Use of Theory to Guide Integration of Virtual Reality Technology in Nursing Education: A Scoping Study

Background: There is growing interest among academic nurse educators in using virtual reality (VR) environments as a pedagogical tool to enhance student learning. Purpose: The aim of this scoping study was to identify the theories or conceptual models that informed the application of virtual reality technology in nursing education programs. Methods: A scoping study using the Arksey and O\u27Malley (2005) framework was conducted. A search strategy recommended and executed by a research librarian yielded 18 final articles for review. Findings: There is limited use of theory or a conceptual model, particularly of nursing origin, to guide the integration of VR technology for student learning. Discussion: More research is needed to define best practices for application of VR technology for specific curricular needs, and for theory development based on specific concepts and disciplinary perspectives of learning

Robert Wood Johnson Foundation Nurse Faculty Scholars program leadership training

Background The Robert Wood Johnson Foundation Nurse Faculty Scholars program was created to address the nursing shortage via development of the next generation of national leaders in academic nursing. Purpose The leadership training combined development at the scholar's home institution with in-person didactic and interactive sessions with notable leaders in nursing and other disciplines. Methods A curriculum matrix, organized by six domains, was evaluated quantitatively and qualitatively. Discussion What set this program apart is that it immersed junior faculty in concerted leadership development with regard to all aspects of the faculty role so that teaching interactively, making use of the latest in information technology, giving testimony before a policy-making group, participating in strategic planning, and figuring out how to reduce the budget without jeopardizing quality were all envisioned as part of the faculty role. Conclusion The domains covered by this program could easily be used as the framework to plan other leadership-development programs for the next generation of academic leader

Integration of the Screening, Brief Intervention, and Referral to Treatment Screening Instrument Into School Nurse Practice

Substance abuse in adolescents has been recognized as a public health problem at the national and global levels. Adolescents are at risk for experimenting with substances. School nurses in secondary schools are well positioned to screen and counsel students on substance use. In this project, school nurses’ self-efficacy levels increased in using the Screening, Brief Intervention, and Referral to Treatment (SBIRT) process posteducation, and SBIRT was integrated into school nurses’ practice. Initiatives aimed at stopping or preventing substance use are beneficial for a healthy society

Telehealth Use in Interdisciplinary Health Professions Student Groups to Support Improved Outcomes

The intervention is presented within an academic setting. Clinical site shortages for all health professions students has been compounded by the recent pandemic, with a logical desire to leverage and expand the use of telehealth in this regard. The overarching purpose was to provide clinical encounters for a blend of interdisciplinary health professions students via telehealth care, while improving healthcare access and outcomes in underserved populations. A systematic instructional design approach was utilized. The approach included a needs analysis for gathering background information, followed by the design phase will commence where the project model can be initially designed and reviewed prior to launch. In the development phase, the project is finalized, implemented, and then evaluated for necessary changes to improve outcomes and foster sustainability. A discussion of challenges and recommendations for improved practice is included

Trauma-Informed Care For The Pediatric Nurse

Background Trauma is not limited to medical trauma and includes chronic stressors, toxic stress, adverse childhood events, abuse, and now the COVID-19 pandemic. Principles of trauma-informed care and resiliency guide pediatric nursing care across the life span from birth to adolescence. Trauma-informed care principles are pertinent to the nursing care needs of healthy and ill children from infancy to adolescence across care settings. Methods The purpose of this integrative literature review (IRL) is to elucidate evidence-based practices for pediatric nurses specific to trauma, trauma-informed principles, and the integration of these principles to care. UsingWhittemore and Knafl\u27s (2005) methodology, this IRL presents empirical literature to operationalize trauma-informed care for the pediatric nurse through 1) identification of the problem; 2) literature search; 3) data evaluation; 4) data analysis; 5) result presentation. Findings Results are presented in a contemporary framework by theSubstance Abuse and Mental Health Services Administration (2018) of trauma-awareness for the pediatric nurse, trauma-informed principles, and the integration of these principles to care. Pediatric nurses are in a unique position to offer trauma-informed care by recognizing and managing trauma to include chronic stressors, toxic stress, adverse childhood experiences, and abuse. Discussion Pediatric nurses today are caring for patients in a complex and diverse healthcare climate amid the world\u27s worst public health pandemic in living memory. Awareness of trauma, assessment of trauma in pediatrics, and health and resiliency promotion are critical in moving forward post-pandemic. The overview of trauma-informed care provides a guide for the pediatric nurse

Trauma Informed Care in Nursing: A Concept Analysis

Background: Pandemic-related community-wide trauma on have forced examination of chronic stress exposure response. Purpose: The aim of this concept analysis was to provide definition and framework for the conceptual meaning of trauma-informed care as foundation for all nursing professionals as we together meet the needs for a changing patient population in a post-pandemic world. Methods: Using Walker and Avant\u27s (2019) concept analysis method, exhaustive multidisciplinary and ancestry searches were conducted in PubMed, CINAHL, ERIC, and PsychINFO with 15 relevant manuscripts that were evaluated for relevance to the concept analysis in the context of nursing. Discussion: This analysis proposes a working definition of trauma-informed care in nursing to provide framework for clinical care and research inquiry. Trauma-informed care decreases the impact of psychological trauma for individuals within the healthcare system. Conclusion: A comprehensive, multi-disciplinary approach to trauma through trauma-informed care requires universal recognition and screening. Targeted interventions create a system of healing through empowerment, relationship building, and reduction in trauma triggers

Reducing the Wait: When Time is Priceless

Today, healthcare providers are not only charged with providing high-quality evidence-based care to improve patient outcomes, but also with completing quick patient visits due to time constraints to necessitate financial reimbursement. This article summarizes current evidence to determine best practices for managing outpatient wait times and improve outcomes, satisfaction, quality, and continuity of care

Show Me The Money…Saved! Cost Savings From Acute Asthma Care in the School-Based Health Center

Chronic school absenteeism directly affects educational outcomes while reducing school funding and reimbursement. Asthma is a prevalent disease associated with chronic absenteeism. This quality improvement project demonstrated classroom seat time preserved through use of school-based health centers (SBHC). The project also highlights the educational benefits, reduced emergency department utilization, potential cost savings to hospitals, and lower overall health care costs. Visit summary data were collected and analyzed to show quality asthma care and cost savings. Of 44 acute asthma visits that returned to class, an average classroom time of 3:42 hours were saved per student during the 2017–2018 academic year, resulting in a combined total of 166:07 hours saved. A minimum potential cost savings was estimated to be $67,770 for all 44 visits. Data analysis of structural, process, and outcome measures through quality improvement tools can demonstrate cost savings of SBHC care, which advocates funding for this pediatric care model

The Development of Nurses International Nurses Called to Serve in Low-income Countries

Nurses International (NI) is a global faith-based nursing education consulting organization dedicated to relieving suffering in low-resource countries by providing quality educational support to nurses and nursing schools. This article describes its inception by founder Miriam Chickering and details the beginning stages of the development of NI and examples of its work

COVID-19 and the Golden Years

The impact of COVID-19 on older adults may not be readily apparent. Personal protective and social distancing measures can reduce activity levels, increase feelings of isolation and loss, and result in lapsed medical care. NPs must recognize detrimental impacts on overall health and wellness and assist older adults in overcoming them