April 2023 remains the target date for the Next Generation NCLEX (NGN) for both the NCLEX-RN and NCLEX-PN licensure examinations. These examinations emphasize the use of clinical judgment in caring for patients in a variety of healthcare settings by focusing on interactions between nurse and client, the client’s needs, and expected outcomes.
Recently, three of my friends have described a health care experience of a loved one as they transitioned from care in an acute setting to rehabilitation, and ultimately home. The patient in each of these situations was elderly, and although each ultimately returned to their home in satisfactory condition, the journey through the health care system was traumatizing for the patient and their families. The themes in each of these stories included poor communication with the patient and the family regarding all aspects of care, inappropriate medication administration, and inadequate preparation for transitions from one level of care to another. Continue reading “Kindness and Listening: Core Components of Patient-Centered Care”
As the 2021 fall term begins in nursing programs around the country, stopping to reflect upon the impact of the COVID-19 pandemic seems wise. Likely we would all agree that teaching nursing students during a pandemic was as great a challenge as most of us have ever experienced. Turning on a dime, nursing faculty moved fully to online instruction—sometimes even for clinical experiences. Continue reading “Teaching Online: What Have We Learned from the Pandemic?”
Today’s professional literature and the popular press are full of reports of health disparities throughout our country. The results of these disparities place a terrible toll on the health and well-being of patients and caregivers alike. In addition, the economic impact is significant. Certainly, these problems must be addressed. Yet, what role do Nurse Educators play in reducing these disparities? Continue reading “Health Disparities: What Can Nurse Educators Do?”
Regular readers of the Collaborative Momentum Consulting blog may remember the November 2020 story of Ashley, a high school dropout who wanted to be a nurse. A single mother of a small boy, Ashley had been working at low paying jobs when she was encouraged by a friend to complete a GED and take prerequisite courses necessary for a nursing degree. Grades in these courses, although not outstanding, were sufficient for admission to the nursing program. Ashley struggled her first year in the nursing program—making low C’s in all her nursing courses, although she performed well in during her clinical experience.
The Next Generation NCLEX (NGN) has been “top of mind” for the Nursing Education community for at least the last two years. Last month Elsevier Education offered a three-hour workshop, highlighting Dr. Phil Dickison, Chief Operating Officer of the National Council of State Board of Nursing (NCSBN), and two nurse educators, Dr. Linda Silvestri and Dr. Donna Ignatavicius. This webinar focused on the most up-to-date information about the NGN.
In his presentation, Dr. Dickison gave some important information of which we should all be aware as we continue our journey toward preparing our students for the NGN. Here are several points that I felt were particularly helpful. Continue reading “NGN Update: What you need to know now”
This blog explores the importance of engagement and focuses on some instructional concepts and approaches that can be utilized within a Zoom environment to expand engagement.
By Andrew Bobal, EdD
Today’s instruction in a COVID world is drastically different than it was just twelve months ago. Courses and programs that were never taught online have been thrust into the online world without choice; this is true for instructors as well. One the biggest hurdles with online synchronous Continue reading “Improving Engagement in Synchronous Online Learning”
Have you ever been in a meeting where the only decision that was made was to have another meeting? Chances are you have been—I certainly have. And if you’re particularly unlucky, you’ve been in a string of such meetings, where over the course of weeks or months no definitive decisions are made, and consequently no action is taken, and no progress is made.
Whether you are the leader or a participant in such a meeting, a lack of decisiveness can be frustrating at best, and yet leaders often struggle with Continue reading “Decisiveness”
Perhaps the most critical challenge we face is to ensure that our graduates are competent when making clinical judgements appropriate for novice nurses. Developing this competence has always been important—after all, effective clinical judgment is what keeps the clients we serve safe. However, the implementation of the Next Generation NCLEX (NGN) by the National Council of State Boards of Nursing (NCSBN) in 2023 has brought this need into prominence. At the same time, the pandemic has created the need to deliver more instruction for nursing students in an online format. Let’s look at four principles to help us achieve the outcomes of developing novice nurses who make effective clinical judgment the core of their nursing practice, all of which can be implemented in an online setting. Continue reading “Developing Clinical Judgment in an Online Environment”
“Ashley” was admitted to a nursing program with several challenges. She had dropped out of high school at 15 because she was pregnant; she got married and had a baby at 16; and was divorced at 17. For years, she worked at low paying jobs to support her son, although her dream was to become a nurse. Her grades in high school were not great because she rarely went to class. Finally, at 30 years of age, encouraged by a nurse who was the mother of one of her son’s friends, she successfully completed a GED exam and slowly began to take the required courses to apply for a nursing program. Her grades, although not stellar, were sufficient to make her competitive for admission. Her math score on the admission test was extraordinarily high, despite a low reading comprehensive score, which made her admission possible. Continue reading “Student Remediation Programs Make Success Possible for Nursing Students”