High-fidelity simulation (HFS) is a teaching innovation that is becoming a key component in nursing education programs. Nursing students are able to practice skills without fear of harm to themselves or to a patient, and nurse faculty can demonstrate techniques and critical scenarios in a way that may not be available to students or faculty in the clinical setting. However, nursing faculty are not utilizing this teaching innovation to its potential suggesting educational administrators could benefit from understanding the challenges that nurse faculty face when integrating HFS into their teaching practice. The purpose of this phenomenological study was to explore the lived experiences of nurse faculty who were required to integrate HFS into their teaching practice. In this study, seventeen female nurse faculty who taught in the second year of the Saskatchewan Collaborative Bachelor of Science in Nursing (SCBScN) at Saskatchewan Polytechnic Saskatoon Campus were interviewed about their experiences integrating HFS into their teaching practice. The transcripts were analyzed using Moustakas’ (1994) modified Van Kaam method. Six themes describing the essences of the participants’ experiences were identified: striving for self-efficacy, struggling to maintain autonomy, being part of a community of practice, adopting HFS as a teaching innovation, being an advocate, and being proud. An emerging theme, being an outsider, was discussed. An interpretation and synthesis of the results resulted in a conceptualization of the experience. This research has implications for integrating a new teaching innovation. The nurse faculty required support and resources, psychological safety while learning the new innovation, ongoing communication about the innovation, acknowledgement of their accomplishments, and a sense of pride in the institution. Recommendations for nurse faculty include becoming prepared, finding a mentor, participating in discussion forums, and advocating for time needed to learn. Recommendations for educational administrators include ensuring ongoing education and support, involving nurse faculty in discussions about the innovation from the beginning, providing a psychologically safe environment for learning, providing time to learn away from other teaching responsibilities, and fostering pride through acknowledgement of accomplishments.

This thesis describes three (3) action research (AR) cycles I conducted in collaboration with my co-participants in Ghana's colleges of education. The focus of our collaboration was to nurture creative and innovative teaching strategies for education on HIV/AIDS and other emerging health issues. It has become necessary to engineer this bottom-up approach to learning and research because we see the current way of teaching and learning in Ghanaian schools as mere regurgitating of information and reproducing same in examination without meaningful change in behavior. This assertion was reiterated by Ghana's minister of education, Dr. Yao Osei Adutwum when he addressed delegates at the just ended United Nations General Assembly on September 26, 2022. He says, "[y]ou can't memorize your way out of poverty but you can critically think and innovate out of poverty." My co-participants and I are of the view that many people will continue to die from HIV/AIDS if teachers continue to teach by encouraging students to memorize factsheets to reproduce in examinations. The action research described in this thesis seeks to empower teacher-educators in Ghanaian colleges of education with useful pedagogical and research tools. The long-term goal - beyond the timeframe of this thesis - is for them to train new teachers to be confident, bold and assertive to push cultural and systemic boundaries, to nurture equally assertive students to deal with health challenges (pandemics) which they may be confronted with. Methods used to gather data included focus group interviews, observations of lesson presentations and reflective notes (journals). The design of this research was, partially impacted by the COVID-19 pandemic. The findings, however, still proved to be interesting. Among those findings were strong teacher educator participation and a significant improvement in teacher educators' understanding and employment of SCT teaching strategies suited to their HIV/AIDS and Other Tropical Diseases in Africa classes.

Im Kontext eines weitestgehend befristet angestellten akademischen Mittelbaus und einer temporären Förderung von Lehr-Lern-Konzepten aus Drittmitteln benötigen Hochschulen Strategien zur Institutionalisierung von Lehrinnovationen. In unserem Beitrag stellen wir dar, was eine nachhaltige Verstetigung bedeutet, welche Verstetigungsszenarien eintreten können und wie unterschiedliche Akteur_innen zu einem Gelingen beitragen können. Unter Berücksichtigung der Beschreibungen von Hochschulen als „loosely coupled systems“ (Weick 1976; Orton & Weick 1990) kommt der Hochschuldidaktik dabei die Rolle der professionellen Vermittlerin zu, um über Dialogprozesse Übergaben zu fördern und perspektivisch eine Übergabekultur herzustellen.