Digital Health in Canadian Schools of Nursing Part A: Nurse Educators’ Perspectives

Introduction: While much progress has been achieved in advancing nursing informatics capacity in Canada, more work is needed to keep pace with the 21st century technological revolution. Nursing education programs and nurse educators are at the forefront of this change, and are key to ensuring successful integration of digital health technologies in future nursing practice. Methods: In 2018, a mixed methods study was conducted including a survey of nursing school administrators and nurse educators, telephone interviews, and one focus group meeting to understand the current state of digital health and informatics content integration in nursing curricula within Canadian Schools of Nursing. In this paper, we report on findings pertinent to nurse educators’ perspectives; findings from the nurse administrator survey will be reported separately. Results: Congruent with the general literature, findings from this study suggest that the challenges for nurse educators to realize informatics integration in nursing curricula are universal. A developing awareness of CASN’s entry to practice informatics competencies and a strong interest and desire among nurse educators to respond to current demands for advancing the digital health learning needs of future nurses are evident. However, there are still gaps and challenges in digital health content integration that need to be addressed. Conclusion: Realizing the vision of adequately prepared nursing workforce for digital health requires a shift in thinking about the role of informatics in nursing education and practice, as well as concerted efforts by all stakeholders. In view of the current technological revolution impacting all sectors of society including health care, nurse educators are in a unique position to shape the future of nursing practice. Educator engagement and administrative leader support within every Canadian school of nursing are vital for overcoming barriers and advancing the informatics capacity of all future nurses. Résumé Introduction : Bien que de nombreux progrès aient été réalisés au niveau des aptitudes en informatique des infirmières au Canada, il reste encore du travail à faire pour suivre le rythme actuel de la révolution technologique. Les programmes de formation en sciences infirmières et les infirmières enseignantes elles-mêmes se trouvent au premier plan de ce changement et sont essentiels pour assurer une intégration réussie des technologies numériques dans le domaine de la santé pour la pratique infirmière de demain. Méthodologie : En 2018, une étude utilisant des méthodes mixtes a été menée pour comprendre l’état actuel de l’intégration du numérique en santé et de contenu informatique dans les programmes d’études des écoles de sciences infirmières au Canada; cette étude comprenait notamment un sondage auprès des gestionnaires et des enseignantes des écoles de sciences infirmières, des entrevues téléphoniques et un groupe de discussion. Dans cet article, nous rendons compte des résultats concernant la perspective des infirmières enseignantes; les résultats du sondage auprès des gestionnaires académiques seront présentés séparément. Résultats : Les résultats de cette étude indiquent que les défis des infirmières enseignantes pour réaliser l’intégration de l’informatique dans les programmes de sciences infirmières sont universels et correspondent à ceux qui ont été identifiés dans la littérature générale. On remarque bien une prise de conscience croissante des compétences en informatique identifiées par l’ACÉSI pour l’entrée dans la pratique infirmière ainsi qu’un vif intérêt et désir de la part des infirmières enseignantes de répondre aux demandes actuelles pour faire progresser les ’apprentissages selon les besoins des futures infirmières en matière de santé numérique. Cependant, il reste certains défis et lacunes dans l’intégration du contenu de santé numérique qui doivent être examinés. Conclusion : Mettre en œuvre la vision d’un effectif infirmier adéquatement préparé pour la santé numérique nécessite un changement radical dans la façon de percevoir le rôle de l’informatique dans la formation et la pratique infirmières, ainsi que des efforts concertés de toutes les parties prenantes. Compte tenu de la révolution technologique actuelle qui touche tous les secteurs de la société, y compris les soins de santé, les infirmières enseignantes se trouvent dans une position unique pour façonner l’avenir de la pratique infirmière. L’engagement des enseignantes et le soutien des leaders gestionnaires de chacune des écoles de sciences infirmières au pays seront essentiels pour surmonter les obstacles et renforcer les aptitudes en informatique de toutes les infirmières de demain

Digital Health in Canadian Schools of Nursing—Part B: Academic Nurse Administrators’ Perspectives

While much progress has been achieved in advancing nursing informatics capacity in Canada, more work is needed to keep pace with the 21st century technological revolution. Nursing programs and educators are at the forefront of this change, and are key to ensuring successful integration of digital health and informatics in nursing education and practice. In 2018, a mixed methods study was conducted including a survey of nursing school administrators and nurse educators, telephone interviews, and one focus group meeting. The purpose of this research was to understand the current state of digital health and informatics content integration in nursing curricula within Canadian Schools of Nursing. In this paper, we report on findings representing the academic nurse administrators’ perspectives; nurse educator findings have been published separately (AUTHOR, 2020). Administrator respondents represented fewer than a third of Canadian schools of nursing, however findings indicate an appreciation of the importance of including digital health and informatics content in undergraduate curricula. There is some awareness of both CASN’s entry to practice informatics competencies and other related resources. Findings also suggest a willingness to provide the support needed for nurse educators to effectively address curricular integration. There was some difference of opinion when comparing educator and administrator perspectives. Variation was most evident when considering progress achieved to date. Findings also suggest administrators play a key role in assisting educators in overcoming barriers and advancing their informatics capacity to teach core digital health content. Digital heath integration is largely incumbent upon the leadership within schools of nursing as they are ideally positioned to provide the necessary vision and support. Some recommended tactics to address curricular integration are provided. Bien que de nombreux progrès aient été réalisés au niveau des aptitudes des infirmières en informatique au Canada, il reste encore du travail à faire pour suivre le rythme de la révolution technologique du 21e siècle. Les programmes de formation en sciences infirmières et les infirmières enseignantes se trouvent au premier plan de ce changement et sont essentiels pour assurer une intégration réussie de la santé numérique et de l’informatique dans la formation et la pratique infirmières. En 2018, une étude à devis mixte a été menée, comprenant un sondage auprès des gestionnaires académiques d’écoles de sciences infirmières et des infirmières enseignantes, des entrevues téléphoniques et une rencontre de groupe de discussion. Le but de cette recherche était de comprendre l’état actuel de l’intégration du contenu de la santé numérique et de l’informatique dans les programmes de formation des écoles canadiennes de sciences infirmières. Dans cet article, nous rendons compte des résultats représentant les points de vue des infirmières gestionnaires universitaires; les résultats des infirmières enseignantes ont été publiés séparément (AUTEUR, 2020). Les gestionnaires académiques répondantes représentaient moins du tiers des écoles canadiennes de sciences infirmières. Par ailleurs les résultats indiquent que ces répondantes jugent important d’inclure du contenu traitant de la santé numérique et de l’informatique dans les programmes d’études de premier cycle. I Les compétences en informatique pour accéder à la pratique et d’autres ressources connexes de l’ACESI étaient connues jusqu’à un certain point. Les résultats suggèrent également une volonté de fournir le soutien nécessaire aux infirmières enseignantes pour une intégration efficace dans les programmes d’études. Les points de vue des enseignantes et des gestionnaires académiques varient; la divergence la plus évidente concerne les progrès réalisés à ce jour. Les résultats suggèrent également que les gestionnaires jouent un rôle clé en aidant les enseignantes à surmonter les obstacles et à faire progresser leur capacité informatique à enseigner le contenu essentiel sur la santé numérique. L’intégration de la santé numérique dans les programmes incombe en grande partie aux directions des écoles de sciences infirmières, car ces dernières sont très bien placées pour fournir la vision et le soutien nécessaires. Certaines stratégies recommandées pour aborder l’intégration dans les programmes d’études sont proposées

Nursing informatics competencies for entry to practice: the perspective of six countries

Internationally, countries are challenged to prepare nurses for a future that has ever increasing use of technology and where information management is a central part of professional nursing practice. There has been a growing trend to move nursing to competency-based education, especially for those students undertaking their first nursing qualification. This first nursing qualification may be linked to pre-registration, pre-licensure or undergraduate education; the term used depending on the country. The authors are drawn from the International Medical Informatics Association special interest group, Nursing Informatics (IMIA-NI) Education Working Group and represent New Zealand, the United States of America, England, Australia, Finland and Canada

Long-term Psychological and Occupational Effects of Providing Hospital Healthcare during SARS Outbreak

TOC Summary Line: Healthcare workers in hospitals affected by SARS experience increased psychological stress 1–2 years after the outbreak

Search for new phenomena in final states with an energetic jet and large missing transverse momentum in pp collisions at √ s = 8 TeV with the ATLAS detector

Results of a search for new phenomena in final states with an energetic jet and large missing transverse momentum are reported. The search uses 20.3 fb−1 of √ s = 8 TeV data collected in 2012 with the ATLAS detector at the LHC. Events are required to have at least one jet with pT > 120 GeV and no leptons. Nine signal regions are considered with increasing missing transverse momentum requirements between Emiss T > 150 GeV and Emiss T > 700 GeV. Good agreement is observed between the number of events in data and Standard Model expectations. The results are translated into exclusion limits on models with either large extra spatial dimensions, pair production of weakly interacting dark matter candidates, or production of very light gravitinos in a gauge-mediated supersymmetric model. In addition, limits on the production of an invisibly decaying Higgs-like boson leading to similar topologies in the final state are presente

Search for chargino-neutralino production with mass splittings near the electroweak scale in three-lepton final states in √s=13 TeV pp collisions with the ATLAS detector

A search for supersymmetry through the pair production of electroweakinos with mass splittings near the electroweak scale and decaying via on-shell W and Z bosons is presented for a three-lepton final state. The analyzed proton-proton collision data taken at a center-of-mass energy of √s=13  TeV were collected between 2015 and 2018 by the ATLAS experiment at the Large Hadron Collider, corresponding to an integrated luminosity of 139  fb−1. A search, emulating the recursive jigsaw reconstruction technique with easily reproducible laboratory-frame variables, is performed. The two excesses observed in the 2015–2016 data recursive jigsaw analysis in the low-mass three-lepton phase space are reproduced. Results with the full data set are in agreement with the Standard Model expectations. They are interpreted to set exclusion limits at the 95% confidence level on simplified models of chargino-neutralino pair production for masses up to 345 GeV

Genomic epidemiology reveals multiple introductions of Zika virus into the United States

Zika virus (ZIKV) is causing an unprecedented epidemic linked to severe congenital abnormalities. In July 2016, mosquito-borne ZIKV transmission was reported in the continental United States; since then, hundreds of locally acquired infections have been reported in Florida. To gain insights into the timing, source, and likely route(s) of ZIKV introduction, we tracked the virus from its first detection in Florida by sequencing ZIKV genomes from infected patients and Aedes aegypti mosquitoes. We show that at least 4 introductions, but potentially as many as 40, contributed to the outbreak in Florida and that local transmission is likely to have started in the spring of 2016-several months before its initial detection. By analysing surveillance and genetic data, we show that ZIKV moved among transmission zones in Miami. Our analyses show that most introductions were linked to the Caribbean, a finding corroborated by the high incidence rates and traffic volumes from the region into the Miami area. Our study provides an understanding of how ZIKV initiates transmission in new regions

The James Webb Space Telescope Mission

Twenty-six years ago a small committee report, building on earlier studies, expounded a compelling and poetic vision for the future of astronomy, calling for an infrared-optimized space telescope with an aperture of at least $4m$. With the support of their governments in the US, Europe, and Canada, 20,000 people realized that vision as the $6.5m$ James Webb Space Telescope. A generation of astronomers will celebrate their accomplishments for the life of the mission, potentially as long as 20 years, and beyond. This report and the scientific discoveries that follow are extended thank-you notes to the 20,000 team members. The telescope is working perfectly, with much better image quality than expected. In this and accompanying papers, we give a brief history, describe the observatory, outline its objectives and current observing program, and discuss the inventions and people who made it possible. We cite detailed reports on the design and the measured performance on orbit.Comment: Accepted by PASP for the special issue on The James Webb Space Telescope Overview, 29 pages, 4 figure