1. Please describe a COVID-19 pandemic related clinical practice problem (please discuss students not being able to come in person to learn and practice nursing skills) 2. Discuss a change that was implemented in the school setting to promote positive student outcomes (please discuss allowing more students in the classroom and class activities 3. Discuss why it is so important to analyze the effectiveness of changes in practice (AACN; 2006) .

1. Introduction
The COVID-19 pandemic has brought about numerous challenges for healthcare professionals and educational institutions, including nursing schools. One of the significant clinical practice problems resulting from the pandemic is the inability of nursing students to attend in-person sessions to learn and practice essential nursing skills. This issue stems from the need to adhere to social distancing measures and minimize the risk of exposure to the virus. In this discussion, the focus will be on how the restriction on in-person learning and practice affects nursing students during the pandemic.

2. Impact of Limited In-person Learning
Nursing education heavily relies on hands-on experience to develop proficiency in various clinical skills. However, with the restrictions imposed due to the pandemic, nursing students have faced significant limitations in attending in-person educational sessions where they can learn and practice their skills. This restriction has led to a considerable gap in their practical knowledge and experience, directly affecting their ability to provide competent and safe patient care.

Without the opportunity to engage in in-person learning and practice, nursing students are unable to develop the critical thinking skills necessary to assess and intervene in complex patient situations. They are also deprived of valuable mentorship from experienced clinical instructors, which is crucial for their professional growth. Furthermore, the lack of hands-on experience may result in decreased confidence and self-efficacy among nursing students, making their transition to the clinical setting more challenging.

3. Implementation of Change in the School Setting
To address the negative impact of limited in-person learning on nursing students, many schools have made changes and adaptations in their educational practices. One of the changes that have been implemented is allowing more students in the classroom and engaging them in various class activities.

By permitting more students to attend in-person sessions while adhering to safety protocols, nursing schools can ensure that students have the opportunity to gain essential hands-on experience. This change allows students to actively participate in skill demonstrations, practice their techniques, and receive immediate feedback from instructors. Simulated scenarios, where possible, can also be utilized to bridge the gap between theoretical knowledge and practical application.

Additionally, incorporating more class activities such as case studies, group discussions, and virtual simulations can provide an alternative way for nursing students to learn and practice their skills. These activities foster critical thinking, collaboration, and communication skills, which are fundamental for an effective nurse.

4. Importance of Analyzing the Effectiveness of Changes in Practice
The American Association of Colleges of Nursing (AACN) emphasizes the importance of analyzing the effectiveness of changes in practice. Evaluating the impact of implemented changes helps identify whether they have achieved the desired outcomes and if any adjustments are necessary to further enhance student outcomes.

In the context of nursing education during the COVID-19 pandemic, analyzing the effectiveness of allowing more students in the classroom and engaging them in various class activities is vital. It enables educators and administrators to assess if these adaptations have effectively addressed the clinical practice problem of limited in-person learning. By gathering data on student performance, satisfaction, and self-confidence, educators can ascertain the efficacy of the implemented changes.

Moreover, evaluating the impact of changes in practice helps nursing schools identify areas for improvement and make informed decisions regarding future educational strategies. It enables educators to determine which teaching methods are most effective in enhancing student learning and skill development, ultimately improving patient outcomes.

In conclusion, the COVID-19 pandemic has resulted in significant challenges for nursing education, particularly the limitations on in-person learning and practice. This clinical practice problem has the potential to hinder the development of nursing students’ skills, confidence, and competence. However, implementing changes such as allowing more students in the classroom and engaging in various class activities can help mitigate these challenges. Evaluating the effectiveness of these changes is crucial for promoting positive student outcomes and ensuring the delivery of high-quality nursing education during these unprecedented times.

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