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Title: Evaluation of a blended learning approach to developing specialty-nursing practice: an exploratory descriptive qualitative study.
Authors: Tebbs, Owen
Hutchinson, Anastasia
Botti, Mari
Lau, Rosalind
Keywords: Blended Learning
Introductory Programs
Post-Registration Nurse
Deteriorating Patient
Acute Care
Professional Development
Peer Acceptance
Introduction to Specialty Practice
Clinical Identity
Epworth/Deakin Centre for Clinical Nursing Research, Melbourne, Victoria, Australia.
Issue Date: Nov-2020
Publisher: Elsevier
Citation: prepub
Abstract: Background An ageing population and a transitioning workforce is creating demands on healthcare workforces. Clinical and procedural knowledge deficits cause anxieties in new and experienced nurses alike when integrating into new teams. Overcoming these boundaries can be achieved with Introductory programs. These develop knowledge, technical skills and non-technical skills. Investigating nurses drive to undertake such programs, and the benefits they perceive for themselves, will help to tailor future programs. Objectives To explore post-registration nurses' motivations for undertaking an introductory program that utilised a blended learning methodology. Identifying changes in participants understanding and clinical behaviours. Methods An exploratory descriptive qualitative study design was used to evaluate the Introduction to Specialty Practice (ISP) program that is run by a large private healthcare provider in Melbourne, Australia. The health service includes eight campuses and four intensive care units across the group. Twelve participants from a mixture of critical care and acute care clinical areas were consented. They were interviewed using a semi-structured questionnaire. Responses were transcribed verbatim and thematic analysis of the transcripts then occurred. Results The study demonstrated intrinsic and extrinsic factors influenced participant's desires to undertake this program. Three major themes were evident: 1) that caring without knowledge was daunting, 2) that participants needed to create a clinical and professional identity and 3) that participant's perspective on their delivery of care improved, along with their professional aptitude. Conclusion Maintaining currency with knowledge, skills, and technological developments is crucial for nurses to consistently deliver high-level care. The demands that nurses' face within their clinical areas affects their intention to stay within the workforce and their ability to deliver care. Introductory programs that utilise blended learning strategies have a role to play in enabling nurses to create their professional identity, find their position in clinical teams, and meet the requirements of organisations.
DOI: 10.1016/j.nedt.2020.104663
ISSN: 0260-6917
Journal Title: Nurse Education Today
Type: Journal Article
Affiliated Organisations: Deakin University/Epworth HealthCare Centre for Quality and Patient Safety Research, Australia
Type of Clinical Study or Trial: Descriptive Study
Appears in Collections:Clinical Education & Simulation

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