Innovative strategies for online RN to BSN curriculum revision: Meeting the Essentials.

Background: The 2021 release of The Essentials: Core Competencies for Professional Nursing Education by the American Association of Colleges of Nursing has prompted widespread curricular revision among nursing programs. Limited literature exists on how RN to BSN online nursing programs are responding to the New Essentials. These challenges are further compounded within large statewide university systems that include many locations.

The relationship between self-efficacy and sustainable Lean management systems within the healthcare arena.

Purpose: The purpose of this paper is to improve the understanding of the social contexts of sustainable Lean culture in healthcare by examining self-efficacy (SE) as a fundamental construct related to the value of perceived readiness, prior education of Lean and the importance of leadership's system-level support.

Design/methodology/approach: A descriptive correlational study was conducted to identify the relationships between SE and Lean readiness factors, SE and prior Lean training, SE and clinical vs administrative roles and SE and perceived system-level support in a large health system.

Findings: There was a statistically significant difference in self-reported readiness to use Lean tools between individuals who had received Lean training during their academic education and those who had not; however, their level of education did not impact SE.

Sharing Our Journey: Implementing a Multicounty Substance Use Prevention Program in Area Schools.

The purpose of this article is to describe an interprofessional, evidence-based, nurse-led, substance use prevention program implemented in local and surrounding county school settings by university nursing and other health science students and to explore these students' perceptions of their training and implementation of the program. This program was developed from a community assessment revealing the rise of adolescent substance use and the need for ongoing substance use prevention. This program's journey encompasses a 4-year period with feedback from students in four university departments (nursing, psychological and brain sciences, public health, and social work) who learned and implemented the Say It Straight program targeting elementary and middle school-aged children.

Developing interprofessional collaborative practice competencies in rural primary health care teams.

Background: Leaders from a university, Area Health Education Center, and primary care centers (PCCs) collaborated to integrate Interprofessional Collaborative Practice (IPCP) in PCCs.

Purpose: Describe the facilitators and barriers of IPCP implementation in rural clinics and the impact on decision-making and safety culture.

Methods: The implementation team used engagement strategies to support the development of IPCP.

Coaching Strategies Used to Support Interprofessional Teams in 3 Primary Care Centers.

Purpose/aims: Clinical nurse specialists and other advanced practice registered nurses use healthcare team coaching to foster interprofessional practice and enhance healthcare quality. Although coaching has been shown to support positive changes in healthcare, little is known about how coaching strategies are used in practice. The purpose of this study was to describe the strategies used by an experienced healthcare team coach tasked with advancing interprofessional care and teamwork in primary care clinics.

Integration of ecosystem science into radioecology: A consensus perspective.

In the Fall of 2016 a workshop was held which brought together over 50 scientists from the ecological and radiological fields to discuss feasibility and challenges of reintegrating ecosystem science into radioecology. There is a growing desire to incorporate attributes of ecosystem science into radiological risk assessment and radioecological research more generally, fueled by recent advances in quantification of emergent ecosystem attributes and the desire to accurately reflect impacts of radiological stressors upon ecosystem function. This paper is a synthesis of the discussions and consensus of the workshop participant's responses to three primary questions, which were: 1) How can ecosystem science support radiological risk assessment? 2) What ecosystem level endpoints potentially could be used for radiological risk assessment? and 3) What inference strategies and associated methods would be most appropriate to assess the effects of radionuclides on ecosystem structure and function? The consensus of the participants was that ecosystem science can and should support radiological risk assessment through the incorporation of quantitative metrics that reflect ecosystem functions which are sensitive to radiological contaminants.

Production of Cyanotoxins by Mediates Interactions with the Mixotrophic Flagellate .

Eutrophication of inland waters is expected to increase the frequency and severity of harmful algal blooms (HABs). Toxin-production associated with HABs has negative effects on human health and aquatic ecosystem functioning. Despite evidence that flagellates can ingest toxin-producing cyanobacteria, interactions between members of the microbial loop are underestimated in our understanding of the food web and algal bloom dynamics.

Fostering interprofessional collaborative practice in acute care through an academic-practice partnership.

An interprofessional collaborative practice (IPCP) environment was implemented in four inpatient acute care unit accountable care teams (ACT) through an academic-practice partnership. An action research methodology was implemented to empower healthcare professionals and promote ownership and sustainment of the IPCP strategies. Healthcare professionals on the ACT units, students, and faculty engaged in the multi-year project.

An interprofessional patient assessment involving medical and nursing students: a qualitative study.

Interprofessional collaboration is fundamental to providing optimal patient care. The readiness of the team entering a framework of interprofessional collaborative practice is critical to its success. In this study, we conducted an interprofessional education (IPE) activity for medical and nursing students in an acute care setting.

Empowering Nurses to Lead Interprofessional Collaborative Practice Environments Through a Nurse Leadership Institute.

A year-long Nurse Leadership Institute (NLI) for emerging leaders in primary care clinics and acute care environments was developed, implemented, and evaluated. The NLI's goal was to foster empowerment in interprofessional collaborative practice environments for nurses in the three cohorts of NLIs. The NLI was framed around the Five Leadership Practices of modeling the way, inspiring a shared vision, challenging the process, enabling others to act, and encouraging the heart.

Facilitators and Barriers for Interprofessional Rounding: A Qualitative Study.

Purpose: The purpose of this qualitative study was to describe the barriers and facilitators for interprofessional patient-centered rounding across 4 acute care units in a large urban hospital.

Design: A qualitative descriptive method that included data gathered over an 18-month period was used.

Methods: Three data sources were included: participant observation of rounding activities, focused meetings related to interprofessional practice, and exit interviews with key informants representing multiple professions and roles.

Student, Preceptor, and Faculty Perceptions of Three Clinical Learning Models.

Background: Nursing faculty members strive to use optimal clinical learning environments that educate students for clinical competence and sense of salience. The purpose of this study was to offer insight into the perceptions of students, preceptors, and faculty in three clinical models: traditional, precepted, and a hybrid blend.

Method: One hundred fifty students, seven preceptors, and 12 faculty members responded to open-ended survey questions about their experience in one of the models.

Enhancement of Professional Development of Front-Line Nurse Preceptors in a Dedicated Education Unit.

Background: Dedicated education units (DEUs) have been well established throughout the country as a means of developing clinical skills in nursing students. In a DEU, maintaining an adequate number of well-prepared clinical nurse preceptors is essential for unit sustainability and effective student perception.

Method: This study was a quasi-experimental design using self-reported survey data.

Concept-Based Curriculum: Changing Attitudes and Overcoming Barriers.

Many nursing educators have considered the implementation of a concept-based curriculum, with active, conceptual teaching and learning strategies, which offers a way to respond to the overwhelming content saturation in many nursing curricula. However, barriers abound, including faculty concerns about loss of control, changing faculty role and identity, and fear of failure. This article clarifies these legitimate barriers and offers practical strategies for success in curriculum change.

Stakeholder Perceptions, Learning Opportunities, and Student Outcomes in Three Clinical Learning Models.

Background: Understanding the strengths and challenges of various clinical models is important for nursing education.

Method: Three long-standing clinical models (preceptored, hybrid, and traditional) were compared on several outcome measures related to satisfaction, learning opportunities, and student outcomes. Students, faculty, and preceptors participated in this study.

Triangulating Competencies, Concepts, and Professional Development in Curriculum Revisions.

Curricular reform, as reported in the literature, has been described as a tortuous change process. This article demonstrates how a series of retreats using consensus building methodologies facilitated efficient change among a large faculty body. Nimble work groups completed discrete aspects of the project and promoted engagement.

Outcomes and lessons learned regarding the use of interviewing for baccalaureate nursing school admission.

This article presents a case study of the adoption, use, and outcomes of an admission interview process for selection into a large public baccalaureate nursing program between 2007 and 2011. This article reports the effects of implementation, including how interviews affected the grade point average of incoming students as well as student diversity, retention, and National Council Licensure Examination scores, over nine consecutive admission cycles. During the initial implementation cycles, reported satisfaction with the process was high; however, as implementation progressed, it became clear that the anticipated gains from the interview process related to ethnic and gender diversity were not being realized.

Comparing the effectiveness, practice opportunities, and satisfaction of the preceptored clinical and the traditional clinical for nursing students.

Aim: A preceptored clinical education model was introduced in partnership with a health care agency and compared with the traditional model for nursing clinical education. The preceptored model provided clinical education that more realistically approached the job responsibilities of the registered nurse.

Method: Students were surveyed and measured at three points in their curriculum.

Characterization of neurophysiological and behavioral changes, MRI brain volumetry and 1H MRS in zQ175 knock-in mouse model of Huntington's disease.

Huntington's disease (HD) is an autosomal neurodegenerative disorder, characterized by severe behavioral, cognitive, and motor deficits. Since the discovery of the huntingtin gene (HTT) mutation that causes the disease, several mouse lines have been developed using different gene constructs of Htt. Recently, a new model, the zQ175 knock-in (KI) mouse, was developed (see description by Menalled et al, [1]) in an attempt to have the Htt gene in a context and causing a phenotype that more closely mimics HD in humans.

Creating tomorrow's leaders and innovators through an RN-to-bachelor of science in nursing consortium curricular model.

The critical need to increase the number of baccalaureate-prepared RNs to improve the safety and quality of patient care in today's complex health care system is a pressing issue in health care. One part of the solution lies in the attainment of higher education of RNs prepared at the associate and diploma levels who make up the majority of the nursing workforce in the United States today. The Indiana University Schools of Nursing located throughout the state of Indiana collaborated to create a statewide RN-to-bachelor of science in nursing curriculum that is flexible, innovative, and meaningful.

Formation of the avian nucleus magnocellularis from the auditory anlage.

In the avian auditory system, the neural network for computing the localization of sound in space begins with bilateral innervation of nucleus laminaris (NL) by nucleus magnocellularis (NM) neurons. We used antibodies against the neural specific markers Hu C/D, neurofilament, and SV2 together with retrograde fluorescent dextran labeling from the contralateral hindbrain to identify NM neurons within the anlage and follow their development. NM neurons could be identified by retrograde labeling as early as embryonic day (E) 6.

Taste bud cell dynamics during normal and sodium-restricted development.

Taste bud volume increases over the postnatal period to match the number of neurons providing innervation. To clarify age-related changes in fungiform taste bud volume, the current study investigated developmental changes in taste bud cell number, proliferation rate, and life span. Taste bud growth can largely be accounted for by addition of cytokeratin-19-positive taste bud cells.

Injury-induced functional plasticity in the peripheral gustatory system.

Combining unilateral denervation of anterior tongue taste buds with a low-sodium diet in rats results in a rapid, dramatic, and selective attenuation of neurophysiological sodium taste responses from the intact side of the tongue. The transduction pathway responsible for the attenuated response is through the epithelial sodium channel (Hill and Phillips, 1994). Current experiments extend these findings by detailing the effects of experimentally induced injury on taste responses from anterior tongue taste receptors in sodium-restricted rats.