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Trends in nursing education since 1976.

Since the first issue of MCN was published, many changes have transpired in nursing education on all levels. These trends in nursing education since 1976 are addressed for diploma, associate, baccalaureate, master's, and doctoral programs. Examples of such trends focus on enrollments, graduations, and minority students. Trends to watch for in nursing education over the next quarter century are forecasted along with recommendations for nurse educators.

Education, Nursing↗

Educational preparation for nursing--1974.

Each year a report of some of the most recent statistics on nursing education appears in the September issue of Nursing Outlook. The data presented are derived from The National League for Nursing's annual survey of state-approved schools of nursing in the 56 jurisdictions of the United States. The programs surveyed include those which prepare for beginning practice in nursing (baccalaureate, associate degrees, diploma, and practical nursing); those graduate programs that lead to masters and doctoral degrees in nursing; and those baccalaureate programs that conduct nursing programs for registered nurses only. Data on the status of state-approved basic schools (new schools, closed schools, and changes in existing schools) are obtained in September of each year from the state boards of nursing. In October, questionnaires are mailed to each school of nursing, as well as to those nursing programs that do not require state board approval (masters and doctoral programs, and baccalaureate programs for registered nurses). Information is also obtained from irregularly conducted surveys of all four-year colleges and universities in the United States that do not have state-approved basic nursing baccalaureate programs. The data obtained include admissions and graduations for the preceeding academic year, admissions for the current fall term, and enrollments as of October 15. Other information, such as data on men and minority students, is collected every three years. In recent years, enrollment figures for students who were admitted with advanced placement status have also been collected. With few exceptions, the schools have been most cooperative in providing the data, making it possible for us to obtain a 100 percent response rate for both registered nurse and practical nurse programs.

Education, Nursing↗

Decision-making skills and critical thinking ability among associate degree, diploma, baccalaureate, and master's-prepared nurses.

A key component of nursing practice is the nurse's ability to process information and to make decisions. One goal of most educational programs for nurses is to enhance students' cognitive abilities and clinical decision-making skills. This study investigated the differences in critical thinking ability and decision-making skills among 121 associate degree, diploma, baccalaureate, and master's-prepared nurses. Results indicated that nurses with master's and baccalaureate degrees had the highest scores in critical thinking ability. Subjects' decision-making skills were measured related to: 1) frequency in making decisions, 2) difficulty in making decisions, and 3) factors which influence decision making. No significant differences were found among the four groups related to the three dimensions of decision-making skills. Experience and knowledge were the most influential factors in decision making. Study findings have implications for investigating differences among nursing students related to cognitive abilities.

Clinical Competence↗

Exploring nursing education in the People's Republic of China, Japan and Turkey.

The global nursing shortage has caused competition and cooperation between countries desperate for registered nurses (RNs), and has led to an increase in migration and international recruitment of nurses. Some nursing diplomas or degrees earned in one country may not be transferable to another. As a result, there is growing interest in common standards and competencies of entry-level nurses to guide future registered nurse agreements between countries or multi-country licensure programs. An exploratory study was conducted to investigate how entry-level nurses are educated throughout the world. The researchers sent a nursing education questionnaire to nurse educators in eleven countries inviting them to participate in the study. Nurse educators from The People's Republic of China, Japan and Turkey were the first to agree to participate in the study. They responded to questions about their country's nursing history, types of nursing programs, use of national nursing licensing examination, and social and political influences on nursing education. The nurse researchers did an analysis and comparison of the nursing education in each country.

China↗

Evaluation of the Thai-Lao Collaborating Nursing Manpower Development Project using the Context Input Process Product model.

The purpose of this article was to describe, monitor and evaluate the Thai-Lao Collaborating Nursing Manpower Development Project using Stufflebeam's Context Input Process Product model. The study found that the project had great success in personnel development according to the six activities of the project. It helped develop two nurses with Masters degrees, 24 senior nurses and 283 diploma and auxiliary nurses. There were visible changes in the discipline and in terms of nursing care, nursing process was utilized. The Lao nursing system was developed to the point where white uniforms were used as the symbol of nurses who previously went unrecognized. There was a change in the structure of nursing organization. Moreover, nursing activities moved towards the goal of health promotion and prevention. The study recommended that a periodic supervisory activity be implemented to enhance the training of trainers. In addition, a 2-year continuation program for Bachelor degrees in nursing should be developed initially in Laos, then a 4-year program should be developed. The nursing education program for Masters degrees should initially be obtained through neighboring countries.

Career Choice↗

An exploration of content on legal aspects of practice in nursing programs.

The paucity of literature on legal content in nursing curricula was used to frame the research question that guided this study. In what ways and to what extent are nursing educators addressing the subject of legal aspects of nursing practice? This study was designed to explore the area of legal aspects of nursing practice in nursing programs curricula. The researchers gathered information on numerous areas, including course content, methods of delivery, topics covered, and time devoted to legal content. The results revealed that content on legal aspects of nursing practice is commonly a component of nursing programs curricula and provided information on many areas; however, the results also revealed other areas that need to be researched.

Curriculum↗

The librarian as a partner in nursing education.

Welch Medical Library has explored new roles for librarians in knowledge management instruction programs throughout the Johns Hopkins University School of Nursing curricula. These programs have created roles for library staff as both instructors and knowledge management experts. By fostering strong communication and attention to quality instruction, librarians achieved their vision of a program in knowledge management integrated into the curriculum, where they are partners working with nursing faculty to define the students' knowledge management needs and decide how these needs can be met.

Baltimore↗