reckoning with tradition in nursing education: Empowering new graduates beyond acute care

2022 ◽  
Vol 17 (1) ◽  
pp. 3-4
Author(s):  
Justin Fontenot
Keyword(s):  
Nursing Education ◽  
Acute Care ◽  
New Graduates

Exploring the Changing Landscape of Jobs for New Graduates: Practice, Education, and New Graduate Imperatives

2012 ◽  
Vol 18 (1) ◽  
pp. 17-24 ◽  
Author(s):  
Dori Taylor Sullivan ◽  
Kathleen S. Fries ◽  
Michael V. Relf
Keyword(s):  
Nursing Education ◽  
Nursing Practice ◽  
Economic Conditions ◽  
Nursing Workforce ◽  
Graduate Nurses ◽  
New Graduate Nurses ◽  
New Graduates ◽  
New Graduate ◽  
Near Future ◽  
Education Nursing

Numerous expert sources have reported a reduction in positions available for new graduate nurses, largely because of general economic conditions, although there are conflicting data and significant geographic variances. Nursing education, nursing practice, and new graduates themselves must develop partnerships to better prepare graduates for more challenging employment searches so that these newest members of the nursing workforce are retained and available for practice in preparation for the expected shortage of nurses in the near future.

Addressing Workplace Incivility: Facilitating Nursing Students' Transition to the Health-Care Setting

2019 ◽  
Vol 25 (4) ◽  
pp. 311-315
Author(s):  
Jessica Chisholm
Keyword(s):  
Nursing Education ◽  
Nursing Students ◽  
Care Setting ◽  
Workplace Incivility ◽  
New Members ◽  
New Graduates ◽  
Zero Tolerance Policy ◽  
Simulation Education ◽  
Detailed Instruction ◽  
Prelicensure Nursing

Workplace incivility is a known cause of anxiety in the workplace, leading to the loss of many new members of the nursing field. This perpetual cycle of hiring and losing nurses, especially new graduates, contributes to the increasing nursing shortage. This study investigated whether the inclusion of prelicensure nursing education on workplace incivility is achievable and capable of improving the outcome for nurses when it occurs. Review of the literature revealed that inclusion of prelicensure education on this topic is possible through utilization of a zero-tolerance policy, Cognitive Rehearsal Technique (CRT), and simulation. Education on workplace incivility and the aforementioned formats for prelicensure education were presented to faculty of a Southeastern U.S. college. Respondents demonstrated interest in detailed instruction on incorporating it into their teaching.

Transition to comfort-focused care: Moral agency of acute care nurses

2020 ◽  
pp. 096973302095212
Author(s):  
Mary Ann Meeker ◽  
Dianne White
Keyword(s):  
Nursing Education ◽  
Registered Nurses ◽  
Acute Care ◽  
Moral Agency ◽  
Human Subjects ◽  
Care Providers ◽  
Structured Interviews ◽  
Acute Care Nurses ◽  
Building Relationships ◽  
Protection Of Human Subjects

Background: Moving into the last phase of life comprises a developmental transition with specific needs and risks. Facilitating transitions is an important component of the work of nurses. When curative interventions are no longer helpful, nurses enact key roles in caring for patients and families. Aim: The aim of this study was to examine the experiences of registered nurses in acute care settings as they worked with patients and families to facilitate transition to comfort-focused care. Research design: Sampling, data collection, and data analysis were guided by constructivist grounded theory, chosen because of its strength in identifying and explicating social processes. Participants and context: A purposeful sample of 26 registered nurses working in acute care hospitals in one community in the northeastern United States participated in this study through semi-structured interviews. Ethical considerations: The study received approval from the university’s Institutional Review Board for the Protection of Human Subjects. Participants provided informed consent. Findings: Nurses facilitated transition to comfort-focused care by enacting their moral commitments to patients and families. They focused on building relationships, honoring patient self-determination, and maintaining respect for personhood. In this context, they discerned a need for transition, opened a discussion, and used diverse strategies to facilitate achieving consensus on the part of patients, family members, and care providers. Regardless of how the process unfolded, nurses offered support throughout. Discussion: Achievement of consensus by all stakeholders is critical in the transition to comfort-focused care. This study deepens our understanding of how nurses as moral agents utilize specific strategies to assist progress toward consensus. It also offers an example of recognizing the moral agency of nurses through listening to their voices. Conclusion: Increased understanding of effective nursing strategies for facilitating transition to comfort-focused care is essential for developing needed evidence for excellent care and strengthening end-of-life nursing education.

scholarly journals Home health simulation: Helping students meet the changing healthcare needs

2018 ◽  
Vol 9 (1) ◽  
pp. 27 ◽  
Author(s):  
Teresa Gore ◽  
Rebecca Lutz ◽  
R. Oscar Bernard ◽  
Ivonne F. Hernandez
Keyword(s):  
Health Care ◽  
Nursing Education ◽  
Home Care ◽  
Acute Care ◽  
Health Care Delivery ◽  
Care Setting ◽  
Care Delivery ◽  
Community Based ◽  
Specific Content ◽  
Healthcare Needs

Background/Objective: Nursing education has traditionally educated students in an acute care setting. However, recent trends in health care delivery models have moved the care of clients to a variety of out-patient settings. For the role of the nurse educator to transform, the curriculum must be able to expand beyond just the hospital-based focus to also include a community-based focus. To meet this demand, the College of Nursing faculty created a geriatric home care simulation to enhance the students’ experiences of providing care beyond the hospital setting to this growing population.Methods: A gap analysis of current simulations imbedded within the curricula identified the need for a community-based simulation and a geriatric home care simulation was chosen. The American Association of Colleges of Nursing Essentials of Baccalaureate Education and Recommended Baccalaureate Competencies and Curricular Guidelines for the Nursing Care of Older Adults were used as the framework for the analysis.Results: This simulation was designed as an interactive, low-stakes experience since many students lacked the opportunity to experience this unique clinical care setting. This article describes the development of the simulation, specific content objectives and outcomes, summary of the reactions of the students and faculty, as well as revisions and closing reactions.Conclusions: Nursing education has historically focused on acute care and now nursing students must be able to care for clients in a variety of out-patient settings, while focusing on the management of chronic diseases, promoting wellness and disease prevention. The future of nursing education will continue to require that faculty members explore innovative solutions to meet the educational needs of students, while balancing the health care needs of various populations and our changing health care delivery systems.

Nurses' Attitudes Toward Older Patients in Acute Care in Israel

2013 ◽  
Vol 18 (2) ◽  
Author(s):  
Maxim Topaz ◽  
Israel Doron
Keyword(s):  
Nursing Education ◽  
Older People ◽  
Acute Care ◽  
Older Patients ◽  
Health Care Services ◽  
Design Method ◽  
Strong Predictor ◽  
Poor Quality ◽  
Care Services ◽  
Nurses Knowledge

Ageism has been found to negatively affect the health care services that older persons receive, both implicitly through unfair resource allocation by the stakeholders, and explicitly, by providing offensive and poor quality treatment. In this article, the authors review the literature relating to ageing, noting that negative attitudes among caregivers toward older patients in acute care settings are a strong predictor of ageism. They describe a study in which they explored a group of Israeli nurses’ knowledge of ageing and attitudes toward older people in an acute care setting and analyzed the relationship between these variables using a descriptive, correlational design method. Nurses working in one of the largest public hospital in Israel completed Kogan’s Attitudes Towards Older People Scale and Palmore’s Facts on Ageing Quiz. Findings indicated that the nurses’ level of knowledge of ageing was relatively low. The authors discuss nurses’ knowledge of ageing and nurses’ ethnicity as significant predictors of ageist attitudes. They conclude by recommending that nurse educators strengthen gerontological content in the nursing curriculum and provide culturally tailored nursing education to reduce ageism among professional nurses.

scholarly journals Novice Nurses’ Experiences Caring for Acutely Ill Patients during a Pandemic

2021 ◽  
Vol 11 (2) ◽  
pp. 382-394
Author(s):  
Heather Naylor ◽  
Cynthia Hadenfeldt ◽  
Patricia Timmons
Keyword(s):  
Nursing Education ◽  
Acute Care ◽  
Phenomenological Study ◽  
Critical Time ◽  
Nursing School ◽  
Healthcare Team ◽  
Post Traumatic Stress ◽  
Time Data ◽  
Novice Nurses ◽  
Qualitative Phenomenological

The Coronavirus pandemic erupted in 2020 and new graduate registered nurses (RNs) found themselves caring for those with devastating illness as they were transitioning into nursing practice. The purpose of this study was to describe the experience of novice nurses working in acute care settings during a pandemic. This qualitative phenomenological study of novice nurses working in facilities providing acute care for COVID-19 patients was conducted in Phoenix, Arizona, USA. Purposive sampling identified 13 participants for interviews. Data were analyzed using thematic analysis. Eight themes emerged: Dealing with death, Which personal protective equipment (PPE) will keep us safe?, Caring for high acuity patients with limited training, Difficulties working short-staffed, Everything is not okay, Support from the healthcare team, Nursing school preparation for a pandemic, I would still choose nursing. Novice nurses felt challenged by the experience and were at times overwhelmed and struggling to cope. Support from peers and coping skills learned during nursing school helped them continue to work during a critical time. Data from this study suggest that some participants may have been experiencing symptoms of anxiety, depression, or post-traumatic stress disorder, and findings provide foundational insights for nursing education and psychological interventions to support the nursing workforce.

scholarly journals A Key to Transforming a Nursing Curriculum: Integrating a Continuous Improvement Simulation Expansion Strategy

2021 ◽  
Vol 7 ◽  
pp. 237796082199852
Author(s):  
Karen Aul ◽  
Lisa Bagnall ◽  
Michael D. Bumbach ◽  
Jane Gannon ◽  
Sallie Shipman ◽  
...  
Keyword(s):  
Nursing Education ◽  
Continuous Improvement ◽  
Teaching And Learning ◽  
Learning Experiences ◽  
Nursing Curriculum ◽  
Learning Needs ◽  
Improvement Strategy ◽  
New Graduates ◽  
Undergraduate Nursing ◽  
Simulation Based

IntroductionChanges in nursing, health care, and education warrant continued pedagogical innovations. Faculty are challenged to develop many innovative strategies in the clinical and simulation laboratory setting. Intentional simulation-based learning experiences are one method to prepare new graduates for nursing practice.MethodsOne college integrated intentional simulation-based learning experiences as an improvement strategy in a newly transformed undergraduate nursing curriculum, from mapping through evaluation and revision. Simulation-based learning experiences that were intentionally mapped, organized, and interactive enhanced the teaching and learning needs of students and faculty.ConclusionThe positive outcomes from this curricular transformation serve as a platform for continuous improvement for future approaches to nursing education. This affirmed that the key to transforming a nursing curriculum encompasses intentional mapping, evaluation, and revision.

scholarly journals A student’s journey: Examining the efficacy of the academic preparation of BSN students and readiness to enter practice

2019 ◽  
Vol 4 (1) ◽  
Keyword(s):  
Nursing Education ◽  
Nursing Students ◽  
Lived Experience ◽  
Academic Preparation ◽  
Hospitalized Patients ◽  
Nursing Profession ◽  
Clinical Practices ◽  
New Graduates ◽  
Generic Qualitative ◽  
Theory Practice Gap

Background: The nursing profession is under more pressure than ever to hire clinicians that exhibit critical thinking (CT) skills. A review of the literature has identified a divide between bedside clinicians and nursing faculty resulting in the separation of academic educators from current clinical practices [1]. New graduates enter the clinical setting inadequately prepared to meet the clinical needs and demands of today’s hospitalized patients [2]. Method: A generic qualitative approach sought to explore the lived experience of BSN graduate nurses transition into clinical practice and to gain insight into how successful the nursing profession is training nursing students to meet the clinical demands of today’s hospitalized patients. Results: The results identified four themes: clinical rotation; didactic content and academia; transition to practice; and simulation. Conclusion: A theory-practice gap continues to exist in nursing education.

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