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.
“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”
On September 14, 2020, I participated in the first-ever virtual 2020 NCLEX Conference offered by the National Council of State Boards of Nursing (NCSBN). There were many interesting presentations, but I believe that you will agree that the discussion about Next Generation NCLEX (NGN) was most important for nursing educators. So here is an overview of the discussion about NGN. Continue reading “Report from the 2020 NCSBN NCLEX Conference”
COVID-19 has changed how nurse educators prepare students for practice. The changes in the health care environment—and nursing specifically—over the last decade have given faculty numerous challenges: integration of important new content in an already “stuffed” curriculum, evolving expectations of students, parents and college administrators, and the difficulty in finding appropriate clinical sites and sufficient numbers of faculty. As if these challenges weren’t enough, now faculty must cope with an international pandemic that has huge implications personally and professionally. In addition to their other responsibilities, faculty now must prepare students for practice using masks, social distancing, and limited clinical sites-all while working from home!
Most of us have been coping, both personally and professionally, with the results of social distancing as a result of the COVID-19 pandemic. While we would like life to return to “normal,” we also worry about the health impact of returning to our “face-to-face” lives. Equally important, when this crisis passes, what will the new normal look like? Continue reading “Testing Online in the Era of Social Distancing”
The National Council of State Boards of Nursing (NCSBN) recently posted on their website five types of questions that they will include as part of the Next Generation NCLEX (NGN) test revision. While the NCSBN intends to continue to use the multiple-choice test format which currently makes up a significant portion of the NCLEX exam, other types of test items will also be included. Continue reading “NGN-Style Questions—What Should We Do Now?”
After being a faculty for many years, I find that I often want to “instruct” my family and friends. This urge is particularly prevalent with my husband. Being a very nice man, when I begin to “instruct” him, he appears to be listening (he looks my way), but the look in his eyes says very clearly, “I have no intention of doing whatever it is that she is saying.” When I see this look, I always say, “W.A.I.T.—Why Am I Talking?” Continue reading “W.A.I.T.: Impact on Teaching Clinical Judgment”
How do we help nursing students make good clinical judgments? That is the question that most of us struggle with. We “give” students the necessary knowledge in class through lectures, readings, and various learning activities. We provide opportunities to “practice” in simulation/labs and during their clinical experiences. We assign increasingly challenging nursing practice opportunities. As a result, many students learn to put the pieces together to make good judgments—most of the time. However, every novice nurse I have ever worked with has been worried about making a clinical mistake—mistakes which usually are driven by poor clinical judgment.