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Bachelor nursing competencies to care for children in hospital and home settings: A Delphi study. 在医院和家庭环境中护理儿童的本科护理能力:德尔菲研究。
IF 3.6 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-11-13 DOI: 10.1016/j.nedt.2024.106487
Véronique de Goumoëns, Laurence Ebacher Lefrançois, Arnaud Forestier, Chantal Grandjean, Colette Balice-Bourgois, Jocelyne Quillet-Cotting, Anne-Laure Thévoz, Anne-Sylvie Ramelet

Background: Caring for children from birth to adulthood requires extensive knowledge and skills specific to that population. In Switzerland, bachelor's nursing degree programs focus primarily on generalist competencies and may be insufficient for registered nurses to provide appropriate and safe care to sick children and their families.

Objective: This study aimed to identify the competencies required for generalist nurses to care for children and their families in hospital and home-care settings.

Design: A multicentered descriptive study was used.

Participants: Registered nurses' experts in their respective pediatric field were recruited via a regional network for pediatric nursing education in the French and Italian speaking part of Switzerland.

Methods: A 3-round Delphi e-survey was used to develop a list of competencies.

Results: Round 1 consisted of mapping 23 competencies clustered in seven domains, from four competency models by a panel of eight experts. Consensus was reached in Round 2 and 3, by 129 and 132 participants, respectively. After Round 3, all 23 competencies were rated expected or very much expected. The seven domains of competencies identified as most important were "Advocacy and Moral Agency" (cum. mean: 4,5), "Diversity Families Responsiveness" (cum. mean: 4,5), Collaboration (cum. mean: 4,4), Caring Practices (cum. mean: 4,4), Clinical Judgment and Inquiry (cum. mean: 4,4), Facilitating Learning (cum. mean: 4,3) and System Thinking (cum. mean: 4,2).

Conclusion: The comprehensive list of 23 competencies for nurses to care for sick children and their families in hospital and community settings, provides a solid base to review and benchmark existing nursing under-graduate program in Switzerland and beyond.

背景:护理从出生到成年的儿童需要针对这一群体的广泛知识和技能。在瑞士,护理学士学位课程主要侧重于通才能力,可能不足以让注册护士为患病儿童及其家人提供适当、安全的护理:本研究旨在确定全科护士在医院和家庭护理环境中护理儿童及其家人所需的能力:设计:采用多中心描述性研究:方法:通过瑞士法语区和意大利语区的儿科护理教育区域网络招募各自儿科领域的注册护士专家:方法:采用三轮德尔菲电子调查来制定能力清单:第一轮由八位专家组成的小组从四个能力模型中筛选出七个领域的 23 项能力。第二轮和第三轮分别有 129 名和 132 名参与者达成共识。第三轮之后,所有 23 项能力都被评为 "预期 "或 "非常预期"。被认为最重要的七个能力领域是:"倡导和道德代理"(累计平均值:4.5)、"多元化家庭响应"(累计平均值:4.5)、协作(累计平均值:4.4)、关怀实践(累计平均值:4.4)、临床判断和探究(累计平均值:4.4)、促进学习(累计平均值:4.3)和系统思考(累计平均值:4.2):护士在医院和社区环境中护理患病儿童及其家人的 23 项综合能力清单,为审查和衡量瑞士及其他国家现有的护理本科课程提供了坚实的基础。
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引用次数: 0
Developing an instrument to measure nurses' attitudes towards nursing students during clinical practice: A quantitative study 开发一种工具来测量护士在临床实践中对护理学生的态度:定量研究
IF 3.6 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-11-12 DOI: 10.1016/j.nedt.2024.106488
Ali KAPLAN , Özlem KAPLAN , Cevriye ÖZDEMİR , Büşra EMİR , Necmi BAYKAN

Background

Since nursing students' interactions with nurses in the clinical practice process play an important role in nursing education and practice, it is a necessity to evaluate nurses' attitudes towards students.

Aim

To develop a valid and reliable measurement tool to determine the attitudes of nurses' towards nursing students in the clinical practice process.

Design

This study used a quantitative cross-sectional design.

Settings

The study was conducted in a public hospital in Turkey between February and April 2024.

Participants

The sample of the study consisted of 364 nurses.

Methods

Through literature review and qualitative data analysis, 40 items were identified for the item pool of the scale and these items were presented to 22 experts. After the content validity, the draft scale consisting of 32 items was used as a data collection tool. Lawshe's Content Validity Ratio, Kaiser-Mayer-Olkin Coefficient, Bartlett's test, Exploratory Factor Analysis, Principal Component Analysis, Varimax Factor Rotation Method, Confirmatory Factor Analysis, Cronbach's Alpha Internal Consistency Coefficient, Spearman Correlation Coefficient and Wilcoxon Signed Ranks tests were used to analyze the data.

Results

As a result of the exploratory factor analysis, it was determined that there were twenty-two items and five sub-dimensions in the scale. The Cronbach's alpha internal consistency coefficient was 0.770 for the clinical experience and ethics sub-dimension, 0.811 for the collaboration sub-dimension, 0.792 for the desire to learn sub-dimension, 0.765 for the continuous development sub-dimension, 0.736 for the communication skills sub-dimension and 0.903 for the total scale. As a result of the test-retest reliability analysis, it was determined that all items and factor scores showed significant relationships between the two applications (p < 0.001).

Conclusions

The scale was found to be a valid and reliable measurement tool that can be used to determine the attitudes of nurses' towards nursing students in the clinical practice process.
背景由于护生在临床实践过程中与护士的互动在护理教育和实践中发挥着重要作用,因此有必要评估护士对护生的态度。目的开发一种有效可靠的测量工具,以确定护士在临床实践过程中对护生的态度。方法通过文献回顾和定性数据分析,确定了量表项目库的 40 个项目,并将这些项目提交给 22 位专家。经过内容效度验证后,由 32 个项目组成的量表草案被用作数据收集工具。数据分析采用了 Lawshe 内容效度比、Kaiser-Mayer-Olkin 系数、Bartlett 检验、探索性因素分析、主成分分析、Varimax 因子旋转法、确认性因素分析、Cronbach's Alpha 内部一致性系数、Spearman 相关系数和 Wilcoxon Signed Ranks 检验。临床经验和职业道德子维度的 Cronbach's alpha 内部一致性系数为 0.770,协作子维度为 0.811,学习欲望子维度为 0.792,持续发展子维度为 0.765,沟通技巧子维度为 0.736,总量表为 0.903。结论该量表是一种有效、可靠的测量工具,可用于确定护士在临床实践过程中对护生的态度。
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引用次数: 0
Fear and attitudes toward death in nursing students: A longitudinal study 护理专业学生对死亡的恐惧和态度:纵向研究。
IF 3.6 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-11-09 DOI: 10.1016/j.nedt.2024.106486
Alba Maestro-González , David Zuazua-Rico , Salvador Villalgordo-García , Maria-Pilar Mosteiro-Díaz , Marta Sánchez-Zaballos

Background

Nurses are the most involved healthcare professionals in end-of-life care. Although scientific evidence has demonstrated the effectiveness of specific education in this aspect, the optimal timing of its delivery has not been identified.

Aim

To determine the characteristics of fear of death and attitudes toward end-of-life care among nursing students during academic education.

Design

This longitudinal observational study was conducted between October 2019 and June 2023.

Participants

A total of 486 questionnaires were administered to nursing students from two Spanish faculties.

Methods

A data collection sheet was developed to track various sociodemographic variables, which was distributed along with the Collett-Lester Fear of Death Scale and the Frommelt Attitude Toward Care of the Dying scale.

Results

In the Frommelt Attitude Toward Care of the Dying scale, the lowest score for Factor I was observed in the third year (F(3,228) = 153.5, p < 0.001) and for Factor II in the second year (χ2(3) = 186.45, p < 0.001). The best attitude was demonstrated in the final academic year, with statistically significant differences. On the Collett-Lester Fear of Death Scale, the highest fear, both in the overall score and in all four factors, was noted in the first year and the lowest in the final year. We found a significant effect of time on the total score (F(3,300) = 7.43, p < 0.001), with differences observed between the first and other years (p < 0.001). The same pattern was found in Factor 3, fear of the death of others (F(3,300) = 18.7, p < 0.001), and in Factor 4, fear of dying of others.

Conclusions

It is suggested that education be provided on fear of death in the first year, person- and family-centered care in the second year, and end-of-life care in the third year, with interventions lasting more than two months.
背景:护士是参与临终关怀最多的医护人员。尽管科学证据已经证明了这方面特定教育的有效性,但其最佳实施时机尚未确定。目的:确定护理专业学生在学术教育期间对死亡恐惧的特征以及对临终关怀的态度:这项纵向观察研究在 2019 年 10 月至 2023 年 6 月期间进行:对来自西班牙两个学院的护理专业学生共发放了486份问卷:数据收集表用于追踪各种社会人口学变量,与科利特-莱斯特死亡恐惧量表和弗洛梅尔特临终关怀态度量表一起分发:在 Frommelt 临终关怀态度量表中,因子 I 的最低得分出现在第三年(F(3,228) = 153.5,P 结论:该量表的得分在第三年达到了最低值(F(3,228) = 153.5,P):建议在第一年开展有关死亡恐惧的教育,第二年开展以个人和家庭为中心的护理,第三年开展临终关怀,干预时间应超过两个月。
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引用次数: 0
A qualitative exploration of nursing master's research supervision in a private higher education institution 私立高等教育机构护理硕士研究督导的定性探索。
IF 3.6 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-11-06 DOI: 10.1016/j.nedt.2024.106485
Bibi Hajira Irshad Ali , Gideon Victor , Khauhelo Succes Mahlatsi , Abel Jacobus Pienaar

Background

Completing a Master's thesis is crucial for earning a master's degree and showcasing students' academic and professional skills. However, the process is often challenging owing to its solitary nature and the complexity of its supervisory relationships.

Purpose

This study aimed to explore the experience of Nursing Master's Research Supervision and its impact on their thesis journey.

Design

Exploratory descriptive qualitative research design.

Setting and participants

The study was conducted at a private nursing institute in Islamabad, Pakistan, from January 2022 to May 2022. The study included 12 students enrolled in the Masters of Science in Nursing program.

Methods

Focus group discussions and in-depth interviews were conducted online, using a semi-structured guide. Students were recruited through purposive sampling. Data were analysed using manual content analysis through a collaborative approach. Rigor was ensured using Lincoln and Guba's trustworthiness criteria. SRQR reporting guidelines were used.

Results

The study explored graduate students' thesis supervision experiences and discovered six influential categories: “Expectations from Supervisor”, encompassing preceding knowledge and teaching perceptions; “Supervisor Accessibility”, involving physical access and cooperation; “Adverse Supervision Experience”, detailing challenging interactions; “Supervision Meeting Management”, addressing problem-solving and scheduling; “Assistance and Support”, covering collaboration, software, and resources; and “Suggestions”, offering guidance on thesis write-up and research committee roles.

Conclusion

The study elucidated students' expectations about supervisor expertise, access difficulties, negative experiences, and the need for clear guidelines. Improved communication, defined roles, and increased support for thesis writing and assessment are crucial for satisfactory supervision. Further investigation of supervisors' viewpoints is advised.
背景:完成硕士论文对于获得硕士学位以及展示学生的学术和专业技能至关重要。目的:本研究旨在探讨护理学硕士研究指导的经验及其对论文历程的影响:探索性描述定性研究设计:研究于 2022 年 1 月至 2022 年 5 月在巴基斯坦伊斯兰堡的一所私立护理学院进行。研究对象包括 12 名护理学硕士课程的学生:方法:采用半结构化指南,在线进行焦点小组讨论和深度访谈。通过有目的的抽样调查招募学生。通过合作方式,使用手动内容分析法对数据进行分析。采用林肯和古巴的可信度标准确保数据的严谨性。使用了 SRQR 报告指南:本研究探讨了研究生的论文指导经历,发现了六个具有影响力的类别:"对导师的期望",包括之前的知识和教学感知;"导师的可及性",涉及实际接触和合作;"不良指导经历",详细描述具有挑战性的互动;"指导会议管理",涉及问题解决和时间安排;"协助和支持",涵盖合作、软件和资源;以及 "建议",提供论文撰写和研究委员会角色方面的指导:这项研究阐明了学生对导师专业知识的期望、获得指导的困难、负面经验以及对明确指导的需求。加强沟通、明确角色定位、增加对论文写作和评估的支持,对实现令人满意的指导至关重要。建议进一步调查导师的观点。
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引用次数: 0
Competency in trauma-informed care: Empowering advanced practice registered nursing students to adopt a trauma-informed approach during routine health assessment 创伤知情护理的能力:增强高级执业注册护士学生的能力,使其在常规健康评估中采用创伤知情护理方法。
IF 3.6 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-11-06 DOI: 10.1016/j.nedt.2024.106477
Alicia F. Holod, Joni Tornwall, Alice M. Teall, Janine Overcash

Background

Nurses need competency in trauma-informed care (TIC) to create supportive environments that encourage patient engagement and treatment adherence. Increased demand for TIC in nursing practice requires improved approaches to competency evaluation.

Aim

This study aimed to evaluate the competency of advanced practice registered nursing (APRN) students in implementing TIC principles, utilizing a rubric tailored for simulation-based learning within an advanced health assessment course.

Design

Employing a non-experimental, observational approach, this project utilized a quantitative, rubric-based assessment to analyze video-recorded simulations and rate competency in implementation of TIC principles.

Setting and participants

The study included 64 graduate-level APRN students enrolled in a mandatory advanced health assessment course at a large midwestern university in the United States.

Methods

The study assessed student competency in implementing seven TIC principles within a simulation-based experience (SBE), using a scale ranging from 1 (novice) to 5 (expert).

Results

While a few students demonstrated competency at, or above, level 3 in certain TIC principles, the overall average competency rating remained below 3. This outcome aligns with expectations for novice APRN students. Notably, the principles of communication and safety showed the highest average competency levels.

Conclusions

Findings revealed that most students were at a novice competency level, struggling with implementation of TIC principles. This highlights the imperative for nurse educators to incorporate a variety of educational activities into the curriculum. Integrating TIC content into didactic lectures, providing formative assessment opportunities, and conducting post-lecture SBEs are recommended strategies to enhance TIC competency among APRN students, thereby equipping them with the essential skills to deliver exemplary care to trauma survivors.
背景:护士需要具备创伤知情护理(TIC)方面的能力,以创造鼓励患者参与和坚持治疗的支持性环境。目的:本研究旨在评估高级执业注册护士(APRN)学生在实施创伤知情护理原则方面的能力,在高级健康评估课程中使用为模拟学习量身定制的评分标准:设计:本项目采用非实验、观察法,利用基于评分标准的定量评估来分析录制的模拟视频,并对实施 TIC 原则的能力进行评分:研究对象包括 64 名在美国中西部一所大型大学学习高级健康评估必修课程的全科护士研究生:研究采用从 1 分(新手)到 5 分(专家)的量表,评估学生在模拟体验(SBE)中实施七项 TIC 原则的能力:结果:虽然少数学生在某些 TIC 原则方面的能力达到或超过了 3 级,但总体平均能力评级仍低于 3 级。值得注意的是,沟通和安全原则的平均能力水平最高:研究结果表明,大多数学生处于新手能力水平,在实施 TIC 原则方面存在困难。这凸显了护士教育者将各种教育活动纳入课程的必要性。将TIC内容融入教学讲座、提供形成性评估机会以及开展课后SBE是提高全科护士学生TIC能力的推荐策略,从而使他们具备为创伤幸存者提供模范护理的基本技能。
{"title":"Competency in trauma-informed care: Empowering advanced practice registered nursing students to adopt a trauma-informed approach during routine health assessment","authors":"Alicia F. Holod,&nbsp;Joni Tornwall,&nbsp;Alice M. Teall,&nbsp;Janine Overcash","doi":"10.1016/j.nedt.2024.106477","DOIUrl":"10.1016/j.nedt.2024.106477","url":null,"abstract":"<div><h3>Background</h3><div>Nurses need competency in trauma-informed care (TIC) to create supportive environments that encourage patient engagement and treatment adherence. Increased demand for TIC in nursing practice requires improved approaches to competency evaluation.</div></div><div><h3>Aim</h3><div>This study aimed to evaluate the competency of advanced practice registered nursing (APRN) students in implementing TIC principles, utilizing a rubric tailored for simulation-based learning within an advanced health assessment course.</div></div><div><h3>Design</h3><div>Employing a non-experimental, observational approach, this project utilized a quantitative, rubric-based assessment to analyze video-recorded simulations and rate competency in implementation of TIC principles.</div></div><div><h3>Setting and participants</h3><div>The study included 64 graduate-level APRN students enrolled in a mandatory advanced health assessment course at a large midwestern university in the United States.</div></div><div><h3>Methods</h3><div>The study assessed student competency in implementing seven TIC principles within a simulation-based experience (SBE), using a scale ranging from 1 (novice) to 5 (expert).</div></div><div><h3>Results</h3><div>While a few students demonstrated competency at, or above, level 3 in certain TIC principles, the overall average competency rating remained below 3. This outcome aligns with expectations for novice APRN students. Notably, the principles of <em>communication</em> and <em>safety</em> showed the highest average competency levels.</div></div><div><h3>Conclusions</h3><div>Findings revealed that most students were at a novice competency level, struggling with implementation of TIC principles. This highlights the imperative for nurse educators to incorporate a variety of educational activities into the curriculum. Integrating TIC content into didactic lectures, providing formative assessment opportunities, and conducting post-lecture SBEs are recommended strategies to enhance TIC competency among APRN students, thereby equipping them with the essential skills to deliver exemplary care to trauma survivors.</div></div>","PeriodicalId":54704,"journal":{"name":"Nurse Education Today","volume":"144 ","pages":"Article 106477"},"PeriodicalIF":3.6,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
The mediating effect of advanced health assessment on the relationship between self-directed learning and clinical thinking among master of nursing specialist postgraduate students: A structural equation model 高级健康评估对护理专科硕士研究生自主学习与临床思维之间关系的中介效应:结构方程模型
IF 3.6 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-11-05 DOI: 10.1016/j.nedt.2024.106480
Lulu Wang , Yuqing Zhang , Chunjing Zhang , Biaoxin Zhang

Background

Clinical thinking is an important competency among master of nursing specialist (MNS) postgraduate students. Previous studies have demonstrated that self-directed learning (SDL) positively affects clinical thinking among MNS postgraduates. However, little is known about the mechanisms underlying the relationship between SDL and clinical thinking.

Aim

This study aimed to investigate the status of MNS postgraduates' SDL, advanced health assessment (AHA), and clinical thinking and to explore the mediating effect of AHA on the relationship between SDL and clinical thinking through a structural equation model.

Design

Cross-sectional study.

Settings

Participants were recruited from 7 universities in Anhui, Hubei, Hebei, and Heilongjiang provinces, China.

Participants

A convenience sample of 300 MNS postgraduates was recruited from May 2023 to July 2024.

Methods

A general information questionnaire, SDL instrument, AHA scale, and clinical thinking scale were used for data collection. Data were analyzed using SPSS and AMOS software.

Results

The levels of SDL, AHA, and clinical thinking among the participants were above the middle level. AHA played a partial mediated role in the relationship between SDL and clinical thinking.

Conclusions

This study provides new insights into the relationship between SDL, AHA, and clinical thinking. The results of this study indicate the effectiveness of developing AHA when conducting SDL to enhance the clinical thinking of MNS postgraduates.
背景:临床思维是专科护理硕士(MNS)研究生的一项重要能力。以往的研究表明,自主学习(SDL)对专科护理硕士研究生的临床思维有积极影响。目的:本研究旨在调查 MNS 研究生的 SDL、高级健康评估(AHA)和临床思维状况,并通过结构方程模型探讨 AHA 对 SDL 和临床思维之间关系的中介作用:设计:横断面研究:研究地点:中国安徽省、湖北省、河北省和黑龙江省的7所高校:方法:在2023年5月至2024年7月期间招募300名MNS研究生:采用一般信息问卷、SDL 工具、AHA 量表和临床思维量表进行数据收集。采用 SPSS 和 AMOS 软件对数据进行分析:结果:参与者的 SDL、AHA 和临床思维水平均高于中等水平。AHA在SDL与临床思维的关系中起到了部分中介作用:本研究为 SDL、AHA 和临床思维之间的关系提供了新的见解。本研究的结果表明,在开展 SDL 时发展 AHA 对提高 MNS 研究生的临床思维能力有一定的效果。
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引用次数: 0
Addressing nursing student clinical placement poverty concerns: A discussion paper 解决护理学生临床实习贫困问题:讨论文件。
IF 3.6 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-11-04 DOI: 10.1016/j.nedt.2024.106483
Krysta Davis , Madeleine Stipcevich , Robyn Cant , Colleen Ryan , Fiona Bogossian

Background

Research indicates that more than two-thirds of Australian nursing students experience placement poverty and increased stress and anxiety because of the financial cost of completing clinical placements.

Aim

A contemporary discussion on the issue of the financial impact of placement experienced by Australian nursing students.

Design

Discursive.

Discussion

>96 % of nursing students from one Australian study expressed a necessity for financial support to complete clinical placements. Available Australian scholarships and income support programs target overall university study costs. Few are placement specific. Direct and indirect costs of placement are introduced and discussed along with the impact of placement poverty on students. Media articles indicate nursing students in other countries may also experience financial stress during placement. Solution focussed recommendations are provided.

Conclusion

Globally, rates of uptake of scholarships are largely unknown and there are eligibility barriers. Financial support mechanisms for students undertaking placement need to be widely disseminated and focus on reimbursement for placement costs incurred. Solutions must privilege students' learning over workforce contributions. Understanding nursing student experiences of placement poverty universally is needed to enhance placement learning experiences and student retention and wellbeing.
背景:研究表明,三分之二以上的澳大利亚护理专业学生经历过实习贫困,并因完成临床实习的经济成本而增加了压力和焦虑。目的:对澳大利亚护理专业学生经历的实习经济影响问题进行当代讨论:讨论>在澳大利亚的一项研究中,96%以上的护理专业学生表示有必要获得经济支持以完成临床实习。澳大利亚现有的奖学金和收入支持计划针对的是大学学习的总体费用。很少有针对实习的。介绍并讨论了实习的直接和间接成本,以及实习贫困对学生的影响。媒体文章指出,其他国家的护理专业学生在实习期间也可能面临经济压力。本文提出了重点解决建议:在全球范围内,奖学金的使用率在很大程度上是未知的,并且存在资格障碍。需要广泛宣传对实习学生的经济支持机制,并将重点放在报销实习费用上。解决方案必须优先考虑学生的学习,而不是劳动力贡献。需要普遍了解护理专业学生的实习贫困经历,以增强实习学习体验,留住学生并提高其福利。
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引用次数: 0
The use of concept maps in nursing/midwifery exam papers and their examination on their feasibility and reliability as assessment tools 在护理/助产考试试卷中使用概念图,并对其作为评估工具的可行性和可靠性进行研究。
IF 3.6 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-11-04 DOI: 10.1016/j.nedt.2024.106479
Anna V. Chatzi, Claire McNamara

Background

Concept maps demonstrate relationships between concepts visually, allowing connections to develop the learner's cognition. Despite studies that demonstrate the value of this method, it has still not been adopted in mainstream nursing education as an assessment tool.

Aim

The aim of this study is to evaluate the use of the concept map as an assessment tool in nursing education.

Methods

This study was conducted following the one-shot experimental design. One exam paper was designed to be given to participants at the final examination of a core shared undergraduate nursing/midwifery module. The target sample of the study were undergraduate first year students (N = 185). Following initial exposure of student nurses/midwives, during the Autumn semester, concept maps were included into the final exam. These were evaluated and compared with another of the most traditional assessment methods, the multiple-choice question type (MCQ). Quantitative statistical analysis of the concept map and MCQ grades were conducted. Statistical tests were used to compare all pairs of both types of papers.

Results

All paired t-test results were found to be statistically significant and effect size results also supported the statistically significant results. Concept maps' structure allows the assessment of the totality of concepts of a specific area/section of the material. MCQs can assess one aspect/detail of a concept at a time without the limitation to draw material from a specific area/section. When used together, educators can use these different features in assessing student's knowledge/understanding on the totality of taught material. Additional advantage of the concept map is its straightforward, objective and quick correction process.

Conclusion

The study provides evidence that the concept map can be a trusted assessment tool for identifying the nursing students' gaps in knowledge and comprehension.
背景:概念图以直观的方式展示概念之间的关系,通过概念之间的联系来发展学习者的认知。目的:本研究旨在评估概念图作为评估工具在护理教育中的使用情况:本研究采用一次性实验设计。设计了一份试卷,在护理/助产专业本科核心共享模块的期末考试中发给参与者。研究的目标样本是本科一年级学生(N = 185)。在秋季学期,学生护士/助产士初步接触概念图后,将其纳入期末考试。对概念图进行了评估,并与另一种最传统的评估方法--选择题(MCQ)进行了比较。对概念图和 MCQ 的成绩进行了定量统计分析。统计检验用于比较两类试卷的所有配对结果:所有配对 t 检验结果均具有统计学意义,效应大小结果也支持具有统计学意义的结果。概念图的结构允许对教材特定领域/部分的全部概念进行评估。MCQ 可以一次评估一个概念的一个方面/细节,而不受从特定领域/部分提取材料的限制。如果将这些不同的功能结合起来使用,教育工作者就可以评估学生对所教材料整体的知识/理解。概念图的另一个优势是其直接、客观和快速的修正过程:本研究证明,概念图是一种值得信赖的评估工具,可用于确定护理专业学生在知识和理解方面存在的差距。
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引用次数: 0
Innovating clinical nursing education using virtual technology to combat the effects of COVID-19: A qualitative study 利用虚拟技术创新临床护理教育,消除 COVID-19 的影响:定性研究。
IF 3.6 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-11-04 DOI: 10.1016/j.nedt.2024.106478
David Busolo , Neil Forbes , Petrea Taylor , Renée Gordon , Jason Hickey , Alisha Keough , Alyse Duffney

Background

At the beginning of the COVID-19 pandemic, social distancing effects halted in-person clinical placements in nursing programs at all Canadian universities. To mitigate educational disruption, clinical practicums were pivoted to online delivery, despite knowledge gaps on the perspectives of nursing students and community liaisons on using virtual technology to facilitate clinical placements.

Objective

Accordingly, we explored the impact of using innovative virtual technology to combat the social distancing effects of the COVID-19 pandemic on students' and community liaisons' experiences in a clinical community health nursing course.

Methods

Using a descriptive qualitative research approach, we evaluated an innovative online clinical placement approach which we implemented to combat the disruptions of social distancing guidelines. Forty-five nursing students were grouped and paired with five community health organizations to create community-led health promotion projects using online videoconferencing. Upon completion of their practicum, six nursing students and four community liaisons participated in virtual individual interviews. Data was analyzed using a thematic analysis approach.

Results

Three themes were developed: 1) Openness to change, 2) Effective virtual communication, and 3) Creation of learning spaces that foster nurturing relationships. On the theme of ‘Openness to Change,’ participants voiced the need to shift focus from common learning approaches to new, untested options. On the theme of ‘Effective virtual communication,’ participants valued the critical role of thorough virtual communication in online learning. On the theme of ‘Creation of learning spaces that foster nurturing relationships,’ participants appreciated the role of relationships, careful planning, and organization of virtual learning spaces for program success.

Conclusion

The success and viability of virtual technology in clinical education are strongly related to individual and systems approach and adaptations to support students' access to learning opportunities. Our findings could be used to enhance access to virtual clinical education for students from disadvantaged and vulnerable populations.
背景:在 COVID-19 大流行之初,加拿大所有大学的护理专业都停止了面对面的临床实习。为了减轻教育中断,临床实践转为在线提供,尽管护理专业学生和社区联络员对使用虚拟技术促进临床实习的看法存在知识空白:因此,我们探讨了使用创新虚拟技术消除 COVID-19 大流行对学生和社区联络员在社区健康护理临床课程中的社会疏远效应所产生的影响:我们采用描述性定性研究方法,评估了一种创新的在线临床实习方法。我们将 45 名护理专业学生分组,并与五个社区卫生组织结成对子,利用在线视频会议创建由社区主导的健康促进项目。实习结束后,六名护理专业学生和四名社区联络员参加了虚拟个人访谈。采用主题分析法对数据进行了分析:结果:形成了三个主题:1) 对改变持开放态度;2) 有效的虚拟交流;3) 创建促进培养关系的学习空间。关于 "开放求变 "这一主题,与会者表示有必要将重点从常见的学习方法转移到新的、未经测试的选择上。关于 "有效的虚拟交流 "这一主题,与会者强调了全面的虚拟交流在在线学习中的关键作 用。在 "创建培养人际关系的学习空间 "这一主题上,与会者赞赏人际关系、精心规划和组织虚拟学习空间对项目成功的作用:结论:虚拟技术在临床教育中的成功和可行性与个人和系统方法以及支持学生获得学习机会的适应性密切相关。我们的研究结果可用于提高弱势群体学生接受虚拟临床教育的机会。
{"title":"Innovating clinical nursing education using virtual technology to combat the effects of COVID-19: A qualitative study","authors":"David Busolo ,&nbsp;Neil Forbes ,&nbsp;Petrea Taylor ,&nbsp;Renée Gordon ,&nbsp;Jason Hickey ,&nbsp;Alisha Keough ,&nbsp;Alyse Duffney","doi":"10.1016/j.nedt.2024.106478","DOIUrl":"10.1016/j.nedt.2024.106478","url":null,"abstract":"<div><h3>Background</h3><div>At the beginning of the COVID-19 pandemic, social distancing effects halted in-person clinical placements in nursing programs at all Canadian universities. To mitigate educational disruption, clinical practicums were pivoted to online delivery, despite knowledge gaps on the perspectives of nursing students and community liaisons on using virtual technology to facilitate clinical placements.</div></div><div><h3>Objective</h3><div>Accordingly, we explored the impact of using innovative virtual technology to combat the social distancing effects of the COVID-19 pandemic on students' and community liaisons' experiences in a clinical community health nursing course.</div></div><div><h3>Methods</h3><div>Using a descriptive qualitative research approach, we evaluated an innovative online clinical placement approach which we implemented to combat the disruptions of social distancing guidelines. Forty-five nursing students were grouped and paired with five community health organizations to create community-led health promotion projects using online videoconferencing. Upon completion of their practicum, six nursing students and four community liaisons participated in virtual individual interviews. Data was analyzed using a thematic analysis approach.</div></div><div><h3>Results</h3><div>Three themes were developed: 1) Openness to change, 2) Effective virtual communication, and 3) Creation of learning spaces that foster nurturing relationships. On the theme of ‘<em>Openness to Change</em>,’ participants voiced the need to shift focus from common learning approaches to new, untested options. On the theme of ‘<em>Effective virtual communication</em>,’ participants valued the critical role of thorough virtual communication in online learning. On the theme of ‘<em>Creation of learning spaces that foster nurturing relationships</em>,’ participants appreciated the role of relationships, careful planning, and organization of virtual learning spaces for program success.</div></div><div><h3>Conclusion</h3><div>The success and viability of virtual technology in clinical education are strongly related to individual and systems approach and adaptations to support students' access to learning opportunities. Our findings could be used to enhance access to virtual clinical education for students from disadvantaged and vulnerable populations.</div></div>","PeriodicalId":54704,"journal":{"name":"Nurse Education Today","volume":"144 ","pages":"Article 106478"},"PeriodicalIF":3.6,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Nursing student reflections on a research internship: A reflective discussion following the Gibbs' reflective cycle 护理专业学生对研究实习的反思:遵循吉布斯反思周期的反思性讨论。
IF 3.6 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-11-04 DOI: 10.1016/j.nedt.2024.106481
Francine Antoinette Ocampo , Brianne Genevieve McIntyre , Debbie Massey , Rosemary Saunders

Background

Evidence-based practice underscores the importance of utilising research-based skills in the delivery of care. However, entry-to-practice nursing curriculums in Australia currently do not provide students with practical research opportunities. Acknowledging this gap, an Australian university initiated a two-month summer research internship that aim to expose undergraduate nursing students to clinical research under the mentorship of a nursing academic.

Aim

To understand the opportunities and challenges of a research internship and its contribution to developing research knowledge and skills for future nursing practice and leadership.

Design

A reflective discussion following the six stages of the Gibbs' Reflective Cycle.

Settings

A two-month research internship at an Australian University was held over the summer.

Participants

Two successful nursing students (FO and BM) who were both students in the Master of Nursing (Graduate Entry) program.

Methods

Following the Gibbs' Reflective Cycle, a description of the internship experience was outlined, alongside feelings encountered. The opportunities and challenges of the internship are explored, evaluated, and analysed with related literature to inform an overall conclusion. To support other nursing students pursuing similar research endeavours during their professional transition, an action plan was developed.

Results

The optional summer research internship proved to be a valuable experience for participating nursing students. FO and BM were granted co-authorship on their respective research projects, providing opportunities at international nursing and midwifery conferences and several avenues for career advancement.

Conclusions

Nursing research internships contribute to students' personal and professional development. This paper highlights the need for universities to provide innovative educational opportunities to students that enrich evidence-based nursing practice and inspire further opportunities.
背景:循证实践强调了在提供护理服务时利用研究技能的重要性。然而,目前澳大利亚的护理入门课程并未为学生提供实际研究机会。认识到这一差距后,澳大利亚一所大学启动了为期两个月的暑期研究实习,旨在让护理专业本科生在护理学者的指导下接触临床研究:设计:按照吉布斯反思周期的六个阶段进行反思性讨论:环境:暑期在澳大利亚一所大学进行为期两个月的研究实习:方法:按照吉布斯反思周期的六个阶段进行反思性讨论:方法:按照吉布斯反思循环法,概述实习经历和感受。对实习的机遇和挑战进行探讨、评估,并结合相关文献进行分析,从而得出总体结论。为了支持其他护理专业学生在专业转型期间从事类似的研究工作,还制定了一项行动计划:结果:事实证明,可选的暑期研究实习对参与实习的护理专业学生来说是一次宝贵的经历。FO 和 BM 获得了各自研究项目的合著权,提供了参加国际护理和助产会议的机会,并为职业发展提供了多种途径:护理研究实习有助于学生的个人和职业发展。本文强调了大学为学生提供创新教育机会的必要性,这些机会丰富了循证护理实践并激发了更多机会。
{"title":"Nursing student reflections on a research internship: A reflective discussion following the Gibbs' reflective cycle","authors":"Francine Antoinette Ocampo ,&nbsp;Brianne Genevieve McIntyre ,&nbsp;Debbie Massey ,&nbsp;Rosemary Saunders","doi":"10.1016/j.nedt.2024.106481","DOIUrl":"10.1016/j.nedt.2024.106481","url":null,"abstract":"<div><h3>Background</h3><div>Evidence-based practice underscores the importance of utilising research-based skills in the delivery of care. However, entry-to-practice nursing curriculums in Australia currently do not provide students with practical research opportunities. Acknowledging this gap, an Australian university initiated a two-month summer research internship that aim to expose undergraduate nursing students to clinical research under the mentorship of a nursing academic.</div></div><div><h3>Aim</h3><div>To understand the opportunities and challenges of a research internship and its contribution to developing research knowledge and skills for future nursing practice and leadership.</div></div><div><h3>Design</h3><div>A reflective discussion following the six stages of the Gibbs' Reflective Cycle.</div></div><div><h3>Settings</h3><div>A two-month research internship at an Australian University was held over the summer.</div></div><div><h3>Participants</h3><div>Two successful nursing students (FO and BM) who were both students in the Master of Nursing (Graduate Entry) program.</div></div><div><h3>Methods</h3><div>Following the Gibbs' Reflective Cycle, a description of the internship experience was outlined, alongside feelings encountered. The opportunities and challenges of the internship are explored, evaluated, and analysed with related literature to inform an overall conclusion. To support other nursing students pursuing similar research endeavours during their professional transition, an action plan was developed.</div></div><div><h3>Results</h3><div>The optional summer research internship proved to be a valuable experience for participating nursing students. FO and BM were granted co-authorship on their respective research projects, providing opportunities at international nursing and midwifery conferences and several avenues for career advancement.</div></div><div><h3>Conclusions</h3><div>Nursing research internships contribute to students' personal and professional development. This paper highlights the need for universities to provide innovative educational opportunities to students that enrich evidence-based nursing practice and inspire further opportunities.</div></div>","PeriodicalId":54704,"journal":{"name":"Nurse Education Today","volume":"145 ","pages":"Article 106481"},"PeriodicalIF":3.6,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
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Nurse Education Today
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