Experienced nurse educators' perceptions of doctoral (PhD) preparation as supporting their nurse educator roles

Because of the highly complex expectations of new nursing graduates "nursing education needs teachers with a deep nursing knowledge who also know how to teach and conduct research...in order to address the specific educational demands of teaching the complex practice of nursing" (Benner, Sutphen, Leonard, & Day, 2010, p. 6). Currently, the educational requirement for a nurse educator in a university setting is a doctoral degree, preferably a PhD. However, Cronon(2006) emphasized that "many PhD recipients are ill prepared to function effectively in the settings in which they work...particularly those related to teaching" (p. 5). The purpose of this study was to document the perceptions of experienced nurse educators both prepared, and currently preparing at the doctoral (PhD) level, to understand to what extent PhD work prepared them for their role in the delivery of nursing education. A case study approach was selected, using a constructivist paradigm. Data were collected from ten participants at three sites of a university school of nursing using three semi-structured interviews. Primary data were supplemented by institutional foundation documents and a field journal. Four themes emerged from the data as follows: the ambiguities associated with the interpretation of the term nurse educator influenced how a nurse educator described their role; doctoral (PhD) education enhanced approaches to thinking in relation to increased breadth and depth of knowledge base, in addition to research capabilities; the PhD credential was found to be indicative of research credibility both within and across the disciplines and enhanced the potential for funding opportunities; and doctoral (PhD) education did not support the pedagogical aspects, specifically formal teaching preparation, of the nurse educator's role. While this study provided insight in understanding how doctoral (PhD) education supported experienced nurse educators in their roles, it identified issues that impacted on how these nurse educators enacted their roles. These issues included both a disconnection and a perceived inequality between research and teaching, in addition to a marked variation in the interpretation of the scholarship of teaching. Among the implications of this study on theory are its contributions to understanding the experiences of nurse educators in relation to their doctoral (PhD) education as supporting their roles in the delivery of nursing education. Among the implications of this study for research is the need to investigate how doctoral (PhD) education could better support the pedagogical aspect of nurse educators' roles, or whether other doctoral (EdD) education might be more effective in providing this pedagogical foundational knowledge. Additional implications of this study for research are to identify ways in which thinking, research, and practice could function collectively, rather than as separate entities. Among the implications for practice are a greater understanding of the teacher-scholar model in relation to the components of discovery, integration, application, and teaching (Boyer, 1990), and how learning organizations and communities of knowledge could facilitate this deeper understanding

Nurse-led diabetic retinopathy screening: a pilot study to evaluate a new approach to vision care for Canadian Aboriginal peoples

Diabetic retinopathy is the most common cause of new cases of blindness and is pandemic among Aboriginal people around the world. To reduce health inequities, accessible vision screening among these high-risk populations is essential. To assess cardio-metabolic co-morbidities associated with type 2 diabetes and the use of a portable fundus camera as a novel approach for convenient, earlier and more accessible vision screening for Aboriginal peoples living with type 2 diabetes in northern and remote Canadian communities. This quantitative pilot study screened participants diagnosed with type 2 diabetes for commonly associated cardio-metabolic co-morbidities using anthropometrical measurements, blood pressure and a A1c (HbA1c) blood glucose test, followed by vision exams conducted first by a trained nurse and then by an ophthalmologist to screen for signs of retinopathy using fundus photography. Large numbers of the participants presented with overweight/obese (84.8%), pre-hypertension/hypertension (69.7%) and an elevated A1C (78.8%). Inter-rater reliability demonstrated substantial agreement between vision exam judgements made by the nurse and ophthalmologist (k = .67). Nurse-led vision screening in remote or northern communities can improve the standard of care by extending access to health services, lowering the costs to families by reducing travel expenses and preventing vision loss in a family member

“Balancing two worlds”: a constructivist grounded theory exploring distributed/decentralised nursing education in rural and remote areas in Canada and Norway

ABSTRACTA challenge confronting northern nursing is delivery of equitable and culturally competent nursing education. Advances in technology support distributed approaches for decentralised learning and enhance the feasibility of nursing education in rural and remote regions. However, there is limited scholarship on distributed/decentralised technologies in nursing education, particularly in northern and circumpolar regions. The purpose of this constructivist grounded theory research was to develop an enhanced understanding of the unique experiences of students, faculty and administrators who use distributed/decentralised methods and technology. Open-ended interviews were completed in 2015–17 with nursing students (n = 8), faculty and administrators (n = 6) at two universities using distributed/decentralised educational strategies in northern and circumpolar regions. Interviews, journal entries, field notes and memos, were analysed using grounded theory procedures. Findings indicated that distributed/decentralised programs offered rural and remote students educational possibilities that “fit” which would not have otherwise existed. However, Balancing Two Worlds created a collision of roles resulting in the potential loss of balance. Students rectified the Fear of “Falling Off” of their program through four subprocesses: Being Disciplined, Having Realistic Expectations, Planning Ahead and Staying Motivated which provided structure and predictability. Findings support the development of empirical knowledge regarding distributed/decentralised technologies in nursing education and a foundation for future research

Preventing type 2 diabetes among Indigenous youth: A systematic review of community-based interventions

ABSTRACTA systematic review was conducted to assess evidence on effectiveness of community-based interventions promoting wellbeing and prevention of type 2 diabetes (T2D) among Indigenous youth. A convergent, segregated, mixed methods approach was used, with six databases and four grey literature sites searched from inception to May 2022. Articles selected for inclusion were about community-based interventions related to T2D prevention with Indigenous youth that evaluated effectiveness or youth experience published in English. Reference lists were also searched for relevant sources. Seven quantitative research articles met the inclusion and quality assessment criteria. No qualitative articles were identified. The results were synthesised through narrative analysis, while meta-analysis was not possible due to heterogenous study designs. Common foci across interventions included promoting physical wellness, improving physical activity and healthy eating patterns, enhancing knowledge, and psychosocial wellness. Interventions deemed effective addressed multiple areas, were school-based, and operated for at least a year. Findings support multi-strategy, community-based interventions implemented over longer periods of time. However, gaps in research and reporting included the extent to which interventions are culturally informed and based on community-driven priorities. Future research should include Indigenous, mixed and qualitative methods and Indigenous-driven measures of success to better understand effectiveness in alignment with Indigenous worldviews