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Xu Y, Zhang W, Wang J, Guo Z, Ma W. The effects of clinical learning environment and career adaptability on resilience: A mediating analysis based on a survey of nursing interns. J Adv Nurs 2024. [PMID: 38468419 DOI: 10.1111/jan.16144] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2023] [Revised: 12/12/2023] [Accepted: 02/23/2024] [Indexed: 03/13/2024]
Abstract
BACKGROUND The resilience education of intern nursing students has significant implications for the development and improvement of the nursing workforce. The clinical internship period is a critical time for enhancing resilience. AIMS To evaluate the resilience level of Chinese nursing interns and explore the effects of factors affecting resilience early in their careers, focusing on the mediating roles of career adaptability between clinical learning environment and resilience. METHODS The cross-sectional study design was adopted. From March 2022 to May 2023, 512 nursing interns in tertiary care hospitals were surveyed online with the Connor-Davidson Resilience Scale, the Clinical Learning Environment Scale for Nurse and the Career Adapt-Abilities Scale. Structural equation modelling was used to clarify the relationships among these factors. Indirect effects were tested using bootstrapped confidence intervals. RESULTS The nursing interns showed a moderately high level of resilience [M (SD) = 70.15 (19.90)]. Gender, scholastic attainment, scholarship, career adaptability and clinical learning environment were influencing factors of nursing interns' resilience. Male interns with good academic performance showed higher levels of resilience. Career adaptability and clinical learning environment positively and directly affected their resilience level (β = 0.62, 0.18, respectively, p < .01). Career adaptability was also positively affected by the clinical learning environment (β = 0.36, p < .01), and mediated the effect of clinical learning environment on resilience (β = 0.22, p < .01). CONCLUSION Clinical learning environment can positively affect the resilience level of nursing interns. Career adaptability can affect resilience directly and also play a mediating role between clinical learning environment and resilience. Thus, promotion of career adaptability and clinical teaching environment should be the potential strategies for nursing interns to improve their resilience, especially for female nursing interns with low academic performance.
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Affiliation(s)
- Yutong Xu
- School of Nursing, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Wanting Zhang
- School of Nursing, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Jia Wang
- School of Nursing, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Zihan Guo
- School of Nursing, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Weiguang Ma
- School of Nursing, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
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Al-Daken L, Lazarus ER, Al Sabei SD, Alharrasi M, Al Qadire M. Perception of Nursing Students About Effective Clinical Teaching Environments: A Multi-Country Study. SAGE Open Nurs 2024; 10:23779608241233146. [PMID: 38510754 PMCID: PMC10953109 DOI: 10.1177/23779608241233146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2023] [Revised: 12/10/2023] [Accepted: 01/26/2024] [Indexed: 03/22/2024] Open
Abstract
Background The transition of nursing education from traditional methods to more advanced approaches is crucial for adequately preparing students to deliver competent care in tertiary care centers. Moreover, clinical faculty in nursing plays a key role in guiding nursing students through their clinical training in various healthcare settings. Purpose This study aims to describe the perceptions of undergraduate nursing students regarding the effectiveness of the learning environment and clinical teaching in clinical areas across various countries. Methods The study, conducted using a descriptive, cross-sectional research design, gathered data from 215 nursing students using the Clinical Learning Environment Inventory and Clinical Teaching Effectiveness Instrument. Data analysis included frequencies, percentages, mean, standard deviation, t-tests, analysis of variance, and correlation assessments to comprehend the impact of clinical teaching and learning environments. Results Nursing students' perceptions of the clinical learning environment produced mean scores between 2.03 and 3.38 on a scale from 1 to 4, resulting in an overall mean score of 2.72 across 42 items. This indicates a general satisfaction with their clinical learning experiences. Regarding effective clinical teaching, the mean student responses varied from 3.02 to 3.40 out of a possible 5 points, with a total mean of 3.22. The study revealed notable correlations in the context of effective clinical teaching, particularly with demographic variables and the clinical learning environment. Specifically, a significant correlation with age (r = .177, p = .009) and the clinical learning environment (r = .572, p < .001) was identified. Conclusion The study concludes that students expressed overall satisfaction with their clinical learning experiences. They recognized the importance of participating in clinical training, fulfilling clinical responsibilities for assigned patients, exerting extra effort for learning, receiving support from preceptors in clinical settings, and being attentive to communications from staff. The collaboration between clinical preceptors and academic nursing lecturers is crucial in providing a positive learning environment for students to complete clinical tasks effectively.
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Affiliation(s)
- Laila Al-Daken
- College of Nursing, Sultan Qaboos University, Muscat, Oman
| | | | | | | | - Mohammad Al Qadire
- College of Nursing, Sultan Qaboos University, Muscat, Oman
- Adult Health Department, Faculty of Nursing, Al Al-Bayt University, Mafraq, Jordan
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Velarde‐García JF, González‐Hervías R, Álvarez‐Embarba B, Cachón‐Pérez JM, Rodríguez‐García M, Oliva‐Fernández O, González‐Sanz P, Palacios‐Ceña D, Moro‐López‐Menchero P, Fernández‐de‐las‐Peñas C, Mas Espejo M. Under-graduate nursing students working during the first outbreak of the COVID-19 pandemic: A qualitative study of psychosocial effects and coping strategies. Int J Nurs Pract 2022; 28:e13065. [PMID: 35580863 PMCID: PMC9348150 DOI: 10.1111/ijn.13065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2021] [Revised: 04/25/2022] [Accepted: 05/08/2022] [Indexed: 12/01/2022]
Abstract
BACKGROUND The first wave of the COVID-19 pandemic caused a shortage of health care staff, forcing the hiring of senior nursing students. AIMS To describe the psychosocial impact and coping strategies used by nursing students during the first outbreak of the COVID-19 pandemic and to understand the coping strategies they employed. METHOD A qualitative exploratory study was conducted, based on Sandelowski's proposal. Purposive sampling was carried out to recruit 18 students hired during the pandemic. The students were interviewed between 18 March and 15 June 2020. Semi-structured interviews were conducted using a digital platform. An inductive thematic analysis was performed. FINDINGS The students lived alone and isolated during their contract to protect their cohabitants from possible contagion. The impact of working during the pandemic leads to experiences of stress, insomnia, nightmares and anxiety. Nursing students coped with the emotional burden through mental disconnection and the support of co-workers and family members. CONCLUSION Psychological support and tutoring should be provided by health centres. In addition, in these special circumstances, universities should adapt the training provided.
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Affiliation(s)
- Juan Francisco Velarde‐García
- Department of Nursing, Red Cross College of NursingUniversidad Autónoma de MadridMadridSpain
- Research Nursing Group of Instituto de Investigación Sanitaria Gregorio Marañón (IiSGM)MadridSpain
| | - Raquel González‐Hervías
- Department of Nursing, Red Cross College of NursingUniversidad Autónoma de MadridMadridSpain
| | - Beatriz Álvarez‐Embarba
- Department of Nursing, Red Cross College of NursingUniversidad Autónoma de MadridMadridSpain
| | - Jose Miguel Cachón‐Pérez
- Department of Nursing, Facultad Ciencias Salud, Research Group of Teaching Methodologies and Assessment Systems in NursingUniversidad Europea de MadridMadridSpain
| | - Marta Rodríguez‐García
- Department of Nursing, Facultad Ciencias Salud, Research Group of Teaching Methodologies and Assessment Systems in NursingUniversidad Europea de MadridMadridSpain
| | - Oscar Oliva‐Fernández
- Department of Nursing, Facultad Ciencias Salud, Research Group of Teaching Methodologies and Assessment Systems in NursingUniversidad Europea de MadridMadridSpain
| | - Pilar González‐Sanz
- Department of Nursing, Facultad Ciencias Salud, Research Group of Teaching Methodologies and Assessment Systems in NursingUniversidad Europea de MadridMadridSpain
| | - Domingo Palacios‐Ceña
- Department of Physical Therapy, Occupational Therapy, Physical Medicine and RehabilitationResearch Group of Humanities and Qualitative Research in Health Science of Universidad Rey Juan Carlos (Hum&QRinHS)AlcorcónSpain
| | - Paloma Moro‐López‐Menchero
- Department of Physical Therapy, Occupational Therapy, Physical Medicine and RehabilitationResearch Group of Humanities and Qualitative Research in Health Science of Universidad Rey Juan Carlos (Hum&QRinHS)AlcorcónSpain
| | - César Fernández‐de‐las‐Peñas
- Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Research Group of Manual TherapyDry Needling and Therapeutic Exercise of Universidad Rey Juan Carlos (GITM‐URJC)MadridSpain
| | - Marta Mas Espejo
- Department of Nursing, Red Cross College of NursingUniversidad Autónoma de MadridMadridSpain
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Zhang D, Luo H, Xiao L, Zhang Z, Huang J, Li X, Zhu H, Lai C. Depression and Insomnia of Front-Line Medical Staff During the COVID-19 Outbreak in China: An On-Line Cross-Sectional Study. Front Psychol 2022; 13:897896. [PMID: 35846703 PMCID: PMC9277440 DOI: 10.3389/fpsyg.2022.897896] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2022] [Accepted: 05/20/2022] [Indexed: 01/19/2023] Open
Abstract
PurposeDuring the COVID-19 outbreak, medical staff working in high-risk workplaces had a higher rate of epidemic infection. They also faced heavy workloads and pressure, which means they are more likely to suffer from psychological problems than others. To understand the mental health of medical staff during the epidemic, we explore the characteristics of medical staff susceptible to negative psychological emotions during the outbreak of public safety and health events. At the same time, we provide corresponding prevention and intervention measures to help them relieve negative emotions, this study compared the psychological symptoms of front-line and non-front-line medical staff, then explored its influencing factors.MethodsThis research investigated 5,924 medical staff in Guangdong, Beijing, Hubei, Hainan, Jiangxi, and Henan in China. The questionnaires were released online by Questionnaire Star, and levels of depression, anxiety, insomnia, and social support were measured by Patients' Health Questionnaire Depression Scale-9 item (PHQ-9), Generalized Anxiety Disorder 7-item Scale (GAD-7), Insomnia Severity Index (ISI) and Social Support Rating Scale (SSRS).ResultsThe depressive, anxious, and insomniac scores of front-line medical staff during the COVID-19 epidemic period were higher than those of non-front-line with significant differences (P < 0.001). In addition, front-line nurses went through the most serious psychological problems. Age, education, and anxiety level were the influencing factors of depression and insomnia in front-line medical staff. Among them, age was a protective factor for depression (OR = 0.71 <1, P = 0.001 <0.05, Beta = −0.34), while educational level was a risk factor for insomnia (OR = 1.27, P = 0.02 <0.05, Beta = 0.24).ConclusionsDuring the epidemic, front-line medical staff would experience more serious psychological problems, especially those who were younger, less experienced, and insufficiently educated. Attention should be paid to giving them psychological assistance and psychological interventions in the future.
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Affiliation(s)
- Donglin Zhang
- Department of Emergency Medicine, Meizhou People's Hospital, Meizhou, China
| | - Hailong Luo
- Department of Rehabilitation Medicine, Meizhou People's Hospital, Meizhou, China
| | - Litian Xiao
- Department of Rehabilitation Medicine, Meizhou People's Hospital, Meizhou, China
| | - Zhun Zhang
- Department of Rehabilitation Medicine, Meizhou People's Hospital, Meizhou, China
| | - Jianqing Huang
- Department of Rehabilitation Medicine, Meizhou People's Hospital, Meizhou, China
| | - Xiaoqin Li
- Department of Rehabilitation Medicine, Meizhou People's Hospital, Meizhou, China
| | - Hongke Zhu
- College of Education, Guangzhou University, Guangzhou, China
- *Correspondence: Hongke Zhu
| | - Cuiwei Lai
- Nursing Department, Meizhou People's Hospital, Meizhou, China
- Cuiwei Lai
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Velarde-García JF, Cachón-Pérez JM, Rodríguez-García M, Oliva-Fernández O, González-Sanz P, Espejo MM, González-Hervías R, Álvarez-Embarba B, Moro-López-Menchero P, Fernández-de-Las-Peñas C, Palacios-Ceña D. The challenges of "learning on the go": A qualitative study of final-year Spanish nursing students incorporated to work during the first Covid-19 pandemic. NURSE EDUCATION TODAY 2021; 103:104942. [PMID: 33965720 PMCID: PMC9756394 DOI: 10.1016/j.nedt.2021.104942] [Citation(s) in RCA: 19] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/20/2021] [Revised: 04/06/2021] [Accepted: 04/22/2021] [Indexed: 05/13/2023]
Abstract
BACKGROUND The first wave of the COVID-19 pandemic caused a shortage of qualified nurses in Spain. As a result, the government authorized the hiring of senior students. OBJECTIVES To explore the perspectives of a group of final-year nursing students who were hired on the basis of a relief contract for health professionals during the first COVID-19 outbreak, regarding their learning process and their mixed role as students and novice nurses. DESIGN A qualitative exploratory study was conducted. SETTINGS The Nursing Department of the European University of Madrid, and the Red Cross College of Nursing. PARTICIPANTS Eighteen nursing students were recruited, aged between 18 and 65 years old, enrolled in the fourth year of Nursing Studies and who were hired under a relief contract for health professionals during the pandemic. METHODS Purposive sampling was used. Semi-structured, in-depth interviews were carried out using a question guide. Interviews were conducted in a private video chat room platform. Also, a thematic, inductive analysis was performed. This study was conducted according to the Consolidated Criteria for Reporting Qualitative Research and the Standards for Reporting Qualitative Research. RESULTS Four specific themes emerged: a) The students' role during the relief contract; b) The learning process during the pandemic; c) Barriers to learning; and d) A unique learning opportunity. The students had an undefined mixed role, which hindered their skills and activities. Learning was self-directed, sometimes through trial and error, and through experiencing critical events. Time constraints and having to learn under pressure were experienced as difficulties for learning. Nevertheless, this was a unique professional learning opportunity. The students learned to be organized and effective, acknowledge their limitations, gain confidence, face their fears, and mature. CONCLUSIONS These results can help inform nurse training programs and improve the organization and incorporation of nurses in health care facilities during the COVID-19 pandemic.
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Affiliation(s)
- Juan Francisco Velarde-García
- Research Nursing Group of Instituto de Investigación Sanitaria Gregorio Marañón (IiSGM). Calle del Dr. Esquerdo, 46, 28007 Madrid, Spain; Department of Nursing, Red Cross College of Nursing, Universidad Autónoma de Madrid, Avenida Reina Victoria 28, 28003 Madrid, Spain
| | - Jose Miguel Cachón-Pérez
- Department of Nursing. Facultad Ciencias Salud. Research Group of Teaching methodologies and assessment systems in nursing, Universidad Europea de Madrid. Calle Tajo, s/n, 28670 Villaviciosa de Odón, Madrid, Spain.
| | - Marta Rodríguez-García
- Department of Nursing. Facultad Ciencias Salud. Research Group of Teaching methodologies and assessment systems in nursing, Universidad Europea de Madrid. Calle Tajo, s/n, 28670 Villaviciosa de Odón, Madrid, Spain
| | - Oscar Oliva-Fernández
- Department of Nursing. Facultad Ciencias Salud. Research Group of Teaching methodologies and assessment systems in nursing, Universidad Europea de Madrid. Calle Tajo, s/n, 28670 Villaviciosa de Odón, Madrid, Spain
| | - Pilar González-Sanz
- Department of Nursing. Facultad Ciencias Salud. Research Group of Teaching methodologies and assessment systems in nursing, Universidad Europea de Madrid. Calle Tajo, s/n, 28670 Villaviciosa de Odón, Madrid, Spain
| | - Marta Mas Espejo
- Department of Nursing, Red Cross College of Nursing, Universidad Autónoma de Madrid, Avenida Reina Victoria 28, 28003 Madrid, Spain
| | - Raquel González-Hervías
- Department of Nursing, Red Cross College of Nursing, Universidad Autónoma de Madrid, Avenida Reina Victoria 28, 28003 Madrid, Spain
| | - Beatriz Álvarez-Embarba
- Department of Nursing, Red Cross College of Nursing, Universidad Autónoma de Madrid, Avenida Reina Victoria 28, 28003 Madrid, Spain
| | - Paloma Moro-López-Menchero
- Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Research Group of Humanities and Qualitative Research in Health Science of Universidad Rey Juan Carlos (Hum&QRinHS), Avenida Atenas s/n, 28922 Alcorcón, Spain
| | - César Fernández-de-Las-Peñas
- Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Research Group of Manual Therapy, Dry Needling and Therapeutic Exercise of Universidad Rey Juan Carlos (GITM-URJC), 28001 Madrid, Spain
| | - Domingo Palacios-Ceña
- Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Research Group of Humanities and Qualitative Research in Health Science of Universidad Rey Juan Carlos (Hum&QRinHS), Avenida Atenas s/n, 28922 Alcorcón, Spain
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