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The Perspective of Nurses and Healthcare Providers on the use of Television Videos with People with Moderate to Severe Dementia. 护士和医疗保健提供者对中重度痴呆症患者使用电视视频的看法。
IF 1.7 Q2 NURSING Pub Date : 2024-03-01 Epub Date: 2023-10-16 DOI: 10.1177/08445621231208220
Lillian Hung, Karen Lok Yi Wong, Jim Mann, Annette Berndt, Lily Wong, Carly Wang, Deborah Liao, Diane Pan, Haopu Ren

Background: Nurses and healthcare providers need practical tools to deliver person-centred care in hospitals and long-term care homes. Few non-pharmacological interventions are designed to meet the needs of people with moderate to severe dementia. Dementia-friendly television videos (TV videos) offer a familiar stimulation with the potential for meaningful engagement in the relational space of technology. TV videos refer to moving visuals with audio that can be shown on TV and other devices. They can be used for different purposes for people with dementia, such as stimulating memories and facilitating expressions.

Purpose: This study aims to understand the perspectives of nurses and healthcare providers on the potential function and practice considerations of using TV videos for people with moderate to severe dementia.

Methods: We conducted five focus groups with 23 nurses and healthcare providers in a long-term care home and a geriatric hospital unit. Data were analyzed using reflexive thematic analysis and guided by Kitwood's person-centred care model.

Results: Our analysis identified five themes about the use of TV videos: (1) calm the person with dementia who is in emotional distress, (2) form connections with the person with dementia, (3) bring people with dementia together, (4) facilitate the Person's Activities of Daily Living (ADLs), (5) help the person connect with their past.

Conclusion: TV videos should be designed to match the person's cognitive abilities, interests, and cultural and linguistic backgrounds. Our findings supplemented Kitwood's model by identifying the person's cultural and language needs.

背景:护士和医疗保健提供者需要实用的工具来在医院和长期护理院提供以人为本的护理。很少有非药物干预措施能够满足中重度痴呆症患者的需求。对痴呆症友好的电视视频(电视视频)提供了一种熟悉的刺激,有可能在技术的关系空间中进行有意义的参与。电视视频是指可以在电视和其他设备上播放的带有音频的移动视觉效果。它们可以用于痴呆症患者的不同目的,例如刺激记忆和促进表达。目的:本研究旨在了解护士和医疗保健提供者对中重度痴呆症患者使用电视视频的潜在功能和实践考虑的看法。方法:我们在一家长期护理院和一家老年医院进行了五个焦点小组,共有23名护士和医疗保健提供者。使用反身性主题分析对数据进行分析,并以Kitwood的以人为本的护理模式为指导。结果:我们的分析确定了关于电视视频使用的五个主题:(1)安抚处于情绪困扰中的痴呆症患者,(2)与痴呆症患者建立联系,(3)将痴呆症患者团结在一起,(4)促进患者的日常生活活动,(5)帮助患者与过去建立联系。结论:电视视频的设计应与人的认知能力、兴趣以及文化和语言背景相匹配。我们的发现通过识别一个人的文化和语言需求来补充基特伍德的模型。
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引用次数: 0
Lessons Learned from Recruiting Socially Isolated Older Immigrants for a Survey-based Study in Toronto. 多伦多一项基于调查的研究招募社会孤立的老年移民的经验教训。
IF 2.1 Q2 Medicine Pub Date : 2024-03-01 Epub Date: 2023-10-03 DOI: 10.1177/08445621231206034
Kateryna Metersky, Zhixi C Zhuang, Oona St-Amant, Sepali Guruge
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引用次数: 0
Exploring Clients' Experiences of Transitioning Mental Health Nursing Care from an In-Person to a Virtual Format due to the COVID-19 Pandemic. 探索客户因 COVID-19 大流行而将心理健康护理从面对面形式过渡到虚拟形式的经历。
IF 1.7 Q2 NURSING Pub Date : 2024-03-01 Epub Date: 2023-12-13 DOI: 10.1177/08445621231221033
Jean-Laurent Domingue, Lisa Murata, Chijindu Ukagwu, Billie Pryer, Shruti Patel, Jennifer Neves, Tariq Iqbal

The onset of the COVID-19 pandemic led mental health professionals to change the way they engaged with clients, often replacing in-person consultations with virtual ones via telephone or videoconferencing. While studies have investigated the delivery of virtual physical health care, only a handful have investigated the delivery of virtual mental health. These specifically focussed on the outcomes of virtual care whether experiential, practical, or empirical. The transition from in-person to virtual care delivery due to the COVID-19 pandemic has been unexplored. Accordingly, the purpose of the study was to: (1) Explore the experiences of clients who had to transition from an in-person to a virtual provision of mental health care due to the COVID-19 pandemic, and; (2) Explore the nurses' experiences of this technological transition. Using an interpretive phenomenology methodology, semi-structured interviews were conducted with nurses and clients who have experienced the in-person to virtual transition of service delivery at a tertiary mental health hospital in Ontario, Canada. In this article, we focus on the results stemming from our interviews with clients. The themes generated from the analysis of client experiences are 1) the psychosocial impact of the COVID-19 pandemic on clients, (2) mixed feelings of clients towards nursing care delivered via technological means and (3) the role of nurses regarding transitioning of in-person care to technology-mediated care. These findings are relevant as mental health care hospitals are considering how they will deliver services once concerns with the transmission of the COVID-19 virus are resolved.

COVID-19 大流行病的爆发导致心理健康专业人员改变了与客户接触的方式,通常以电话或视频会议的虚拟咨询取代面对面咨询。虽然已有研究调查了虚拟身体保健的提供情况,但只有少数研究调查了虚拟心理保健的提供情况。这些研究特别关注虚拟医疗的成果,无论是体验性、实用性还是经验性。由于 COVID-19 的流行,从面对面到虚拟医疗服务的转变尚未被研究。因此,本研究的目的是:(1) 探讨因 COVID-19 大流行而不得不从面对面提供心理健康护理过渡到虚拟提供心理健康护理的客户的经历;(2) 探讨护士在这一技术过渡中的经历。我们采用解释现象学的方法,对加拿大安大略省一家三级心理健康医院的护士和客户进行了半结构化访谈,他们都经历了从面对面服务到虚拟服务的转变。在本文中,我们将重点介绍与客户访谈的结果。对客户体验的分析产生了以下主题:1)COVID-19 大流行病对客户的社会心理影响;2)客户对通过技术手段提供护理服务的复杂感受;3)护士在从面对面护理向以技术为媒介的护理过渡中所扮演的角色。这些研究结果具有现实意义,因为心理保健医院正在考虑,一旦 COVID-19 病毒传播问题得到解决,他们将如何提供服务。
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引用次数: 0
"It is Essentially About Treating Each Other Well": Insights from Faculty on Incivility in Nursing Education. “本质上是要善待彼此”:护理教育中的“无礼”现象。
IF 1.7 Q2 NURSING Pub Date : 2024-03-01 Epub Date: 2023-10-03 DOI: 10.1177/08445621231204985
Sandra P Small, Geraldine Cashin, Denise English, Glenys Moran

Study background: Incivility in nursing educational institutions, which may be perpetrated by both students and faculty, is troubling given that such institutions have a mandate to prepare students for caring, relational nursing practice.

Purpose: The purpose of this study was to contribute to understanding nursing academic incivility through an examination of nursing faculty's perspectives on student and faculty incivility.

Methods: The study was conducted using a mixed methods, descriptive, survey design with collection and analysis of quantitative and qualitative data. The sample consisted of 52 faculty members.

Results: A large majority of faculty thought that incivility in the nursing academic environment is a problem, with most considering it to be a mild or moderate problem. Students acted unprofessionally by showing disrespect, displaying superiority, engaging in disruptive behaviors, or not taking responsibility for their role in their learning. Faculty acted unprofessionally by showing disrespect, displaying superiority, or not being supportive. Faculty perceived that stress, personality, failure to deal with incivility, and an attitude of entitlement contributed to incivility. They thought that educational interventions, policies, and an academic environment that is conducive to civility are needed to address the problem.

Conclusion: Until evidence is available to support the effectiveness of interventions for academic incivility, nursing educational institutions are encouraged to implement strategies suggested by faculty in this study.

研究背景:护理教育机构中可能由学生和教职员工共同实施的无礼行为令人不安,因为这些机构有义务让学生做好护理、关系护理实践的准备。目的:本研究旨在通过考察护理系教师对学生和教师不文明行为的看法,有助于理解护理学术不文明行为。方法:本研究采用描述性调查设计的混合方法,收集和分析定量和定性数据。样本由52名教员组成。结果:绝大多数教师认为护理学术环境中的不文明行为是一个问题,大多数教师认为这是一个轻度或中度问题。学生表现出不尊重、表现出优越感、从事破坏性行为或不为自己在学习中的角色负责,这是不专业的行为。教员的行为不专业,表现出不尊重、优越感或不支持。教员们认为,压力、个性、未能处理不文明行为以及权利态度都是导致不文明行为的原因。他们认为,需要教育干预、政策和有利于文明的学术环境来解决这个问题。结论:在有证据支持对学术不端行为进行干预的有效性之前,鼓励护理教育机构实施教师在本研究中提出的策略。
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引用次数: 0
Comparison of Compassion Fatigue, Burnout and Compassion Satisfaction of Oncology-Hematology & Dialysis Nurses. 肿瘤血液透析护士同情疲劳、倦怠与同情满意度的比较。
IF 2.1 Q2 Medicine Pub Date : 2024-03-01 Epub Date: 2023-10-05 DOI: 10.1177/08445621231204621
Tuğba Pehlivan Saribudak, Zehra Aydın

Background: It is known that health professionals who work with chronic patients for a long time are at risk in terms of compassion fatigue and burnout. Purpose: The study aims to compare the levels of compassion fatigue, burnout, and compassion satisfaction of nurses working on oncology-hematology and dialysis and determine the predictors. Methods: This study was carried out using descriptive and correlational research design. The research was conducted with 278 nurses. Participants were enrolled using a convenience sampling technique from the oncology-hematology inpatient services, outpatient chemotherapy units, and bone marrow transplant units and dialysis nurses of purposively selected hospitals in Istanbul, Turkey. Personal information form and Professional Quality of Life-IV. Potential predictors were analyzed using univariate analysis. We conducted multiple stepwise linear regression analyses to reveal the outcome variables. Results: A sub-analysis comparing the dialysis specialty with the oncology-hematology revealed that dialysis nurses report significantly higher compassion fatigue scores than oncology nurses. Working willingly in the current unit and the level of received social support were determined as predictors for all outcome variables. Conclusions: This is the first study comparing compassion fatigue, burnout, and compassion satisfaction levels of oncology-hematology and dialysis nurses. This study indicates the need for nurse managers to be aware of compassion fatigue and plan compassion fatigue prevention programs. In addition, this study guides the interventional studies to be conducted in the future.

背景:众所周知,长期与慢性病患者合作的卫生专业人员面临同情疲劳和倦怠的风险。目的:本研究旨在比较从事肿瘤血液学和透析工作的护士的同情疲劳、倦怠和同情满意度水平,并确定预测因素。方法:本研究采用描述性和相关性研究设计。这项研究由278名护士参与。参与者使用方便的抽样技术从土耳其伊斯坦布尔的肿瘤血液科住院服务、门诊化疗室、骨髓移植室和透析护士中招募。个人信息表与职业生活质量-IV。使用单变量分析对潜在预测因素进行分析。我们进行了多元逐步线性回归分析,以揭示结果变量。结果:一项比较透析专业和肿瘤血液学的子分析显示,透析护士的同情疲劳评分明显高于肿瘤护士。自愿在当前单位工作和获得社会支持的水平被确定为所有结果变量的预测因素。结论:这是第一项比较肿瘤血液学和透析护士同情疲劳、倦怠和同情满意度的研究。这项研究表明,护士管理人员需要意识到同情疲劳,并制定同情疲劳预防计划。此外,本研究指导了未来进行的介入性研究。
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引用次数: 0
The Wall of Silence: Perceived Barriers to Gender-Based Violence Disclosure among Women in the Perinatal Period. 沉默之墙:围产期妇女在揭露性别暴力时遇到的障碍。
IF 2.1 Q2 Medicine Pub Date : 2024-03-01 Epub Date: 2023-12-12 DOI: 10.1177/08445621231220810
Jila Mirlashari, Lori A Brotto, Janet Lyons, Ann Pederson

Study background: Gender-based violence is a global concern. The perinatal period is a crucial time for early identification of the harmful impact of violence on the well-being of both mothers and infants. However, it has been observed that many women choose not to disclose their experiences to their healthcare providers.

Purpose: To gain insight into this issue, a study was conducted to explore the perspectives of both survivors and healthcare providers regarding the barriers to disclosure.

Methods: Through the utilization of a thematic analysis approach, a total of 28 interviews were conducted, involving 12 survivors and 16 healthcare providers.

Results: Data analysis revealed barriers to disclosure at the individual, community, and healthcare system levels.

Conclusion: Health-care providers have a pivotal role in creating an atmosphere where women are encouraged to break the silence and a paradigm shift in the health system approach towards GBV is necessary.

研究背景:性别暴力是一个全球关注的问题。围产期是及早发现暴力对母婴健康有害影响的关键时期。目的:为了深入了解这一问题,我们开展了一项研究,以探讨幸存者和医疗服务提供者对披露信息的障碍的看法:通过采用主题分析方法,共进行了 28 次访谈,涉及 12 名幸存者和 16 名医疗服务提供者:结果:数据分析揭示了个人、社区和医疗保健系统层面的信息披露障碍:医疗服务提供者在营造鼓励妇女打破沉默的氛围方面起着关键作用,医疗系统有必要转变对性别暴力的处理方式。
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引用次数: 0
Housing Conditions and Health Implications for Migrant Agricultural Workers in Canada: A Scoping Review. 加拿大移民农业工人的住房条件和健康影响:范围界定综述。
IF 1.7 Q2 NURSING Pub Date : 2024-03-01 Epub Date: 2023-10-16 DOI: 10.1177/08445621231203086
C Susana Caxaj, Anelyse M Weiler, Julia Martyniuk

Migrant agricultural workers face various health inequities that have led to preventable illness and death. This paper investigates how material housing conditions have shaped physical and mental health outcomes for temporary foreign workers in Canadian agriculture. We conducted a scoping review of literature on migrant agricultural worker housing in Canada published between 2000-2022, analysing insights on the physical quality of workers' housing in relation to international frameworks on housing quality. Our review revealed a range of housing-related health risks, including: (1) Sanitation, food security, and water; (2) Thermal safety, electricity, and utilities; (3) Habitability of structure, air quality, and exposure to hazards; (4) Spacing, privacy, and co-worker relations and; (5) Geographic proximity to necessary services and social opportunities. Although housing has been increasingly recognized as a social determinant of health, little research examines how migrant farmworkers' accommodations shape their health outcomes, particularly in Canada. This scoping review provides timely insights and recommendations to inform research, policy, and public health interventions.

移徙农业工人面临各种健康不平等,导致可预防的疾病和死亡。本文调查了物质住房条件如何影响加拿大农业临时外籍工人的身心健康结果。我们对2000-2022年间发表的加拿大移民农业工人住房文献进行了范围界定审查,分析了与国际住房质量框架相关的工人住房实物质量的见解。我们的审查揭示了一系列与住房相关的健康风险,包括:(1)卫生、粮食安全和水;(2) 热安全、电力和公用事业;(3) 结构的可居住性、空气质量和暴露在危险中的情况;(4) 间距、隐私和同事关系;(5) 地理位置接近必要的服务和社会机会。尽管住房越来越被认为是健康的社会决定因素,但很少有研究考察移民农场工人的住宿如何影响他们的健康结果,尤其是在加拿大。这一范围审查提供了及时的见解和建议,为研究、政策和公共卫生干预提供信息。
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引用次数: 0
Exploring the Experiences of Virtual Inflammatory Bowel Disease Care in Saskatchewan 探索萨斯喀彻温省的虚拟炎症性肠病护理体验
IF 2.1 Q2 Medicine Pub Date : 2023-12-07 DOI: 10.1177/08445621231219299
N. Rohatinsky, B. Russell, J. Peña-Sánchez, Shannon Boklaschuk, Sanchit Bhasin, S. Fowler, Tomasz Guzowski, Kendall Wicks, Mike Wicks
Individuals with inflammatory bowel disease (IBD) require life-long interactions with the healthcare system. Virtual care (VC) technologies are becoming increasingly utilized for accessing healthcare services. Research related to the use of VC technology for the management of IBD in Canada is limited. This study aimed to examine the VC experiences from the perspectives of individuals with IBD and gastroenterology care providers (GCPs). A patient-oriented, qualitative descriptive approach was used. Semi-structured interviews were completed with individuals with IBD and GCPs. Data were analyzed using an inductive content analysis approach. A total of 25 individuals with IBD and five GCPs were interviewed. Three categories were identified: benefits of virtual IBD care delivery, challenges of virtual IBD care delivery, and optimizing IBD care delivery. Individuals with IBD and GCPs were satisfied with the use of VC technology for appointments. Participants believed VC was convenient and allowed enhanced access to care. However, VC was not considered ideal in some instances, such as during disease flares or first appointments. Thus, a blended use of virtual and in-person appointments was suggested for individualized care. The virtual method of connecting patients and providers is deemed useful for routine appointments and for persons living in rural areas. VC is becoming more common in the IBD care environment. Nurses are in a key position to facilitate and enhance virtual IBD care delivery for the benefit of both individuals living with IBD and providers.
患有炎症性肠病(IBD)的个体需要终生与医疗保健系统互动。虚拟医疗(VC)技术越来越多地用于获取医疗保健服务。有关VC技术在加拿大IBD管理中的应用的研究是有限的。本研究旨在从IBD患者和胃肠病学护理提供者(gcp)的角度研究VC经历。采用以患者为导向的定性描述方法。对IBD和gcp患者进行半结构化访谈。数据分析采用归纳内容分析法。共采访了25名IBD患者和5名gcp患者。确定了三个类别:虚拟IBD护理提供的好处,虚拟IBD护理提供的挑战,以及优化IBD护理提供。IBD和gcp患者对使用VC技术预约感到满意。参与者认为VC很方便,可以增加获得护理的机会。然而,在某些情况下,如在疾病发作或首次预约时,VC被认为不是理想的。因此,建议混合使用虚拟和面对面的预约进行个性化护理。将病人和提供者联系起来的虚拟方法被认为对常规预约和农村地区的人有用。VC在IBD护理环境中越来越普遍。护士在促进和加强IBD虚拟护理提供方面处于关键地位,有利于IBD患者和提供者。
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引用次数: 0
How do Registered Nurses Understand Followership? 注册护士如何理解跟随?
IF 2.1 Q2 Medicine Pub Date : 2023-12-01 Epub Date: 2023-05-09 DOI: 10.1177/08445621231173793
Deena M Honan, Noelle Rohatinsky, Gerri Lasiuk

Background: Despite a consensus that followers and leaders are interdependent, the focus of nursing education, practice, and research has been leader centred. This has spawned calls in the nursing literature for increased scholarship on followership in nursing.

Purpose: To develop a grounded theory of followership in nursing.

Method: This study addressed the question - how do registered nurses understand followership? 11 registered nurses participated in online interviews that were later transcribed and analyzed following Charmaz's approach to Constructivist Grounded Theory.

Results: The core category of trusting informal and formal leaders was co-constructed from the data. A conceptual model, titled Followership as Trust in Acute Care Nursing Teams, illustrates that the nurses' decision to trust (and subsequently to engage in following) hinges on sharing the load (understanding one's role, accepting one's role, and working together); demonstrating knowledge (having experience, modelling, and mentoring); and connecting through communication (knowing the goal and communicating clearly). When participants fully trust formal and informal leaders, they engage in following as proactive members of the team, provide solutions to problems, and take initiative. Conversely, when they are less trusting of informal and formal leaders, they are less willing to follow.

Conclusions: This study underscores the importance of trust between followers and leaders for effective team function and safe patient care. More research on the follower-leader dynamic in nursing is needed to inform education, policy, and practice so that every nurse possesses the knowledge and skill to be both a follower and a leader.

背景:尽管人们一致认为追随者和领导者是相互依存的,但护理教育、实践和研究的重点一直是以领导者为中心。这在护理文献中引发了呼吁,要求增加对护理追随者的研究。目的:建立有根据的护理跟随理论。方法:本研究解决了注册护士如何理解随访的问题?11名注册护士参加了在线访谈,这些访谈后来按照Charmaz的建构主义基础理论进行了转录和分析。结果:根据数据共同构建了信任非正式和正式领导者的核心类别。一个名为“追随者作为信任在急性护理团队中”的概念模型表明,护士信任(以及随后参与追随者)的决定取决于分担负担(理解自己的角色、接受自己的角色并共同工作);展示知识(具有经验、建模和指导);通过沟通建立联系(了解目标并清晰沟通)。当参与者完全信任正式和非正式的领导者时,他们会作为团队中积极主动的成员参与进来,为问题提供解决方案,并采取主动。相反,当他们不太信任非正式和正式的领导人时,他们就不太愿意跟随。结论:这项研究强调了追随者和领导者之间信任对有效的团队功能和安全的患者护理的重要性。需要对护理中的跟随者-领导者动态进行更多的研究,为教育、政策和实践提供信息,使每个护士都具备既是跟随者又是领导者的知识和技能。
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引用次数: 0
"Let's Call a Spade a Spade. My Barrier is Being a Black Student": Challenges for Black Undergraduate Nursing Students in a Western Canadian Province. “让我们把黑桃称为黑桃。我的障碍是成为一名黑人学生”:加拿大西部省份黑人护理本科生面临的挑战。
IF 2.1 Q2 Medicine Pub Date : 2023-12-01 Epub Date: 2023-09-03 DOI: 10.1177/08445621231198632
Florence Luhanga, Sithokozile Maposa, Vivian Puplampu, Eunice Abudu

Background: We need more understanding of experiences that hinder or promote equity, diversity, and inclusion of Black students in undergraduate nursing programs to better inform their retention and success.

Purpose: To explore documented experiences of Black undergraduate nursing students, review barriers affecting their retention and success, and suggest evidence-based strategies to mitigate barriers that influence their well-being.

Methods: We used a focused qualitative ethnography for recruiting Black former and current students (N = 18) in a Western Canadian province's undergraduate nursing programs via purposive and snowball sampling. Most participants were female, 34 years or younger, with over 50% currently in a nursing program. Five participants later attended a focus group to further validate the findings from the individual interviews. Descriptive statistics were used to describe participant characteristics; we applied a collaborative constant comparison and thematic analysis approach to their narratives.

Results: Challenges influencing Black students' retention and success fell into four main interrelated subthemes: disengaging and hostile learning environments, systemic institutional and program barriers, navigation of personal struggles in disempowering learning environments, and recommendations to improve the delivery of nursing programs. Participants also recommended ways to improve diversity and mitigate these barriers, such as nursing programs offering anti-oppression courses, platforms for safe/healthy dialogue, and more culturally sensitive learning-centered programs and responsive supports.

Conclusions: The study findings underscore the need for research to better define nursing program conditions that nurture safe, learning-centred environments for Black students. A rethink of non-discriminatory, healthy learning-teaching engagements of Black students and the mitigation of anti-Black racism can best position institutions to promote equity, diversity, and inclusion of Black students.

背景:我们需要更多地了解阻碍或促进黑人学生在本科护理项目中的公平、多样性和包容性的经历,以更好地了解他们的保留和成功。目的:探讨黑人护理本科生的记录经历,回顾影响他们保留和成功的障碍,并提出基于证据的策略来减轻影响他们幸福的障碍 = 18) 在加拿大西部一个省的本科生护理项目中,通过有目的和滚雪球抽样。大多数参与者是34岁或以下的女性,其中超过50%的人目前正在参加护理项目。五名参与者随后参加了一个焦点小组,以进一步验证个人访谈的结果。描述性统计被用来描述参与者的特征;我们对他们的叙述采用了合作的持续比较和主题分析方法。结果:影响黑人学生保留和成功的挑战分为四个主要的相互关联的子主题:脱离和敌对的学习环境、系统性的制度和项目障碍、在失去权力的学习环境中引导个人斗争,以及改进护理项目实施的建议。参与者还建议了提高多样性和减轻这些障碍的方法,例如提供反压迫课程的护理项目、安全/健康对话平台,以及更具文化敏感性的以学习为中心的项目和响应性支持。结论:研究结果强调了研究的必要性,以更好地定义护理项目条件,为黑人学生培养安全、以学习为中心的环境。重新思考黑人学生的非歧视性、健康的学习和教学活动,以及缓解反黑人种族主义,可以使机构更好地促进黑人学生的公平、多样性和包容性。
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引用次数: 0
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Canadian Journal of Nursing Research
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