An integrative review of resilience among nursing students in the context of nursing education.

AIM: This integrative review aimed to examine empirical research on resilience among nursing students in the context of nursing education. Resilience helps nursing students handle challenges, such as changing learning styles and experiencing their first clinical practice. DESIGN: An integrative review. METHODS: The search terms focused on resilience and health in nursing students and nursing education. The database used in this review were CINAHL Plus, PubMed and MEDLINE. The Mixed Methods Appraisal Tool appraised the studies' quality. RESULTS: This study explored 52 records and revealed three current research focuses related to nursing students' resilience: (1) the concept and description of resilience, (2) the characteristics affecting resilience and (3) the mediating role of resilience in maintaining holistic health. Recommendations include adding a resilience topic to the nursing curriculum, providing resilience enhancement programs, examining the relationship between resilience and holistic health and exploring the influence of resilience about global health crises. PUBLIC CONTRIBUTION: Resilience among nursing students plays a vital role in helping them to overcome adversities during their nursing education. Additionally, after graduation, nursing students can continue contributing to society as resilient Registered Nurses in the future.

Chronic pain as a moderator between fear of falling and poor physical performance among community-dwelling older adults.

This cross-sectional study examined the associations between fear of falling (FOF) and physical performance as moderated by chronic pain in older Thai adults. Participants were 365 adults, aged ≥ 60 years living in suburban Chiang Mai, Northern Thailand. Of the 365 participants, 56.2% had high levels of FOF based on the short version of the Falls Efficacy Scale International (FES-I). Participants with moderate to severe pain, moderate-to-high pain interference, or multiple site pain were more likely to have FOF than those without pain (p-value<0.05). Multivariate linear regression models indicated FOF was associated with poor physical performance after adjusting for health and demographic factors. Participants with high levels of both FOF and pain reported lower physical performance scores than those with high levels of FOF without pain. Future studies are needed to determine effective interventions to increase fall efficacy and physical activity among older adults with FOF and chronic pain.

Incivility among nursing faculty: A multi-country study.

BACKGROUND: In nursing programs, incivility can be a main issue affecting future registered nurses, and this may threaten patient safety. Nursing faculty play an important role in this scenario to reduce incivility. PURPOSE: The aim of this study was to assess incivility among nursing faculty in different countries. METHOD: This descriptive (cross-sectional) study was conducted to assess the extent of incivility among nursing faculty by using Incivility in Nursing Education-Revised tool and a non-probability (convenience) sampling method was used. Three hundred ninety-five nursing faculty in 10 countries distributed in four continents participated in this study. RESULTS: The results indicated that levels of incivility among participants in different countries were significantly different. Also, there was a significant difference (F = 9.313, P value = 0.000) among the nursing faculty concerning the behaviours that have been rated as disruptive. Furthermore, there was a significant difference (F = 6.392, P value = 0.000) among participants regarding uncivil behaviours that have occurred during the past 12 months. CONCLUSION: Regular assessments are needed to highlight uncivil behaviours and reduce them by making policies and rules in order to enhance academic achievement in nursing education.

Evaluation of the integrated model of the rational drug use into the Bachelor of Nursing Science program in Thailand: A mixed-methods study.

Background: Integration of rational drug use (RDU) into a nursing program to increase nurse graduates' RDU competencies is essential to solving the problem of irrational drug use. Objective: This study aimed to evaluate the integrated model of the RDU into the Bachelor of Nursing Science (BNS) program developed by the Thailand Nursing and Midwifery Council (TNMC). Methods: A mixed-methods study was designed using a sequential explanatory design. The whole population of 3,848 nurse educators and 9,249 nurse graduates from 86 nursing education institutions across Thailand in Academic Year 2018 were recruited for quantitative data collection. Fifty nurse educators selected as representatives of the nursing education institutions were recruited for qualitative data collection. Online questionnaires were sent to collect information regarding the context, input, process, and product relating to the model, while structured focus group guidelines were developed to obtain more details in assessing the model. The data were analyzed using descriptive statistics and content analysis. Results: The findings showed that the context and policy of utilizing the model to increase nurse graduates' RDU competencies were well accepted. The nurse educators' RDU competencies, the input of the model, were rated at a high level. The process of the model was implemented as guided at almost all nursing education institutions. The product of the model, the RDU competencies of the nurse graduates, was reported at a high level. Conclusion: The model of integrating the RDU into the BNS program developed by the TNMC was well performed and resulted in high RDU competencies of the nurse graduates. This integration model should be published and applied in nursing schools worldwide to enhance RDU competencies of nurse graduates.