Supporting the transition to practice: preceptor behaviors that foster a positive student preceptorship experience.

OBJECTIVES: Preceptors support nursing students when transitioning to the professional nursing role. This study explored student perceptions of preceptor characteristics that promoted or hindered learning. METHODS: A Likert-scale survey including two open-ended questions was sent to 571 nursing students completing a preceptorship experience. Descriptive statistics were used to analyze responses to the Likert-scale items. Qualitative analysis was completed on the two exploratory questions to extract themes. RESULTS: Students rated the preceptor between 4=Very Good and 5=Outstanding for all items. No significant differences in scores were found when comparing results between programs. Themes assisting in learning included: increasing independence gradually and pushing out of comfort zone. Themes identified that hindered learning included: doubting self and being pushed aside. CONCLUSIONS: Future implications include communicating preceptorship objectives and providing ways to apply research to practice. These findings can guide collaboration between academic and practice partners to assist with transition to practice.

Fostering collaborative learning and leadership through near-peer mentorship among undergraduate nursing students.

BACKGROUND: Innovative teaching strategies in nursing education are essential with increasing enrollment. Collaborative learning and leadership (CLL) activities encourage near-peer learning through mentorship between senior-level and novice students while supporting teaching ratios in lab and clinical. In this study, senior nursing students' perceptions and performance during CLL activities were explored. METHODS: Final-semester senior students participated in CLL activities and were evaluated on their leadership and engagement. Grading rubric results were summarized using descriptive statistics. Thematic analysis of students' post-CLL reflections supported common themes. RESULTS: Students' average scores (97.53%) confirm students were prepared and engaged in CLL activities. Senior students enjoyed "building confidence" through these activities, with a consistent theme of "becoming a leader," noted in reflections. CONCLUSION: Near-peer learning activities assisted senior students in development of leadership and communication skills, preparing them for nursing practice. Recommendations include developing instructions for varied CLL activities and exploring faculty perspectives regarding this experience.

Threading QSEN Competencies Across a Baccalaureate Nursing Program: The Development of Dedicated QSEN Labs.

BACKGROUND: In response to the development of the Quality and Safety Education for Nurses (QSEN) competencies and noting lower standardized test scores, nursing faculty at a midwestern United States university developed three safety and quality labs throughout a traditional baccalaureate curriculum. METHOD: These labs intentionally integrated the QSEN competencies and occurred over three semesters of the nursing program. Students' learning activities aligned with the QSEN competencies and were leveled across the labs. RESULTS: Throughout all the labs, all six QSEN competencies provided a framework for students to learn the knowledge, skills, and attitudes essential to the profession of nursing. Students spent most of their time in the labs learning the QSEN competency of safety, followed by teamwork and collaboration, quality improvement, patient-centered care, informatics, and evidenced-based practice. CONCLUSION: The QSEN competencies provided a framework to teach pre-licensure nursing students the knowledge, skills, and attitudes essential in the profession of nursing. Safety and Quality I focused on foundational skills and individual patient safety. Safety and Quality II introduced intermediate skills with an emphasis on safety. The third and final lab introduced students to advanced quality improvement, teamwork and collaboration, and system safety. After the completion of the labs, the students stated they had gained knowledge and confidence in the application of all six QSEN competencies. [J Nurs Educ. 2021;60(9):526-528.].

The Influence of the Dedicated Education Unit Clinical Model on Standardized Test Scores.

ABSTRACT: While the dedicated education unit (DEU) clinical model is being increasingly integrated into prelicensure nursing programs, a lack of research investigating objective measures of this model is evident. Standardized test scores were compared between students who had a DEU experience and those completing the same rotation in a traditional model. Although no statistically significant differences were noted, some scores were higher for students in the DEU model. Findings suggest the DEU does not negatively impact scores, making it a valid alternative to the traditional model. Further research is needed as few studies have investigated objective outcomes for the DEU model.

The clinical learning environment in nursing education: a concept analysis.

AIM: The aim of this study was to report an analysis of the clinical learning environment concept. BACKGROUND: Nursing students are evaluated in clinical learning environments where skills and knowledge are applied to patient care. These environments affect achievement of learning outcomes, and have an impact on preparation for practice and student satisfaction with the nursing profession. Providing clarity of this concept for nursing education will assist in identifying antecedents, attributes and consequences affecting student transition to practice. DESIGN: The clinical learning environment was investigated using Walker and Avant's concept analysis method. DATA SOURCES: A literature search was conducted using WorldCat, MEDLINE and CINAHL databases using the keywords clinical learning environment, clinical environment and clinical education. Articles reviewed were written in English and published in peer-reviewed journals between 1995-2014. METHODS: All data were analysed for recurring themes and terms to determine possible antecedents, attributes and consequences of this concept. RESULTS: The clinical learning environment contains four attribute characteristics affecting student learning experiences. These include: (1) the physical space; (2) psychosocial and interaction factors; (3) the organizational culture and (4) teaching and learning components. These attributes often determine achievement of learning outcomes and student self-confidence. CONCLUSION: With better understanding of attributes comprising the clinical learning environment, nursing education programmes and healthcare agencies can collaborate to create meaningful clinical experiences and enhance student preparation for the professional nurse role.

Smoking Cessation Strategies for Patients with COPD.

Smoking cessation remains the priority intervention for patients suffering from chronic obstructive pulmonary disease (COPD) to slow progression of lung tissue damage, decrease symptoms, and enhance quality of life. This article highlights ways home healthcare clinicians can incorporate Prochaska's stages of change to individualize smoking cessation interventions for COPD patients. By assessing patients' readiness-to-quit and implementing evidence-based teaching techniques, including motivational interviewing, home healthcare clinicians can identify specific strategies to promote smoking cessation and enhance the health and quality of life for this population.