Academic Grade Inflation in Nursing Education: A Scoping Review of the Qualitative and Quantitative Literature.

AIM: The aim of the study was to answer the research question: What is known from the literature about academic grading practices and grade inflation in nursing education? BACKGROUND: Nursing students require authentic assessment that supports their professional formation. For teachers and students, integrity is fundamental to professional nursing excellence. METHOD: Arskey and O'Malley's framework was used to integrate and reinterpret findings from qualitative, quantitative, and mixed-method studies. RESULTS: Twelve studies were reviewed. Contributing factors are described as institutional constraints, external standards, team teaching, lack of faculty confidence, and student incivility. Strategies that may mitigate grade inflation include establishing grading expectations and increasing pedagogical rigor with precise rubrics, valid and reliable examinations, interrater reliability, and faculty development. CONCLUSION: Academic grading is a complex faculty responsibility grounded in ethical and relational competencies that can support or hinder students' professional formation. Evaluation of strategies to mitigate grade inflation in nursing education is urgently needed.

Transforming Nursing Education: Fostering Student Development towards Self-Authorship.

Nurse educators share a common goal: To foster student development in ways that fully prepare graduates for the challenges of contemporary practice. As patient acuity continues to escalate the responsibilities of the nurse and the nurse educator have become daunting. Contemporary practice requires a self-authored perspective that allows the nurse to appraise knowledge, weigh evidence, make autonomous decisions, and question authorities when warranted. Nurse leaders have called for transformation in nursing education through the application of evidence-based pedagogies that promote complex thinking and professional formation. This article introduces self-authorship theory and constructive-developmental pedagogy as a framework for enacting the pedagogical reform called for by nursing leaders. Drawing on the Carnegie study recommendations for nursing education reform, the article describes three constructive-developmental principles faculty can incorporate into their current practice to foster student development towards self-authorship and describes the implications of constructive-developmental pedagogy for substantive transformation in nursing education.

Students' voices: the lived experience of faculty incivility as a barrier to professional formation in associate degree nursing education.

BACKGROUND: Nursing faculty play an important role in constructing learning environments that foster the positive formation of future nurses. The students' construction of a nursing identity is grounded in social interactions with faculty and is shaped by values and norms learned in both the formal and informal curriculum. The informal curriculum is communicated in faculty teaching practices and relationships established with students. PURPOSE: To acquire an understanding of the students' lived experience in associate degree nursing education and identify educational practices that support students' professional formation. METHODS: A phenomenological design was chosen to study the lived experience of nursing education. In-depth interviews were conducted with 13 participants. Five students participated in second interviews for a total of 18 interviews. Symbolic interactionism guided data analysis. PARTICIPANTS: Participants represented three ADN programs in the northeastern U.S. and were diverse in terms of gender and age and to a lesser extent race, and sexual orientation. FINDINGS: Faculty incivility included demeaning experiences, subjective evaluation, rigid expectations, and targeting and weeding out practices. Targeting practices contributed to a perceived focus on clinical evaluation and inhibited clinical learning. Faculty incivility hindered professional formation by interfering with learning, self-esteem, self-efficacy, and confidence. CONCLUSIONS: Faculty who model professional values in the formal and hidden curriculum contribute to the positive formation of future nurses. Nursing faculty should be formally prepared as educators to establish respectful, connected relationships with students. Faculty should role model professional values, deemphasize their evaluative role, provide constructive formative feedback, and remain open to the student's potential for growth.

Best practices in academic mentoring: a model for excellence.

Mentoring is important for the recruitment and retention of qualified nurse faculty, their ongoing career development, and leadership development. However, what are current best practices of mentoring? The purpose of this paper is to provide an overview of a model for excellence in establishing a formal mentoring program for academic nurse educators. Six themes for establishing a formal mentoring program are presented, highlighting best practices in mentoring as culled from experience and the literature. Themes reflect aims to achieve appropriately matched dyads, establish clear mentorship purpose and goals, solidify the dyad relationship, advocate for and guide the protégé, integrate the protégé into the academic culture, and mobilize institutional resources for mentoring support. Attending to the six themes will help mentors achieve important protégé outcomes, such as orientation to the educator role, integration into the academic community, development of teaching, scholarship, and service skills, as well as leadership development. The model is intended to be generalizable for faculty teaching in a variety of academic nursing institution types and sizes. Mentoring that integrates the six themes assists faculty members to better navigate the academic environment and more easily transition to new roles and responsibilities.

Transforming nursing education: a review of stressors and strategies that support students' professional socialization.

Nurse educators are facing the challenge of creating new ways of teaching and facilitating enhanced learning experiences in clinical practice environments that are inherently complex, highly demanding, and unpredictable. The literature consistently reports the negative effects of excess stress and unsupportive relationships on wellbeing, self-efficacy, self-esteem, learning, persistence, and success. However, understanding contributing factors of stress, such as the student's experiences of uncaring and oppressive interactions, is clearly not adequate. The transformation of nursing education requires a paradigm shift that embraces collegiality, collaboration, caring, and competence for students and the faculty. This paper reviews the literature on stress and its effects on nursing students. Grounded in theory related to stress and human caring, this paper focuses on the clinical environment and faculty-student relationships as major sources of students' stress and offers strategies for mitigating stress while fostering learning and professional socialization of future nurses.