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Nutrition education for nursing students: A scoping review 护理专业学生的营养教育:范围审查
IF 3.6 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-10-15 DOI: 10.1016/j.nedt.2024.106460
Elisabeth Irene Karlsen Dogan , Iren Borgen , Pinar Ekiz , Nima Wesseltoft-Rao

Introduction

Nutritional care has long been recognized as a vital component of nursing. However, nutrition instruction faces many challenges in nursing education, and few studies have investigated this topic.

Aim

The study's aim was to investigate how nutrition education has been conducted in undergraduate nursing education.

Method

A scoping review was conducted according to the Preferred Reporting Items for Scoping Reviews (PRISMA-ScR) and Joanna Briggs Institute (JBI) recommendations. The search was conducted in April 2023, with an updated search in February 2024. We searched in the following EBSCO databases: Academic Search Elite, CINAHL, Education Source and ERIC. We also searched in PubMed and Embase via Ovid and Scopus. A total of 3634 articles were identified from the initial search. Duplicates were removed and articles were then screened by title, abstract and full text by the research team to ensure eligibility. We identified 30 articles for retrieval. Nine articles were ultimately included.

Results

The results were organized into five thematic groups: (a) learning through involving patients, (b) learning contextualized in clinical practice, (c) learning through an active teaching method on campus, (d) learning through interdisciplinary collaboration and (e) combining education on campus and learning in clinical placement.

Conclusion

The findings from the scoping review emphasized that nutrition education activities should utilize active, experiential and social learning strategies. Moreover, findings suggest the importance of interdisciplinary collaboration when conducting nutrition education. Nursing education must give due attention to nutrition education, both on campus and in clinical placement, to adequately prepare students for nutritional care in professional practice. Nutrition instruction in nursing education could benefit from addressing nutritional care at both an individual and a systemic level, to support nursing students to cope with various challenges related to nutritional care in the patient setting.
引言长期以来,营养护理一直被认为是护理工作的重要组成部分。本研究的目的是调查本科护理教育中如何开展营养教育。方法根据范围界定综述的首选报告项目(PRISMA-ScR)和乔安娜-布里格斯研究所(JBI)的建议进行范围界定综述。检索于 2023 年 4 月进行,并于 2024 年 2 月进行了更新。我们在以下 EBSCO 数据库中进行了检索:Academic Search Elite、CINAHL、Education Source 和 ERIC。我们还通过 Ovid 和 Scopus 在 PubMed 和 Embase 中进行了检索。初步检索共发现 3634 篇文章。研究小组删除了重复的文章,然后根据标题、摘要和全文对文章进行筛选,以确保符合条件。我们确定了 30 篇检索文章。结果研究结果分为五个专题组:(a) 让患者参与的学习,(b) 结合临床实践的学习,(c) 通过校园积极教学方法的学习,(d) 通过跨学科合作的学习,(e) 将校园教育与临床实习学习相结合。此外,研究结果表明,在开展营养教育时,跨学科合作非常重要。护理教育必须充分重视校园和临床实习中的营养教育,使学生为专业实践中的营养护理做好充分准备。护理教育中的营养教学可从个体和系统两个层面解决营养护理问题,以支持护理专业学生应对患者环境中与营养护理相关的各种挑战。
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引用次数: 0
Factors influencing nursing students' willingness to volunteer during wartime emergencies: A cross sectional study in Israel 影响护理专业学生在战时紧急情况下志愿服务意愿的因素:以色列横断面研究
IF 3.6 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-10-15 DOI: 10.1016/j.nedt.2024.106458
Merav Ben Natan, Roman Shapiro, Iris Schwartz, Rony Zer Aviv

Background

During wartime emergencies, the Ministry of Health in Israel faces workforce shortages, prompting consideration of nursing students as auxiliary support. Understanding the factors influencing nursing students' willingness to volunteer, is essential for effective crisis preparedness.

Aim

The research seeks to identify how self-efficacy, positive attitudes, institutional support, knowledge, age, gender, prior experience, and familial obligations impact nursing students' readiness to volunteer during mass casualty events in wartime.

Design

This study employed a descriptive, cross-sectional research approach.

Settings

Nursing schools in Israel.

Participants

A convenience sample of 300 nursing students who had commenced their studies for at least one month. The study targeted nursing students across Israel, regardless of their specific school affiliation. Recruitment was conducted through various channels, including face-to-face recruitment, emails, and synchronous chat groups.

Methods

Data were collected using a structured self-report questionnaire based on Bandura's self-efficacy theory and adapted from existing literature. Statistical analyses, included t-tests, Pearson correlation, and linear rand logistic regressions.

Results

The study found high levels of intent (M = 3.33, SD = 0.83), perceived self-efficacy (M = 3.25, SD = 0.54), and positive attitudes towards volunteering during wartime (M = 3.57, SD = 0.54) among nursing students towards volunteering during wartime. Significant correlations were observed between students' willingness to volunteer during wartime and factors such as positive attitudes to volunteer during wartime (r = 0.543, p < 0.01), perceived self-efficacy (r = 0.313, p < 0.01), institutional support (r = 0.313, p < 0.01), knowledge (r = 0.138, p < 0.05), age (r = 0.179, p < 0.01), and previous volunteering experience (r = 0.158, p < 0.01). Regression analyses indicated that positive attitudes towards wartime volunteering, perceived self-efficacy, institutional support, and prior volunteering were significant predictors of the intention to volunteer.

Conclusions

Nursing students in Israel demonstrate a high willingness to volunteer during wartime, influenced by factors such as perceived self-efficacy, positive attitudes towards volunteering, and institutional support. While these findings suggest potential areas for enhancing volunteerism, further research is needed to assess the effectiveness of targeted training and support interventions. Nonetheless, fostering these key factors could strengthen the healthcare system's capacity to respond to wartime emergencies.
背景在战时紧急情况下,以色列卫生部面临着劳动力短缺的问题,这促使人们考虑让护理专业学生作为辅助支持人员。本研究旨在确定自我效能感、积极态度、机构支持、知识、年龄、性别、先前经验和家庭义务如何影响护理专业学生在战时大规模伤亡事件中提供志愿服务的意愿。研究对象为以色列各地的护理专业学生,无论其所属学校如何。研究方法根据班杜拉的自我效能理论和现有文献改编的结构化自我报告问卷收集数据。结果研究发现,护理专业学生对战时志愿服务的意向(M=3.33,SD=0.83)、感知自我效能(M=3.25,SD=0.54)和积极态度(M=3.57,SD=0.54)都很高。学生的战时志愿服务意愿与战时志愿服务的积极态度(r = 0.543,p <0.01)、感知自我效能(r = 0.313,p <;0.01)、机构支持(r = 0.313,p <;0.01)、知识(r = 0.138,p <;0.05)、年龄(r = 0.179,p <;0.01)和以往志愿服务经历(r = 0.158,p <;0.01)等因素。回归分析表明,对战时志愿服务的积极态度、感知自我效能感、机构支持和以前的志愿服务经历对志愿服务意向有显著的预测作用。结论以色列的护理专业学生在感知自我效能感、对志愿服务的积极态度和机构支持等因素的影响下,表现出很高的战时志愿服务意愿。虽然这些研究结果表明了加强志愿服务的潜在领域,但还需要进一步的研究来评估有针对性的培训和支持干预措施的有效性。然而,培养这些关键因素可以加强医疗保健系统应对战时紧急情况的能力。
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引用次数: 0
Body transformations: An opportunity to work on the ethical perspective through photovoice and bodymapping 身体转变:通过摄影 "选择"(photovoice)和 "身体绘图"(bodymapping)从伦理角度开展工作的机会。
IF 3.6 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-10-14 DOI: 10.1016/j.nedt.2024.106456
MCarmen Solano-Ruiz , Ana Isabel Gutiérrez-García , José Siles-González , Elena Andina-Díaz

Background

Body transformations are alterations of the body due to symbolic, aesthetic, religious or cultural reasons. The increase in frequency, especially among young people, raises ethical questions. Future nurses must understand the ethical implications of social phenomena.

Aim

The aim was to find out how nursing students perceive bodily transformations from the perspective of Foulcauldian self-care and to determine the ethical value and health consequences of these transformations.

Research design

A qualitative study based on the socio-critical paradigm and based on the theory's principles of the Technologies of the self (Foucault). Photovoice and bodymapping were used for the reflection process. The participants were 267 first-year nursing students from two Spanish universities. A content analysis was conducted.

Ethical considerations

The Research Ethics Committee of both universities approved this study.

Findings

The body transformations most photographed by the students were piercing, tattoos and surgical interventions. Two main categories emerged: 1. Body modifications as constructions of the self with two subcategories, the pursuit of bodily aesthetics and the pursuit of spiritual aesthetics. 2. Health consequences.
The need to build an identity of their own, as well as to be integrated into their environment by helping to improve not only their external appearance but also their inner side were the main inputs. The major ethical dilemmas are evident when body modifications are influenced by social and cultural values. The debate and reflection of the students through photovoice and its symbolic representation in bodymapping highlighted its health consequences. For the students, nursing should accompany them throughout the entire process, highlighting the importance of ethical values.

Conclusion

The ethical value attributed to the different body modifications has been shown, revealing how they have a common origin, the improvement of their corporal and spiritual aesthetics. Nursing has a role as an active carer of the health of these people and must act in accordance with the ethical principles of this profession.
背景:身体改造是出于象征、审美、宗教或文化原因而对身体进行的改变。这种现象越来越频繁,尤其是在年轻人中,引发了伦理问题。目的:本研究旨在了解护理专业学生如何从弗尔考尔迪式自我保健的角度看待身体改造,并确定这些改造的伦理价值和健康后果:研究设计:基于社会批判范式的定性研究,以自我技术理论(福柯)的原则为基础。在反思过程中使用了摄影舆论和身体地图。参与者是来自西班牙两所大学的 267 名护理专业一年级学生。进行了内容分析:伦理考虑:两所大学的研究伦理委员会都批准了这项研究:学生拍摄最多的身体变化是穿孔、纹身和外科手术。主要分为两大类:1. 身体改造是对自我的建构,分为追求身体美感和追求精神美感两个子类;2.2.健康后果。建立自我身份的需要,以及通过帮助改善外在形象和内在气质来融入环境的需要是主要的投入。当身体改造受到社会和文化价值观的影响时,主要的伦理困境就显而易见了。学生们通过摄影自述及其在身体图谱中的象征性表现进行的辩论和反思,突出了其对健康的影响。对于学生来说,护理工作应伴随他们的整个过程,突出伦理价值的重要性:结论:不同的身体改造具有不同的伦理价值,揭示了它们的共同起源,即改善身体和精神美感。护理工作是这些人健康的积极护理者,必须按照这一职业的伦理原则行事。
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引用次数: 0
Pre-licensure nursing students' experiences of psychological safety: A longitudinal qualitative study 执照前护理专业学生的心理安全体验:纵向定性研究。
IF 3.6 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-10-12 DOI: 10.1016/j.nedt.2024.106451
Laura Butler , Bret Lyman

Background

Previous studies have explored the concept of psychological safety among pre-licensure nursing students; however, the literature is notably sparse on personal descriptions of pre-licensure nursing students' experiences of psychological safety in clinical settings. Individual descriptions of psychological safety will provide added insight and understanding about the elements that shape psychological safety in pre-licensure nursing students.

Aim

This research aimed to explore pre-licensure nursing students' experiences of psychological safety during clinical rotations and how these experiences change over time.

Design

A longitudinal, qualitative, descriptive design was used for this study.

Settings

Participants were recruited from a nursing program in the Mountain West region.

Participants

Fifty-four students from three cohorts were enrolled in the study at the time of this data collection and analysis.

Methods

Each participant completed a semi-structured telephone interview after finishing their first academic term involving a clinical rotation. Participants completed additional interviews after each subsequent semester. Individual waves of data were analyzed using thematic analysis, and multiple waves of data were analyzed using a simplified trajectory approach.

Results

Five themes emerged from the data: “Who I Am,” “Where I Am,” “Who I Am With,” “Responding in the Moment,” and “Anticipating the Future.”

Conclusions

The psychological safety of pre-licensure nursing students in clinical settings is fundamental to their learning and future practice within the nursing profession. The development of psychological safety is dynamic and multifaceted. It is interpersonal but also shaped by organizational factors. Any one person can make an outsized difference in a student's experience. Understanding these themes can help clinical preceptors and nursing faculty understand and better fulfill their respective roles in fostering psychological safety in clinical settings. Additional insights are expected as the longitudinal study continues.
背景:以前的研究曾探讨过执照前护理专业学生的心理安全概念;然而,关于执照前护理专业学生在临床环境中的心理安全体验的个人描述的文献却少之又少。对心理安全的个人描述将为我们提供更多关于形成执照前护理专业学生心理安全的要素的见解和理解。目的:本研究旨在探讨执照前护理专业学生在临床轮转期间的心理安全体验,以及这些体验如何随着时间的推移而变化:本研究采用纵向、定性、描述性设计:环境:从西部山区的一个护理专业中招募参与者:方法:每位参与者都填写了一份半结构式问卷:每位参与者在完成第一个学期的临床轮转后,都完成了一次半结构化的电话访谈。在随后的每个学期结束后,参与者都完成了额外的访谈。采用主题分析法对单波数据进行分析,采用简化轨迹法对多波数据进行分析:结果:数据中出现了五个主题:结果:数据中出现了五个主题:"我是谁"、"我在哪里"、"我和谁在一起"、"当下的反应 "和 "预测未来":执照前护理专业学生在临床环境中的心理安全对他们的学习和未来在护理专业中的实践至关重要。心理安全的发展是动态和多方面的。它是人与人之间的,但也受组织因素的影响。任何一个人都可能对学生的经历产生巨大的影响。了解这些主题可以帮助临床指导员和护理教师理解并更好地履行各自在临床环境中促进心理安全的职责。随着纵向研究的不断深入,预计还会有更多的见解。
{"title":"Pre-licensure nursing students' experiences of psychological safety: A longitudinal qualitative study","authors":"Laura Butler ,&nbsp;Bret Lyman","doi":"10.1016/j.nedt.2024.106451","DOIUrl":"10.1016/j.nedt.2024.106451","url":null,"abstract":"<div><h3>Background</h3><div>Previous studies have explored the concept of psychological safety among pre-licensure nursing students; however, the literature is notably sparse on personal descriptions of pre-licensure nursing students' experiences of psychological safety in clinical settings. Individual descriptions of psychological safety will provide added insight and understanding about the elements that shape psychological safety in pre-licensure nursing students.</div></div><div><h3>Aim</h3><div>This research aimed to explore pre-licensure nursing students' experiences of psychological safety during clinical rotations and how these experiences change over time.</div></div><div><h3>Design</h3><div>A longitudinal, qualitative, descriptive design was used for this study.</div></div><div><h3>Settings</h3><div>Participants were recruited from a nursing program in the Mountain West region.</div></div><div><h3>Participants</h3><div>Fifty-four students from three cohorts were enrolled in the study at the time of this data collection and analysis.</div></div><div><h3>Methods</h3><div>Each participant completed a semi-structured telephone interview after finishing their first academic term involving a clinical rotation. Participants completed additional interviews after each subsequent semester. Individual waves of data were analyzed using thematic analysis, and multiple waves of data were analyzed using a simplified trajectory approach.</div></div><div><h3>Results</h3><div>Five themes emerged from the data: “Who I Am,” “Where I Am,” “Who I Am With,” “Responding in the Moment,” and “Anticipating the Future.”</div></div><div><h3>Conclusions</h3><div>The psychological safety of pre-licensure nursing students in clinical settings is fundamental to their learning and future practice within the nursing profession. The development of psychological safety is dynamic and multifaceted. It is interpersonal but also shaped by organizational factors. Any one person can make an outsized difference in a student's experience. Understanding these themes can help clinical preceptors and nursing faculty understand and better fulfill their respective roles in fostering psychological safety in clinical settings. Additional insights are expected as the longitudinal study continues.</div></div>","PeriodicalId":54704,"journal":{"name":"Nurse Education Today","volume":"144 ","pages":"Article 106451"},"PeriodicalIF":3.6,"publicationDate":"2024-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481176","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
Nursing students' experiences of digital learning in Chinese higher education institutions: A descriptive qualitative study 中国高等院校护理专业学生的数字化学习体验:描述性定性研究
IF 3.6 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-10-11 DOI: 10.1016/j.nedt.2024.106454
Ling Tong, Yirou Niu, Zehui Xuan, Shuai Jin, Yanling Wang, Qian Xiao

Background

As digital learning is rapidly developing and being applied to almost all subjects in higher education nursing. Although digital learning has been shown to have a wide range of benefits, little is known about research into Chinese students' perceptions of digital learning, and there is a need to explore students' digital learning experiences.

Aim

This study aimed to explore the digital learning experiences of undergraduate nursing students in Chinese higher education institutions, with the aim of informing future improvements in digital teaching and learning.

Design

A descriptive qualitative study.

Settings

This study was conducted at six universities in three cities in China.

Participants

Twenty-six nursing students with at least one year's experience of digital learning.

Method

Semi-structured online interviews were used to collect the data, and conventional content analysis was used to analyze the data.

Findings

Nursing students' digital learning experiences were categorized into three themes: positive digital learning experience, negative digital learning experience, and barriers to digital learning perception of students.

Conclusions

With the help of advanced digital technology, students can access rich and diversified learning resources anytime and anywhere according to their personal learning pace and interests, which greatly enhances their autonomy and interest in learning. Open online courses have effectively compensated for regional differences in teachers' qualifications, enabling students in remote areas to enjoy high-quality teaching from top educational institutions and giving a solid impetus for improving nursing education in China. However, with the popularity of digital teaching, its design and innovation shortcomings have gradually emerged: students feel lonely and alienated when learning online, and long for more of the interaction and care found in traditional teaching. At the same time, the lack of regulation and assessment standards has created inequities in learning and affected student motivation.
研究背景 随着数字化学习的迅速发展,它几乎被应用于高等教育护理领域的所有学科。本研究旨在探讨中国高等院校护理专业本科生的数字化学习经验,以期为未来数字化教学的改进提供参考。结论借助先进的数字化技术,学生可以根据个人的学习进度和兴趣,随时随地获取丰富多样的学习资源,极大地提高了学习的自主性和兴趣。在线开放课程有效弥补了师资的地区差异,使偏远地区的学生也能享受到一流教育机构的优质教学,为提高我国护理教育水平起到了坚实的推动作用。然而,随着数字化教学的普及,其在设计和创新方面的不足也逐渐显现:学生在网络学习时感到孤独和疏离,渴望更多传统教学中的互动和关怀。同时,由于缺乏规范和考核标准,造成了学习上的不公平,影响了学生的学习积极性。
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引用次数: 0
Let's play and learn: Educational escape room to improve mental health knowledge in undergraduate nursing students 边玩边学教育逃生室提高护理本科生的心理健康知识水平
IF 3.6 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-10-11 DOI: 10.1016/j.nedt.2024.106453
Marta Arrue , Nerea Suárez , Maider Ugartemendia-Yerobi , Izaro Babarro

Introduction

Innovative teaching methods have become increasingly important in higher education. Through these methods, gamification in general and educational escape rooms in particular are becoming more important.

Aim

The dual aim of this study was first, to describe an on-site educational escape room, assessing students' motivation and satisfaction, and second, to compare the declarative knowledge obtained and anxiety levels by applying two teaching-learning strategies.

Method

The study sample consisted of 108 nursing students from northern Spain. Participants were divided in two groups: the experimental group and the control group. The experimental group took part in an educational escape room activity while a case-based learning method was used with the control group. After the activities, both groups were asked about their anxiety levels (STAI) and the declarative knowledge they had obtained (ad hoc questionnaire). In addition, satisfaction (ad hoc questionnaire) and motivation (GAMEX) were measured in the experimental group. Gender differences and group differences were explored applying the Mann Whitney U test.

Results

Students from the escape room obtained higher declarative knowledge on average compared to participants from the control group. Regarding escape room methodology, participants demonstrated high motivation and satisfaction rates on average, although this was negatively related to declarative knowledge.

Discussion

These results showed that educational escape room can increase the participants' knowledge level although it was negatively correlated with motivation (GAMEX). These findings corroborate previous researchers´ conclusions which highlighted the importance of transcending simple student perception when assessing the effectiveness of educational practices.

Conclusion

The on-site educational escape room is therefore innovative when teaching the course subject of mental health. Further studies are required, comparing the effectiveness of on-site and virtual escape rooms and these methods should be contrasted against other teaching practices, thus promoting research in nursing education.
导言创新教学方法在高等教育中变得越来越重要。本研究的双重目的首先是描述一个现场教育逃生室,评估学生的学习动机和满意度;其次是比较通过应用两种教学策略获得的陈述性知识和焦虑水平。参与者分为两组:实验组和对照组。实验组参加了一项教育性密室逃脱活动,而对照组则采用了基于案例的学习方法。活动结束后,两组参与者都被问及焦虑程度(STAI)和获得的陈述性知识(临时问卷)。此外,还对实验组的满意度(临时问卷)和学习动机(GAMEX)进行了测量。采用曼-惠特尼 U 检验法探讨了性别差异和组间差异。讨论这些结果表明,教育性逃生室可以提高参与者的知识水平,但与动机(GAMEX)呈负相关。这些结果证实了先前研究人员的结论,即在评估教育实践的有效性时,必须超越学生的简单感知。还需要进一步研究,比较现场逃生室和虚拟逃生室的有效性,并将这些方法与其他教学实践进行对比,从而促进护理教育研究。
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引用次数: 0
Qualified nurses' knowledge of the biosciences: Systematic scoping review 合格护士对生物科学的了解:系统范围审查。
IF 3.6 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-10-10 DOI: 10.1016/j.nedt.2024.106455
Lorna O'Reilly, Catherine Meads

Aim

To appraise and synthesise empirical studies on the use of bioscience knowledge in clinical work by qualified nurses. It is assumed that post-registration courses should teach biosciences so that it can be used by qualified nurses in clinical practice. This is about understanding what knowledge is being used to direct patient care, to ensure that the right decisions are being made for the right reasons.

Design

Systematic scoping review of mixed study designs.

Data sources

Medline, CINAHL, Embase, databases and Google Scholar were searched, 1980 – September 2023, followed by hand searches, reference list check of retrieved papers and personal contacts.

Review methods

Potentially eligible papers were scrutinised by 2 reviewers who also completed data extraction, with disagreements resolved through discussion. Quality assessment used CASP checklists appropriate to each study design. Thematic synthesis applied an interpretative approach to extracting data. No meta-analysis was possible.

Results

Fifteen papers were included; eleven with quantitative data and seven with qualitative data. Qualified nurses in general did not feel prepared for their role due to lack of knowledge of the biosciences. There were mixed views on the usefulness of bioscience knowledge for patient care.

Conclusions

The relationship between bioscience knowledge and clinical practice remains a dichotomy. Whilst there continues to be strong support for applying biosciences to patient care, there is a dearth of convincing evidence to support the usefulness of this knowledge in clinical decision-making.
目的:评估和综合有关合格护士在临床工作中使用生物科学知识的实证研究。我们认为,注册后课程应教授生物科学知识,以便合格护士在临床实践中使用这些知识。这涉及到了解哪些知识被用于指导患者护理,以确保出于正确的原因做出正确的决定:数据来源:Medline、CINAHL、Embedical Journal:数据来源:检索 1980 年至 2023 年 9 月的 Medline、CINAHL、Embase、数据库和 Google Scholar,然后进行人工检索,对检索到的论文进行参考文献列表检查,并与个人联系:由两名审稿人对可能符合条件的论文进行审查,同时完成数据提取,并通过讨论解决分歧。质量评估采用与每项研究设计相适应的 CASP 核对表。专题综合采用解释性方法提取数据。无法进行荟萃分析:共收录了 15 篇论文,其中 11 篇提供了定量数据,7 篇提供了定性数据。由于缺乏生物科学方面的知识,合格的护士普遍认为没有为自己的角色做好准备。关于生物科学知识对病人护理的作用,人们的看法不一:结论:生物科学知识与临床实践之间的关系仍然是对立的。尽管将生物科学应用于病人护理仍然得到了强有力的支持,但缺乏令人信服的证据来证明这些知识在临床决策中的有用性。
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引用次数: 0
Optimizing triage education for emergency room nurses: A scoping review 优化急诊室护士的分诊教育:范围审查
IF 3.6 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-10-09 DOI: 10.1016/j.nedt.2024.106452
Hui Ju Shin , Subin Park , Hyun Joo Lee

Aims

Accurate triage decisions by emergency room nurses are pivotal for patient prognosis and efficient utilization of resources. This study aimed to identify teaching methods, contents, intervention characteristics, and initial consideration of educational design for the development of triage education, targeting triage nurses.

Design

A scoping review.
Data sources: PubMed, CINAHL, Web of Science, Embase, and RISS were searched for studies in either English or Korean, regardless of publication year.

Review methods

The review was conducted according to the Joanna Briggs Institute guidelines. Studies published before November 15, 2023 were selected, based on the following index terms in each database: nurses, triage, education, and emergency services, hospital.

Results

Of the 20 studies included in this review, five focused on severity classification of patients with cardiovascular diseases, one addressed infectious diseases, two examined pediatric patients, one explored patients with trauma, and the remaining eleven were not limited to specific diseases. Eleven studies (55 %) employed face-to-face (offline) education, whereas six (30 %) used non-face-to-face (online) education. The teaching methods were classified as teacher-centered learning and student-centered learning. The educational strategies included in-person lectures, online classes, demonstrations, simulations, mobile technology or web-based programs, group discussions, role-plays, and flipped learning. Outcome variables, such as triage accuracy, knowledge, performance ability, self-efficacy, satisfaction, wait time, and competency were measured as intervention effects.

Conclusions

This review demonstrates the key characteristics and contents of triage education interventions, along with key considerations in the initial design stages. Triage education covers a wide range of contents and diverse teaching methods pertinent to severity classification in triage practice. Effective educational programs hinge on the meticulous planning of objectives, optimal selection of the target population, needs assessment, and suitable teaching methods and materials. Future triage education for emergency room nurses should be tailored to specific participants while anticipating and planning all potential circumstances of implementation.
目的急诊室护士准确的分诊决策对患者预后和资源的有效利用至关重要。本研究旨在确定针对分诊护士开展分诊教育的教学方法、内容、干预特点以及对教育设计的初步考虑:资料来源:PubMed、CINAHL、Web of Science、Embase 和 RISS,检索英文或韩文研究,不考虑发表年份。根据各数据库中的以下索引词:护士、分诊、教育、急诊服务、医院,筛选出 2023 年 11 月 15 日之前发表的研究。结果在纳入本综述的 20 项研究中,有 5 项侧重于心血管疾病患者的严重程度分类,1 项涉及传染病,2 项研究了儿科患者,1 项探讨了创伤患者,其余 11 项不限于特定疾病。有 11 项研究(55%)采用了面对面(离线)教育,有 6 项研究(30%)采用了非面对面(在线)教育。教学方法分为以教师为中心的学习和以学生为中心的学习。教学策略包括面对面授课、在线课堂、演示、模拟、移动技术或基于网络的程序、小组讨论、角色扮演和翻转学习。分诊准确率、知识、表现能力、自我效能感、满意度、等待时间和能力等结果变量均作为干预效果进行了测量。分诊教育涵盖了与分诊实践中严重程度分类相关的广泛内容和多种教学方法。有效的教育计划取决于目标的精心规划、目标人群的最佳选择、需求评估以及合适的教学方法和材料。未来针对急诊室护士的分诊教育应针对特定参与者量身定制,同时预测和规划所有可能的实施情况。
{"title":"Optimizing triage education for emergency room nurses: A scoping review","authors":"Hui Ju Shin ,&nbsp;Subin Park ,&nbsp;Hyun Joo Lee","doi":"10.1016/j.nedt.2024.106452","DOIUrl":"10.1016/j.nedt.2024.106452","url":null,"abstract":"<div><h3>Aims</h3><div>Accurate triage decisions by emergency room nurses are pivotal for patient prognosis and efficient utilization of resources. This study aimed to identify teaching methods, contents, intervention characteristics, and initial consideration of educational design for the development of triage education, targeting triage nurses.</div></div><div><h3>Design</h3><div>A scoping review.</div><div>Data sources: PubMed, CINAHL, Web of Science, Embase, and RISS were searched for studies in either English or Korean, regardless of publication year.</div></div><div><h3>Review methods</h3><div>The review was conducted according to the Joanna Briggs Institute guidelines. Studies published before November 15, 2023 were selected, based on the following index terms in each database: nurses, triage, education, and emergency services, hospital.</div></div><div><h3>Results</h3><div>Of the 20 studies included in this review, five focused on severity classification of patients with cardiovascular diseases, one addressed infectious diseases, two examined pediatric patients, one explored patients with trauma, and the remaining eleven were not limited to specific diseases. Eleven studies (55 %) employed face-to-face (offline) education, whereas six (30 %) used non-face-to-face (online) education. The teaching methods were classified as teacher-centered learning and student-centered learning. The educational strategies included in-person lectures, online classes, demonstrations, simulations, mobile technology or web-based programs, group discussions, role-plays, and flipped learning. Outcome variables, such as triage accuracy, knowledge, performance ability, self-efficacy, satisfaction, wait time, and competency were measured as intervention effects.</div></div><div><h3>Conclusions</h3><div>This review demonstrates the key characteristics and contents of triage education interventions, along with key considerations in the initial design stages. Triage education covers a wide range of contents and diverse teaching methods pertinent to severity classification in triage practice. Effective educational programs hinge on the meticulous planning of objectives, optimal selection of the target population, needs assessment, and suitable teaching methods and materials. Future triage education for emergency room nurses should be tailored to specific participants while anticipating and planning all potential circumstances of implementation.</div></div>","PeriodicalId":54704,"journal":{"name":"Nurse Education Today","volume":"144 ","pages":"Article 106452"},"PeriodicalIF":3.6,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142433473","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
Ethical sensitivity and compassion competence in nursing students: Two-center study/comparison of two different cultures 护理专业学生的道德敏感性和同情能力:双中心研究/两种不同文化的比较
IF 3.6 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-10-09 DOI: 10.1016/j.nedt.2024.106450
Mağfiret Kaşıkçı , Zeynep Yıldırım , Roger Watson

Background

Although the literature includes studies on nursing students' ethical sensitivity and compassion competence, no study has examined and compared these skills among nursing students from different cultures.

Aim

This research determined and compared the ethical sensitivity and compassion competency levels of nursing students in two different geographies, one in Turkey (Group I) and one in the Turkish Republic of Northern Cyprus (Group II), which hosts students with different cultural characteristics.

Design

Quantitative and cross-sectional research.

Method

The research was conducted with 201 nursing students in Group I and Group II, who were studying in the English Nursing program at the Nursing Faculties, received clinical practice training, took ethics in nursing courses, and agreed to participate. “Sociodemographic Form,” “Moral Sensitivity Questionnaire,” and “Compassion Competence Scale” were used to collect data. Frequency, percentage, mean, standard deviation, and Pearson correlation analysis were used to evaluate the data.

Results

The mean “Moral Sensitivity Questionnaire” scores of nursing students in Group I and Group II are 149.52 (SD 21.13) and 155.63 (SD 25.21), respectively. The mean scores of the nursing students in Group I and Group II on the “Compassion Competence Scale” are 3.88 (SD 0.47) and 4.29 (SD 0.50), respectively. It was determined that the “Moral Sensitivity Questionnaire” and “Compassion Competency Scale” mean scores of the nursing students in Group II were higher than those of the nursing students in Group I, and this difference was statistically significant (p < 0.05).

Conclusion

The moral sensitivity and compassion competence of nursing students at the two universities were high. When the scores of the groups were compared, it was observed that the moral sensitivity and compassion competence levels of the nursing students in Group II were statistically significantly higher than those of the nursing students in Group I. The predictors of this were evaluated as to why students chose the nursing department, the country, and the department they liked.
背景虽然有文献对护理专业学生的伦理敏感性和同情能力进行了研究,但还没有研究对来自不同文化背景的护理专业学生的这些技能进行考察和比较。目的本研究确定并比较了两个不同地区护理专业学生的伦理敏感性和同情能力水平,一个是土耳其(I 组),另一个是北塞浦路斯土耳其共和国(II 组),这两个地区的学生具有不同的文化特征。方法研究对象为 I 组和 II 组的 201 名护理专业学生,他们在护理学院学习英语护理专业,接受临床实践培训,学习护理伦理学课程,并同意参与研究。研究采用 "社会人口调查表"、"道德敏感性问卷 "和 "同情心胜任力量表 "收集数据。结果 第一组和第二组护生的 "道德敏感性问卷 "平均分分别为 149.52 分(标准差 21.13 分)和 155.63 分(标准差 25.21 分)。第一组和第二组护生在 "同情心胜任量表 "上的平均得分分别为 3.88(标准差 0.47)和 4.29(标准差 0.50)。经测定,Ⅱ组护生的 "道德敏感性问卷 "和 "同情心胜任力量表 "平均分均高于Ⅰ组护生,差异有统计学意义(P <0.05)。对两组学生的得分进行比较后发现,第二组护理专业学生的道德敏感性和同情能力水平在统计学上明显高于第一组护理专业学生。
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引用次数: 0
Development and evaluation of a spaced eLearning intervention for nurses in enhancing urinary catheter management - A co-design study in partnership with research end-users 开发和评估针对护士的间隔式电子学习干预措施,以加强导尿管管理--与研究最终用户合作开展的共同设计研究
IF 3.6 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-10-05 DOI: 10.1016/j.nedt.2024.106448
Joby Alex , Caleb Ferguson , Lucie M. Ramjan , Michelle Louise Fishburn , Jed Montayre , Yenna Salamonson

Background

Nurses play a critical role in supporting patients in self-managing their indwelling urinary catheters and preventing avoidable hospital presentations. This study aimed to explore the effectiveness of a co-designed educational approach developed to enhance nurses' ability to provide optimal care for patients with catheters.

Aim

The primary aim of this study was to enhance nurses' knowledge and skills in urinary catheterisation, care, and management. The secondary aim was to transform their current catheter management practices to improve patient outcomes.

Setting

Nurses (n = 127) from one New South Wales, Australia region participated in the study. These nurses provided healthcare across various community settings. Ethics approval was received from the Local Health District (HREC/2019/ETH12575) and the study was registered in ANZCTR (ACTRN12621000683831).

Methods

A mixed-methods approach was used, collecting data at baseline and after the intervention. Quantitative data were analysed using descriptive statistics, tests for normality, and bivariate analysis with the Wilcoxon Signed Ranks test to identify differences between variables. Qualitative data were analysed using a directed content analysis approach to categorise occurrences of specific phenomena.

Results

The composite mean knowledge score increased from 65.03 to 84.30 following the intervention (p < 0.001). In addition, the magnitude of knowledge score improvement in seven out of eight questions following the intervention were: Financial support: 1.1 %; Bladder spasm/urine leakage: 3.3 %; Blockage: 3.5 %; Catheter-Associated Urinary Tract Infection (CAUTI): 4.4 %; Self-management: 6.1 %; Sexuality: 7.9 %; and Urinary catheterisation: 11.3 %. Qualitative findings confirmed that the eLearning module was effective in transforming participants' clinical practice, towards improving patient outcomes.

Conclusions

The co-designed eLearning module effectively addressed the learning needs of nurses, enhancing their knowledge and skills in urinary catheter management. Incorporating a theoretical model and contextual approach in the intervention delivery increased relevance, personalisation, and engagement, facilitating the behaviour change required to transform current practices.
背景护士在支持患者自我管理留置导尿管和预防可避免的住院治疗方面发挥着至关重要的作用。本研究旨在探讨共同设计的教育方法的有效性,该方法旨在提高护士为留置导尿管患者提供最佳护理的能力。环境来自澳大利亚新南威尔士州一个地区的护士(n = 127)参与了这项研究。这些护士在不同的社区环境中提供医疗服务。该研究获得了当地卫生区的伦理批准(HREC/2019/ETH12575),并在ANZCTR(ACTRN12621000683831)上注册。方法采用混合方法,收集基线和干预后的数据。定量数据采用描述性统计、正态性检验和双变量分析(Wilcoxon Signed Ranks test)进行分析,以确定变量之间的差异。定性数据采用定向内容分析法进行分析,对特定现象的出现进行分类。此外,在八个问题中,有七个问题的知识得分在干预后的提高幅度分别为:(1)、(2)和(3):经济支持6.1%;性生活:7.9%;导尿:11.3 %.定性研究结果证实,电子学习模块有效地改变了参与者的临床实践,从而改善了患者的治疗效果。将理论模型和情境方法融入干预措施的实施中,提高了相关性、个性化和参与度,促进了改变当前实践所需的行为改变。
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引用次数: 0
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Nurse Education Today
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