ABSTRACT Background: Community Health Workers are faced with challenges in the community when conducting home visits. The re-engineering of Primary Health Care services in South Africa brought a new cadre of Community Health Workers. The role of Community Health Workers relieved the workload and activities which were done by Primary Health Care nurses. Community Health Workers had to conduct home visits as one of the activities. The Community Health Workers experienced challenged during home visits. Aim: This study was conducted to describe and explore the challenges Community Health Workers perceived regarding home visits in the Tshwane district Method: Semi-structured interviews were undertaken with a purposive sample of fourteen Community Health Workers conducting home visits. The individual face to face interviews concentrated on the challenges perceived regarding home visits. All the interviews were transcribed verbatim and analysed using the tesch method. Findings: The challenges perceived were that of the community, logistical, occupational, human resource and managerial. The participants expressed the need for respect and acceptance by the community during home visits. Improved planning related to delegation of households by Outreach Leaders and provision of material resources. The support by managers for career development through training and education for various disease prevention. Conclusion: the findings suggest that training of Community Health Workers need to be formalised and in-service education related to home visits should be planned, structured and supported by the Department of Health. Key words Challenges, Perceived, Community Health Workers, Home visit. / Dissertation (MNurs)--University of Pretoria 2020. / Nursing Science / MNurs / Unrestricted

Introduction: Simulation-based learning is a teaching methodology, which provides the students with a learning opportunity in an environment that simulates the clinical settings, where mistakes and learning can happen without any risk of patient harm. However, despite of its importance, there is a lack of empirical studies about simulation-based learning in the United Arab Emirates. Aim: To explore and describe the perceptions of the nurse educators regarding simulation-based learning in the undergraduate nursing education and the hindering and facilitating factors for effective simulation-based learning in the United Arab Emirates in order to develop strategies for effective simulation-based learning. Research design: A complex mixed method design. Methods: The study design comprised four phases. • Phase one: qualitative exploratory, descriptive, and contextual design, in which purposive sampling was used to collect data from 18 nurse educators working in two nursing colleges in the United Arab Emirates through individual interviews. Data was analysed using thematic analysis with the assistance of NVivo QSR software version 12. • Phase two is a descriptive quantitative design, in which sampling for the entire population was used to collect data from 45 nurse educators working in two nursing colleges in the United Arab Emirates using a modified Simulation Culture Organizational Readiness Survey. Data was analysed with the assistance of the Statistical Package for Social Sciences Software using descriptive and inferential statistics. • Phase three is meta-inferences: where mixing of data from both phase one and phase two was done to guide the process of phase four. The first three phases represent the exploratory sequential mixed method. • Phase four is a modified e-Delphi technique: Purposive sampling was used among academic leaders and the nurse educators in the two nursing colleges, to develop a consensus on the strategies for effective simulation-based learning in the undergraduate nursing education. In this phase, data was collected through emails and online questionnaires. One hundred percent agreement on the proposed strategies granted, which indicated that the participants had reached the consensus. Results and conclusion: Based on the nurse educators and academic leaders’ needs and perceptions, the SBL strategic recommendation developed, these recommendations that are aligned with the international simulation-based learning recommendation and practices. There was evidence between the perceived influencing factors and the utilization of simulation-based learning in the nursing colleges. This study evolved in many implications and recommendation in regard to the strategies for effective simulation-based learning to benefit nursing education. Key terms / concepts: Simulation, Simulation-based learning, Undergraduate nursing education, Strategies, Nurse educators, Effectiveness, Academic leaders. / Thesis (PhD)--University of Pretoria, 2021. / Nursing Science / PhD / Unrestricted

To assist disadvantaged Appalachian nursing students, a grant-supported peer mentor-tutor project was initiated in a regional university. Located in the NURSE Center (Nursing Undergraduate Resource for Successful Education), the goals of the project were to improve participants'academic achievement, increase retention, encourage timely academic progression, and improve NCLEX-RN passing rates. The authors describe the project, the first year of operation, and future directions.

Peer mentoring is the exchange of skills or knowledge from a more experienced individual to a novice in the same field. Due to the constraints placed on nursing education, many students struggle to complete the nursing curriculum. This leads to high attrition rates within colleges of nursing. Without maximizing graduate rates, the current nursing shortage is exacerbated. This integrated literature review examines the impact of more experienced nursing students mentoring their junior peers. With implementation of peer mentoring attrition rates were reduced. Additionally, the research showed that mentees experienced an enhanced feeling of support and were able to learn more efficiently. Mentors benefited from the arrangement with enhanced leadership and teaching abilities. Instructors of nursing programs also benefited from the arrangement by having decreased demand for review sessions, which could be taken over by the mentors, and could focus on enhancing their lessons or other educational obligations.

Nursing practice at all levels requires a nurse to use evidence-based nursing to improve the quality of patient care. Registered nurses need information literacy skills to practice evidence-based nursing, therefore, all nursing students need to be information literate upon graduation from nursing programs. There is no empirical research evidence on information literacy skills for students entering nursing programs in four-year colleges. Students seeking to attain a baccalaureate degree through a traditional nursing program, enter with differing demographic and educational factors that may affect their information literacy skills. Therefore, the purpose of this research was to examine information literacy skills of the entering traditional baccalaureate nursing student and to assess the relationship of demographic and educational factors utilizing a validated assessment tool, the Information Literacy Test (Madison Assessment, 2012). The Information Literacy Test (ILT) was administered to 120 students in a traditional baccalaureate nursing program at a major metropolitan university during the first month of their academic program. The students in this sample were a homogenous aggregate of white, young females. Cronbach’s alpha for the Information Literacy Test was minimally acceptable for reliability of the test. One hundred two of the 120 students in this study were identified as proficient in information literacy by achieving a 65% on the ILT with 18 students not being proficient. The ILT raw scores ranged from 31 to 55. The mean score for the ILT in this sample was 43.64. Two of the 120 students were at the Advanced Proficient level. Out of the four Association of Colleges and Research Libraries Competency Standards tested on the ILT, students had the most difficulty with Competency 2 on accessing needed information efficiently and effectively. iv Demographic and educational factors were examined for prediction of information literacy skills in students entering their junior year in a traditional baccalaureate nursing program using Chi Square and regression analysis. The categorical variables of English as their primary language (p < .001), race (p < .001), and years since completing science prerequisites (p = .036) demonstrated a statistically significant relationship with the ILT using Chi Square analysis. A pre-analysis test indicated that the Test of Essential Academic Skills, which is an entrance test for nursing program admission, was positively correlated with the ILT (p < .001). An ANOVA of the TEAS and the bivariate ILT indicated that the means were significantly different (p < .001) between the Proficient and the Not Proficient students. A single regression analysis was significant in predicting a positive relationship with the ILT (p < .001) using the one continuous variable, the TEAS score, with the ILT raw score. A logistic regression analysis was performed with two categorical variables, English as the primary language and years since completing science prerequisites, and one continuous variable, the TEAS score with the bivariate ILT raw score. All three variables were significant predictors of information literacy in the model. Student who did not have English as their primary language were 9 times as likely to be not be proficient on information literacy (p = .010). If a student who had science courses completed 3 or more years prior to entry in the nursing program, the student was 12 times as likely to not be proficient in information literacy (p = .008). For every 5 point increase in the TEAS, the ILT score increased by 4 points indicating that students with higher TEAS scores tend to be more proficient in information literacy (p = .004).

Thesis (Ed.D.)--Boston University / PLEASE NOTE: Boston University Libraries did not receive an Authorization To Manage form for this thesis or dissertation. It is therefore not openly accessible, though it may be available by request. If you are the author or principal advisor of this work and would like to request open access for it, please contact us at open-help@bu.edu. Thank you. / STATEMENT OF THE PROBLEM: This study is an attempt to determine the degree to which the Higher Institute of Nursing is meeting the contemporary needs of the United Arab Republic. The purposes of this investigation are: 1. To determine to what extent the existing program has accomplished the following: a) the philosophy and goals have been in accordance with the educational program; b) the functions and goals of graduates have been specified and were in accordance with these objectives and aims; c) graduates have been educationally prepared to assume the positions to which they were assigned. 2. To view nursing in the broad social context and investigate the socio-cultural, political, and economic factors which have influenced the development of the nursing profession in the United Arab Republic. 3. To propose a plan for developing a curriculum for nursing at the university level which will take into account the general characteristics of the society and will satisfy the medical and health needs that are evident in the country. PROCEDURAL METHOD: The case study method has been employed in the research and writing of this dissertation. This method was selected for reasons related to the nature of the study undertaken: 1. The writer was working in an unformulated area where there was relatively little available in terms of previous studies on nursing education in the United Arab Republic which would serve as a guide. 2. The intensive case method which involves the case study of a group has been found to be a particularly fruitful method for stimulating insights and suggesting hypotheses. 3. The attitude of the investigator is one of alert receptivity of seeking rather than testing. Instead of limiting himself to the testing of hypotheses, the investigator is guided by the features of the object being studied; his inquiries are constantly in the process of reformulation and redirection as new information is obtained. 4. The intensity of the study of the group selected for investigation and the intensity of the attempt to obtain sufficient information will characterize and explain the unique features of the case and those which it has in common with other cases. 5. It relies on the integrative powers of the investigator, on his ability to draw together many bits and pieces of information into a unified interpretation. FINDINGS: 1. The United Arab Republic is undergoing rapid social, economic and political changes which the education institutions both reflect and effect. 2. In founding the Higher Institute of Nursing with the aid of World Health Organization, the United Arab Republic adopted the program of studies from foreign curriculae patterns. International nursing leaders were among those who helped establish this institute because no Egyptian nurses were qualified at that time to participate in this program. The program did not have the necessary adjustments made to meet the needs of the culture concerned: a) the program does not deal with problems and issues which are peculiar to the culture and contribute to its health and nursing problems; b) the program does not equip students with the necessary tools and techniques which would enable them to attempt to reach a solution to some of the most urgent nursing problems. 3. The Higher Institute of Nursing prepared students who, upon termination, were not assigned to positions which were in accordance with the education they received. 4. The Institute has not made explicit what the role of the university educated nurse is to be. 5. Changes in medical and health practices have influenced the responsibilities of nurses. CONCLUSIONS: The adoption of a foreign curricula pattern without taking into consideration possible outcomes and consequences due to cultural forces may bring about not only unfavorable results but total failure. From the findings, suggestions were made to improve the situation. / 2031-01-01

Background: With the increased emphasis on technology-based education, in-person educational escape room puzzles are gaining popularity in higher education. In response to challenges in delivering quality education within the virtual environment, the need to expand learning opportunities within the digital environment has never been greater. Methods: The purpose of this study is to investigate nursing students’ experience using gamification Virtual Interactive Puzzle Escape Room (VIPER), which incorporates tasks of medication calculations and safe blood transfusion procedures. Using a quasi-experimental explanatory post-test design, the sample consisted of (N=52) third-year nursing students enrolled in a medical-surgical nursing course from Ottawa, Ontario. The reliable and validated GAMEX tool was used to assess the gameful experience of the VIPER. A secondary question identified if age of participants influence their gameful experience scores. Results: Participants perceived VIPER improved knowledge, skills and judgement and can be an effective educational modality to apply skills of medication calculations and reinforce the nursing skills in complex clinical interventions. Conclusions: By incorporating creative and engaging game elements into nursing education, educators can enhance the learning experience of nursing students and prepare them to provide high-quality patient care.

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