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Competency-based and primary health care oriented undergraduate nursing programme: Curriculum development and implementation process 以能力为基础、以初级保健为导向的本科护理课程:课程开发和实施过程
Pub Date : 2023-12-05 DOI: 10.5430/jnep.v14n3p45
Barbara Dube, N. Mtshali, A. Harerimana
Background and aim: Primary Health Care is a foundational element within the realm of healthcare reforms, serving as a linchpin for achieving Universal Health Coverage and Sustainable Development Goals. Globally, there is a growing emphasis on building a robust primary health care nursing workforce to meet the challenges arising from chronic and complex diseases. Nursing schools are expected to align their educational programmes to the population’s health and the country’s health context, thus integrating relevant primary health care related competencies into their curricula. The study aimed to analyse the process of developing and implementing a primary health care oriented undergraduate nursing curriculum in South Africa.Methods: A qualitative grounded theory approach by Strauss and Corbin’s framework guided this study. Forty participants—purposively selected—participated in the study. The data were collected using focus group interviews, in-depth interviews, observations, document analysis and memos. The data were analysed using the grounded theory method of constant comparative data analysis through a systematic coding, categorisation and theory-building process.Results: The development of a primary health care oriented undergraduate nursing curriculum included: creating a curriculum team, establishing the context, obtaining the consensus on graduate primary health care competencies, determining curriculum foundation, selecting and organising the content and learning experiences, selecting experiential learning sites, selecting teaching, learning and assessment strategies. Furthermore, the study revealed competencies in primary health care expected from the students: care provision, professionalism, communication, collaboration, health advocacy, leadership and management and research. The implementation of a competency-based and PHC-oriented curriculum required the capacity building of facilitators, students, clinical mentors and preceptors and effectively adopting transformative teaching, learning and assessment.Conclusions: A competency-based and primary health care oriented undergraduate nursing curriculum is a tool to assist in producing competent graduates who are relevant and responsive to the population’s needs in a primary health care oriented healthcare system.
背景和目的:初级卫生保健是卫生保健改革领域的基本要素,是实现全民健康覆盖和可持续发展目标的关键。在全球范围内,人们越来越重视建立一支强大的初级卫生保健护理队伍,以应对慢性和复杂疾病带来的挑战。预计护理学校将使其教育方案与人口健康和国家健康状况相一致,从而将相关的初级保健能力纳入其课程。本研究旨在分析南非以初级保健为导向的本科护理课程的制定和实施过程。方法:采用Strauss和Corbin的定性扎根理论框架指导本研究。有意挑选的40名参与者参加了这项研究。数据收集采用焦点小组访谈、深度访谈、观察、文件分析和备忘录。通过系统的编码、分类和理论构建过程,采用不断比较数据分析的扎根理论方法对数据进行分析。结果:以初级卫生保健为导向的本科护理课程开发包括:创建课程团队、建立情境、获得研究生初级卫生保健能力共识、确定课程基础、选择和组织课程内容和学习体验、选择体验学习地点、选择教学、学习和评估策略。此外,该研究还揭示了学生在初级卫生保健方面的能力:护理提供、专业、沟通、协作、卫生宣传、领导和管理以及研究。实施以能力为基础和以初级保健为导向的课程需要对辅导员、学生、临床导师和辅导员进行能力建设,并有效地采用变革性的教学、学习和评估。结论:以能力为基础和初级卫生保健为导向的本科护理课程是一种工具,可以帮助培养有能力的毕业生,他们在初级卫生保健为导向的卫生保健系统中与人群的需求相关并作出反应。
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引用次数: 0
Tolerance of ambiguity is not related to decision-making styles in undergraduate nursing students 模糊容忍度与护理专业本科生的决策风格无关
Pub Date : 2023-11-30 DOI: 10.5430/jnep.v14n2p38
Beth Hogan Quigley, Desiree Fleck, Krzysztof Laudanski
Relationships of tolerance of ambiguity, decision-making style, risk-taking behaviors, and the use of supportive and complex care in end-of-life scenarios was investigated in this descriptive correlational study of 377 undergraduate nursing students. The mean for rational decision-making style was 2.332 (agree), while the overall mean for intuitive decision-making was 2.406 (range = 2.37 to 2.489) among all students although higher among sophomore students (2.489, SD = 0.655). The median tolerance of ambiguity scores was higher for juniors and seniors (9.00) compared to sophomore students (8.00). Intuitive decision-making was not associated with level of education. There was no statistically significant correlation between decision-making style and tolerance of ambiguity although there was a negative correlation between intuitive decision-making and tolerance of ambiguity (rs = -0.031, p = .547). Additionally, there was a negative small correlation between rational decision-making and tolerance of ambiguity (rs = -0.040, p = .441). Finally, there was a small statistically significant correlation for supportive care for vignette 1(rs = 0.119, p = .021). All correlations between intuition decision-making and supportive care were low (rs = –0.067-0.119). In conclusion, decision-making style was not related to supportive care. Although intuitive decision-making style was used more frequently by sophomores, there was no statistically significant difference between level of education and decision-making style or tolerance of ambiguity.
在这项对 377 名护理专业本科生进行的描述性相关研究中,调查了在临终情景中对模糊性的容忍度、决策风格、冒险行为以及支持性护理和复杂护理的使用之间的关系。在所有学生中,理性决策风格的平均值为 2.332(同意),而直觉决策风格的总体平均值为 2.406(范围 = 2.37 至 2.489),但大二学生的平均值更高(2.489,SD = 0.655)。与大二学生(8.00)相比,大三和大四学生的模糊容忍度中位数更高(9.00)。直觉决策与受教育程度无关。尽管直觉决策与模糊容忍度之间存在负相关(rs = -0.031,p = .547),但决策风格与模糊容忍度之间在统计学上没有明显的相关性。此外,理性决策与模糊容忍度之间也存在微小的负相关(rs = -0.040,p = .441)。最后,小插曲 1 中的支持性关怀存在统计学意义上的小相关性(rs = 0.119,p = 0.021)。直觉决策与支持性护理之间的相关性都很低(rs = -0.067-0.119)。总之,决策风格与支持性护理无关。虽然高二学生更常使用直觉决策风格,但教育水平与决策风格或对模糊性的容忍度之间并无统计学意义上的显著差异。
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引用次数: 0
Educating psychiatric mental health didactic and clinical nursing students on mindfulness activities utilizing the calm mobile application 利用 "平静 "移动应用程序,对精神科心理健康教学和临床护理学生进行正念活动教育
Pub Date : 2023-11-28 DOI: 10.5430/jnep.v14n3p39
Danielle N.M.L. Martin Charles, Melanie A. Kroger-Jarvis, Amber J. Irwin
Background and aim: Stress can develop when an individual becomes overwhelmed with appointed tasks and nursing students are not exempt from this reaction when experiencing academic pressure. Nursing students can learn appropriate ways to decrease stress through coping strategies. The study aimed to educate nursing students about the coping strategy mindfulness through the utilization of the Calm mobile application (Calm), decreasing stress, and increasing the awareness and utilization of mindfulness.Methods: The purpose of the Quality Improvement (QI) project was to educate nursing students on mindfulness as a coping strategy through supplemental resource videos and the usage of Calm. Students completed a pre-/post-survey modeled after the Mindful Attention Awareness Scale with an addition of three qualitative questions.Results: At the start of the project, 99% of students practiced mindfulness through Calm, 0-15 minutes a week while at the end of the project, 46% of students practiced mindfulness through Calm, 15-60 minutes a week. Pre-project implementation, 19% of students agreed that Calm is useful in the practice of mindfulness while post-project implementation, 44% of students agreed that Calm is useful. A Paired t-test was conducted regarding mindfulness awareness and showed 95% confidence with a pre-mean of 3.2 and a post-mean of 3.6. A difference of 0.4 between both pre-post-means resulting in a significant increase after intervention.Conclusions: The QI project was successful in increasing the awareness and utilization of mindfulness and in educating nursing students about the coping strategy mindfulness which can decrease stress.
背景和目的:当一个人被指定的任务压得喘不过气时,就会产生压力,护理专业的学生在遇到学业压力时也不例外。护生可以学习适当的方法,通过应对策略减轻压力。本研究旨在通过使用 "平静 "手机应用程序(Calm),向护生传授正念这一应对策略,减轻压力,提高对正念的认识和使用:质量改进(QI)项目的目的是通过补充资源视频和使用 "平静 "对护理专业学生进行正念作为应对策略的教育。学生们仿照正念注意力意识量表完成了一项前/后调查,并增加了三个定性问题:项目开始时,99% 的学生通过 "平静 "进行正念练习,每周 0-15 分钟;项目结束时,46% 的学生通过 "平静 "进行正念练习,每周 15-60 分钟。在项目实施前,19% 的学生认为 "平静 "对正念练习有用,而在项目实施后,44% 的学生认为 "平静 "有用。对正念意识进行了配对 t 检验,结果显示 95% 的置信度,项目实施前的平均值为 3.2,项目实施后的平均值为 3.6。前后平均值之间的差异为 0.4,这表明干预后心智意识有了显著提高:该 QI 项目成功地提高了正念的意识和利用率,并向护理专业学生传授了正念这一可减轻压力的应对策略。
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引用次数: 0
Work-life balance: The importance of time management, working efficiently and self-care 工作与生活的平衡:时间管理、高效工作和自我保健的重要性
Pub Date : 2023-11-24 DOI: 10.5430/jnep.v14n3p33
J. B. Smith, Kenneth Tillman, O. D. Lee
As nursing faculty, we have numerous demands and expectations at work, and we often have just as many in our personal lives. How do we get everything done? How do we meet all of the expectations of others? How do we make time for ourselves and recharge our energy levels? In this article we discuss simple strategies nursing faculty may use for achieving greater work-life balance. These range from identifying and prioritizing our to-do lists, protecting our time and schedules, being more efficient at work, and perhaps most important, engaging in effective self-care practices to help us recharge and balance all areas of our lives.
作为护理专业的教师,我们在工作中有无数的要求和期望,而在个人生活中往往也有同样多的要求和期望。我们怎样才能做好每一件事?如何满足他人的所有期望?我们如何为自己留出时间并补充能量?在本文中,我们将讨论护理专业教师实现工作与生活平衡的简单策略。这些策略包括确定我们的待办事项清单并排定优先次序、保护我们的时间和日程安排、提高工作效率,也许最重要的是参与有效的自我保健实践,以帮助我们充电并平衡生活的各个领域。
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引用次数: 0
Evaluation of a workshop introducing nursing to school leavers 评估向离校生介绍护理知识的讲习班
Pub Date : 2023-11-20 DOI: 10.5430/jnep.v14n3p13
Ann-Marie Brown, Linda K. Jones, Amany Abdelkader, Judith Anderson, Annette Saunders
The average age of a registered nurse in Australia has risen in the last 5 years, especially in Tasmania. Indicating that school leavers are not being attracted into this career. The evaluation of a one-day immersive Nurse Taster workshop has indicated that this may assist in attracting school leavers into the nursing profession.
在过去 5 年中,澳大利亚注册护士的平均年龄有所上升,尤其是在塔斯马尼亚州。这表明学校毕业生并未被这一职业所吸引。对为期一天的沉浸式 "护士体验 "讲习班的评估表明,这可能有助于吸引离校生加入护理行业。
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引用次数: 0
The “Five Minute Preceptor Model”: Development and evaluation of a training course for preceptors in nursing practical education in Austria: A pilot study 五分钟戒护员模式":奥地利护理实践教育戒护员培训课程的开发与评估:试点研究
Pub Date : 2023-11-20 DOI: 10.5430/jnep.v14n3p21
Melanie Breznik, Karoline Schermann, Birgit Senft, D. Deufert
Objective: The “Five Minute Preceptor Model” (5MP) is a teaching method which addresses the training needs of students within clinical placements. Investigation of its applicability for nursing education is equally missing as research on designing effective 5MP trainings for nurse preceptors. Aim of the pilot study was to develop and evaluate a 5 MP training and to assess its impact by measuring the utilization of the 5MP steps by the nurse preceptors.Methods: A quantitative design was used to evaluate the training directly after attendance, using descriptive statistics for data analyzes. The application of the 5MP steps was investigated before and six months after training using Wilcoxon test for statistical analyzes. A significance level of p < .05 was set. Comparative factor analysis was used to examine the 5MP model itself.Results: Participants (N = 92) overall rating of the trainings was high. The higher they rated the trainings the more they would applicate the 5MP in future preceptorship. Newsworthiness of the training was designated high but no difference was found in the application of the 5MP steps prior and after attendance of the training. Comparative factor analysis indicated that the 5MP steps were seen as more important after the training.Conclusions: The results suggest that the training is suitable for teaching nurse preceptors to use the 5MP. Although no significant differences were found in pre- and post-training usage, the comparative factor analysis shows increased knowledge through training attendance. Larger studies are needed to gain deeper insights into the 5MP model.
目的:五分钟戒护模式"(5MP)是一种针对学生在临床实习中的培训需求的教学方法。对其在护理教育中的适用性进行调查,以及为护士戒护者设计有效的 5MP 培训的研究同样缺失。试点研究的目的是开发和评估 5MP 培训,并通过衡量护士戒护者对 5MP 步骤的使用情况来评估其影响:方法:采用定量设计,在参加培训后直接对培训进行评估,使用描述性统计进行数据分析。使用 Wilcoxon 检验进行统计分析,调查了培训前和培训后 6 个月 5MP 步骤的应用情况。显著性水平设定为 p < .05。比较因素分析用于研究 5MP 模型本身:学员(N = 92)对培训的总体评价很高。他们对培训的评价越高,就越愿意在今后的实习前培训中应用 5MP 模型。培训的新颖性被认为很高,但在参加培训前后对 5MP 步骤的应用方面没有发现差异。比较因素分析表明,参加培训后,5MP 步骤被认为更加重要:结果表明,培训适合于指导护士戒毒者使用 5MP。虽然培训前后的使用情况没有发现明显差异,但比较因素分析表明,参加培训后,知识水平有所提高。要深入了解 5MP 模型,还需要进行更大规模的研究。
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引用次数: 0
Knowledge, awareness, and practices of telehealth: A cross-sectional study on psychiatric nurses in Jeddah City 远程医疗的知识、意识和实践:吉达市精神科护士的横断面研究
Pub Date : 2023-11-13 DOI: 10.5430/jnep.v14n3p1
Naif Alomari, Mahir Alenzi, Abdulaziz Alzahrani, Salman Alzahrani, Maha Alenzi, Turki Alasmari
The emergence of telehealth stands at the forefront of healthcare evolution, particularly in mental healthcare delivery. The efficacy and adoption of this modality, however, are largely contingent upon the awareness and competence of professionals in the field. This study sought to investigate the awareness, attitudes, and proficiency of psychiatric nurses in Jeddah City regarding telehealth, providing insights into its applicability and potential challenges in the region. Findings indicated that a significant 81% of psychiatric nurses in Jeddah City are familiar with telehealth. Attitudinally, the majority viewed telehealth favorably, with an overall mean attitude score of 3.7 ± 0.91 on a 5-point scale. Proficiency-wise, foundational digital skills were robust, with 72.4% showcasing medium to professional competence in basic computing tasks. However, more specialized telehealth-specific tasks identified areas for enhancement, such as installing software where only 40.4% demonstrated professional or medium competency. Psychiatric nurses in Jeddah exhibit a strong foundational readiness for the integration of telehealth, underscored by their considerable awareness and largely positive attitudes. Targeted training, especially in niche digital areas, is paramount to ensure telehealth's seamless integration and efficacy in mental healthcare delivery.
远程医疗的出现处于医疗保健发展的前沿,特别是在精神保健提供方面。然而,这种方式的效力和采用在很大程度上取决于该领域专业人员的认识和能力。本研究旨在调查吉达市精神科护士对远程医疗的认识、态度和熟练程度,为其在该地区的适用性和潜在挑战提供见解。调查结果表明,吉达市81%的精神科护士熟悉远程医疗。在态度上,大多数人对远程医疗持赞成态度,在5分制的总体平均态度得分为3.7±0.91。熟练程度方面,基础数字技能很强,72.4%的人在基本计算任务中表现出中等到专业的能力。然而,更专业的远程医疗特定任务确定了需要加强的领域,例如安装软件,只有40.4%的人表现出专业或中等能力。吉达的精神科护士对整合远程保健表现出了很强的基础准备,突出表现在她们相当高的认识和基本上积极的态度上。有针对性的培训,特别是在小众数字领域的培训,对于确保远程保健在精神保健服务中的无缝整合和有效性至关重要。
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引用次数: 0
Cultural awareness immersion and introduction to social determinants of health: The 360-degree difference 文化意识沉浸和健康社会决定因素的介绍:360度差异
Pub Date : 2023-10-27 DOI: 10.5430/jnep.v14n2p30
Valerie Marie Pauli, Kathryn Hughesdon, Tsu-Yin Wu
Background and objectives: To address the need for innovative educational activities which focus on the Asian American population, and focuses on the Social Determinants of Health (SDOH) and culturally competent care, an immersive, interactive 360-degree video simulation-based educational activity (SBE) was implemented by nursing faculty at a Midwest university. The specific aims of the project were to a) assess changes in participants knowledge and skills as related to SDOH, cultural awareness, and health literacy with the Asian American population; b) participant confidence, and c) assess the usefulness, and ease of use, of 360-degree video simulation.Methods: A single group pretest-posttest design was used in this SBE activity with a convenience sample of 83 undergraduate baccalaureate nursing students at one university.Results: The SBE activity improved overall knowledge and confidence. Furthermore, the majority of participants perceived the SBE activity as useful and that the 360-degree video technology was easy to use.Conclusions: The results contribute to limited literature exploring outcomes of 360-degree video simulation with a focus on the Asian American population and SDOH, cultural competence, and health literacy. Implementing such SBE activities into nursing curriculums is critical to address health disparities and increase knowledge and skill in clinical practice for undergraduate nursing students when serving vulnerable and underrepresented populations.
背景和目的:为了满足对亚裔美国人的创新教育活动的需求,并关注健康的社会决定因素(SDOH)和文化主管护理,中西部一所大学的护理学院实施了一项沉浸式、交互式360度视频模拟教育活动(SBE)。该项目的具体目标是:a)评估亚裔美国人与SDOH、文化意识和健康素养相关的参与者知识和技能的变化;B)参与者信心,c)评估360度视频模拟的有用性和易用性。方法:采用单组前测后测设计进行SBE活动,方便样本为一所大学的83名本科护理本科生。结果:SBE活动提高了整体知识和信心。此外,大多数参与者认为SBE活动是有用的,并且360度视频技术易于使用。结论:这些结果有助于有限的文献探讨360度视频模拟的结果,重点关注亚裔美国人的SDOH、文化能力和健康素养。在护理课程中实施这样的SBE活动对于解决健康差距和增加本科护理学生在临床实践中的知识和技能至关重要,因为他们为弱势群体和代表性不足的人群服务。
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引用次数: 0
Burns and posttraumatic stress disorder: What's being done 烧伤和创伤后应激障碍:正在做什么
Pub Date : 2023-10-26 DOI: 10.5430/jnep.v14n2p25
Derek Lamar Holt, Brigitta Strutchen
Burn injuries can be a life-shattering event causing significant physical impairment. Burn survivors suffer from changes in appearance and body function. The perception of burn injuries has transformed from permanent disability to now rehabilitative. Through ever-evolving technology coupled with enhanced clinical assessments, burn injuries are seen through the lens of being more than physical. This article aims to keep non-burn experts abreast of what is being done to address the psychological effects of burn injuries. This article discusses different screening and diagnostic instrumentation for assessing posttraumatic stress disorder as well as treatment options for clinicians encountering burn survivors. Early detection of posttraumatic stress disorder symptomology and aggressive treatment are essential in improving the quality of life of those who have suffered a burn trauma.
烧伤可以是一个致命的事件,造成严重的身体损伤。烧伤幸存者的外表和身体功能都会发生变化。对烧伤的看法已经从永久性残疾转变为现在的康复。通过不断发展的技术和增强的临床评估,烧伤不仅仅是身体上的伤害。这篇文章的目的是让非烧伤专家了解正在做的事情,以解决烧伤的心理影响。本文讨论了不同的筛选和诊断仪器评估创伤后应激障碍以及治疗方案的临床医生遇到烧伤幸存者。早期发现创伤后应激障碍的症状和积极的治疗对于改善那些遭受烧伤创伤的人的生活质量至关重要。
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引用次数: 0
A factual investigation of the information nurses transfer between facilities through nursing summary reports 通过护理总结报告对护理人员在各机构间信息传递的事实调查
Pub Date : 2023-10-26 DOI: 10.5430/jnep.v14n1p50
Haruka Okabe, Masako Shomura, Masamichi Ogura, Daisuke Sakurai, Hideaki Matsuki, Mitsuko Nakashima
Objective: To clarify the medical care information nurses share among multiple facilities such as hospitals and visiting nursing stations, specialized nursing homes, and geriatric health service facilities in Japan.Methods: The research design was an exploratory survey study. We administered a questionnaire survey to registered nurses with at least three years of clinical experience from August 2020 to September 2021. Data from 257 participants were analyzed using simple tabulation, chi-square test, and univariate and multivariate analyses. Items that could not be addressed by nursing summaries alone included how to interact with patients and families, activities of daily living, and nursing procedures.Results: The results indicate that nurses require information on nursing procedures, how to interact with patients and their families, and care. Essential nursing summary report items included infectious disease, allergy, medications, final bowel movements, and tube feeding. The essential items that varied across facilities were commissioned physicians, patients’ perspectives on the disease, regular medical examinations, and peripheral symptoms.Conclusions: The summary reports were used to exchange information with other nurses, get confirmation of nursing procedures, and get confirmation of the history of the present illness. In the future, they should include customized content depending on the information requirements of each institution. These results can be used as a reference for the nursing summaries sought by recipients, leading to improved quality of care after a transition.
目的:了解日本医院及门诊护理站、专科疗养院、老年保健服务机构等多个机构的护理信息共享情况。方法:研究设计为探索性调查研究。我们于2020年8月至2021年9月对具有三年以上临床经验的注册护士进行问卷调查。对257名参与者的数据进行简单制表、卡方检验、单变量和多变量分析。护理总结不能单独解决的项目包括如何与患者和家属互动,日常生活活动和护理程序。结果:结果显示护士对护理程序、如何与患者及其家属互动、护理等方面的信息有需求。基本护理总结报告项目包括传染病、过敏、药物、最后肠蠕动和管饲。不同设施的基本项目各不相同,包括委托医生、患者对疾病的看法、定期体检和外围症状。结论:利用总结报告与其他护士进行信息交流,确认护理程序,确认病史。在未来,他们应该包括定制的内容,根据每个机构的信息需求。这些结果可以作为接受者寻求护理总结的参考,从而提高过渡后的护理质量。
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引用次数: 0
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Journal of nursing education and practice
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