scholarly journals Situational analysis and reflections on the introduction of advanced practice nurses in Brazilian primary healthcare

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Carinne Magnago ◽  
Celia Regina Pierantoni
Keyword(s):  
Nursing Education ◽  
Primary Healthcare ◽  
Nursing Programs ◽  
Local Context ◽  
Prescribe Medication ◽  
Situational Analysis ◽  
Daily Routine ◽  
Advanced Practice ◽  
Unequal Distribution ◽  
Undergraduate Nursing

Abstract Background The shortage of doctors and their unequal distribution serve as challenges to advancing primary healthcare (PHC) and achieving effective universal healthcare coverage in Brazil. In an effort to use nurses’ potential more efficiently, the country is investigating the introduction of the advanced practice nurse (APN) into PHC. This paper presents a situational analysis of the practices of Brazilian nurses based on the following components: regulation, practice, and education. Methods This is a national multi-method study with triangulated data from a documentary study, a scoping review, and an exploratory study. The regulation component involved the analysis of official normative documents on the regulation of nursing education and nurses’ scope of practice. The practice component aimed to identify the practices performed by nurses in Brazilian PHC based on primary studies. The education component intended to identify the practices taught in nursing training based on a survey and interviews with directors of undergraduate nursing programs. Results Federal legislation in Brazil authorizes nursing graduates to perform a set of advanced practices as part of the PHC nurse's daily routine. They can request and interpret complementary tests and prescribe medication. However, in the local context, municipalities define the scope of this assistance based on technical norms or nursing protocols. Furthermore, this study indicates that undergraduate nursing programs do not fully prepare students to adequately execute these tasks. Conclusions In the context of Brazilian PHC, advanced practices have already been implemented and respond to main healthcare demands. Therefore, it is unnecessary to introduce the APN as a new professional category. Upon detecting deficiencies in the training process, the current education model should undergo reforms that seek to incorporate the skills compatible with the regulated advanced practices and in-service training for practicing nurses. Regarding the introduction of APN along international lines, this article presents recommendations that may support the operationalization of a Brazilian APN model.

scholarly journals Nursing students' motivation regulation and its relationship with engagement and burnout

2017 ◽  
Vol 38 (3) ◽  
pp. 143-150 ◽  
Author(s):  
Kati Mäenpää ◽  
Kirsi Pyhältö ◽  
Hanna Järvenoja ◽  
Jouni Peltonen
Keyword(s):  
Nursing Education ◽  
Nursing Students ◽  
Nursing Programs ◽  
Traditional Learning ◽  
First Year ◽  
Self Regulated Learning ◽  
Undergraduate Nursing ◽  
Critical Components ◽  
Traditional Learning Environments ◽  
Study Engagement

Motivation regulation, study engagement, and students' wellbeing are critical components of skillful self-regulated learning. However, few studies have focused on these factors and their relationship in nursing education and as there is an increased usage of blended learning in nursing education, measuring students' learning in this setting is increasingly important. This person-oriented, quantitative study explored first-year nursing students' ( N = 90) motivation regulation related to study engagement and study burnout in blended and traditional learning environments in two undergraduate nursing programs. Regardless of the learning environment, the majority of the nursing students (65.6%) had a highly developed motivation regulation profile. They performed highly on motivation regulation, showed strong engagement, and exibhited reduced exposure for study burnout compared to those with less-developed motivation regulation profiles. It is suggested that motivation regulation, study engagement, and experienced burnout influence nursing students' learning. These components should be emphasized in developing nursing education and facilitating nursing students' learning.

scholarly journals Use of simulation-based learning in Japanese undergraduate nursing education: National survey results

2022 ◽  
Vol 7 (1) ◽  
pp. 44-54
Author(s):  
Mitsumi Masuda ◽  
Machiko Saeki Yagi ◽  
Fumino Sugiyama
Keyword(s):  
Nursing Education ◽  
National Survey ◽  
Clinical Education ◽  
Best Practice ◽  
The United States ◽  
Nursing Programs ◽  
Undergraduate Nursing Education ◽  
Undergraduate Nursing ◽  
Simulation Based ◽  
Efficient Learning

Introduction: Simulation-based learning (SBL) is a practical and efficient learning method that involves the replacement of a portion of clinical education with quality simulation experiences. It has been utilised in various countries, such as the United States, Canada, and South Korea. However, based on current regulations in Japan, clinical education cannot be replaced with simulation experience. For future curriculum integration, it is necessary to clarify the current use of SBL and tackle systematic educational strategies of SBL. Therefore, this national survey aimed to clarify the prevalence and practices of SBL in undergraduate nursing education programs in Japan. Methods: This article presents the results of our national survey in Japan. It presents the questionnaire based on the International Nursing Association for Clinical Simulation and Learning Standards of Best Practice and demonstrates the use of simulation-based learning in Japanese undergraduate nursing programs. Results: Overall, the schools using simulation-based education (SBE) comprised 346 schools (82.4%) of the sample. Those equipped with high-fidelity simulators were 146 schools (27.6%); the rest owned medium-fidelity simulators. Almost all undergraduate nursing education systems were equipped with simulators, however, the frequency of use was low. SBL was incorporated into the curriculum at many undergraduate nursing education institutions, and awareness of the INACSL Standard of Best Practice: SimulationSM was extremely low. Conclusion: This study shows that SBL is not properly utilised in undergraduate nursing programs, even though many schools are equipped with simulators. Thus, further study on barriers to simulator use is needed.

scholarly journals A Critique of the Undergraduate Nursing Preceptorship Model

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Monique Sedgwick ◽  
Suzanne Harris
Keyword(s):  
Nursing Education ◽  
Nursing Programs ◽  
Learning Needs ◽  
Program Outcomes ◽  
Clinical Model ◽  
Undergraduate Nursing ◽  
Clinical Nursing ◽  
Faculty Shortages ◽  
Preceptor Role ◽  
Education Discourse

The preceptorship model is a cornerstone of clinical undergraduate nursing education in Canadian nursing programs. Their extensive use means that nursing programs depend heavily on the availability and willingness of Registered Nurses to take on the preceptor role. However, both the health service and education industries are faced with challenges that seem to undermine the effectiveness of the preceptorship clinical model. Indeed, the unstable nature of the clinical setting as a learning environment in conjunction with faculty shortages and inadequate preparation for preceptors and supervising faculty calls us to question if the preceptorship model is able to meet student learning needs and program outcomes. In a critical analysis of preceptorship, we offer a deconstruction of the model to advance clinical nursing education discourse.

Use of Simulation in Undergraduate and Graduate Education

2016 ◽  
Vol 27 (1) ◽  
pp. 86-95 ◽  
Author(s):  
Teresa Gore ◽  
Wendy Thomson
Keyword(s):  
Nursing Education ◽  
Teaching Method ◽  
Improve Patient Safety ◽  
Nursing Programs ◽  
Advanced Practice ◽  
Safety Communication ◽  
Safe Environment ◽  
Guidelines And Standards ◽  
Graduate Nursing ◽  
Improve Patient

Simulation is not just technology but a teaching method used to allow students to practice in a safe environment. The focus of simulation is to improve patient safety, communication, and the ability of the student to think and act as a nurse or advanced practice nurse. As use of simulation in nursing education increases, more regulations, guidelines, and standards are being developed to assist nursing programs to obtain best outcomes. This article provides readers with an overview of simulation use in undergraduate and graduate nursing education.

scholarly journals Integrating critical disability perspectives in nursing education

2019 ◽  
Vol 9 (9) ◽  
pp. 63
Author(s):  
Charles K. Anyinam ◽  
Sue Coffey ◽  
Celina Da Silva
Keyword(s):  
Nursing Education ◽  
Nursing Students ◽  
Nursing Practice ◽  
Nursing Programs ◽  
Disabled People ◽  
Nursing Educators ◽  
Undergraduate Nursing Education ◽  
Effective Strategies ◽  
Insufficient Attention ◽  
Undergraduate Nursing

Undergraduate nursing education has a duty to make certain that the focus of both nursing practice with disabled people and nursing education are enabling, rather than disabling. However, depictions of disability in nursing education have been identified as inadequate and at times problematic, with insufficient attention paid to disability in curricula. In this paper, we provide an overview of representations of disability in nursing and examine the gaps and inadequacies in nursing education. We also support the argument that nursing educators must utilize critical perspectives on disability to challenge discrimination and address the gaps that currently exist. Finally, we focus on how nursing programs and educators can take action to support all nursing students to develop the knowledge, attitudes, and behaviours to meet the needs of disabled people in a more comprehensive and meaningful way. Practical and effective strategies are shared.

scholarly journals Comprehensiveness in child healthcare teaching in Undergraduate Nursing: perspective of teachers

2014 ◽  
Vol 48 (1) ◽  
pp. 110-117 ◽  
Author(s):  
Emília Gallindo Cursino ◽  
Elizabeth Fujimori ◽  
Maria Aparecida Munhoz Gaíva
Keyword(s):  
Nursing Education ◽  
Disease Process ◽  
Nursing Programs ◽  
Her Family ◽  
Daycare Centers ◽  
Undergraduate Nursing ◽  
Child Healthcare ◽  
Policies And Programs ◽  
Epidemiological Profile ◽  
Teacher's Perspective

This qualitative study analyzed, from the teacher’s perspective, if the principle of comprehensiveness is included in child healthcare teaching in nursing education. The participants were 16 teachers involved in teaching child healthcare in eight undergraduate nursing programs. Data collection was performed through interviews that were submitted to thematic content analysis. The theory in teaching incorporates comprehensive care, as it is based on children’s epidemiological profile, child healthcare policies and programs, and included interventions for the promotion/prevention/rehabilitation in primary health care, hospitals, daycare centers and preschools. The comprehensive conception of health-disease process allows for understanding the child within his/her family and community. However, a contradiction exists between what is proposed and what is practiced, because the teaching is fragmented, without any integration among disciplines, with theory dissociated from practice, and isolated practical teaching that compromises the incorporation of the principle of comprehensiveness in child healthcare teaching.

scholarly journals ANALYSIS AND EVALUATION OF IMPLEMENTATION OF UNDERGRADUATE NURSING CURRICULLUM FOR FAMILY NURSING IN WEST JAWA

2017 ◽  
Vol 1 (2) ◽  
pp. 103
Author(s):  
Neti Juniarti ◽  
Sheizi Prista Sari ◽  
Desy Indra Yani
Keyword(s):  
Nursing Education ◽  
Community Health ◽  
Primary Healthcare ◽  
International Standards ◽  
Study Guide ◽  
Curriculum Analysis ◽  
Community Health Nursing ◽  
Undergraduate Nursing ◽  
Family Nursing ◽  
Health Nursing

Nurses are the backbone of the healthcare system, being the key providers of primary healthcare as they comprise 60-80% of the total health workforce, and provide 90% of all heath care services in the primary healthcare arena.  This study aimed to evaluate the concordance  of family nursing and community health nursing curriculum with international standards and national needs for undergraduate nursing education in West Java.This study used evaluation research design using BEKA framework as a tool to perform curriculum analysis which included Benchmarking, Evidencing, Knowing, and Applying stages. The international standards competency for family nursing and community health nursing, course study guide and samples of students reports were collected and analysed using content analysis. In addition participants from six nursing schools were interviewed to identify application of the curriculums. The results show that some of the competencies outlined in the course study guide were not aligned with international standards of family nursing from International Family Nursing Association. Four dimensional framework of family nursing and community health nursing curriculums were proposed to improve the alignment between international standards as well as local and government needs for family nursing and community health nursing curriculums. School of nursing can apply this framework as guidance to develop their own learning plans based on international standards, national, local and institutional needs. Keywords: curriculum analysis, evaluation, family nursing, community health nursing  

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