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Kim MJ, McKenna H, Davidson P, Leino-Kilpi H, Baumann A, Klopper H, Al-Gasseer N, Kunaviktikul W, Sharma SK, Ventura C, Lee T. Doctoral education, advanced practice and research: An analysis by nurse leaders from countries within the six WHO regions. INTERNATIONAL JOURNAL OF NURSING STUDIES ADVANCES 2022; 4:100094. [PMID: 38745635 PMCID: PMC11080457 DOI: 10.1016/j.ijnsa.2022.100094] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2022] [Accepted: 08/18/2022] [Indexed: 11/17/2022] Open
Abstract
Doctoral education, advanced practice and research are key elements that have shaped the advancement of nursing. Their impact is augmented when they are integrated and synergistic. To date, no publications have examined these elements holistically or through an international lens. Like a three-legged stool they are inter-reliant and interdependent. Research is integral to doctoral education and influential in informing best practice. This significance and originality of this discussion paper stem from an analysis of these three topics, their history, current status and associated challenges. It is undertaken by renowned leaders in 11 countries within the six World Health Organisation (WHO) regions: South Africa, Egypt, Finland, United Kingdom, Brazil, Canada, United States, India, Thailand, Australia, and the Republic of Korea. The first two authors used a purposive approach to identify nine recognized nurse leaders in each of the six WHO regions. These individuals have presented and published papers on one or more of the three topics. They have led, or currently lead, large strategic organisations in their countries or elsewhere. All these accomplished scholars agreed to collect relevant data and contribute to the analysis as co-authors. Doctoral education has played a pivotal role in advancing nurse scholarship. Many Doctor of Philosophy (PhD) prepared nurses become faculty who go on to educate and guide future nurse researchers. They generate the evidence base for nursing practice, which contributes to improved health outcomes. In this paper, the development of nursing doctoral programmes is examined. Furthermore, PhDs and professional doctorates, including the Doctor of Nursing Practice, are discussed, and trends, challenges and recommendations are presented. The increasing number of advanced practice nurses worldwide contributes to better health outcomes. Nonetheless, this paper shows that the role remains absent or underdeveloped in many countries. Moreover, role ambiguity and role confusion are commonplace and heterogeneity in definitions and titles, and regulatory and legislatorial inconsistencies limit the role's acceptance and adoption. Globally, nursing research studies continue to increase in number and quality, and nurse researchers are becoming partners and leaders in interdisciplinary investigations. Nonetheless, this paper highlights poor investment in nursing research and a lack of reliable data on the number and amount of funding obtained by nurse researchers. The recommendations offered in this paper aim to address the challenges identified. They have significant implications for policy makers, government legislators and nurse leaders.
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Affiliation(s)
- Mi Ja Kim
- College of Nursing, University of Illinois at Chicago, United States of America
| | | | | | | | - Andrea Baumann
- Global Health, WHO Collaborating Centre in Primary Care Nursing & Health Human Resources, McMaster University, Canada
| | | | | | - Wipada Kunaviktikul
- Health Science Affairs and School of Nursing, Panyapiwat Institute of Management, Thailand
| | - Suresh K. Sharma
- College of Nursing, All India Institute of Medical Sciences, India
| | - Carla Ventura
- WHO Collaborating Center, College of Nursing, University of São Paulo at Ribeirão Preto, Brazil
| | - Taewha Lee
- College of Nursing, Mo-Im Kim Nursing Research Institute, Yonsei University, Republic of Korea
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Cassiani SHDB, Moreno Dias B. Perspectives for Advanced Practice Nursing in Brazil. Rev Esc Enferm USP 2022; 56:e20210406. [PMID: 35695855 DOI: 10.1590/1980-220x-reeusp-2021-0406en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2021] [Accepted: 10/22/2021] [Indexed: 11/22/2022] Open
Abstract
This is a reflective study aiming to analyze the implementation of Advanced Practice Nursing (APN) and provide perspectives regarding the role of these professionals in the Region of the Americas, particularly in Brazil. Several countries in the world have introduced advanced nursing roles to improve quality of care and reduce health care costs. However, these roles have not been fully implemented in Latin American countries, although some countries have held advanced discussions about it and proposed graduated courses. Brazil fulfills all conditions necessary for the implementation of the education of advanced practice nurses. The investment in advanced practice nurses will result in positive outcomes for the health of the population in a short period of time, with lower costs for governments than other possible actions. It is also a strategic way to address the persistent pressure on health services, whether related to the COVID-19 pandemic or other health needs of the population, and it can be a viable strategy for the provision of care to vulnerable populations and those living in remote areas.
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Affiliation(s)
| | - Bruna Moreno Dias
- World Health Organization, Pan American Health Organization, Department of Health System and Services, Washington, DC, USA
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Harris OO, Bialous SA, Muench U, Chapman S, Dawson-Rose C. Climate Change, Public Health, Health Policy, and Nurses Training. Am J Public Health 2022; 112:S321-S327. [PMID: 35679559 PMCID: PMC9184906 DOI: 10.2105/ajph.2022.306826] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/03/2022] [Indexed: 11/04/2022]
Abstract
There are few educational programs in the United States that have a primary focus on preparing nurses to engage in all levels of public health, health policy, and climate change. The United Nations sustainability development goals (SDG) and the Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity (2021) report underscored the importance of key stakeholders, including nurses, engaging in advocacy and policy to promote health equity. We discuss the role of nursing at the intersection of public health, policy, climate change, and the SDG. We also discuss the history and merger of the University of California San Francisco (UCSF) School of Nursing public health and health policy specialties, a significant innovation in our effort to promote health equity. We provide a brief overview of the redesigning of our curriculum that meets the needs of today's learners by including content on climate change, data analytics, and racial, social, and environmental justice. Finally, we emphasize the need to train the next cadre of nurses interested in careers in public health and health policy for us to meet the challenges facing our communities. (Am J Public Health. 2022;112(S3):S321-S327. https://doi.org/10.2105/AJPH.2022.306826).
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Affiliation(s)
- Orlando O Harris
- All authors are with the School of Nursing, University of California, San Francisco (UCSF). Orlando O. Harris and Carol Dawson-Rose are also with the Department of Community Health Systems, UCSF. Stella Anguinaga Bialous, Ulrike Muench, and Susan Chapman are also with the Department of Social and Behavioral Sciences, UCSF
| | - Stella Aguinaga Bialous
- All authors are with the School of Nursing, University of California, San Francisco (UCSF). Orlando O. Harris and Carol Dawson-Rose are also with the Department of Community Health Systems, UCSF. Stella Anguinaga Bialous, Ulrike Muench, and Susan Chapman are also with the Department of Social and Behavioral Sciences, UCSF
| | - Ulrike Muench
- All authors are with the School of Nursing, University of California, San Francisco (UCSF). Orlando O. Harris and Carol Dawson-Rose are also with the Department of Community Health Systems, UCSF. Stella Anguinaga Bialous, Ulrike Muench, and Susan Chapman are also with the Department of Social and Behavioral Sciences, UCSF
| | - Susan Chapman
- All authors are with the School of Nursing, University of California, San Francisco (UCSF). Orlando O. Harris and Carol Dawson-Rose are also with the Department of Community Health Systems, UCSF. Stella Anguinaga Bialous, Ulrike Muench, and Susan Chapman are also with the Department of Social and Behavioral Sciences, UCSF
| | - Carol Dawson-Rose
- All authors are with the School of Nursing, University of California, San Francisco (UCSF). Orlando O. Harris and Carol Dawson-Rose are also with the Department of Community Health Systems, UCSF. Stella Anguinaga Bialous, Ulrike Muench, and Susan Chapman are also with the Department of Social and Behavioral Sciences, UCSF
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Hughes TL, George M, Shah R, Dias BM, Dohrn JE, De Bortoli Cassiani SH. Nursing engagement in research priorities focused on health systems and services in Latin America countries. HUMAN RESOURCES FOR HEALTH 2022; 20:45. [PMID: 35606802 PMCID: PMC9125952 DOI: 10.1186/s12960-022-00746-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/12/2022] [Accepted: 05/13/2022] [Indexed: 06/15/2023]
Abstract
BACKGROUND A strong nursing research agenda in Latin America is fundamental to universal health coverage. Nursing science can make important contributions to the health of Latin American people through knowledge generation that directly informs nursing practice, professional education, and health policy. METHODS We used a cross-sectional survey design to assess nursing involvement in health systems and services research in Latin America in five priority areas: Policies and education related to nursing human resources; Structure, organization and dynamics of health systems and services; Science, technology, innovation, and information systems in public health; Health policies, governance, and social control; and Social studies in the health field. RESULTS Nursing and midwifery participants (N = 856) from Latin American countries completed the survey. Respondents who reported conducting research focused primarily on Policies and Education related to Nursing Human Resources and Structure, Organization, and Dynamics of Health Systems and Services. Across the five priority areas, more nurses reported using research findings and/or being aware of research than conducting research. CONCLUSIONS Survey results indicate that nursing research in Latin America is currently disproportionately focused on nursing education and practice. More research focused on information technology, nurse's impact on public health, and the threats posed by nurse migration is needed to better address health needs of Latin American populations.
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Affiliation(s)
- Tonda L. Hughes
- Columbia University School of Nursing, 560 168th Street, New York, NY 10032 United States of America
| | - Maureen George
- Columbia University School of Nursing, 560 168th Street, New York, NY 10032 United States of America
| | - Ruby Shah
- Columbia University School of Nursing, 560 168th Street, New York, NY 10032 United States of America
| | - Bruna Moreno Dias
- Pan American Health Organization, 525 23rd NW, Washington, DC 20037 United States of America
| | - Jennifer E. Dohrn
- Columbia University School of Nursing, 560 168th Street, New York, NY 10032 United States of America
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Cassiani SHDB, Moreno Dias B. Perspectivas para a Enfermagem de Prática Avançada no Brasil. Rev Esc Enferm USP 2022. [DOI: 10.1590/1980-220x-reeusp-2021-0406pt] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
RESUMO Estudo reflexivo com objetivo de analisar a implementação da Enfermagem de Práticas Avançadas (EPA) e as perspectivas de atuação deste profissional na Região das Américas, com enfoque no Brasil. Diversos países têm introduzido papeis avançados para enfermeiros no intuito de melhorar a qualidade dos cuidados e para reduzir custos em saúde. Este papel não está totalmente implementado nos países da América Latina, ainda que alguns países tenham avançado nas discussões sobre o tema e na proposição de cursos de pós-graduação. O Brasil tem plenas condições para implementação de enfermeiros de prática avançada. O investimento em enfermeiros de prática avançada implicará em resultados positivos para a saúde da população em um curto período de tempo e com menores custos para os governos, em comparação com outras possíveis ações. Também se configura como estratégia de enfrentamento da pressão nos serviços de saúde, seja em decorrência da pandemia de COVID-19, como para as demais necessidades de saúde da população; e pode ser uma estratégia viável na atenção de populações em situação de vulnerabilidade e em regiões remotas.
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Lee M, Na HM, Kim B, Kim SY, Park J, Choi JY. Mediating effects of achievement emotions between peer support and learning satisfaction in graduate nursing students. Nurse Educ Pract 2021; 52:103003. [PMID: 33774568 DOI: 10.1016/j.nepr.2021.103003] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2020] [Revised: 02/18/2021] [Accepted: 02/20/2021] [Indexed: 11/18/2022]
Abstract
Graduate nursing students experience considerable stress due to their multiple responsibilities, including professional responsibilities, graduate coursework and family commitments. Peer support can help graduate students overcome stress and may heavily influence their learning satisfaction. However, the mechanisms underlying the influence of peer support on learning satisfaction in graduate students remain unclear. Thus, this cross-sectional study examined the relationship between peer support, achievement emotions (learner-specific emotions related to achievement activities) and learning satisfaction, as well as the mediating effects of achievement emotions among 225 graduate nursing students working in the Korean health care system. Participants completed a questionnaire assessing these variables. Pearson correlation was conducted to investigate the relationship between the variables and Baron and Kenny's regression analysis and Sobel test were conducted to examine the mediating effects of achievement emotions. Peer support correlated positively with positive achievement emotions and learning satisfaction and negatively with negative emotions. Positive emotions were positively and negative emotions were negatively, correlated with learning satisfaction. Achievement emotions mediated the relationship between peer support and learning satisfaction. Our findings indicate that peer support plays an important role in improving learning satisfaction, emphasizing the advantages of positive emotions and the disadvantages of negative emotions in graduate nursing students.
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Affiliation(s)
- Mikyoung Lee
- Department of Nursing, Kwangju Women's University, Gwangju, South Korea; Department of Educational Psychology, University of Munich, Munich, Germany.
| | - Hyun Mi Na
- College of Nursing, Chonnam National University, Gwangju, South Korea
| | - Bora Kim
- College of Nursing, Chonnam National University, Gwangju, South Korea
| | - Su Yeon Kim
- College of Nursing, Chonnam National University, Gwangju, South Korea
| | - Jein Park
- College of Nursing, Chonnam National University, Gwangju, South Korea
| | - Ja Yun Choi
- College of Nursing, Chonnam National University, Gwangju, South Korea
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Buchan J, Campbell J, McCarthy C. Optimizing the contributions of nursing and midwifery workforces: #Protect, #Invest, #Together. HUMAN RESOURCES FOR HEALTH 2021; 19:26. [PMID: 33653338 PMCID: PMC7921612 DOI: 10.1186/s12960-021-00577-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Affiliation(s)
- James Buchan
- Human Resources for Health/Adjunct Professor UTS, Sydney, Australia
| | - James Campbell
- Health Workforce Department, World Health Organization, Geneva, Switzerland
| | - Carey McCarthy
- Health Workforce Department, World Health Organization, Geneva, Switzerland
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