• Debriefing Practices in Nursing Education Programs in the United States

      Fey, Mary K.; Jenkins, Louise Sherman (2014)
      Debriefing is essential to learning in simulation based education. However, little is known about current debriefing practices. While there is no single theory of debriefing, consistent themes about the characteristics of debriefing emerge from the simulation literature. The purpose of this study was to describe debriefing practices in prelicensure nursing programs. Logistic regression analysis identified the characteristics of the nursing program and the simulation administrator that are associated with the use of theory based debriefing. A descriptive cross-sectional design was used. Data was collected via the internet. The study questionnaire consisted of three parts: demographic questions about the nursing program, questions about the simulation administrator, and questions about debriefing practices. The study sample comprised prelicensure nursing programs from across the United States representing all entry level degree programs (n = 502). Descriptive analyses showed that most programs have integrated simulation into their curriculum. Most schools designate a faculty member to have responsibility for simulation activities. The majority of debriefing facilitators have no training in debriefing. Less than 20% of all debriefers have their competence assessed. Debriefing is not usually guided by a theory or model. The majority of respondents (82%) reported debriefing practices that incorporated the concepts of Kolb's experiential learning theory. Further data analysis explored the relationships that significantly affected the use of theory based debriefing practices. The presence of a designated simulation administrator was significantly associated with the use of theory based debriefing. Simulation administrators who had formal training in simulation and who were in the 46-55 year old age group were significantly more likely to practice theory based debriefing. Training and competency assessment, along with structuring debriefing discussions were significantly associated with the use of theory based debriefing. Findings suggest that nursing programs should allocated resources to several aspects of the simulation program. Programs should have a designated simulation administrator. This person should have training in simulation based education. All faculty who facilitate debriefings should have training and should have their competence assessed regularly. This study provides information about debriefing practices; the study should be repeated with other types of learners (e.g. medical students, licensed practitioners).
    • Faculty Mentorship: Implementations at the University School of Nursing

      Jenkins, Louise Sherman; Trandel, Darlene (2016-06-27)
    • MDAC 2017: "Academic Credit for Nurse Residency Programs: A Stakeholder-driven Initiative"

      Jenkins, Louise Sherman; Warren, Joan, Ph.D., R.N-B.C.; Martin, Kathleen M. (2017)
    • MDAC 2018: "Toward Academic Credit for Nurse Residency Program Completion: A Three-Phase Project"

      Martin, Kathleen M.; Warren, Joan, Ph.D., R.N-B.C.; Jenkins, Louise Sherman (2018)
    • The measurement of modesty among Jewish American women

      Andrews, Caryn Scheinberg; Jenkins, Louise Sherman (2004)
      Modesty has been suggested as influencing breast cancer screening adherence among certain cultures. Jewish women have explicit religious and cultural rules about modesty and may also be influenced by modesty. The primary purpose of this study was to develop and test an instrument measuring modesty. An expansion of Champion's Behavioral Model for Mammography Utilization was used to guide the research questions. A cross-sectional mailed survey design was used. Jewish women (N = 306) completed a self-administered survey packet containing: (a) "Your Views of Modesty"; (b) selected subscales from the Fetzer Multidimensional Measure of Religiousness/Spirituality; and (c) a demographic form requesting information about predisposing characteristics, enabling resources, breast cancer risk, and screening behaviors. Jewish women aged 26--95 years (mean 67 years) comprised the sample. They were 89% Ashkenazi and religious group denominations were 21% Reform, 54% Conservative, and 17% Orthodox. The reliability estimate for "Your Views of Modesty" was an alpha .92. Item-total correlations ranged from .34--.74. Modesty was correlated with religiosity (r = .26, p < .01) providing some evidence for discriminant validity. Total modesty scores and self ranked modesty were related (r = .67, p < .01) providing evidence for convergent validity. Exploratory factor analysis was conducted on all of the 25 items in "Your Views of Modesty". Four factors explained 55% of the variance of modesty: (a) religion driven modesty; (b) exposure driven modesty; (c) public modesty; and (d) situational modesty supporting evidence for construct validity. Stepwise regression analysis was conducted with religiosity, modesty, predisposing, enabling, and risk variables tested as predictors of breast cancer screening. For BSE, at Step 1, religiosity was entered into the regression equation and was significantly related to BSE F(1,289) = 4.28, p = .040. Modesty and religiosity were not significant predictors of mammography or clinical breast examination. "Your Views of Modesty" was found to have evidence for both reliability and validity in this sample of Jewish women. Modesty appears to be a multidimensional construct with attributes of appearance, dress, beliefs, culture, and gender differentiation. Further testing of the measure of modesty in other cultures will provide new knowledge of cultural perspectives and health care utilization among diverse populations.
    • The relationship between patient and unit level acuity and intrapartum nursing care

      Miltner, Rebecca Suzanne; Jenkins, Louise Sherman (2001)
      The intrapartum nursing role has several components including maternal-fetal surveillance, indirect care activities, and providing supportive care to the woman in labor. Using the Quality Health Outcomes Model as the conceptual framework, this study focused on describing the type and quantity of specific intrapartum nursing interventions provided to individual women in labor and exploring the relationships between the patient's medical acuity, unit level acuity, and the process of intrapartum nursing care. Episodes of intrapartum nursing care (N = 75), consisting of one RN and one patient in active, term labor, in a Northwest medical center, were observed for a two-hour period during the first stage of labor. All nursing interventions observed were recorded and categorized as surveillance, indirect care, or supportive care interventions. Patient acuity was measured by the total medical interventions provided and fetal status based on the fetal monitor recording. Unit level acuity data were measured by the variance in actual versus recommended RN staffing. During episodes of care, nurses spent an average of 58.9% of their time in care of the study patient and 15.7% of their time in non-patient care activities. Nurses provided an average of 169.9 interventions during each episode of care which ranged from 0 to 352 interventions. Supportive care interventions were provided an average of 79.4 times, surveillance interventions were provided an average of 41.3 times, and indirect care interventions were provided an average of 49.3 times.;Results of the multivariate analysis indicated that the patient's acuity and unit level acuity predicted 17.3% of the variance in the time that the RN spends with a patient, and 19.1% of the variance in the time that the RN spends in non-patient care activities. However, these patient and unit acuity variables did not significantly predict the specific categories of nursing interventions that the RN provides to the labor patient, explaining only 2.9% of the variance in supportive care interventions, 3.5% of the variance in surveillance interventions, and 7.5% of the variance in indirect care interventions. These results suggest that variation in intrapartum nursing practice is related to other, as yet unidentified, factors.