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Karlsen K, Nygård C, Johansen LG, Gjevjon ER. In situ simulation training strengthened bachelor of nursing students' experienced learning and development process- a qualitative study. BMC Nurs 2024; 23:121. [PMID: 38360599 PMCID: PMC10870516 DOI: 10.1186/s12912-024-01771-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2023] [Accepted: 01/28/2024] [Indexed: 02/17/2024] Open
Abstract
BACKGROUND In advanced clinical learning labs on campus, high-fidelity simulation has become an essential educational approach in the Bachelor of Nursing Education programme. However, simulation while in clinical placement, in situ, is rarely used in Bachelor of Nursing Education. The aim of the present study was to explore how in situ simulation training at a surgical hospital ward, according to Bachelor of Nursing students, influenced their learning and development process. METHODS A qualitative descriptive study was conducted. Data were collected through individual interviews with a sample of 21 s-year Bachelor of Nursing students who completed 40 in situ simulations during their eight-week clinical placement at a Norwegian University Hospital. Data were analysed using inductive content analysis. RESULTS The data analysis generated six subcategories constituting two descriptive categories: building professional confidence and internalising nursing knowledge. Although the students found in situ simulation stressful and uncomfortable for being assessed by student peers, the teacher and preceptor, the process of managing clinical situations in simulation helped build professional confidence. What the students had learned in the simulation was directly transferable to real clinical situations because they were in the hospital setting. The simulation sessions enabled them to connect theoretical knowledge and clinical skills. They could test their skills in a safe environment, performing procedures that made them aware of how their knowledge could be used in real life. CONCLUSION According to the Bachelor of Nursing students' own experiences, in situ simulation supported the students' learning process, connected theory and practice and contributed to developing confidence in the performance of clinical skills. Including simulation in clinical practice could prove to be an effective way of teaching and learning clinical skills in nursing regarding resources and learning outcomes.
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Affiliation(s)
| | - Carina Nygård
- UiT The Arctic University of Norway, Harstad, Norway
| | | | - Edith Roth Gjevjon
- UiT The Arctic University of Norway, Harstad, Norway.
- Lovisenberg University College, Oslo, Norway.
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Nordaunet OM, Gjevjon ER, Olsson C, Aagaard H, Borglin G. What about the fundamentals of nursing-its interventions and its continuity among older people in need of home- or facility-based care: a scoping review. BMC Nurs 2024; 23:59. [PMID: 38254154 PMCID: PMC10801980 DOI: 10.1186/s12912-023-01675-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2023] [Accepted: 12/19/2023] [Indexed: 01/24/2024] Open
Abstract
AIM This scoping review investigated and descriptively summarised previous research about fundamental nursing, its focus (what care needs are described, how is it described and by whom is it described), continuity of care (is it described in relation to fundamental nursing) and possible nursing interventions or activities targeting older people's fundamentals of care needs in home- or facility-based care. METHODS This scoping review was carried out following the steps of Arksey and O'Malley's methodology and PRISMA-ScR reporting guidelines. Searches were conducted in PubMed via NIH, CINAHL via EBSCO and PsycInfo via ProQuest for the time period between January 2002 and May 2023. RESULTS Forty-two studies were included where the majority had been conducted in a facility-based care context. Nutrition-or rather nutritional care activities targeting eating and drinking-was the most frequently described fundamental care needs addressed. After this came personal care such as cleansing, dressing, oral care, skin, and foot care. Few studies addressed more than one fundamental care need at the time. The nursing staff described fundamental nursing as complex, comprehensive, and demanding. Older people and relatives described a gap between the fundamental nursing provided and their perceived need for support. Less attention was given to older peoples relational and psychosocial needs. Identified nursing interventions mainly targeted physical care needs. Our findings also implied that interventions focusing on fundamental nursing were described as feasible in practice with favourable or moderate results, while long-term effects were difficult to detect. No studies were identified focusing on fundamental nursing in relation to outcomes such as continuity of care. CONCLUSION Fundamental nursing was mainly described in relation to physical care needs, which were essentially conducted within facility-based care contexts. Interventions and activities primarily focused on one fundamental need at the time, mainly within the physical domain. No nursing interventions were identified focusing on relational and psychosocial needs where continuity of care can be viewed as a relevant outcome. Such limited focus are especially concerning as research has highlighted the importance of that older people with complex care needs can benefit from a holistic and person-centred approach i.e. fundamental nursing. TRIAL REGISTRATION Open Science Framework https://doi.org/10.17605/OSF.IO/XJ39E Protocol: http://dx.doi.org/10.1136/bmjopen-2022-069798.
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Affiliation(s)
- O M Nordaunet
- Department of Bachelor Education (Nursing), Lovisenberg Diaconal University College, Lovisenberggata 15B, NO-0456, Oslo, Norway.
- Institute of Health Sciences, Department of Nursing, Karlstad University, Universitetsgatan 2, 651 88, Karlstad, Sweden.
| | - E R Gjevjon
- Department of Bachelor Education (Nursing), Lovisenberg Diaconal University College, Lovisenberggata 15B, NO-0456, Oslo, Norway
- UiT The Arctic University of Norway, Havnegata 5, 9404, Harstad, Norway
| | - C Olsson
- Department of Bachelor Education (Nursing), Lovisenberg Diaconal University College, Lovisenberggata 15B, NO-0456, Oslo, Norway
- Institute of Health Sciences, Department of Nursing, Karlstad University, Universitetsgatan 2, 651 88, Karlstad, Sweden
| | - H Aagaard
- Department of Bachelor Education (Nursing), Lovisenberg Diaconal University College, Lovisenberggata 15B, NO-0456, Oslo, Norway
| | - G Borglin
- Department of Bachelor Education (Nursing), Lovisenberg Diaconal University College, Lovisenberggata 15B, NO-0456, Oslo, Norway
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Nordaunet OM, Gjevjon ER, Olsson C, Aagaard H, Borglin G. Fundamental nursing care focusing on older people's needs and continuity of long-term care: a scoping review protocol. BMJ Open 2023; 13:e069798. [PMID: 36977539 PMCID: PMC10069605 DOI: 10.1136/bmjopen-2022-069798] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/30/2023] Open
Abstract
INTRODUCTION Knowledge about long-term care services ability, regardless of if the service is home-based or facility-based, to provide an optimal and comprehensive fundamental nursing care (understood as focusing on physical, relational and psychosocial needs) consistently over time is sparse. Research into nursing indicates the presence of a discontinuous and fragmented healthcare service, and that fundamental nursing care such as mobilisation, nutrition and hygiene among older people (65 years and above) seems to be, regardless of reasons, systematically rationed by nursing staff. Thus, our scoping review aims to explore the published scientific literature on fundamental nursing care and continuity of care targeting older people's needs while also describing identified nursing interventions with the same foci in a long-term care context. METHODS AND ANALYSIS The upcoming scoping review will be conducted in accordance with Arksey and O'Malley's methodological framework for scoping studies. Search strategies will be developed and adjusted to each database, for example, PubMed, CINAHL and PsychINFO. Searches will be limited to the years 2002-2023. Studies focusing our aim, regardless of study design, will be eligible for inclusion. Included studies will be quality assessed and data will be charted using an extraction form. Textual data will be presented through a thematic analysis and numerical data by a descriptive numerical analysis. This protocol adheres to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses protocol checklist. ETHICS AND DISSEMINATION The upcoming scoping review will take into consideration ethical reporting in primary research as part of the quality assessment. The findings will be submitted to an open-access peer-reviewed journal. Under the Norwegian Act on Medical and Health-related Research, this study does not need ethical clearance by a regional ethical review authority as it will not generate any primary data or obtain sensitive data or biological samples.
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Affiliation(s)
- Ole Martin Nordaunet
- Institute of Health Sciences, Department of Nursing, Faculty of Health Science and Technology, Karlstad University, Karlstad, Sweden
- Bachelor of Education in Nursing, Lovisenberg Diaconal University College, Oslo, Norway
| | - Edith Roth Gjevjon
- Bachelor of Education in Nursing, Lovisenberg Diaconal University College, Oslo, Norway
| | - Cecilia Olsson
- Institute of Health Sciences, Department of Nursing, Faculty of Health Science and Technology, Karlstad University, Karlstad, Sweden
| | - Hanne Aagaard
- Lovisenberg Diaconal University College, Oslo, Norway
| | - Gunilla Borglin
- Bachelor of Education in Nursing, Lovisenberg Diaconal University College, Oslo, Norway
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Sandberg K, Olsson C, Gjevjon ER, Borglin G. Nursing care and models of care in relation to older people in long-term care contexts: a scoping review protocol. BMJ Open 2022; 12:e064610. [PMID: 36400730 PMCID: PMC9676999 DOI: 10.1136/bmjopen-2022-064610] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
INTRODUCTION What nurses do and how they do it can influence older people's experiences of the quality of long-term care. In addition, a clear role definition for nurses supports them in giving patients appropriate basic care. Despite this, there is a lack of a clear role definition regarding policy, work descriptions and expectations. Therefore, the objective of this scoping review is to map the literature on nurses' role, function and care activities and/or nursing interventions, as well as to identify nursing interventions (as models of nursing care, patient care pathways and/or clinical practice guidelines) in relation to older people in long-term care. Hence, to explore how nurse's role, function and care activities in relation to older people's basic care needs are described and understood by key stakeholders (older people, their next of kin, nurses) in long-term care. METHODS AND ANALYSIS Arksey and O'Malley's methodologic framework for scoping studies will be used for this upcoming scoping review. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews checklist will be followed. Search strategies will be developed in collaboration with the research team and an experienced librarian. Search strategies will be adjusted for each of the databases: PubMed, PsycINFO, CINAHL and Scopus. Data will be charted using a pilot extraction sheet. Quantitative data will be described numerically, and qualitative data will be analysed using thematic analysis. The key stakeholders will be consulted for validation. ETHICS AND DISSEMINATION The upcoming study will follow All European Academies' principles for good research. The findings will be used to inform the design of future studies aiming to develop a nursing intervention targeting older peoples' basic care needs.
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Affiliation(s)
- Karin Sandberg
- Department of Health Sciences, Faculty of Health, Science, and Technology, Karlstad University, Karlstad, Sweden
| | - Cecilia Olsson
- Department of Health Sciences, Faculty of Health, Science, and Technology, Karlstad University, Karlstad, Sweden
- Bachelor's in Nursing, Lovisenberg Diaconal University College, Oslo, Norway
| | - Edith Roth Gjevjon
- Bachelor's in Nursing, Lovisenberg Diaconal University College, Oslo, Norway
| | - Gunilla Borglin
- Bachelor's in Nursing, Lovisenberg Diaconal University College, Oslo, Norway
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Zlamal J, Roth Gjevjon E, Fossum M, Steindal SA, Nes AAG. A Technology-Supported Guidance Model to Support the Development of Critical Thinking among Undergraduate Nursing Students in Clinical Practice: A Concurrent, Exploratory, Flexible, Multi-Method Feasibility Study (Preprint). JMIR Form Res 2022; 7:e43300. [PMID: 37099377 PMCID: PMC10173047 DOI: 10.2196/43300] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2022] [Revised: 12/22/2022] [Accepted: 01/09/2023] [Indexed: 01/11/2023] Open
Abstract
BACKGROUND There is widespread recognition and acceptance of the need for critical thinking in nursing education, as it is necessary to provide high-quality nursing. The Technology-Supported Guidance Model (TSGM) intervention was conducted during clinical practice among undergraduate nursing students and aimed to support the development of critical thinking. A major element of this newly developed intervention is an app, Technology-Optimized Practice Process in Nursing (TOPP‑N), combined with the daily guidance of nursing students from nurse preceptors and summative assessments based on the Assessment of Clinical Education. OBJECTIVE The main objective of this study was to assess the feasibility of a newly developed intervention, TSGM, among undergraduate nursing students, nurse preceptors, and nurse educators. Further objectives were to assess the primary and secondary outcome measures, recruitment strategy, and data collection strategy and to identify the potential causes of dropout and barriers to participant recruitment, retention, intervention fidelity, and adherence to the intervention. METHODS This study was designed as a concurrent, exploratory, flexible, and multimethod feasibility study of the TSGM intervention that included quantitative and qualitative data from nursing students, nurse preceptors, and nurse educators. The primary outcome measures were the feasibility and acceptability of the intervention. The secondary outcomes included the suitability and acceptance of the outcome measures (critical thinking, self-efficacy, clinical learning environment, metacognition and self-regulation, technology acceptance, and competence of mentors); data collection strategy; recruitment strategy; challenges related to dropouts; and hindrances to recruitment, retention, and intervention fidelity and adherence. RESULTS Nursing students, nurse preceptors, and nurse educators had varied experiences with the TSGM intervention. We identified factors that make the intervention feasible and challenging and may influence the feasibility, acceptability, dropout rate, adherence, and fidelity of the intervention. We also identified areas for future improvement of the intervention. CONCLUSIONS The use of a newly developed intervention, TSGM, is feasible and accepted by undergraduate nursing students, nurse preceptors, and nurse educators; however, refinement and improvement of the intervention and the TOPP‑N app, improvement in intervention management, and mitigation of negative factors are necessary before a randomized controlled trial can be performed. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) RR2-10.2196/31646.
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Affiliation(s)
- Jaroslav Zlamal
- Department of Bachelor Education in Nursing, Lovisenberg Diaconal University College, Oslo, Norway
| | - Edith Roth Gjevjon
- Department of Bachelor Education in Nursing, Lovisenberg Diaconal University College, Oslo, Norway
| | - Mariann Fossum
- Department of Health and Nursing Sciences, University of Agder, Kristiansand, Norway
| | - Simen A Steindal
- Faculty of Health Studies, VID Specialized University, Oslo, Norway
- Department of Postgraduate Studies, Lovisenberg Diaconal University College, Oslo, Norway
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Flyum IR, Gjevjon ER, Josse-Eklund A, Lærum-Onsager E, Borglin G. Nursing, frailty, functional decline and models of care in relation to older people receiving long-term care: a scoping review protocol. BMJ Open 2022; 12:e061303. [PMID: 35998956 PMCID: PMC9403107 DOI: 10.1136/bmjopen-2022-061303] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
INTRODUCTION Older people receiving healthcare in long-term care contexts (eg, home healthcare, sheltered housing and nursing home contexts) are especially vulnerable to developing frailty and functional decline. Considering the negative effects associated with these conditions and the possibility of preventing them from progressing, it is vital that nurses possess a broad knowledge base related to them. Particularly as prevention related to these conditions lies well within their remit. Such knowledge could guide the development of effective models of care, ensuring continuity and, hence, quality of care. Our objective will be to review published literature on existing models of care targeting frailty and/or functional decline and how these conditions are described by older people themselves, significant others and nurses in relation to long-term care. METHODS AND ANALYSIS The scoping review will be conducted in accordance with Arksey and O'Malley's methodological framework. Recent methodological developments will be considered. PubMed, CINAHL and PsycINFO will be searched. Eligibility criteria will be peer-reviewed papers and written in English. All types of study designs will be eligible and included papers will be quality and ethically assessed. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA)-Protocol checklist for protocols and the PRISMA for Scoping Reviews checklist were followed in this paper. ETHICS AND DISSEMINATION As the study outlined in this protocol is a scoping review, no ethics approval was needed for this protocol nor for the upcoming study. The findings will be published in an open-access, peer-reviewed journal. Additionally, the findings will guide a research project following the Medical Research Council's framework for developing and evaluating complex interventions. Thus, supporting us in developing a model of care related to the detection and prevention of frailty and/or functional decline among older people in a long-term care context.
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Affiliation(s)
- Ida Røed Flyum
- Institute of Health Sciences, Department of Nursing, Karlstad University Faculty of Health Science and Technology, Karlstad, Sweden
- Bachelor Education in Nursing, Lovisenberg Diaconal University College, Oslo, Norway
| | - Edith Roth Gjevjon
- Bachelor Education in Nursing, Lovisenberg Diaconal University College, Oslo, Norway
| | - Anna Josse-Eklund
- Institute of Health Sciences, Department of Nursing, Karlstad University Faculty of Health Science and Technology, Karlstad, Sweden
| | - Ellisiv Lærum-Onsager
- Bachelor Education in Nursing, Lovisenberg Diaconal University College, Oslo, Norway
| | - Gunilla Borglin
- Bachelor Education in Nursing, Lovisenberg Diaconal University College, Oslo, Norway
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Zlamal J, Roth Gjevjon E, Fossum M, Trygg Solberg M, Steindal SA, Strandell-Laine C, Hamilton Larsen M, Nes AAG. Technology-Supported Guidance Models Stimulating the Development of Critical Thinking in Clinical Practice: A Mixed Methods Systematic Review (Preprint). JMIR Nurs 2022; 5:e37380. [PMID: 35671078 PMCID: PMC9214617 DOI: 10.2196/37380] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2022] [Revised: 04/07/2022] [Accepted: 04/07/2022] [Indexed: 01/04/2023] Open
Abstract
Background Objective Methods Results Conclusions International Registered Report Identifier (IRRID)
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Affiliation(s)
- Jaroslav Zlamal
- Department of Bachelor Education in Nursing, Lovisenberg Diaconal University College, Oslo, Norway
| | - Edith Roth Gjevjon
- Department of Bachelor Education in Nursing, Lovisenberg Diaconal University College, Oslo, Norway
| | - Mariann Fossum
- Department of Health and Nursing Sciences, University of Agder, Kristiansand, Norway
| | - Marianne Trygg Solberg
- Department of Postgraduate Studies, Lovisenberg Diaconal University College, Oslo, Norway
| | - Simen A Steindal
- Department of Postgraduate Studies, Lovisenberg Diaconal University College, Oslo, Norway
- Faculty of Health Studies, VID Specialized University, Oslo, Norway
| | - Camilla Strandell-Laine
- Department of Bachelor Education in Nursing, Lovisenberg Diaconal University College, Oslo, Norway
- Faculty of Health and Welfare, Novia University of Applied Sciences, Åbo, Finland
| | - Marie Hamilton Larsen
- Department of Postgraduate Studies, Lovisenberg Diaconal University College, Oslo, Norway
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Zlamal J, Gjevjon ER, Fossum M, Steindal SA, Nes AAG. Technology-Supported Guidance Model to Support the Development of Critical Thinking Among Undergraduate Nursing Students in Clinical Practice: Protocol of an Exploratory, Flexible Mixed Methods Feasibility Study. JMIR Res Protoc 2021; 10:e31646. [PMID: 34643536 PMCID: PMC8552102 DOI: 10.2196/31646] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2021] [Revised: 08/09/2021] [Accepted: 08/09/2021] [Indexed: 01/02/2023] Open
Abstract
Background Critical thinking is an essential set of skills in nursing education, and nursing education therefore needs a sharper focus on effective ways to support the development of these skills, especially through the implementation of technological tools in nursing education. Objective The aim of this study protocol is to assess the feasibility of a technology-supported guidance model grounded in the metacognition theory for nursing students in clinical practice. Methods Both quantitative (research questionnaires) and qualitative (focus group interviews) approaches will be used to collect data for a feasibility study with an exploratory, flexible mixed methods design to test a newly developed intervention in clinical practice. Results The intervention development was completed in December 2020. The intervention will be tested in 3 independent nursing homes in Norway. Conclusions By determining the feasibility of a technology-supported guidance model for nursing students in clinical practice, the results will provide information on the acceptability of the intervention and the suitability of the outcome measures and data collection strategy. They will also identify the causes of dropout and obstacles to retention and adherence. International Registered Report Identifier (IRRID) DERR1-10.2196/31646
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Affiliation(s)
| | | | - Mariann Fossum
- Department of Health and Nursing Sciences, University of Agder, Kristiansand, Norway
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Nes AAG, Steindal SA, Larsen MH, Heer HC, Lærum-Onsager E, Gjevjon ER. Technological literacy in nursing education: A scoping review. J Prof Nurs 2021; 37:320-334. [PMID: 33867086 DOI: 10.1016/j.profnurs.2021.01.008] [Citation(s) in RCA: 26] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2020] [Indexed: 10/22/2022]
Abstract
BACKGROUND Nurses are the key professionals in the introduction, implementation, and use of technology in clinical practice. A lack of technical expertise and technological understanding poses a challenge to the quality of health services and possibly to the safety, dignity, and quality of life of patients. Therefore, possessing technological literacy upon completing nursing baccalaureate studies is essential. However, no previous scoping review has mapped the existing studies of technological literacy in nursing education. OBJECTIVES To map and assess the published studies on technological literacy in nursing education and to identify how educational institutions operationalize, teach, measure, and maintain students' technological literacy throughout their educational programs. DESIGN A scoping review was conducted using the methodological framework of Arksey and O'Malley. The reporting was guided by the PRISMA extension for Scoping Reviews. METHODS A comprehensive systematic search of the MEDLINE, EMBASE, PsycINFO, ERIC, and CINAHL was performed for studies published from January 2008 through March 2020. Two authors independently assessed eligibility and extracted data. The reference lists of the included studies were also examined. RESULTS The review included 28 papers from 27 studies. Three thematic groupings with their respective subgroups were identified among the included papers: 1) the acquisition (simulated electronic documentation, diversified learning methods, and evaluation learning focus), 2) the measurement (digital/computer literacy/competence, nursing informatics competence, technology acceptance, and students' interests and preferences in technology), and 3) the maintenance (follow-up evaluation) of technological knowledge and skills. CONCLUSIONS Pedagogical models designed to teach an entire process for the acquisition, measurement, and maintenance of technological literacy are lacking. Studies are needed that bring technological competencies to a higher level, including problem-solving and critical thinking. Educators' competencies should be enhanced. Educational institutions need to ensure the readiness of future nurses for a technology-enriched environment by providing the necessary knowledge in technological literacy. "TWEETABLE ABSTRACT": Due to the importance of technological literacy to the nursing profession, educational institutions must ensure that it is taught to nursing students.
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Zlamal J, Gjevjon ER, Fossum M, Solberg MT, Steindal SA, Strandell-Laine C, Larsen MH, Pettersen FS, Nes AAG. Technology-Supported Guidance Models Stimulating the Development of Critical Thinking in Clinical Practice: Protocol for a Mixed Methods Systematic Review. JMIR Res Protoc 2021; 10:e25126. [PMID: 33464214 PMCID: PMC7854029 DOI: 10.2196/25126] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2020] [Revised: 11/22/2020] [Accepted: 11/24/2020] [Indexed: 01/26/2023] Open
Abstract
BACKGROUND Critical thinking is an essential skill that nursing students need to develop. Technological tools have opened new avenues for technology-supported guidance models, but the challenges and facilitators of such guidance models, as well as how they stimulate the development of critical thinking, remain unclear. OBJECTIVE We developed a protocol for a mixed methods systematic review to investigate the use of technology-supported guidance models that stimulate the development of critical thinking in nursing education clinical practice. METHODS A convergent integrated design following the Joanna Briggs Institute Manual for Evidence Synthesis will be employed. A pair of authors will select the articles by screening titles and abstracts, and the methodological quality of the articles included in the review will be assessed by a pair of authors according to checklists for specific study designs. The data will be extracted using the standardized Joanna Briggs Institute mixed methods data extraction form and following a convergent integrated approach. The thematic synthesis for data transformation will be used. RESULTS Development of a comprehensive systematic search strategy was completed in October 2020. The database searches were performed on October 21, 2020. As of January 2021, analysis and synthesis is ongoing. Completion of this review is expected by January 2021. CONCLUSIONS By combining evidence from studies with varied methodological approaches, the results should provide broad insight into the use of technology-supported guidance models for clinical practice in nursing education with a focus on the development of nursing students' critical thinking. The results of this mixed methods systematic review can also be used to develop or improve current technology-supported guidance models for clinical practice in nursing education. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) PRR1-10.2196/25126.
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Leahy-Warren P, Day MR, Philpott L, Glavin K, Gjevjon ER, Steffenak AKM, Nordhagen LS, Egge H, Healy E, Mulcahy H. A falls case summary: Application of the public health nursing intervention wheel. Public Health Nurs 2018; 35:307-316. [PMID: 29676488 DOI: 10.1111/phn.12408] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
BACKGROUND The Public Health Intervention Wheel (PHIW) is a population-based practice model that encompasses three levels of practice (community, systems, and individual/family) and 17 public health interventions. Each intervention and practice level contributes to improving population health. Public health nurses (PHNs) provide care at the three levels of practice. Prevention of falls is a public health issue and the majority of falls happen at home. Therefore, prevention and management of falls in the community could benefit from a public health systems approach by PHNs underpinned by the PHIW. CASE PRESENTATION A hypothetical case is presented of a 78-year-old gentleman who had a fall which resulted in a fractured right acetabulum and surgery before being discharged home. METHODS The aim of this paper was to use a case summary to illustrate PHN practice in the context of the PHIW as applied to falls management and prevention. This paper focuses on fall incidence and PHN response in Ireland and Norway. The PHIW is described and relevant interventions from the PHIW are applied to PHN practice in managing the case. CONCLUSIONS The PHIW model provides insight into the potential scope of public health nursing in falls, articulating PHN practice in the community.
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Affiliation(s)
- Patricia Leahy-Warren
- School of Nursing and Midwifery, Brookfield Health Sciences Complex, University College Cork, Cork, Ireland
| | - Mary Rose Day
- School of Nursing and Midwifery, Brookfield Health Sciences Complex, University College Cork, Cork, Ireland
| | - Lloyd Philpott
- School of Nursing and Midwifery, Brookfield Health Sciences Complex, University College Cork, Cork, Ireland
| | - Kari Glavin
- Department of Health, Diakonova University College, Oslo, Norway
| | | | | | - Live S Nordhagen
- Department of Health, Diakonova University College, Oslo, Norway
| | - Hilde Egge
- Department of Health, Diakonova University College, Oslo, Norway
| | | | - Helen Mulcahy
- School of Nursing and Midwifery, Brookfield Health Sciences Complex, University College Cork, Cork, Ireland
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Olsen PR, Gjevjon ER. Perspectives: European Academy of Nursing Science debate 2016: Are there any aspects unique to nursing? J Res Nurs 2017. [DOI: 10.1177/1744987117700219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Affiliation(s)
- Pia Riis Olsen
- Lecturer, Clinical Nurse Specialist and Research Nurse, Department of Oncology, Aarhus University Hospital, Denmark
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13
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Øderud T, Østensen E, Gjevjon ER, Moen A. Exploring the Use of Technology for Active Aging and Thriving. Stud Health Technol Inform 2017; 242:224-232. [PMID: 28873803] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
The study explores how older adults with limited digital experience become users of tablet computers (iPad) with Internet access, and how the tablet computers become part of their daily life facilitating active aging and thriving. Volunteer adolescents were mobilised to teach and follow up the participants regularly.
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Affiliation(s)
| | - Elisabeth Østensen
- University of Oslo, Faculty of Medicine, Department of Nursing Science, Norway
| | - Edith Roth Gjevjon
- University of Oslo, Faculty of Medicine, Department of Nursing Science, Norway
| | - Anne Moen
- University of Oslo, Faculty of Medicine, Department of Nursing Science, Norway
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Østensen E, Gjevjon ER, Øderud T, Moen A. Introducing Technology for Thriving in Residential Long-Term Care. J Nurs Scholarsh 2016; 49:44-53. [DOI: 10.1111/jnu.12268] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/09/2016] [Indexed: 11/29/2022]
Affiliation(s)
- Elisabeth Østensen
- Doctoral Candidate, University of Oslo, Faculty of Medicine; Department of Nursing Science; Oslo Norway
| | - Edith Roth Gjevjon
- Associate Professor, Diakonova University College, Oslo, Norway; Previously Researcher at University of Oslo; Department of Nursing Science; Oslo Norway
| | - Tone Øderud
- Senior Research Scientist; SINTEF Technology and Society; Oslo Norway
| | - Anne Moen
- Professor, University of Oslo; Department of Nursing Science; Oslo Norway
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Evensen S, Forr T, Al-Fattal A, de Groot C, Lønne G, Gjevjon ER, Berg GV, Bergh S. [New tool to detect delirium and cognitive impairment]. Tidsskr Nor Laegeforen 2016; 136:299-300. [PMID: 26905842 DOI: 10.4045/tidsskr.15.1334] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022] Open
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Gjevjon ER, Romøren TI, Bragstad LK, Hellesø R. Older Patients’ and Next of Kin’s Perspectives on Continuity in Long-Term Home Health Care. Home Health Care Management & Practice 2016. [DOI: 10.1177/1084822315626001] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The study explored how 125 older patients and 92 next of kin experienced and assessed continuity in long-term home health care. Data were collected by means of structured interviews. A majority of the patients indicated that having a high number of health care personnel involved in their care was not problematic. For patients, informed and skilled health personnel along with knowing the visiting personnel may compensate for a high number of personnel. For next of kin, accepting a high number of personnel was related to the carers being informed about the patient’s situation. This study indicates that, in terms of patient satisfaction, the overall quality of care is more important than the number of people providing the care.
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Gjevjon ER. Kontinuitet i hjemmesykepleien – vanskelige vilkår, men gode muligheter. Continuity of home care – difficult conditions, but good opportunities. TFO 2015. [DOI: 10.18261/issn2387-5984-2015-01-06] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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Gjevjon ER, Oderud T, Wensaas GH, Moen A. Toward a typology of technology users: how older people experience technology's potential for active aging. Stud Health Technol Inform 2014; 201:25-31. [PMID: 24943521] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
This paper outlines an emerging typology of older users of information and communication technology (ICT) to facilitate active aging. Through inductive data analysis from focus groups, iterative workshops, and personal interviews, we suggest three types of technology users. These types are "the Excluded," "the Entertained," and "the Networker." Clearly, ICT offers several benefits to those who are enthusiastic and frequent users, exemplified as the Entertained and the Networker. Hence, our findings support the notion of technology as a tool to maintain or increase an older person's engagement and activity level. Conversely, for those reluctant, uninterested, or incapable of using ICT, such potentials are limited and imply fewer opportunities for participation in activities.
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Affiliation(s)
- Edith Roth Gjevjon
- Department of Nursing Science, Institute of Health and Society, University of Oslo
| | | | | | - Anne Moen
- Department of Nursing Science, Institute of Health and Society, University of Oslo
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Abstract
OBJECTIVE To explore the first-line leaders' role in quality work in long-term care in Norway, in order to determine how that work is related to such success characteristics as leadership, staff, patients, performance, information and information technology. DESIGN Cross-sectional telephone survey. The text was analysed using content analysis. SETTING Thirty-two Norwegian municipalities stratified according to region and population size. PARTICIPANTS Sixty-four first-line leaders in nursing homes and home-based care. Main outcome measure The clinical microsystem approach is used as a framework by defining and designing measureable variables. RESULTS Thirty-six leaders described how they initiated and motivated employees to be active in quality work; the remaining leaders indicated that they played a passive role. The first-line leaders played a key role in implementing national quality policies and regulations. The quantity of other success characteristics was low. CONCLUSIONS The municipalities delegated the responsibility of implanting national policies to the first-line leaders. Missing were key quality success criteria such as macro- and meso-perspectives for the municipality as a whole and co-operation with other leaders in the organization and fostering of relevant learning. Quality work was fragmented rather than comprehensive and systematic.
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Affiliation(s)
- Bente Ødegård Kjøs
- Centre for Care Research, Gjøvik University College, PO Box 191, 2802 Gjøvik, Norway.
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Roth Gjevjon E, Hellesø R. Comprehensiveness of EPR documentation by home care nurses. Stud Health Technol Inform 2009; 146:766-767. [PMID: 19592968] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
Nursing documentation of home health care was audited in a sample of 91 electronic patient records. The audit showed that documentation by home care nurses was unstructured and incomplete in terms of the nursing process. This supports similar findings from earlier research, and prompts questions about the feasibility of the nursing process as a framework for nursing documentation in practice.
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Affiliation(s)
- Edith Roth Gjevjon
- Faculty of Medicine, Institute of Nursing and Health Sciences, University of Oslo, Norway.
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