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McKay MA, Pariseault CA, Whitehouse CR, Smith T, Ross JG. The experience of baccalaureate clinical nursing faculty transitioning to emergency remote clinical teaching during the COVID-19 pandemic: Lessons for the future. NURSE EDUCATION TODAY 2022; 111:105309. [PMID: 35218997 PMCID: PMC8858762 DOI: 10.1016/j.nedt.2022.105309] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/23/2021] [Revised: 02/03/2022] [Accepted: 02/15/2022] [Indexed: 06/02/2023]
Abstract
BACKGROUND Experiential clinical learning in undergraduate nursing education allows for fusion of nursing knowledge with practice to ensure the development of competent graduate nurses. The global COVID-19 pandemic necessitated an abrupt transition from in-person clinical educational experiences to emergency remote clinical teaching. OBJECTIVES The purpose of this study was to describe the experiences of baccalaureate nursing clinical faculty who transitioned from in-person clinical to emergency remote clinical teaching during the COVID-19 pandemic in spring 2020. DESIGN A qualitative descriptive design was used. SETTING The study took place in the United States. PARTICIPANTS Nineteen baccalaureate nursing clinical faculty participated in the study. METHODS Participants engaged in semi-structured, in-depth, online interviews. RESULTS Five themes emerged from the data: transition, collaboration and support, the joy of teaching, authentic professional experience, and the overarching primary theme, stress of the moment. CONCLUSIONS The transition to emergency remote clinical teaching during the COVID-19 pandemic caused stress and anxiety. However, there were important lessons learned about how to best support students and faculty while providing a robust online learning experience. Understanding the experiences of clinical nursing faculty during this abrupt transition can support recommendations for best practices in the future.
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Affiliation(s)
- Michelle A McKay
- Villanova University, M. Louise Fitzpatrick College of Nursing, United States of America.
| | | | - Christina R Whitehouse
- Villanova University, M. Louise Fitzpatrick College of Nursing, United States of America
| | - Tierra Smith
- Villanova University, M. Louise Fitzpatrick College of Nursing, United States of America
| | - Jennifer Gunberg Ross
- Villanova University, M. Louise Fitzpatrick College of Nursing, United States of America
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Valencia M, Becerra JE, Reyes JC, Castro KG. Assessment of early mitigation measures against COVID-19 in Puerto Rico: March 15-May 15, 2020. PLoS One 2020; 15:e0240013. [PMID: 33052958 PMCID: PMC7556465 DOI: 10.1371/journal.pone.0240013] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2020] [Accepted: 09/17/2020] [Indexed: 11/25/2022] Open
Abstract
On March 15, 2020 Puerto Rico implemented non-pharmaceutical interventions (NPIs), including a mandatory curfew, as part of a state of emergency declaration to prevent the community transmission of the SARS-CoV-2 virus. The strict enforcement of this curfew was extended through May 25, with a gradual relaxation beginning on May 1. This report summarizes an assessment of these early mitigation measures on the progression of the COVID-19 pandemic in the island. From March 15 to May 15, 2020, 70,656 results of molecular (RT-PCR) tests were reported to the Puerto Rico Department of Health. Of these, 1,704 were positive, corresponding to 1,311 individuals with COVID-19 included in the study. We derived the epidemic growth rates (r) and the corresponding reproductive numbers (R) from the epidemic curve of these 1,311 individuals with laboratory-confirmed diagnosis of COVID-19 using their date of test collection as a proxy for symptoms onset. Through May 31, 2020, there were 143 COVID-19 associated deaths in Puerto Rico, for a case fatality risk of 10.9%. We compared the observed cases and deaths with Gompertz model projections had the mitigation measures not been implemented. The number of daily RT-PCR-confirmed cases peaked on March 30 (85 cases), showing a weekly cyclical trend, with lower counts on weekends and a decreasing secular trend since March 30. The initial exponential growth rate (r) was 15.87% (95% CI: 7.59%, 24.15%), corresponding to R of 1.82 (95% CI:1.37, 2.30). After March 30, the r value reverted to an exponential decay rate (negative) of -2.95% (95% CI: -4.99%, -0.92%), corresponding to R of 0.93 (95% CI: 0.86, 0.98). We estimate that, had the initial growth rate been maintained, a total of 6,155 additional COVID-19 cases would have occurred by May 15, with 211 additional COVID-19 deaths by May 31. These findings are consistent with very effective implementation of early NPIs as mitigation measures in Puerto Rico. These results also provide a baseline to assess the impact of the transition from mitigation to subsequent containment stages in Puerto Rico.
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Affiliation(s)
- Miguel Valencia
- Data Management Operations for COVID-19 Legacy Systems, Puerto Rico Department of Health, San Juan, PR
| | - José E. Becerra
- Graduate School of Public Health, University of Puerto Rico Medical Sciences Campus, San Juan, PR
- * E-mail:
| | - Juan C. Reyes
- Department of Biostatistics and Epidemiology, Graduate School of Public Health, University of Puerto Rico Medical Sciences Campus, San Juan, PR
| | - Kenneth G. Castro
- Hubert Department of Global Health & Department of Epidemiology, Rollins School of Public Health, Atlanta, GA, United States of America
- Division of Infectious Diseases, Department of Medicine, School of Medicine, Emory University, Atlanta, GA, United States of America
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Cruz-Correa M, Díaz-Toro EC, Falcón JL, García-Rivera EJ, Guiot HM, Maldonado-Dávila WT, Martínez KG, Méndez-Latalladi W, Pérez CM, Quiñones-Feliciano ML, Reyes JC, Rodríguez P, Santana-Bagur J, Torrellas LC, Vázquez D, Vázquez GJ, Rodríguez-Quilichini S. Public Health Academic Alliance for COVID-19 Response: The Role of a National Medical Task Force in Puerto Rico. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E4839. [PMID: 32635605 PMCID: PMC7369956 DOI: 10.3390/ijerph17134839] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/05/2020] [Revised: 06/29/2020] [Accepted: 06/30/2020] [Indexed: 12/31/2022]
Abstract
Alliances between the government and academic communities can be a key component of the public health response to an emergency such as the coronavirus disease 2019 (COVID-19) pandemic. The Governor of Puerto Rico designated the Puerto Rico Medical Task Force (MTF) COVID-19 to provide direct guidance and evaluation of the government response to the epidemic in Puerto Rico. Several work groups were formed within the MTF to create protocols and provide evidence-based recommendations on different public health aspects. The collaboration between the academia and the government enhanced the Puerto Rican public health response and contributed to the reduction seen in the contagion curve. Healthcare services and hospitals have not reached their maximum patient care capacity and the death toll has been controlled. Incorporating a national MTF with members of the academia into the government structure was beneficial during the COVID-19 response in Puerto Rico. A similar strategy could serve as a model for other states or territories and countries in similar scenarios.
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Affiliation(s)
- Marcia Cruz-Correa
- Department of Internal Medicine, School of Medicine, Medical Sciences Campus, University of Puerto Rico, San Juan 00936, Puerto Rico, USA; (M.C.-C.); (J.S.-B.)
- Division of Cancer Biology, University of Puerto Rico Comprehensive Cancer Center, San Juan 00936, Puerto Rico, USA
| | - Elba C. Díaz-Toro
- Department of Restorative Sciences, School of Dental Medicine, Medical Sciences Campus, University of Puerto Rico, San Juan 00936, Puerto Rico, USA;
| | - Jorge L. Falcón
- Department of Emergency Medicine, School of Medicine, Medical Sciences Campus, University of Puerto Rico, San Juan 00936, Puerto Rico, USA;
| | - Enid J. García-Rivera
- Endowed Health Services Research Center, School of Medicine, Medical Sciences Campus, University of Puerto Rico, San Juan 00936, Puerto Rico, USA;
| | - Humberto M. Guiot
- Department of Internal Medicine, School of Medicine, Medical Sciences Campus, University of Puerto Rico, San Juan 00936, Puerto Rico, USA; (M.C.-C.); (J.S.-B.)
- Department of Microbiology and Medical Zoology, Medical Sciences Campus, University of Puerto Rico, San Juan 00936, Puerto Rico, USA;
| | - Wanda T. Maldonado-Dávila
- School of Pharmacy, Medical Sciences Campus, University of Puerto Rico, San Juan 00936, Puerto Rico, USA;
| | - Karen G. Martínez
- Department of Psychiatry, School of Medicine, Medical Sciences Campus, University of Puerto Rico, San Juan 00936, Puerto Rico, USA
| | - William Méndez-Latalladi
- Department of Surgery, School of Medicine, Medical Sciences Campus, University of Puerto Rico, San Juan 00936, Puerto Rico, USA; (W.M.-L.); (P.R.); (S.R.-Q.)
| | - Cynthia M. Pérez
- Graduate School of Public Health, Medical Sciences Campus, University of Puerto Rico, San Juan 00936, Puerto Rico, USA; (C.M.P.); (J.C.R.); (D.V.)
| | - Myrna L. Quiñones-Feliciano
- Department of Pediatrics, School of Medicine, Medical Sciences Campus, University of Puerto Rico, San Juan 00936, Puerto Rico, USA;
| | - Juan Carlos Reyes
- Graduate School of Public Health, Medical Sciences Campus, University of Puerto Rico, San Juan 00936, Puerto Rico, USA; (C.M.P.); (J.C.R.); (D.V.)
| | - Pablo Rodríguez
- Department of Surgery, School of Medicine, Medical Sciences Campus, University of Puerto Rico, San Juan 00936, Puerto Rico, USA; (W.M.-L.); (P.R.); (S.R.-Q.)
- Puerto Rico Trauma Center, San Juan 00935, Puerto Rico, USA
| | - Jorge Santana-Bagur
- Department of Internal Medicine, School of Medicine, Medical Sciences Campus, University of Puerto Rico, San Juan 00936, Puerto Rico, USA; (M.C.-C.); (J.S.-B.)
| | | | - Dharma Vázquez
- Graduate School of Public Health, Medical Sciences Campus, University of Puerto Rico, San Juan 00936, Puerto Rico, USA; (C.M.P.); (J.C.R.); (D.V.)
| | - Guillermo J. Vázquez
- Department of Microbiology and Medical Zoology, Medical Sciences Campus, University of Puerto Rico, San Juan 00936, Puerto Rico, USA;
| | - Segundo Rodríguez-Quilichini
- Department of Surgery, School of Medicine, Medical Sciences Campus, University of Puerto Rico, San Juan 00936, Puerto Rico, USA; (W.M.-L.); (P.R.); (S.R.-Q.)
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