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Training healthcare professionals to dignity-in-care: A scoping review 培训医疗保健专业人员护理尊严:范围审查。
IF 3.6 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-12-13 DOI: 10.1016/j.nedt.2024.106543
Loredana Buonaccorso , Silvia Soncini , Maria Chiara Bassi , Daniela Mecugni , Luca Ghirotto

Background

Despite the wealth of evidence-based practices attesting to the influence of patient dignity on the care relationship, gaps persist in healthcare professionals' abilities to bolster it. Promoting dignity-in-care poses a challenge due to the abstract nature of the concept and its lack of unequivocal definition.

Objective

To delineate the scope of training opportunities, identify gaps in dignity-in-care training, excluding the broader concept of dignity beyond healthcare assistance, and propose strategies to address these deficiencies.

Design

Systematic scoping review to determine the range and type of training opportunities for healthcare professionals.

Data sources

We followed Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA)-ScR guidelines. By February 10th 2023, we searched five databases (MEDLINE, Scopus, Embase, Cinahl, PsycINFO) for materials published from 2002 in English and Italian. In addition to the search strategy, we augmented our exploration by scrutinizing the references cited in the included papers. Our scope encompassed studies on healthcare professionals as the target population, specifically physicians, nurses, social workers, psychologists, occupational therapists, chaplains or spiritual care assistants, and students engaged in health-related disciplines.

Review methods

Two authors independently assessed the abstracts of the retrieved articles. They discussed discrepancies with a third researcher, an expert in qualitative methodology.

Results

Eleven articles were included in the analysis after the initial screening. Most of the studies were conducted in Europe, indicating an increasing interest in training on dignity and suggesting a potential role of international nursing organizations in driving attention to dignity-in-care education. The training appeared to downplay cultural differences. However, these approaches were not without criticism, as they raised concerns about overlooking the complexities and nuances associated with dignity within cultural contexts. Our analysis suggested that incorporating dignity into the curriculum and continuing education for healthcare professionals is paramount. Finally, limited opportunities emerged for medical students, postgraduate residents, and physicians to enhance dignity within care relationships.

Conclusion

Future training programs should prioritize “culturalizing” the concept to ensure a comprehensive approach to dignity-in-care. Moreover, the focus on nursing students and limited representation from other healthcare disciplines emphasizes the need for a broader interdisciplinary approach to integrating dignity-in-care education.
背景:尽管有大量的循证实践证明了患者尊严对护理关系的影响,但在医疗保健专业人员支持这一关系的能力方面仍然存在差距。由于这一概念的抽象性质和缺乏明确的定义,促进护理中的尊严构成了一项挑战。目的:描述培训机会的范围,确定护理尊严培训的差距,排除医疗援助之外的更广泛的尊严概念,并提出解决这些缺陷的战略。设计:系统的范围审查,以确定医疗保健专业人员培训机会的范围和类型。数据来源:我们遵循系统评价和荟萃分析首选报告项目(PRISMA)-ScR指南。到2023年2月10日,我们检索了MEDLINE, Scopus, Embase, Cinahl, PsycINFO五个数据库,检索了2002年以来发表的英语和意大利语的资料。除了搜索策略外,我们还通过仔细检查纳入论文中引用的参考文献来扩大我们的探索。我们的研究范围包括以医疗保健专业人员为目标人群的研究,特别是医生、护士、社会工作者、心理学家、职业治疗师、牧师或精神护理助理,以及从事与健康相关学科的学生。综述方法:两位作者独立评估检索文章的摘要。他们与第三位研究人员讨论了差异,他是定性方法方面的专家。结果:初步筛选后纳入分析的文献有11篇。大多数研究都是在欧洲进行的,这表明人们对尊严培训的兴趣越来越大,并表明国际护理组织在推动对护理尊严教育的关注方面可以发挥潜在作用。培训似乎淡化了文化差异。然而,这些方法并非没有批评,因为它们引起了人们对忽视文化背景下与尊严相关的复杂性和细微差别的担忧。我们的分析表明,将尊严纳入课程和医疗保健专业人员的继续教育是至关重要的。最后,医学生、研究生住院医师和医生在护理关系中提高尊严的机会有限。结论:未来的培训计划应优先考虑“文化化”这一概念,以确保全面实现护理尊严。此外,对护理学生的关注和来自其他医疗保健学科的有限代表强调需要更广泛的跨学科方法来整合护理中的尊严教育。
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引用次数: 0
Nurses communication competencies in social media: A bibliometric review 护士在社交媒体上的沟通能力:文献计量学回顾。
IF 3.6 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-12-12 DOI: 10.1016/j.nedt.2024.106542
María Martín-Fernández , Hildegart González-Luis , María José Hernández-Leal , Mónica Arias-Colinas

Objective

To analyse the characteristics of articles published on the competencies, abilities, knowledge and education that nurses should have to be able to communicate, inform, disseminate and/or be an informative source in mass media and social media.

Design

This bibliometric study involved a comprehensive search of two databases, PubMed and Scopus. The search terms included 'nursing', 'communication', and 'mass media', along with their synonyms. Article selection was performed through screening titles and abstracts, with any uncertainties resolved through discussions among the researchers.

Data sources

The data were sourced from PubMed and Scopus, selected for their extensive coverage of academic literature related to nursing and communication.

Methods

A total of 1,290 articles were initially identified. After screening, 463 articles were analysed. The study employed bibliometric analysis to evaluate publication trends, authorship patterns, and thematic focus. Key metrics such as annual publication growth rate, co-authorship, and thematic prevalence were assessed.

Results and discussion

The analysis revealed that the articles were published from 1,971 onwards, with an annual production growth rate of 6.83%. The total number of authors was 1,645, with an average co-authorship of 3 to 4 researchers per article. The most frequently discussed themes included Social Media, COVID-19, and Nurses. Notable authors included Booth R. (5 articles), Borycki E. (4 articles), and Jackson D. (4 articles). The most prominent journal was Nurse Education Today (20 articles), with the highest publication output from the United States (695 articles), followed by Australia (436 articles). Leading institutions included King Saud University (47 articles) and the University of Tripoli (37 articles).

Conclusion

This bibliometric review provides valuable insights for researchers, educators, and managers interested in the evolving role of nursing in traditional and social media. It highlights key researchers, influential journals, significant authors, and prominent countries in this field, offering a foundational understanding for further research and development in nursing communication competencies.
目的:分析在大众媒体和社交媒体上发表的关于护士应具备的沟通、告知、传播和/或成为信息来源的胜任力、能力、知识和教育的文章的特点。设计:这项文献计量学研究包括对PubMed和Scopus两个数据库的全面检索。搜索词包括“护理”、“沟通”和“大众媒体”,以及它们的同义词。文章选择是通过筛选标题和摘要进行的,任何不确定因素都是通过研究者之间的讨论来解决的。数据来源:数据来源于PubMed和Scopus,选择这两个网站是因为它们广泛覆盖了与护理和沟通相关的学术文献。方法:初步鉴定了1290篇文献。筛选后共分析463篇文献。该研究采用文献计量学分析来评估出版趋势、作者模式和主题重点。评估了年度出版物增长率、合著率和专题流行率等关键指标。结果与讨论:分析显示,论文发表时间为1971年以后,年产量增长率为6.83%。论文作者总数为1645人,平均每篇论文有3 ~ 4名共同作者。最常讨论的主题包括社交媒体、COVID-19和护士。著名作者包括Booth R.(5篇文章)、Borycki E.(4篇文章)和Jackson D.(4篇文章)。最突出的期刊是《今日护士教育》(Nurse Education Today)(20篇文章),其中美国的论文发表量最高(695篇),其次是澳大利亚(436篇)。排名靠前的大学包括沙特国王大学(47篇文章)和的黎波里大学(37篇文章)。结论:这篇文献计量学综述为研究人员、教育工作者和管理人员提供了有价值的见解,这些研究人员对护理在传统媒体和社交媒体中的发展角色感兴趣。它突出了该领域的主要研究人员,有影响力的期刊,重要的作者和著名的国家,为进一步研究和发展护理沟通能力提供了基础的理解。
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引用次数: 0
Generative artificial intelligence (AI) literacy in nursing education: A crucial call to action 护理教育中的生成式人工智能(AI)素养:一项关键的行动呼吁。
IF 3.6 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-12-12 DOI: 10.1016/j.nedt.2024.106544
Rachel C. Simms

Introduction

Generative artificial intelligence (AI) is revolutionizing healthcare, necessitating corresponding advancements in nursing education to ensure that future nurses are equipped for a technologically driven environment. This article explores the imperative integration of generative AI literacy in nursing education.

Implications for nurse educators

The article delves into the practical challenges and opportunities presented by generative AI in nursing. It underscores the need for educators to adapt curricula and teaching methods to effectively incorporate generative AI learning, ensuring students are proficient in generative AI technologies and aware of their ethical implications.

Generative AI literacy

Defined as a core educational requirement, this section highlights the skills and knowledge that nurse educators must impart. It encompasses the ability to critically assess AI-generated content, understand the underlying technologies, and responsibly apply this knowledge in clinical settings.

Conclusion

The article concludes by emphasizing the urgency of integrating generative AI literacy into nursing education. It advocates for a proactive approach to curriculum development and calls for global collaboration and standardization in AI education to address the diverse and evolving needs of healthcare.
导读:生成式人工智能(AI)正在彻底改变医疗保健,需要护理教育的相应进步,以确保未来的护士能够适应技术驱动的环境。本文探讨了生成人工智能素养在护理教育中的迫切整合。对护理教育者的启示:本文深入探讨了生成式人工智能在护理中所带来的实际挑战和机遇。它强调了教育工作者需要调整课程和教学方法,以有效地融入生成式人工智能学习,确保学生精通生成式人工智能技术并意识到其伦理影响。生成人工智能素养:这一部分被定义为核心教育要求,强调护士教育工作者必须传授的技能和知识。它包括批判性地评估人工智能生成的内容,理解底层技术,并负责任地将这些知识应用于临床环境的能力。结论:文章最后强调了将生成式人工智能素养融入护理教育的紧迫性。它倡导采取积极主动的方法来制定课程,并呼吁在人工智能教育方面进行全球合作和标准化,以满足医疗保健领域多样化和不断变化的需求。
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引用次数: 0
Academic success in undergraduate nursing education: An integrative review 本科护理教育的学业成功:一项综合综述。
IF 3.6 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-12-10 DOI: 10.1016/j.nedt.2024.106540
Harroop Kaur Sharda, Lorelli Nowell

Aims

The aim of this review was to synthesize and appraise the available literature regarding academic success in undergraduate nursing education.

Design

We used Whittemore and Knafl's five-stage framework for integrative reviews. Toronto and Remington's step-by-step guide to integrative reviews provided practical guidance in the review process.

Data sources

A search was employed to retrieve relevant scholarly, peer-reviewed, English-language articles published between 2003 and 2023 using the databases APA PsycINFO, CINAHL, ERIC, Education Research Complete, and MEDLINE.

Review methods

The initial search located 2599 articles. After duplicate screening at title and abstract and full text levels using predefined inclusion and exclusion criteria, 40 articles were selected for inclusion. All included articles were critically appraised using the Mixed Methods Appraisal Tool for empirical studies and the Joanna Briggs Institute critical appraisal tools for the reviews and the theoretical papers.

Results

A review and synthesis of the articles revealed preadmission factors can impact academic success in undergraduate nursing education. However, most authors used narrow measures of success such as on-time graduation and exam performance. In most articles performance in the clinical environment was not considered measured as part of academic success. Few empirical studies used a theoretical framework, and the overall methodological quality of the included articles was mixed.

Conclusion

Our findings suggest a gap in the literature regarding more inclusive approaches to measuring academic success in undergraduate nursing education. The dearth of qualitative studies and limited attention to how academic success is measured in the clinical learning environment suggest future research should focus on exploring student nurses' perceptions of success. Furthermore, researchers examining this topic are encouraged to utilize suitable theoretical frameworks to guide empirical studies.
目的:本综述的目的是综合和评价有关本科护理教育学业成功的现有文献。设计:我们使用Whittemore和Knafl的五阶段框架进行综合评价。多伦多和雷明顿的综合审查分步指南在审查过程中提供了实用的指导。数据来源:使用APA PsycINFO、CINAHL、ERIC、Education Research Complete和MEDLINE数据库检索2003年至2023年间发表的相关学术、同行评议的英文文章。综述方法:初步检索到2599篇文章。在使用预定义的纳入和排除标准对标题、摘要和全文进行重复筛选后,选择了40篇文章纳入研究。所有纳入的文章都使用实证研究的混合方法评估工具和乔安娜布里格斯研究所的评论和理论论文的关键评估工具进行了批判性评估。结果:通过对相关文献的回顾和综合,揭示了入学前因素对本科护理教育学业成功的影响。然而,大多数作者使用的是狭隘的成功标准,比如按时毕业和考试成绩。在大多数文章中,临床环境中的表现并没有被认为是学术成功的一部分。很少有实证研究使用理论框架,而且纳入文章的总体方法学质量参差不齐。结论:我们的研究结果表明,文献中关于更包容的方法来衡量本科护理教育的学业成功存在差距。定性研究的缺乏和对如何在临床学习环境中衡量学业成功的关注有限,表明未来的研究应侧重于探索学生护士对成功的看法。此外,鼓励研究这一主题的研究人员利用合适的理论框架来指导实证研究。
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引用次数: 0
Climate change perceptions among nursing students: A comparative study between Finland and the United States 护理专业学生对气候变化的认知:芬兰和美国的比较研究。
IF 3.6 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-12-10 DOI: 10.1016/j.nedt.2024.106541
Iira Tiitta , Juho Kopra , Ruth McDermott-Levy , Jouni J.K. Jaakkola , Lauri Kuosmanen

Introduction

Nurses play a key role in combating climate change-related health risks by promoting adaptation and mitigation strategies. Their efforts are essential in educating patients and communities about the health impacts of climate change and sustainable healthcare practices. Nursing curricula are evolving to include climate change and sustainability. The goal is to prepare future nurses to effectively address climate change factors affecting health and to support the transition towards more sustainable healthcare systems.

Aim

To study the perceptions of nursing students in Finland and the United States (U.S.) regarding climate change, focusing on their awareness and attitudes.

Design

A quantitative, cross-sectional study.

Method

In this study climate change awareness, concern, motivation, and behavior patterns of Finnish and U.S nursing students were surveyed and analyzed. Data were collected from an online survey using the Climate Health and Nursing Tool (CHANT). The data were collected from Finnish students (n = 351) from February to June 2023 and for comparison we examined data collected from U.S. (n = 352) in 2022. Data were analyzed using SPSS and AMOS program.

Results

U.S. nursing students were found to have higher factor loadings, indicating a stronger connection between the measured factors and their related concepts compared to Finnish nursing students. Finnish students also received good factor loadings, but differences appeared in the correlations between awareness, concern, and motivation, and in the consistency of behavior at home and at work.

Conclusions

Findings from study indicate that U.S. students have higher overall awareness but weaker links between awareness and workplace behavior, whereas Finnish nursing students show more consistent behavior both personally and professionally. Nursing faculty could use this knowledge to engage nursing students in learning about the impact of climate change on human health and prepare future nurses to meet challenges of climate change on patient populations.
导言:护士通过促进适应和减缓战略,在应对气候变化相关健康风险方面发挥关键作用。他们的努力对于教育患者和社区了解气候变化和可持续保健做法对健康的影响至关重要。护理课程正在发展,包括气候变化和可持续性。目标是为未来的护士做好准备,以有效应对影响健康的气候变化因素,并支持向更可持续的医疗保健系统过渡。目的:研究芬兰和美国护生对气候变化的认知,重点关注他们的意识和态度。设计:定量、横断面研究。方法:对芬兰和美国护生的气候变化意识、关注、动机和行为模式进行调查和分析。数据收集自使用气候健康和护理工具(CHANT)的在线调查。数据是从2023年2月至6月从芬兰学生(n = 351)中收集的,为了比较,我们检查了2022年从美国(n = 352)收集的数据。采用SPSS和AMOS软件对数据进行分析。结果:与芬兰护生相比,美国护生具有更高的因素负荷,表明测量因素与其相关概念之间存在更强的联系。芬兰学生也获得了良好的因素负荷,但在意识、关注和动机之间的相关性以及在家庭和工作中的行为一致性方面出现了差异。结论:研究结果表明,美国学生整体意识较高,但意识与工作场所行为之间的联系较弱,而芬兰护理专业学生在个人和专业行为方面表现出更一致的行为。护理教师可以利用这些知识让护理学生了解气候变化对人类健康的影响,并为未来的护士做好准备,以应对气候变化对患者群体的挑战。
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引用次数: 0
Interventions to enhance the core competencies of clinical nursing preceptors: A systematic review 提高临床护理实习生核心能力的干预措施:系统综述。
IF 3.6 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-12-09 DOI: 10.1016/j.nedt.2024.106536
Ke Liu , Shuyi Wang , Minhui Liu , Siyuan Tang , Qirong Chen
Aim
This systematic review aimed to identify intervention studies on core competencies of clinical nursing preceptors, evaluate their quality using quantitative indicators, and summarize the effectiveness of the intervention programs and limitations of included studies.

Design

This review was reported in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) 2020 checklist.

Data sources

Between May 1, 2024 and May 30, 2024, we searched PubMed, Web of Science, CINAHL, Medline, EMBASE and ProQuest (Health & Medical Collection) to get relevant literature published between January 2010 and May 2024. The main search concepts were core competence; preceptor; intervention; nurse. References in all eligible literature were also searched to prevent omissions.

Review methods

Articles were screened and then evaluated by two researchers independently. The narrative table was used to summarize the characteristics of the included studies and the details of interventions. The modified Educational Interventions Critical Appraisal Tool was used to evaluate the quality of studies; the Kirkpatrick Model was used to assess the interventions. The content analysis method was used to synthesize data.

Results

A total of 27 articles were included in this review. Six studies were rated as high quality. The remaining 21 studies were all rated as moderate quality and no studies were rated as low quality. Eight studies achieved the Kirkpatrick level 1, all the studies achieved the Kirkpatrick level 2, six studies achieved the Kirkpatrick level 3, Only one study achieved the Kirkpatrick level 4.

Conclusions

Interventions that covered key content themes, used face-to-face training method, and had shorter intervals may be more effective. Future studies could be improved by involving more representative samples, developing interventions based on theories, evaluating the long-term effects of the interventions. This review provided implications for developing more effective and sustainable educational programs for clinical nursing preceptors.
目的 本系统综述旨在确定临床护理戒律者核心能力的干预研究,使用定量指标评估其质量,并总结干预项目的有效性和纳入研究的局限性:数据来源:2024 年 5 月 1 日至 2024 年 6 月 30 日期间的数据:在 2024 年 5 月 1 日至 2024 年 5 月 30 日期间,我们检索了 PubMed、Web of Science、CINAHL、Medline、EMBASE 和 ProQuest(健康与医学文献集),以获取 2010 年 1 月至 2024 年 5 月期间发表的相关文献。主要检索概念为核心能力、戒护者、干预、护士。同时还检索了所有符合条件的文献中的参考文献,以防遗漏:文章由两名研究人员独立筛选和评估。叙事表用于总结纳入研究的特点和干预措施的细节。采用修改后的教育干预批判性评估工具评估研究质量;采用柯克帕特里克模型评估干预措施。采用内容分析法对数据进行综合:本综述共收录了 27 篇文章。六项研究被评为高质量。其余 21 项研究均被评为中等质量,没有研究被评为低质量。八项研究达到了 Kirkpatrick 1 级,所有研究达到了 Kirkpatrick 2 级,六项研究达到了 Kirkpatrick 3 级,只有一项研究达到了 Kirkpatrick 4 级:涵盖关键内容主题、采用面对面培训方法和间隔时间较短的干预措施可能更有效。今后的研究可以通过让更具代表性的样本参与、根据理论制定干预措施、评估干预措施的长期效果等方法加以改进。本综述为制定更有效、更可持续的临床护理督导员教育计划提供了启示。
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引用次数: 0
Exploring the association between combined formal and informal educational approaches and cultural intelligence among undergraduate nursing students: A cross-sectional study 探讨正规与非正规结合教育方式与护生文化智力的关系:一项横断面研究。
IF 3.6 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-12-09 DOI: 10.1016/j.nedt.2024.106537
Ilona Cieślak , Mariusz Jaworski , Mariusz Panczyk , Krystian Barzykowski , Anna Majda , Dimitros Theofanidis , Joanna Gotlib-Małkowska

Background

Global migration necessitates adeptness in intercultural situations and high cultural awareness, crucial for nurses. Ensuring safe healthcare for migrants in diverse settings is imperative. Cultivating cultural intelligence should start at the undergraduate level, facilitated by diverse educational approaches.

Aim

The aim was to analyse the correlation between participation in formal and informal education and the level of cultural intelligence in a group of undergraduate nursing students.

Design

Researchers conducted a nationwide cross-sectional multicentre online survey study.

Settings

We invited nursing students from all Polish medical universities offering undergraduate nursing studies to participate in the study.

Participants

The study sample consisted of 1373 undergraduate nursing students from 39 Polish nursing schools: 54.0 % - first year, 28.7 % - second year, 17.3 % - third year.

Methods

We used a Polish version of the Cultural Intelligence Scale. The questionnaire gathered demographic information and explored cultural experiences in both formal and informal education settings. We examined the influence of various forms of formal and informal education on the level of cultural intelligence using independent t-tests and one-way ANOVA. We measured effect sizes using Cohen's d for t-tests and eta squared (η2) for ANOVA. p values < 0.05 were considered statistically significant.

Results

The level of cultural intelligence of the students was a STEN score of five (M = 82.8 points). The largest effect related to the increase in cultural intelligence was observed for the survey item on interactions with culturally diverse people (Cohen's d = −0.62), and the smallest effect was observed for the survey item on multiculturalism-related content delivered during the course of study (η2 = 0.012). The analyses showed a significant correlation between formal education and cultural intelligence, especially for the combination of formal and informal education.

Conclusion

The combination of formal and informal education and rich intercultural experiences are crucial for the successful development of cultural intelligence among nursing students in Poland.
背景:全球移民需要善于处理跨文化情况并具有高度的文化意识,这对护士来说至关重要。确保在不同环境中为移民提供安全的医疗保健服务势在必行。培养文化智能应从本科阶段开始,并通过多样化的教育方法加以促进。目的:研究旨在分析参加正规和非正规教育与护理专业本科生文化智能水平之间的相关性:研究人员在全国范围内开展了一项横断面多中心在线调查研究:我们邀请了波兰所有开设护理本科专业的医科大学的护理专业学生参与研究:研究样本包括来自波兰 39 所护理院校的 1373 名护理本科生:54.0%为一年级学生,28.7%为二年级学生,17.3%为三年级学生:我们使用了波兰语版的文化智能量表。调查问卷收集了人口统计学信息,并探讨了正规和非正规教育环境中的文化体验。我们采用独立 t 检验和单因素方差分析,研究了各种正规和非正规教育形式对文化智能水平的影响。我们在进行 t 检验时使用 Cohen's d 测量效应大小,在进行方差分析时使用 eta 平方 (η2):学生的文化智能水平为 STEN 5 分(M = 82.8 分)。在与不同文化背景的人交往的调查项目中,观察到与文化智能提高相关的最大效应(Cohen's d = -0.62),而在学习过程中提供的多元文化相关内容的调查项目中,观察到最小效应(η2 = 0.012)。分析表明,正规教育与文化智能之间存在明显的相关性,尤其是在正规教育与非正规教育相结合的情况下:正规和非正规教育的结合以及丰富的跨文化经验对于波兰护理专业学生文化智能的成功发展至关重要。
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引用次数: 0
Challenge or threat? A Q-methodological study into nursing students' perceptions on learning to collaborate under stress 挑战还是威胁?护理专业学生压力下合作学习认知的q -方法学研究。
IF 3.6 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-12-09 DOI: 10.1016/j.nedt.2024.106534
F.S. Dijkstra , J.W. Grijpma , A. de la Croix , H. van Schuppen , M. Meeter , P.G. Renden

Introduction

Nursing students will come across stressful situations during their internships and will continue to do so in future practice. Because of the impact stress can have on performance, nursing students need to be equipped to work and collaborate in such situations. Careful consideration of the needs and desires of nursing students should be taken in account, in order to create a training environment that fosters students' ability to learn to collaborate under stress.

Aim

The aim of this study is to identify viewpoints of undergraduate nursing students towards the learning of collaboration in stressful situations, to understand their needs and desires, and to improve educational designs for training to collaborate in stressful situations.

Methods

We conducted a Q-methodology study, a mixed methods approach that studies and charts subjectivity, and uses a by-person factor analytical procedure to create profiles of shared viewpoints. The process of our Q-study is based on the following five steps: Q-set development (54 statements), participant selection (n = 29), Q-sorting procedure, data analysis, and factor interpretation.

Results

Q-factor analysis resulted in two prevailing factors that answer our research question. Twenty-five students loaded on these two factors, and factor interpretation resulted in Profile 1 “Practice makes perfect, so let's do it” and Profile 2 “Practice is needed, but it scares me”. Whereas Profile 1 regarded learning to collaborate in stress mainly as a challenge, Profile 2 appeared anxious despite feeling the necessity to learn this. An overarching consensus factor revealed the importance of a learning environment in which mistakes can be made.

Discussion

The two described profiles align with the biopsychosocial model of challenge and threat, and could help to recognize and address the individual needs of nursing students when learning to collaborate in stressful situations. Incorporating these profiles in training may guide students towards a more challenge-like appraisal of stressful situations.
导读:护理专业的学生在实习期间会遇到压力,在未来的实践中也会继续遇到压力。由于压力对表现的影响,护理专业的学生需要具备在这种情况下工作和合作的能力。应仔细考虑护理学生的需求和愿望,以创造一个培养学生在压力下学习合作能力的培训环境。目的:本研究旨在了解本科护生对压力情境下合作学习的看法,了解他们的需求和愿望,以改善压力情境下合作训练的教育设计。方法:我们进行了q方法论研究,这是一种研究和绘制主观性图表的混合方法,并使用逐人因素分析程序来创建共享观点的概况。我们的q研究过程基于以下五个步骤:q集开发(54个陈述),参与者选择(n = 29), q排序程序,数据分析和因素解释。结果:q因子分析得出两个主要因素回答了我们的研究问题。25名学生对这两个因素进行了分析,结果得出了“熟能生巧,所以让我们去做吧”和“需要练习,但我害怕”的观点。虽然资料1认为学习在压力下合作主要是一种挑战,但资料2却表现出焦虑,尽管觉得有必要学习这一点。一个首要的共识因素揭示了一个可以犯错误的学习环境的重要性。讨论:所描述的两种概况与挑战和威胁的生物心理社会模型一致,并且可以帮助识别和解决护理学生在学习压力情况下的合作时的个人需求。将这些资料纳入培训可能会引导学生对压力情况进行更具挑战性的评估。
{"title":"Challenge or threat? A Q-methodological study into nursing students' perceptions on learning to collaborate under stress","authors":"F.S. Dijkstra ,&nbsp;J.W. Grijpma ,&nbsp;A. de la Croix ,&nbsp;H. van Schuppen ,&nbsp;M. Meeter ,&nbsp;P.G. Renden","doi":"10.1016/j.nedt.2024.106534","DOIUrl":"10.1016/j.nedt.2024.106534","url":null,"abstract":"<div><h3>Introduction</h3><div>Nursing students will come across stressful situations during their internships and will continue to do so in future practice. Because of the impact stress can have on performance, nursing students need to be equipped to work and collaborate in such situations. Careful consideration of the needs and desires of nursing students should be taken in account, in order to create a training environment that fosters students' ability to learn to collaborate under stress.</div></div><div><h3>Aim</h3><div>The aim of this study is to identify viewpoints of undergraduate nursing students towards the learning of collaboration in stressful situations, to understand their needs and desires, and to improve educational designs for training to collaborate in stressful situations.</div></div><div><h3>Methods</h3><div>We conducted a Q-methodology study, a mixed methods approach that studies and charts subjectivity, and uses a by-person factor analytical procedure to create profiles of shared viewpoints. The process of our Q-study is based on the following five steps: Q-set development (54 statements), participant selection (<em>n</em> = 29), Q-sorting procedure, data analysis, and factor interpretation.</div></div><div><h3>Results</h3><div>Q-factor analysis resulted in two prevailing factors that answer our research question. Twenty-five students loaded on these two factors, and factor interpretation resulted in Profile 1 <em>“Practice makes perfect, so let's do it”</em> and Profile 2 <em>“Practice is needed, but it scares me”</em>. Whereas Profile 1 regarded learning to collaborate in stress mainly as a challenge, Profile 2 appeared anxious despite feeling the necessity to learn this. An overarching consensus factor revealed the importance of a learning environment in which mistakes can be made.</div></div><div><h3>Discussion</h3><div>The two described profiles align with the biopsychosocial model of challenge and threat, and could help to recognize and address the individual needs of nursing students when learning to collaborate in stressful situations. Incorporating these profiles in training may guide students towards a more challenge-like appraisal of stressful situations.</div></div>","PeriodicalId":54704,"journal":{"name":"Nurse Education Today","volume":"146 ","pages":"Article 106534"},"PeriodicalIF":3.6,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824753","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
Digital education in healthcare: A mixed methods evaluation of the advanced breast cancer for nurses (ABC4Nurses) eLearning programme 医疗保健中的数字教育:对晚期乳腺癌护士(ABC4Nurses)电子学习计划的混合方法评估。
IF 3.6 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-12-07 DOI: 10.1016/j.nedt.2024.106533
Sarah Sheehan , Maura Dowling , Amanda Shewbridge , Celia Diez de los Rios de la Serna , Gülcan Bağçivan , Grigorios Kotronoulas , Sema Erdem , Violet Aroyo , Theresa Wiseman , Amanda Drury

Background

Advanced breast cancer affects approximately 30 % of people diagnosed with breast cancer, leading to distressing symptoms and unmet needs. Despite the consensus on the need for specialist care, access remains inconsistent due to disparities in specialist cancer nurse education.

Objectives

The aim of this study was to evaluate the acceptability, usability, learning experience and perceived impact of the advanced breast cancer for nurses (ABC4Nurses) eLearning programme on learners' clinical practice.

Design

The ABC4Nurses programme was co-designed with people affected by advanced breast cancer and evaluated using a mixed methods approach.

Setting

The programme was made available freely online in English, Czech, Spanish, and Turkish.

Participants

During the evaluation period, 272 nurses commenced the programme, with 79 completing it.

Methods

The programme content was developed following a systematic review and Delphi study. Pre- and post-programme questionnaires and post-programme semi-structured interviews were conducted, guided by the Kirkpatrick Evaluation Framework.

Results

The programme, comprising six modules, was positively evaluated. Participants commended the accessibility, quality of materials, and relevance of content to clinical practice. Despite the self-directed nature of the programme influencing progression, participants reported increased confidence in caring for people living with advanced breast cancer.

Conclusion

The co-designed, multi-lingual online learning programme effectively enhanced cancer nurses' confidence in delivering care to people living with advanced breast cancer. The translation of programme materials broadened its reach, and future work will focus on expanding the programme's availability to underserved contexts through further translations.
背景:晚期乳腺癌影响了大约30%的乳腺癌确诊患者,导致令人痛苦的症状和未满足的需求。尽管对专科护理的需求达成了共识,但由于专科癌症护士教育的差异,获得专科护理的机会仍然不一致。目的:本研究的目的是评估晚期乳腺癌护士(ABC4Nurses)在线学习计划对学习者临床实践的可接受性、可用性、学习体验和感知影响。设计:ABC4Nurses项目与晚期乳腺癌患者共同设计,并采用混合方法进行评估。课程设置:该课程在网上免费提供英语、捷克语、西班牙语和土耳其语。参与者:在评估期间,272名护士开始了该计划,79名护士完成了该计划。方法:通过系统回顾和德尔菲研究制定节目内容。在柯克帕特里克评价框架的指导下,进行了方案前后问卷调查和方案后半结构化访谈。结果:该方案由六个模块组成,得到了积极的评价。与会者赞扬可及性、材料质量和内容与临床实践的相关性。尽管该方案具有影响进展的自我导向性质,但参与者报告说,他们对照顾晚期乳腺癌患者的信心有所增强。结论:共同设计的多语言在线学习课程有效地增强了癌症护士为晚期乳腺癌患者提供护理的信心。方案材料的翻译扩大了其范围,今后的工作将侧重于通过进一步的翻译扩大方案在服务不足的情况下的可用性。
{"title":"Digital education in healthcare: A mixed methods evaluation of the advanced breast cancer for nurses (ABC4Nurses) eLearning programme","authors":"Sarah Sheehan ,&nbsp;Maura Dowling ,&nbsp;Amanda Shewbridge ,&nbsp;Celia Diez de los Rios de la Serna ,&nbsp;Gülcan Bağçivan ,&nbsp;Grigorios Kotronoulas ,&nbsp;Sema Erdem ,&nbsp;Violet Aroyo ,&nbsp;Theresa Wiseman ,&nbsp;Amanda Drury","doi":"10.1016/j.nedt.2024.106533","DOIUrl":"10.1016/j.nedt.2024.106533","url":null,"abstract":"<div><h3>Background</h3><div>Advanced breast cancer affects approximately 30 % of people diagnosed with breast cancer, leading to distressing symptoms and unmet needs. Despite the consensus on the need for specialist care, access remains inconsistent due to disparities in specialist cancer nurse education.</div></div><div><h3>Objectives</h3><div>The aim of this study was to evaluate the acceptability, usability, learning experience and perceived impact of the advanced breast cancer for nurses (ABC4Nurses) eLearning programme on learners' clinical practice.</div></div><div><h3>Design</h3><div>The ABC4Nurses programme was co-designed with people affected by advanced breast cancer and evaluated using a mixed methods approach.</div></div><div><h3>Setting</h3><div>The programme was made available freely online in English, Czech, Spanish, and Turkish.</div></div><div><h3>Participants</h3><div>During the evaluation period, 272 nurses commenced the programme, with 79 completing it.</div></div><div><h3>Methods</h3><div>The programme content was developed following a systematic review and Delphi study. Pre- and post-programme questionnaires and post-programme semi-structured interviews were conducted, guided by the Kirkpatrick Evaluation Framework.</div></div><div><h3>Results</h3><div>The programme, comprising six modules, was positively evaluated. Participants commended the accessibility, quality of materials, and relevance of content to clinical practice. Despite the self-directed nature of the programme influencing progression, participants reported increased confidence in caring for people living with advanced breast cancer.</div></div><div><h3>Conclusion</h3><div>The co-designed, multi-lingual online learning programme effectively enhanced cancer nurses' confidence in delivering care to people living with advanced breast cancer. The translation of programme materials broadened its reach, and future work will focus on expanding the programme's availability to underserved contexts through further translations.</div></div>","PeriodicalId":54704,"journal":{"name":"Nurse Education Today","volume":"146 ","pages":"Article 106533"},"PeriodicalIF":3.6,"publicationDate":"2024-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873541","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 students' perceptions of patient safety culture and barriers to reporting medication errors: A cross-sectional study 护生对病人安全文化的认知和报告用药错误的障碍:一项横断面研究。
IF 3.6 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-12-06 DOI: 10.1016/j.nedt.2024.106539
Awatif M. Alrasheeday , Sameer A. Alkubati , Talal Ali Hussein Alqalah , Gamil Ghaleb Alrubaiee , Bushra Alshammari , Joseph U. Almazan , Saleh O. Abdullah , Ahmed Loutfy
<div><h3>Background</h3><div>Patient safety is critical to high-quality patient care. However, it is liable to medication errors (MEs).</div></div><div><h3>Objective</h3><div>Therefore, this study assessed perceptions of patient safety culture (PSC) and barriers to reporting MEs among nursing students in Hail City, Saudi Arabia.</div></div><div><h3>Methods</h3><div>The researchers conducted a cross-sectional study among 360 convenience students at the College of Nursing, University of Hail, in 2023. We collected data using questions about the characteristics of students, the Health Professional Education in Patient Safety Survey (H-PEPSS) questionnaire, and the Medication Error Reporting questionnaire. Students' mean PSC perception scores were calculated and compared based on their characteristics using the independent-samples <em>t</em>-test or one-way analysis of variance (ANOVA) was used as appropriate. We used Paired samples t-test to compare the mean scores of self-reported perceptions of PSC between classroom and clinical settings, with a significance level of <0.05.</div></div><div><h3>Results</h3><div>The overall PSC perception score was significantly higher in the classroom than in the clinical setting (<em>p</em> = 0.017). Students in the classroom setting scored significantly higher on the domains of “clinical safety skills” (<em>p</em> < 0.001), “effective communication” (<em>p</em> = 0.039), and “safety risk management” (<em>p</em> = 0.008) than those in the clinical setting. Conversely, students in the clinical setting scored significantly higher on the domains of “teamwork with other HCPs” (<em>p</em> < 0.001), “understanding human and environmental factors” (<em>p</em> = 0.039), and “recognizing and responding to immediate hazards” (<em>p</em> < 0.001). Female students and those who were in their second level, had PSC training, desired to participate in PSC training, and reported the presence of an error reporting system scored significantly higher on PSC perceptions in both settings. Most students (95.8 %) believed in the benefits of discovering and reporting MEs. However, a considerable proportion also expressed concerns about ME reporting, including fears of disciplinary action (87.5 %), blame for errors (87.2 %), and loss of respect from colleagues (85.6 %). Most students (97.5 %) also believed that MEs should be reported. However, only 11.1 % of students reported the occurrence of MEs, and 6.7 % experienced these errors.</div></div><div><h3>Conclusion</h3><div>Discrepancies exist in PSC perceptions among nursing students in Hail City between academic and real-world contexts, being consistently higher in the classroom compared to the clinical setting. PSC training and the presence of an error reporting system should be considered when developing interventions to improve PSC perceptions. This study revealed that many barriers were rated in a high percentages for reporting the medication, particularly fears of discip
背景:患者安全是高质量患者护理的关键。然而,它容易出现用药错误(MEs)。目的:因此,本研究评估了沙特阿拉伯Hail City护生对患者安全文化(PSC)的认知和报告MEs的障碍。方法:研究人员于2023年对美国海尔大学护理学院360名便利学生进行了横断面研究。我们使用学生特征问题、患者安全调查(H-PEPSS)卫生专业教育问卷和用药错误报告问卷收集数据。根据学生的特征计算和比较他们的PSC平均感知得分,使用独立样本t检验或酌情使用单因素方差分析(ANOVA)。我们使用配对样本t检验来比较课堂和临床环境中自我报告的PSC感知的平均得分,结果具有显著性水平:课堂中PSC总体感知得分显著高于临床环境(p = 0.017)。课堂环境下的学生在“临床安全技能”方面得分显著较高(p结论:海尔城护生在学术环境和现实环境中对PSC的认知存在差异,与临床环境相比,课堂环境中的PSC认知始终较高。在制定干预措施以改善对PSC的认识时,应考虑PSC培训和错误报告系统的存在。这项研究表明,报告用药的许多障碍被认为是高百分比,特别是害怕纪律处分,错误的指责和失去同事的尊重,应该解决。
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引用次数: 0
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Nurse Education Today
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