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Clinical competency: perceptions of nursing interns and clinical mentors 临床能力:护理实习生和临床导师的看法
Pub Date : 2024-03-01 DOI: 10.2478/fon-2024-0011
Jackline Prathibha, Radhika R. Pai, L. George
To assess the clinical competency of nursing interns and the perception of clinical nurse mentors toward student nurses’ clinical competency. A study was carried out among 104 nursing interns and 26 clinical nurse mentors using the purposive sampling technique. A self-reported perception scale was used to collect the data. In general, most nursing interns perceived themselves as clinically competent during the internship. The clinical nurse mentors too reported that the current internship is helping the nursing interns in becoming competent. Frequent clinical evaluation, buddy system, provision of stipends, good leadership, and coordination between the academic institute and hospital are reported as the critical motivating factors for improving the clinical competency of student interns.
评估实习护士的临床能力以及临床护士导师对实习护士临床能力的看法。 采用目的性抽样技术,对 104 名护理实习生和 26 名临床护士导师进行了研究。研究采用了自我报告感知量表来收集数据。 总体而言,大多数护理实习生认为自己在实习期间能够胜任临床工作。临床护士导师也表示,目前的实习有助于护理实习生胜任工作。 据报告,频繁的临床评估、好友制度、提供津贴、良好的领导以及学术机构与医院之间的协调是提高实习生临床能力的关键激励因素。
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引用次数: 0
Empowerment in chronic wound care—exploring the scope for patient contribution† 增强慢性伤口护理的能力--探索患者贡献的范围†。
Pub Date : 2024-03-01 DOI: 10.2478/fon-2024-0001
Benedikt Hackert, Ewa Klara Stürmer, Ulrich Weger
In this study, we investigated the concept of empowerment in chronic wound care and propose to facilitate patient control by making use of degrees of freedom (DOF): that is, shaping of everyday wound care tasks initiated by patients and based on their wishes, mostly in terms of patients executing treatment steps, requesting or directing health care professionals to undertake changes, or modifications of internal states. As a first step, we conducted a systematic literature search, followed by an inductive form of qualitative content analysis, which resulted in the identification of 5 dimensions as main elements of empowerment: education and shared decision making, adherence to self-care behaviors, responsibility and control, general call for empowerment, and DOF. However, the latter are noticeably absent in the literature. To investigate patients’ freedom in shaping the wound care process, we conducted a second literature search. A number of possibilities for patients to influence the wound care process could be identified, but experimental or clinical evidence about their effects is missing, their variety is limited, and they are only inadequately described. However, DOF should be an indispensable aspect of genuine empowerment, since they allow patients to occupy the role of the agent in the treatment process and give rise to the subjective experience of feeling empowered. Thus, in the third part, we develop a research proposal on how to investigate and include DOF in the clinical practice of wound care. Finally, limitations about implementations are discussed (e.g., patients being reluctant to overcome their passive role, resulting in frustration for health care professionals).
在本研究中,我们对慢性伤口护理中的赋权概念进行了调查,并建议通过利用自由度(DOF)来促进患者的控制:即由患者发起并根据其意愿对日常伤口护理任务进行调整,主要体现在患者执行治疗步骤、要求或指导医护人员进行改变或改变内部状态等方面。 首先,我们进行了系统的文献检索,然后进行了归纳式的定性内容分析,最终确定了赋权的 5 个主要因素:教育和共同决策、坚持自我护理行为、责任和控制、对赋权的普遍呼吁以及 DOF。然而,文献中明显缺少后者。为了调查患者在塑造伤口护理过程中的自由度,我们进行了第二次文献检索。 我们发现了患者影响伤口护理过程的多种可能性,但缺乏有关其效果的实验或临床证据,其种类有限,描述也不够充分。 然而,DOF 应该是真正赋权不可或缺的一个方面,因为它们允许患者在治疗过程中扮演代理人的角色,并产生赋权感的主观体验。因此,在第三部分中,我们就如何研究 DOF 并将其纳入伤口护理的临床实践提出了研究建议。最后,我们还讨论了实施的局限性(例如,患者不愿意克服自己的被动角色,导致医护人员感到沮丧)。
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引用次数: 0
Irregular dietary habits as a predictor of stunting occurrence among children under 5 years of age: a literature review 不规律的饮食习惯是 5 岁以下儿童发育迟缓的预测因素:文献综述
Pub Date : 2024-03-01 DOI: 10.2478/fon-2024-0002
Risnah, Huriati, Eka Hadrayani, Arbianingsih, Muthahharah, Nurhidayah, Sally Purwanti
To identify the illustration of feeding patterns of stunting children using literature review method. This study was a descriptive narrative research using literature review approach to explore dietary habits of children with stunting problem. All the literature review processes employed Guideline Review measurement of Joanna Briggs Institute. Related articles in literature were obtained from journal databases, such as PubMed, ScienceDirect, Google Scholar, and Dimensions through structured research question with Patient, Exposure an interest, Outcome or response (PEO) methods. This study found 2246 published articles from 2018 to 2021 about children with stunting. Screening process was conducted further to eliminate articles with irrelevant titles and abstracts, and also the unsuitable articles with the research question; hence, about 9 articles were eligible to be reviewed ahead. All these articles mentioned that children with irregular dietary habits would likely experience stunting. The low intake of nutritional food became the major predictor of stunting. Inappropriate feeding patterns and the variety of food were being the factors of stunting emergence among children <5 years of age. High consumption of carbohydrates, less animal-based protein, and misunderstanding about intake of sweetened-condensed milk predisposed children to suffer stunting.
利用文献综述法确定发育迟缓儿童的喂养模式说明。 本研究是一项描述性叙事研究,采用文献综述法探讨发育迟缓儿童的饮食习惯。所有的文献综述过程都采用了乔安娜-布里格斯研究所(Joanna Briggs Institute)的指南综述测量方法。文献中的相关文章来自期刊数据库,如PubMed、ScienceDirect、Google Scholar,并通过患者、暴露、兴趣、结果或回应(PEO)方法的结构化研究问题进行维度分析。 本研究发现了2018年至2021年发表的2246篇有关儿童发育迟缓的文章。通过进一步筛选,剔除了标题和摘要不相关的文章,以及与研究问题不匹配的文章;因此,约有 9 篇文章符合提前审阅的条件。所有这些文章都提到,饮食习惯不规律的儿童很可能会发育迟缓。营养食物摄入量低是导致发育迟缓的主要原因。 不恰当的喂养方式和食物种类是导致五岁以下儿童发育迟缓的因素。碳水化合物摄入量高、动物性蛋白质摄入量少以及对甜炼乳摄入量的误解容易导致儿童发育迟缓。
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引用次数: 0
Relationship between sleep quality and blood pressure level in nurses performing shift work 轮班护士的睡眠质量与血压水平之间的关系
Pub Date : 2024-03-01 DOI: 10.2478/fon-2024-0008
A.I. Tsipkalo, Kateryna Kozak, Mariya Marushchak
The aim of the study was to evaluate the quality of sleep in nurses performing shift work in therapeutic and surgical departments and to establish possible relationships between level of blood pressure (BP) and quality of sleep. A total of 20 nurses of the therapeutic departments and 20 nurses of the surgical departments were enrolled in the study. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). BP was measured according to the standard protocol using the Korotkoff method; a sphygmomanometer was used for this twice with an interval of 2 min between 10:00 a.m. and 10:30 a.m. The average value for the 2 indicators was calculated. The diagnosis of essential arterial hypertension (AH) was established according to the recommendations of the European Association of Cardiology and the European Association of Hypertension (2018). The overall assessment of the sleep quality of the nurses involved in shift work indicates poor sleep quality; this was true in respondents of both the surgical and therapeutic profiles. However, it was observed that the quality of sleep was significantly lower in nurses of the therapeutic departments. Moreover, poor sleep quality was associated with AH, which was diagnosed in 65% of the nurses of the therapeutic departments and 45% of the nurses of the surgical departments, that is, in almost all of the subjects. Herewith, in the nurses of the therapeutic departments, the level of systolic BP exceeded that of the nurses of the surgical departments. Poor sleep quality is a significant risk factor for AH development and is relevant to nurses performing shift work. Additional clinical studies should be conducted to better understand the mechanisms underlying such adverse cardiometabolic outcomes associated with sleep disorders in the health-sector shift workers.
该研究旨在评估治疗科室和外科科室轮班工作的护士的睡眠质量,并确定血压(BP)水平与睡眠质量之间可能存在的关系。 共有 20 名治疗科室护士和 20 名手术科室护士参与了这项研究。睡眠质量采用匹兹堡睡眠质量指数(PSQI)进行评估。根据标准方案,使用 Korotkoff 法测量血压;使用血压计在上午 10:00 和 10:30 之间测量两次,每次间隔 2 分钟。根据欧洲心脏病学会和欧洲高血压学会(2018)的建议,确定了基本动脉高血压(AH)的诊断。 对参与轮班工作的护士的睡眠质量进行的总体评估表明,她们的睡眠质量较差;这在外科和治疗科的受访者中都是如此。但据观察,治疗科室护士的睡眠质量明显较低。此外,睡眠质量差还与 AH 有关,65% 的治疗科室护士和 45% 的外科科室护士,即几乎所有受试者都被诊断出患有 AH。其中,治疗科室护士的收缩压水平超过了外科科室护士的收缩压水平。 睡眠质量差是诱发甲状腺肿大的一个重要风险因素,与轮班工作的护士息息相关。应开展更多的临床研究,以更好地了解卫生部门轮班工作者因睡眠障碍而导致心脏代谢不良后果的机制。
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引用次数: 0
Nursing student volunteers and their level of involvement during the COVID-19 pandemic: a systematic review 护理专业学生志愿者及其在 COVID-19 大流行期间的参与程度:系统回顾
Pub Date : 2024-03-01 DOI: 10.2478/fon-2024-0003
Y. N. Fithriyyah, S. Alim
Many strategic efforts were made to address nurses’ shortage in controlling Coronavirus disease 2019 (COVID-19), including recruiting student health volunteers. This review aimed to explore the contribution and involvement of nursing student volunteers during COVID-19. A systematic review was registered in PROSPERO International CRD42021283069. Electronic databases for article search included: SCOPUS, EBSCO MEDLINE, PubMed, ProQuest, Springer, Sage Pub, and hand searching. The critical appraisal study quality using The Joanna Briggs Institutes. Data extraction and synthesis used Population, Intervention, Comparison, Outcome, and Design (PICO and D) framework with thematic analysis. Twelve studies were enrolled from 2545 retrieved, with 4 synthesized themes: (1) determinant of the involvement of nursing student volunteers during COVID-19, which includes 3 subthemes: motivations, perception, and barriers, (2) expectations and actual condition of nursing students as volunteers, (3) the need for nursing student volunteers, and (4) the impact and level of student volunteers’ contribution. All student volunteers contribute to providing direct or indirect services to patients. This review provides an overview of nursing student volunteers’ needs useful in developing competency frameworks and the role of culturally sensitive volunteers in education and training. In the future, student volunteers could choose the appropriate volunteer program and location according to their competence.
在控制 2019 年(COVID-19)冠状病毒疾病的过程中,为解决护士短缺问题做出了许多战略性努力,其中包括招募学生健康志愿者。本综述旨在探讨护理专业学生志愿者在 COVID-19 期间的贡献和参与情况。 系统综述已在 PROSPERO International CRD42021283069 中注册。文章检索的电子数据库包括文章检索的电子数据库包括:SCOPUS、EBSCO MEDLINE、PubMed、ProQuest、Springer、Sage Pub,以及人工检索。使用乔安娜-布里格斯研究所(The Joanna Briggs Institutes)对研究质量进行批判性评估。数据提取和综合采用了人群、干预、比较、结果和设计(PICO 和 D)框架,并进行了专题分析。 从检索到的 2545 项研究中筛选出 12 项研究,归纳出 4 个主题:(1) 护生志愿者参与 COVID-19 的决定因素,包括 3 个子主题:动机、认知和障碍;(2) 护生作为志愿者的期望和实际状况;(3) 对护生志愿者的需求;(4) 学生志愿者贡献的影响和水平。所有学生志愿者都为向患者提供直接或间接服务做出了贡献。 本综述概述了护理专业学生志愿者的需求,有助于制定能力框架以及文化敏感型志愿者在教育和培训中的作用。将来,学生志愿者可以根据自己的能力选择合适的志愿者项目和地点。
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引用次数: 0
Correlation between critical thinking and emotional intelligence: a national cross-sectional study on operating room nursing students in Iran 批判性思维与情商之间的相关性:一项针对伊朗手术室护理专业学生的全国性横断面研究
Pub Date : 2024-03-01 DOI: 10.2478/fon-2024-0010
A. Fereidouni, Esmaeil Teymoori, Tayebeh Bahmani, Hamid Reza Sabet, Zahra Maleki, Mina Gharibi
According to the World Federation of Medical Education, critical thinking should be part of the training of medical and paramedical students. Professionals can improve the quality of care of patients after surgery by having or acquiring this skill in health care. Also, Emotional intelligence is introduced as an important and effective factor on the professional performance and mental health of healthcare professionals. Thus, the present study was designed and implemented to determine the relationship between emotional intelligence and critical thinking among operating room nursing students of medical sciences universities in Iran. This cross-sectional study was done on 420 operating room students in 10 top medical sciences universities of Iran in 2022. The sampling method in this research was multistage sampling. The data collection instruments included demographic characteristics, Rickett’s critical thinking, and Bradberry-Greaves’ emotional intelligence questionnaires. After receiving the ethics code, data collection was done for 2 months. For data analysis, descriptive and inferential analyses including independent t-tests, analysis of variance, and Pearson correlation were used. The collected data were analyzed by SPSS 18 (IBM Corporation, Armonk, New York, United States). P-value <0.05 was considered significant. The mean age of the students participating in this study was 23.02 ± 3.70 years, with women constituting 67.4% of them. The results of data analysis indicated that the mean total score of critical thinking and emotional intelligence was 124.10 ± 37.52 and 114.12 ± 43.63, respectively. A direct significant correlation between critical thinking and emotional intelligence (r = 0.459, P-value <0.001) and a significant relationship between gender and emotional intelligence (P-value = 0.028) were found. Based on the present study results, educational managers in the Ministry of Health are suggested to consider suitable educational programs for improving critical thinking and emotional intelligence to enhance the quality of care provided by students in operating rooms.
世界医学教育联合会认为,批判性思维应成为医学生和医务辅助人员培训的一部分。专业人员在医疗保健领域掌握或获得这种技能,可以提高术后病人的护理质量。此外,情商被认为是影响医护人员专业表现和心理健康的一个重要而有效的因素。因此,本研究旨在确定伊朗医科大学手术室护理专业学生的情商与批判性思维之间的关系。 这项横断面研究的对象是 2022 年伊朗 10 所顶尖医科大学的 420 名手术室学生。本研究的抽样方法为多阶段抽样。数据收集工具包括人口统计学特征、里克特批判性思维和布拉德伯里-格里夫斯情商问卷。在获得伦理守则后,数据收集工作持续了 2 个月。数据分析采用了描述性和推论性分析,包括独立 t 检验、方差分析和皮尔逊相关分析。收集到的数据由 SPSS 18(IBM 公司,美国纽约阿蒙克)进行分析。P 值小于 0.05 为显著。 参与研究的学生平均年龄为(23.02±3.70)岁,其中女性占 67.4%。数据分析结果表明,批判性思维和情绪智力的平均总分分别为(124.10 ± 37.52)分和(114.12 ± 43.63)分。研究发现,批判性思维与情商之间存在直接的显着相关(r = 0.459,P 值<0.001),性别与情商之间存在显着关系(P 值 = 0.028)。 根据本研究结果,建议卫生部的教育管理人员考虑合适的教育计划,以提高批判性思维和情商,从而提高手术室学生的护理质量。
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引用次数: 0
Necessary prerequisites for evidence-based practice: results of investigating nurses’ informatics competency and information literacy skills 循证实践的必要先决条件:对护士信息学能力和信息扫盲技能的调查结果
Pub Date : 2024-03-01 DOI: 10.2478/fon-2024-0007
Jamileh Farokhzadian, Somayeh Jouparinejad, M. Montazeri, Elham Bakhshipour, Amirreza Sabzi, Fatemeh Falahati-Marvast
This study aimed to evaluate the correlation between nursing informatics (NI) competency and information literacy skills for evidence-based practice (EBP) among intensive care nurses. This cross-sectional study was conducted on 184 nurses working in intensive care units (ICUs). The study data were collected through demographic information, Nursing Informatics Competency Assessment Tool (NICAT), and information literacy skills for EBP questionnaires. The intensive care nurses received competent and low-moderate levels for the total scores of NI competency and information literacy skills, respectively. They received a moderate score for the use of different information resources but a low score for information searching skills, different search features, and knowledge about search operators, and only 31.5% of the nurses selected the most appropriate statement. NI competency and related subscales had a significant direct bidirectional correlation with information literacy skills for EBP and its subscales (P < 0.05). Nurses require a high level of NI competency and information literacy for EBP to obtain up-to-date information and provide better care and decision-making. Health planners and policymakers should develop interventions to enhance NI competency and information literacy skills among nurses and motivate them to use EBP in clinical settings.
本研究旨在评估重症监护护士的护理信息学(NI)能力与循证实践(EBP)信息素养技能之间的相关性。这项横断面研究的对象是在重症监护病房(ICU)工作的 184 名护士。研究数据通过人口统计学信息、护理信息学能力评估工具(NICAT)和 EBP 信息素养技能问卷调查收集。重症监护护士的护理信息学能力和信息素养技能总分分别为合格和中低水平。她们在使用不同信息资源方面得分中等,但在信息搜索技能、不同搜索功能和搜索运算符知识方面得分较低,只有 31.5% 的护士选择了最合适的陈述。信息素养能力及其相关分量表与 EBP 及其分量表的信息素养技能具有显著的直接双向相关性(P < 0.05)。护士需要具备高水平的 NI 能力和 EBP 信息素养,以获取最新信息,提供更好的护理和决策。卫生规划者和政策制定者应制定干预措施,提高护士的护士知识能力和信息素养技能,并激励他们在临床环境中使用EBP。
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引用次数: 0
Health-related quality of life among congestive heart failure patients with preserved and reduced ejection fraction 射血分数保留和降低的充血性心力衰竭患者的健康相关生活质量
Pub Date : 2024-03-01 DOI: 10.2478/fon-2024-0012
Dian Hudiyawati, Kartinah, Afidatul Mujannidah
To determine factors that affect the health-related quality of life (HRQOL) of congestive heart failure (CHF) patients with preserved and reduced ejection fraction. A cross-sectional study design was used for this study. The stratified random sampling was applied for each subgroup. HRQOL was measured with the Minnesota Living with Heart Failure Questionnaire. The data were analyzed using chi-square, Spearman’s correlation analysis, and independent t-test. A number of 67 respondents participated in the recent study. The total mean scores of HRQOL were significantly different (P = 0.001) between heart failure (HF) patients with reduced and preserved ejection fractions, 41.07 ± 7.54 and 54.97 ± 4.36, respectively. It related with the physical (mean ± standard deviation [SD] = 10.4 ± 2.14; t = −10.08, 95% CI = −12.46 to −8.34; P-value = 0.001) and psychological (mean ± SD = 3.5 ± 0.5; t = −6.68, 95% CI = −4.55 to −2.45; P-value = 0.001) domain. Strong correlation was found between age (r = −0.898, P < 0.05), NYHA functional classes (r = −0.858, P < 0.01), duration of HF (r = −0.807, P < 0.01), family support (r = 0.927, P < 0.01), and quality of life (QoL). HRQOL in HF patients with reduced ejection fraction was higher than in those with preserved ejection fraction. Family support is a further determinant factor that has a positive correlation to the QoL.
目的:确定影响射血分数保留和降低的充血性心力衰竭(CHF)患者健康相关生活质量(HRQOL)的因素。 本研究采用横断面研究设计。每个亚组采用分层随机抽样。HRQOL 采用明尼苏达心衰患者生活问卷进行测量。数据采用卡方检验、斯皮尔曼相关分析和独立 t 检验进行分析。 共有 67 名受访者参与了近期的研究。射血分数降低和保留的心力衰竭(HF)患者的 HRQOL 平均总分(41.07 ± 7.54 和 54.97 ± 4.36)有显著差异(P = 0.001)。它与身体(平均±标准差 [SD] = 10.4 ± 2.14;t = -10.08,95% CI = -12.46 至 -8.34;P 值 = 0.001)和心理(平均±标准差 = 3.5 ± 0.5;t = -6.68,95% CI = -4.55 至 -2.45;P 值 = 0.001)领域相关。年龄(r = -0.898,P <0.05)、NYHA 功能分级(r = -0.858,P <0.01)、HF 病程(r = -0.807,P <0.01)、家庭支持(r = 0.927,P <0.01)与生活质量(QoL)之间存在很强的相关性。 射血分数降低的心房颤动患者的 HRQOL 高于射血分数保留的患者。家庭支持是另一个与生活质量呈正相关的决定性因素。
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引用次数: 0
Nurses’ critical thinking disposition and professional commitment: a cross-sectional study 护士的批判性思维倾向与职业承诺:一项横断面研究
Pub Date : 2024-03-01 DOI: 10.2478/fon-2024-0013
Mahtab Allah Tavakoli, G. Foroughameri, Jamileh Farokhzadian, Sedigheh Khodabandeh Shahraki
High-quality and successful nursing care delivery in a variety of situations requires critical thinking training and professional commitment. The present study aimed to investigate critical thinking disposition, professional commitment, and the relationship between these 2 variables among nurses. As a result of stratified random sampling, 201 nurses were enrolled in the present cross-sectional study. Data were gathered using a socio-demographic form, the Critical Thinking Disposition Inventory (CTDI), and the Nurses’ Professional Commitment Scale (NPCS). Although the critical thinking disposition scores were at a moderate level (115.70 ± 13.55), the mean score for professional commitment was high (91.37 ± 11.77). A positive correlation was found between critical thinking disposition and professional commitment (r = 0.67, P = 0.001). Nursing managers are urged to employ strategies to enhance nurses’ critical thinking disposition and professional commitment.
在各种情况下提供高质量和成功的护理服务需要批判性思维训练和职业承诺。本研究旨在调查护士的批判性思维倾向、职业承诺以及这两个变量之间的关系。 通过分层随机抽样,201 名护士被纳入本横断面研究。研究使用社会人口学表格、批判性思维倾向量表(CTDI)和护士职业承诺量表(NPCS)收集数据。 尽管批判性思维处置得分处于中等水平(115.70 ± 13.55),但专业承诺的平均得分较高(91.37 ± 11.77)。研究发现,批判性思维处置与专业承诺之间存在正相关(r = 0.67,P = 0.001)。 我们呼吁护理管理者采取相应策略,提高护士的批判性思维处置能力和专业承诺。
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引用次数: 0
Entrepreneurship training: its influences on innovation potentials among nursing students 创业培训:对护理专业学生创新潜力的影响
Pub Date : 2024-03-01 DOI: 10.2478/fon-2024-0009
Asmaa Abdel Rahman Abdel Rahman, D. A. Abdelatief
To evaluate the influences of entrepreneurship training on the innovation potential among nursing students. A quasi-experimental design was utilized to conduct this study. The study was conducted in the classroom at the faculty of nursing, and the “iHub” center at Ain Shams University (ASU) in Cairo, Egypt. A purposive sample of 42 nursing students who participated in the “Ain Shams University-innovate” competition from the Faculty of Nursing of ASU were included in this study. Data collection tools included (1) Nursing students’ innovation skills assessment questionnaire and (2) Innovative projects evaluation tool. There was a statistically significant difference between the mean scores of nursing students’ total innovation skills pre-and post-implementation of entrepreneurship training, where P-value <0.05. The results of the current study support the research hypothesis because the implementation of entrepreneurship training positively affects nursing students’ innovation potential. Developing entrepreneurship education in nursing and integrating it into nursing programs will stimulate creativity, innovation, and entrepreneurship among nursing students and health care services.
评估创业培训对护理专业学生创新潜能的影响。 本研究采用准实验设计。研究在埃及开罗艾因夏姆斯大学(Ain Shams University,ASU)护理学院的教室和 "iHub "中心进行。本研究有目的性地抽取了艾因夏姆斯大学护理学院参加 "艾因夏姆斯大学-创新 "竞赛的 42 名护理专业学生。数据收集工具包括(1)护理专业学生创新技能评估问卷和(2)创新项目评估工具。 护理专业学生创新能力总平均分在实施创业培训前后存在显著差异,P 值小于 0.05。 本研究结果支持研究假设,因为创业培训的实施对护生的创新潜能产生了积极影响。在护理专业中开展创业教育并将其融入护理专业课程,将激发护理专业学生的创造力、创新力和创业精神,并为医疗保健服务。
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引用次数: 0
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