Wednesday, July 3, 2019


The Role Of The Nursing Educator In A 21st Century Learning Environment.
A nurse educator according to Mcur and Mulaudzi (2015), refers to a professional nurse, who has acquired a nursing education specialist, who develops and trains student nurses in theory and practice to produce competent professionals, and who will be able to provide total quality patient care at all levels. As such, these nursing educators have a huge responsibility in guiding the population of nurses for generations ahead. Nursing education has evolved from an apprentice-style of education to one that requires an education grounded in liberal arts and calls for the development of critical thinking abilities who continue to make significant contributions to our understanding of the patient experience (Morin, 2014). The main aim of nursing education according to Olsson and Gullberg (1991), is to develop the nursing profession, to clarify the professional role, to set goals of professional programs, and to recognize the professional status.
            Adjusting to the dynamics of the 21st century may be demanding for nursing educators, some more than others. More and more have we seen teaching methods being changed from the traditional way. The use of chalk, blackboard and duster can be seen less; however, the use of technology with multi-media, computers and other software devices are being utilized habitually, these devices not only makes learning fun, but also accessible in other parts of the world. As society evolves, access to information and the type of data have also changed. More and more the nursing practice have become sensitive and reliance on evidence based practice, which is guided by enhanced theoretical framework. Nursing educators must therefore, keep abreast with all these changes to continue to be effective leaders. With the implementation of Electronic Health Records and Nursing Informatics, nursing educators must be able to adapt and understand these applications, not only for their own self education, but to educate students in this student-centered teaching environment.
                                            Figure 1.  NURSING INFORMATICS in USE.

Challenges in fulfilling the role of the Nurse Educator in the 21st century.  
1. Nursing educators may not be qualified and Knowledgeable or possess the ability to teach this generation of nurses, therefore, they must become qualified and able to utilize their qualifications, to meet the needs of this advanced student nurse population. Although some nursing educators may have the recommended criterion, being able to teach and explain lessons may be difficult due to lack of experience, not having proper teaching skills that are required, or they may not know how to apply what they have learned on paper and translate it to the practical setting.
2. Inability to Merge the art and science of caring, together with the easily accessible technology. According to Fawaza, Hamdan-Mansourb, and Tassia (2018), outcome-oriented education is currently being highlighted rather than process-based learning. For instance, through skill-based techniques; evidence-based techniques in education; providing students a rich learning journey unlike former models of traditional lecturing; and incorporating evolved learning technologies in programs. Thus, technology have now become internet and web based, educators must be tech-savvy to manoeuvre these devices. Accessing and utilizing; e-books, internet-hosted material, computer access and broadband internet services, IT rooms, smart-boards, and video-conferencing, and implementation of technology in clinical practice, should be easy for nursing educators to use.
3.  Challenges with Curriculum Development; Nursing educators should also be able to be creative in continuously formulating curricular modifications in this rapidly evolving professional practice (Fawaza, Hamdan-Mansourb, & Tassia, 2018). Being able to modify the nursing student curriculum to meet the needs of the all stakeholders directly involved inclusive of; the nursing students, their learning styles and most importantly the patients who receive care.
4. Unable to Balance Nursing and Nursing education as a two floe profession.  According to RN Journal of Nursing (2019), the chronically ill hospitalized patient population of today combined with the inherent complexities of managing patients with various pathologies make the ability to critically think and act especially important. They further states that, Nurse educators who teach these courses must meet the accepted standards by graduating safe practitioners and by maintaining appropriate accreditations in order to teach the students. Nursing educators should always be equip with advance evidence based knowledge and updated practice, to ensure what they teach their nursing students the skills that are within safe and effective quality care practices.

Understanding and Applying Concepts, Models or Framework.
The understanding of instructional contexts and design models, learning objectives and lesson plans indeed help to overcome such challenges, because these are systematic methods in teaching that the educator can use to guide their teaching techniques. As suggested by Baron (2017), understanding the processes of a concept-based curriculum helps educators refine curricular structures, teaching techniques, and teaching-learning evaluative methods; concept-based teaching requires educators to construct learning using concepts and exemplars while implementing student-centered learning activities with authentic experiences from clinical practice.
Below is an educational framework entitled Framework for 21st Century School Nursing Practice. Nursing educators can utilize theoretical frameworks such as these to meet the needs of their student population.
The National Association of School Nurse’s (NASN) Framework for 21st Century School creates an overarching structure that includes concepts integral to the complex clinical specialty, it provides a graphic illustration of the key principles of professional practice, reflecting the organization's stance for evidence-based best practice and providing focus to priority school nursing activities.

In conclusion, it will be in the best interest of all involved for nursing educators of the 21st century to maintain their consistency of innovative ways to guide students in the learning environment. Once the nursing educators identify creative ways to better relate clinical experiences, maintain their balance in their profession, keep up to date with their skills, develop techniques to assist their students to think critically while they utilize technology in their practice, and plan students’ curriculum effectively, health care at this given at the tech-savvy era will not only enhanced but exceptional.
Below is video based on the Qualities and Characteristics of an Effective and Efficient Nursing Educator of the 21st Century.    DO ENJOY!!!


Reference;
Baron K. A. (2017). Changing to Concept-Based Curricula: The Process for Nurse Educators.
The open nursing journal, 11, 277–287. doi:10.2174/1874434601711010277
Fawaza, Hamdan-Mansourb, and Tassia (2018). Challenges facing nursing education in the
advanced healthcare environment International Journal of Africa Nursing Sciences
Volume 9, 2018, Pages 105-110 Retrieved from https://doi.org/10.1016/j.ijans.2018.10.005
Morin, K., H. (2014). Nursing education: The past, present and future |  Volume : 2  |  Issue :
4  |  Page : 136-141 DOI: 10.4103/1658-600X.142781 Retrieved from http://www.thejhs.org/article.asp?issn=2468-6360;year=2014;volume=2;issue=4;spage=136;epage=141;aulast=Morin
National Association of School Nursing (2019) Framework for 21st Century School Nursing
Practice Retrieved from https://www.nasn.org/nasn/nasn-resources/professional-topics/framework
 Olsson, H., M. Gullberg, M., T. (1991). Nursing education and definition of the professional
nurse role. Expectations and knowledge of the nurse role. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/1994228
RN Journal of Nursing (2019). Current and Future Educational Challenges for the Nurse
Educator Retrieved from https://rn-journal.com/journal-of-nursing/educational-challenges-in-nurse-education

7 comments:

  1. Hi Tessa.

    A very informative write-up you did. It is indeed challenging for nurse educators to adjust to the 21st century teaching environment. To add on to your challenges, I like the point where you have stated that nurse educators may not be qualified to teach the new generation of nursing students. In my own country, Fiji, most of the nurse educators are having qualifications only at Master's level with a few having PhD. I believe that it is desirable for someone having a PhD to be taking post graduate courses as they will have more knowledge and skills compared to masters prepared educators. The inclusion of the framework to help nurses educators in your blog is great. This will help them to overcome the challenges that they may be facing.

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    1. Salvindra,
      As we have learnt during our practicum even in Trinidad right here at UWISoN, in order to be a lecturer one must posses a PhD. A few years back, master-prepared nursing educators may have been acceptable but that is not the case anymore. Persons must get qualified is they want to be a part of faculty as lecturers or if they still desire to be in the nursing education field, they will have to settle for being assistant lecturers (if the educational institution is accepting that level of qualification) or clinical instructors.

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  2. Hey Tessa.
    Very well said and I agree with the point that you've brought out here. They are definitely in accordance with the needs of the 21st century environment. Nevertheless, permit me to add one point.
    I do believe, that at least one aspect of the traditional environment can be brought into this digital age. That is commitment. In fairness to some nurse educators of old, many of them hadn't the opportunity to elevate themselves academically because Doctoral and Masters degree weren't accessible as it is today. Also, they probably weren't even exposed to the kind of technology that is seen in this generation. However, many would have utilized the knowledge that they had to provide what they would have perceived as the best mode of education delivery (a teacher-centered environment).
    This by any means, does not take away the fact that now educators need to adapt to the present state. You brought out the point well; that they need to meet the needs of the 21st environment. Here is where commitment to learning, the students and nursing on a whole is essential for educators.
    Thank you.

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    1. Hey Terrence,
      I do agree with you that the older nurse educators would not have had exposure to Masters and Doctoral degrees. But even now some of them are more committed to nursing education that our "millineals". And as you have correctly we do need to adapt eith the times.

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  3. Hi Tessa. A well articulated piece of work. I agree with the facts that you have in regards to the challenges faced by the nurse educators in the 21st century. I strongly agree with the first point where you stated nursing educators may not be qualified and Knowledgeable or possess the ability to teach this generation of nurses, through my personal experience it has been noted that there are lack of these personnel in the nursing education system. Hence, many challenges in the nursing education system to meet the learning needs and goals of the individuals. well, I would say we are fortunate that we are experiencing these kind of learning environment which we could improve the nursing education system in future

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  4. Tessa,
    You have indeed done a very comprehensive post showing the need for change and adapting to the 21st century: a fast-paced and ever-changing environment. We do need qualified nursing educators who will be able to to merge the use of technology with the art and science of caring while carrying out their professional duties as nurse educators. An educational framework will help nurse educators to perform successfully as nurse educators.

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  5. Good morning Tessa
    thankyou for the blog.....I too support the view that nurse Educators need to find a balance. if you are going to be teaching nursing as a profession one must keep current with what's happening in the hospital in order to stay on the cutting edge. No one should be allowed to teach in this 21st century without having update skills, especially in the realm of nursing. healthcare can be very demanding and changes all the time. healthcare professionals should remain competent.
    Many thanks.....Dorothea

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