Abstract
This paper is devoted to issues related to training and development of practicing nursing. The paper examines the features of nurses’ opportunities to improve their professional level, as well as the features of the conditions and standards according to which this happens. In the process of analyzing scientific articles devoted to the education of nurses, professional skills acquired by nurses on the basis of clinics, opportunities for professional realization, including in socially significant areas of medical activity, such as pediatrics or emergency care, are identified and evaluated.
Introduction
Training and development allow to preserve and disseminate among nurses the basic values and priorities of organizational culture, improve the efficiency and quality of their work. The specific goals of research studies and data on ensuring proper training and development for nurses may be obtaining new professional knowledge and skills, preparing a specialist for a new position or changing the scope of authority. In practice, such scientific work is a combination of various organizational forms, methods, and techniques of managerial influence on the educational activities of nurses. In addition, the data obtained during these studies contribute to the organization of the employee adaptation process in the team, and optimal training requires an individual approach to the study of different groups of medical staff. Conducting research studies and data on ensuring proper training and development for nurses, first of all, is predetermined by the formation of training goals that follow from the strategic development goals of the organization.
The success of a healthcare system requires for human resources experts to invest in training and developmental management programs for nurses. This is due to the fact that the formation of knowledge, skills and abilities that ensure the most effective use of the labor and creative potential of nurses is of paramount importance for positive patient outcome. Human resources experts must collaborate with practitioners towards achieving a well-trained workforce, for instance, providing developmental programs to nurses that want to advance their careers by becoming nurse practitioners, doctors, or nursing managers (Damery et al., 2021). By investing in a learning and development management system, a healthcare system can achieve employee engagement and retention. A considerable decrease in wrong choices may result from improving procedures and attitudes among medical professionals towards patient safety and the standard of care.
Nurses’ Practitioner Program Experience
The nurse’ practitioner program experience issues are key within a healthcare organization and a continuing education organization. Nurse practitioner programs should be organized efficiently, as well as properly respond to new challenges. This is largely determined by the absence of a shortage of medical students, the level of their competencies, conditions that contribute to the motivation and interest of medical personnel in further professional growth and development in the nurses’ practitioner program.
Selection factors and the student experience in nurse practitioner programs is often a complex process. Many factors influence the decision: some nurse practitioners are guided by the advice of teachers or their recommendations, others are guided by interest in a particular field in medicine or financial prospects. Despite the fact that selection factors and the student experience vary depending on the specialty, they may include similar factors. For example, such factors that are components of experience are the possibility of private practice, interest in specific diseases, an extensive field of practical implementation, a desire to engage in research and teaching activities or making a profit.
Important importance is attached to the development and implementation of nurse practitioner candidacy programs. The factors influencing this process are the expenses of medical institutions, personal expenses of patients and the expenses of society as a whole (Whitehead et al., 2022). Moreover, important is the organizational mechanism for managing the quality of patient education and monitoring the educational level of the patient. All this dictates the consideration of these factors in the process of the development and implementation of nurse practitioner candidacy programs.
Partnering to scale a graduate nursing program is essential. It consists in ensuring the participation of nursing practitioners in decision-making at all levels of development and implementation of health issues. This approach helps to solve existing problems, in particular in such areas as personnel policy, ensuring equal opportunities for men and women, improving the status of nurses and midwives (Ellis et al., 2017). In addition, partnering to scale a graduate nursing program is essential in order to provide opportunities for career growth of a nursing practitioner and create appropriate financial and basic incentives.
Mentoring Nurses During Healthcare Education
Mentoring nurses during healthcare education is a fundamental part of their development. One of the important functions that a senior nurse-supervisor should perform is to improve the professional qualification level of her subordinates. At the same time, nurses should be entrusted with solving problems of such complexity that are within their competence. Naturally, it requires the control of the head over how subordinates intend to solve this task, and making appropriate adjustments to their actions, if necessary.
Effective mentoring novice nurses during a healthcare crisis is crucial. It is almost impossible to limit the range of activities of the senior nurse of the department to clearly established functional and time frames. That is why mentoring affects not only nursing management within a particular healthcare institution, but also the entire field as a whole (Bryan and Vitello-Cicciu, 2020). Effective monitoring makes it possible to ensure the implementation by nurse practitioners of the conceptual guidelines formulated by science in order to overcome the crisis in healthcare.
Mentoring matters for new healthcare graduates transitioning to practice. Effective supervision allows nurse practitioners to apply in practice the medical knowledge acquired by young specialists at the medical college in order to solve emerging problems as quickly and effectively as possible (Voss et al., 2022). Forming professional capital among young specialists, the senior nurse influences the process of development of a medical organization. They accelerate it, change its direction, if necessary, eliminate or weaken negative factors by assisting new healthcare graduates in transitioning to practice.
Building clinical education training capacity in nurse practitioner programs will help to overcome health-providing difficulties. This is due to the fact that the development of nursing resources among young mid-level specialists is the main function of the senior nurse organizer (Drayton-Brooks et al., 2017). Line managers of medical institutions pay close attention to nurse practitioners even at the stage of training at a medical college during their internship. Effective monitoring results in the systematic creation of conditions for the growth of qualifications and personal development of subordinates in order to improve work efficiency.
Evaluation of a mentor’s training program for nurse practitioners will assess the requirements for such programs. The main objectives of the joint work of medical organizations and educational institutions are not only to provide deep professional knowledge, but also to teach students independent decision-making and the ability to be responsible for their actions (Jackson, 2020). The identification of nurse practitioners who have proven themselves well in practical work will be the main source of replenishment of the personnel reserve of the medical and preventive institution. Therefore, effective mentoring also consists in a constant assessment of the achievements of young professionals.
The effects of a web-based education program for nurses are also significant as it is a new step in healthcare education. The introduction of distance learning technologies in the educational process has been repeatedly discussed among specialists and at the highest level of government (Lim and Yi, 2021). This format of education is a form of adaptation to modern realities. Regular updating of employees’ knowledge is at the very heart of the effective functioning of the medical industry. Distance education provides such an opportunity without the need to interrupt practice to complete training courses.
Role of Doctor of Nursing Practice in Education
One of the most important issues in professional medical ethics is the relationship between a doctor and a nursing practitioner. In medical practice, it is especially important to establish the right relationship between all young specialists and the doctor and to maintain coherence in the work of the medical service department. The quality of knowledge and skills acquired during practice and the timeliness of medical care depends on this. A medical team with a healthy psychological microclimate creates opportunities for professional growth and development of a nursing practitioner during interaction with a doctor.
The role of the doctor of nursing practice-prepared nurses in practice settings is vital for nurse education. Well-coordinated interaction with the doctor provides an opportunity to consolidate in clinical production conditions the skills and proficiency in manipulations and procedures of nursing care. Receiving advice and assistance from a doctor allows nursing practitioners to acquire skills in maintaining a sanitary and epidemic regime and ensuring a safe hospital environment (Beeber et al., 2019). Moreover, interaction with a doctor strengthens general cultural and professional competencies for interaction in a medical team, communication and training of nurses and doctors.
It is essential for the doctor of nursing practice for nurse practitioner preparation. A well-built relationship with a doctor can stimulate interest in the chosen profession. The nursing practitioner also gains experience in communicating with the attending physician in case of sudden acute diseases, conditions, exacerbation of chronic diseases that are not accompanied by a threat to the patient’s life and do not require emergency medical care (Harper et al., 2017). Moreover, young specialists, working together with a doctor, are trained to participate in the provision of pre-medical medical care for conditions requiring urgent medical intervention.
Training of Practicing Pediatric Emergency Nurses
The training of practicing pediatric emergency nurses in the US is an integral part of the overall development of nurses. The maternal and child health service has its own specifics, and therefore the work of an average medical worker in this area differs in many ways from the work of all other specialists with secondary medical education (Olson, 2022). Therefore, specially trained practicing pediatric emergency nurses should work with children, whose training should also have its own characteristics.
The task of increasing the availability of acute care pediatric nurse practitioner education in the United States is paramount. Due to the shortage of specialists in this field, it is necessary to make education not only high-quality, but also more accessible (Gigli et al., 2020). Many nurse practitioners are forced to take out loans in order to get this education, and such specialization is one of the most expensive, which reduces its availability.
Preparation and evolving role of the acute care nurse practitioner also, as in the case of a pediatrician nurse, has its own specifics. The practice of the acute care nurse practitioner should also be aimed at speed and reaction (Hoffman and Gutendorf, 2017). Nurses with this specialization provide rapid assessment and treatment of patients at the initial stage of illness or injury and often in life-threatening situations. Therefore, the professional training of a specialist should focus on conditions that are close to specific and characteristic of their future specialization.
Postgraduate Pediatric Primary Care
A postgraduate pediatric primary care advanced practical nursing fellowship is a serious area of medical practice. All medical institutions need highly qualified pediatric primary care, ready to get acquainted with new technologies and improve their skills. Therefore, it is especially important that during the fellowship, physicians acquire knowledge, skills, behavioral models and ethical culture of the future pediatrician nurse are formed. In the fellowship process, it is important to follow new training programs, which expands the clinical bases of training practices to an advanced level.
Postgraduate nurse practitioner residency and fellowship programs are essential parts of nurse education. The organization of these programs forms qualitatively new principles of clinical medical activity. In these conditions, the issues of training future specialists, namely postgraduate nurse practitioner residency and fellowship programs, come to the fore (Martsolf et al., 2017). Participation in these programs contributes to the development of professional competence, initiative, flexibility and the ability to adapt to the processes of the healthcare field.
To attract people to the profession, it is necessary to create and implement a pediatric advanced practice nurse critical care fellowship program. The most important function of the welfare state is to ensure everyone’s right to education, including higher education (Stojadinovic et al., 2019). Since obtaining medical education, including clinical practice, is expensive, students need government support. The personal abilities of a medical resident who has passed a competitive selection for higher education may be limited by their financial capabilities or the financial capabilities of their family. To solve this problem, it is necessary to create a support mechanism for people receiving higher education in the field of advanced critical care.
An important part of medical training is also the development and implementation of a postgraduate pediatric primary care advanced practice nursing fellowship. The problem of the standard is acute in this area due to the fact that the medical education system is regularly in a situation of transformation, which makes it necessary to reform, modernize or make other significant changes to the postgraduate pediatric primary care advanced practice nursing fellowship. At the moment, it is necessary to raise and resolve the issue of preserving the essential features of the system and changing the forms of its existence (Carpenter, 2022). This position is reflexive for education as a social institution. In such a situation, it is necessary to fix the immutable after the analysis stage and distinguish between the retained and the subject to change during the postgraduate pediatric primary care advanced practice nursing fellowship.
Therefore, a program to address gaps in practice should be developed. It becomes necessary if the invariant and variable components are differentiated in the medical education system. Then it is necessary to distinguish between what is considered standard, mandatory, guaranteed, and what can be changed, individualized in the course of primary pediatric advanced communication practices Nursing (Alenkar et al., 2018). Thus, the standard will be a form of fixing the balance between the norm and variations in the course of eliminating gaps in practice.
Preceptorship Model in Nursing Clinical Education
A preceptorship model in nursing clinical education aims to contribute to the formation of a competent specialist. Professional adaptation of a nurse is a complex dynamic process of full mastering of the profession on the basis of a set of previously acquired and constantly replenished knowledge, skills and abilities (Alencar et al., 2018). A competently chosen preceptorship model can help a nurse to assist in professional adaptation at the workplace, establish communicative contacts with colleagues, and the management of the organization.
Evaluation of challenges and benefits of preceptorship model in nursing clinical education should be a joint work of a mentor and a medical practitioner (Araghian Mojarad et al., 2022). The evaluation of mentoring effectiveness should be determined by mentors’ reports, the results of individual questionnaires of mentors and mentees, and at meetings of the mentors’ council. Preceptors’ mentoring function directly affects novice nurses’ self-efficacy and organizational commitment (Choi and Yu, 2022). The adaptation of the novice in the team and their mutual understanding with the team depends on the effectiveness of the mentor’s work with the medical practitioner. Supporting preceptors of distance nurse practitioner students is essential (Luimes, 2021). Among the obvious advantages of mentoring are faster adaptation to a new team and minimization of nursing mistakes due to inexperience.
Conclusion
The research studies and data on ensuring proper training and development for nurses presents various ways in which a nurse can get an education. All of the types of education presented in scientific sources support the idea of continuous professional development using humanistic principles, the development and improvement of methods and technologies. The authors agree that proper training and development for practicing nurses help to train specialists if, during the training process, a young specialist is considered by a mentor as a self-valuable person, whose individual characteristics acquire social significance during training.
The success of a healthcare system requires for human resources experts to invest in training and developmental management programs for nurses. This is due to the fact that the formation of knowledge, skills and abilities that ensure the most effective use of the labor and creative potential of nurses is of paramount importance for positive patient outcome. Human resources experts must collaborate with practitioners towards achieving a well-trained workforce, for instance, providing developmental programs to nurses that want to advance their careers by becoming nurse practitioners, doctors, or nursing managers (Damery et al., 2021). By investing in a learning and development management system, a healthcare system can achieve employee engagement and retention. A considerable decrease in wrong choices may result from improving procedures and attitudes among medical professionals towards patient safety and the standard of care.
The success of a healthcare framework requires for human assets specialists to contribute in preparing and formative administration programs for medical attendants. Human assets specialists must collaborate with professionals towards accomplishing a well-trained workforce, for occurrence, giving formative programs to medical caretakers that need to development their careers by getting to be nurture professionals, specialists, or nursing supervisors (Damery et al., 2021). By contributing in a learning and improvement administration framework, a healthcare framework can accomplish worker engagement and maintenance. An impressive diminish in off-base choices may result from making strides methods and demeanors among therapeutic experts towards understanding security and the standard of care.
References
Alencar, M. C., Butler, E., MacIntyre, J., & Wempe, E. P. (2018). Nurse practitioner fellowship: developing a program to address gaps in practice. Clinical Journal of Oncology Nursing, 22(2), 142-145. Web.
Araghian Mojarad, F., Shirmohammadi, Y., Talebian, F., Malekzadeh, R., & Yaghoubi, T. (2022). Evaluation of challenges and benefits of preceptorship model in nursing clinical education: A review study. Journal of Medical Education Development. Web.
Beeber, A. S., Palmer, C., Waldrop, J., Lynn, M. R., & Jones, C. B. (2019). The role of the doctor of nursing practice-prepared nurses in practice settings. Nursing Outlook, 67(4), 354-364. Web.
Bryan, V., & Vitello-Cicciu, J. (2020). Effective mentoring of novice nurses during a healthcare crisis. ResearchGate. Web.
Carpenter, A. E. (2022). The development and implementation of a postgraduate pediatric primary care advanced practice nursing fellowship. Journal of Pediatric Health Care. Web.
Choi, E., & Yu, S. (2022). Effects of preceptors’ mentoring function on novice nurses’ self-efficacy and organizational commitment: A cross-sectional study. Nurse Education in Practice, 64, 103431. Web.
Damery, S., Flanagan, S., Jones, J., & Jolly, K. (2021). The effect of providing staff training and enhanced support to care homes on care processes, safety climate, and avoidable harms. Environ. Res, 18. Web.
Drayton-Brooks, S. M., Gray, P. A., Turner, N. P., & Newland, J. A. (2017). Building clinical education training capacity in nurse practitioner programs. Journal of Professional Nursing, 33(6), 422-428. Web.
Ellis, K. K., Wilkinson, M. R., Kesten, K. S., Anderson, K. M., Lyons, M. C., & Bondmass, M. D. (2017). Partnering to scale a graduate nursing program. The Journal for Nurse Practitioners, 13(9). Web.
Gigli, K. H., Kahn, J., & Martsolf, G. (2020). Availability of acute care pediatric nurse practitioner education in the United States: A challenge to growing the workforce. Journal of Pediatric Health Care, 34(5), 481-489. Web.
Harper, D. C., McGuinness, T. M., & Johnson, J. (2017). Clinical residency training: Is it essential to the doctor of nursing practice for nurse practitioner preparation? Nursing Outlook, 65(1), 50-57. Web.
Hoffman, L. A., & Guttendorf, J. (2017). Preparation and evolving role of the acute care nurse practitioner. Chest, 152(6), 1339-1345. Web.
Jackson, D. C. (2020). Evaluation of a mentor’s training program for nurse practitioners. The Journal for Nurse Practitioners, 16(4), 286-289. Web.
Lim, H., & Yi, Y. (2021). Effects of a web-based education program for nurses using medical malpractice cases: A randomized controlled trial. Nurse Education Today, 104, 104997. Web.
Luimes, J. (2021). Supporting preceptors of distance nurse practitioner students. Teaching and Learning in Nursing, 16(2), 149-155. Web.
Martsolf, G. R., Nguyen, P., Freund, D., & Poghosyan, L. (2017). What we know about postgraduate nurse practitioner residency and fellowship programs. The Journal for Nurse Practitioners, 13(7), 482-487. Web.
Olson, C. M. (2022). Nurse practitioner programs: Selection factors and the student experience. Journal of Professional Nursing, 41, 88-99. Web.
Stojadinovic, B., Schindler, C. A., Callahan, M. F., O’Brien, M., Rice, T. B., & Mikhailov, T. (2019). Creation and implementation of a pediatric advanced practice nurse critical care fellowship program. Journal of Pediatric Health Care, 33(5), 595-602. Web.
Voss, J. G., Alfes, C. M., Clark, A., Lilly, K. D., & Moore, S. (2022). Why mentoring matters for new graduates transitioning to practice: Implications for nurse leaders. Nurse Leader. Web.
Whitehead, L., Twigg, D. E., Carman, R., Glass, C., Halton, H., & Duffield, C. (2022). Factors influencing the development and implementation of nurse practitioner candidacy programs: A scoping review. International Journal of Nursing Studies, 125, 104133. Web.