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Br J Community Nurs ; 25(8): 402-406, 2020 Aug 02.
Artigo em Inglês | MEDLINE | ID: mdl-32757893


The responsibility of the district nurse (DN), alongside complex case management and leadership, is to ensure Specialist Practitioner Qualification District Nurse (SPQDN) education continues to create practitioners delivering quality evidence-based care. DN leadership and its importance have come to the fore during the COVID-19 crisis, where hospital discharges have increased rapidly to make way for highly complex admissions (HM Government, 2020). This paper examines the importance of the SPQDN qualification, exploring the role of the DN within practice education. Continuation of the vital DN qualification will ensure that the numbers of qualified DNs increase, ultimately protecting community capacity. With a move towards an apprenticeship model to achieve the SPQDN, DNs must engage with and influence curriculum development to confirm courses deliver requirements of the workplace, commissioners and the 2019 NHS Long Term Plan. Expectations of the DN role within practice education have changed, moving away from the practice teacher standards to the new Nursing and Midwifery Council Standards for Student Support and Assessment. This poses new challenges in DN education in practice. The implications of this transition threaten to de-value the quality of the assessment process by removing the high standards of preparation previously demanded; ultimately, this is a risk to the provision of the quality practice education that previously existed.

Betacoronavirus , Enfermagem em Saúde Comunitária/educação , Infecções por Coronavirus/epidemiologia , Bacharelado em Enfermagem/organização & administração , Papel do Profissional de Enfermagem , Pneumonia Viral/epidemiologia , Currículo , Humanos , Pandemias , Reino Unido
Br J Community Nurs ; 25(4): 193-195, 2020 Apr 02.
Artigo em Inglês | MEDLINE | ID: mdl-32267764


This article reports the implementation of a new procedure for screening and treatment of malnutrition in a community NHS trust in England. The barriers and facilitators to implementation were assessed with staff from Integrated Community and Older People's Mental Health teams. Data from interviews and surveys were collected at baseline, 2 months after initial training and 16 months after initial training as well as following deployment of a nutrition lead to embed new developments for nutritional care. The adoption of the procedure made screening and treatment of malnutrition simpler and more likely to be actioned. The benefit of a nutrition lead and local nutrition champions to support and empower staff (avoiding reliance on training alone) was shown to drive change for nutritional care across the community. Prioritisation and commitment of leadership at the organisational level are needed to embed and sustain malnutrition screening and treatment in routine practice.

Enfermagem em Saúde Comunitária , Desnutrição/enfermagem , Programas de Rastreamento/métodos , Programas de Rastreamento/enfermagem , Idoso , Competência Clínica , Enfermagem em Saúde Comunitária/educação , Inglaterra , Humanos , Vida Independente , Papel do Profissional de Enfermagem , Pesquisa em Avaliação de Enfermagem , Medicina Estatal
Br J Community Nurs ; 25(2): 65-69, 2020 Feb 02.
Artigo em Inglês | MEDLINE | ID: mdl-32040361


This article discusses catheter maintenance solutions, the way they are supposed to be used and the way they actually are being used in primary and community care in the UK. It discusses the knowledge that community nursing staff have regarding these solutions and the need for further education. Appropriate assessment from a suitably trained individual is recommended, resulting in both usage and cost being dramatically decreased, offering more appropriate management and the likelihood of decreasing the incidence of catheter-associated urinary tract infections (CAUTI). The literature surrounding catheter maintenance solutions is investigated, and the lack of available evidence is highlighted. Preliminary research exploring primary and community care nurses' knowledge of catheter maintenance solutions is also discussed.

Infecções Relacionadas a Cateter/prevenção & controle , Cateteres de Demora/normas , Enfermeiros de Saúde Comunitária/educação , Cateterismo Urinário/enfermagem , Infecções Urinárias/prevenção & controle , Cateteres de Demora/efeitos adversos , Competência Clínica , Enfermagem em Saúde Comunitária/educação , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Soluções , Reino Unido , Cateterismo Urinário/instrumentação
J Nurs Educ ; 59(1): 26-29, 2020 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-31945171


BACKGROUND: To enrich students' clinical learning experience and facilitate their ability to meet the baccalaureate outcomes, students rotate through a faculty-developed nursing wellness clinic. This unique setting was thought to promote knowledge synthesis of the Bachelor of Science in Nursing (BSN) curriculum, yet it had not been formally evaluated. METHOD: A qualitative study was designed to examine the experiences of senior BSN students who rotated through the wellness clinic setting. Focus groups were held for students who volunteered to participate. RESULTS: Analysis identified three themes: Competence and Confidence Issues, Rewards and Frustrations of Delivering Care in the Community, and Using What We Know. CONCLUSION: Findings indicate that nursing wellness clinics can provide a rich learning experience and enable students to synthesize the BSN and liberal arts curriculum in order to deliver care. The study is limited due to the small sample size. Future research on the effectiveness of this clinical placement is warranted. [J Nurs Educ. 2020; 59(1):26-29.].

Enfermagem em Saúde Comunitária/educação , Bacharelado em Enfermagem , Promoção da Saúde , Conhecimento , Currículo , Grupos Focais , Humanos , Pesquisa Qualitativa , Estados Unidos
J Nurs Educ ; 59(1): 34-37, 2020 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-31945173


BACKGROUND: As the link between social factors and health outcomes has been increasingly identified in nursing research, educators are called to provide clinical experiences that allow undergraduate nursing students to grapple with social complexity and barriers in the health care system. Future nurses need community-based experiences to develop care coordination and community partnering skills to lead in this area of health care transformation. METHOD: An innovative interdisciplinary partnership between a school of nursing and a city fire department was developed to provide students with opportunities to partner with clients to address social determinants of health, while limiting emergency medical services use for nonurgent problems. RESULTS: The program has multiple benefits to nursing students, faculty, clients, agencies, and community partners. Contextual factors leading to this educational partnership, partner benefits, and challenges are discussed. CONCLUSION: Innovative interdisciplinary partnerships are an effective education tool to provide nursing students with a broader view of health care through the lens of social determinants of health. [J Nurs Educ. 2020;59(1):34-37.].

Enfermagem em Saúde Comunitária/educação , Relações Comunidade-Instituição , Comportamento Cooperativo , Bacharelado em Enfermagem/organização & administração , Modelos de Enfermagem , Determinantes Sociais da Saúde , Currículo , Bombeiros , Humanos , Modelos Organizacionais , Escolas de Enfermagem
Nurs Educ Perspect ; 41(2): 126-127, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-30601451


Given the complex needs of the aging population, nurse educators must prepare future registered nurses to help older adults remain safe and healthy in their homes. This article describes partnerships between a school of nursing and low-income senior housing providers to develop new, high-impact community-based learning experiences. Baccalaureate nursing students conducted home visits in low-income senior housing communities and engaged in a research study to quantify activities conducted by students and the impact the home visits had on client personal health goal attainment.

Enfermagem em Saúde Comunitária/educação , Promoção da Saúde/métodos , Visita Domiciliar , Estudantes de Enfermagem/psicologia , Idoso , Relações Comunidade-Instituição , Bacharelado em Enfermagem/organização & administração , Instituição de Longa Permanência para Idosos/organização & administração , Humanos , Pesquisa em Educação de Enfermagem , Pesquisa em Avaliação de Enfermagem
Enferm. clín. (Ed. impr.) ; 29(6): 336-343, nov.-dic. 2019. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-184653


Objetivo: Conocer el grado el interés de los residentes en áreas formativas transversales de Enfermería Familiar y Comunitaria (EFyC) al inicio de su formación. Valorar el desarrollo de actividades comunitarias en los centros de salud y determinar el grado de satisfacción de los residentes con la formación recibida y actividades realizadas. Método: Se presenta una experiencia sobre metodología docente en salud pública y comunitaria en los residentes de EFyC desde el 2014 hasta el 2017. La formación se dividió en 3módulos formativos de 21h y se completó con 2actividades de campo: un programa de Educación para la Salud (EpS) y un mapeo de activos en la zona básica de salud (ZBS). Se cumplimentó un cuestionario de satisfacción del curso y de las actividades realizadas. Resultado: Durante este período se formaron 27 residentes. El 86,9% consideró la formación en atención comunitaria como muy necesaria. Se realizaron 26 programas de EpS y 17 mapeos de activos de sus ZBS. Con respecto a la satisfacción de la formación, se obtuvo una media global de 4,5 ± 0,1 sobre 5. Conclusiones: Los resultados evidencian un alto grado de interés en atención comunitaria, así como una valoración muy alta sobre las actividades realizadas y la formación recibida. La formación en salud comunitaria durante el período de residencia es un elemento esencial para integrar estas competencias en el rol profesional. Resulta imprescindible la dedicación por parte de las Unidades Docentes en el impulso en esta competencia, capacitando a los residentes en la integración del abordaje biopsicosocial, la orientación comunitaria y el trabajo en equipo en Atención Primaria

Objective: To determine the interest of nursing residents in the training areas of Family and Community Nursing (EFyC) at the beginning of their training, to evaluate community activities in health centres and to determine satisfaction with the training received and activities carried out. Method: We present the experience of training in the public and community health competencies of EFyC Nursing from 2014 to 2017 in a multiprofessional teaching unit. The training was divided into 3 theoretical modules. The training was completed with 2 activities: the design and development of a health education programme and an asset mapping in the basic health area. A questionnaire was completed on satisfaction with the course and the activities carried out. Result: During this period, 27 residents received training. As part of the training process, 26 health education programmes and 17 asset mappings were conducted in accredited health centres. The areas of intervention addressed were: lifestyles, life transitions and health problems. The overall satisfaction with the course was 4.5 ±.1 out of 5. Conclusions: The results show a high degree of interest in this area, as well as high evaluation of the activities carried out and the training received. Training in community health and health education during the period of residence is essential to include these competencies in the professional role. The dedication and involvement of the multiprofessional teaching units is essential in the development of these competences, training the residents through the integration of a biopsychosocial approach, community health and teamwork in primary care

Humanos , Enfermagem em Saúde Comunitária/educação , Enfermagem Familiar/educação , Educação em Enfermagem/tendências , Enfermeiras Especialistas/educação , Saúde Pública/educação , Estudos Transversais , Inquéritos e Questionários , Análise de Dados , Internato não Médico/métodos , Internato não Médico/organização & administração
Rev. Rol enferm ; 42(10): 668-674, oct. 2019. graf
Artigo em Espanhol | IBECS | ID: ibc-190269


La formación especializada en Enfermería Familiar y Comunitaria viene desarrollándose desde que en 2010 se publicó su Programa Oficial. Se ha integrado en las Unidades Docentes Multiprofesionales de Atención Familiar y Comunitaria, lo cual ha supuesto ciertas ventajas pero también inconvenientes. La especialidad tiene unas amplias competencias que abarcan integralmente a las personas, las familias y las comunidades en el entorno en el que desarrollan su vida. Algunas competencias vienen a cubrir áreas actualmente no atendidas por el sistema sanitario e implican una cierta complejidad para su adquisición. La oferta formativa se ve incrementada paulatinamente desde los inicios de la especialidad. Está pendiente de que se dé el paso para que las especialistas formadas desarrollen sus competencias en el sistema sanitario; las Comunidades Autónomas avanzan en ese sentido

Specialised training in the field of community and family nursing has been developed since 2010, when its Official Programme was published. It has been integrated in the Multiprofessional Training Units of Family and Community Care, which implies certain advantages, but also some drawbacks. This specialised training covers a wide range of competences that involve people, family and communities in their living environment. Some of these competences cover areas that are currently not taken into account by the medical system and they imply certain complexity in their acquisition. The training programme has been gradually increased since the beginning of this specialised training. The acquisitions of these competences by the professionals working in this field are still pending and the regions of Spain are making progress in this direction

Humanos , Enfermagem em Saúde Comunitária/educação , Enfermagem Familiar/educação , Educação em Enfermagem , Especialidades de Enfermagem/educação , Enfermagem Familiar/estatística & dados numéricos , Enfermagem em Saúde Comunitária/estatística & dados numéricos , Competência Clínica
Rev. Rol enferm ; 42(10): 676-680, oct. 2019. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-190270


Desde la Atención Primaria de Salud, la enfermera comunitaria atiende a personas, familias, grupos y comunidades, en todas sus circunstancias, poniendo los cuidados lo más cerca posible de los lugares donde las personas viven y trabajan, orientados a la promoción de la salud, la prevención, la atención y control de problemas de salud. La docencia en enfermería comunitaria debe fomentar el desarrollo de competencias para unos cuidados de calidad y basados en la evidencia científica. Pero, ¿cuál es la metodología docente más adecuada? En este trabajo debatimos la importancia de imbricar la teoría y la práctica en la docencia, aplicando metodologías innovadoras, poniendo de ejemplo las metodologías empleadas en las asignaturas de Enfermería del Adulto en el Ámbito Comunitario y Enfermería Familiar y Comunitaria del Grado de Enfermería de la Universidad de Sevilla. A través de las taxonomías enfermeras, el aprendizaje basado en problemas, el role-playing o la simulación, se abarcan los cuidados centrados en la persona; mediante la realización de una valoración enfermera, desde un modelo de atención familiar, y aplicando las taxonomías a la unidad familiar, se abarcan los cuidados centrados en la familia; y usando las prácticas de campo en colaboración con asociaciones y grupos de autoayuda y realizando mapeos de activos para la salud, se abarcan los cuidados centrados en la comunidad. Para concluir, a pesar de que se ha avanzado en la formación enfermera orientada al trabajo con personas, consideramos necesario seguir profundizando en la docencia orientada a las unidades familiares y grupos comunitarios

From the Primary Health Care, the community nurse attends to people, families, groups and communities, in all their circumstances, putting care as close as possible to the places where people live and work, oriented to the promotion of health, the prevention, attention and control of health problems. Teaching in community nursing should encourage the development of competencies for a quality and evidence based care. But, what is the most appropriate teaching methodology? In this work we discuss the importance of imbricating the theory and practice in teaching, applying innovative methodologies, setting the example of the methodologies used in the subjects of Nursing of Adult in the Community and Family and Community Nursing of the Degree of Nursing of the University of Sevilla. Through the nursing taxonomy, problem-based learning, role-playing or simulation, care centered on the person is covered; by carrying out a nursing assessment, from a model of family care, and applying the taxonomy to the family unit, care centered on the family is included; and using field practices in collaboration with associations and self-help groups and mapping assets for health, community-centered care is covered. To conclude, despite the fact that progress has been made in nurse education oriented to work with people, we consider it is necessary to continue deepening in teaching oriented to family units and community groups

Humanos , Prática do Docente de Enfermagem , Enfermagem em Saúde Comunitária/educação , Enfermagem Familiar , Enfermagem Baseada em Evidências , Atenção Primária à Saúde
J Pak Med Assoc ; 69(9): 1253-1258, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31511708


OBJECTIVE: To explore the perceptions and experiences of students and faculty about the modified community clinical model. METHODS: The descriptive qualitative study was conducted at a nationally-accredited Baccalaureate School of Nursing and Midwifery in Pakistan in November 2016, and comprised final year students enrolled in Advanced Concepts in Community Health Nursing course, and experienced community health nursing faculty members. Individual interviews were conducted with students while faculty members were requested to write out their reflections. On the basis of this data, codes and categories were identified which led to two broader themes; window of opportunities, and challenges in practice. RESULTS: Of the 17 subjects, 12 (70.6%) were students and 5(29.4%) were faculty members. All subjects were females. The window of opportunities theme had three categories: perceived comfort and safety; stakeholder's involvement and support; and open door for personal recognition and self-image. The challenges in practice theme had two categories: time consuming, and home visits. Faculty reflections highlighted the need for sustaining student-related activities within the communities. CONCLUSIONS: The findings are suggestive of a wide range of application of the modified clinical model at undergraduate nursing education level.

Estágio Clínico , Enfermagem em Saúde Comunitária/educação , Bacharelado em Enfermagem/métodos , Docentes de Enfermagem , Estudantes de Enfermagem , Feminino , Humanos , Modelos Educacionais , Paquistão , Setor Privado , Pesquisa Qualitativa , Universidades
Rev Bras Enferm ; 72(4): 841-847, 2019 Aug 19.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-31432936


OBJECTIVE: Understand the learning experiences on health promotion and prevention of nursing interns during their community practice. METHOD: This is a descriptive-interpretative study, with a qualitative approach, obtaining data from 19 nursing interns from a public university in Lima-Perú, using 3 focus groups. RESULTS: Three categories were structured: considering the importance of the nursing teacher in their training; experiencing complexity in training for the prevention and promotion of health in the community; and considering the preventive-promotional area as a future professional practice. FINAL CONSIDERATIONS: The students perceived the complexity of community practice in the prevention and promotion of health. They stated that teachers and students should know the context where they develop their practices and that teacher's exercise leadership in the community. The inclination of some nursing interns for their future professional practice in this area was also evident.

Enfermagem em Saúde Comunitária/educação , Aprendizagem Baseada em Problemas/métodos , Estudantes de Enfermagem/psicologia , Enfermagem em Saúde Comunitária/métodos , Grupos Focais/métodos , Humanos , Acontecimentos que Mudam a Vida , Peru , Pesquisa Qualitativa , Estudantes de Enfermagem/estatística & dados numéricos
J Nurs Educ ; 58(8): 485-487, 2019 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-31373671


BACKGROUND: Designing educational activities that engage health profession students' interest in community-based learning is challenging. University faculty channeled concerns about regional trends in cardiovascular disease among adolescents into activities that linked students' foundational knowledge to critical application experiences. METHOD: Between 2013 and 2017, university faculty partnered with a local health system and a public high school to develop a sustainable health promotion plan for the school. The university component involved activities that students implemented as part of their community clinical experiences. RESULTS: Participant results and feedback were overwhelmingly positive and affirmed that linking learning to real-world concerns made preventive health care concepts interesting and easier to grasp. CONCLUSION: Educational activities that involve neighboring stakeholders is a creative and meaningful way to provide engaging learning experiences for future health professionals while contributing to authentic solutions within a community-based partnership. [J Nurs Educ. 2019;58(8):485-487.].

Saúde do Adolescente , Enfermagem em Saúde Comunitária/educação , Bacharelado em Enfermagem/organização & administração , Serviços de Saúde Escolar/organização & administração , Estudantes de Enfermagem/psicologia , Criatividade , Humanos , Aprendizagem , Pesquisa em Educação de Enfermagem , Pesquisa em Avaliação de Enfermagem , Ensino
Rev. bras. enferm ; 72(4): 841-847, Jul.-Aug. 2019.
Artigo em Inglês | LILACS, BDENF - Enfermagem | ID: biblio-1020553


ABSTRACT Objective: Understand the learning experiences on health promotion and prevention of nursing interns during their community practice. Method: This is a descriptive-interpretative study, with a qualitative approach, obtaining data from 19 nursing interns from a public university in Lima-Perú, using 3 focus groups. Results: Three categories were structured: considering the importance of the nursing teacher in their training; experiencing complexity in training for the prevention and promotion of health in the community; and considering the preventive-promotional area as a future professional practice. Final Considerations: The students perceived the complexity of community practice in the prevention and promotion of health. They stated that teachers and students should know the context where they develop their practices and that teacher's exercise leadership in the community. The inclination of some nursing interns for their future professional practice in this area was also evident.

RESUMO Objetivo: Compreender as experiências de aprendizagem sobre promoção e prevenção da saúde do interno(a) de enfermagem durante a sua prática comunitária. Método: Trata-se de um estudo descritivo-interpretativo, com abordagem qualitativa, obtendo dados de 19 internos(as) de enfermagem de uma universidade pública de Lima-Perú, utilizando 3 grupos focais. Resultados: Três categorias foram estruturadas: considerando a importância do professor de Enfermagem em sua formação; experimentando a complexidade na formação para a prevenção e promoção da saúde na comunidade; e considerando a área de promoção preventiva como uma futura prática profissional. Considerações finais: Os estudantes perceberam a complexidade da prática comunitária na prevenção e promoção da saúde. Eles afirmaram que professores e alunos devem conhecer o contexto em que desenvolvem suas práticas e que os professores exercem liderança na comunidade. A inclinação de alguns estagiários para a futura prática profissional nesta área também ficou evidente.

RESUMEN Objetivo: Comprender las experiencias de aprendizaje sobre promoción y prevención de la salud del interno(a) de enfermería durante su práctica comunitaria. Método: Se trata de un estudio descriptivo-interpretativo, con abordaje cualitativo, obteniéndo datos de 19 internos(as) de enfermería de una universidad pública de Lima-Perú, utilizando 3 grupos focales. Resultados: Se estructuraron 3 categorías: considerando la importancia del docente de Enfermería en su formación; vivenciando la complejidad en la formación para la prevención y promoción de la Salud en la comunidad; y considerando el área preventivo-promocional como futura práctica profesional. Consideraciones Finales: Los estudiantes percibieron la complejidad de la práctica comunitaria al realizar la prevención y promoción de la salud. Manifestaron que los docentes y estudiantes deben conocer el contexto donde desarrollan sus prácticas y que los docentes ejerzan liderazgo en la comunidad. También se evidenció la inclinación de algunas internas por el futuro ejercicio profesional en esta área.

Humanos , Estudantes de Enfermagem/psicologia , Enfermagem em Saúde Comunitária/educação , Aprendizagem Baseada em Problemas/métodos , Peru , Estudantes de Enfermagem/estatística & dados numéricos , Grupos Focais/métodos , Enfermagem em Saúde Comunitária/métodos , Pesquisa Qualitativa , Acontecimentos que Mudam a Vida
J Community Health Nurs ; 36(3): 139-146, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31291772


Patients that cannot come to their family medicine practice (i.e. who have difficulties with access) do not receive the same preventive screening activities and management of their chronic diseases as those who can. Community nurses who provide healthcare to patients in their homes were trained in additional competencies, including screening for risk factors for selected diseases and the management of patients with selected chronic diseases. The presented model enables equal management of all registered patients, regardless of accessibility. It also fosters exchange of information within the team members and thus improves the quality of the team management of patients.

Enfermagem em Saúde Comunitária/métodos , Assistência Integral à Saúde/organização & administração , Acesso aos Serviços de Saúde/organização & administração , Adulto , Asma/terapia , Enfermagem em Saúde Comunitária/educação , Enfermagem em Saúde Comunitária/organização & administração , Assistência Integral à Saúde/métodos , Disparidades em Assistência à Saúde , Humanos , Pessoa de Meia-Idade , Modelos Organizacionais , Doença Pulmonar Obstrutiva Crônica/terapia , Eslovênia
Br J Community Nurs ; 24(7): 338-342, 2019 Jul 02.
Artigo em Inglês | MEDLINE | ID: mdl-31265341


Antimicrobial stewardship (using antimicrobials responsibly) can reduce the risk of antimicrobial resistance (AMR). Many health professionals identify themselves as 'antibiotic guardians', but patient expectations, time constraints, and a lack of confidence or underdeveloped communication skills can influence decisions to prescribe. Nurse prescribers have an important role to play in antibiotic stewardship, and their numbers continue to grow. While nurse prescribers welcome this extension to their traditional role, they are often faced with barriers to antibiotic stewardship activities. These barriers may relate to their Capability (knowledge/skill), Opportunity (norms of practice, influence of patients, environmental factors), and Motivation (attitudes and beliefs, concern over outcome, emotion and habit) [COM-B]. Education, training and enablement can help to overcome these barriers, and the development of knowledge, confidence and effective communication skills should be of priority. Further, communication skills can help nurse prescribers understand patient expectations, with the use of open-ended questions, active listening and creation of a patient-centred consultation that leads to a mutually agreed end goal and way forward.

Gestão de Antimicrobianos/métodos , Comunicação , Enfermagem em Saúde Comunitária/métodos , Relações Enfermeiro-Paciente , Competência Clínica , Enfermagem em Saúde Comunitária/educação , Humanos , Participação do Paciente , Preferência do Paciente
Metas enferm ; 22(6): 12-18, jul. 2019. graf, tab
Artigo em Espanhol | IBECS | ID: ibc-184043


Objetivo: conocer el grado de satisfacción del alumnado de Enfermería y las dificultades encontradas con la metodología de aprendizaje-servicio en el desarrollo de la competencia de promoción de la salud, dentro de la asignatura de Salud Pública y Enfermería Comunitaria I. Método: el proyecto de aprendizaje-servicio fue llevado a cabo en tres fases: 1) formación del alumnado en conocimientos acerca de la Enfermería Comunitaria y Educación para la Salud; 2) contacto con las asociaciones cercanas a la universidad, y diseño de los talleres de salud y materiales que iban a ofrecer a las asociaciones (en grupos de 10 estudiantes); 3) implementación de los talleres por parte de alumnado. Se diseñó un cuestionario ad hoc para medir la satisfacción con el proyecto de aprendizaje-servicio. Para el análisis bivariante de la satisfacción con el sexo y la edad se utilizó la prueba de U de Mann-Whitney y el coeficiente de correlación de Spearman. Resultados: el alumnado tuvo un nivel de satisfacción muy alto (media: 8,07), con independencia del sexo y la edad. Se encontraron dificultades a la hora de poner en marcha esta metodología como la incompatibilidad de horarios entre el alumnado y las asociaciones, o la escasa asistencia de personas a las sesiones. Conclusiones: el desarrollo de actividades de aprendizaje-servicio para que el alumnado de Enfermería adquiera competencias en la promoción para la salud es una metodología con alto grado de satisfacción. No obstante, fueron encontradas barreras en su implementación como la dificultad en el cronograma entre alumnado y asociaciones

Objective: to understand the level of satisfaction among Nursing students and the difficulties found regarding the Service-Learning methodology in the development of Health Promotion skills, within the subject Public Health and Community Nursing I. Method: the Service-Learning Project was conducted in three stages: 1) training students in knowledge about Community Nursing and Health Education; 2) contact with those associations near the university, and design of Health Workshops and materials that would be offered to the associations (in 10-student groups); 3) implementation of workshops by the students. An ad hoc questionnaire was designed in order to measure the satisfaction with the Service-Learning project. The Mann-Whitney U Test and the Spearman Correlation Coefficient were used for the bivariate analysis of satisfaction with gender and age. Results: students had a very high satisfaction level (mean: 8.07), regardless of gender and age. Difficulties were found at the time of implementing this methodology, such as the incompatibility of schedules between students and the association, or the low attendance of people to the sessions. Conclusions: the development of Service-Learning activities for the Nursing students to acquire skills in Health Promotion is a methodology with a high level of satisfaction. However, barriers were found in its implementation, such as difficulties with the timetables of the students and the associations

Humanos , Masculino , Feminino , Adulto Jovem , Adulto , Estudantes de Enfermagem/estatística & dados numéricos , Educação em Enfermagem/tendências , Promoção da Saúde/métodos , Aprendizagem , Satisfação Pessoal , Enfermagem em Saúde Comunitária/educação , Processo de Enfermagem , Serviço Hospitalar de Enfermagem , Serviços de Enfermagem , Inquéritos e Questionários , Estilo de Vida Saudável
Int Nurs Rev ; 66(4): 514-522, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31184377


BACKGROUND: The ageing population and the changing disease profile have been driving the demand for community nurses. However, few nursing students in Singapore aspire to have a career in community nursing following graduation. OBJECTIVES: To explore undergraduate nursing students' perceptions of a career in community nursing and to identify strategies to promote community nursing among nursing students. METHODS: An exploratory qualitative design was used. Four focus group discussions were conducted with a purposive sample of 24 undergraduate nursing students from a university. Interview transcripts were analysed using thematic analysis. FINDINGS: Four key themes emerged as follows: 'mid-life career', 'limited career progression', 'a difficult transition' and 'international nurses-dominated workforce'. DISCUSSION: While most participants rejected a career in community nursing immediately after graduation, they planned to join it at the later stages of their lives to accommodate changing life priorities. Limited career progression and increased difficulty in career transition from community nursing to acute care nursing were identified as deterrent factors in the participants' choices of community nursing as a career. Feelings of marginalization and a lack of role models in community nursing were perceived to be the result of the international nurses-dominated community workforce. CONCLUSION: Community nursing remains an underrated career. There is a need to foster an optimistic career outlook and mobility in community nursing to entice nursing students into this career track. IMPLICATIONS FOR NURSING POLICY: Strategies to enhance community nursing recruitment should focus on providing more quality and diverse community placement opportunities in various community care settings, implementing a clearly defined career developmental plan to elucidate the role of community nurses, and improving community care and cultural competencies to develop a skilled and diverse community nursing workforce.

Escolha da Profissão , Enfermagem em Saúde Comunitária/educação , Estudantes de Enfermagem/psicologia , Mobilidade Ocupacional , Bacharelado em Enfermagem , Feminino , Grupos Focais , Humanos , Masculino , Pesquisa Qualitativa , Singapura , Adulto Jovem