Wednesday, July 2, 2014

Educating the Next Generation of Nurses: Online



 By Kimberley Ensor, RN, BSN, PHN

Looking for a new challenge in your nursing journey? Being an online educator may be the avenue for you.

The American Nurses Association reports that the nurse shortage is alive and well and with more than 50% of the nurse force closing in on retirement, a growing population of individuals over the age of 65 and ever changing healthcare reforms, the need for nurses and health professionals will increase (ANA, 2014).  With a need for more nurses, this means there will be a need for more educational resources and options to produce well trained and well prepared nurses.
Nurse educators are on the brink of a unique opportunity and if ready for a transition in their career being an online educator may be just the change they desire.  Warning online teaching is nothing like the days of old, where hairspray, big hair, neon clothes and badly done videos were the norm.  Technology has dramatically changed and with it the way that students engaging in learning and want to be taught has also changed.  This forum is not for the faint of heart.  Online education and web based classrooms cannot be regurgitations of the traditional classroom.  Educators must have a new skill set and an ever increasing awareness of the online environment and the unprecedented challenges.  Educators must be will and able to engage students and maintain high quality. 
In a case study that describes the experiences of faculty at one institution and the effort to learn about online teaching, researchers identified six related themes: plugging in; peer sharing; modeling and community building; multidimensional learning; role-shifting and meta-learning; paradigm shifting; and sustained momentum (Paulus, Myers, Mixer, Wyatt, Lee & Lee, 2010).  Each of these recommendations were meant to prepare faculty for the task of teaching online and ensuring that the quality of nursing education continues. 

So you want to teach online?  Prepare to work a little harder than your traditional faculty counterparts.
So now the question is how to make that happen.   Not having face-to-face interactions does not give the instructor license to disappear into cyberspace.  Students are looking for more socialization, a sense of community, and discussions that encourage critical thinking (Roehm & Bonnel, 2009).  Online faculty will have to not only initiate and facilitate discussions, but also evaluate what students are learning and the quality perspectives of the discussion.  In a study done by the National Study of Student Engagement’s where undergraduate students were surveyed about their online experiences, researchers discovered that most viewed online courses positively and had more active learning and collaborative experiences in comparison to classroom based courses (Gallegher, Reilly & Killion, 2009).  Online educators will have to be cautious of the literature choices, how the class is structured, the amount of required participation and the technology necessary to have a successful course.  Continuous server crashes or outdated information will quickly be turned off by a problematic site.  Since distance education is here to stay and will continue to grow by leaps and bounds, educators must create an online environment that will increasing reflect the range of issues that permeate the nursing community at large, pedagogically, ethically, technologically and philosophically (Gallegher, Reilly & Killion, 2009). 
Along with have the evidence based practices presented, current literature and advanced technology, students are also looking for instructors who care and exhibit behaviors empathy and concern in the online environment.  Online faculty also found great success when grade rubrics and electronic grading were used.  Student report thorough feedback and clear indications of availability on when to expect responses to inquiries aided in convey a caring environment in the online classroom (Mann, 2014). 
Finally educators must make sure they are meeting relevant professional standards.  For example the Seven Principles of Good Practice which include encouraging contact between participants; developing reciprocity and cooperation; encouraging active learning; giving prompt feedback; emphasizing time on task; communicating high expectations; and respecting diverse talents and ways of learning (Paulus, Myers, Mixer, Wyatt, Lee & Lee, 2010).
Ready to begin the adventure of online teaching?
                So if you are truly ready to be an online instructor and navigate your way to guiding and molding the next generation of nursing students here are some things to consider as you get started:
1.       Make sure to thoroughly investigate the institution you will teach at.  It is imperative that faculty have support from their institution and that the curriculum meets all relevant professional standards as well as accreditation.
2.       Faculty must be committed to be life-long learners.  Technology will continue to change and advance.  Current research and EBP will be necessities as well as nursing literature that is reflective of course objectives and professional nursing standards.
3.       Feedback, feedback, feedback.  Poling of students found that faculty scored low in areas  such as creating a sense of community, feelings of aloneness, and trepidation when it comes to answering online questions (Gallegher, Reilly & Killion, 2009).   When educators provided thorough and consistent feedback, students felt validated and supported in their course work.
4.       Embrace technology.  “I ain’t got time for that,” will have to be excised from the nurse educator’s dialogue and language.  The next generation of learners are immersed in technology and if the online environment is going to engage these students, faculty will also have to enfold technological advances in their teaching approach and style.  The online class  can occur at any time and at any place and the instructor must be prepared to answer questions that may be technology based during the course.
5.       Engage!  No this isn’t Captain Kirk telling the Enterprise to launch into warp, but online educators will have to make engaging students a regular part of their course curriculum.  When the instructors seemed more as a guide and facilitator, students found greater success and interactions in the online environment was increased (Roehm & Bonnel, 2009 ).
Ready? Set, Teach!
                Okay so now the moment of truth has arrived.  You’ve worked through what you don’t want to do and made lists of the characteristics of teachers you did not enjoy while in school and vow not to be like that.  Now you must make sure that spend time and thoroughly know your curriculum  presenting relatable online discussions, current studies and opportunities for socialization are important components to motivating learners toward desired goals.  A well facilitated online classroom will provide learners with the opportunity to extend and enhance their learning

References
American Nurses Association (2014). Nursing Shortage.  Retrieved from http://www.nursingworld.org/nursingshortage

Gallagher-Lepak, S., Reilly, J., & Killion, C. (2009). Nursing student perceptions of community in online learning. Contemporary Nurse: A Journal For The Australian Nursing Profession, 32(1-2), 133-146. doi:10.5172/conu.32.1-2.133

Levitt, C., & Adelman, D. S. (2010). Role-Playing in Nursing Theory: Engaging Online Students. Journal Of Nursing Education, 49(4), 229-232.

Mann, J. C. (2014). A Pilot Study of RN-BSN Completion Students' Preferred Instructor Online Classroom Caring Behaviors. (Cover story). ABNF Journal, 25(2), 33-39.

Paulus, T., Myers, C., Mixer, S., Wyatt, T., Lee, D., & Lee, J. (2010). For faculty, by faculty: a case study of learning to teach online. International Journal Of Nursing Education Scholarship, 7(1), doi:10.2202/1548-923X.1979

Roehm, S., & Bonnel, W. (2009). Engaging students for learning with online discussions. Teaching & Learning In Nursing, 4(1), 6-9.

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