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.

Perspectives on Telehealth Use with the Neonatal Population: Policy, Practice, and Implementation Considerations.

Telehealth has proven to be a valuable approach to providing care to the neonatal population, including supporting families during the transition to home, facilitating remote monitoring of fragile neonates, and connecting neonatal experts with infants and caregivers in underserved or remote communities. Clinicians engaging in telehealth need to be aware of policies and regulations that govern practice as well as the potential health equity issues that may present themselves.

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.

Climate and Health: Impact of Climate Education on Nursing Student Knowledge, Confidence, and Intent to Act.

Background: Because climate change negatively impacts human health, nurses need skills to mitigate climate change and nurse educators need effective educational strategies to teach climate change content in undergraduate nursing programs. To address this need, we embedded an energy efficiency treasure hunt and Climate for Health Ambassador Training into our prelicensure nursing curricula.

Purpose: To evaluate the impact of these educational activities on self-reported knowledge, confidence, and intent to engage in climate action.

Innovative Projects: A Unique Approach to Telehealth Education.

During the COVID-19 pandemic, telehealth utilization grew astronomically, encouraging more institutions of higher education to become innovative and proactive in preparing health care providers to deliver high-quality telehealth care. Telehealth can be creatively implemented throughout health care curricula given the appropriate guidance and tools. This article speaks to the development of student telehealth projects as part of the work of a national taskforce funded by the Health Resources and Services Administration and charged with the development of a telehealth toolkit.

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.

Advanced Practice Nursing Roles, Regulation, Education, and Practice: A Global Study.

Background And Objectives: Several subgroups of the International Council of Nurses Nurse Practitioner/Advanced Practice Nurse Network (ICN NP/APNN) have periodically analyzed APN (nurse practitioner and clinical nurse specialist) development around the world. The primary objective of this study was to describe the global status of APN practice regarding scope of practice, education, regulation, and practice climate. An additional objective was to look for gaps in these same areas of role development in order to recommend future initiatives.

Maximizing Use of Social Media to Improve Member Engagement in a Professional Organization.

The North Carolina Association of Nurse Anesthetists recognized concerns surrounding decreased member engagement and communication. Member engagement and communication is the lifeblood of an organization and is directly related to the success of an organization's outcomes and goals. Revamping of social media is a cost-effective method to help increase membership engagement and communication.

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.

An overview of antithrombotics in ischemic stroke.

The use of antithrombotic medications is an important component of ischemic stroke treatment and prevention. This article reviews the evidence for best practices for antithrombotic use in stroke with focused discussion on the specific agents used to treat and prevent stroke.

Engaging learners across generations: the Progressive Professional Development Model.

The Progressive Professional Development Model (PPDM) is a framework to guide educators in planning learning experiences that promote development in the cognitive, affective, and psychomotor domains. The model marries the use of standardized patients and virtual and simulated practice environments with traditional clinical practice and offers the opportunity to address learning styles of a multigenerational work force. Proposed is the application of technology in designing both instructional and evaluative experiences for new nurse orientation and continuing education.

Evaluation of the Urinary Incontinence Scales to measure change after experiential learning: a pilot study.

Evaluation of the effectiveness of the Urinary Incontinence Scales to measure change after student participation in a disability-incontinence experiential learning activity was the focus of this pilot study. A comparison between pretest and posttest scores showed a significant increase in Belief and Practice subscale scores after participation in the experience. However, positive correlations between the variables measured could not be established.

Engendering student empathy for disabled clients with urinary incontinence through experiential learning.

As part of a rehabilitation clinical course for senior baccalaureate nursing students, a disability-incontinence experiential learning activity is required. The assignment is intended to familiarize students with some of the challenges encountered by a client with mobility problems, including continence management issues using disposable undergarments. Wearing the undergarments dry and wet while being confined to a wheelchair provides insight and promotes empathy for patients with bladder control problems.

Homicide bereavement: A family affair.

Murder of a loved one typically has a tremendous impact on the family as a whole and on individual members. While it is true people often react in very similar ways following such a traumatic loss, they do not necessarily grieve in the same way or at the same time. Additionally, the murder may have a detrimental effect on the stability, developmental tasks, communication patterns, and role functioning of the family.

Body adornment: know the limits.

Properly developed and implemented dress codes will maintain the professional image of nurses while protecting their legal rights.

Empower staff with praiseworthy appraisals.

Use a consistent and objective performance appraisal process to empower employees.

Protect your facility and staff with effective discipline and termination.

Minimize the effects of disciplinary action and termination with well-designed policies and procedures.