Aims:The purpose of this study was to examine clinical pedagogy based on experiences of changes and adaptations to clinical courses that occurred in nursing education during the pandemic. Beyond learning how to manage nursing education during a pandemic or other crisis, we uncover the lessons to be learned for overall improvement of nursing education.Design: Qualitative descriptive analysis using semi-structured interview data with baccalaureate nursing students.Methods: Data were collected in the spring of 2021 using semi-structured interview with 15 participants. Transcribed text was analysed using thematic content analysis.The COREQ checklist was used to guide our reporting.
Results: Three themes were identified related to course design in clinical courses for nursing students: the role and limitations of simulation, competency evaluations and career implications. Students expressed some concern over not 'finishing hours', loss of in-person clinical experiences and their reduced exposure to different clinical settings. Conclusion: To prepare work-ready nurses, educators need to keep in mind the trends, issues and demands of future healthcare systems. Simulation may have been a temporary measure to achieve clinical competence during the pandemic but needs to be of high-quality and cannot meet all the expected learning outcomes of clinical courses. Exposure to different patients, families and communities will ensure that the future nursing workforce has experience, socialization, competence, and desire to work in various clinical settings. Competency evaluation similarly needs to be robust and objective and consider the role and perception of hours completed. Patient or public contribution: No patient or public contribution. Participants were nursing students.
Persistent Human Immunodeficiency Virus (HIV) prevalence rates remain a challenge, particularly because health care providers (HCP) are not fully prepared to engage in HIV care. This hesitancy to engage creates access to care barriers for people living with HIV (PLWH). We conducted a systematic review to identify educational interventions focused on developing HIV competencies in higher education across health science disciplines. We searched databases for primary studies focused on interventions. Using PRISMA guidelines, we identified 20 articles from 19 distinct studies. While there was an overwhelming body of literature that assessed knowledge, skills, and attitudes in health sciences students on HIV and AIDS, the low number of intervention studies was notable. With the exception of two studies, PLWH were not included in the interventions. This finding stands in sharp contrast to the well-established Greater Involvement of People Living with HIV and/or AIDS (GIPA) and Meaningful Engagement of People Living with HIV and/or AIDS (MEPA) principles. The primary means of the educational intervention was focused on delivering lectures to address HIV and AIDS knowledge for HCP. There was a significant lack of focus on historical, cultural, policy and legal contexts of HIV and AIDS care; theoretical justifications for the interventions were absent. No study focused on the impact of an intervention on the care provided to PLWH by HCP after graduation. There is an urgent need to develop long-term sustainable and scalable interventions that address the consistently identified lack of knowledge and skills, and stigmatizing attitudes of HCP and students.
The metaphor of “world traveling” has been taken up by researchers engaged in narrative inquiry. This metaphor provides a reference point throughout the research process for navigating relational processes. In this article, we unpack how the metaphor of “world travelling” shapes the writing of research texts in narrative inquiry and the meaning making inherent in shared texts. We draw on a narrative inquiry focused on the experiences of men who are homeless in Japan, as well as a narrative inquiry focused on precariously housed women who are pregnant or engaged with early parenting and who use illicit substances. As we work with Lugones’s ideas, we see it is critical to engage in a collaborative process that is marked by a playful exchange of ideas and that pushes us to identify connections with others. At the same time, we work to create meaning; we need to challenge racial, social, political, and economic boundaries and social differences in ways that allow researchers and participants to locate themselves in relation to others. Engaging in this manner shows openness to multiple ways of sense making and to creating texts where expectations are broken. Representation requires the development of texts where we can “exercise double vision” and “create and cement relational identities.” These spaces of openness and multiplicity are always in motion and are marked by a sense of “dwelling,” “world travelling,” and “playfulness.”
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