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1.
Br J Nurs ; 29(1): 55, 2020 Jan 09.
Artigo em Inglês | MEDLINE | ID: mdl-31917938

RESUMO

Sophie Emery, Student Children's Nurse at the University of Hertfordshire, reflects on her elective placement in Zambia.


Assuntos
Educação em Enfermagem/organização & administração , Intercâmbio Educacional Internacional , Estudantes de Enfermagem/psicologia , Humanos , Reino Unido , Zâmbia
2.
J Clin Nurs ; 29(1-2): 75-84, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31512306

RESUMO

AIM: To develop a substantive theoretical explanation that makes sense of the decision-making process that clinical instructors use to place students on a learning contract. BACKGROUND: Clinical instructors are challenged with the task of objectively evaluating students using subjective tools such as anecdotal notes, diaries, unstructured observations and verbal feedback from other nurses. Clinical instructors' assessment decisions have a considerable impact on a variety of key stakeholders, not least of all students. DESIGN: Grounded theory method and its heuristic tools including the logic of constant comparison, continuous memoing and theoretical sampling to serve conceptualisation were used in the process of data collection and analysis. METHODS: Seventeen individual semi-structured interviews with clinical instructors in one university in Western Canada were conducted between May 2016-May 2017. Data were analysed using open, axial and selective coding consistent with grounded theory methodology. The study was checked for the Standards for Reporting Qualitative Research (SRQR) criteria (See Appendix S1). FINDINGS: Three subcategories, "brewing trouble," "unpacking thinking" and "benchmarking" led to the study's substantive theoretical explanation. "Gut feeling" demonstrates how clinical instructors reason in their decision-making process to place a student on a learning contract. CONCLUSION: Placing a student on a learning contract is impacted by personal, professional and institutional variables that together shift the process of evaluation towards subjectivity, thus influencing students' competency. A system-level approach, focusing on positive change through implementing innovative assessment strategies, such as using a smart phone application, is needed to provide some degree of consistency and objectivity. RELEVANCE TO CLINICAL PRACTICE: Making visible the objective assessments currently being done by clinical instructors has the potential to change organisational standards, which in turn impact patient and clinical outcomes.


Assuntos
Bacharelado em Enfermagem/métodos , Docentes de Enfermagem/psicologia , Estudantes de Enfermagem/psicologia , Canadá , Contratos , Avaliação Educacional/métodos , Teoria Fundamentada , Humanos , Intuição , Resolução de Problemas , Pesquisa Qualitativa
3.
Nurs Educ Perspect ; 41(1): 43-45, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31860487

RESUMO

A correlation pilot study was conducted to examine relationships between resilience protective factors and moral distress associated with clinical practica in nursing students. Aggregate moral distress rating was x = 3.67. Two of four resilience protective factor subcategories demonstrated significant inverse correlations with moral distress rating. Inverse correlations were found between social support and moral distress (r = -.27, p < .05) and between goal efficacy and moral distress (r = -.37, p < .01). The findings should help educators prioritize resilience-enhancing educational strategies.


Assuntos
Princípios Morais , Estresse Psicológico , Estudantes de Enfermagem , Humanos , Projetos Piloto , Fatores de Proteção , Estudantes de Enfermagem/psicologia
4.
Nurs Educ Perspect ; 41(1): 46-48, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31860488

RESUMO

Unequal representation of black nurses in the workforce continues to plague the nursing profession. Preconceptions and understandings of the discipline are underpinned by the dominant white racial makeup, which may challenge ethnically diverse nursing students' perceptions of their ability for success. The need for a diverse nursing workforce includes the challenge of enticing minority students into and successfully through prelicensure programs. This study of attributes of grit in the lived experiences of black nursing students revealed evidence including consistent efforts and perseverance to reach goals in the participants' stories.


Assuntos
Afro-Americanos , Bacharelado em Enfermagem , Estudantes de Enfermagem , Afro-Americanos/psicologia , Grupo com Ancestrais do Continente Europeu , Humanos , Grupos Minoritários , Estudantes de Enfermagem/psicologia
5.
Nurs Educ Perspect ; 41(1): 49-51, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31860489

RESUMO

Disordered eating (DE) behaviors are associated with obesity and eating disorders. This study describes practices and attitudes of nursing students toward patients exhibiting DE and how personal DE behaviors affect practices and attitudes. Most respondents had a mental health rotation (74.7 percent) and DE education (68 percent); however, only 34.7 percent felt prepared to screen for DE, and only 44 percent were taught to screen. Those scoring high for DE behaviors (n = 7) indicated greater rates of feeling prepared to screen. This knowledge can help nurse educators design curricula to increase the preparation of nurses to address DE behaviors.


Assuntos
Atitude do Pessoal de Saúde , Transtornos da Alimentação e da Ingestão de Alimentos , Estudantes de Enfermagem , Currículo , Docentes de Enfermagem , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Estudantes de Enfermagem/psicologia , Inquéritos e Questionários
6.
Nurs Educ Perspect ; 41(1): 63-64, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31860495

RESUMO

Undergraduate didactic nursing leadership courses lack experiential opportunities to address working with culturally diverse populations. The authors used Bafa Bafa©, a cross-cultural low-fidelity simulation, to further develop critical thinking and emotional intelligence skills in prelicensure nursing students. This article describes the authors' experiences of integrating this innovative teaching strategy in the classroom to increase cultural awareness. The students' discovery of unexpected feelings, thoughts, and perceptions has the potential to extend beyond the simulated experience when coupled with faculty reinforcement of engaging in self-reflective practice as a professional nurse.


Assuntos
Bacharelado em Enfermagem , Treinamento por Simulação , Estudantes de Enfermagem , Competência Cultural , Inteligência Emocional , Humanos , Liderança , Estudantes de Enfermagem/psicologia
8.
Nurs Res ; 68(6): 453-463, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31693551

RESUMO

BACKGROUND: Evidence suggests that behavioral, social, and environmental factors may modify the effects of life stress on health and performance of new nurses as they transition to hospitals. OBJECTIVES: The aim of this study was to describe the methods of a project designed to investigate the role of social, behavioral, and environmental factors in modifying the adverse effects of stress on new nurses and to discuss demographic, health, and life stress characteristics of the cohort at baseline. METHODS: A prospective cohort design was used to conduct a comprehensive assessment of health endpoints, life stress, behaviors, personal traits, social factors, indicators of engagement and performance, and environmental exposures in nursing students. Adjusted odds ratios and analyses of covariance were used to examine associations between these factors at baseline. RESULTS: Health indicators in the cohort were comparable or better than in the broader United States population, and lifetime stress exposure was lower than among students from other majors. Exposure to more lifetime stressors was associated with greater risk for various health conditions, including hypertension, diabetes, and depression. Conversely, better social, environmental, behavioral, and personal profiles were associated with protective effects for the same health conditions. DISCUSSION: These data comprehensively summarize the lives of predominately Hispanic nursing students and highlight risk and resilience factors associated with their health and well-being. The findings are timely, as the nursing field diversifies in preparation to care for a diverse and aging population. Comprehensively assessing stress-health relationships among student nurses ought to inform the policies, practices, and curricula of nursing schools to better prepare nurses to thrive in the often-strenuous healthcare environment.


Assuntos
Estresse Psicológico/epidemiologia , Estudantes de Enfermagem/psicologia , Adolescente , Adulto , Estudos de Coortes , Feminino , Comportamentos Relacionados com a Saúde , Nível de Saúde , Humanos , Estilo de Vida , Masculino , Pessoa de Meia-Idade , Fatores Socioeconômicos , Estados Unidos , Adulto Jovem
9.
Br J Nurs ; 28(21): 1410-1413, 2019 Nov 28.
Artigo em Inglês | MEDLINE | ID: mdl-31778336

RESUMO

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.


Assuntos
Nível de Saúde , Saúde Mental/estatística & dados numéricos , Estudantes de Enfermagem/psicologia , Bacharelado em Enfermagem , Feminino , Humanos , Modelos Teóricos , Estudantes de Enfermagem/estatística & dados numéricos , Universidades
11.
Br J Nurs ; 28(21): 1394-1398, 2019 Nov 28.
Artigo em Inglês | MEDLINE | ID: mdl-31778343

RESUMO

A coaching pilot was developed following the publication of a number of reports that recommended a review into how student nurses are taught in clinical practice. A bespoke version of the Collaborative Learning in Practice (CLiP) model was developed, which used both coaching and peer learning to encourage students to lead the delivery of care for a designated group of patients. A senior student led a team consisting of two junior students and they were given the responsibility of directing and coordinating the team in the manner expected of a registered nurse. A qualified nurse was responsible for the supervision of the students and used a coaching approach to teach. Findings from an evaluation revealed that the students benefitted from being able to work autonomously and were able to enhance their leadership and management skills.


Assuntos
Docentes de Enfermagem/psicologia , Relações Interprofissionais , Tutoria/métodos , Recursos Humanos de Enfermagem/psicologia , Estudantes de Enfermagem/psicologia , Grupos Focais , Humanos , Aprendizagem , Pesquisa em Educação de Enfermagem , Pesquisa em Avaliação de Enfermagem , Pesquisa Metodológica em Enfermagem
12.
Nurs Educ Perspect ; 40(6): 367-369, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31644456

RESUMO

Various causes exist for nursing student anxiety in the clinical setting. There is a need for further intervention research that may be effective to reduce student anxiety related to clinical. The purpose of this pilot research study was to measure and manage anxiety for nursing students in the clinical area with the assistance of a smartphone app. The usefulness of the app was evaluated by means of a focus group.


Assuntos
Ansiedade/diagnóstico , Ansiedade/prevenção & controle , Aplicativos Móveis , Smartphone , Estudantes de Enfermagem/psicologia , Bacharelado em Enfermagem , Grupos Focais , Humanos , Projetos Piloto
13.
Nurs Educ Perspect ; 40(6): E19-E21, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31644460

RESUMO

Many health care education programs, particularly those in Taiwan, have begun offering capstone product-based curricula, not only to improve nursing students' problem-solving skills but also to foster creativity and innovation regarding health care issues. This study used a cross-sectional quantitative design to explore the efficacy of teaching for creativity among nurse faculty in Taiwan. Results showed knowledge of intellectual property rights was low, as was ability to creatively evaluate trademark and patent designs. Curiosity was the main predictor associated with self-efficacy of teaching for creativity.


Assuntos
Criatividade , Docentes de Enfermagem/psicologia , Autoeficácia , Ensino , Estudos Transversais , Humanos , Estudantes de Enfermagem/psicologia , Taiwan
14.
Nurs Educ Perspect ; 40(6): 317-321, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31658217

RESUMO

AIM: The purpose of this study was to identify whether differences exist in nursing professional values based on program type and/or geographic location. BACKGROUND: Deliberate inclusion of values formation is critical to nursing education and high-quality nursing care. There is limited research comparing professional values development among students in all types of prelicensure RN programs and no research comparing students' professional values between geographic regions. METHOD: A secondary analysis was completed of original data collected in three descriptive studies using the Nursing Professional Value Scale-Revised®. RESULTS: Findings indicate prelicensure nursing students are educated with the values integrated within the American Nurses Association Code of Ethics. Significant differences (p < .05) were found when comparing geographic locations, program types, and Nursing Professional Value Scale-Revised factor scores. CONCLUSION: Additional research is needed to identify best practices for overall values formation in all program types.


Assuntos
Bacharelado em Enfermagem/organização & administração , Ética em Enfermagem/educação , Profissionalismo/educação , Estudantes de Enfermagem/psicologia , Geografia , Humanos , Pesquisa em Educação de Enfermagem , Pesquisa em Avaliação de Enfermagem , Estados Unidos
15.
Rev Lat Am Enfermagem ; 27: e3177, 2019.
Artigo em Português, Inglês, Espanhol | MEDLINE | ID: mdl-31596412

RESUMO

OBJECTIVE: analyze associations between demographic, academic, health, stress, overweight and obesity characteristics among nursing students. METHOD: this is a cross-sectional study with 95 students from a private university in Rio Grande do Sul, Brazil. A demographic, academic and health characterization questionnaire and the Assessment of Stress in Nursing Students (ASNS) scale were applied. Anthropometric measures were taken and descriptive and bivariate analyses were performed. RESULTS: female students predominated in this study, mean age: 25.6±5.87 years. Weight gain was observed in 52.6% of the students, with the 'Professional training' session reporting high (29.5%) and very high (36.8%) levels of stress. None of the stress scale sessions was associated with overweight and obesity. CONCLUSION: overweight and obesity were associated with male participants, high blood pressure, weight gain since the beginning of the course, altered waist circumference, no physical activity, eating more in stressful situations, and consumption of unhealthy foods.


Assuntos
Sobrepeso/psicologia , Estresse Psicológico/epidemiologia , Estudantes de Enfermagem/psicologia , Adulto , Pressão Sanguínea/fisiologia , Índice de Massa Corporal , Brasil/epidemiologia , Estudos Transversais , Feminino , Humanos , Estilo de Vida , Masculino , Pessoa de Meia-Idade , Obesidade/epidemiologia , Obesidade/prevenção & controle , Obesidade/psicologia , Sobrepeso/prevenção & controle , Circunferência da Cintura
16.
Rev Lat Am Enfermagem ; 27: e3187, 2019.
Artigo em Inglês, Português, Espanhol | MEDLINE | ID: mdl-31596419

RESUMO

OBJECTIVE: to compare the clinical performance of nursing students in learning scenarios with and without debriefing in a simulation center. METHOD: a longitudinal, prospective, interventional, crossover randomized study, with a quantitative approach and before-and-after type, with a population composed of 120 nursing students distributed randomly between experimental and control group. The study phases included theoretical and demonstrative practice on child immunization; first Clinical Performance Test, which served as baseline measurement; randomization; scenarios with debriefing for the experimental group and without debriefing for the control group, according to clinical performance/intervention examination; exchange of groups or crossover; third Clinical Performance Test. RESULTS: debriefing was proven to be effective in improving the performance of the students in the clinical exams, because improvement in the performance of the experimental group both in relation to the baseline measurement examination and in comparison with the control group in the post-intervention performance examination and in the third examination, after crossover (p<0.001). CONCLUSION: the use of scenarios with debriefing constitutes a strategy facilitating the teaching-learning process in the undergraduate nursing course.


Assuntos
Educação de Pós-Graduação em Enfermagem/métodos , Aprendizagem , Aprendizagem Baseada em Problemas/métodos , Estudantes de Enfermagem/psicologia , Educação de Pós-Graduação em Enfermagem/normas , Feminino , Humanos , Masculino , Ensino/psicologia , Adulto Jovem
17.
Rev Infirm ; 68(254): 42-43, 2019 Oct.
Artigo em Francês | MEDLINE | ID: mdl-31587853

RESUMO

The health service, which came into effect in September 2018, concerns all health-care students. Nursing students were among the first to get involved in nursing fields in a variety of settings where the population could get involved in raising awareness of healthy behaviours. A group of nursing students from a school in Île-de-France attests to their involvement in this innovation.


Assuntos
Serviços de Saúde , Estudantes de Enfermagem/psicologia , Difusão de Inovações , França , Humanos , Escolas de Enfermagem
18.
Enferm. clín. (Ed. impr.) ; 29(5): 264-270, sept.-oct. 2019. tab
Artigo em Espanhol | IBECS | ID: ibc-184150

RESUMO

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


Assuntos
Humanos , Percepção , Estudantes de Enfermagem/psicologia , Estudantes de Enfermagem/estatística & dados numéricos , Estágio Clínico/métodos , Estágio Clínico/normas , Enfermagem Prática , Análise Qualitativa , Educação em Enfermagem , Aprendizagem
19.
Br J Nurs ; 28(17): 1136-1143, 2019 Sep 26.
Artigo em Inglês | MEDLINE | ID: mdl-31556728

RESUMO

Online resources are expected within healthcare education, and a plethora of online or technology-based delivery methods are available. Reusable learning objects (RLOs) are a form of digitally supported education that can be used multiple times in various locations; they are especially favoured by nurses. Little is understood about the issues involved in their creation. This article examines the development of an RLO in respiratory physiology for first-year nurses and how those creating it worked together. Feedback during the development of the RLO was gathered over 1 year from academics, technologists and students. Issues that arose included variations and misunderstanding regarding terminology and academics' not appreciating the time it took to develop the resource and its potential. Practical matters included sourcing royalty-free or in-house images, record-keeping and version control, and addressing production logic in case developers moved to other projects. It is important to include students during the design process rather than in just evaluating the final product because user experience and navigation have to be considered together with pedagogical content. Addressing these issues when developing an RLO will help streamline the process and generate a student-focused output.


Assuntos
Instrução por Computador , Bacharelado em Enfermagem/organização & administração , Humanos , Aprendizagem , Pesquisa em Educação de Enfermagem , Pesquisa em Avaliação de Enfermagem , Estudantes de Enfermagem/psicologia
20.
Br J Nurs ; 28(17): 1130-1134, 2019 Sep 26.
Artigo em Inglês | MEDLINE | ID: mdl-31556734

RESUMO

BACKGROUND: student nurses who attend preregistration nursing programmes in the UK are assessed on their academic work and their performance in clinical placement. Some of them require reasonable adjustments to be made in order to support their learning. Although there is national guidance on making reasonable adjustments for academic work, information on this associated with clinical placement is limited. The nursing literature reports varying levels of success in facilitating reasonable adjustments in clinical placement. AIM: to explore the experiences of student nurses who require reasonable adjustments and their link lecturers associated with the facilitation of this support in clinical placement. METHOD: a descriptive phenomenological methodology was adopted. Data were collected using semistructured interviews with seven student nurses and three link lecturers from three fields of nursing (adult, child and mental health). Audiorecorded interview data were transcribed, coded and thematically analysed. Phenomena were identified and discussed, viewed through relevant educational theoretical lenses and in conjunction with nursing research literature. FINDINGS: three main themes emerged: defining reasonable adjustments, supporting students, and being professional. CONCLUSION: all study participants could define reasonable adjustments and described a variety of experiences of these being facilitated in clinical placement. The process could be complex and depended on many factors that could promote or hinder the provision of support.


Assuntos
Pessoas com Deficiência/psicologia , Bacharelado em Enfermagem/organização & administração , Docentes de Enfermagem/psicologia , Estudantes de Enfermagem/psicologia , Avaliação Educacional , Humanos , Relações Interprofissionais , Aprendizagem , Pesquisa em Educação de Enfermagem , Pesquisa em Avaliação de Enfermagem , Pesquisa Qualitativa , Reino Unido
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