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The effectiveness of serious games on undergraduate nursing students' knowledge and skills: A systematic review and meta-analysis 严肃游戏对护理本科生知识和技能的影响:系统回顾与荟萃分析
IF 3.3 3区 医学 Q1 NURSING Pub Date : 2024-08-22 DOI: 10.1016/j.nepr.2024.104102

Aim

To determine the effect of serious games on undergraduate nursing students by the meta-analysis method.

Background

There is a need for greater focus on enhancing the knowledge and skills of undergraduate nursing students. Generation Z students desire active engagement in the learning process. When compare with conventional learning approaches, serious games can enhance pupil interest by making the learning process more captivating.

Design

Systematic review and meta-analysis.

Method

A total of nine databases were systematically searched from inception to April 2024. The Cochrane RoB-2 tool and the Joanna Brigg's Institute Critical Appraisal Tool for quasi-experimental designs were used to undertake quality appraisal. A narrative synthesis, a meta-analysis and subgroup analysis were conducted to analyze the study outcomes.

Results

In the study, 19 experimental studies included 14 randomized controlled trials and five quasi-experimental studies. When compare with control groups, serious games in RCTs showed significant improvements in knowledge (SMD 1.24, 95 % CI 0.52–1.96; P<0.001) and skills (SMD 0.50, 95 % CI 0.13–0.87; P<0.01). Subgroup analysis for technical skills outcomes demonstrated that serious games in RCTs were more effective than control groups (SMD 0.62, 95 % CI 0.20–1.05; P<0.001).

Conclusion

Serious games had a beneficial impact on the knowledge and skills of undergraduate nursing students. In the context of serious game intervention, it is imperative to carefully consider the approach.

目的通过荟萃分析法确定严肃游戏对护理专业本科生的影响。 背景需要更加重视提高护理专业本科生的知识和技能。Z 世代学生渴望积极参与学习过程。设计系统综述和荟萃分析方法系统检索了从开始到2024年4月的9个数据库。采用 Cochrane RoB-2 工具和 Joanna Brigg's Institute 准实验设计批判性评估工具进行质量评估。研究中的 19 项实验研究包括 14 项随机对照试验和 5 项准实验研究。与对照组相比,随机对照研究中的严肃游戏在知识(SMD 1.24,95 % CI 0.52-1.96;P<0.001)和技能(SMD 0.50,95 % CI 0.13-0.87;P<0.01)方面均有显著改善。对技术技能结果的分组分析表明,RCT 中的严肃游戏比对照组更有效(SMD 0.62,95 % CI 0.20-1.05;P<0.001)。在进行严肃游戏干预时,必须仔细考虑干预方法。
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引用次数: 0
Evaluation of the effect of stoma care training using the pechakucha method on stoma care skills and anxiety in nursing students: A single-blind randomized controlled trial 评估使用pechakucha法进行造口护理培训对护理专业学生造口护理技能和焦虑的影响:单盲随机对照试验
IF 3.3 3区 医学 Q1 NURSING Pub Date : 2024-08-22 DOI: 10.1016/j.nepr.2024.104106

Aim

This study aimed to evaluate the effects of stoma care training delivered using PechaKucha (PK) on the stoma care skills and anxiety of nursing students.

Background

Innovative learning methods are needed to make the educational content of nursing courses more interesting and comprehensible. The PK presentation technique is used in various business sectors and can be considered as a novel teaching strategy for the development of stoma care skills in nursing education. The PK method is a visual and narrative slide-based presentation technique involving 20 slides (usually containing images only) that are shown for 20 s each, for a total presentation length of 6 min and 40 s.

Design

A single-blind randomized controlled study was conducted according to the CONSORT guideline.

Methods

The study sample comprised 96 first-year nursing students (47 in the intervention group and 49 controls). Data were collected during the 2024 spring semester using a student information form, the Stoma Care Skill Rubric and the State-Trait Anxiety Inventory. Stoma care training was delivered using the PK method for the intervention group and a classic lecture presentation for the control group. SPSS version 25.0 was used for statistical analysis. Independent-samples t-test was used to evaluate differences in mean stoma care skill and anxiety scores between the intervention and control groups.

Results

The mean stoma care skills score two days after training was significantly higher in the intervention group (mean 42.59, SD 4.44) than in the control group (mean 33.87, SD 7.52) (p<0.05). Mean state anxiety scores after training did not differ significantly between the intervention group (mean 41.74, SD 6.51) and the control group (mean 43.08, SD 6.62) (p>0.05; Table 3).

Conclusion

The PK method can be used as an alternative to classic slide-based presentations in nursing education. This study offers the first literature data regarding the efficacy of PK-based education for nursing care skills. Concise and image-based PK presentations may make the skill steps easier to understand and remember.

本研究旨在评估使用 PechaKucha(PK)进行造口护理培训对护理专业学生造口护理技能和焦虑情绪的影响。 背景为使护理课程的教学内容更加有趣和易懂,需要采用创新的学习方法。PK演讲技术在各行各业都有应用,可被视为在护理教育中培养造口护理技能的一种新颖教学策略。PK法是一种基于幻灯片的视觉和叙事演示技术,包括20张幻灯片(通常仅包含图片),每张幻灯片播放20秒,总演示时长为6分40秒。方法研究样本包括96名护理专业一年级学生(干预组47名,对照组49名)。在 2024 年春季学期,使用学生信息表、造口护理技能评分表和状态-特质焦虑量表收集数据。对干预组采用 PK 法进行造口护理培训,对对照组采用传统的讲授法。统计分析采用 SPSS 25.0 版。结果 培训两天后,干预组的造口护理技能平均得分(平均 42.59 分,标准差 4.44 分)显著高于对照组(平均 33.87 分,标准差 7.52 分)(p<0.05)。干预组(平均 41.74 分,标准差 6.51 分)与对照组(平均 43.08 分,标准差 6.62 分)在训练后的平均状态焦虑评分无明显差异(p>0.05; 表 3)。本研究首次提供了有关基于 PK 的护理技能教育效果的文献数据。简明、形象的PK演示可以使技能步骤更容易理解和记忆。
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引用次数: 0
Collaborating for co-researching: A multi-stakeholder case narrative of student nurses co-researching technology-supported care 合作开展共同研究:多方利益相关者对学生护士共同研究技术支持护理的案例叙述
IF 3.3 3区 医学 Q1 NURSING Pub Date : 2024-08-21 DOI: 10.1016/j.nepr.2024.104097

Aim

Evaluate the impact of LS@H project participation on stakeholders.

Background

As populations age and workforces decline, care technology in nursing is becoming increasingly commonplace. Collaboration between nurse academia, education and practice can result in practice-based research and meaningful learning for nursing students and staff. However, little is known about the factors influencing effective collaboration. Based on the knowledge that narratives can be an effective vehicle for healthcare practice change, a Dutch school of nursing and its practice partners collaborated on the Living Longer and Safe at Home! (LS@H) project. This project aimed to explore a more person-centred approach to the use of technology in nursing care. Having gathered data from multiple sources to construct case narratives on the use of technology in older persons care, students nurses were able to contribute to practice development as their narratives were fed back to local and regional teams.

Design

To evaluate the impact of the LS@H project, we employed the same methodology used in the project: mixed data gathering methods to construct a case narrative. LS@H project students, supervisors, mentors and higher management shared their experiences and the research team constructed the case narrative.

Methods

Qualitative data were gathered via individual, duo and group interviews and supplemented with a survey among students. Transcription and thematic analysis followed, with multiple rounds of critical peer review before the thematic framework was agreed, survey results integrated and the case narrative constructed.

Results

According to stakeholder participants, the LS@H project led to an unfreezing of the status quo in both education and practice. The approach was new and guidelines with community support was needed to allay fears. The project design enabled a sense of shared ownership, across individuals and organisations for improving practice. Perspectives on the use of technology and older persons nursing were transformed. Critically dialoguing case narratives encouraged purposeful action to improve practice and fostered reflective practice among students and teams.

Conclusions

Collaborative practice-based research can be a valuable learning experience for student nurses, positively influencing their view of nursing practice as well as enabling them to actively contribute to practice development. Adequate preparation, supervision and practice mentorship is vital, alongside practice (leader) commitment to ensure continued student assignments with subsequent critical dialogue of the multi-stakeholder case narratives produced.

Registration number

At point of submission put this on title page

背景随着人口老龄化和劳动力减少,护理技术在护理工作中越来越普遍。护士学术界、教育界和实践部门之间的合作可以开展以实践为基础的研究,并为护理专业的学生和员工提供有意义的学习机会。然而,人们对影响有效合作的因素知之甚少。基于叙事可以成为医疗保健实践变革的有效载体这一认知,荷兰一所护理学院与其实践伙伴合作开展了 "居家长寿与安全"(Living Longer and Safe at Home,LS@H)项目!(LS@H) 项目。该项目旨在探索一种更加以人为本的护理技术使用方法。设计为了评估 LS@H 项目的影响,我们采用了与该项目相同的方法:混合数据收集方法来构建案例叙事。LS@H项目的学生、督导、导师和高层管理者分享了他们的经验,研究团队构建了案例叙述。方法通过个人访谈、双人访谈和小组访谈收集定性数据,并在学生中开展调查作为补充。随后进行了转录和主题分析,并在商定主题框架、整合调查结果和构建案例叙述之前进行了多轮严格的同行评审。结果根据利益相关者的参与,LS@H 项目打破了教育和实践的现状。这种方法是全新的,需要有社区支持的指导来消除恐惧。项目的设计使个人和组织有了共同的主人翁意识,从而改善了实践。关于技术使用和老年人护理的观点发生了转变。结论以实践为基础的合作研究可以成为护士学生宝贵的学习经历,对他们的护理实践观产生积极影响,并使他们能够为实践发展做出积极贡献。充分的准备、监督和实践指导至关重要,同时,实践(领导者)的承诺也能确保学生继续完成作业,并在随后对所产生的多方利益相关者案例叙述进行批判性对话。
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引用次数: 0
Development of a competency-based assessment template for oncology nursing: A participatory action research study 开发基于能力的肿瘤护理评估模板:参与式行动研究
IF 3.3 3区 医学 Q1 NURSING Pub Date : 2024-08-13 DOI: 10.1016/j.nepr.2024.104095

Aim

The main objective of this study was to collaboratively develop a competency-based assessment template for oncology nurses.

Background

The care of oncology patients and their families requires very specific knowledge and skills, as well as that nurses are trained not only in theoretical and practical knowledge but also in competencies. There is a lack of specific tools to assess competencies in oncology and it is important to include students in the learning process.

Design

This study has a Participatory Action Research.

Methods

A focus group was conducted for data collection. The process consisted of 4 phases: 1- Identification of the problem; 2- Planning of the change; 3- Realization of the change; 4- Effect of the change and reflection. A purposive sampling where all the students of the master's degree in oncology nursing who wished to participate voluntarily were selected. A total of 23 students participated. The information was recorded and fully transcribed. Triangulation of researchers was used during data analysis.

Results

One of the most important aspects included in the new tool was the need for a comprehensive approach to people with oncological diseases and their relatives. The students emphasized the need to primarily address the physical, psychological and social dimensions in this approach.

Conclusion

This study developed a competency-based assessment template for oncology nurses, which includes the assessment of knowledge, skills and attitudes. The findings could help other oncology nurse educators or professionals to evaluate their training sessions and even their own knowledge in a healthcare setting.

背景肿瘤患者及其家属的护理需要非常特殊的知识和技能,护士不仅要接受理论和实践知识培训,还要接受能力培训。本研究采用参与式行动研究方法,通过焦点小组收集数据。该过程包括 4 个阶段:1- 发现问题;2- 计划变革;3- 实现变革;4- 变革的效果和反思。通过有目的的抽样,选取了所有愿意自愿参与的肿瘤护理专业硕士研究生。共有 23 名学生参与。对信息进行了记录和全文转录。在数据分析过程中,研究人员采用了三角测量法。结果 新工具中最重要的一个方面是需要对肿瘤患者及其亲属采取综合方法。学生们强调,在这种方法中需要主要解决生理、心理和社会方面的问题。结论本研究为肿瘤科护士开发了一个基于能力的评估模板,其中包括知识、技能和态度的评估。研究结果可帮助其他肿瘤学护士教育者或专业人员评估其培训课程,甚至评估其自身在医疗环境中的知识。
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引用次数: 0
Training students to serve as standardized patients in an objective structured clinical examination is feasible: A mixed-methods study 培训学生在客观结构化临床检查中充当标准化病人是可行的:混合方法研究
IF 3.3 3区 医学 Q1 NURSING Pub Date : 2024-08-01 DOI: 10.1016/j.nepr.2024.104069

Aim

This study aimed to evaluate examinees’ perceptions of the performance of student standardized patients (SPs) and to explore student SPs’ experiences.

Background

Objective structured clinical examination (OSCE) is a standard approach to the task of evaluating students’ clinical competency that relies on SPs. However, professional SPs are characterized by high costs and insufficient availability. Training students to serve as SPs can help address this lack of OSCE resources. However, only preliminary evidence regarding this process and its feasibility has been reported.

Design

We used a concurrent mixed-method study design that included quantitative surveys and qualitative group interviews.

Methods

Our sample consisted of two-year Bachelor of Nursing program students and trained student SPs who were recruited in May 2021. We used a 5-item performance evaluation tool to assess the SPs’ performance. The reliability of this evaluation tool was indicated by a Cronbach’s α coefficient of.95. Descriptive statistics were used to assess the examinees’ satisfaction with the student SPs’ performance using SPSS 28.0 software. We used a semi-structured interview guide during a group interview; the interview was transcribed verbatim and analyzed via thematic analysis with the assistance of Microsoft Word software.

Results

Eighty-two nursing school students responded to the survey and 10 student SPs were included in a group interview. Nursing school students rated SPs’ performance favorably. The mean score assigned to the SPs on the performance scale was 4.41 out of 5. The student SPs described the challenges and benefits that they experienced regarding their role. The challenges they described included 1) staying true to my role, 2) overcoming a physically overwhelming role and 3) facing the threat of insecurity. However, the corresponding benefits included 1) gaining rewards, 2) advancing nursing competency and 3) experiencing a sense of accomplishment.

Conclusion

After undergoing training, the SPs performed well. They experienced a variety of challenges and obtained certain benefits. In health care education, recruiting students to serve as SPs is feasible.

背景客观结构化临床考试(OSCE)是评价学生临床能力的一种标准方法,它依赖于标准化病人。然而,专业的临床医师费用高昂且缺乏。培训学生担任专业医师有助于解决 OSCE 资源不足的问题。方法我们的样本包括 2021 年 5 月招募的两年制护理学士课程学生和经过培训的学生 SP。我们使用 5 个项目的绩效评估工具来评估 SP 的绩效。Cronbach's α系数为.95,表明该评估工具的可靠性。我们使用 SPSS 28.0 软件进行了描述性统计,以评估受试者对学生助教表现的满意度。在小组访谈中,我们使用了半结构化访谈指南;访谈内容逐字记录,并在 Microsoft Word 软件的帮助下进行主题分析。护校学生对 SP 的表现给予了好评。学生对护理专业人员工作表现的平均评分为 4.41 分(满分 5 分)。学生护士描述了他们在履行职责时遇到的挑战和获得的益处。他们所描述的挑战包括:1)忠于自己的角色;2)克服角色带来的身体负担;3)面对不安全的威胁。然而,相应的益处包括:1)获得回报;2)提高护理能力;3)体验成就感。他们经历了各种挑战,并获得了一定的收益。在健康护理教育中,招募学生担任 SP 是可行的。
{"title":"Training students to serve as standardized patients in an objective structured clinical examination is feasible: A mixed-methods study","authors":"","doi":"10.1016/j.nepr.2024.104069","DOIUrl":"10.1016/j.nepr.2024.104069","url":null,"abstract":"<div><h3>Aim</h3><p>This study aimed to evaluate examinees’ perceptions of the performance of student standardized patients (SPs) and to explore student SPs’ experiences.</p></div><div><h3>Background</h3><p>Objective structured clinical examination (OSCE) is a standard approach to the task of evaluating students’ clinical competency that relies on SPs. However, professional SPs are characterized by high costs and insufficient availability. Training students to serve as SPs can help address this lack of OSCE resources. However, only preliminary evidence regarding this process and its feasibility has been reported.</p></div><div><h3>Design</h3><p>We used a concurrent mixed-method study design that included quantitative surveys and qualitative group interviews.</p></div><div><h3>Methods</h3><p>Our sample consisted of two-year Bachelor of Nursing program students and trained student SPs who were recruited in May 2021. We used a 5-item performance evaluation tool to assess the SPs’ performance. The reliability of this evaluation tool was indicated by a Cronbach’s α coefficient of.95. Descriptive statistics were used to assess the examinees’ satisfaction with the student SPs’ performance using SPSS 28.0 software. We used a semi-structured interview guide during a group interview; the interview was transcribed verbatim and analyzed via thematic analysis with the assistance of Microsoft Word software.</p></div><div><h3>Results</h3><p>Eighty-two nursing school students responded to the survey and 10 student SPs were included in a group interview. Nursing school students rated SPs’ performance favorably. The mean score assigned to the SPs on the performance scale was 4.41 out of 5. The student SPs described the challenges and benefits that they experienced regarding their role. The challenges they described included 1) staying true to my role, 2) overcoming a physically overwhelming role and 3) facing the threat of insecurity. However, the corresponding benefits included 1) gaining rewards, 2) advancing nursing competency and 3) experiencing a sense of accomplishment.</p></div><div><h3>Conclusion</h3><p>After undergoing training, the SPs performed well. They experienced a variety of challenges and obtained certain benefits. In health care education, recruiting students to serve as SPs is feasible.</p></div>","PeriodicalId":48715,"journal":{"name":"Nurse Education in Practice","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141713410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Workshop on hastened death as “space for an appreciative discussion”: A qualitative study 作为 "欣赏性讨论空间 "的加速死亡研讨会:定性研究。
IF 3.3 3区 医学 Q1 NURSING Pub Date : 2024-08-01 DOI: 10.1016/j.nepr.2024.104081

Aim

To evaluate the suitability of a drama-based workshop as a method for ethical deliberation.

Background

Nurses worldwide are inadequately prepared to care for people who desire hastened death, which can lead to ethical and moral dilemmas. To address this problem, we developed a drama-based ethical deliberation workshop to assist nurses in these situations. Senghor and Racine’s three moments of ethical deliberation and their quality criteria served as basis for evaluation.

Design

Qualitative descriptive study design.

Methods

Non-participant observations and a survey with incomplete sentences to be completed by nursing students were used. Data analysis followed Mayring’s deductive content analysis approach.

Results

All three moments of ethical deliberation according to Senghor and Racine were identified. Participants recognised hastened death as morally problematic, shared their experiences and gained a deeper understanding of the problem. They reported feeling better prepared for encounters with persons seeking assisted suicide. In terms of its quality, the drama-based workshop achieved good and partial ethical deliberation.

Conclusions

The workshop has demonstrated its suitability as a method for ethical deliberation. The workshop should be complemented by specific modules, such as communication skills and be tailored to other professional groups. A validated instrument is needed to ensure a more comprehensive assessment of the quality.

目的:评估以戏剧为基础的工作坊作为伦理审议方法的适用性:背景:全世界的护士在护理希望加速死亡的人时准备不足,这可能会导致伦理道德困境。为了解决这个问题,我们开发了一个基于戏剧的伦理讨论工作坊,以帮助护士应对这些情况。桑戈尔(Senghor)和拉辛(Racine)提出的伦理讨论的三个时刻及其质量标准是评估的基础:设计:定性描述研究设计:方法:采用非参与观察法和由护理专业学生填写的不完整句子调查法。数据分析采用 Mayring 的演绎式内容分析法:根据桑戈尔和拉辛(Racine)的观点,所有三个伦理思考时刻都得到了确认。参与者认识到加速死亡在道德上存在问题,分享了他们的经验,并加深了对这一问题的理解。他们表示,在遇到寻求协助自杀的人时,感觉自己做好了更充分的准备。就其质量而言,以戏剧为基础的工作坊实现了良好的和部分的伦理审议:工作坊证明了其作为伦理讨论方法的适用性。该工作坊应辅之以特定模块,如沟通技巧,并适合其他专业群体。需要一个经过验证的工具,以确保对质量进行更全面的评估。
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引用次数: 0
Developing care behaviors and ethical attitude in nursing education 在护理教育中培养护理行为和道德态度
IF 3.3 3区 医学 Q1 NURSING Pub Date : 2024-08-01 DOI: 10.1016/j.nepr.2024.104072

Aim

This study aims to determine the effect of education based on the Theory of Human Caring on nursing students' caring behaviors and ethical attitudes.

Background

It is crucial to plan nursing education holistically, addressing cognitive, psychomotor and affective domains for the comprehensive development of caring behaviors and ethical attitudes.

Design

This study employed a convergent mixed-methods approach with randomized pretest-posttest comparisons and qualitative analysis.

Methods

This study was conducted with third-year nursing students at a state university in Ankara, Turkey, in 2021. It comprised a total of 95 participants, with 47 students in the case group and 48 students in the video group. Theoretical education based on the Theory of Human Caring was simultaneously provided to both groups. Following this, one group received practical training using a video-supported teaching method, while the other group received it through a case analysis method. The research used the 'Descriptive Characteristics Form', 'Caring Nurse Patient Interaction Scale (CNPIS)', 'Scale for Attitudes of Ethical Principles (SAEP)' and 'Student Opinion Form on Care Behaviors Education' to collect data. Quantitative data were analyzed using t-tests, Mann-Whitney U tests, Wilcoxon paired two-sample tests and Linear Regression Analysis, with a significance level of p<0.05. Qualitative data were evaluated through document analysis. Permissions were obtained before the research.

Results

After the education provided, significant differences were found between the pre-test and post-test scores of both groups (p<0.05). It was determined that there was a statistically significant, positive and generally moderate relationship between the caring behaviors and ethical attitudes of the students. Additionally, participating students reported that they were satisfied with the education provided, stating that the teaching methods increased their motivation and positively influenced their perspectives on caring and its ethical dimensions.

Conclusions

The research findings show significant improvements in nursing students' care behaviors and ethical attitudes following education based on the Human Care Theory, with both case analysis and video-supported teaching methods yielding notable results. Integration of care theories into the nursing undergraduate curriculum, alongside the use of holistic teaching methods, is recommended, along with further randomized controlled trials to assess teaching effectiveness.

本研究旨在确定基于人类关爱理论的教育对护理专业学生关爱行为和道德态度的影响。全面规划护理教育至关重要,它涉及认知、心理运动和情感领域,以全面培养护理行为和道德态度。本研究采用了一种趋同的混合方法,即随机的前测-后测比较和定性分析。本研究于 2021 年在土耳其安卡拉一所国立大学的三年级护理专业学生中进行。共有 95 人参加,其中案例组 47 人,视频组 48 人。两组学生同时接受基于人类关怀理论的理论教育。随后,一组通过视频辅助教学法接受实践培训,另一组则通过案例分析法接受培训。研究采用了 "描述性特征表"、"关爱护患互动量表(CNPIS)"、"伦理原则态度量表(SAEP)"和 "护理行为教育学生意见表 "来收集数据。定量数据采用 t 检验、Mann-Whitney U 检验、Wilcoxon 配对双样本检验和线性回归分析进行分析,显著性水平为 p<0.05。定性数据通过文件分析进行评估。研究前已获得许可。在接受教育后,发现两组学生的前测和后测得分存在明显差异(P<0.05)。研究结果表明,学生的关爱行为和道德态度之间存在着统计学意义上的正向关系,且总体上关系适中。此外,参与研究的学生表示,他们对所提供的教育感到满意,认为教学方法提高了他们的积极性,并对他们对护理及其伦理层面的看法产生了积极影响。研究结果表明,在基于人类关怀理论的教育之后,护理专业学生的关怀行为和伦理态度有了明显改善,案例分析和视频辅助教学方法都取得了显著效果。建议将护理理论纳入护理本科课程,同时使用整体教学方法,并进一步开展随机对照试验以评估教学效果。
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引用次数: 0
New graduate nurses’ readiness for practice, transition and integration into the workplace: A longitudinal study with mixed methods research 新毕业护士对实习、过渡和融入工作场所的准备情况:采用混合方法的纵向研究。
IF 3.3 3区 医学 Q1 NURSING Pub Date : 2024-08-01 DOI: 10.1016/j.nepr.2024.104076

Aim

To examine the readiness of new graduate nurses for practice and evaluate factors influencing their transition into the workplace.

Background

This is new research in Bahrain. Understanding readiness for practice is important during a time when there is a national initiative to promote nursing as a career among the indigenous Bahraini population. The worldwide nursing shortages and aging workforce require new and innovative recruitment and retention measures. There is change, increased demand and complexity, in nursing and healthcare needs with accompanying healthcare specialization. In such a health care environment, the transitioning and readiness of newly qualified nurses is an increasing challenge.

Design

A longitudinal design, with a triangulated, mixed methods, research approach was used.

Methods

The study population consisted of 50 newly graduated nurses. Data were collected over one year through self-administered questionnaires, reflective diaries and focus groups. Quantitative data were analysed using SPSS and qualitative data using thematic analysis with adherence to GRAMMS reporting guidelines.

Results

In Bahrain, there are actions to recruit young Arabic students to nursing including schools and community presentations by trained nurse ambassadors, social media activities and career exhibitions, however there is a lack of objective information on the perspective of cohorts of nurses who have successfully completed graduate nursing registration programmes and transitioned into practice. International literature suggests that the transition of newly graduated nurses can be stressful and challenging. On entry to practice, the respondents positively perceived their characteristics and attributes; however, their confidence was affected by challenges in the workplace. The transitioning of the new graduate nurses was affected by the availability of support and leadership, induction programmes and the new complex work environment.

Conclusion

Understanding work readiness and the emotional needs of new graduate nurses, accompanied by improved support, will enhance the transition of newly qualified nurses into the workplace and reduce attrition.

Study Registration

KHUH/Research/No.279/2019

目的:研究新毕业护士的实习准备情况,并评估影响其向工作场所过渡的因素:这是巴林的一项新研究。目前,巴林正在全国范围内倡导将护理作为一项职业来发展。全球护理人员短缺和劳动力老龄化的问题要求采取新的和创新的招聘和留用措施。随着医疗保健专业化的发展,护理和医疗保健需求也在发生变化,需求增加,复杂性提高。在这样的医疗环境中,新合格护士的过渡和准备工作是一项日益严峻的挑战:设计:采用纵向设计、三角交叉、混合方法的研究方法:研究对象包括 50 名刚毕业的护士。通过自填问卷、反思日记和焦点小组收集了为期一年的数据。使用 SPSS 对定量数据进行分析,使用专题分析对定性数据进行分析,并遵守 GRAMMS 报告准则:巴林采取了一些行动来招募年轻的阿拉伯学生从事护理工作,包括由训练有素的护士大使在学校和社区进行宣讲、开展社交媒体活动和举办职业展览,但缺乏关于成功完成护理研究生注册课程并转入实践的护士群体的客观信息。国际文献表明,新毕业护士的过渡时期可能充满压力和挑战。在进入执业阶段时,受访者对自己的特点和属性有积极的看法;然而,工作场所的挑战影响了他们的信心。新毕业护士的过渡受到是否有支持和领导、入职计划和新的复杂工作环境的影响:研究注册:KHUH/Research/No.279/2019.
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引用次数: 0
Comparison of global nursing education and necessary supports for nurse educators between Japan and four English-speaking countries: An international cross-sectional study 比较日本和四个英语国家的全球护理教育和对护士教育者的必要支持:一项国际横断面研究。
IF 3.3 3区 医学 Q1 NURSING Pub Date : 2024-08-01 DOI: 10.1016/j.nepr.2024.104074

Aim

This study aimed to compare characteristics of nurse educators, factors related to teaching global nursing, contents of global education and support and the level of burden of global education and factors related to the burden between nurse educators among top nursing universities in Japan and four English-speaking countries.

Background

Intercultural sensitivity is the active desire to motivate oneself to understand, appreciate and accept different cultures. Nurse educators need to be culturally sensitive to teach cultural care to nursing students.

Design

This is a cross-sectional exploratory international comparative study using an online survey.

Methods

Participants were nurse educators with a nurse license in the top 20 in Japan and the top 10 universitiesin the United States, Canada, United Kingdom and Australia (hereafter “English-speaking countries”), respectively. The questions in Google form selected participants by the inclusion criteria. Intercultural sensitivity was measured by the Intercultural Sensitivity Scale. Chi-square test, Fisher’s exact test, t-test, Mann-Whitney U test and Spearman’s correlation coefficients were used for the analyses. Data were collected from October 2023 to January 2024.

Results

A total of 144 in Japan (response rate=29.0 %) and 106 educators in English-speaking countries (response rate=2.4 %) were included in the analysis. Nurse educators in Japan had less work experience in foreign countries, had fewer opportunities to take part in cross-cultural interactions and had significantly lower intercultural sensitivity. In both groups, those who had more experience in foreign countries with higher intercultural sensitivity taught global nursing. While in Japan nurse educators who had higher proficiency in non-native languages and those who had more frequently taken part in cross-cultural interactions taught global nursing, in English-speaking countries full-time workers who had attended international academic conferences taught. In Japan, global nursing was a more optional course and the number of contents taught was lower. While participants in Japan had international seminars at universities as support for global nursing education, those in English-speaking countries had faculty members with different cultural backgrounds. Participants in Japan felt more burden for global nursing education. In Japan, more proficient non-native language, more frequent cross-cultural interaction and higher intercultural sensitivities were associated with a lower burden, while teaching other than in their native language, contents taught and performance evaluation were associated with a higher burden in English-speaking countries.

Conclusions

Higher intercultural sensitivity, performance evaluation and proficiency in non-native language may be important for nurse educators to teach globa

目的:本研究旨在比较日本顶尖护理大学和四个英语国家的护士教育者的特点、与全球护理教学相关的因素、全球教育和支持的内容以及护士教育者的全球教育负担水平和与负担相关的因素:背景:跨文化敏感性是促使自己理解、欣赏和接受不同文化的积极愿望。护士教育者需要具备文化敏感性,才能向护理专业学生传授文化护理知识:这是一项横断面探索性国际比较研究,采用在线调查的方法:参与者分别是日本排名前 20 的大学以及美国、加拿大、英国和澳大利亚(以下简称 "英语国家")排名前 10 的大学中持有护士执照的护士教育者。谷歌表格中的问题根据纳入标准选择参与者。跨文化敏感性采用跨文化敏感性量表进行测量。分析采用了卡方检验、费雪精确检验、t 检验、曼-惠特尼 U 检验和斯皮尔曼相关系数。数据收集时间为 2023 年 10 月至 2024 年 1 月:共有 144 名日本教育工作者(回复率=29.0%)和 106 名英语国家教育工作者(回复率=2.4%)参与了分析。日本的护士教育者在外国的工作经验较少,参与跨文化互动的机会较少,跨文化敏感性明显较低。在这两组人中,在外国工作经验较多、跨文化敏感性较高的人教授全球护理。在日本,非母语水平较高的护士教育者和更经常参加跨文化交流的人教授全球护理,而在英语国家,参加过国际学术会议的全职工作者教授全球护理。在日本,全球护理是一门选修课,授课内容较少。日本的参与者有大学的国际研讨会作为全球护理教育的支持,而英语国家的参与者则有不同文化背景的教师。日本的参与者对全球护理教育感到负担更重。在日本,非母语语言更熟练、跨文化交流更频繁、跨文化敏感性更高,与较低的负担有关,而在英语国家,非母语教学、教学内容和绩效评估与较高的负担有关:结论:较高的跨文化敏感性、绩效评估和非母语的熟练程度可能对护士教育者进行全球护理教学非常重要,因此有必要提供支持以增强这些敏感性、绩效评估和非母语的熟练程度。
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引用次数: 0
The lived experience of midwives’ transitioning from a clinical role into teaching in higher education in one jurisdiction of Australia: A pilot study 在澳大利亚的一个司法管辖区,助产士从临床角色过渡到高等教育教学工作的生活经历:试点研究。
IF 3.3 3区 医学 Q1 NURSING Pub Date : 2024-08-01 DOI: 10.1016/j.nepr.2024.104071

Aim

The aim of this pilot study was to explore clinician’s experience of transitioning from midwifery clinical practice into university in an academic teaching role within one jurisdiction in Australia.

Background

There is a dire shortage of midwifery academics globally. In Australia the shortage is symbiotic with the persistent deficit in the midwifery clinical workforce, which is the predominant recruitment pool for universities. The midwifery workforce cannot be replenished without sufficient academics to provide education.

Design

Phenomenology was selected as the most appropriate research approach for the study seeking to illuminate the lived experiences of clinicians as they transition into their new role as academics.

Methods

Seven participants were recruited purposively from one jurisdiction in Australia between November 2022 and March 2023. Qualitative conversational interviews were performed facilitating each participant to share their narrative. Participants were then able to direct the conversation to share their lived experience of the transition from a midwifery clinician in practice to a midwifery academic in a university. Demographic details were collected for context.

Results

Thematic analysis was used following Giorgi’s four stage phenomenological process. Four themes were identified from commonalities between the participants, ‘Being a drifter”, ‘Keeping a foot in both camps to maintain clinical credibility’, ‘In at the deep end: Not prepared for the reality of academia’ and ‘Best of both worlds’.

Conclusions

The lived experiences of the participants in this study, as they transitioned from clinical midwifery practice to academia can be related to the Theory of Transition where participants navigate: Preparation, Encounter, Adjustment and Stabilisation. A new role in higher education requires adjustment to the reality of working in academia. Midwives who had experiences of being a casual staff member felt they had the best of both worlds, as they gained an insight into the role of an academic whilst remaining in clinical practice. However, many reported that mentorship would have been beneficial to facilitate stabilisation.

目的:这项试点研究旨在探讨澳大利亚一个司法管辖区的临床医生从助产临床实践过渡到大学学术教学角色的经验:背景:全球助产士学者严重短缺。在澳大利亚,助产士临床人才的持续短缺与助产士学术人才的短缺是共生的,而助产士临床人才是大学招生的主要来源。如果没有足够的学者提供教育,助产士队伍就无法得到补充:设计:本研究选择了现象学作为最合适的研究方法,旨在阐明临床医生在转变为学者时的生活经历:在 2022 年 11 月至 2023 年 3 月期间,有目的地从澳大利亚的一个司法管辖区招募了七名参与者。我们进行了定性对话访谈,让每位参与者分享他们的经历。然后,参与者可以引导对话,分享他们从临床助产士转变为大学助产士学者的生活经历。我们还收集了详细的人口统计学资料,以了解背景情况:按照乔吉的四阶段现象学过程进行了主题分析。从参与者之间的共同点中确定了四个主题:"作为一个漂泊者"、"在两个阵营都有涉足以保持临床可信度"、"深陷其中:结论:本研究的参与者从临床助产实践过渡到学术界的生活经历与过渡理论有关,参与者在这一过程中经历了以下几个阶段:准备、遭遇、适应和稳定。在高等教育中担任新角色需要适应在学术界工作的现实。有过临时工作人员经历的助产士认为她们拥有两个世界中最好的,因为她们在临床实践中获得了对学术角色的深入了解。然而,许多人表示,导师的指导会有助于稳定工作。
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引用次数: 0
期刊
Nurse Education in Practice
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