Schools, Nursing

学校,护理
  • 文章类型: Journal Article
    背景:全国护士短缺,正在进行的护士教师退休,和临床网站的缺乏使它具有挑战性的准备先进的实践注册护士(APRN)谁是准备过渡到独立的提供者的角色,特别是在急性护理环境中。解决这些体验式学习挑战的最有效方法之一是学术机构和医疗保健系统形成协作的学术实践伙伴关系。然而,护理学校和医疗保健机构之间的许多伙伴关系发现了许多挑战,包括投入合作的时间,资金的想法,相互竞争的举措和需求,和可持续性。目的:马里兰大学护理学院(UMSON)着手通过新的协作模式扩展传统的学术-临床合作方法。方法:而不是双方都带着自己的目标来到谈判桌前,这种伙伴关系侧重于建立有意的关系,透明度,可衡量的结果,和可持续性。这个模型,进一步称为可持续学术临床联盟(SACA),确保合作双方都受益。SACA模型用于与马里兰大学上切萨皮克卫生系统建立学术实践合作伙伴关系,以增加APRN临床实践场所和APRN学生在马里兰州连续体中提供护理的准备。结果:自2016年7月以来,SACA模型已使20多个不同临床领域的40多家临床提供者为来自UMSON的APRN学生提供329种不同的临床和非临床经验。在5年联盟结束时,150个独特的UMSONAPRN学生完成了257个不同的临床轮换。结论:SACA模型通过关注(a)有意关系的建立,有效地促进了可持续学术实践伙伴关系的发展和实现,(B)目标设定和联盟维护的透明度,(c)制定成果措施,(d)可持续性。对护理的影响:SACA模型的组成部分使可持续性更容易实现,这与以前的学术-临床合作伙伴关系相距甚远。该模型可以作为其他学术和医疗机构建立可持续学术实践伙伴关系的蓝图。
    Background: National nurse shortages, ongoing nurse faculty retirements, and a dearth of clinical sites make it challenging to prepare advanced practice registered nurses (APRNs) who are ready to transition into independent provider roles, especially in acute care settings. One of the most effective ways to address these experiential learning challenges is for academic institutions and healthcare systems to form collaborative academic-practice partnerships. However, many partnerships between schools of nursing and healthcare institutions have found numerous challenges, including time to devote to the partnership, funding of ideas, competing initiatives and needs, and sustainability. Objective: The University of Maryland School of Nursing (UMSON) set out to expand the traditional academic-clinical partnership approach with a new collaborative model. Methods: Rather than both parties coming to the table with their own goals, the partnership focused on intentional relationship building, transparency, measurable outcomes, and sustainability. This model, further called the Sustainable Academic-Clinical Alliance (SACA), assures that both sides of the partnership benefit. The SACA model was used to create an academic-practice partnership with the University of Maryland Upper Chesapeake Health System in order to increase APRN clinical practice sites and readiness of APRN students to provide care across the continuum in the state of Maryland. Results: Since July 2016, the SACA model has enabled over 40 clinical providers in over 20 different clinical areas to offer 329 different clinical and nonclinical experiences to APRN students from UMSON. At the end of the 5-year alliance, 150 unique UMSON APRN students completed 257 different clinical rotations. Conclusion: The SACA model effectively promotes the development and achievement of sustainable academic-practice partnerships by focusing on (a) intentional relationship building, (b) transparency in goal setting and alliance maintenance, (c) development of outcome measures, and (d) sustainability. Implications for Nursing: The components of the SACA model made sustainability more achievable, which has eluded previous academic-clinical partnerships. This model can serve as a blueprint for other academic and healthcare institutions to establish sustainable academic-practice partnerships.
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  • 文章类型: Journal Article
    背景:护理短缺是由驱动的,在某种程度上,护理教师的严重短缺。因此,合格的潜在护理学生每年都会被护理学校拒之门外。影响美国护士教师劳动力短缺的主要问题是工资;在临床和私营部门环境中,经济补偿高于教育环境。这项研究的目的是描述目前全职护士教师的工资,收入来源,以及对更多收入的感知需求,以及专注于全职护士教师工资的研究的可行性和可接受性,从而指导未来护理教师队伍的研究。
    方法:使用横断面研究设计,在美国中西部州工作的全职护理教师完成了一项调查,其中包括固定选择和自由文本响应选项,重点是收入(个人总收入,教员,和次要),人口统计,以及测量仪器的可行性/可接受性。描述性统计数据被用来描述工资,收入来源,以及对额外收入的感知需求。可行性和可接受性通过描述性统计评估三个可行性和可接受性问题,通过比较回答收入问题的参与者与没有使用t检验的参与者之间的人口统计学差异,x2测试,和Wilcoxon签署等级测试.
    结果:一百八十三名全职护士教师在六周内完成了调查,占该州全职护士队伍的27%。超过一半的参与者,57%,报告有另一份工作(S),除了他们的全职教师职位,以支持基本生活费用。大多数受访者表示愿意分享财务/工资数据,并认为调查是可以接受的。
    结论:专注于护理教师工资的研究对于那些选择参与研究的人来说是可行的和可接受的。感知收入需求可能是推动护理教师职业决策的重要因素。未来的研究应该集中在描述工资如何影响进入或留在护理教师队伍的决定。Further,这项研究可以为如何最好地衡量和报告护士教师的工资以及临床工资和教师工资之间的差距提供政策建议。
    BACKGROUND: The nursing shortage is driven, in part, by the critical shortage of nursing faculty. Consequently, qualified potential nursing students are being turned away from nursing schools each year. The preeminent issue influencing the United States nurse faculty workforce shortage is salary; financial compensation is higher in clinical and private-sector settings than educational settings. The purpose of this study is to describe current full-time nurse faculty salary, sources of income, and perceived need for more income, as well as the feasibility and acceptability of research focused on full-time nurse faculty salaries, so to guide future nursing faculty workforce research.
    METHODS: Using a cross-sectional study design, full-time nursing faculty working in a Midwestern state in the United States completed a survey inclusive of fixed choice and free text response options focused on income (individual gross, faculty, and secondary), demographics, and feasibility/acceptability of the survey instrument. Descriptive statistics were used to describe salary, sources of income, and perceived need for additional income. Feasibility and acceptability were evaluated by descriptive statistics examining three feasibility and acceptability questions, and by comparing demographic differences between participants who answered income questions compared to those who did not using t tests, x2 tests, and Wilcoxon signed rank tests.
    RESULTS: One hundred and eighty-three full-time nurse faculty completed the survey in six weeks, representing 27% of the full-time nurse faculty workforce in the state. Over half of participants, 57%, reported having another job(s) in addition to their full-time faculty position to support basic living expenses. Most respondents reported willingness to share financial/salary data and viewed the survey to be acceptable.
    CONCLUSIONS: Research focused on nursing faculty salaries was feasible and acceptable to those who chose to participate in the study. Perceived income needs may be an important factor driving career decisions for nursing faculty. Future research should focus on delineating how salary influences the decision to enter or stay in the nursing faculty workforce. Further, this study can inform policy recommendations on how to best measure and report nurse faculty salary and the gap between clinical salaries and faculty salaries.
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  • 文章类型: Journal Article
    背景:学生的学习方法在护理教育中至关重要。这是因为护理是课堂学习导致临床表现的职业。虽然文献认为学生的学习方法是影响学生学习质量的一个重要方面,研究表明,马拉维护理学院的学习质量没有得到很高的实现。目前,缺乏有关马拉维护理和助产专业学生在护理学院采用的学习方法的经验数据。这项研究评估了选定的马拉维护理学院的护理和助产专业学生的不同学习方法。
    方法:这是一项采用定量方法的横断面研究。目标人群是在Nkhoma护理学院攻读护理文凭的护理和助产专业学生,Ekwendeni健康科学学院和马拉维健康科学学院。从三所护理学院中随机抽取251名学生。数据是通过Biggs的自我管理问卷(R-SPQ-2F)收集的。使用卡方和二元逻辑回归分析数据。在这项研究中,Cronbach的α为0.6。
    结果:大多数学生使用深度学习方法(M=3.201,SD=0.523)而不是表面方法(M=2.757,SD=0.732)。与其他年龄类别相比,处于16-20岁的年龄类别更有可能采用表面学习方法(X2=7.669,DF2,P=.02)。与Nkhoma护理学院和Ekwendeni健康科学学院的学生相比,马拉维健康科学学院的学生更有可能采用表面学习方法(X2=12.388,df=2,P=0.002)。
    结论:深入的学习方法成为最首选的学习方法,这间接意味着大多数学生获得了有意义的学习。年龄和环境是与不同学习方法相关的一些关键决定因素。在教学和学习过程中,应更加重视低年级学生,以促进深度学习。
    BACKGROUND: Students\' approaches to learning are of essence in nursing education. This is because nursing is a profession where classroom learning leads to clinical performance. Although the literature recognizes student\'s approaches to learning as a significant aspect affecting the quality of students\' learning, studies suggest that quality of learning has not been highly achieved in Malawian nursing colleges. Currently, there is a scarcity of empirical data on the learning approaches that Malawian nursing and midwifery students in nursing colleges employ. This study assessed the different approaches to learning among nursing and midwifery students in selected Malawian nursing colleges.
    METHODS: This was a cross- sectional study that employed quantitative methods. The target population was nursing and midwifery students pursuing nursing diplomas from Nkhoma College of Nursing, Ekwendeni College of Health Sciences and Malawi College of Health Sciences. A total of 251 students were sampled randomly from the three nursing colleges. Data was collected through a self-administered questionnaire (R-SPQ-2 F) by Biggs. The data was analyzed using chi-square and binary logistic regression. In this study Cronbach\'s alpha was 0.6.
    RESULTS: Most students had used a deep approach to learning (M = 3.201, SD = 0.623) than the surface approach (M = 2.757, SD = 0.732). Being in the age category of 16-20 had more likelihood of adopting a surface approach to learning compared to other age categories (X2 = 7.669, DF 2, P = .02). Students from Malawi College of Health Sciences were more likely to adopt a surface approach to learning compared to students from Nkhoma Nursing College and Ekwendeni College of Health Sciences (X2 = 12.388, df = 2, P = .002).
    CONCLUSIONS: A deep approach to learning emerged as the most preferred approach to learning which indirectly implies that most students attain meaningful learning. Age and environment are some of the key determinants associated with different learning approaches. More attention should be given to younger students during teaching and learning to promote deep learning.
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  • 文章类型: Journal Article
    目的:报告实施圣保罗护理课程联盟进行进度测试的经验。
    方法:这是该联盟在2019年,2021年和2022年在圣保罗的公立护理学校进行测试准备和申请的工作的经验报告,并对工作过程和获得的结果进行了描述性分析。
    结果:联盟的活动分为以下几个阶段:计划;主题审查;分发和提出问题;教授培训;问题阐述;问题接收;问题选择;问题验证;学生注册;测试申请;结果的分析和传播。共有57.3%的注册学生参加。中等难度的问题居多,问题的辨别力逐步上升,with,2022年,82.5%被认为是足够的。
    结论:财团允许该测试在机构间应用,范围更大,准确度,问题的质量。通过这次经历,预计将鼓励在其他情况下在本科护理课程中进行进度测试。
    OBJECTIVE: To report the experience of implementing the São Paulo Nursing Courses Consortium for the Progress Test.
    METHODS: This is an experience report of the consortium\'s work in Progress Test preparation and application for Public Schools of Nursing in São Paulo in 2019, 2021 and 2022, with a descriptive analysis of the work process and the results obtained.
    RESULTS: The consortium\'s activities are structured into the following stages: planning; theme review; distributing and requesting questions; professor training; question elaboration; question reception; question selection; question validation; student registration; test application; analysis and dissemination of results. A total of 57.3% of enrolled students participated. There was a predominance of questions of medium difficulty and a gradual progression in the level of discrimination of the questions, with, in 2022, 82.5% being considered adequate.
    CONCLUSIONS: The consortium has allowed the test to be applied interinstitutionally, with greater scope, accuracy, and quality of questions. Through this experience, it is expected to encourage progress testing in undergraduate nursing courses in other contexts.
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  • 文章类型: Journal Article
    目标:本文反映了一所苏格兰大学对大型学生护士进行面对面客观结构化考试(OSCE)的经验。它概述了所经历的挑战和获得的学习。Borton的反射模型由于其简单性而构成了这项工作,易于应用和周期性。
    背景:OSCE的理论框架是批判性思维,使学生能够真正应用这些技能。OSCE旨在将课堂知识转移到临床实践中,并提供真实的基于工作的评估。
    方法:有效性和健壮性是任何评估和OSCE的关键考虑因素,学生遇到的电台数量很重要,也很有争议。我们最初在四个站点上使用了基于案例研究的OSCE方法,并经过反思,改为一个长车站,分为四个阶段。
    结果:在OSCE考试中,评估者间的可靠性是必要的,学生期望方法公平。我们发现,尽管有明确的标记标准,标记是两极分化的,学生获得高分或低分,中间地带很少。对试卷的审查强调,尽管学生的整体表现良好,有些人至少在一个车站失败了,这表明四站方法可能会扭曲结果。经过反思,我们假设使用基于一个站的案例研究,分阶段的方法使考官能够更全面地了解学生的知识和技能。它还为学生提供了与考官和标准化患者建立融洽关系的机会,从而使他们更加放松。我们认为这种方法是整体的,真实和以学生为中心。
    结论:我们的经验表明,单站,四个阶段的欧安组织是优选的,使学生能够整合评估的各个方面,并提供临床技能和知识的整体视图。
    OBJECTIVE: This paper reflects on the experience of one Scottish University in conducting a face-to-face Objective Structured Examination (OSCE) for large cohorts of student nurses. It outlines the challenges experienced and learning gained. Borton\'s model of reflection frames this work due to its simplicity, ease of application and cyclical nature.
    BACKGROUND: The theoretical framework for the OSCE is critical thinking, enabling students to apply those skills authentically. OSCE\'s are designed to transfer classroom knowledge to clinical practice and offer an authentic work-based assessment.
    METHODS: Validity and robustness are key considerations in any assessment and in OSCE, the number of stations that students encounter is important and debated. We used a case-study based OSCE approach initially over four stations and following reflection, changed to one long station with four phases.
    RESULTS: In OSCE examinations, interrater reliability is a necessity, and students expect equity of approach. We identified that despite clear marking criteria, marks were polarised, with students achieving high or low marks with little middle ground. Review of examination papers highlighted that although students\' overall performance was good, some had failed in at least one station, suggesting a four-station approach may skew results. On reflection we hypothesised that using a one station case study-based, phased approach enabled the examiner to build up a more holistic picture of student knowledge and skills. It also provided the student opportunity to develop a rapport with the examiner and standardised patient, thereby putting them more at ease. We argue that this approach is holistic, authentic and student centred.
    CONCLUSIONS: Our experience highlights that a single station, four phase OSCE is preferrable, enabling students to integrate all aspects of the assessment and provides a holistic view of clinical skills and knowledge.
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  • 文章类型: Journal Article
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  • 文章类型: Journal Article
    背景:在护理学院中招募和保留不同的教师仍然是一个重要的挑战,但从早期职业有色人种教师的角度来看,他们加入学术界的决定及其保留很少。
    目标:我们的目标是了解集群雇用早期职业有色人种教师对其招聘的看法,获得的指导和支持,以及长期保留所需的资源。
    方法:五名教师通过招聘对他们的观点进行了联合人种学,hiring,第一年当教师。使用主题分析法分析了两个小组讨论的紧急主题,保持反身性。
    结论:确定了四个主题:对多样性教师的意向,专业发展计划,明确的反种族主义多样性公平和包容标准,以及保留促进因素和障碍。
    结论:我们提供策略(例如,目标资源,不同的集群员工,建立社区),以告知招聘和留住早期职业有色人种教师。
    BACKGROUND: Recruitment and retention of diverse faculty in schools of nursing continues to be an important challenge but little has been written from the perspectives of early-career faculty of color on their decision to join academia and their retention.
    OBJECTIVE: We aim to understand the perspectives of a cluster hire of early-career faculty of color on their recruitment, mentorship and support received, and resources needed for long-term retention.
    METHODS: Five faculty members conducted a joint autoethnography of their perspectives through recruitment, hiring, and first year as faculty. Two group discussions were analyzed for emergent themes using thematic analysis, maintaining reflexivity.
    CONCLUSIONS: Four themes were identified: Intentionality to diversity faculty, Plan for professional development, Clear antiracism diversity equity and inclusion standards, and Retention enablers and barriers.
    CONCLUSIONS: We provide strategies (e.g., targeted resources, diverse cluster hires, building community) to inform recruitment and retention of early-career faculty of color.
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  • 文章类型: Journal Article
    2021年,美国护理学院协会(AACN)将“气候变化对环境和人口健康的影响”添加到“要点:专业护理教育的核心能力”中。目前,对于气候教育新手的护理教师几乎没有指导。前一年,护士气候挑战(NCC)-一项针对气候变化对健康影响的教育50,000名卫生专业人员的运动-通过一系列焦点小组和协作内容开发启动了护理承诺学院。为了增加获得知识和工具的机会,以支持有关气候变化对健康影响的教育,NCC承诺与护理学校合作,并提供实践社区。合作伙伴学校在课程中使用NCC资源并报告受教育的学生人数。三年之内,30个州的61所护理学校加入了该承诺。参与者包括学术健康中心,研究机构,多州学校,和小型私立大学,课程范围从AD到博士学位。学院(1)将资源整合到教学和临床环境中,如人口或器官系统内容,领导力,和政策;以及(2)使用资源来支持任务。四年后,据报道,教师教育了37,700多名学生,在439个教育课程中使用NCC资源。承诺可能是有价值的教师履行AACNEssentials通过把气候变化的课堂,社区,和床边。此外,该承诺可能是卫生专业教育和鼓舞人心的气候变化行动的可复制模式。
    In 2021, the American Association of Colleges of Nursing (AACN) added \"the impact of climate change on environmental and population health\" into The Essentials: Core Competencies for Professional Nursing Education. Presently, little guidance exists for nursing faculty new to climate education. The year prior, the Nurses Climate Challenge (NCC)-a campaign to educate 50,000 health professionals about health impacts of climate change-launched the School of Nursing Commitment through a series of focus groups and collaborative content development. With an aim of increasing access to knowledge and tools to support education about the health impacts of climate change, the NCC Commitment partners with nursing schools and provides a community of practice. Partner schools use NCC resources in courses and report the number of students educated. Within three years, 61 nursing schools in 30 states joined the Commitment. Participants included academic health centers, research institutions, multi-state schools, and small private colleges, and programs ranged from AD to PhD. Faculty (1) integrated resources into didactic and clinical settings, such as population or organ-system content, leadership, and policy; and (2) used resources to support assignments. In four years, faculty reported educating over 37,700 students, using NCC resources in 439 educational sessions. The Commitment may be valuable for faculty fulfilling AACN Essentials by bringing climate change to the classroom, community, and bedside. Furthermore, the Commitment may be a replicable model for health professional education and inspiring action on climate change.
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  • 文章类型: Journal Article
    背景:护理教育的发展需要强大的学术能力和专家临床医生的结合。不同的专业成长和发展途径是必要的,以建立一个强大的教师与临床和研究的专业知识。一些学校已经实施了正式的临床跟踪(CT),以补充传统的终身跟踪,以促进CT的专业发展。
    方法:本文提供了一个案例示例,说明一个机构如何使用Kotter变更模型维护和推进强大的CT,并讨论了未来的方向。
    结果:学校的晋升基础设施,其遵循与保有权轨道(TT)提升和保有权准则类似的结构和准则,导致了学校各级CT教师的学术生产力的提高。越来越多的海报和讲台演示以及向国家和国际观众的出版物导致更大的影响和提高学校的声誉,国内和国际。
    结论:虽然在推进护理CT的公平性和包容性方面仍有工作要做,开发和维护具有系统级结构的CT具有重要价值,并提供了明确的推广途径,投资于临床奖学金,并包括临床教师作为学术界的正式公民。
    BACKGROUND: The evolution of nursing education requires a combination of strong academic faculty and expert clinicians. Different professional growth and development pathways are necessary to build a robust faculty with clinical and research expertise. Some schools have implemented a formal clinical track (CT) to complement the traditional tenure track for the professional advancement of CT.
    METHODS: The article presents a case example of how one institution maintains and advances a strong CT using the Kotter Change Model and discusses future directions.
    RESULTS: The school\'s infrastructure for promotion, which follows a similar structure and guidelines as Tenure Track (TT) Promotion and Tenure Guidelines, has led to an increase in the school\'s scholarly productivity among CT faculty across ranks. Increasing poster and podium presentations as well as publications to a national and international audience results in greater reach and improved reputation for the school, both nationally and internationally.
    CONCLUSIONS: While there is still work to be done to advance equity and inclusion for nursing CTs, developing and maintaining a CT with system-level structures holds significant value and provides a clear path to promotion, invests in clinical scholarship, and includes clinical faculty as full citizens in academia.
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  • 文章类型: Journal Article
    增强教师的声音和促进学术界的共享治理一直被要求,但没有得到很好的报道。美国中西部的一所护理学院发现了其组织结构中的缺陷,包括缺乏教师的声音,沟通障碍,缺乏教师参与决策,和学术课程独立运作。
    成立了一个工作组来修改章程以促进共享治理,包括教师的声音,平等,和订婚。
    修订了章程,并提交给教职员工讨论,进一步修订,和投票。修订后的章程已于2021年8月获得批准并实施。
    通过修改章程,学院的12个委员会结构被重新概念化为5个常设委员会和13个小组委员会。建立了明确的沟通渠道和跨委员会合作,以打破以前的学术计划孤岛。具有主要教学任务的教师在整个结构中以声音平等地表示,投票,和责任。[J护士教育。2024;63(5):277-281。].
    UNASSIGNED: Enhancing faculty voice and promoting shared governance within academia has long been called for but has not been well-reported. A college of nursing in the midwestern United States identified shortcomings in its organizational structure including lack of faculty voice, communication barriers, lack of faculty participation in decision making, and academic programs operating independently.
    UNASSIGNED: A workgroup was formed to transform the bylaws to promote shared governance, including faculty voice, equality, and engagement.
    UNASSIGNED: The bylaws were revised and presented to faculty for discussion, further revisions, and vote. The revised bylaws were approved and implemented in August 2021.
    UNASSIGNED: Through transformation of the bylaws, the college\'s 12-committee structure was reconceptualized to five standing committees and 13 subcommittees. Clear communication lines and cross-committee collaboration was established to break down the former academic program silos. Faculty with primary teaching assignments are equally represented throughout the structure with voice, vote, and responsibility. [J Nurs Educ. 2024;63(5):277-281.].
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