Widening participation in nursing through progression agreements between a university and two further education colleges: a case study

The School of Nursing, part of the Faculty of Health and Social Care Sciences within Kingston University/St George's, University of London, has undertaken a number of initiatives to address the widening participation agenda. The student life‐cycle underpins the framework for the university's widening participation strategy and activities. This article provides a case study of the development and implementation of one such initiative, a Progression Agreement project between the School of Nursing and two colleges of further education (FE). The FE colleges provide Access to Nursing/Access to Health and Social Care Professions courses and the university, in partnership with these colleges, has drawn up Progression Agreements to enable successful completers of these access courses to be admitted onto nursing programmes at the university. The article explores the policy issues and literature related to widening participation, how these influenced the development of Progression Agreements, the evaluation of these initiatives and how Progression Agreements have contributed to changes in admission processes for nursing programmes in the university.     

Improving Human Learning and Performance at Indiana University

The Indiana University Instructional Systems Technology statement of purpose is, “We improve human learning and performance in diverse contexts.” Our focus on learning and performance improvement includes K‐12 schools, higher education, business, industry, the government, military, and non‐profit organizations. This article gives an overview of the IST's background and history, key program elements (academic degree programs and leadership development programs), faculty's research and development activities, diverse students demographics and esteemed alumni (academics and practitioners), and future directions. We have led the instructional technology field through our commitment to remain a quality and forward‐thinking program.     

Articulation and student intentionality in professional development: A proactive model for teacher educators

Abstract

The Early Childhood Education and Care (ECEC) professional development movement, community college students’ emerging intentionality, and the role of two‐ and four‐year higher education faculty intersect in a proactive model proposed by the author that advocates ECEC community college programs separate from the vocational tradition and establishes ECEC transfer degrees to four‐year programs. Degree structures must be built with flexibility, and encompass checkpoints and highly articulated options as student intentionality unfolds. The proactive model is constructed from Morgan's (1994) 21 st century model of professionalism and her conception of students’ emerging intentionality, combined with Brint and Karabel's (1989) models that attempt to explain why community colleges moved from conferring primarily transfer degrees to conferring primarily vocational degrees.     

护理保险制度--日本养老保障新举措

护理保险是针对急速发展的老龄化社会问题所实施的,对陷于卧床不起等老年人,在充分尊重他们的意愿和选择的基础上,向他们提供日常生活方面的支援的制度.护理保险制度以社会保险的方式导入,各地方行政机构作为保险者,对40岁以上的国民征收保险费,国家和各地方政府有义务给予经济和发展护理保险事业的支持与援助.护理保险的财政来源以国家公费和所征收的保险费为主.     

Accreditation and Power: A Discourse Analysis of a New Regime of Governance in Higher Education

This article studies discourses within the accreditation of Norwegian higher education conducted by the Norwegian Agency for Quality Assurance in Education (NOKUT), using one concrete case (the accreditation of bachelor programs in nursing). Analysis of policy documents and accreditation reports are influenced by two of Foucault's concepts of power; governmentality and panopticon. The analysis provides insights into firstly, how the two forms of power are woven into the schemes used for quality control by redefining quality to be a quantifiable concept; secondly, how the supervision of quality gives privilege to specific types of knowledge; thirdly, how supervisory power is reformulated to require self-control mechanisms within higher education in terms of constant quality development and realization of unexploited potentials; and fourthly, how this power legitimates itself by making all parties guardians of quality control, deconstructing the difference between evaluator and evaluated.     

The development and early care and education of dual language learners: Examining the state of knowledge

Early care and education (ECE) programs, policymakers and practitioners across the United States are facing the reality of the increase in the population of dual language learners (DLLs). To address these children's unique and varied characteristics and experiences, ECE programs find that they must adjust and adapt their efforts. However, there is limited evidence for early childhood strategies to support DLLs and limited understanding of DLLs’ development. There are increased accountability requirements for ECE programs to meet the needs of all children, including DLLs. This special section “The Development and Early Care and Education of Dual Language Learners: Examining the State of Knowledge” includes six articles reporting on the research activities of the Center for Early Care and Education Research – Dual Language Learners (CECER-DLL). The Center was federally funded to advance the research field to improve assessment, child care, and education for DLLs from birth through five years of age. This introduction and commentary discusses the most relevant findings from the set of critical reviews of literature and the secondary analysis of the Early Childhood Longitudinal Survey-Birth Cohort conducted by the Center. Also, the major methodological challenges and research gaps found in the literature reviewed, across topic areas, are presented and recommendations for future directions to advance research on the development and early care and education of DLLs are provided.     

Enhancing nursing home care for seniors: impact of a living classroom on nursing assistant’s education

ABSTRACT

Nursing Assistants (NAs) are the largest workforce in nursing homes, but often lack adequate preparation for their role. The Living Classroom (LC) is an integrated learning approach, whereby a NA program is delivered in a nursing home (NH) in collaboration with a community college. This paper describes the implementation and evaluation of the LC. Mixed methods were used to gather data from 48 NA students, 5 faculty, and 42 NH staff over 30 weeks. Students, faculty, and nursing home staff described the LC as a positive learning experience. Students’ gerontological knowledge increased over time (p = .0012). Students reported very positive relationships with program mentors and NH residents. The LC provides a unique approach to prepare NAs to work in nursing homes. This model could expand to other educational programs with a gerontology focus.     

Crossing ‘boundaries’ with the collective girl: a poetic intervention into sex education

Feminist poststructuralist approaches to research can authorize different ways of working with different types of texts in search of insight into the discursive constitution of subjects. In this paper I undertake a close reading of women's memories about early sexual experiences generated in a small collective biography workshop. The collective poetic text that emerges from the workshop is analysed in terms of recent feminist sociological research on girls' experiences of (hetero)sex and in terms of Foucault's work on power. Analysis reveals the discursive complexity and deep (and often dangerous) contradictions through which girls negotiate their shifting subjectivities as they become sexual. My readings of this text imply that school sex education programs might attend more closely to the ambiguities of agency and desire experienced by adolescent subjects of the curriculum. Finally, I suggest that reflexive readings of our own (sexed) subjectivities can be productive professional development strategies for teachers of sex education.     

Education and the professionalization of nursing: non-collective action and the erosion of labourmarket control

It has been argued earlier in this journal that from the formation of the United Kingdom Central Council for Nursing, Midwifery and Health Visiting (UKCC) in 1984, until the initiation in 1989 of NHS reform by the third Thatcher administration, nurse education policy development was dominated by a nursing establishment located largely within the UKCC. During this period, in the context of an educational reform, a non-collective professional project emerged which left around 30% of the nursing workforce marooned in an obsolescent occupational group. Drawing on documents from UKCC archives, this paper analyses that professional project in terms of professionalization theory, and argues that by following a non-collective agenda, UKCC eroded nursing's labour market position in relation to the provision of care in the National Health Service (NHS). It is further argued that this eroded labour market position has subsequently been exacerbated by government-led policy developments concerning vocational education and NHS reform, with a consequent weakening of nursing's influence on important aspects of caring work in the health service. Explanations for these aspects of the professional project are proposed relating to the fact that although wide-ranging in terms of the nature and practice of nursing, Project 2000 was positioned and conducted as an educational reform. While education provided the ‘political space’ (i.e. free from the immediate priorities and direct involvement of the NHS) for UKCC to assemble and promote its radical professional project, that project as a consequence was uninformed by cost and workforce planning issues. Late stage engagement between professional aspirations and service needs demonstrated the likelihood of an eroded labour market position for nurses, and high levels of risk for the NHS in terms of the supply of nurses, but by that point UKCC was already committed to the key elements of its original proposals.     

Transitioning From On-Campus to Online in a Master of Science Nursing Program: a Comparative Study of Academic Success

This comparative study examined the academic success rates of online graduate nursing students by comparing final grades to the on-campus cohort of graduate nursing students prior to the program transitioning online. Analysis was conducted by identifying and comparing final course grades in 4 required Master of Science in Nursing (MSN) courses over a period of 6 years. Five key themes related to online student success are discussed, including the need for graduate nursing MSN programs to transition to an online format, barriers to online learning, comprehensive program evaluation of an online degree program, online student retention approaches, and exploration of whether online students have been shown to be as academically successful as on-campus students. Results reveal that both cohorts of course delivery modes yield academically successful MSN students and both course delivery modes are providing the MSN program with almost equal pass rates by the students taking the required core courses.     

新西兰护理教育模式对我国护理教育的启示——以成都大学医护学院为例

文章重点论述了新西兰怀卡托理工学院护理学院的护理理念、人才培养方案、课程设置、教学模式等特点,结合国外护理教育发展趋势,围绕"护理角色"的教育理念,探讨了护理教育的改革应进一步更新教育思想,转变教育观念,调整课程设置和改进教学方法,加强师资培训,以实现与国际护理教育接轨,提高人才培养质量。     

Impact of a Statewide Collaborative on Strengthening Families Through Early Care and Education

Research Findings: Research suggests that early care and education programs are most effective when they include strong components of family involvement. The Center for the Study of Social Policy recommended that early care and education programs build family-centered practices to strengthen families and reduce the incidence of child abuse and neglect. This article summarizes a statewide effort to implement this strategy, called Strengthening Families through Early Care and Education. We analyzed program self-assessments submitted by 186 early care and education programs. Analyses revealed that Head Start programs had better support systems in place for families than did “mainstream” (non–Head Start, non-accredited) early care and education programs. Results also showed that a small amount of state and local funding provided enough incentive for programs to improve their family-strengthening practices. Commitment and collaboration at the state level led to a sustainable impact by infusing “strengthening families” concepts into the early care and education field statewide.     

Age of Entry to Kindergarten and Children's Academic Achievement and Socioemotional Development

Research Findings: Data on more than 900 children participating in the National Institute of Child Health and Human Development Study of Early Child Care were analyzed to examine the effect of age of entry to kindergarten on children's functioning in early elementary school. Children's academic achievement and socioemotional development were measured repeatedly from the age of 54 months through 3rd grade. With family background factors and experience in child care in the first 54 months of life controlled, hierarchical linear modeling (growth curve) analysis revealed that children who entered kindergarten at younger ages had higher (estimated) scores in kindergarten on the Woodcock—Johnson (W-J) Letter-Word Recognition subtest but received lower ratings from kindergarten teachers on Language and Literacy and Mathematical Thinking scales. Furthermore, children who entered kindergarten at older ages evinced greater increases over time on 4 W-J subtests (i.e., Letter-Word Recognition, Applied Problems, Memory for Sentences, Picture Vocabulary) and outperformed children who started kindergarten at younger ages on 2 W-J subtests in 3rd grade (i.e., Applied Problems, Picture Vocabulary). Age of entry proved unrelated to socioemotional functioning.

Practice: The fact that age-of-entry effects were small in magnitude and dwarfed by other aspects of children's family and child care experiences suggests that age at starting school should not be regarded as a major determinant of children's school achievement, but that it may merit consideration in context with other probably more important factors (e.g., child's behavior and abilities).     

加入WTO对中国护理教育的影响

我国的护理教育与发达国家相比还存在着较大差距。随着中国加入WTO，我国在政治、经济、文化和教育等各方面都受到了巨大的影响，护理教育也面临着前所未有的机遇与挑战。我们应认清目前的形势，紧紧抓住机遇，积极迎接挑战，加强国际交流与合作，提高我国的护理教育质量，使护理教育不断取得进步。     

Helping Pre-Service and Beginning Teachers Examine and Reframe Assumptions About Themselves as Teachers and Change Agents: “Who is Going to Listen to You Anyway?”

The focus of this article is how to ensure (beginning) teachers’ needs as practitioners are part of the discursive dialogue in physical education teacher education programs. We consider the relationship between ‘structure’ and ‘agency,’ teachers as ‘change agents’ and refer to ‘workplace learning’ as we examine the extent to which the social structure of the school and the teaching profession, and?/?or the capacity of the individual to act independently, ultimately determines a teacher's behaviour in reaction to teaching expectations. We are interested as physical education teacher education faculty in how we (1) strive to help pre-service teachers examine and reframe assumptions about themselves as teachers and change agents, and (2) examine taken-for-granted school practices and processes. We share ways that physical education teacher education programs could encourage pre-service teachers agency and the relationship between initial teacher education and induction.     

高职护理教育改革之管见

为了培养更多、更好的护理人才,必须对现行护理教育进行改革：树立做人的理念,知晓护理专业哲理;开展多元文化教育;改革护理教育体制;创新教学内容、教学方法和课程建设。     

混合式教学模式在“护理科研”教育教学中的应用

探讨混合式教学模式在“护理科研”教育教学中的应用效果。以广西医科大学护理学院2018级两个班共76名护生作为研究对象,采用混合式教学模式,收集学生在线学习情况,对学生实验一、实验二、实验三、实验四、线上成绩、期中测试、课题申请书、综述论文、期末考试成绩、总评成绩进行聚类分析,同时比较学生在开课前、后的科研能力。本学期2018级护理专业学生章节总学习次数达9768次,学生总评成绩高分段人数居多,80分以上占比达55.3%,按成绩可将学生分为五种类型聚类中心;护生科研能力得分在开课前、后比较,差异具有统计学意义（P<0.05）。采用“护理科研”混合式教学模式有利于提高护生的科研成绩和科研能力。     

Assessing Quality in Toddler Classrooms Using the CLASS-Toddler and the ITERS-R

Many very young children attend early care and education programs, but current information about the quality of center-based care for toddlers is scarce. Using 2 observation instruments, the Infant/Toddler Environment Rating Scale–Revised (ITERS-R) and the Classroom Assessment Scoring System, Toddler Version (CLASS-Toddler), 93 child care classrooms for toddlers across the state of North Carolina, representing a range of quality, were assessed to determine overall quality, and associations between observed quality and teachers' ratings of child behavior problems and competence outcomes using the Brief Infant Toddler Social Emotional Assessment. Research Findings: Findings indicated that overall, toddler classrooms were rated as being of moderate quality. Associations between observed quality and teacher-reported child behavior problems and competence outcomes indicated that CLASS-Toddler ratings were positively associated with fewer behavior problems; specifically, children in classrooms with higher levels on the CLASS-Toddler domains of Emotional and Behavioral Support as well as Engaged Support for Learning were reported to have fewer behavior problems. Similarly, the ITERS-R subscales of Interaction and Listening and Talking were positively related to fewer reported behavior problems. Regression models showed that the CLASS-Toddler Emotional and Behavioral Support domain predicted differences in child behavior problems. Practice or Policy: Findings suggest the need for additional research related to very young children's experiences in center-based child care to examine associations between quality and child experiences and outcomes. Children's experiences over time need to be examined to understand how these early child care experiences are related to children's later school adjustment and performance. On a related note, professional development for teachers in toddler classrooms needs to be addressed in terms of preparing effective teachers for young children during the toddler developmental period.     

In search of higher persistence rates in distance education online programs

Tinto's [Rev. Educ. Res. 45 (1975) 89; Tinto, V. (1987). Leaving college. Chicago: The University of Chicago Press; Tinto, V. (1993). Leaving college: rethinking the causes and cures of student attrition. Chicago: The University of Chicago Press] student integration model and Bean and Metzner's [Rev. Educ. Res. 55 (1985) 485] student attrition model have been influential in explaining persistence and attrition in higher education programs. However, these models were developed with on-campus programs in mind and, although they are broadly relevant to distance education programs, their ability to explain the persistence of online students is limited. Distance education students have characteristics and needs that differ from traditional learners and the virtual learning environment differs in important ways from an on-campus environment. This article draws chiefly from Tinto's and Bean and Metzner's models and the results of research into the needs of online distance education students in order to synthesize a composite model to better explain persistence and attrition among the largely nontraditional students that enroll in online courses.     

Cognitive Scientists Prefer Theories and Testable Principles With Teeth

The visions of mathematics classrooms called for by current educational reform efforts pose great challenges for kindergarten through Grade 12 schools and teacher education programs. Although a number of colleges and universities throughout the country are making changes in their teacher education programs to reflect these reform recommendations, we have little systematic information on the nature of these programs or their impact on prospective teachers. These issues are of central concern in the study-Learning to Teach Secondary Mathematics in Two Reform-Based Teacher Education Programs-that we draw on in this article. The article focuses on 1 preservice teacher's (Ms. Savant) knowledge, beliefs, and practices related to proof, tasks, and discourse. A situative perspective on cognition and components of teachers' professional knowledge frame our research. We examined data on Ms. Savant's experiences in her teacher education program to understand the influences of teacher education on her development as a mathematics teacher. This research indicates that Ms. Savant's teacher education experiences did make a difference in her development as a teacher. Her mathematics methods course provided a large collection of tasks, engaged her and her preservice colleagues in discourse, and provided her with both formal and informal experiences with proof-all of these experiences reflecting reform-based visions of mathematics classrooms. The situative perspective on cognition directed our attention to issues of compatibility of goals and visions across the various university and kindergarten through Grade 12 classroom settings, and it helped us to understand why some aspects of reform-based pedagogy are more easily learned than others: Why some ideas and practices learned as a student in the university setting are more easily transported to the novice teacher's kindergarten through Grade 12 field setting. We conclude that compatibility of these settings on several key dimensions is essential for the settings to reinforce each other's messages, and thus work in conjunction, rather than in opposition, to prepare reform-minded teachers.