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Impacting Nursing Education Globally: An Innovative NLN Initiative With the International Council of Nurses

2024· article· en· W4394953690 on OpenAlex
Patricia A. Sharpnack

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

aboutThe title or abstract carries a Canadian signal from the geographic lexicon.
no affNo Canadian affiliation: this work is invisible to an affiliation-only frame.
No Canadian affiliation. An affiliation-only frame, the usual design, would never have seen this work. It is one of the works that make the case for inverting the frame.

Bibliographic record

VenueNursing Education Perspectives · 2024
Typearticle
Languageen
FieldMedicine
TopicSimulation-Based Education in Healthcare
Canadian institutionsnot available
Fundersnot available
KeywordsNursingNurse educationMedicinePsychologyMedical education

Abstract

fetched live from OpenAlex

Nearly one year ago, in July 2023, I was privileged to be part of a delegation representing the National League for Nursing (NLN) at the International Council of Nurses (ICN) Congress in Montreal, Canada. This event, with its parade of nations, was an exciting experience. Nurses from across the globe presented themselves in their national colors and costumes. Many countries sent several delegates, but others were represented by a sole nurse who walked across the stage with pride. In each session I attended, I was made aware of the significant challenges facing nursing, including violence being committed against health workers during conflicts and workforce shortages touching all nations. I also became aware of cutting-edge programs nurses use to improve the health of the populations they serve. Vignettes filmed by the ICN in collaboration with British Broadcasting Corporation StoryWorks (BBC StoryWorks, 2024), titled Caring With Courage, featured nurse warriors who make a difference in their communities, despite a scarcity of resources. These presentations highlighted the expertise of nurses from across the globe, including a Ugandan nurse working to stop the spread of tuberculosis, nurses from Asia using the potential of artificial intelligence to care for persons with mental health diagnoses, midwives working to ensure safer birthing experiences for indigenous women in Mexico, and a nurse attempting to remove the stigma of menstruation and address period poverty in Africa. These stories underscored the impact of our profession. The experience of attending the ICN Congress was beyond my hopes and expectations. The congress provided a perfect opportunity to examine the global impact of nursing practice and how the nursing professional workforce strives collectively to improve health outcomes in our communities. However, despite the identification of policy changes needed to address the global nursing workforce shortage, the importance of linking nursing education and practice was not apparent. The ICN Congress did not address the connection between nursing education and its profound influence on workforce development or the shaping of nursing practice. The gap between nursing education and its impact on the readiness of new graduates for practice was a notable area of missed opportunity. Furthermore, there was an unmistakable absence of thought leaders working to moderate this gap at a global level. Keating et al. (2021) noted that, worldwide, there is a need to employ nearly 5.9 million nurses to address the significant shortage of nurses in the workforce, and this need will be especially felt in lower and middle-income populations. The authors identified the importance of effectively aligning educational strategies to ensure that our global workforce is robust and that all new nurses are equipped with the requisite competencies to be safe and effective when they transition to practice. The knowledge and skills required of new graduates worldwide are changing because of social and demographic changes, the increasing complexity of health scare needs and chronic conditions that exist in our populations, the substantial pressure of newly developing infectious diseases, and emerging environmental and climate-related illnesses. To prepare qualified new graduates for a variety of settings, and for roles we have yet to imagine, we must have skilled nurse educators, but the shortage of educators we are experiencing in the United States is a global one. Also, with qualified educators tending to relocate to more affluent areas and countries (Trines, 2018), the shortage is particularly damaging in less developed parts of the world. Hence, there is a need for collaboration and partnerships. Recognizing these challenges, NLN President and CEO Dr. Beverly Malone boldly advanced a vision, to employ the expertise and resources of the NLN to mitigate the academic-practice gap across the globe. As preparation for the role of nurse educator is neither standardized nor consistent in format (James et al., 2017), Dr. Malone’s vision encompasses the identification of core competencies that will position our academic workforce to influence the delivery of care with a global perspective and on a transformational level, in ways suitable for local challenges and communities (NLN, 2020). This creative proposal has resulted in a collaborative partnership between the NLN and the ICN to prioritize and promote the education of nurses worldwide through a new organization identified as the ICN Education Experts Advisory Committee (ICNEE). As the premier nursing education professional organization, the NLN, in collaboration with ICN, is poised to develop and support this initiative and begin the hard work of identifying avenues to influence nursing education globally. The ICNEE is housed within the NLN Institute for Diversity and Global Initiatives and led by Dr. Sandra Davis, deputy chief director for the NLN/Walden University College of Nursing Institute for Social Determinants of Health and Social Change. She will serve as ICNEE chair for the next three years and bring her knowledge and experience to broaden the commitment to quality and equity in nursing education around the globe. This partnership will bring together 14 nursing thought leaders representing the seven World Health Organization regional areas and two at-large members. Their task will be to address challenges and opportunities, disseminate best practices, and advance the well-being and professional development of nurse educators. The immediate focus of the ICNEE is to shape the thinking around the soon-to-be-published second edition of the World Health Organization’s State of the World’s Nurses Report, produced in collaboration with the ICN. Colleagues, this is an incredible opportunity for academics across the globe to effect change in nursing education. Issues and concerns that are evident worldwide will be addressed and mitigated through this transformational partnership. As NLN chair, and as part of this international initiative, I stand committed, along with the NLN Board of Governors, to actualizing the NLN mission: promoting excellence in nursing education to build a strong and diverse nursing workforce to advance the health of our nation and the global community. As the leader in nursing education, the NLN is at the forefront of efforts to make a meaningful difference in academic outcomes and educator influence!

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Qualitative · Consensus signal: Qualitative
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.172
Threshold uncertainty score0.996

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.001
Science and technology studies0.0000.001
Scholarly communication0.0000.001
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.094
GPT teacher head0.442
Teacher spread0.347 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it