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Waging the War on Clinical Grade Inflation: The Ongoing Quest

Video Author: Lisa A. Seldomridge, PhD, RN and Catherine M. Walsh, PhD, RN
Published on: 08.07.2018
Associated with: Nurse Educator. 43(4):178-182, July/August 2018

Concerned about clinical grade inflation in your program? Then don’t miss watching this video and reading the article. This study examined the presence of grade inflation in clinical courses 9 years after implementing strategies to improve grading precision. A comparison of clinical grades for cohort I (1997-2002) with cohort II (2009-2016) showed statistically lower grades in 2 courses (Adult 1 and Maternity) for cohort II. The authors provide suggestions for changing the way clinical experiences are planned, executed, and evaluated.

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This video describes VoiceThread technology and how to implement it in your nursing course. The video explains the step-by-step approach you can use for effective implementation of this technology beginning with faculty orientation, then implementation (visual and verbal presentation), though evaluation with students. If you are interested in VoiceThread, look no further because this video is an excellent introduction to the technology and implementation.
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Creator: Cynthia L. Foronda, PhD, RN, CNE, ANEF
Duration: 6:29
Augmented reality and virtual simulation technologies in nursing education are burgeoning. Technologies present opportunities to improve teaching efforts, better engage students, and transform nursing education. This video and article present newly emerged products and systems that nurse educators should know about.
Creator: Gerry Altmiller
Duration: 3:38
Quality and Safety Education for Nurses (QSEN) has been prominent in nursing education for 10 years. Since its inception, faculty have used the QSEN competencies as a framework for developing teaching strategies and tools, but there are few findings available to support this practice. In this video and article, Dr. Altmiller describes the process of developing a QSEN-based clinical evaluation instrument for a prelicensure nursing program and establishing content validation for its items.
Creator: Jeri L. Bigbee, PhD, RN
Duration: 3:12
A needs assessment was conducted regarding an interprofessional faculty development program. Nursing and medical faculty and administrators (N = 156) were surveyed. The results indicated strong support for the program, particularly related to teaching/learning strategies, leadership, and scholarship. Nursing faculty rated some topical areas significantly higher than did the medical faculty, including innovative classroom teaching, educational technology, interprofessional education, diversity/inclusion, and mentoring graduate students. After watching this video make sure you read the article to learn more about this interprofessonal faculty development program.
Creator: Dr. Melissa L. Mastorovich and Dr. Susan G. Poorman
Duration: 4:05
Metacognitive wrappers help students examine how they think. Wrappers are brief metacognitive activities that guide students’ learning from lectures, online classes, and readings. Students can use these wrappers to prepare for tests including the NCLEX. Watch this video from the experts in this teaching strategy and follow up by reading the article.
Creator: Lana Sargent
Duration: 5:46
Identifying the most effective models for integrating new technology into the classroom and understanding its effects on learning outcomes are essential for nurse educators. In this video and article, the authors describe how they integrated iPads into the nursing program using an innovative case-based learning model. Students reported positive outcomes when using tablet technology for learning course content.
Creator: Brenda Leda Quinn
Duration: 2:27
In this video abstract and article, the author describes an innovative, yet low-technology approach, to using edible curriculum aids to engage students in active learning during a lesson related to foundational pharmacological concepts. The specific concept taught through the use of food as a curriculum aid was drug half-life.
Creator: Marcia Laux
Duration: 3:18
In a large online RN to BSN program, faculty embraced the use of electronic portfolios (e-portfolios) for documenting student assignments and learning, overall program evaluation, and student professional development. Watch this video to learn about e-portfolios and how the faculty used them for program evaluation. Make sure you read the article and watch the second video about this article.
Creator: Mary Benbenek
Duration: 3:01
Determining when advanced practice registered nurse students are safe and competent for beginning-level practice is challenging. In this video Dr. Benbenek describes the development and testing of a capstone objective structured clinical examination designed to evaluate the practice readiness of students enrolled in the family, adult-gerontology, women's health nurse practitioner, and nurse-midwifery tracks. This is a must-read article.
Creator: Debbie Hampton, FACHE
Duration: 2:15
If you are teaching online, make sure you watch this video and read the full article. This study aimed to determine the level of engagement of registered nurse (RN) to Bachelor of Science in Nursing (BSN), Master of Science in Nursing (MSN), and Doctor of Nursing Practice (DNP) nursing students enrolled in online nursing degree programs and to understand whether there are generational differences in level of student engagement. Significant differences were noted for engagement level between generations of students, but no significant difference was noted in the engagement level of students from RN to BSN, MSN, or DNP programs.
Creator: Kimberly A. Noble, MBA, BSN, RN
Coleen E. Toronto, PhD, RN, CNE
Duration: 3:50
The author describes a community partnership that includes a writing-for-publication health promotion activity for RN-BS students enrolled in a population health nursing course. The faculty member for the course contacted the Youth Health Connection (YHC) program coordinator to inquire about the possibility for student-authored article submissions in the YHC e-newsletter. This outreach began a unique educational partnership that affords RN-BS nursing students the opportunity to author health promotion articles and has led to other initiatives between the health system and nursing department.
Creator: Jennifer J. Coleman, PhD
Duration: 3:24
Are you struggling with how to prepare prelicensure nursing students with the ethical and moral decision-making skills they will need as nurses? This article describes the use of theater as one approach to teaching nursing ethics. Students perform as actors, directors, and discussion leaders in a series of simulated ethical scenarios designed to encourage individual accountability and responsibility for action.
Creator: Mikel W Hand, EdD, RN, OCN, NE-BC, NEA-BC
Duration: 9:47
Nurses and other health care professionals need to understand methods for analyzing medical errors to prevent them from recurring in the future. One widely used process to examine errors is root cause analysis (RCA). The authors describe their approach to engage nursing students in RCA using problem-based learning. Students conduct a mock RCA based on an actual medical error reported either in the media or literature. The cases used for the RCA are selected by the students based on their particular area of interest. Watch this video and make sure you read the article.
Creator: Mary Ellen Burke, MS, RN, CNM
Raeann G. Leblanc, DNP, CNP-BC, ANP-BC
Elizabeth A. Henneman, PhD, RN, CCNS, FAAN
Duration: 3:38
Communication skills are essential to providing quality care to patients and families and interacting with nurses and other health care professionals. Nurse educators are responsible for preparing students to appropriately engage in the communication process. The authors describe a simple approach for teaching nursing students the basics (ABCDs) of a professional introduction. You can use these guidelines in a simulation or clinical setting. Watch the video and learn more about the ABCDs of professional introductions by reading the article.
Creator: Julia Ward, PhD, RN
Duration: 3:12
Empathy is at the heart of all nurse-patient interactions. Yet empathy often declines during the student’s nursing program. Julia Ward reports on her mixed-methods study to assess whether an educational intervention using standardized actors could prevent the decline of students’ empathy. Watch this video and be sure to read the full article: her educational intervention holds much potential for improving empathy in nursing students.
Creator: Julie Waldrop, DNP, FAANP
Diane Wink, EdD, FAANP
Duration: 5:43
Twitter is a social networking application that has seen limited evaluation in nursing education. In this project students used Twitter to receive tweets on clinical and professional topics from the instructor throughout the semester: 75% demonstrated willingness to follow the links in the tweets to seek more information, and 87% expressed a desire to receive the tweets even after the semester was over. Watch this video and read the article to learn how you can use Twitter in your courses and get ideas about evaluating its outcomes.
Creator: Kim Decker, PhD, RN, CNS
Desiree Hensel, PhD, RN, PCNS-BC, CNE
Leslie Fasone, EdS, MS
Duration: 3:52
Watch this video and read the article to learn how the faculty integrated a college bystander intervention service-learning project into an entry-level community clinical course. Two years of data showed that students helped improve campus safety. They also developed as professionals. Approximately one-third of the students described a specific incident in which they intervened in the situation.
Creator: Gerry Altmiller, EdD, APRN, ACNS-BC
Duration: 3:16
Dr. Altmiller explains the importance of feedback in student learning. She shares best practices and strategies for giving constructive feedback to students. Whether you are a novice or an experienced teacher, you will learn from this video and her article.
Creator: Jodi McDaniel, PhD, RN
Joni Tornwall, Med, RN
Duration: 5:37
The challenge to educate increasing numbers of nursing students at all levels in both online and in-class environments calls for innovative instructional strategies that may include technology-based assignments. These authors describe a case study assignment developed for a graduate-level pathophysiology course that required students to create digitally enhanced patient stories. Nursing students enrolled in the online and in-class sections of the course worked together using commonly available learning technology tools to create content that bridged pathophysiology concepts and clinical practice.
Creator: Heidi Mennenga, PhD, RN
Susan Bassett, MS, RN, CNE
Duration: 3:42
In an effort to create an interactive cultural opportunity for nursing students, Dr. Mennenga created a unique clinical experience by “matching” nursing with international students located on the same college campus. Watch this video and read the article to learn about this creative, inexpensive approach to providing a cultural clinical experience for nursing students. using resources on one’s very own campus.
Creator: Jodie Gary, PhD, RN
Duration: 3:03
Learn about reverse engineering and how the faculty used it to introduce RN to BSN students to nursing research and evidence-based practice (EBP). Reverse engineering of a nursing practice guideline offered a method for teaching these students an appreciation of research and supporting nursing practice with best evidence.
Creator: Kelly Vowell Johnson, EdD, RN
Duration: 3:17
Many schools of nursing use adjunct and part time nurse educators to teach clinical courses. Dr. Johnson reports on the outcomes of a faculty development workshop to prepare these educators for evaluating their students in the clinical setting. The instructors valued using a student-oriented learning outline, gained knowledge about assessment, and indicated they would engage in activities to increase their knowledge of assessment. Watch this video and read Dr. Johnson’s article to gain some tips for preparing clinical educators in your nursing program.
Creator: Benjamin Smallheer
Duration: 2:45
The reverse case study is different from a traditional unfolding case, in which a single scenario is presented. A reverse case study incorporates students into the development of the scenario and decisions about details of the case. Learn more about this teaching method and how Dr. Smallheer uses it in his teaching.
Creator: Desiree Hensel
Duration: 2:45
This study compared the drinking patterns of 123 female nursing students with those of 185 female students of other majors enrolled beyond the freshman year at a large public university. High-risk drinking patterns did not vary significantly between the 2 groups, suggesting that students' drinking patterns reflected the norms of their institution. Prevention strategies geared at campus culture and that target students still enrolled in prerequisites may be needed to reduce alcohol abuse in nursing students.
Creator: Theresa Buxton
Duration: 2:27
The author describes the process used to develop the RN-BSN program with a hybrid and flipped format. The faculty integrated many innovative teaching methods in the new program, and both students and faculty were satisfied with it.
Creator:
Duration: 3:23
Dr. Lonneman describes 6 teaching strategies for raising nursing students? cultural awareness, a key aspect of cultural competence. In the article he also reports on the effectiveness of an educational intervention he developed using these strategies.
Creator:
Duration: 3:00
The number of people living in poverty is growing, and it is important for nursing students to understand issues of social justice. Undergraduate nursing students completed the Attitude Toward Poverty-Short Form to determine if an experiential activity changed their attitudes from a behavioral to a structural perspective of poverty. Participants in the experimental group demonstrated a more structural perspective of poverty than did those in the control group. The author identifies implications for teaching nursing students.
Creator: Melissa Ann Willmarth-Stec
Duration: 1:16
E-portfolios can provide documentation of competencies and achievement of program outcomes while showcasing the student’s achievement. Implementation of the e-portfolio requires careful decision making about software selection, set up, portfolio components, and evaluation. The authors describe the implementation of an e-portfolio in a DNP program and provide lessons learned during the implementation stage.
Creator: Nagia S. Ali, Kay Hodson-Carlton, & Omar S. Ali
Duration: 4:29
Telehealth care is a fast-growing avenue of providing health care services at a distance. A descriptive study was conducted to identify trends of telehealth education in 43 schools of nursing. Findings reflected inadequate integration of telehealth in classroom content, simulation, and clinical experiences. Interviews with 4 nursing leaders of telehealth provided recommendations on how to integrate telehealth education in nursing curricula.
Creator: Dale O’Neal, MSN, MSEd, RN
Meg Zomorodi, PhD, RN, CNL
Jennie Wagner, EdD, RN, IBCLC
Duration: 3:23
The author discusses the attitudes, influences, and practices of associate degree nursing (ADN) faculty in relation to advising students about nursing education progression. ADN faculty have a sense of moral and personal responsibility to encourage students to continue their education. Lack of faculty knowledge of program details and multiple demands on their time influence their advising practices.
Creator: Anne M. Schoening, PhD, RN, CNE
Other Authors: M. Susan Selde, MS
Joely T. Goodman, MSN, RN
Joyce C. Tow, PhD(c), APRN-WHNP-BC
Cindy L. Selig, DNP, APRN, RNC-OB, CPLC
Chris Wichman, PhD
Amy Cosimano, EdD, RN
Duration: 3:39
This study evaluated learning outcomes and student perceptions of collaborative learning in an undergraduate nursing program. Participants in this 3-phase action research study included students enrolled in a traditional and an accelerated nursing program. The number of students who passed the unit examination was not significantly different between the 3 phases. Students had positive and negative perceptions about the use of collaborative learning.
Creator: Kerry Wilbur
Zohra Hasnani-Samnani
Duration: 3:50
Over the past decade, Qatar has invested heavily in both health and educational infrastructure, leading to new education programs for health care providers, including nursing and pharmacy. As these curricula emerge, there is a unique opportunity to develop and incorporate interprofessional health education within this specific cultural context. The authors describe an interprofessional education initiative between the nursing and pharmacy education programs in Qatar.
Creator: Eileen Rice, PhD, RN
Duration: 4:09
This study explored self-efficacy and emotional intelligence (EI) as predictors for successful clinical performance in nursing students. Students (n = 56) from 5 associate degree in nursing schools in 2 Northeastern states participated in the study. There were significant relationships among EI, self-efficacy, and student-rated clinical competence. The findings from this study support the importance of fostering clinical self-efficacy and building EI abilities in nursing students.
Creator: Peggy A. Bush, PhD, RPh,
Duration: 2:38
Safety education in nursing has traditionally focused at the level of individual nurse-patient interactions. Students and novice clinicians lack clinical experience to create context and understand the complexity of the health care system and safety science. Using the QSEN quality and safety competency as a framework, the objective of this education project was to design comprehensive, engaging, learner-centered, online modules that increase knowledge, skills and attitudes about medication safety.
Creator: Mary Lou Bond, PhD, RN, CNE, ANEF, FAAN
Carolyn L. Cason, PhD, RN
Susan M. Baxley, PhD, RN
Duration: 3:44
This article reports the results of a survey of 90 minority students, 80 faculty members, and 31 administrators from schools of nursing in Texas to determine perceived barriers and needed supports for program completion. The findings provide a baseline for making improvements in and establishing best practices for minority student recruitment and retention.
Creator: Amy Miner, MSN, RN
Jennifer Mallow, PhD, FNP-BC
Laurie Ann Theeke, PhD, FNP-BC
Emily Barnes, DNP, FNP-BC
Duration: 3:46
Teaching large numbers of students can be a challenge for both teachers and students. This article presents the impact of using Gagne's 9 events of instruction on student learning and course evaluations over a 3-semester period. Student evaluations indicated enhanced teacher mastery, effectiveness, and enthusiasm.
Creator: Rene Ridley, PhD, RN
Duration: 3:43
Simulations give students an opportunity to be part of an unknown experience, similar to a movie goer’s first exposure to a popular movie. While students are encouraged to withhold their experience from other students so that all can benefit from the impact of new learning opportunities, reality tells us that students typically share simulation “spoilers.” In an attempt to give a fresh opportunity for students to “watch the movie without reading the book or synopsis,” the author directed the standardized patient in the simulation to go in a new direction.
Creator: Barbara Hooper, DNP, MSN, RN, NE-BC
Duration: 4:26
Simulations are conducted typically with a small group of students. This article describes the process for implementing 6 high-fidelity simulations with a large group of nursing students.
Creator: Aysel Badir, PhD, RN
Duration: 3:33
Using high-fidelity simulations to facilitate student learning is an uncommon practice in Turkish nursing programs. The aim of this study was to understand students’ perceptions of the use of simulation in nursing. This study revealed that high-fidelity simulation is an ideal method of promoting learning by helping students transfer theory into practice, build confidence and teamwork, and raise professional awareness.
Creator: Carol Della Ratta, RN MS CCRN
Duration: 3:48
Learn about using team-based learning within a flipped classroom. Students used classroom time to solve problems while developing professional competencies.
Creator: Kim Genovese and Janet Brown
Duration: 2:14
The number of international applicants to US nursing graduate programs is increasing. The authors discuss admission requirements and process for international students.
Creator: Joan Sistrunk Cranford, EdD, RN, and Theresa Bates, MSN, RN
Duration: 3:29
Education for interprofessional collaboration should begin early in the nursing program with a gradual infusion of interprofessional competencies into the curriculum. The faculty developed a program for students in nursing, physical therapy, nutrition, and respiratory care. Learn more about their program and the process they used to develop it.
Creator: Heidi A. Mennenga
Duration: 4:37
The author transitioned her community health nursing course from traditional lecture to team-based learning (TBL). She describes the implementation of TBL over a 2-year period. Read the full article in the March/April 2015 issue of Nurse Educator.
Creator: Janet R. Beulow
Duration: 4:27
In their study in the September/October 2014 issue of Nurse Educator, Meghan L. Bell and Janet R. Beulow describe how a patient advocacy service-learning course increased nursing students’ awareness and proficiency in working with the challenges faced by low-income, vulnerable individuals as they attempt to improve their lives and health.
Creator: Deborah M. Price, DNP, RN
Linda Strodtman, PhD, RN
Elizabeth Brough, PhD, RN
Duration: 2:36
Students (N = 134) created a 5-minute narrated digital story using VoiceThread technology. Through the writing and sharing of digital stories, they embraced the personal and complex nature of palliative care.
Creator: Jennifer L. Titzer and Constance F. Swenty
Duration: 4:13
Nurse educators recognize the need for deliberate and strategic integration of informatics in nursing programs. In this video Jennifer L. Titzer and Constance F. Swenty describe how their faculty integrated an academic electronic health record into the curriculum using Kotter’s framework. This video and article in our Technology Corner in the September/October 2014 issue provide guidelines for you to use in your own nursing programs.
Creator: Desiree Hensel, PhD, RN
Duration: 3:23
An important outcome of nursing education is the acquisition of an identity consistent with the profession’s core knowledge, skills, values, and attitudes. Hensel and Laux conducted a longitudinal study to describe factors associated with the acquisition of a professional identity over the course of prelicensure education. Learn more about this important study in the September/October 2014 issue of Nurse Educator (39:5).
Creator: Suhasini Kotcherlakota, Ph.D.
Duration: 2:39
The authors developed a learning repository website for sharing exemplar teaching strategies and collaborating among faculty. They demonstrate their website in this video. Read the >article for free.