Whose Line Is It Anyway? Undergraduate Nursing Simulation for Breaking Bad News.

Breaking bad news regarding health care traditionally falls within the scope of practice of the provider. However, now that lab and diagnostic results are uploaded directly to smart devices, patients often receive results before they can be explained. The nurse or nursing student may be the first person the patient sees after reading results and the first to respond to patient questions about bad news.

Use of the Rasch Model for Fit Statistics and Rating Scale Diagnosis for the Student Perception Appraisal.

Nursing student retention is essential to meet workforce demands. Jeffreys' Nursing Student Retention Student Perception Appraisal-Revised (SPA-R1) has been used extensively to understand factors that impact retention. Psychometric testing of the SPA-R1 contributes to greater confidence in the instrument's reliability and validity.

An Online Module to Promote Self-Care and Resiliency in Nursing Students.

Because the demands of nursing education can impact the physical and mental health of nursing students, the American Association of Colleges of Nursing's revised Essentials require inclusion of self-care and resilience education in nursing curricula. This article describes the development, implementation, and evaluation of a self-care module in a new online undergraduate course. Using the REST mnemonic (relationships, exercise, soul, and transformative thinking), students developed personalized self-care plans for the semester.

The role of collectivism and moderating effect of IT proficiency on intention to disclose protected health information.

This paper aims to identify and understand factors affecting insiders' intention to disclose patients' medical information and to investigate how these factors affect the intention to disclose. Based on the literature review on deterrence theory and health information security awareness (HISA), we identify relevant factors and develop a research model explaining insiders' intention to disclose patients' health information. We collect data (N = 105) through scenario-based experiments.

Creating a Primary Care Track in Prelicensure Nursing Education.

Background: RNs practicing in primary care (PC) increase access to health care and contribute to better patient outcomes and cost savings, yet undergraduate nursing education traditionally focuses on disease-oriented care. This article describes a curricular track for infusing PC prelicensure programs.

Method: PC content is threaded across four semesters with targeted assignments and clinical experiences.

Behind the Scenes of an Educational Escape Room.

Educational versions of interactive escape room games can be used to teach and reinforce knowledge and clinical skills. In this article, the authors describe their experience creating, piloting, implementing, and evaluating a safe medication educational escape room for first-year nursing students. They highlight the steps needed to develop an effective learning experience and provide insight into lessons they've learned throughout this process.

Delta Alert: Expanding Gerotrauma Criteria to Improve Patient Outcomes: A 2-Year Study.

Background/significance: Because of their decreased physical reserve and increased risk of complications, the geriatric trauma patient (GTP) population warrants heightened awareness by clinical staff.

Purpose: The purpose of this study is to determine whether the institution of a third-tier trauma protocol results in a change in GTP outcomes, complications, and mortality rates.

Methods: Researchers conducted a retrospective review of 2 years of data from the trauma registry, hospital quality improvement audits, and patient charts to examine what, if any, patient outcomes were impacted by the institution of the expanded GTP protocol.

Educational Model to Increase the Number and Diversity of RN to BSN Graduates From a Resource-Limited Rural Community.

Increasing the number of BSN-prepared nurses at the bedside is directly linked to improved health care outcomes. However, employers are challenged to find enough BSN graduates to meet workforce demands. This article presents an educational model that uses evidence-based practices to increase enrollment, retention, and graduation rates of RN students in a BSN program (RN-BSN) in a resource limited rural community.

Rising from the Rubble: A Capstone Simulation Integrating Leadership and Clinical Skills.

This novel simulation approach incorporates assessment, prioritization, patient care, and clinical reasoning with leadership and ethical principles when teaching disaster preparedness content in a prelicensure BSN curriculum. Using a combination of live actors and simulation equipment, 10 patients arrive in the skills lab seeking help for a variety of illnesses and injuries in the aftermath of a severe storm. The patients' ages and conditions represent each of the clinical courses in the nursing curriculum.

Delta Alerts: Changing Outcomes in Geriatric Trauma.

Geriatric trauma patients (GTPs) suffering minor injuries have suboptimal outcomes compared with younger populations. Patients 65 years or older account for 10% of all traumas but 28% of all trauma deaths. This trauma center established a third tier trauma alert specifically targeting GTPs at risk for poor outcomes.

"Why can't I pass these exams?": providing individualized feedback for nursing students.

The nursing literature on examination remediation and testing feedback strategies focuses primarily on NCLEX-RN success and remediation, rather than on the course examinations taken by students throughout program curricula. Students deemed at risk for NCLEX-RN failure likely have displayed poor performance on examinations long before graduation and licensure testing. Individualized examination feedback that identifies students' specific weaknesses is superior to correct answer feedback.

Keep it clean: a visual approach to reinforce hand hygiene compliance in the emergency department.

Problem: Although hand hygiene strategies significantly reduce health care-associated infections, multiple studies have documented that hand hygiene is the most overlooked and poorly performed infection control intervention.

Methods: Emergency nurses and technicians (n = 95) in a 41-bed emergency department in eastern Virginia completed pretests and posttests, an education module, and two experiential learning activities reinforcing hand hygiene and infection control protocols.

Results: Posttest scores were significantly higher than pretest scores (t (108) = -6.

What do I do now?: clinical decision making by new graduates.

Newly graduated nurses (NGNs) are thrust into roles that some purport they are inadequately prepared to handle. This study investigated the experience of NGNs as they made clinical judgments in the critical care setting. Three themes emerged: developing confidence in practice, seeking assistance, and decision making.

Integrative simulation: a novel approach to educating culturally competent nurses.

Nursing education faces many challenges as a result of the population's increased cultural diversification. Of primary importance is the need to prepare culturally competent nurses to provide care in both urban and remote rural areas. This paper presents a HRSA funded program that utilises simulations to provide culturally diverse learning opportunities for both university-based and distance learning students.

The promise and perils of a weekend nursing program.

In 1996, a weekend nursing program was created as an addition to the traditional weekday schedule to accommodate an increased number of qualified applicants seeking admission to the baccalaureate nursing program. Five years after the inception of the program, a comprehensive evaluation study was conducted to examine the impact of the weekend course schedule on students and faculty. The opportunities and challenges associated with the implementation of an alternative program schedule for entry-level nursing students are presented.

Management of respiratory syncytial virus with lower respiratory tract infection in infants and children.

Respiratory syncytial virus (RSV) is the leading cause of lower respiratory tract infection in infants and children requiring pediatric hospitalizations. Infants with chronic lung, cardiac, or neuromuscular conditions are at increased risk for RSV infection. Early RSV is associated with subsequent diagnosis of reactive airway disease.