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1.
Nurse Educ Today ; 84: 104234, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31707252

RESUMO

BACKGROUND: Worldwide, men are under-represented in the nursing profession. In Scotland less than 10% of pre-registration nursing students are male. Reasons for this imbalance need to be understood. OBJECTIVES: To explore the views of male pre-registration nursing students, nursing lecturers and school teachers about this imbalance. DESIGN: Mixed methods study using focus groups and online survey. SETTINGS: Focus groups in four locations across Scotland. Online survey sent to teachers across Scotland. PARTICIPANTS AND METHODS: Eight focus groups with 33 male nursing students; four focus groups with 21 university and college nursing lecturers; 46 school teachers returned the online survey. RESULTS: Although nursing was considered a worthwhile career with job stability and many opportunities, it was also viewed as not being a career for men. Assumptions about the profession and femininity were challenging for men and use of the term 'male nurse' was felt to be anomalous. In some circumstances the provision of intimate care to particular patient groups caused difficulty. Positive encouragement from others, a positive role model or knowledge of nursing from significant others could be helpful. However concerns about low earning potential and negative media publicity about the NHS could be a disincentive. Being mature and having resilience were important to cope with being a male nursing student in a mainly female workplace. Some more 'technical' specialties were felt to be more attractive to men. CONCLUSIONS: Nursing is viewed as a worthwhile career choice for men, but the gendered assumptions about the feminine nature of nursing can be a deterrent.


Assuntos
Escolha da Profissão , Docentes de Enfermagem , Enfermeiros/estatística & dados numéricos , Estudantes de Enfermagem/estatística & dados numéricos , Bacharelado em Enfermagem , Grupos Focais , Humanos , Internet , Masculino , Escócia , Inquéritos e Questionários
2.
Nurse Educ Today ; 73: 41-47, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-30502593

RESUMO

BACKGROUND: The learning of nursing students can be facilitated through direct and/or indirect experiences of using clinical information and communication technology during clinical placements. However, nursing students experience difficulties in using technology for learning. Despite the difficulties, nursing students' learning dynamics with technology in real clinical contexts is poorly understood. OBJECTIVES: To develop a theoretical model by identifying nursing students' learning dynamics with clinical information and communication technology and the factors influencing the dynamics. DESIGN: A constructivist grounded theory approach was employed in order to develop the theoretical model. SETTINGS: This research was conducted by recruiting nursing students from four universities in Seoul, South Korea. PARTICIPANTS: Sixteen fourth year nursing students were recruited by purposive sampling. METHODS: This research collected qualitative interview data in up to four rounds of interviews using open-ended and semi-structured interview questions. A total of 23 interviews were conducted. The data were transcribed verbatim. All interview data were analysed using three coding methods; initial, focused, and theoretical coding. NVivo 11 was used for data management. RESULTS: This research developed a theoretical model of nursing students' learning dynamics with clinical information and communication technology. The model explains three dynamics that influence nursing students' use of clinical information and communication technology (interpersonal, organisational and emotional dynamics) and the students' responses regarding the dynamics for learning in clinical contexts. CONCLUSIONS: Nursing educators can use the theoretical model to understand how best to support nursing students in navigating their clinical environments to build competency in using clinical information and communication technology.


Assuntos
Teoria Fundamentada , Aprendizagem , Informática em Enfermagem/tendências , Estudantes de Enfermagem , Bacharelado em Enfermagem , Feminino , Humanos , Masculino , Pesquisa Qualitativa , República da Coreia , Estudantes de Enfermagem/psicologia , Adulto Jovem
3.
Nurse Educ Pract ; 29: 103-109, 2018 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-29245029

RESUMO

Clinical placements are essential for students to develop clinical skills to qualify as nurses. However, various difficulties encountered by nursing students during their clinical education detract from developing clinical competencies. This constructivist grounded theory study aims to explore nursing students' experiences in clinical nursing education, and to identify the factors that influence the clinical education students receive. Twenty-one individual and six group semi-structured interviews were conducted with sixteen fourth year nursing students and four registered nurses. This research identified six factors that influence nursing students' clinical education: interpersonal, socio-cultural, instructional, environmental, emotional and physical factors. The research has developed a dynamic model of learning in clinical contexts, which offers opportunities to understand how students' learning is influenced multifactorially during clinical placements. The understanding and application of the model can improve nursing instructional design, and subsequently, nursing students' learning in clinical contexts.


Assuntos
Competência Clínica , Aprendizagem , Estudantes de Enfermagem/psicologia , Bacharelado em Enfermagem , Feminino , Teoria Fundamentada , Humanos , Entrevistas como Assunto , Masculino , Pesquisa Qualitativa , Adulto Jovem
4.
BMJ Open ; 8(7): e022050, 2018 07 23.
Artigo em Inglês | MEDLINE | ID: mdl-30037877

RESUMO

INTRODUCTION: Nursing is a knowledge-intensive profession. Therefore, to cope with the demands of the nursing role, nursing students need to become competent in managing information to build nursing knowledge. However, nursing students' knowledge building process is poorly understood. This research aimed to explore (1) nursing students' dynamics of how they process nursing information for knowledge building and (2) nursing students' learning context in South Korea for their knowledge building. METHODS: A constructivist grounded theory approach was used for this research. Data collection was achieved through four rounds of intensive individual and group interviews with 16 fourth year nursing students in South Korea. The collected data were coded by initial, focused and theoretical coding methods. Constant comparison analysis between data, codes, memos and categories was applied. RESULTS: This research identified knowledge building dynamics consisting of three cognitive processes: connecting with information, deciding to accept information and building knowledge. Five motivational factors, including learners' interest, necessity of information, volition to learn, utility of information and the frequency of information that influence the processes were discovered. Moreover, four knowledge stages of memorising, understanding, synthesising and applying and creating emerged. CONCLUSIONS: This is the first empirical study on knowledge building dynamics in educational environments for healthcare professionals. The findings of this research provide nursing educators with a practical model that can be used to improve nursing curricula in facilitating students' knowledge building processes. Moreover, a deeper understanding of sociocultural influences on nursing education can assist educators to adapt and generalise the findings to their pedagogical contexts, providing a culturally sensitive and relevant approach to nursing education.


Assuntos
Atenção à Saúde/normas , Educação Continuada em Enfermagem/normas , Teoria Fundamentada , Aprendizagem , Estudantes de Enfermagem/psicologia , Adulto , Humanos , Pesquisa Qualitativa , República da Coreia/epidemiologia
5.
J Clin Endocrinol Metab ; 87(7): 3309-14, 2002 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-12107241

RESUMO

Both GH deficiency and excess are associated with cardiovascular disease. The mechanisms are unclear, but direct effects of GH in the vessel wall may be important. Previous reports suggest that GH enhances endothelium-dependent vasodilatation and alters large artery structure. Here we report a detailed assessment of large artery and microvascular structure and function in patients with contrasting GH levels. We studied six age-matched healthy control men, five men with acromegaly, and seven men with adult-onset GH deficiency before and at the end of 16 wk of GH replacement therapy. We measured arterial wall thickness by ultrasound of the common carotid artery; arterial stiffness by pulse wave analysis at the radial artery; microvascular structure by measurement of flow during maximal dilatation in the forearm and dermal circulation and counting dermal capillaries using video microscopy; and endothelial function in the forearm during brachial artery infusion of vasodilators (acetylcholine and sodium nitroprusside). Cardiac output was measured by Doppler ultrasound in GH-deficient patients and controls. GH-deficient patients tended to have increased arterial wall thickness and arterial stiffness, compared with controls. GH replacement reduced arterial stiffness (radial augmentation index 0.28 +/- 0.07 to 0.20 +/- 0.12, P = 0.02) and increased the number of dermal capillaries perfused (28.6 +/- 5.0 to 30.9 +/- 6.5 cm(-2), P = 0.03), but a reduction in arterial wall thickness was not statistically significant. With respect to maximum flow in forearm and dermis and endothelial function, GH-deficient patients were not different from controls, and GH therapy had no effect. Moreover, acromegalic patients were not different from controls in any vascular parameters studied. We conclude that the direct vascular effects of GH excess and deficiency in man are of modest magnitude and should not therefore be given the highest priority in considering the risks of cardiovascular events in patients with pituitary disease.


Assuntos
Acromegalia/diagnóstico por imagem , Acromegalia/fisiopatologia , Vasos Sanguíneos/diagnóstico por imagem , Vasos Sanguíneos/fisiopatologia , Hormônio do Crescimento Humano/deficiência , Hormônio do Crescimento Humano/uso terapêutico , Adulto , Idoso , Sistema Cardiovascular/fisiopatologia , Endotélio Vascular/fisiopatologia , Humanos , Masculino , Erros Inatos do Metabolismo/diagnóstico por imagem , Erros Inatos do Metabolismo/tratamento farmacológico , Erros Inatos do Metabolismo/fisiopatologia , Microcirculação , Pessoa de Meia-Idade , Valores de Referência , Ultrassonografia
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