Nurses’ Role in Taking Care of Gestational Diabetes Mellitus Patients: A Qualitative Study

Introduction: Gestational Diabetes Mellitus (GDM) is becoming one of the major public health problems. It is important to screen the GDM and for the case to be managed by nurses. Nurses are needed to care for pregnant women with GDM, and the work experience of nurses is directly related to the assistance and quality of care provided. However, nurses face some barriers in understanding the GDM and providing good management thereof. This study explored the experiences of nurses of caring for GDM patients.Methods: This study was a phenomenological approach qualitative research. Participants were 10 nurses who provide care for pregnant women with GDM selected by purposive sampling technique with sampling criteria. Data analysis used the Colaizzi method.Results: There were five categories, e.g. empathy, inspiration to find ways to treat patients very well, feeling of ambivalence, self-preservation to develop potential, and the impact on the nurses of caring for GDM.Conclusion: Sustaining the nursing workforce and improving their working experiences are essential to meet the care needs of pregnant women with GDM. Nurses should understand to promote empathy, and there is a need to improve the job satisfaction and morale of nurses. At the institutional level, policy makers should make efforts to improve the nursing clinical practice environment, increase the nursing management role, the maternity nursing education and training, achieve a proper skill mix of the health workforce, and, overall, attract, prepare and sustain nurses regarding caring for pregnant women with high risk GDM.

Remote Delivery of Virtual Reality Patient Simulations for Nursing Education

In the midst of rapid transfers to online teaching for experiential learning opportunities in nursing clinical labs this past spring due to the pandemic, nursing simulations with immersive virtual reality (VR) in VR headsets were deemed impossible. In partnership with Embodied Labs, nursing faculty pivoted to facilitating VR using remote learning approaches in groups. In this new VR approach nursing students engaged in active learning, critical discourse, and reflection guided by faculty delivered VR scenarios remotely with in-session debriefing during discussion pause points. Complex scenarios focused on patient or family perspectives (e.g. during end-of-life care or navigating community and healthcare needs as a LGBTQ individual). These were valuable online learning opportunities for undergraduate nursing education. Student feedback was positive, and faculty perceptions indicated using VR remote learning offers rich, engaging discussion through complex topics important to nursing clinical practice.

The influence of experienced violence and the clinical learning environment on vocational identity in nursing students

Purpose: The purpose of this study is to determine the influence of the learning environment on nursing students' clinical practice education and the violence experienced during clinical practice on vocational identity. Methods: The design of the study was a descriptive survey, and data were collected from November 15 to November 27, 2019. The data of the study were obtained from 515 nursing students attending three universities using self-administered questionnaires. Data were analyzed using the SPSS 25.0 program. Results: For the experience of violence, verbal violence (98.3%) was the type most commonly experienced, and patients (97.7%) were the most frequent perpetrators. The clinical learning environment was perceived differently according to gender, personality, interpersonal relationship, satisfaction with nursing, clinical practice satisfaction, violence prevention education, the need for violence prevention education, sexual violence experiences, and violent perpetrators. The most influential factor on vocational identity was satisfaction with the nursing major (β=0.24, p<.001), followed by extroverted personality (β=0.18, p<.001), clinical learning environment (β=0.15, p=.001), satisfaction with clinical practice (β =0.15, p=.002), and the experience of violence by patients (β=-0.10, p=.016), which together explained 24.1% of the variance in the model. Conclusion: It is necessary to make efforts to ensure that students do not experience violence during clinical practice, to maintain a close cooperative relationship between university and clinical institutions to improve the learning environment for clinical practice, and to make the clinical field an educational learning environment.

A STUDY ON PATIENT SAFETY MANAGEMENT’S KNOWLEDGE, ATTITUDE, CONFIDENCE IN PERFORMANCE, AND PRACTICE DURING PEDIATRIC-ADOLESCENT NURSING CLINICAL PRACTICE

This descriptive study was conducted to investigate nursing college students’ level of patient safety management during the pediatric-adolescent nursing clinical practice courses. This study aimed to provide a baseline data for developing systematic nursing educational curriculum for the enhancement of competence in nursing college students’ fundamental patient safety nursing intervention. The participants consisted of 372 senior nursing college students who have had clinical practice at a nursing college in G metropolitan city. The data was collected from December 1 to 28th, 2019 at the end point of their clinical training education in nursing college, and convenience sampling method was used. The results of this study indicated that the ratio of correct answers of PSM-K was 7.30 out of 10, PSM-A was 3.76, PSM-CP was 3.92, and PSM-P was 4.21 out of 5 points. In terms of the correlations between PSM-K, PSM-A, PSM-CP, and PSM-P, significant positive correlations existed between PSM-K and PSM-A(r=.28, p<.001), PSM-CP and PSM-K(r=.19, p<.001), PSM-CP and PSM-A(r=.48, p<.001), PSM-P and PSM-A(r=.37, p<.001), and PSM-CP and PSM-P(r=.36, p<.001). Therefore, to enhance the nursing college students’ competence in patient safety nursing intervention, nursing college students must experience various exercises and training for patient safety management during the clinical practicum as well as with scenario-based simulation. The nursing education facilities should develop educational contents about patient safety for nursing college students.

The demands on nursing curriculum flexibility towards the need of global workforce: A systematic review

The demand for Indonesian nurses to work abroad has increased over the last five years. The challenge is that the orientation of the nursing education curriculum in Indonesia is still local, not yet leading to international standards. As a result, only a small number of nurses passed the selection, the process is longer, and the recruitment cost is higher. Therefore, this review aims to identify the global need for Indonesian nurses and provide an overview of the importance of structured planning in terms of nursing education curriculum related to job opportunities overseas. The study grouped, allocated, organized, and used relevant library variations. Researchers conducted a literature study regarding the demand for Indonesian nurses, the development of education and curriculum from several sources such as the Ministry of Health, the Indonesian Migrant Workers and Protection Agency (BP2MI), the Ministry of Higher Education, World Health Organization (WHO), as well as the latest journals, from 2016 to 2021. The data were reviewed, analyzed and alternative solutions were identified. The analytical review shows the demands on Indonesian nurses keep on growing. The magnitude of this demand is an opportunity as well as challenges that need to be anticipated earlier in terms of the nursing education curriculum and the Government policymakers. Keywords: nursing education; global need of nursing; clinical practice; health policy maker

Adopting an American framework to optimize nursing admission documentation in an Australian health organization

Objective Apply and modify the American Essential Clinical Dataset (ECD) approach to optimize the data elements of an electronic nursing admission assessment form in a metropolitan Australian local health district. Materials and Methods We used the American ECD approach but made modifications. Our approach included 1) a review of data, 2) a review of current admission practice via consultations with nurses, 3) a review of evidence and policies, 4) workshops with nursing and informatics teams in partnership with the eMR vendor, and 5) team debrief sessions to consolidate findings and decide what data elements should be kept, moved, or removed from the admission form. Results Of 165 data elements in the form, 32% (n=53) had 0% usage, while 25% (n=43) had 100% usage. Nurses perceptions of the form purpose varied. Eight policy documents specifically prescribed data to be noted at admission. Workshops revealed risks of moving or removing data elements, but also uncovered ways of streamlining the form. Consolidation of findings from all phases resulted in a recommendation to reduce 91% of data elements. Discussion Application of a modified ECD approach allowed the team to identify opportunities for significantly reducing and reorganizing data elements in the eMR to enhance the utility, quality, visibility, and value of nursing admission data. Conclusion We found the modified ECD approach effective for identifying data elements and work processes that were unnecessary and duplicated. Our findings and methodology can inform improvements in nursing clinical practice, information management, and governance in a digital health age.