A Systematic Approach to Supporting Faculty Knowledge Development in Nursing and Health Informatics

Using a systematic communication strategy the knowledge of nursing/health informatics amongst Faculty members has been developed resulting in the inclusion of informatics across the curriculum as part of the essential role of nurses and other healthcare practitioners in all areas of practice.

Creating healthful cultures through Critical Creativity

During Covid lockdown in 2021, I was invited to offer a masterclass to masters students at Queen Margaret University, Edinburgh: ‘In the leadership module we have a masterclass, groupwork, study time and a plenary that ties together. We even have a book club!!! The aim is to be generic, not nursing/health focused. The learners make space to consider application in their own areas/specialisms. ‘We were wondering if you would like to/could do a masterclass within the strand of healthfulness. We really value your storytelling and know you are really passionate about healthfulness from an ecological perspective. We would love it if you could draw on your experiences of politics, environment... The more creative the better. ‘We would want learners to consider their role in creating healthful cultures and ways that they might go about it.’ How could I resist, given my decades-long passion for transformational practice development and inquiry within a critical creativity landscape in health and social care? In my retirement, I have continued to work successfully in this way in a variety of contexts, including political activism. I responded: ‘I would love to show how healthful cultures can be created, with stories from my person-centred community engagement work in creating a neighbourhood plan [for 21st century local housing development] and campaigning for positive personal and community political responses to the climate and ecological emergency. Stories that show up something of how conditions can be created to enable the ecology of human flourishing to be embodied in action. Also, how I am seeing the stirrings of transformative change in local politics that have previously been very traditional in the way they work with people.’ This article is based on that webinar, because students not only enjoyed it, but we heard that some were also able to transfer the learning to their different professional contexts. Therefore, for this paper, I repurposed and elaborated the material for a wider audience. Health and social care services are increasingly offered in new ways in the community and I imagine more health and social care professionals will be setting up innovative ways of working. I hope, therefore, that sharing my experience of creating cultures where everyone flourishes by doing things differently, as well as critically and creatively with the whole self, will be helpful. I will share four stories of how I do that in a variety of contexts and show you, through images and metaphors, how I have gone about that, first in health and social care but primarily for now in political and campaigning contexts. Through the stories, I will show you what it takes as a person to create healthful cultures. Woven through the article is an introduction to critical creativity and its three mandalas. They are there for you to look at with soft eyes/letting the words wash over you – without digging into meaning at this point. My hope is that you begin to get a sense of where the mandalas fit into the stories and, if you so choose, into your own stories and practice. The parts of the mandalas are italicised in the text as they are mentioned.

Estrategias y limitaciones de aplicación de consejería de salud en enfermería: revisión integradora de literatura

Objetivo: Identificar los ámbitos y limitaciones de aplicación de consejería de salud en enfermería. Materiales y Métodos: revisión integradora de literatura, la búsqueda de los estudios se realizó en las bases de datos: Web of Science, Scopus, PubMed, ClinicalKey, OVID y Proquest. Se localizaron artículos originales, publicados en el período del 2008 al 2018, en idiomas: español, inglés y portugués, que incluían en el título y/o resumen alguno de los siguientes descriptores: “Nursing health counseling”, “Health promotion”, “Patient centered care”, “Nurse patient relations”, con el operador booleano “AND”. Resultados: El análisis de los artículos seleccionados permitió agrupar la información en dos dimensiones: a) estrategias para brindar consejería de salud en enfermería y b) limitaciones de la consejería de salud en enfermería. Conclusiones: Los ámbitos de aplicación de la consejería de salud en enfermería son amplios dentro de la atención primaria de salud, existen limitaciones para su aplicación, sin embargo, la evidencia demuestra que el costo-efectividad de la consejería es mayor, que cualquier limitación relacionada.

Improving Physical Assessment and Clinical Judgment Skills without Increasing Content in a Prelicensure Nursing Health Assessment Course

One hundred twenty-six assessment skills are taught in prelicensure nursing health assessment courses, yet 30 skills are used on a routine basis in practice. New nurses struggle to apply their acquired knowledge in clinical settings. Method: A literature review was completed. Based on the results, a first semester health assessment course in a southeastern accelerated baccalaureate nursing program was redesigned. Lectures and skills labs were adjusted to focus on the most critical assessment skills. To foster critical thinking and clinical judgement, a health assessment post conference was added where students completed concept maps, system specific case studies, nursing priority setting, and patient teaching plans. Results: Outcome surveys were completed by second semester faculty. Prior to course adjustments, 33 percent of students did not meet the benchmark. Following course changes, all students met or exceeded the benchmark. Conclusion: Focusing on critical assessment skills will increase student nurses’ ability to deliver safe patient care.