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2.
Pan Afr Med J ; 33: 209, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31692730

RESUMEN

Introduction: management of tuberculosis (TB) and Human Immunodeficiency Virus (HIV) within primary health care (PHC) facilities involve nursing students as part of them integrating theory to practice. Clinical learning for nursing students requires adequate support from the Nursing Education Institution (NEI) and nursing professionals. Given the dearth of literature regarding clinical support for nursing students in the management of TB/HIV in PHC setting, this study is aimed at exploring and describing nursing students' experiences regarding clinical support. Methods: a phenomenological design was used to explore and describe the experiences of nursing students using an individual, unstructured, in-depth interview. Audio-taped interviews were transcribed verbatim and analysed using Atlas TI software. Results: themes derived from the study were factors inhibiting clinical support which incorporated shortage of professional nurses (PNs), lack of accompaniment, fear of managing TB/HIV patients and negative attitudes of PNs; outcomes of poor clinical support included inability to integrate TB/HIV theory to practice and lack of confidence among nursing students; nursing students' desired outcomes through clinical support included becoming a competent TB/HIV nurse and the ability to integrate TB/HIV theory to practice; and strategies to strengthen and promote clinical support in TB/HIV management through strengthened occupational health and safety learning, provision of knowledge regarding post-exposure prophylaxis and infection control, and appointed clinical PN for students in each facility. Conclusion: the development of policies for clinical support, increasing supervision, appointment of clinical preceptors and accompanists in facilities where nursing students are placed would promote clinical learning within the NEI and the production of competent and confident nurses.


Asunto(s)
Infecciones por VIH/enfermería , Atención Primaria de Salud/organización & administración , Estudiantes de Enfermería/estadística & datos numéricos , Tuberculosis/enfermería , Adulto , Competencia Clínica , Femenino , Humanos , Entrevistas como Asunto , Masculino , Adulto Joven
3.
Br J Nurs ; 28(21): 1410-1413, 2019 Nov 28.
Artículo en Inglés | MEDLINE | ID: mdl-31778336

RESUMEN

This article presents a personal reflection using theoretical frameworks as the basis of understanding multifaceted influences on the personal health of the primary author since beginning undergraduate university degree studies in nursing. It also explores theoretical and lay definitions of health and wellbeing, before analysing influences on health from a personal perspective. This illustrates how understanding, developed through the use of theoretical frameworks, can enable individuals to enhance their own health and wellbeing.


Asunto(s)
Estado de Salud , Salud Mental/estadística & datos numéricos , Estudiantes de Enfermería/psicología , Bachillerato en Enfermería , Femenino , Humanos , Modelos Teóricos , Estudiantes de Enfermería/estadística & datos numéricos , Universidades
4.
Rev Lat Am Enfermagem ; 27: e3207, 2019.
Artículo en Inglés, Portugués, Español | MEDLINE | ID: mdl-31664414

RESUMEN

OBJECTIVE: To identify the level of interpersonal communication competence among nursing students and to correlate its domains with sociodemographic and academic variables. METHOD: This is a correlational study, developed through a multicenter research project in six federal universities in Brazil. Data from 1,079 nursing students were collected through a questionnaire with sociodemographic and academic variables and the Interpersonal Communication Competence Scale. Data were analyzed using descriptive and inferential statistics. RESULTS: The mean of the sum of the Interpersonal Communication Competence Scale was 63.74 (± 7.6). The domains "availability" and "environment control" had, respectively, the highest and lowest averages. There was a statistically significant difference between the sum of the Interpersonal Communication Competence Scale and the variables age, marital status, participation in a research/extension group, and paid professional activity. CONCLUSION: This study contributed to identify the level of interpersonal communication competence of nursing students in the Brazilian reality, providing useful information for education in the area.


Asunto(s)
Competencia Clínica , Comunicación , Relaciones Interpersonales , Estudiantes de Enfermería/estadística & datos numéricos , Adulto , Bachillerato en Enfermería , Femenino , Humanos , Modelos Lineales , Masculino , Factores Socioeconómicos , Adulto Joven
5.
Enferm. clín. (Ed. impr.) ; 29(5): 264-270, sept.-oct. 2019. tab
Artículo en Español | IBECS | ID: ibc-184150

RESUMEN

Objetivo: Explorar la percepción de los estudiantes de cuarto curso del Grado en Enfermería sobre el entorno asistencial donde tiene lugar su proceso formativo en prácticas clínicas. Método: Estudio cualitativo fenomenológico basado en la filosofía hermenéutica de Gádamer que contó con el desarrollo de grupos focales y entrevistas semiestructuradas en estudiantes de cuarto curso del Grado de Enfermería de la Universidad de Almería. El periodo de recogida fue en febrero de 2016. La información obtenida se transcribió y analizó mediante estrategias inductivas en busca de categorías emergentes. Resultados: El análisis reveló dos categorías principales: (1) influencia del entorno clínico en el desempeño asistencial y docente de las enfermeras y en el aprendizaje de los estudiantes y (2) formación y perspectivas laborales para los futuros profesionales. Cada una de ellas mostró dos subcategorías con sus correspondientes códigos. La información recogida reflejó las experiencias y percepciones de los estudiantes de Enfermería sobre el entorno asistencial donde tiene lugar su proceso formativo en prácticas clínicas. Conclusiones: Este estudio permitió conocer la percepción de los estudiantes de cuarto curso del Grado de Enfermería sobre el entorno donde tiene lugar su proceso formativo en prácticas clínicas. Conocer dicho fenómeno ayuda a identificar déficits en el aprendizaje clínico de los estudiantes y a adaptar los planes de estudios de las universidades a sus necesidades formativas a fin de garantizar su éxito como profesionales ante las futuras demandas del contexto clínico-laboral


Aim: To explore the perception of fourth-year nursing students of the healthcare environment where their training process in clinical practices takes place. Methods: Phenomenological qualitative study based on the hermeneutical philosophy of Gádamer that included the development of focus groups and semi-structured interviews in a sample of fourth-year nursing students from the University of Almería. The collection period was in February 2016. The information obtained was transcribed and analyzed by inductive strategies in search of emerging categories. Results: The analysis revealed two main categories: (1) influence of the clinical environment on the healthcare and teaching performance of nurses and on student learning and (2) training and job prospects for the future professionals. Each of them showed two subcategories with their corresponding codes. The information collected showed the experiences and perceptions of Nursing students regarding the healthcare environment where their training process in clinical practices takes place. Conclusions: This study enabled us to discover the perception of fourth-year nursing students of the environment where their training process in clinical practices takes place. Knowledge of this phenomenon helps to identify deficits in students' clinical learning and to adapt university curricula to their training needs in order to guarantee their success as professionals facing future clinical-labour demands


Asunto(s)
Humanos , Percepción , Estudiantes de Enfermería/psicología , Estudiantes de Enfermería/estadística & datos numéricos , Prácticas Clínicas/métodos , Prácticas Clínicas/normas , Enfermería Práctica , Análisis Cualitativo , Educación en Enfermería , Aprendizaje
6.
Enferm. clín. (Ed. impr.) ; 29(5): 271-279, sept.-oct. 2019. tab
Artículo en Español | IBECS | ID: ibc-184151

RESUMEN

Objetivo: Conocer las opiniones de los tutores y de los estudiantes del Grado en Enfermería sobre las prácticas clínicas e identificar estrategias y propuestas de mejora para el desempeño de la labor docente. Método: Estudio cualitativo con perspectiva fenomenológica mediante grupos focales con enfermeros tutores de prácticas clínicas y estudiantes de Enfermería. Los participantes se segmentaron en 3 grupos: estudiantes, tutores del área médica y tutores del área quirúrgica. El número de grupos lo determinó la saturación de la información. Se transcribieron los discursos y se realizó un análisis manual sintáctico y semántico de los discursos para extraer las variables de análisis. Se obtuvieron los permisos del Comité de Ética de la Investigación Provincial y del centro correspondiente. Resultados: Tanto los tutores como los estudiantes destacan la necesidad de capacitar a los tutores en las habilidades formativas y proporcionarles herramientas que faciliten su labor, así como el reconocimiento formal de su función docente. En sus discursos, ambos colectivos proponen un cambio de visión y, sobre todo, de actitudes en el desarrollo de la enseñanza-aprendizaje. Y, por último, se manifiesta la necesidad de un cambio en el modelo de relaciones entre la Universidad y los servicios sanitarios. Conclusiones: Con base en lo anteriormente expuesto, se identifica la necesidad de incentivar y formar a los profesionales clínicos para la función tutorial y de plantear un cambio de modelo que propicie un acercamiento entre la Universidad y el sistema sanitario


Objective: To discover the opinions of the tutors and students of the Degree in Nursing on clinical practices and identify strategies and improvement proposals for teacher performance. Method: A qualitative study with a phenomenological perspective through focus groups with clinical nurse tutors and nursing students. The participants were divided into 3 groups: students, tutors from the medical area and tutors from the surgical area. The number of groups was determined by saturation of the information. The discourse was transcribed and a syntactic and semantic manual analysis of the discourse was made to extract the analysis variables. Permission was obtained from the Provincial Research Ethics Committee and the corresponding centre. Results: Both the tutors and the students emphasized the need to train tutors in teaching skills and provide them with tools that facilitate their work, as well as the need for formal recognition of their teaching function. In their discourse, both groups proposed a change of vision, and above all of attitudes, in the development of teaching-learning. Finally, there is a need for a change in the model of relations between the University and health services. Conclusions: Based on the above, the need to encourage and train clinical professionals as tutors is identified and a change of model proposed to bring the University and the health system closer together


Asunto(s)
Humanos , Prácticas Clínicas/organización & administración , Pautas de la Práctica en Enfermería/organización & administración , Pautas de la Práctica en Enfermería/normas , Mejoramiento de la Calidad , Mentores , Análisis Cualitativo , Estudiantes de Enfermería/estadística & datos numéricos , Educación en Enfermería/organización & administración
9.
Nurs Educ Perspect ; 40(6): 358-360, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31478988

RESUMEN

The educational structure of many nursing programs is largely monocultural, with a traditional pedagogy. Empowered holistic nursing education (EHNE) creates a learning environment with more cultural responsiveness and support for diverse classrooms. The aim of this study was to determine what impact the theory had on diversification. With EHNE the philosophical framework of a new RN-to-BSN program, student demographic data were collected, along with exit survey questions. A statistically significant increase was found in the diversification of the six cohorts. The EHNE shows potential as a programmatic framework for increasing diversification of the nursing profession.


Asunto(s)
Bachillerato en Enfermería/organización & administración , Enfermería Holística/educación , Filosofía en Enfermería , Diversidad Cultural , Humanos , Investigación en Educación de Enfermería , Investigación en Evaluación de Enfermería , Estudiantes de Enfermería/estadística & datos numéricos , Encuestas y Cuestionarios
10.
J Nurs Adm ; 49(9): 430-435, 2019 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-31436741

RESUMEN

OBJECTIVE: The purpose of this integrative literature review is to examine the effects that nurse residency programs (NRPs) have on the retention of new graduates. BACKGROUND: The Institute of Medicine recommends implementing NRPs and evaluating their effectiveness. Nursing leaders need to understand if an investment in a residency program is beneficial to their organization. METHODS: A database search was performed for research from 2010 to 2016 reporting outcomes of new graduate NRPs relating to retention. RESULTS: In the articles reviewed, the 1-year retention was higher than the national average for new graduate nurses ranging from 74% to 100%. Higher rates were associated with national programs such as the University Hospital Consortium/American Association of Colleges of Nursing or Versant compared with organization-based programs. CONCLUSIONS: NRPs can increase 1-year retention of new graduate nurses. More controlled and comparative studies are needed to evaluate program differences. Nurse leaders need evidence to ascertain which programs are the most effective in supporting retention and return on investment.


Asunto(s)
Competencia Clínica , Educación de Postgrado en Enfermería/organización & administración , Admisión y Programación de Personal/organización & administración , Reorganización del Personal/estadística & datos numéricos , Preceptoría/organización & administración , Estudiantes de Enfermería/psicología , Estudiantes de Enfermería/estadística & datos numéricos , Adulto , Femenino , Humanos , Masculino , Factores de Tiempo , Estados Unidos , Adulto Joven
11.
Artículo en Inglés | MEDLINE | ID: mdl-31443355

RESUMEN

Background: Patient safety is a priority of any healthcare system, and one of the most effective measures is hand hygiene. For this, it is important that health staff have correct adherence and perform the technique properly. Otherwise, the incidence of nosocomial infections can increase, with consequent complications. The aim here was to analyze hand hygiene training and the effectiveness of different methods and educational strategies among nurses and whether they maintained correct adherence over time. Methods: A systematic review was conducted in the sources CINAHL (Cumulative Index to Nursing and Allied Health Literature), Dialnet, Lilacs (Latin American and Caribbean Health Sciences Literature), ProQuest (Proquest Health and Medical Complete), Medline, SciELO (Scientific Electronic Library Online), and Scopus. The search equation with Medical Subject Headings (MeSH) descriptors was "Nurs* AND (handwashing OR hand hygiene) AND clinical trial". The review was performed following the recommendations of the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Results: n = 17 clinical trials were included, with a total of 5747 nurses and nursing students. Strategies such as reminder sounds, practical simulations, videos, and audiovisual media improved handwashing compliance. Adherence overtime increased by up to 60%. The greatest effectiveness was related to the use of povidone-iodine, which reduced colony formation compared Hand hygiene teaching strategies among nursing staff: a systematic review to soap. Conclusions: The strategies that go beyond teaching techniques such as lectures may be more effective at increasing hand hygiene compliance. Combined approaches to learning/instruction improve user satisfaction by enabling self-management, flexibility, and repetition.


Asunto(s)
Educación en Enfermería/estadística & datos numéricos , Higiene de las Manos , Personal de Enfermería/educación , Estudiantes de Enfermería , Desinfección de las Manos , Personal de Enfermería/estadística & datos numéricos , Estudiantes de Enfermería/estadística & datos numéricos
12.
Nurs Outlook ; 67(6): 765-775, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31378414

RESUMEN

BACKGROUND: The abundant knowledge on nursing students' competencies in clinical safety, and the multiple approaches adopted make it difficult to obtain an overview of the current status of this question. PURPOSE: To review the literature on undergraduate nursing students' safety competencies during their clinical placements. METHOD: A scoping review was carried out. Searches were executed in PubMed, CINAHL, WOS, MEDES, and websites of relevant organizations. The framework proposed by the Joanna Briggs Institute was adopted. FINDINGS: A total of 43 studies were selected for the final sample. The review identified four major topics: the presence of adverse events in clinical placements, the acquisition of competencies in clinical safety, student experiences regarding clinical safety, and pedagogical approaches for clinical safety. DISCUSSION: Nursing students encounter adverse events and clinical safety incidents throughout their clinical training. Faculties should assign the highest priority to this question, due to its importance in the creation of a culture of safety.


Asunto(s)
Competencia Clínica , Bachillerato en Enfermería/organización & administración , Seguridad del Paciente , Preceptoría/organización & administración , Administración de la Seguridad/organización & administración , Estudiantes de Enfermería/estadística & datos numéricos , Adulto , Femenino , Humanos , Masculino , Adulto Joven
13.
BMC Res Notes ; 12(1): 485, 2019 Aug 06.
Artículo en Inglés | MEDLINE | ID: mdl-31387624

RESUMEN

OBJECTIVES: The aim of this study was to determine the level of knowledge and performance of nursing students in regard to the standards of nosocomial infections control. RESULTS: The average score of knowledge and performance of the subjects was 12.49 ± 2.3 from 18 and 43.07 ± 0.67 from 54, respectively. There was a direct and significant correlation between the knowledge and performance of students (r = 0.46, p < 0.0001). There was no statistically significant relationship between the knowledge of students and variables such as gender and academic year of the students, but there was a significant relationship between students' performance, and gender (p = 0.014) and academic year (p = 0.015).


Asunto(s)
Competencia Clínica/estadística & datos numéricos , Infección Hospitalaria/prevención & control , Conocimientos, Actitudes y Práctica en Salud , Estudiantes de Enfermería/estadística & datos numéricos , Competencia Clínica/normas , Infección Hospitalaria/diagnóstico , Estudios Transversales , Femenino , Humanos , Irán , Masculino , Encuestas y Cuestionarios
14.
Nurse Educ Today ; 81: 78-82, 2019 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-31352247

RESUMEN

PURPOSE: This study aimed to describe the prevalence of Internet addiction (IA) among undergraduate students, and its impact on psychological distress and coping strategies. METHODS: Data were collected using a convenience sample of 163 student nurses. FINDINGS: The results showed that there was high prevalence rate of IA among students. In addition, the use of avoidance and problem-solving coping mechanism was statistically significant among the IA group compared with the non-IA group (p < 0.05). This was associated with a more negative impact on psychological distress and self-efficacy (p < 0.05). CONCLUSIONS: IA is an increasing problem in the general population and among university students. It can affect many aspects of a student's life and performance. PRACTICAL IMPLICATIONS: The results will raise awareness of the deleterious effects of IA on a wide range of student life.


Asunto(s)
Adaptación Psicológica , Conducta Adictiva/psicología , Internet , Estrés Psicológico/epidemiología , Estudiantes de Enfermería , Adulto , Conducta Adictiva/epidemiología , Estudios Transversales , Femenino , Humanos , Solución de Problemas , Arabia Saudita/epidemiología , Estudiantes de Enfermería/psicología , Estudiantes de Enfermería/estadística & datos numéricos , Universidades , Adulto Joven
15.
BMC Med Educ ; 19(1): 259, 2019 Jul 11.
Artículo en Inglés | MEDLINE | ID: mdl-31296212

RESUMEN

BACKGROUND: This scoping review aims to gather and map inspiration, ideas and recommendations for teaching evidence-based practice across Professional Bachelor Degree healthcare programmes by mapping literature describing evidence-based practice teaching methods for undergraduate healthcare students including the steps suggested by the Sicily Statement. METHODS: A computer-assisted literature search using PubMed, Cinahl, PsycINFO, and OpenGrey covering health, education and grey literature was performed. Literature published before 2010 was excluded. Students should be attending either a Professional Bachelor's degree or a Bachelor's degree programme. Full-text articles were screened by pairs of reviewers and data extracted regarding: study characteristics and key methods of teaching evidence-based practice. Study characteristics were described narratively. Thematic analysis identified key methods for teaching evidence-based practice, while full-text revisions identified the use of the Sicily Statement's five steps and context. RESULTS: The database search identified 2220 records. One hundred ninety-two records were eligible for full-text assessment and 81 studies were included. Studies were conducted from 2010 to 2018. Approximately half of the studies were undertaken in the USA. Study designs were primarily qualitative and participants mainly nursing students. Seven key methods for teaching evidence-based practice were identified. Research courses and workshops, Collaboration with clinical practice and IT technology were the key methods most frequently identified. Journal clubs and Embedded librarians were referred to the least. The majority of the methods included 2-4 of the Sicily Statement's five steps, while few methods referred to all five steps. CONCLUSIONS: This scoping review has provided an extensive overview of literature describing methods for teaching EBP regarding undergraduate healthcare students. The two key methods Research courses and workshops and Collaboration with clinical practice are advantageous methods for teaching undergraduate healthcare students evidence-based practice; incorporating many of the Sicily Statement's five steps. Unlike the Research courses and workshop methods, the last step of evaluation is carried out partly or entirely in a clinical context. Journal clubs and Embedded librarians should be further investigated as methods to reinforce existing methods of teaching. Future research should focus on methods for teaching EBP that incorporate as many of the five steps of teaching and conducting EBP as possible.


Asunto(s)
Competencia Clínica , Curriculum , Práctica Clínica Basada en la Evidencia/educación , Personal de Salud/educación , Femenino , Humanos , Masculino , Estudiantes de Enfermería/estadística & datos numéricos
16.
Nurse Educ Today ; 81: 72-77, 2019 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-31330405

RESUMEN

BACKGROUND: The risk of acquiring and spreading infection must be minimized in nursing students because they are exposed to healthcare-associated infections during clinical training. To achieve this goal, students should be knowledgeable and competent in infection control practice before proceeding to their training hospitals. OBJECTIVES: This study assessed the nursing students' perception of the infection prevention climate in training hospitals in Saudi Arabia. It also examined the predictors of the students' perceptions. DESIGN: A quantitative, cross-sectional design was used. METHODS: This investigation was part of a large study conducted in six Saudi universities. A total of 829 Saudi nursing students were included in this study. Data were collected using the Leading Culture of Quality in Infection Prevention scale and analyzed using descriptive and inferential statistics. Ethical approval was obtained from the King Saud University, and permission was given by the administration of each participating university. RESULTS: The overall perception of nursing students indicated a modest infection prevention climate. Prioritization of quality and improvement orientation was rated as the highest dimensions, whereas psychological safety and supportive environment were the lowest. The nursing students in University F had the poorest perceptions among the six universities. The predictors of nursing student perception of their training hospitals' infection prevention climates were the university where they studied, their age, and participation in infection prevention seminars. CONCLUSIONS: This article describes nursing students' perception of the infection prevention climate of their training hospitals in Saudi Arabia. Results may provide a unique theoretical underpinning on the perception and factors that effect an infection prevention climate. Thereby, previous knowledge and literature may be expanded. Results can be used as a guide in establishing clinical policies in efforts toward improving the infection prevention climate.


Asunto(s)
Infección Hospitalaria/enfermería , Infección Hospitalaria/prevención & control , Control de Infecciones/normas , Estudiantes de Enfermería/psicología , Universidades , Estudios Transversales , Curriculum , Bachillerato en Enfermería , Femenino , Adhesión a Directriz/normas , Hospitales , Humanos , Masculino , Arabia Saudita , Estudiantes de Enfermería/estadística & datos numéricos , Encuestas y Cuestionarios
17.
BMC Public Health ; 19(1): 976, 2019 Jul 22.
Artículo en Inglés | MEDLINE | ID: mdl-31331316

RESUMEN

BACKGROUND: Data on electronic cigarette (e-cigarette) use among health professional students, who can play a central role in promoting healthy habits and smoking cessation, are sparse. Moreover, the association between e-cigarettes and smoking habits is still debated. The present study aimed to investigate the diffusion of e-cigarette use among nursing students in north-eastern Italy and explore its association with tobacco smoking. METHODS: In 2015, a questionnaire focused on e-cigarette use and tobacco smoking habits was anonymously administered to 2020 students attending nursing courses held by Verona University in 5 different centres. Of these students, 1463 (72.4%) answered the questionnaire. The influence of e-cigarette ever use on both tobacco smoking initiation in all subjects and smoking cessation among ever smokers was investigated by multivariable logistic models. RESULTS: Most responders were female (77.1%), and the mean (SD) age was 23.2 (4.2) years. Nearly all students (94.7%) had heard about e-cigarettes. Approximately one-third (30.3, 95% CI 27.9-32.7%) had ever used e-cigarettes, but only 2.1% (1.5-3.0%) had used e-cigarettes in the last month. Very few (2.1%) of those responders who had never used e-cigarettes were willing to try them. Prevalence values were much higher for tobacco smoking: 40.9% of responders reported being current tobacco smokers, and 10.1% reported being past smokers. Ever use and current use of e-cigarettes were reported by 57.2 and 4.4% of current tobacco smokers and by 12.0 and 0.6% of never or past smokers, respectively (p < 0.001). In multivariable analysis, students who ever used e-cigarettes had 13 times greater odds of being an ever tobacco smoker than never users, whereas they had three times lower odds of being a former smoker. Only 26 students were currently using both electronic and tobacco cigarettes, and most declared that they used e-cigarettes to stop or reduce tobacco smoking. Of note, only three students reported that they had completely stopped smoking thanks to e-cigarette use. CONCLUSION: Use of e-cigarettes seemed to be rather rare among Italian nursing students and was mainly restricted to current smokers. E-cigarette use was not associated with smoking cessation in nursing students.


Asunto(s)
Conocimientos, Actitudes y Práctica en Salud , Estudiantes de Enfermería/psicología , Vapeo/epidemiología , Adulto , Estudios Transversales , Femenino , Humanos , Italia/epidemiología , Masculino , Fumadores/estadística & datos numéricos , Cese del Hábito de Fumar/estadística & datos numéricos , Estudiantes de Enfermería/estadística & datos numéricos , Encuestas y Cuestionarios , Fumar Tabaco/psicología , Adulto Joven
18.
Nurse Educ Pract ; 38: 157-163, 2019 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-31302590

RESUMEN

Research concerning this issue demonstrates that nursing students initially feared interacting with and caring for patients with suicidal tendencies. However, there is a lack of research, which examines the care that is provided to patients that are suicidal, by nursing students. The aim of this study was to develop a theory to guide nursing students when caring for patients with suicidal tendencies on their psychiatric clinical practicum. A qualitative approach using Grounded Theory was used. A total of 22 nursing students who had provided care for suicidal patients were interviewed. The core category that emerged from the data was the 'changing of mindsets towards caring for suicidal patients and promotion of suicidal care competencies'. Other key categories linked to and enfolded within this core category were: suicidal risk assessment; protecting patients' safety; and, developing therapeutic communication competencies to advance suicidal care. This study could help fill a theory-practice gap for both psychiatric nursing teachers and students. Nurse teachers could use this theory as a map to help guide students caring for patients with suicidal tendencies and develop nursing students' suicidal care competencies.


Asunto(s)
Teoría de Enfermería , Preceptoría/métodos , Estudiantes de Enfermería/psicología , Ideación Suicida , Actitud del Personal de Salud , Femenino , Teoría Fundamentada , Humanos , Masculino , Enfermería Psiquiátrica/educación , Investigación Cualitativa , Estudiantes de Enfermería/estadística & datos numéricos , Adulto Joven
19.
Nurse Educ ; 44(5): 261-264, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31305358

RESUMEN

BACKGROUND: Patient safety efforts in practice have focused on creating a just culture where errors can be identified and reported, and system remedies created to prevent reoccurrence. The same is not true of nursing education where student experiences with error and the sequelae that follow focus on individual performance. PURPOSE: The purpose of this study was to adapt the Just Culture Assessment Tool (JCAT) used in practice settings into a valid and reliable instrument to evaluate just culture in academic settings. METHODS: A 27-item instrument was adapted for academia. Content validity was established. Reliability was determined in a pilot study with 133 prelicensure nursing students. RESULTS: The scale content validity index (CVI) was calculated at 1. The reliability of the instrument is strong (α = .75). CONCLUSIONS: The CVI and pilot study findings support the use of the JCAT for Nursing Education as a valid and reliable instrument to evaluate student perception of just culture in academia.


Asunto(s)
Bachillerato en Enfermería/organización & administración , Errores Médicos/enfermería , Cultura Organizacional , Estudiantes de Enfermería/psicología , Encuestas y Cuestionarios , Femenino , Humanos , Masculino , Errores Médicos/prevención & control , Investigación en Educación de Enfermería , Investigación en Evaluación de Enfermería , Seguridad del Paciente , Proyectos Piloto , Reproducibilidad de los Resultados , Estudiantes de Enfermería/estadística & datos numéricos , Adulto Joven
20.
Rev Esc Enferm USP ; 53: e03450, 2019 Jul 15.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-31314865

RESUMEN

OBJECTIVE: To identify health alterations in nursing students after a year from admission to a nursing undergraduate course. METHOD: A longitudinal prospective study with a quantitative approach was carried out in 2016 with first-year nursing students from two universities in the state of São Paulo. The following instruments were applied at the beginning and the end of the first school year: an instrument for Assessment of Stress in Nursing Students, the Center for Epidemiologic Studies Depression Scale, and the Pittsburgh Sleep Quality Index. The ANOVA test for mixed models was used for analysis. RESULTS: The sample was made up of 117 students in March and 100 students in December. A significant increase in stress in all dimensions of the instrument, a reduction in the duration and subjective quality of sleep, and an increase in general stress and depressive symptoms were observed. CONCLUSION: The nursing academic environment presents the potential for students to become ill. Institutions should rethink their curricular elements, promote resilience, and create spaces to promote students' health.


Asunto(s)
Depresión/epidemiología , Bachillerato en Enfermería , Estrés Psicológico/epidemiología , Estudiantes de Enfermería/estadística & datos numéricos , Adolescente , Adulto , Brasil , Femenino , Humanos , Estudios Longitudinales , Masculino , Estudios Prospectivos , Sueño/fisiología , Universidades , Adulto Joven
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