The Nursing Shortage: What Can Nurse Educators Do?

developing nursing students with resilienceby Susan Sportsman, PhD, RN, ANEF, FAAN

The Problem

Approximately 100,000 Registered Nurses and 34,000 Licensed Practical/Vocational Nurses have left the workforce in the last two years as a result of stress, burnout, and retirement. These findings from the 2022 National Nursing Workforce Survey are quite alarming. However, additional findings paint an even more disturbing picture. Another 610,388 nurses reported an “intent to leave” the workforce by 2027. An additional 188,962 RNs younger than forty reported similar intentions to leave nursing. Altogether, about one-fifth of RNs nationally are projected to leave the workforce by 2027 (Smiley, Allgeyer,2023).

Why are these nurses, particularly those under forty, planning to leave?  continue reading

Kindness and Listening: Core Components of Patient-Centered Care

a nurse listening to an elderly patient

By Susan Sportsman, PhD, RN, ANEF, FAAN

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”

Setting Students Up for Success

nursing student set for successBy Susan Sportsman, PhD, RN, ANEF, FAAN

Ashley’s Story

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.

We all have had students like Ashley. Continue reading “Setting Students Up for Success”

Developing Clinical Judgment in an Online Environment

By Susan Sportsman, PhD, RN, ANEF, FAAN

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”

Student Remediation Programs Make Success Possible for Nursing Students

By Susan Sportsman, PhD, RN, ANEF, FAAN

“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”

Addressing Cheating in Online Testing

By Susan Sportsman, PhD, RN ANEF, FAAN

The Coronavirus pandemic has forced most nursing schools to increase their use of online testing, as we reported recently. As I talk to faculty around the country, I continue to hear concerns about the security and validity of online testing. How valid is this concern, and what can we do to mitigate it? Continue reading “Addressing Cheating in Online Testing”

Evaluating Online Discussions

By Susan Sportsman, PhD, RN, ANEF, FAAN

Online discussion boards provide the most effective learning when students are given the opportunity to demonstrate higher order thinking skills. Regardless of the topic of discussion, students must be able to demonstrate that they can: Continue reading “Evaluating Online Discussions”

Online Learning: Creating a Caring Environment that Encourages Critical Thinking

By Susan Sportsman, PhD, RN, ANEF, FAAN

The impact of the coronavirus is being felt everywhere.  As I write this, schools, colleges, and universities across the country are temporarily closed and planning to move classes to online instruction when they reopen. For faculty in nursing programs, this directive is manageable, as many face-to-face courses involve some level of interaction online. However, as I talk to faculty from across the country, I hear concerns regarding the loss of a caring learning environment among students and faculty in courses delivered only online. I also hear concerns that implementing teaching-learning strategies to stimulate critical thinking is more difficult in an online environment that in face-to-face instruction. Perhaps during this national emergency it would be helpful for all of us to think about “best practices” for online instruction, particularly those that involve creating a caring environment that encourages critical thinking. Continue reading “Online Learning: Creating a Caring Environment that Encourages Critical Thinking”

Student Strategies to Get the Most Out of an Online Class

By Susan Sportsman, PhD, RN, ANEF, FAAN

Online courses provide you the convenience of being able to learn whenever, wherever, and however works best for you. However, challenges often arise in online education, which require student preparation to ensure success. Develop the following skills to flourish in online education. Continue reading “Student Strategies to Get the Most Out of an Online Class”

The Case for Courageous Leadership

by Susan Sportsman, PhD, RN, ANEF, FAAN and Cathy Converse

“Courage is the first of human qualities because it’s the quality that guarantees the others.” –Aristotle

 Introduction

Leadership is on the hearts and minds of most of us as we navigate the complexities of our personal and professional lives. Although volumes have been written about effective leadership using a variety of perspectives, the need for courage in times of conflict and discord, particularly in situations of perceived high risk, seems particularly relevant. Few environments represent higher risk than health care. Continue reading “The Case for Courageous Leadership”