Lesson Learned During Covid-19 Pandemic: Impact, Challenges and Opportunities in Nursing Education – A Review

Author(s):  
Radha. K ◽  
Vijayanarayanan N. ◽  
Sri Devi. K ◽  
Sharat. V. Kondaguli

Nursing training is a combination of both theoretical and practical learning experiences that enable nursing students to acquire the cognitive, affective, and psychomotor components for providing nursing care. World Health Day, an annual event organized by WHO, stated that this year is focused on supporting nurses and midwives, many of whom are serving on the frontlines of the COVID-19 response. Globally, COVID-19 has huge impact on academic delivery and adds a further degree of complexity to nursing education due to temporary lock down because most countries have suspended face-to-face teaching/physical class room teaching. Thus, they had to find new alternatives to academic delivery, and virtual classes/on-line mode were the ways forward. In present search, it has attempted to explore the impact of covid-19, challenges and opportunities in nursing education which influences the different aspects of academic activity. It has accelerate the academic delivery by using variety of online platforms and learning management system such as Google class room, Google meet, Google hangout, Zoom meetings, Microsoft team, Cisco webex meeting, go to webinar, you tube streaming, Google duo, college website, social media platforms such as face book groups, whatsApp, telegram etc. Covid-19 has provided a lot challenges and opportunities to learner, educator, university, organization, and evaluation system and research activities. The lesson learned from covid-19 is converting those challenges into opportunities by learning and adopting with advanced technology in teaching-learning; blended learning; team work; promoting for trans/ inter/ multidisciplinary collaborative education; integrating innovative method of teaching, sharing and facilitating right kind of information, are enhancing ways of quality of education during crisis (lock down) situation and further new-normal situation.

Author(s):  
Allison P. Edwards ◽  
Barbara E. Hekel

Abstract Worldwide, more than one billion people live with a disability (World Health Organization. (2011). World report on disability. Retrieved from https://www.who.int/disabilities/world_report/2011/report/en/). People with a disability (PWD) have unmet needs with the delivery of health care, secondary to nursing student’s negative attitudes, knowledge, and skill deficits. This integrative literature review evaluated nursing student’s education and attitudes towards PWD. Deficient education, attitudes, knowledge, and skills are addressed. Combined search terms utilized included: healthcare students; healthcare education; nursing students; clinical experience; clinical rotation; attitude of health care students; and exposure to PWD. Thirty articles were analyzed with common themes identified. Educational methods that produced improved attitudes, knowledge and skills included standardized patients with disabilities; phenomenological approaches; curriculum enhancement; empathy exercises and clinical experiences (Anderson, E. S., Ford, J., & Thorpe, L. (2011). Learning to listen: Improving students’ communication with disabled people. Medical Teacher, 33(1), 44–52. doi: 10.3109/0142159X.2010.498491; Castro, S. S., Rowe, M., Andrade, L. F., & Cyrino, E. G. (2018). Developing competencies among health professions students related to the care of people with disabilities: A pilot study. Interface: Comunicacao, Saude, Educacao, 22(65), 551–563. doi: 10.1590/1807-57622016.0684; Hensel, D., Malinowski, C., & Watts, P. A. (2015). Implementing a pediatric camp clinical for pre-licensure education. Nursing Education Perspectives, 36(1), 60–61. doi: 10.5480/12-871.1; Levett-Jones, T., Lapkin, S., Govind, N., Pich, J., Hoffman, K., Jeong, S. Y., . . . Everson, N. (2017). Measuring the impact of a ‘point of view’ disability simulation on nursing students’ empathy using the comprehensive state empathy scale. Nurse Education Today, 59, 75–81. doi: 10.1016/j.nedt.2017.09.007; Smith, P., Ooms, A., & Marks-Maran, D. (2016). Active involvement of learning disabilities service users in the development and delivery of a teaching session to pre-registration nurses: Students’ perspectives. Nurse Education in Practice, 16(1), 111–118. doi: 10.1016/j.nepr.2015.09.010). Nursing schools must incorporate disability education to fully realize its impact and eliminate barriers to transform care.


2018 ◽  
Vol 8 (1) ◽  
Author(s):  
Crystal McLeod

The future of the nursing profession foresees challenges such as downsizing, changing skill mixes, and higher acuity patients (LeDuc & Kotzer, 2009; World Health Organization, 2013). Nursing students must be adequately prepared to handle such challenges by understanding their own values, the values of their colleagues, and the values of the collective nursing profession (Hahn, 2011; Hamlin & Gillespie, 2011; LeDuc & Kotzer, 2009). Yet, given the fact that nursing is now highly diversified by generational cohorts, each of whom have their own unique set of values and understanding, relating to fellow nurses and working collaboratively is more difficult than ever (Mangold, 2007). Recognizing generational differences as a potential barrier to quality nursing care and a cause of workplace conflict, educators in the profession have begun to tailor courses and teaching styles to meet the distinct needs of generationally diverse classes and work settings (Faithfull-Byrne, Thompson, Convey, Cross, & Moss, 2015; Hamlin & Gillespie, 2011; Mangold, 2007). To aide in this process, the professional development workshop proposed here will provide educators with an opportunity to learn more about generational diversity and offer strategies to maximize learning for all generations in the nursing field.  


BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Walter C. Millanzi ◽  
Patricia Z. Herman ◽  
Mahamudu R. Hussein

Abstract Background Self-directed learning is important in nursing as it is associated with improved clinical and moral competencies in providing quality and cost-effective care among people. However, unethical professional conduct demonstrated by some graduate nurses is linked with the way they are developed in schools alongside the content and pedagogies prescribed in nursing curricula. Pedagogical transformations appear to be inevitable to develop enthusiastic nursing students who can work independently in delivering quality and cost-effective nursing services to people. This study intended to examine the impact of facilitation in a problem-based pedagogy on self-directed learning readiness among undergraduate nursing students in Tanzania. Methods A controlled quasi-experimental design was conducted in Tanzanian higher training institutions from January to April 2019. A 40-item Self-directed learning Readiness scale for nursing education adopted from previous studies measured self-directed learning and the Student A descriptive analysis via a Statistical Package for Social Sciences software program (version 23) was performed to establish nursing students’ socio-demographic characteristics profiles. Independent samples t-test determined mean scores difference of self-directed learning readiness among nursing students between groups while regression analysis was performed to discriminate the effect of an intervention controlled with other co-related factors. Results The post-test results of self-directed learning readiness showed that nursing students scored significantly higher [(M = 33.01 ± 13.17; t (399) = 2.335; 95%CI: 0.486,5.668)] in the intervention group than their counterparts in the control. Findings of SDL readiness subscales were significantly higher among students in the intervention including self-management [(M = 10.11 ± 4.09; t (399) = 1.354; 95%CI: 0.173,4.026)], interest learning [(M = 9.21 ± 2.39; t (399) = 1.189; 95%CI: 0.166,4.323)] and self-control [(M = 13.63 ± 5.05; t (399) = 2.335; 95%CI: 0.486,5.668)]. The probability of nursing students to demonstrate self-directed learning readiness was 1.291 more times higher when exposed to the intervention (AOR = 1.291, p < 0.05, 95%CI: 0.767, 2.173) than in the control. Conclusion Facilitation in a problem-based pedagogy promises to change the spectrum of nursing learning habits potentially to their academic and professional achievements. Nurse tutors need to be empowered with it to prepare nursing students to meet their academic and professional potentials.


Author(s):  
Marilyn Jaffe-Ruiz ◽  
Sarah Matulis ◽  
Patricia Sayre

This chapter examines and analyzes ethical problems associated with the global nursing shortage, the international recruitment of nurses, and the strategies healthcare systems and governments use to minimize the impact of the nursing shortage within their borders. An argument is made that a more appropriate solution to the U.S. nursing shortage is not to pull from already burdened systems, but rather to recruit and provide financial aid to potential nursing students, especially underrepresented and economically disadvantaged students, from within the United States. Implications for migration, education, and healthcare policy are explored. Resulting challenges for nursing leadership and demands on nursing education are addressed, as well as approaches for addressing the issues of providing safe patient care, a satisfying work environment, and professional development.


2021 ◽  
Author(s):  
◽  
Mary Anne Levine

<p><b>The focus of this study is the impact of an international education programme on baccalaureate nursing students taken by me, their teacher/professor, to become immersed in another culture. This is an unusual undertaking for a nursing education programme but it is one to which I have been passionately committed for more than 20 years. This study examines my life-work in a deeply reflective and narrative way. I have used many sources of data to assist in the creation of my story including the framework of Moustakas (1990) and Reflective Topical Autobiography as described by Johnstone (1999). My story is woven throughout this thesis as I gradually reveal more of myself as I feel that who I am should be a continuous thread that lends credence to multiple sections of this work. Several of my reflective stories about the immersion programme experiences, called here, vignettes are included, so that my reflections, thoughts, and feelings can be expressed. “I didn’t have to create the world I wrote about it. I realized that words could tell. [sic] That there was such a thing as an emotional sentence” (Lorde, 1984, p. 85). The genesis of the emotional sentence emerged through the use of interviews with student participants and my own introspective process. In this way I came to a new understanding of myself and my passion for this way of working.</b></p> <p>I found that these educational experiences had the ability to change the personal and professional lives of participants. Students’ world views expanded exponentially as the true-life experiences in which they actively participated nurtured a profound metamorphosis. It is important to recognise the critical social nature of this work. I have carefully considered the issues of class and gender, poverty and powerlessness, and the inherent dialectic as key elements in the reflective process. The awareness of these social issues coupled with profound personal changes that occurred when immersed in another culture frame the contribution of this work to the profession of nursing in general and to midwifery specifically. In addition, I have been changed. My “way of being” has become radically different. I realise that I facilitate life transformation for participants by providing the platform; I realise the connection, potency, and power of student-teacher relationships; and most of all I learned that I teach from the heart.</p>


2019 ◽  
Author(s):  
Vanessa Proudman ◽  
Jon Øygarden Flæten ◽  
Konstantinos Glinos ◽  
Robert Terry

Funders across Europe are using scholarly communications to increase the impact of their grant results, thereby incentivizing researchers to share their research more openly. This panel session will start by describing the results of a research study called the RIF Project that gleans insights into the policy, rewards and incentives being employed by European research funders to encourage open access to publications and research data for the research they fund. The panel will then respond to the findings and will present and share experience on their policies. Funders across Europe are using scholarly communications to increase the impact of their grant results. More than 60 funders responded to a survey that was conducted in early Spring 2019 coming from key international funding bodies, national funding agencies, major charities and foundations, and national academies; from over 25 countries. The study was led by SPARC Europe in consultation with Science Europe, ALLEA and the EFC. Research Consulting conducted the research. The survey is the first of its kind, since it includes national funding agencies, academies, foundations and charities in Europe. What kinds of policy choices have funders made to influence how grantees increase open access to their research results with as few restrictions as possible? How can funders contribute to changing the research evaluation system by exploring ways to evaluate the intrinsic value of research beyond the impact factor for example, by promoting, and considering a wider range of types of research when evaluating grants? How are funders contributing to the investment in open, be it through financing OA journal articles and other material, and supporting infrastructure? The session will provide answers to these questions and will also raise awareness of the areas where funders can do more to strengthen their Open Science policies. Vanessa Proudman (SPARC Europe) will report on the results of the above-mentioned research study. Jon Øygarden Flæten (The Research Council of Norway), Konstantinos Glinos (The European Commission) and Robert Terry (World Health Organization and the Special Programme for Research and Training in Tropical Diseases) will present the views of their funder organizations.


2016 ◽  
Vol 1 (4) ◽  
Author(s):  
Mark Turner

In human medicine, the management of care to ensure safety for the service-user constitutes an important element of the patient ‘journey.’ The name given to this discipline is patient safety. It is founded upon those elements of good medical practice which help avoid or mitigate human error.  Investigations in the U.S. first highlighted the alarming extent of medical error: Brennan et al. (1991) concluded that in the state of New York, the overall rate of adverse events was approximately 4% for hospitalised patients, which equated to over 13,000 deaths a year. Doctors looked to other safety critical industries and aviation in particular (Reason 1995), to address this phenomenon: there is now a wealth of research on the impact of various safety initiatives on measurable rates of harm. The World Health Organisation’s ‘Safe Surgery Saves Lives’ initiative - a campaign that advocates the use of a surgical checklist to standardise aspects of peri-operative care - is one example of aviation methodology successfully employed in a clinical setting (van Klei et al. 2012). The critical importance of effective communication, leadership and situational awareness has also been discussed at length in the human patient safety literature.ObjectivesVeterinary patient safety is an analogous discipline and researchers have attempted to understand more about the topic of veterinary medical error. However, the evidence-base for veterinary patient safety is sparse.  This presentation aims to summarise the evidence to date and highlight the benefits in practice of an emerging subject. MethodA search of the terms veterinary patient safety on the PubMed database from 1990 to 2016 was performed.Findings15 articles were identified as contributing to the veterinary patient safety literature.OutcomeThe available literature has addressed a number of areas. The use of checklists in a clinical setting has been proven to reduce the incidence of specific undesirable events: alterations to a standard anaesthetic protocol in light of a clinical audit led to a demonstrable improvement in one North American university hospital (Hofmeister et al. 2014).Research into the progenitors of mistakes in practice reveal the effect of poor communication and a lack of team work (Kinnison et al. 2015). Research has also investigated vets’ attitudes toward error and their experiences of it. The psychological precursors to error in our industry seem to mirror those found in human medicine (Oxtoby et al. 2015). The evidence supporting a new attitude and approach to veterinary patient safety is growing.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
◽  

Abstract Maternal health and health behaviours prior to conception have significant short and long term impacts on maternal and child health. The World Health Organization acknowledges the importance of health care before conception-referred to as 'preconception care' (PCC) -to reduce maternal and childhood morbidity and mortality. PCC is an approach to health promotion and preventive medicine that focuses on interventions that identify and modify biomedical, behavioural and social risks to a parental health or pregnancy outcome. By its nature, PCC relates to care before pregnancy, whether it be a first pregnancy or between consecutive pregnancies. PCC has received increased attention due to growing evidence that maternal health prior to conception can directly affect the health of the mother and the fetal environment during pregnancy. PCC research emphasises the impact of the fetal environment on adverse outcomes such as miscarriage, stillbirth, congenital disorders, and macrosomia. Parental preconception health also been found to impact on risk of the development of chronic diseases such as obesity, diabetes and cardiovascular disease, and cancer across the life course through epigenetic and other cellular responses to developmental exposures. Parental health behaviours that are important in the context of PCC include diet, smoking, and alcohol consumption. Similarly, parental exposure to environmental risk factors, such as phthalates, air pollution and pesticides can increase risk of congenital defects, behavioural issues and cancer in the child. Despite the importance of preconception health, and the potential impact of PCC, there are significant translation gaps between the available evidence and public awareness, clinician knowledge and available health services. This workshop aims to facilitate a deep and rich discussion about the challenges and opportunities associated with (1) improving preconception health in the general population and (2) developing PCC services and interventions that align with existing health services and meet population needs and expectations. The workshop will begin with four short presentations (10 minutes) to orient workshop participants to key literature with a focus on the following topics (1) the interface between public health and preconception health and care; (2) nutrition and lifestyle behaviours in the preconception period; (3) environmental exposures in the preconception period; and (4) considerations for person-centred PCC. Following these presentations, the workshop team will facilitate discussions among breakout groups to identify local challenges and opportunities. This workshop will conclude with a shared discussion consolidating the outcomes of the breakout discussions. Key messages Preconception care offers an untapped opportunity to leverage decades of research to develop initiatives that target couples before pregnancy and improve population health for multiple generations. Preconception health initiatives that address local challenges and opportunities may successfully modify parental health behaviours to reduce risk of chronic illness.


2021 ◽  
Vol 27 (1) ◽  
Author(s):  
Shonda Morrow ◽  
Erica DeBoer ◽  
Christopher Potter ◽  
Smeet Gala ◽  
Kimberly Alsbrooks

Highlights Abstract Background: Specialized vascular access training for medical professionals organized into vascular access teams (VATs) was shown to improve patient outcomes, clinical efficiency, and cost savings. Professional perspectives on VAT benefits, organization, challenges, and opportunities on a global scale remain inadequately explored. Using detailed perspectives, in this study, we explored the global VAT landscape, including challenges faced, clinical and clinico-economic impacts of VATs, with emphasis on underresearched facets of VAT initiation, data dissemination, and metrics or benchmarks for VAT success. Methods: Semistructured in-depth interviews of 14 VAT professionals from 9 countries and 5 continents were used to elicit qualitative and quantitative information. Results: Catheter insertions (100%) and training (86%) were the most performed VAT functions. Based on a 1–7 scale evaluating observed impacts of VATs, patient satisfaction (6.5) and institutional costs (6.2) were ranked the highest. VAT co-initiatives, advanced technology utilization (6.6), and ongoing member training (6.3) distinctly impacted VAT endeavors. Most institutions (64%) did not have routine mechanisms for recording VAT-related data; however, all participants (100%) stated the importance of sharing data to demonstrate VAT impacts. Time constraints (57%) emerged as one of the major deterrents to data collection or dissemination. The majority (64%) experienced an increased demand or workload for VAT services during the COVID-19 pandemic. Conclusions: Despite the global variances in VATs and gaps in VAT-related data, all participants unanimously endorsed the benefits of VAT programs. Evaluating the impact of VATs, disseminating VAT-related data, and forging specialized institutional partnerships for data sharing and training are potential strategies to tackle the hurdles surrounding VAT formation and sustenance.


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