Stakeholder Engagement in Nursing Curriculum Development and Renewal Initiatives: A Review of the Literature

Stakeholder engagement remains a critical endeavour in nursing curriculum development and renewal. Engaging stakeholders such as patients and families, students, and frontline clinicians in the development process is necessary to ensure that curricula meet the current needs of patients and are responsive to a changing healthcare environment. To inform strategies for effective stakeholder engagement a literature review was conducted to identify: 1) common roles and functions of stakeholders across nursing curricular projects, and 2) factors that promote positive stakeholder engagement in nursing curriculum development or renewal. Twelve papers were included in this review. Texts were analyzed using qualitative thematic analysis. Common roles and functions were classified according to formalized leadership roles or on an informal, as needed basis, with varying levels of engagement. Four themes emerged pertaining to factors that promote positive stakeholder engagement: positive leadership, empowerment, sense of ownership, and a culture of equality. Optimizing stakeholder contributions to nursing curricular projects can be fostered by an understanding of strategies to positively engage these partners and identifying productive and meaningful stakeholder roles. Résumé La mobilisation des parties prenantes demeure une étape cruciale du processus d’élaboration et de renouvellement des programmes d’études en sciences infirmières. Il est nécessaire de mobiliser les parties prenantes, comme les patients et les familles, les étudiantes et les cliniciennes de première ligne pour veiller à ce que les programmes d’études respectent les besoins actuels des patients et tiennent compte de l’environnement changeant des soins de santé. Pour orienter les stratégies en matière de mobilisation des parties prenantes, nous avons réalisé une recension des écrits afin d’identifier : 1) les fonctions et les rôles courants des parties prenantes dans l’ensemble des projets de programmes d’études en sciences infirmières, et 2) les facteurs qui favorisent une mobilisation positive des parties prenantes dans le processus d’élaboration ou de renouvellement des programmes d’études en sciences infirmières. Douze articles ont fait l’objet d’une analyse thématique qualitative dans le cadre de cette étude. Les fonctions et les rôles courants ont été classés selon qu’ils soient officiels et décisionnels ou de façon informelle, selon les besoins, menant à divers degrés de mobilisation. Quatre thèmes se sont dégagés relativement aux facteurs qui favorisent une mobilisation active des parties prenantes : un leadership positif, une habilitation, un sentiment d’appartenance et une culture d’égalité. Pour encourager l’optimisation des contributions des parties prenantes aux projets de programmes d’études en sciences infirmières, il est important de comprendre les stratégies qui permettent de mobiliser positivement ces partenaires et de cerner des rôles productifs et significatifs pour eux

Development and content validation of a measure to assess evidence-informed decision-making competence in public health nursing.

There are professional expectations for public health nurses to develop competencies in evidence-informed decision-making (EIDM) due to its potential for improved client outcomes. Robust tools to assess EIDM competence can encourage increased EIDM engagement and uptake. This study aimed to develop and validate the content of a measure to assess EIDM competence among public health nurses. A four-stage process, based on measure development principles and the Standards for Educational and Psychological Testing, was used to develop and refine items for a new EIDM competence measure: a) content coverage assessment of existing measures; b) identification of existing measures for use and development of items; c) validity assessment based on content; d) validity assessment based on response process. An EIDM competence measurement tool consisting of EIDM knowledge, skills, attitudes/beliefs, and behaviour items was developed using conceptual literature and existing measures (Evidence-Based Practice Competency Tool and Evidence-Based Practice Beliefs Scale) to address limitations of existing EIDM tools identified from the content coverage assessment. Item content validity index ratings ranged from 0.64-1.00. Qualitative themes from validity assessment based on content and response process included word changes to improve clarity, reducing item redundancy, separating multi-component items, and ensuring items reflect nursing role expectations. Upon determining its reliability and validity, there is potential for the EIDM competence measure to be used in: public health nursing practice to identify competence gaps and strengths to facilitate professional development activities; in research to support development of strategies to build EIDM capacity; and for curriculum planning and development across nursing education programs

Predictors of Nursing Faculty Job and Career Satisfaction, Turnover Intentions, and Professional Outlook: A National Survey

Background: Retaining talented and experienced nurses in clinical practice and academia is crucial for maintaining continuity, ensuring high-quality care and education, and fostering a positive work environment. Although factors influencing nursing staff retention are well documented, little is known about how workplace factors impact nursing faculty retention outcomes. Methods: A national survey involving 645 nursing faculty across Canada was undertaken. Multivariate regression analysis with interaction effects was conducted to determine the association between work-related factors (i.e., workplace culture and work–life imbalance) and faculty job and career satisfaction, turnover intentions, and professional outlook. Results: Supportive workplace culture positively influenced faculty job and career satisfaction and professional outlook, while it negatively impacted turnover intentions. Conversely, work–life imbalance decreased faculty job and career satisfaction and professional outlook (i.e., confidence in nursing program, profession), and it increased intentions to leave the job. Conclusion: Our results offer insights into the work–life experiences of Canadian faculty members and shed light on key factors that impact their job-related outcomes. In the context of competing resources, every effort must be made to improve modifiable workplace factors such as the academic work environment and create targeted interventions and policies to promote faculty retention.Applied Science, Faculty ofNon UBCNursing, School ofReviewedFacultyResearche

Measures assessing attributes of evidence-informed decision-making (EIDM) competence among nurses: a systematic review protocol

Abstract Background There are growing professional expectations for nurses to engage in and develop competence in evidence-informed decision-making (EIDM) due to opportunities for improved client and community outcomes and provision of the highest quality of care. However, EIDM is underdeveloped, with low implementation rates among nurses. The use of indicators to assess EIDM performance has potential to encourage nurses’ engagement in EIDM through competence recognition and support assessment of strengths and competency gaps for individual nurses and organizations. Currently, the state of evidence regarding measures that assess EIDM competence attributes (i.e., knowledge, skills, beliefs/values, behaviors) among nurses is unknown. This systematic review aims to address this gap through a narrative synthesis of the characteristics and psychometric properties of EIDM competence measures. Methods The search strategy, developed in consultation with a Health Sciences Librarian, consists of online databases, contacting experts, hand searching reference lists, key journals, websites, conference proceedings, and grey literature. Studies will be included if the following criteria are met: (1) sample includes practicing nurses and data for nurses are reported separately; (2) conducted in any healthcare setting; (3) quantitative or mixed-methods design; (4) reports use or testing of a measure assessing EIDM competence attributes (i.e., knowledge, skills, attitudes/values, and/or behaviors); and (5) published in English. Screening will be conducted independently by two reviewers using a two-stage process: (1) title and abstract level; and (2) full-text level. Data extraction of study characteristics (e.g., sample, setting) will be conducted by a single reviewer and checked for accuracy by a second reviewer. Psychometric properties of acceptability, reliability, and validity evidence for each measure will be independently extracted by two reviewers. Data on measures will be synthesized narratively according to acceptability, number of validity evidence sources established, and reliability of scores. Data pertaining to population and healthcare setting will also be reported for each measure. Discussion This systematic review will provide a current understanding about the state of evidence with respect to EIDM competence measures in nursing to assist in determining potentially relevant and robust measures for use in different nursing practice settings. Systematic review registration Protocol registered in PROSPERO Registration #: CRD4201808875