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The effect of simulated problem learning in nursing ethics on moral sensitivity, empathy and critical thinking of nursing students: A quasi-experimental study 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
IF 3.3 3区 医学 Q1 NURSING Pub Date : 2024-08-28 DOI: 10.1016/j.nepr.2024.104119
Zhifei Qu , Jingjing Sun , Li Li , Lijing Zhao , Nan Jiang , Jia Fan , Jiaxin Zhang , Bing Liang

Aim

Compare the effects of Simulation with problem-based learning (SPBL) and Problem-based learning (PBL) in nursing ethics education on nursing students’ moral sensitivity, empathy, critical thinking, test scores and teaching satisfaction.

Background

Promoting nursing students’ individual and ethical and abilities through education is an essential way to improve their ethical performance and build trustful relationship with patients. Despite significant efforts in this area, few have evaluated the effectiveness of Simulation with problem-based learning and Problem-based learning as applied to nursing ethics education.

Design

A quasi-experimental design based on a non-equivalent control group pre-test/post-test.

Methods

A quasi-experimental design was used. Participants were 161 undergraduate nursing students from two levels of a university, 88 subjects in the experimental group were taught using Simulation with problem-based learning and 73 subjects in the control group were taught using Problem-based learning. A pre-test, post-test and questionnaire were used to assess the effectiveness of student nursing ethics education. χ2 test was used to examine group differences in students’ characteristics and satisfaction with teaching post-intervention. Student’s t-test was used to assess group differences in scale scores and test scores.

Results

Compared to the pre-test, empathy as well as critical thinking were significantly higher in the PBL group (P<0.05), but there was no significant change in moral sensitivity (P>0.05); moral sensitivity, empathy and critical thinking were significantly higher in the SPBL group (P<0.05). Moreover, this study also showed that improvement in moral sensitivity, empathy, critical thinking and grades was more significant in the SPBL group of nursing students compared to the PBL group (P<0.05) and no statistically significant difference was found between the two groups in terms of teaching satisfaction (P>0.05).

Conclusion

The use of Simulation with problem-based learning in nursing ethics education has a positive impact on nursing students' competency development and knowledge acquisition. Nurse educators should consider this teaching method and promote change to increase the effectiveness of nursing ethics education.

目的比较基于问题的模拟学习(SPBL)和基于问题的学习(PBL)在护理伦理教育中对护生道德敏感性、同理心、批判性思维、考试成绩和教学满意度的影响。 背景通过教育提高护生的个人道德和能力是提高其伦理表现和与患者建立信任关系的重要途径。尽管在这一领域做出了巨大努力,但很少有人对模拟与基于问题的学习以及基于问题的学习应用于护理伦理教育的效果进行评估。参与者为某大学两个年级的 161 名护理本科生,其中 88 名实验组受试者采用基于问题学习的模拟教学方法,73 名对照组受试者采用基于问题学习的教学方法。通过前测、后测和问卷调查来评估学生护理伦理教育的效果。采用χ2检验来考察干预后学生特征和教学满意度的组间差异。结果与测试前相比,PBL 组的移情能力和批判性思维显著提高(P<0.05),但道德敏感性无显著变化(P>0.05);SPBL 组的道德敏感性、移情能力和批判性思维显著提高(P<0.05)。此外,本研究还表明,与 PBL 组相比,SPBL 组护生在道德敏感性、移情能力、批判性思维和成绩方面的提高更为显著(P<0.05),而在教学满意度方面,两组间差异无统计学意义(P>0.05)。护士教育者应考虑这种教学方法,并促进其改变,以提高护理伦理教育的有效性。
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引用次数: 0
The effect of formative assessment on students' clinical knowledge, skills and self-efficacy levels 形成性评估对学生临床知识、技能和自我效能水平的影响
IF 3.3 3区 医学 Q1 NURSING Pub Date : 2024-08-28 DOI: 10.1016/j.nepr.2024.104120
Rukiye Kokkiz , Demet Inangil , Ilayda Turkoglu

Aim

This research aims to examine the effect of using formative assessment methods in clinical education on students' knowledge, skills and self-efficacy levels.

Background

Formative assessment is used as a method designed to identify areas where students fall short and provide feedback for improvement. Formative assessment and feedback represent fundamental characteristics of quality teaching in higher education and play a decisive role in learning in nursing education. Although educators observe students performing practical tasks during clinical education, evaluation is not made by a structured control list. Therefore, just as nursing students are evaluated with “Skill Checklists” in the OSCE exam, there is a need to evaluate nursing skills during patient care in the clinical field.

Design

The study was designed as a pre-test post-test randomized controlled experimental study.

Method

Before the research, both groups filled out the self-efficacy form. The experimental group received formative assessment throughout the course. At the end of the semester, all students were given a skills test and asked to fill out the self-efficacy form again. Finally, a knowledge test was administered to the entire class.

Results

The average knowledge score of the experimental group is higher than the control group. It was determined that there was a statistical difference of 16.54 points in the average skill scores between the groups. Posttests showed significant differences in skills such as breathing-cough exercise, basic glycemic measurement, subcutaneous injection and blood collection skills.

Conclusion

It was determined that the formative assessment method increased nursing students' knowledge, skills and self-efficacy levels regarding basic nursing skills.

背景形成性评估是一种旨在发现学生不足之处并提供改进反馈的方法。形成性评估和反馈代表了高等教育优质教学的基本特征,在护理教育的学习中起着决定性的作用。虽然在临床教学中,教育者会观察学生的实际操作,但评价并不是通过结构化的对照表进行的。因此,正如在 OSCE 考试中用 "技能对照表 "评价护生一样,有必要在临床护理病人的过程中对护理技能进行评价。实验组在整个课程期间接受形成性评估。学期末,所有学生都接受了技能测试,并被要求再次填写自我效能表。最后,对全班学生进行了一次知识测试。经测定,实验组与对照组的平均技能得分在统计学上相差 16.54 分。后测结果显示,实验组在呼吸-咳嗽练习、基本血糖测量、皮下注射和采血技能等技能方面差异显著。
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引用次数: 0
Understanding the experiences of transition for newly qualified mental health nurses and their potential to stay in the role: A qualitative exploration 了解新近获得资格的精神健康护士的过渡经历及其继续留任的潜力:定性探索
IF 3.3 3区 医学 Q1 NURSING Pub Date : 2024-08-28 DOI: 10.1016/j.nepr.2024.104105
Keith Ford , Fiona A. Watson , Anthony Ross , Michelle Glascott , Molly K. Crosland , Matthew J. Wortley , Casey J. McCall

Aim

To understand the experiences of transition from the perspective of newly qualified mental health nurses and the impact this may have on their potential to remain in the role.

Background

During the transitional period following registration newly qualified nurses experience feelings of being overwhelmed and shock. Internationally there is limited research on factors influencing transitional experiences in the field of mental health.

Design

A qualitative exploration was conducted using thematic content analysis to analyse the data gathered from semi-structured interviews

Method

18 Newly qualified mental health nurses from two NHS Mental Health trusts were interviewed, all within 18 months of registration. Data were analysed and themes generated addressing the research aim.

Results/Findings:

Five themes were co-created using this inductive technique: ‘Transition to new role’, ‘Support for new role’, ‘Professional identity’, ‘Role development’ and ‘Working environment’. These themes are representative headings with the sub-themes making up the contributory content. Themes highlighted issues concerning newly qualified nurses and the transition which included aspects of anxiety and feeling overwhelmed initially. This highlighted the feelings associated with transition and progression through the process of liminality. Supervision was identified in the context of formal support, the presence of which is conducive to a positive transition. Imposter syndrome and experiencing reality shock were common aspects of role development and acknowledging the sense of responsibility gained once registered. Safety was highlighted as many experienced their first role on in-patient environments which was busy and potentially hostile.

Conclusion

The transition of newly qualified nurses in mental health services can prove to be a difficult experience, therefore it requires acknowledgment and careful consideration. Understanding the liminal process may allow staff to appreciate the effect of the transition and to understand that the NQN will face overwhelming and unfamiliar responsibilities. Despite the demands to boost the workforce in mental health services there is a need to understand how best to integrate NQN’s into their role during this transition. Caution must be used if we are not to lose more NQN’s, as despite concerns there are still NQN’s looking to mental health nursing as their future and chosen career.

背景在注册后的过渡时期,新获得资格的护士会感到不知所措和震惊。设计采用主题内容分析法对从半结构式访谈中收集的数据进行分析,对 18 名来自两家 NHS 精神健康信托机构的新获得资格的精神健康护士进行了访谈,他们都是在注册后 18 个月内获得资格的。结果/发现:使用这种归纳技术,共同创建了五个主题:"向新角色过渡"、"对新角色的支持"、"职业认同"、"角色发展 "和 "工作环境"。这些主题是具有代表性的标题,其次主题构成了相关内容。这些主题强调了与新合格护士和过渡有关的问题,其中包括焦虑和最初感到不知所措等方面。这突显了与过渡有关的感受,以及在边缘化过程中的进展。督导被认为是一种正式的支持,它的存在有利于积极的过渡。冒名顶替综合症和经历现实冲击是角色发展的共同方面,也是对注册后获得的责任感的认可。安全问题也得到了强调,因为许多人都经历了他们在住院环境中的第一次角色转变,这种环境既繁忙又可能充满敌意。了解过渡过程可以让员工理解过渡的影响,并理解新合格护士将面临难以承受的、陌生的责任。尽管需要增加心理健康服务人员的数量,但我们仍有必要了解如何在这一过渡时期最好地将 NQN 纳入他们的角色。如果我们不想失去更多的 NQN,就必须谨慎从事,因为尽管存在担忧,但仍有 NQN 将心理健康护理作为他们的未来和选择的职业。
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引用次数: 0
Discovering nurse mode: A phenomenological study of nursing student role micro-transitions 发现护士模式:护理学生角色微观转变的现象学研究
IF 3.3 3区 医学 Q1 NURSING Pub Date : 2024-08-25 DOI: 10.1016/j.nepr.2024.104101
Adrianna Watson, Matthew Anderson, Carly Peterson, Samuel Watson, Daphne Thomas, Chelsey Young, Angie Whitham, Sara Prescott, Tali Gardner, Gabby Sutton-Clark

Aim

To explore the experiences of undergraduate nursing students in navigating daily micro-transitions between nursing and non-nursing roles.

Background

Nursing students develop professional role identity through socialization, experience, and practice while simultaneously managing pre-existing personal roles. This dynamic creates a training ground for future sustainable practice.

Design

Qualitative, cross-sectional, interpretive phenomenological design with hermeneutics.

Methods

Seventeen undergraduate nursing students participated online in semi-structured, audiovisual-recorded interviews until data saturation was reached.

Results

Three main themes emerged: 1) Strategies for Getting In and Out of Nurse Mode, 2) Cultivating Mindful Nursing Practice, and 3) Nursing Student Socialization and Immersion. Findings indicated that nursing students noticed benefits in their personal and professional lives as they developed this skill. Findings also suggested that students need support from their educators to ensure they are not trapped in nurse mode while learning to navigate nurse role identity.

Conclusions

Understanding and supporting nursing students in managing role micro-transitions are crucial. Findings indicated a functional need for nursing students to understand and apply knowledge and skills regarding a) when to initiate a role micro-transition and b) how to complete a micro-transition effectively between a nursing and non-nursing role. Educational strategies and support systems addressing this need may improve future nursing professionals' quality of life and clinical practice.

背景护理专业学生通过社会化、经验和实践发展专业角色认同,同时管理已有的个人角色。这种动态变化为未来的可持续实践创造了一个训练场。方法17 名护理专业本科生在线参与了半结构化的视听记录访谈,直到数据达到饱和为止。结果出现了三个主题:1)进入和摆脱护士模式的策略;2)培养心智护理实践;3)护理专业学生的社会化和沉浸。研究结果表明,护理专业学生注意到在培养这种技能后,他们的个人生活和职业生活都得到了改善。研究结果还表明,学生需要教育者的支持,以确保他们在学习驾驭护士角色身份时不会陷入护士模式。研究结果表明,护理专业学生需要了解并应用以下方面的知识和技能:a)何时启动角色微观转换;b)如何在护理角色和非护理角色之间有效完成微观转换。针对这一需求的教育策略和支持系统可改善未来护理专业人员的生活质量和临床实践。
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引用次数: 0
Exploration of undergraduate nursing students' perspectives on conducting specialized nursing education during internship: A phenomenological research study 探索护理本科生在实习期间开展专科护理教育的视角:现象学研究
IF 3.3 3区 医学 Q1 NURSING Pub Date : 2024-08-23 DOI: 10.1016/j.nepr.2024.104103
Yiyan Zou , Limei Wang , Danping Zheng , Hongyan Li , Rui Sun , Zhiyuan Zhang
<div><h3>Aim</h3><p>To comprehend the perspectives of undergraduate nursing students on conducting specialized nursing education during the internship phase, providing a basis for colleges to formulate plans for specialized nursing education.</p></div><div><h3>Background</h3><p>Nursing specialty in China was included in the national controlled specialty in 2024, which means signifying an effort to decrease the enrollment of junior college degree nurses, thereby increasing the number of high-quality undergraduate nurses. While the higher the education level of nursing students, the higher their expectations for themselves. However, after entering clinical practice, their social status and job nature are significantly different from those of doctors, which creates a psychological imbalance. In addition, employers lack a reasonable employment mechanism and undergraduate nursing students are used equally with vocational and technical nursing students, making them feel that their self-worth is difficult to realize. Therefore, their professional attitude becomes more negative (<span><span>Meng Wei, 2018</span></span>). In the process of forming professional identity among undergraduate nursing students, the professional role models and clinical experience of specialized nurses can serve as important promoting factors. By increasing interaction with specialized nurses and learning specialized nursing, undergraduate nursing students can better understand the professional role and values of nurses and form positive professional ethics and attitudes (<span><span>Huang et al., 2023</span></span>). To better adapt to the national health needs and assist undergraduates in transitioning to clinical practice, deepening the understanding of the profession and career, the integration of professional education during the internship phase can enable students to recognize their strengths, cultivate an awareness of suitable professions and facilitate a targeted adaptation from academic studies to clinical practice.</p></div><div><h3>Design</h3><p>The researcher initially drafted the interview outline through a literature review and intra-group discussions. To ensure the research content's richness, a semi-structured interview method was adopted. The Colaizzi seven-step analysis method was applied in the analysis.</p></div><div><h3>Methods</h3><p>Employing phenomenological study and purposive sampling, with data saturation as the guiding principle, 24 undergraduate nursing students undergoing internship at a tertiary hospital in China were selected for focus group interviews.</p></div><div><h3>Results</h3><p>Four main themes were extracted from the perspectives of undergraduate nursing students. These themes encompass awareness of specialized nursing and specialized nurses, recognition of specialized nursing education during the internship phase, demands for specialized nursing education during the internship phase and career expectations.</p></div><div><h3>Conclusion
摘要】目的了解护理本科生对实习阶段开展专科护理教育的看法,为学院制定专科护理教育计划提供依据。 背景我国护理专业于2024年纳入国家控制专业,这意味着要减少大专学历护士的招生,从而增加高素质本科护士的数量。虽然护生学历越高,对自己的要求也越高。但进入临床实践后,其社会地位和工作性质与医生有很大的不同,这就造成了心理上的不平衡。此外,用人单位缺乏合理的用人机制,护理本科生与护理职高生、技校生同等使用,使他们感到自我价值难以实现。因此,她们的职业态度变得更加消极(孟伟,2018)。在护理本科生形成专业认同的过程中,专科护士的专业榜样和临床经验可以作为重要的促进因素。护理本科生通过增加与专科护士的交流,学习专科护理知识,可以更好地理解护士的职业角色和价值观,形成积极的职业道德和职业态度(黄颖等,2023)。为了更好地适应国家卫生事业的需要,帮助本科生向临床实践过渡,加深对专业和职业的理解,在实习阶段融入专业教育,可以使学生认识到自己的优势,培养对适合专业的认知,促进学生有针对性地从学业到临床实践的适应。设计研究者通过文献查阅和组内讨论,初步拟定了访谈提纲。为确保研究内容的丰富性,采用了半结构式访谈法。方法采用现象学研究法和目的取样法,以数据饱和为指导原则,选取了 24 名在国内某三甲医院实习的护理本科生进行焦点小组访谈。结论医院的护理管理者和院校的教育管理者应将教育与临床需求放在首位,针对护生的要求,加强院校间的合作,推进专科护理的进一步发展。
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引用次数: 0
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
Liang Wang , Qin Zhao , Lei Dong , Hongyu Zhao , Lizhi Qin , Tingting Deng , Hui Huang , Miaoya Li , Xiaoxia Wu , Jia Liu

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
Figen Erol Ursavaş, Aslı Tok Özen, Gözde Özaras Öz

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
Shaun Cardiff, Teatske Van Der Zijpp, Hélène van den Nieuwenhoff, Marianne Nieboer

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。
{"title":"Collaborating for co-researching: A multi-stakeholder case narrative of student nurses co-researching technology-supported care","authors":"Shaun Cardiff,&nbsp;Teatske Van Der Zijpp,&nbsp;Hélène van den Nieuwenhoff,&nbsp;Marianne Nieboer","doi":"10.1016/j.nepr.2024.104097","DOIUrl":"10.1016/j.nepr.2024.104097","url":null,"abstract":"<div><h3>Aim</h3><p>Evaluate the impact of LS@H project participation on stakeholders.</p></div><div><h3>Background</h3><p>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.</p></div><div><h3>Design</h3><p>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.</p></div><div><h3>Methods</h3><p>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.</p></div><div><h3>Results</h3><p>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.</p></div><div><h3>Conclusions</h3><p>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.</p></div><div><h3>Registration number</h3><p>At point of submission put this on title page</p></div>","PeriodicalId":48715,"journal":{"name":"Nurse Education in Practice","volume":"80 ","pages":"Article 104097"},"PeriodicalIF":3.3,"publicationDate":"2024-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1471595324002269/pdfft?md5=f4b2d83cdfd06fdbec132e589689c855&pid=1-s2.0-S1471595324002269-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142076132","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
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
Marta Terrón-Pérez, Cecilia Marcarell, Silvia Corchón

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
Mei-Ling Wu , Li-Fen Chao , Yu-Ting Hung

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。
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引用次数: 0
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Nurse Education in Practice
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