RESUMO
The pillars constructivist model is designed to offer a unifying clinical paradigm to support consistent learning opportunities across diverse configurations of community and public health clinical sites. Thirty-six students and six faculty members participated in a mixed methods evaluation to assess the model after its inaugural semester of implementation. The evaluation methods included a rating scale that measures the model's ability to provide consistent learning opportunities at both population health and direct care sites, a case study to measure student growth within the five conceptual pillars, and a faculty focus group. Results revealed that the model served as an effective means of clinical education to support the use of multiple, small-scale public health sites. Although measurements of student growth within the pillars are inconclusive, the findings suggest efficacy. The authors recommend the continued use of the pillars constructivist model in baccalaureate programs, with further study of the author-designed evaluation tools.
Assuntos
Enfermagem em Saúde Comunitária/educação , Educação em Enfermagem/normas , Modelos Educacionais , Enfermagem em Saúde Pública/educação , HumanosRESUMO
This qualitative study examined the effects of relocating to an assisted living facility in a select sample of elderly individuals. Small group interviews with open-ended discussion allow participants to express feelings about their transitional experi ence and recall situations in their adjustment process. Theme arising from the data included self-motivating factors, ties to the past, independence, affection, and adjustment, which co related with the principles of assisted living. This study revealed a beginning understanding of the experience of moving from a private home to assisted living and provided a framework for a new vision of these residents. Nursing implications are included that offer ways to provide assistance and further facilitate adjustment.
Assuntos
Adaptação Psicológica , Idoso/psicologia , Moradias Assistidas , Atitude Frente a Saúde , Instituição de Longa Permanência para Idosos , Admissão do Paciente , Atividades Cotidianas , Idoso de 80 Anos ou mais , Feminino , Grupos Focais , Avaliação Geriátrica , Enfermagem Geriátrica/métodos , Humanos , Acontecimentos que Mudam a Vida , Masculino , Motivação , Papel do Profissional de Enfermagem , Pesquisa Metodológica em Enfermagem , Pesquisa Qualitativa , Qualidade de Vida , Inquéritos e QuestionáriosRESUMO
The present nursing faculty shortage is linked to the general nursing shortage. Without enough nurse educators to teach the increasing number of nurses that are needed, the health of U.S. residents is at stake. This article examines progress made on solutions proposed over the past decade such as increasing graduate and certificate programs for nurse educators, more aggressive recruitment of graduate students into faculty roles, and delayed retirement of current faculty. Potential new solutions are proposed. These include: fast-track bachelor's of science in nursing to doctor of philosophy curricula; recruiting advanced practice nurses (APNs) into faculty roles with arrangements made for clinical practice time; raising the image of nursing education as a prestigious career; developing national certification for nurse educators; and partnering with health care agencies. Linking the general nursing shortage with the faculty shortage may provide a stronger case for public policy and funding initiatives. There are signs that some initiatives are working. Present faculty need to maintain a culture of hope while potential solutions are being implemented.
