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Degrees of care: The essential role of University Education in Nursing 护理学位:护理大学教育的重要作用。
IF 3.3 3区 医学 Q1 NURSING Pub Date : 2024-10-01 DOI: 10.1016/j.nepr.2024.104104
Denise Atkinson, Amanda Carson, Moira Dale, Wendy Irving, Sandra Lucas , Mandy Maxwell, Julie Orr
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引用次数: 0
Artificial intelligence in nursing education: A scoping review 护理教育中的人工智能:范围综述
IF 3.3 3区 医学 Q1 NURSING Pub Date : 2024-10-01 DOI: 10.1016/j.nepr.2024.104148
Igal Lifshits , Dennis Rosenberg

Aim

To explore recent empirical studies on implementation of artificial intelligence in nursing education in hospital settings through the prism of the Strengths, Weaknesses, Opportunities and Threats (SWOT) model.

Background

In the last decade, artificial intelligence has markedly influenced healthcare and nursing domains, particularly in improving care and educational processes for nursing staff. Despite its ongoing integration in nursing education, an understanding of its impact remained limited.

Design

Scoping review.

Methods

A systematic search using PubMed and ScienceDirect databases, following PRISMA guidelines, identified relevant studies. The main inclusion criteria were empirical studies from 2018 onwards and a focus on nursing students/registered nurses in hospital settings. The exclusion criteria were non-empirical documentation such as abstracts, editorials and opinion-related articles, as well as studies in surgical, pediatric, gynecological and mental health nursing.

Results

In total, 15 articles were selected from a pool of 6517 documents. The aspects mentioned in the employed literature highlighted the positive impact of artificial intelligence on educational experiences, knowledge acquisition and mental safety. Challenges of the artificial intelligence implementation in the nursing education field, such as technical issues, language barriers and limited realistic experience were also identified.

Conclusions

The findings of the review suggest that artificial intelligence provides significant benefits for nursing education. However, continuous evaluation managing weaknesses and maximizing the educational potential of artificial intelligence in the nursing field is crucial.
目的通过优势、劣势、机会和威胁(SWOT)模型的棱镜,探讨最近有关在医院环境中实施人工智能护理教育的实证研究。背景在过去十年中,人工智能对医疗保健和护理领域产生了显著影响,尤其是在改善护理人员的护理和教育过程方面。尽管人工智能正在不断融入护理教育,但对其影响的了解仍然有限。方法根据 PRISMA 指南,使用 PubMed 和 ScienceDirect 数据库进行系统检索,确定了相关研究。主要纳入标准为 2018 年以来的实证研究,且重点关注医院环境中的护理学生/注册护士。排除标准为非实证文献,如摘要、社论和观点相关文章,以及外科、儿科、妇科和心理健康护理方面的研究。结果从6517篇文献中,共筛选出15篇文章。所采用的文献中提到的方面强调了人工智能对教育经验、知识获取和心理安全的积极影响。结论综述结果表明,人工智能为护理教育带来了显著的益处。综述结果表明,人工智能为护理教育带来了巨大的益处。然而,持续评估管理人工智能在护理领域的弱点并最大限度地发挥其教育潜力至关重要。
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引用次数: 0
Exploring gender dynamics and predictors of resilience among nursing students 探索护理专业学生的性别动态和复原力预测因素
IF 3.3 3区 医学 Q1 NURSING Pub Date : 2024-10-01 DOI: 10.1016/j.nepr.2024.104160
Mohammed Munther AL-Hammouri , Jehad Rababah , Jorn Dormans

Aim

This study examined the gender differences in contributing factors to resilience among university nursing students, controlling for the age and year of study.

Background

Resilience is a behavioral pattern learned through personal and professional experiences. Resilience is crucial in nursing education and shapes clinical proficiency and care quality that may best target during college years, preparing nursing students for their future careers.

Design

Cross-sectional design was used in the current study

Methods

Online surveys were used to collect the data from 623 nursing students. Validated instruments assessed resilience, decision fatigue, spiritual well-being, stress overload and spiritual and religious coping. Two regression models were generated to examine gender dynamics in predicting resilience.

Results

The results showed that more than half of our sample has low resilience (n = 285, 45.7 %). The regression model significantly predicted more than 60 % of the variance in resilience among male nursing students (F(3, 234) = 123.87, p <.001), with religious well-being, negative spiritual and religious coping and stress overload being significant predictors in the model. The regression model predicting resilience among female nursing students showed that the model significantly predicted about half of the variance (F(4, 378) = 123.87, p <.001) with positive spiritual and religious coping, existential well-being, negative spiritual and religious coping and stress overload being significant contributors in the model.

Conclusion

Gender disparities echoed existing literature, advocating gender-sensitive strategies in promoting resilience. Early resilience nurturing through diverse modalities can foster a resilient nursing cohort adept at tackling multifaceted healthcare challenges.
背景复原力是一种通过个人和职业经历学习到的行为模式。抗逆力在护理教育中至关重要,它塑造了临床能力和护理质量,在大学期间可成为最佳目标,为护理专业学生未来的职业生涯做好准备。设计本研究采用横断面设计方法通过在线调查收集了 623 名护理专业学生的数据。经过验证的工具评估了复原力、决策疲劳、精神健康、压力超载以及精神和宗教应对。结果显示,半数以上的样本具有较低的复原力(n = 285,45.7%)。回归模型可显著预测护理专业男生复原力差异的 60% 以上(F(3, 234) = 123.87, p <.001),其中宗教幸福感、消极的精神和宗教应对以及压力超负荷是模型中的重要预测因素。预测女护士学生抗逆力的回归模型显示,该模型显著预测了约一半的方差(F(4,378)= 123.87,p <.001),积极的精神和宗教应对、存在幸福感、消极的精神和宗教应对以及压力超载是该模型的显著贡献因素。通过多种方式及早培养抗逆力,可以培养出善于应对多方面医疗挑战的抗逆力护士群体。
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引用次数: 0
A cooperative learning intervention for improving a simulation-based paediatric nursing course: A quasi-experimental study 改进儿科护理模拟课程的合作学习干预:准实验研究
IF 3.3 3区 医学 Q1 NURSING Pub Date : 2024-10-01 DOI: 10.1016/j.nepr.2024.104149
Bao-Huan Yang , Chia-Ying Chung , Yuh-Shiow Li , Chueh-Fen Lu

Aim

This study aimed to examine if a cooperative intervention improved outcomes for a simulation-based paediatric nursing course.

Background

Fostering cooperative learning can enhance student engagement and improve learning. Simulation-based courses provide nursing students an opportunity to practice and hone nursing skills when hands-on experiences are limited. Providing instruction in cooperative learning could improve course outcomes.

Design

A quasi-experimental study with pre-test/post-test assessments.

Methods

Third-year nursing students enrolled in an 18-week paediatric simulation-based nursing course were purposively recruited (N = 110). One class (n = 55) received a researcher-developed cooperative learning program, which encouraged student support during class activities and simulations. The second class (control) received usual class instruction and simulations. The efficacy of the intervention was assessed by comparing mean scores at class enrolment (pre-test) and completion (post-test) for self-perceived problem-solving attitude, cooperative learning experience and knowledge of paediatric nursing. Paired t-tests compared pre-test with post-test scores for the two groups. ANCOVA examined differences in mean scores between groups. Correlations between differences in mean pre-test and post-test subscale scores for problem-solving attitude and cooperative learning experience were also examined.

Results

There was no significant difference in age or gender between groups. Mean post-test scores on the final exam were significantly higher for students who received the intervention (85.26, 95 % CI 84.19, 86.33) compared with controls (83.61, 95 % CI 82.52, 84.69; F = 4.63, p = 0.034). There were no significant differences in total scores for problem-solving attitude or cooperative learning experience or between groups. For the intervention group, two problem solving subscales were correlated with two cooperative learning subscales: problem solving confidence with learning motivation, respectively (r = 0.302, p = 0.025) and personal control with classroom learning, respectively (r = 0.389, p = 0.003). For the control group, approach-avoidance problem solving was negatively correlated with cooperative learning efficacy (r = −0.343, p = 0.01).

Conclusions

Compared with the control group, nursing students who received the cooperative learning intervention had higher scores for knowledge of paediatric nursing, as well as learning motivation and attitude and problem-solving confidence, suggesting that the researcher-designed intervention facilitated simulation-based learning as well as confidence in problem-solving. Nurse educators could easily integrate the intervention into simulation-based paediatric nursing courses to enhance students' problem-solving abilities.
背景促进合作学习可以提高学生的参与度并改善学习效果。在实践经验有限的情况下,基于模拟的课程为护理专业学生提供了练习和磨练护理技能的机会。方法有目的性地招募三年级护理专业学生(N = 110)参加为期 18 周的儿科模拟护理课程。一个班(n = 55)接受了研究人员开发的合作学习计划,该计划鼓励学生在课堂活动和模拟过程中提供支持。第二个班级(对照组)接受常规课堂教学和模拟训练。通过比较学生在入学时(前测)和结业时(后测)在自我感觉解决问题的态度、合作学习经验和儿科护理知识方面的平均得分,来评估干预措施的效果。通过配对 t 检验比较了两组学生在测试前和测试后的得分。方差分析检验了组间平均分的差异。此外,还研究了解决问题的态度和合作学习经验的测试前和测试后平均分之间的相关性。与对照组(83.61,95 % CI 82.52,84.69;F = 4.63,p = 0.034)相比,接受干预的学生在期末考试后的平均得分明显更高(85.26,95 % CI 84.19,86.33)。组间在解决问题的态度或合作学习经验的总分上没有明显差异。干预组的两个问题解决分量表与两个合作学习分量表存在相关性:问题解决信心与学习动机分别为(r = 0.302,p = 0.025),个人控制与课堂学习分别为(r = 0.389,p = 0.003)。结论与对照组相比,接受合作学习干预的护生在儿科护理知识、学习动机和态度以及解决问题的信心方面得分更高,表明研究者设计的干预措施促进了模拟学习以及解决问题的信心。护士教育者可以很容易地将该干预措施整合到模拟儿科护理课程中,以提高学生解决问题的能力。
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引用次数: 0
Nursing student voices: A qualitative thematic synthesis of education elements supporting nursing students' clinical learning during placement 护理学生的声音:对支持护理专业学生实习期间临床学习的教育要素进行定性专题综述。
IF 3.3 3区 医学 Q1 NURSING Pub Date : 2024-10-01 DOI: 10.1016/j.nepr.2024.104150
Robyn Cant , Colleen Ryan , Lynda Hughes , Christine Ossenberg , Simon Cooper

Aim

to report a thematic synthesis of students’ narratives in free text comments from a national quality survey of Australian nursing degree students’ clinical placements.

Background

Nursing student evaluation surveys are submitted to the Australian National Placement Evaluation Centre. Students in 36 Australian nursing programs are included.

Design

Thematic synthesis of nursing students’ narrative comments.

Methods

Data were sourced from 10,226 surveys submitted between July and December 2023. From these, the 3640 free text comments were extracted and tabulated to form the sample for synthesis. Three authors conducted a thematic synthesis and all five authors agreed on the findings.

Findings

Student’s comments generally portrayed a positive learning culture in clinical placement environments. One dominant theme ‘Support’ was interpreted as giving deeper meaning to students’ perceptions of the help and encouragement of placement facility staff. Three subthemes ‘Welcoming environment’, ‘Providing learning opportunities’ and ‘Teaching strategies’ described students’ ideas of what elements contribute to learning. Ten ways of teaching were revealed in students’ narratives as education activities. Students commonly referred to staff supporters, illustrating that various staff worked to ensure students were supervised during clinical skills practice and that students’ learning objectives were addressed.

Conclusions

Staff-student relationships are paramount for students’ learning and students’ narratives revealed perceptions of a generally positive learning environment. The notion of support is implied as vital to nursing students’ positive experience of clinical learning during placements. Curriculum designers, university course convenors and placement partners may use the findings identified in this study to ensure academic and placement facility staff are aware of how best to support students. In this way, institutions may narrow the gap between successful and less successful nursing student clinical placements.
目的:对澳大利亚护理学位学生临床实习全国质量调查中学生自由文本评论中的叙述进行专题综述:背景:护理专业学生的评估调查提交给澳大利亚国家实习评估中心。调查对象包括澳大利亚 36 个护理专业的学生:设计:对护理专业学生的叙述性评论进行专题综合:数据来自 2023 年 7 月至 12 月期间提交的 10226 份调查问卷。从中提取了 3640 条自由文本评论,并将其制成表格,作为综合样本。三位作者进行了专题综合,所有五位作者对研究结果达成了一致:学生的评论普遍反映了临床实习环境中积极的学习文化。一个主导主题 "支持 "被解释为学生对实习机构工作人员的帮助和鼓励的更深层次的理解。三个次主题 "欢迎的环境"、"提供学习机会 "和 "教学策略 "描述了学生对哪些因素有助于学习的看法。在学生的叙述中,有十种教学方式被视为教育活动。学生们普遍提到了教职员工的支持者,这说明不同的教职员工都在努力确保学生在临床技能实践中得到指导,并确保学生的学习目标得到实现:教职员工与学生的关系对学生的学习至关重要,而学生的叙述则表明,他们普遍认为学习环境是积极的。支持这一概念对于护理专业学生在实习期间积极体验临床学习至关重要。课程设计者、大学课程召集人和实习合作伙伴可利用本研究的发现,确保学术和实习机构的工作人员了解如何为学生提供最佳支持。这样,院校就可以缩小成功与不太成功的护理学生临床实习之间的差距。
{"title":"Nursing student voices: A qualitative thematic synthesis of education elements supporting nursing students' clinical learning during placement","authors":"Robyn Cant ,&nbsp;Colleen Ryan ,&nbsp;Lynda Hughes ,&nbsp;Christine Ossenberg ,&nbsp;Simon Cooper","doi":"10.1016/j.nepr.2024.104150","DOIUrl":"10.1016/j.nepr.2024.104150","url":null,"abstract":"<div><h3>Aim</h3><div>to report a thematic synthesis of students’ narratives in free text comments from a national quality survey of Australian nursing degree students’ clinical placements.</div></div><div><h3>Background</h3><div>Nursing student evaluation surveys are submitted to the Australian National Placement Evaluation Centre. Students in 36 Australian nursing programs are included.</div></div><div><h3>Design</h3><div>Thematic synthesis of nursing students’ narrative comments.</div></div><div><h3>Methods</h3><div>Data were sourced from 10,226 surveys submitted between July and December 2023. From these, the 3640 free text comments were extracted and tabulated to form the sample for synthesis. Three authors conducted a thematic synthesis and all five authors agreed on the findings.</div></div><div><h3>Findings</h3><div>Student’s comments generally portrayed a positive learning culture in clinical placement environments. One dominant theme ‘Support’ was interpreted as giving deeper meaning to students’ perceptions of the help and encouragement of placement facility staff. Three subthemes ‘Welcoming environment’, ‘Providing learning opportunities’ and ‘Teaching strategies’ described students’ ideas of what elements contribute to learning. Ten ways of teaching were revealed in students’ narratives as education activities. Students commonly referred to staff <em>supporters,</em> illustrating that various staff worked to ensure students were supervised during clinical skills practice and that students’ learning objectives were addressed.</div></div><div><h3>Conclusions</h3><div>Staff-student relationships are paramount for students’ learning and students’ narratives revealed perceptions of a generally positive learning environment. The notion of support is implied as vital to nursing students’ positive experience of clinical learning during placements. Curriculum designers, university course convenors and placement partners may use the findings identified in this study to ensure academic and placement facility staff are aware of how best to support students. In this way, institutions may narrow the gap between successful and less successful nursing student clinical placements.</div></div>","PeriodicalId":48715,"journal":{"name":"Nurse Education in Practice","volume":"80 ","pages":"Article 104150"},"PeriodicalIF":3.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Chinese version of the Nursing Student Academic Resilience Inventory: A validity and reliability study 中文版护理学生学业适应力量表:有效性和可靠性研究
IF 3.3 3区 医学 Q1 NURSING Pub Date : 2024-10-01 DOI: 10.1016/j.nepr.2024.104162
Lin Yu , Lei Liu , Xiaoting Sun , Jianmei Gong , Min Zang , Jiao Xie

Aim

To translate and adapt the Nursing Student Academic Resilience Inventory (NSARI) into Chinese and assess its validity and reliability among Chinese nursing students.

Background

Nursing students frequently encounter stress during their clinical education and academic resilience is an important skill to help students withstand stress. The NSARI is a valid and reliable tool for assessing the level of academic resilience of nursing students during clinical practice. Currently, there is no valid and reliable measurement tool to assess academic resilience for nursing students in China.

Design

A descriptive, methodological and cross-sectional design was used.

Method

This study was conducted on 600 nursing students in Northeast China. A socio-demographic form, the Chinese version of the NSARI and the nurse resilience scale were used for data collection between May to November 2023. The exploratory factor analysis and confirmatory factor analysis samples comprised 300 students, respectively, to test the structural validity of the inventory. In addition, internal consistency and invariance analyses were conducted to assess the reliability of the inventory.

Results

The Chinese version of NSARI comprises 24 items separated into six dimensions. Exploratory factor analysis extracted six factors, with a cumulative variance contribution rate of 71.908 %. Confirmatory factor analysis showed a satisfactory fit. Cronbach’s alpha coefficient for the internal consistency of the total inventory was 0.939 with a test-retest stability reliability value of 0.957.

Conclusion

The Chinese version of NSARI is a valid and reliable measurement tool for assessing the level of academic resilience of nursing students during clinical placement.
目的将护生学业适应性量表(NSARI)翻译成中文,并评估其在中国护生中的效度和信度。 背景护生在临床教育过程中经常会遇到压力,而学业适应性是帮助学生抵御压力的一项重要技能。NSARI 是评估护生在临床实践中学习适应力水平的有效而可靠的工具。目前,中国尚无有效、可靠的测量工具来评估护理专业学生的学业适应能力。在 2023 年 5 月至 11 月期间,采用社会人口学表格、中文版 NSARI 和护士抗逆力量表进行数据收集。为了检验量表的结构效度,分别对300名学生进行了探索性因素分析和确认性因素分析。结果 NSARI中文版由24个项目组成,分为6个维度。探索性因素分析提取了六个因素,累计方差贡献率为 71.908%。确认性因素分析表明拟合效果令人满意。Cronbach'sα系数为0.939,测试-再测稳定性信度值为0.957。 结论:NSARI中文版是评估护生临床实习期间学业适应力水平的有效、可靠的测量工具。
{"title":"The Chinese version of the Nursing Student Academic Resilience Inventory: A validity and reliability study","authors":"Lin Yu ,&nbsp;Lei Liu ,&nbsp;Xiaoting Sun ,&nbsp;Jianmei Gong ,&nbsp;Min Zang ,&nbsp;Jiao Xie","doi":"10.1016/j.nepr.2024.104162","DOIUrl":"10.1016/j.nepr.2024.104162","url":null,"abstract":"<div><h3>Aim</h3><div>To translate and adapt the Nursing Student Academic Resilience Inventory (NSARI) into Chinese and assess its validity and reliability among Chinese nursing students.</div></div><div><h3>Background</h3><div>Nursing students frequently encounter stress during their clinical education and academic resilience is an important skill to help students withstand stress. The NSARI is a valid and reliable tool for assessing the level of academic resilience of nursing students during clinical practice. Currently, there is no valid and reliable measurement tool to assess academic resilience for nursing students in China.</div></div><div><h3>Design</h3><div>A descriptive, methodological and cross-sectional design was used.</div></div><div><h3>Method</h3><div>This study was conducted on 600 nursing students in Northeast China. A socio-demographic form, the Chinese version of the NSARI and the nurse resilience scale were used for data collection between May to November 2023. The exploratory factor analysis and confirmatory factor analysis samples comprised 300 students, respectively, to test the structural validity of the inventory. In addition, internal consistency and invariance analyses were conducted to assess the reliability of the inventory.</div></div><div><h3>Results</h3><div>The Chinese version of NSARI comprises 24 items separated into six dimensions. Exploratory factor analysis extracted six factors, with a cumulative variance contribution rate of 71.908 %. Confirmatory factor analysis showed a satisfactory fit. Cronbach’s alpha coefficient for the internal consistency of the total inventory was 0.939 with a test-retest stability reliability value of 0.957.</div></div><div><h3>Conclusion</h3><div>The Chinese version of NSARI is a valid and reliable measurement tool for assessing the level of academic resilience of nursing students during clinical placement.</div></div>","PeriodicalId":48715,"journal":{"name":"Nurse Education in Practice","volume":"80 ","pages":"Article 104162"},"PeriodicalIF":3.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142432078","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
Corrigendum to “The effect of simulated problem learning in nursing ethics on moral sensitivity, empathy and critical thinking of nursing students: A quasi-experimental study” [Nurse Educ. Pract. 80 (2024) 104119] 护理伦理模拟问题学习对护理专业学生道德敏感性、同理心和批判性思维的影响:准实验研究" [Nurse Educ. Pract. 80 (2024) 104119]。
IF 3.3 3区 医学 Q1 NURSING Pub Date : 2024-10-01 DOI: 10.1016/j.nepr.2024.104173
Zhifei Qu , Jingjing Sun , Li Li , Lijing Zhao , Nan Jiang , Jia Fan , Jiaxin Zhang , Bing Liang
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引用次数: 0
Corrigendum to “Quality of work life and work engagement among nurses with standardised training: The mediating role of burnout and career identity” [Nurse Educ. Pract. 58 (2022) 103276] 接受标准化培训的护士的工作生活质量和工作投入:职业倦怠和职业认同的中介作用" [Nurse Educ. Pract. 58 (2022) 103276]。
IF 3.3 3区 医学 Q1 NURSING Pub Date : 2024-10-01 DOI: 10.1016/j.nepr.2024.104153
Boru Sun , Lei Fu , Canbing Yan , Yanmei Wang , Ling Fan
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引用次数: 0
Centrality and bridge connections between cognitive emotion regulation strategies and professional identity among Chinese undergraduate nursing students: A network analysis 中国护理本科生认知情绪调节策略与职业认同之间的中心性和桥状联系:网络分析
IF 3.3 3区 医学 Q1 NURSING Pub Date : 2024-10-01 DOI: 10.1016/j.nepr.2024.104151
Jingya Liu, Haoran Zhang, Siyu Tao, Jie He, Shuwen Li

Aim

To construct a network structure for cognitive emotion regulation among Chinese undergraduate nursing students and identify central nodes and to explore the bridge connections between cognitive emotion regulation strategies and professional identity from the perspective of network analysis.

Background

Undergraduate nursing students are currently in a poor psychological condition and cognitive emotion regulation strategies can help them use positive approaches to regulate their emotions. There may be a link between cognitive emotion regulation strategies and professional identity.

Design

This was a cross-sectional study that used network analysis.

Method

A total of 218 Chinese undergraduate nursing students were selected and surveyed using the Cognitive Emotion Regulation Questionnaire and the Professional Identity Questionnaire. A network analysis model was constructed and the related indices were calculated using R 4.3.0 software.

Results

Network analysis showed that the central nodes of undergraduate nursing students’ cognitive emotion regulation strategies were positive reappraisal, refocusing on planning and catastrophising; In the bridge network of cognitive emotion strategies and professional identity, professional self-concept, positive reappraisal, benefits of stay and risk of resignation and refocusing on planning were the nodes with the strongest bridge strength.

Conclusion

The salient central and bridge nodes can serve as potential targets for interventions aimed at improving the mental health of undergraduate nursing students. Nursing educators must be trained in cognitive emotion regulation and appropriately guided to use positive emotion regulation strategies in their studies and work. Educators should focus on the relation between cognitive emotion regulation and professional identity to improve the mental health of nursing students and stabilise the nursing workforce.
目的:构建中国护理本科生认知情绪调节的网络结构,确定中心节点,并从网络分析的角度探讨认知情绪调节策略与职业认同之间的桥梁联系。背景:目前,护理本科生的心理状况不佳,认知情绪调节策略可以帮助他们用积极的方法调节情绪:背景:护理本科生目前的心理状况不佳,认知情绪调节策略可以帮助他们使用积极的方法调节情绪。认知情绪调节策略与职业认同之间可能存在联系:设计:这是一项采用网络分析的横断面研究:方法:选取 218 名中国护理本科生,使用认知情绪调节问卷和职业认同问卷进行调查。结果:网络分析表明,认知情绪调节问卷和职业认同问卷的中心节点与职业认同问卷的中心节点之间存在着显著的相关性,而职业认同问卷的中心节点与认知情绪调节问卷的中心节点之间存在着显著的相关性:网络分析结果显示,本科护生认知情绪调节策略的中心节点为积极再评价、重新关注计划和灾难化;在认知情绪策略与职业认同的桥梁网络中,职业自我概念、积极再评价、留任的益处和辞职的风险、重新关注计划是桥梁强度最强的节点:突出的中心节点和桥梁节点可作为干预措施的潜在目标,以改善护理本科生的心理健康。护理教育者必须接受认知情绪调节方面的培训,并适当引导他们在学习和工作中使用积极的情绪调节策略。教育者应关注认知情绪调节与职业认同之间的关系,以改善护理专业学生的心理健康,稳定护理人员队伍。
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引用次数: 0
The effects of incivility on student nurses in the clinical setting: A grounded theory approach 临床环境中的不文明行为对护士学生的影响:基础理论方法。
IF 3.3 3区 医学 Q1 NURSING Pub Date : 2024-10-01 DOI: 10.1016/j.nepr.2024.104124
Lileith Roberts

Aim

To use a grounded theory approach to explore and understand the encounters of undergraduate nursing students with incivility in the clinical setting so that data-informed strategies for addressing this counterproductive behavior could be developed.

Background

Nurses are being called upon to fill ever-increasing responsibilities associated with expanding roles in different specialties within healthcare. One issue that has developed in this high-pressure environment is an increase in incivility in the workplace that spills over into the clinical training environment. As a pervasive problem in the healthcare system, its effects on nursing students could compound the nursing shortage by undermining the integrity of nursing education and discouraging individuals from entering the profession. Therefore, it is vital to construct new theories regarding incivility so that this unprofessional practice can be eradicated or reduced. When this is done, there may be a renewed hope for new nursing students to practice their clinical rotations without feeling disrespected, undermined and intimidated. Students should be able to complete clinical rotations without these unnecessary barriers.

Design

Qualitative grounded theory using philosophical underpinnings of symbolic interactionism and pragmatism.

Methods

A classical grounded theory approach focusing on the Glaserian Model was used to develop an inductively derived theory from the data. Participants were interviewed about their encounters with incivility and then open coding was used to identify recurring concerns on which a model of the effect of these occurrences could be established. The study sample consisted of 32 participants of which 25 were undergraduate nursing students and seven were graduate students who participated in a focus group. Data were collected through face-to-face (in-person and virtual) structured interviews that were audiotaped. These individuals were recruited by flyers posted at varying strategic points on university campuses.

Results

Open coding of student responses revealed three significant areas of concern: feelings of being disrespected, intimidated and undermined, from which the Inhibiting Actions Theory emerged.

Conclusion

Nursing students' perceptions of incivility and their attitudes and behaviors toward this occurrence culminated in the Inhibiting Actions Theory, which provides a framework for implementing effective policies and personnel training in clinical settings. The hope is that these research findings will be a call to action for introducing systemic changes in the clinical training environment, thereby improving the clinical experiences of nursing students and patients.
目的:采用基础理论方法探索和了解本科护生在临床环境中遇到的不文明行为,从而制定出以数据为依据的策略来解决这种适得其反的行为:背景:随着医疗保健领域不同专业的角色不断扩大,护士被要求承担越来越多的责任。在这种高压环境下出现的一个问题是,工作场所的不文明行为越来越多,并蔓延到临床培训环境中。作为医疗保健系统中一个普遍存在的问题,它对护理专业学生的影响可能会破坏护理教育的完整性,阻碍个人进入护理行业,从而加剧护理人员短缺的问题。因此,构建有关不文明行为的新理论至关重要,这样才能根除或减少这种不专业的做法。如果做到了这一点,护理专业新生就有希望在临床轮转实习时不会感到不被尊重、被损害和被恐吓。学生应该能够在没有这些不必要障碍的情况下完成临床轮转:设计:采用定性基础理论,以符号互动主义和实用主义为哲学基础:方法:采用以格拉塞模型为重点的经典基础理论方法,从数据中归纳出一套理论。研究人员就其遭遇的不文明行为对参与者进行了访谈,然后使用开放式编码来确定反复出现的问题,并据此建立这些事件的影响模型。研究样本由 32 名参与者组成,其中 25 名是护理专业的本科生,7 名是参加焦点小组的研究生。数据是通过面对面(现场和虚拟)的结构化访谈收集的,并进行了录音。这些人是通过在大学校园不同战略点张贴传单招募的:对学生的回答进行开放式编码,发现了三个重要的关注领域:不受尊重感、被恐吓感和被破坏感,并从中提出了抑制行为理论:护理专业学生对不礼貌行为的看法以及他们对不礼貌行为的态度和行为最终形成了 "抑制行为理论",该理论为在临床环境中实施有效的政策和人员培训提供了一个框架。我们希望这些研究结果能够号召人们采取行动,在临床培训环境中引入系统性变革,从而改善护理专业学生和患者的临床经验。
{"title":"The effects of incivility on student nurses in the clinical setting: A grounded theory approach","authors":"Lileith Roberts","doi":"10.1016/j.nepr.2024.104124","DOIUrl":"10.1016/j.nepr.2024.104124","url":null,"abstract":"<div><h3>Aim</h3><div>To use a grounded theory approach to explore and understand the encounters of undergraduate nursing students with incivility in the clinical setting so that data-informed strategies for addressing this counterproductive behavior could be developed.</div></div><div><h3>Background</h3><div>Nurses are being called upon to fill ever-increasing responsibilities associated with expanding roles in different specialties within healthcare. One issue that has developed in this high-pressure environment is an increase in incivility in the workplace that spills over into the clinical training environment. As a pervasive problem in the healthcare system, its effects on nursing students could compound the nursing shortage by undermining the integrity of nursing education and discouraging individuals from entering the profession. Therefore, it is vital to construct new theories regarding incivility so that this unprofessional practice can be eradicated or reduced. When this is done, there may be a renewed hope for new nursing students to practice their clinical rotations without feeling disrespected, undermined and intimidated. Students should be able to complete clinical rotations without these unnecessary barriers.</div></div><div><h3>Design</h3><div>Qualitative grounded theory using philosophical underpinnings of symbolic interactionism and pragmatism.</div></div><div><h3>Methods</h3><div>A classical grounded theory approach focusing on the Glaserian Model was used to develop an inductively derived theory from the data. Participants were interviewed about their encounters with incivility and then open coding was used to identify recurring concerns on which a model of the effect of these occurrences could be established. The study sample consisted of 32 participants of which 25 were undergraduate nursing students and seven were graduate students who participated in a focus group. Data were collected through face-to-face (in-person and virtual) structured interviews that were audiotaped. These individuals were recruited by flyers posted at varying strategic points on university campuses.</div></div><div><h3>Results</h3><div>Open coding of student responses revealed three significant areas of concern: feelings of being disrespected, intimidated and undermined, from which the Inhibiting Actions Theory emerged.</div></div><div><h3>Conclusion</h3><div>Nursing students' perceptions of incivility and their attitudes and behaviors toward this occurrence culminated in the Inhibiting Actions Theory, which provides a framework for implementing effective policies and personnel training in clinical settings. The hope is that these research findings will be a call to action for introducing systemic changes in the clinical training environment, thereby improving the clinical experiences of nursing students and patients.</div></div>","PeriodicalId":48715,"journal":{"name":"Nurse Education in Practice","volume":"80 ","pages":"Article 104124"},"PeriodicalIF":3.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142401666","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}
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Nurse Education in Practice
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