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Gupta S, Garcia-Zamora S, Juarez-Lloclla J, Farina J, Foisy M, Pulido L, Ramos V, Merschon F, Parodi JB, Sanchez ME, Munera A, Piskorz D, Pineiro DJ, Tse G, Lopez-Santi R, Baranchuk A. Violence and aggression against nurses during the COVID-19 pandemic in Latin America. From the emerging leaders program of the Interamerican Society of Cardiology (SIAC). J Adv Nurs 2024; 80:1212-1221. [PMID: 37811667 DOI: 10.1111/jan.15900] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2023] [Revised: 08/18/2023] [Accepted: 09/17/2023] [Indexed: 10/10/2023]
Abstract
INTRODUCTION During the Coronavirus (COVID-19) pandemic, healthcare providers have overcome difficult experiences such as workplace violence. Nurses are particularly vulnerable to workplace violence. The objective of this study was to characterize violence and aggression against nurses during the COVID-19 pandemic in Latin America. METHODS An electronic cross-sectional survey was conducted in 19 Latin American countries to characterize the frequency and type of violent actions against front-line healthcare providers. RESULTS Of the original 3544 respondents, 16% were nurses (n = 567). The mean age was 39.7 ± 9.0 years and 79.6% (n = 2821) were women. In total, 69.8% (n = 2474) worked in public hospitals and 81.1% (n = 2874) reported working regularly with COVID-19 patients. Overall, about 68.6% (n = 2431) of nurses experienced at least one episode of workplace aggression during the pandemic. Nurses experienced weekly aggressions more frequently than other healthcare providers (45.5% versus 38.1%, p < .007). Nurses showed a trend of lower reporting rates against the acts of aggression suffered (p = .076). In addition, nurses were more likely to experience negative cognitive symptoms after aggressive acts (33.4% versus 27.8%, p = .028). However, nurses reported considering changing their work tasks less frequently compared to other healthcare providers after an assault event (p = .005). CONCLUSION Workplace violence has been a frequent problem for all healthcare providers during COVID-19 pandemic in Latin America. Nurses were a particularly vulnerable subgroup, with higher rates of aggressions and cognitive symptoms and lower rate of complaints than other healthcare providers who suffered from workplace violence. It is imperative to develop strategies to protect this vulnerable group from aggressions during their tasks.
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Affiliation(s)
- Shyla Gupta
- Faculty of Medicine, University of Ottawa, Ottawa, Canada
| | | | | | - Juan Farina
- Department of Cardiovascular and Thoracic Surgery, Mayo Clinic, Rochester, Minnesota, USA
| | - Melanie Foisy
- Division of Cardiology, Queen's University, Kingston, Ontario, Canada
| | - Laura Pulido
- Department of Pneumology, Hospital Italiano, Rosario, Argentina
| | - Victoria Ramos
- Centro de Investigación Cardiovascular Uruguayo Círculo Católico, Montevideo, Uruguay
| | - Franco Merschon
- Department of Cardiology, Complejo Asistencial Hospital Sotero del Río, Santiago de Chile, Chile
| | - Josefina B Parodi
- Department of Cardiology, CEMIC, Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina
| | | | - Ana Munera
- Sociedad Colombiana de Cardiología y Cirugía Cardiovascular, Coordinadora SIAC Comunidad, Medellin, Colombia, USA
| | - Daniel Piskorz
- Division of Cardiology, Cardiovascular Institute of the Rosario British Sanatorium, Santa Fe, Argentina
| | - Daniel José Pineiro
- Departamento de Medicina, Universidad de Buenos Aires, Buenos Aires, Argentina
| | - Gary Tse
- School of Nursing and Health Studies, Hong Kong Metropolitan University, Hong Kong, China
- Medical Education Unit, Cardiovascular Analytics Group, PowerHealth Limited, Hong Kong, China
- Tianjin Key Laboratory of Ionic-Molecular Function of Cardiovascular Disease, Department of Cardiology, Tianjin Institute of Cardiology, Second Hospital of Tianjin Medical University, Tianjin, China
| | - Ricardo Lopez-Santi
- Division of Cardiology, Hospital Italiano de La Plata, Buenos Aires, Argentina
| | - Adrian Baranchuk
- Division of Cardiology, Queen's University, Kingston, Ontario, Canada
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He S, Sultana R, Anantham D, Loh HP, Zhou JX, Tang JY, Sim M, Ayre TC, Fong KY, Tan KH. Empathy Levels Among Healthcare Professionals: An Asian Multi-professional Cross-Sectional Study. Cureus 2024; 16:e53750. [PMID: 38465054 PMCID: PMC10921128 DOI: 10.7759/cureus.53750] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/06/2024] [Indexed: 03/12/2024] Open
Abstract
BACKGROUND The aim of the study was to measure empathy in healthcare professionals in Singapore and to compare the scores between the different professions: doctors, nurses, and allied health professionals. METHODS An online survey questionnaire was conducted using the Jefferson Scale of Empathy (JSE) from July 2019 to January 2020. The total JSE score was calculated and compared among the different groups. Multiple linear regression was performed to assess predictors of total empathy scores for groups with statistically lower scores. RESULTS The survey was completed by 4,188 healthcare professionals (doctors (n=569, 13.6%), nurses (n=3032, 72.4%), and allied health professionals (n=587, 14.0%)) out of the 9,348-strong survey population, with a response rate of 44.8%. The study revealed a mean empathy score (SD) of 103.6 (15.6) for the cohort. The mean empathy score (SD) was 112.3 (14.7), 101.3 (15.2), and 107.0 (15.0), respectively for doctors, nurses, and allied health professionals. These were statistically significantly different among the groups (p< 0.0001), with nurses scoring significantly lower than either doctors (p< 0.0001) or allied health professionals (p< 0.0001). Multiple linear regression showed that age < 30 years old, male gender, Malay ethnicity, and working in a hospital setting were associated with significantly lower empathy scores in the nursing group. CONCLUSION Nurses in Singapore had significantly lower empathy scores compared to doctors and allied health professionals. Further research on the underlying causes should be undertaken and measures to improve empathy among Singapore nursing staff should be explored and implemented.
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Affiliation(s)
- Song He
- Department of Obstetrics and Gynaecology, KK (Kandang Kerbau) Women's and Children's Hospital, Singapore, SGP
| | - Rehena Sultana
- Centre for Quantitative Medicine, Duke-NUS (National University of Singapore) Medical School, Singapore, SGP
| | - Devanand Anantham
- Department of Respiratory and Critical Care Medicine, Singapore General Hospital, Singapore, SGP
| | - Huey Peng Loh
- Institute for Patient Safety & Quality, SingHealth Duke-NUS (National University of Singapore) Academic Medical Centre, Singapore, SGP
| | - Jamie X Zhou
- Division of Supportive and Palliative Care, National Cancer Centre Singapore, Singapore, SGP
| | - Joo Ying Tang
- Institute for Patient Safety & Quality, SingHealth Duke-NUS (National University of Singapore) Academic Medical Centre, Singapore, SGP
| | - Mabel Sim
- Institute for Patient Safety & Quality, SingHealth Duke-NUS (National University of Singapore) Academic Medical Centre, Singapore, SGP
| | | | - Kok Yong Fong
- Department of Rheumatology and Immunology, Singapore General Hospital, Singapore, SGP
| | - Kok Hian Tan
- Institute for Patient Safety & Quality, SingHealth Duke-NUS (National University of Singapore) Academic Medical Centre, Singapore, SGP
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Ait Ali D, Ncila O, Ouhhamou S, Rizzo A, Chirico F, Khabbache H. Motivations Driving Career Choices: Insights From a Study Among Nursing Students. SAGE Open Nurs 2024; 10:23779608241255876. [PMID: 38784645 PMCID: PMC11113027 DOI: 10.1177/23779608241255876] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2024] [Revised: 04/18/2024] [Accepted: 05/01/2024] [Indexed: 05/25/2024] Open
Abstract
Introduction Globally, the nursing workforce is crucial to the functioning of healthcare systems. The alarming shortage of nursing staff necessitates careful consideration of the challenging aspects related to this issue to develop successful strategies for attracting and retaining nurses. Objectives This study aims to explore the motivational factors influencing the decision of students to choose a nursing career and the associated factors. Methods In this cross-sectional research, a questionnaire was administered to 308 students studying nursing at the Higher Institute of Nursing Professions and Health Techniques. Results The results of this study revealed several factors influencing the decision of nursing students to choose this profession. The desire to contribute to society and have a positive impact on individuals' lives was identified as the primary motivating factor. Economic considerations also played a significant role. Additionally, it was found that the educational level of parents is a factor influencing students' decisions. Conclusion This study highlights the importance of various factors in the decision-making process of nursing students. By considering these results, policymakers and healthcare professionals can create an environment conducive to attracting and retaining future nurses.
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Affiliation(s)
- Driss Ait Ali
- Laboratory of “Morocco: History, Theology and Languages”, Department of Psychology, Faculty of Arts and Human Sciences Fès-Saïss, Sidi Mohamed Ben Abdellah University, Fez, Morocco
| | - Oumaima Ncila
- Higher Institute of Nursing Professions and Health Technics, Ouarzazate, Morocco
| | - Soukaina Ouhhamou
- Higher Institute of Nursing Professions and Health Technics, Ouarzazate, Morocco
| | - Amelia Rizzo
- Department of Cognitive Sciences, Psychological, Educational, and Cultural Studies, University of Messina, Messina, Italy
| | - Francesco Chirico
- Post-Graduate School of Occupational Health, Università Cattolica del Sacro Cuore, Rome, Italy
| | - Hicham Khabbache
- Laboratory of “Morocco: History, Theology and Languages”, Department of Psychology, Faculty of Arts and Human Sciences Fès-Saïss, Sidi Mohamed Ben Abdellah University, Fez, Morocco
- Department of Psychology, Lifelong Learning Observatory (UNESCO/ USMBA), Fez, Morocco
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Zhang Z, Yang C, Wang Y, Deng G, Chang J. Investigating the intentions and reasons of senior high school students in registering for nursing education in China. BMC Nurs 2023; 22:311. [PMID: 37700328 PMCID: PMC10496206 DOI: 10.1186/s12912-023-01480-w] [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: 06/09/2023] [Accepted: 09/04/2023] [Indexed: 09/14/2023] Open
Abstract
BACKGROUND A shortage of qualified nurses and their low level of educational qualifications hinders the development of global health services. Studies have proven the role of nursing education in addressing these problems. However, no related studies have focused on senior high school students in China. This study aimed to explore senior high school students' intentions to learn nursing and identify the factors influencing their decision-making processes. METHODS An anonymous questionnaire was distributed to 8050 senior high school students, which included questions regarding their demographic characteristics, obtaining nursing specialty information, cognition of the nursing occupation and the impact of the COVID-19 on the nursing profession. Descriptive calculation, the chi-square test and logistic regression were used for the analysis. RESULTS Only 0.73% of the participants had a clear intention to study nursing. Academic performance and family support were significant predictors of students' intentions to pursue nursing education. Students' interest in nursing specialties was associated with their choice. There was a positive correlation between cognition of nursing occupation and students' choice of nursing. Students' experience of the COVID-19 pandemic also had a positive impact on their nursing career choice. CONCLUSION This survey to some extent reflects the problem of nurses shortage in China. In addition, these findings may also provide a new perspective for predictors of nursing shortage and potential interventions.
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Affiliation(s)
- Zhong Zhang
- Nursing Department, Shanghai General Hospital, Shanghai Jiao Tong University School of Nursing, Shanghai, 201620, China
| | - Chaoqun Yang
- Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China
| | - Ying Wang
- Nursing Department, Shanghai General Hospital, Shanghai Jiao Tong University School of Nursing, Shanghai, 201620, China
| | - Guoying Deng
- Trauma Center, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 201620, China
| | - Jian Chang
- Nursing Department, Shanghai General Hospital, Shanghai Jiao Tong University School of Nursing, Shanghai, 201620, China.
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Teresa-Morales C, Rodríguez-Pérez M, Ramos-Pichardo JD. Reasons for choosing and completing nursing studies among incoming and outgoing students: A qualitative study. NURSE EDUCATION TODAY 2023; 125:105794. [PMID: 36934625 DOI: 10.1016/j.nedt.2023.105794] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/07/2022] [Revised: 03/02/2023] [Accepted: 03/09/2023] [Indexed: 06/18/2023]
Abstract
BACKGROUND The shortage of nurses is causing instability and crisis in health systems and will continue. The WHO reinforced the importance of recruiting and retaining new students. Authors of various studies recommend the need to identify and understand the reasons for pursuing a nursing degree. OBJECTIVES To determine students' preference for nursing studies and to identify the reasons for choosing, continuing, and completing a bachelor's degree in nursing. DESIGN Qualitative, descriptive study. PARTICIPANTS 106 nursing students at the University of Huelva (Spain) participated during their first year (2017) and final year (2021) of the nursing degree. METHODS This study was conducted with the same group of students in two phases. Data were collected in writing in a document with open-ended questions and no maximum wordcount. The responses were analysed using content analysis. RESULTS A total of 76.4 % of participants stated that nursing had been their first choice. The main reasons for choosing a nursing degree were associated with fulfilment, and a desire to help others and interact with them. The reasons for completing their studies were primarily related to an interest in providing professional care, showing a deeper and more concrete knowledge of nursing care work. CONCLUSION For most participants, nursing was their first choice due to a strong intrinsic motivation related to self-satisfaction in helping others. The reasons for completing this degree had extrinsic motivations linked to nursing activity in hospital. Areas such as management, teaching, or research were not interesting to our students. Knowing the causes of this lack of interest could help us attract them to these areas.
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Andrew L, Robinson K, Dare J, Costello L. Nursing students doing gender: Implications for higher education and the nursing profession. Nurs Inq 2023; 30:e12516. [PMID: 35951461 PMCID: PMC10078228 DOI: 10.1111/nin.12516] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2022] [Revised: 07/25/2022] [Accepted: 07/29/2022] [Indexed: 01/25/2023]
Abstract
The average age of women nursing students in Australia is rising. With this comes the likelihood that more now begin university with family responsibilities, and with their lives structured by the roles of mother and partner. Women with more traditionally gendered ideas of these roles, such as nurturing others and self-sacrifice, are known to be attracted to nursing as a profession; once at university, however, these students can be vulnerable to gender role stress from the competing demands of study. A qualitative research design, guided by Gadamer's hermeneutic philosophy, explored the gendered behaviours and experiences of 22 women nursing students, all of whom had children and began university in a heterosexual intimate relationship. The findings reveal traditional ideas of gender were almost universal among participants, and these ideas had a significant influence on the nursing degree experience. Participants commonly prioritised family over the university and practiced maternal gatekeeping (prevention of male partner involvement in domestic work). These traditionally gendered behaviours, coupled with experiences of gender role stress, had a detrimental impact on participants' capacity to study and their personal wellbeing. The importance of these findings to the burgeoning nursing workforce shortage nursing is considered in terms of student retention and the supply of graduates into the profession. The implications to the nursing profession are also explored against the evidence that nursing students with traditional gender beliefs are less likely to develop as autonomous, critical thinking nurses compared to their gender-egalitarian peers. The introduction of gender theory via critical pedagogy in the undergraduate nursing degree curriculum is recommended to enlighten and empower women nursing students and promote the competence, agility, and sustainability of the nursing profession.
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Affiliation(s)
- Lesley Andrew
- School of Nursing and Midwifery, Edith Cowan University, Joondalup, Western Australia, Australia
| | - Ken Robinson
- School of Arts and Humanities, Edith Cowan University, Joondalup, Western Australia, Australia
| | - Julie Dare
- School of Medical and Health Sciences, Edith Cowan University, Joondalup, Western Australia, Australia
| | - Leesa Costello
- School of Medical and Health Sciences, Edith Cowan University, Joondalup, Western Australia, Australia
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Shudifat R, Algunmeeyn A, Shoqirat N, Alja'afreh M. The Experience of Being Male Nurse: Exploring the Enhancing Factors and Barriers of Jordanian Nursing Students. SAGE Open Nurs 2023; 9:23779608231164080. [PMID: 36949850 PMCID: PMC10026134 DOI: 10.1177/23779608231164080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2022] [Revised: 02/17/2023] [Accepted: 02/27/2023] [Indexed: 03/19/2023] Open
Abstract
Introduction Despite advances in health care and education, males continue to be considered a minority in nursing programs. Little is known about the decision of Jordanian male nursing students to become nurses. Objective The purpose of this research was to explore the factors that encourage or discourage Jordanian male nursing students from pursuing a career in nursing. Methods A qualitative narrative approach was used for this study. Data were collected using semi-structured individual interviews. Purposive sampling was used in the research. In this study, interviews were conducted with a sample of 28 male college students. Results The current study discovered that the following six themes exemplified the male nursing students' lives: "helping and caring," "job security and economic stability," "parents and peer influence," "level of autonomy," "social stigma," and "long working hours." Conclusion The study's findings highlighted the importance of researching male nursing students' motivating and inhibiting factors.
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Affiliation(s)
- Raed Shudifat
- Department of Adult Health Nursing, Faculty of Nursing, Mutah University, Karak, Jordan
| | - Abdullah Algunmeeyn
- Advanced Nursing Department, Faculty of Nursing, Isra University, Amman, Jordan
- Abdullah Algunmeeyn, Advanced Nursing
Department, Faculty of Nursing, Isra University, P.O. Box 33, Amman 11622,
Jordan.
| | - Noordeen Shoqirat
- Department of Adult Health Nursing, Faculty of Nursing, Mutah University, Karak, Jordan
| | - Mahmoud Alja'afreh
- Department of Adult Health Nursing, Faculty of Nursing, Mutah University, Karak, Jordan
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Teresa-Morales C, Rodríguez-Pérez M, Araujo-Hernández M, Feria-Ramírez C. Current Stereotypes Associated with Nursing and Nursing Professionals: An Integrative Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19137640. [PMID: 35805296 PMCID: PMC9265497 DOI: 10.3390/ijerph19137640] [Citation(s) in RCA: 29] [Impact Index Per Article: 14.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/29/2022] [Revised: 06/20/2022] [Accepted: 06/21/2022] [Indexed: 02/06/2023]
Abstract
Nursing and nursing professionals are associated with social stereotypes, which may hinder the profession’s development and future prospects as a scientific discipline. The aim of this study was to identify and describe the stereotypes associated with the nursing profession—students and professionals. Therefore, we carried out an integrative review. The search was conducted using PubMed, WOS, and CINAHL databases, and its search strategy was based on a combination of standardised keywords and natural vocabulary, with a temporal limit between 2016 and 2021. The data extraction and analysis was based on the conceptual framework developed by Whittemore and Knafl. Twenty-seven studies were included in the review, and their results were classified and coded. Two categories emerged, namely, stereotypes relating to the professionals’ gender and stereotypes relating to the profession itself. We concluded that the nursing profession is viewed as female with low skills, social status, salary, academic level and entry requirements, and with little autonomy. Male nurses’ professional competencies and masculinity are questioned, while the work carried out by female nurses is viewed as unprofessional. To reduce these stereotypes and bias we must present the nursing profession as a scientific discipline, developed by both men and women. Specific channels for this awareness-raising work include interventions from universities and the media, and participation in health policies.
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Mohsen A, Bluvstein I, Wilf Miron R, Kagan I. Public image of the profession is associated with the choice of nursing career among Arab high school students: A cross-sectional study. J Nurs Manag 2021; 30:310-317. [PMID: 34414628 DOI: 10.1111/jonm.13454] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2021] [Revised: 07/26/2021] [Accepted: 08/15/2021] [Indexed: 11/30/2022]
Abstract
AIMS The aim of this study is to examine (a) public image of nursing and the intention to choose nursing as a future career and (b) the relationship between the public image, gender roles and the choice of the nursing career among Arab high school students. BACKGROUND School graduates from the Arab sector represent an important social group with the potential to provide quality candidates for the nursing profession in Israel. METHODS In this cross-sectional study, 138 high school students from two Arab schools in Israel completed a structured questionnaire. RESULTS One third of the sample intended to choose nursing as a future career. Students from families with a higher level of paternal education and those exposed to the work of nurses perceived nursing as more positive. The profession's public image contributed to the explanation of 21% of the variance of the intention to choose a nursing career. CONCLUSION A positive public image of nursing contributes to decisions about choosing a nursing career in the future among Arab high school students. IMPLICATIONS FOR NURSING MANAGEMENT School graduates may be influenced by providing information and presenting the role of a nurse as significant, as well as by emphasizing the positive image of nursing to parents and influential people in the Arab community.
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Affiliation(s)
- Aseel Mohsen
- Clinical Nursing Preceptor, Intensive Care Unit, Hillel Yaffe Medical Center, Hadera, Israel
| | - Irit Bluvstein
- Department of Nursing, The Stanley Steyer School of Health Professions, Tel Aviv University, Tel Aviv, Israel.,School of Psychological Sciences and the Herczeg Institute on Aging, Tel Aviv University, Tel Aviv, Israel
| | - Rachel Wilf Miron
- Department of Health Promotion, School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.,Technology Assessment and Policy Unit, Gertner Institute for Epidemiology and Health Policy Research, Ramat Gan, Israel
| | - Ilya Kagan
- Nursing Department, School of Health Professions, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
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Hosseini Marznaki Z, Khanjankhani K, Salisu WJ, Hajihosseini F, Barzegari S. Identifying and Ranking the Factors Affecting the Choice of Nursing Discipline Among Nursing Students in Iran: A Fuzzy Hierarchical Analysis. J Nurs Res 2021; 29:e171. [PMID: 34352825 DOI: 10.1097/jnr.0000000000000449] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND Choosing a career in nursing is frequently a complicated decision that is influenced by multiple factors. PURPOSE This study was designed to identify and rank the main factors that influence individuals to choose to pursue a career in nursing. METHODS This cross-sectional study was conducted at Mazandaran University of Medical Sciences, Iran. A comprehensive review of the literature was conducted to identify the factors that people consider when making a choice to pursue a career in nursing. The face and content validities of these factors were evaluated. A sample of 250 participants was invited to assess the factors using exploratory factor analysis. Finally, the analytical hierarchy process, in combination with fuzzy logic, was used to rank the criteria and related factors. RESULTS Twenty factors were identified and extracted from 50 published studies. After confirming the face and content validity of each, these 20 factors were distinguished into four criteria, including (a) external motivation, (b) social dignity, (c) internal motivation, and (d) usefulness of discipline. Each criterion had an eigenvalue greater than 1. External motivation and usefulness of discipline were respectively identified as the most and least important criteria (38.60% vs. 16.11%) in terms of influencing individuals to pursue a nursing career. CONCLUSIONS/IMPLICATIONS FOR PRACTICE The results of this study show that exposure to positive recommendations from family and friends, receiving positive information about studying nursing, positive perceptions regarding the general usefulness of nursing knowledge, and migration opportunities to other countries are the primary factors that influence individuals in Iran to pursue a career in nursing.
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Affiliation(s)
- Zohreh Hosseini Marznaki
- MSc, RN, Instructor, Amol Faculty of Nursing and Midwifery Sciences, Department of Nursing, Mazandaran University of Medical Sciences, Sari, Iran
| | - Khatere Khanjankhani
- Doctoral Candidate, Researcher, Department of Health Policy, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Waliu Jawula Salisu
- PhD, RN, Cambridge Liver Unit, Cambridge University Hospitals NHS Foundation Trust, Addenbrookes Hospital, Cambridge, United Kingdom
| | - Fatemeh Hajihosseini
- PhD, RN, Assistant Professor, Amol Faculty of Nursing and Midwifery Sciences, Department of Nursing, Mazandaran University of Medical Sciences, Sari, Iran
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Lau Y, Cheng LJ, Chow XP, Chee DGH, Lim ZJ, Hamid ZBA, Leong BSH, Lau ST. Evaluating the effectiveness of interprofessional advanced cardiac life support training: a sequential mixed-methods approach. J Interprof Care 2021; 36:210-221. [PMID: 34058956 DOI: 10.1080/13561820.2021.1892611] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Interprofessional advanced cardiac life support (IP-ACLS) training is a holistic learning experience; thus, our research team incorporated this training into an undergraduate programme. Considering that IP-ACLS training is a new paradigm in nursing education, evaluating its effectiveness is essential. This research aimed to (1) evaluate the effectiveness of this training on improving the perceived level of interprofessional collaboration, self-efficacy and emotion regulation and (2) explore the learning experience of nursing students during training. The study design adopted a sequential mixed-method approach comprising a two-group pretest and posttest design amongst 120 students, followed by nine focus group discussions. Quantitative results demonstrated significant improvements in the perceived level of interprofessional collaboration, self-efficacy and emotion regulation at post-intervention and follow-up. Qualitative data were collected through video recording and field notes. Thematic analysis was performed following the method of Braun and Clarke. Qualitative analysis of focus group transcripts identified three themes: synergistic partnership, clinical readiness and improving further training. Quantitative and qualitative results were integrated in accordance with the mixed data analysis framework. These results complemented one another. The training provided an authentic learning experience and a good steppingstone to nursing students who are preparing to work interprofessionally in the future.
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Affiliation(s)
- Ying Lau
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
| | - Ling Jie Cheng
- Nursing Research Unit, Department of Nursing, Khoo Teck Puat Hospital, Yishun Health Campus, National Healthcare Group, Singapore
| | - Xue Ping Chow
- Nursing Division, Singapore General Hospital, SingHealth, Singapore
| | - Daniel Guang Hui Chee
- Department of Nursing, Woodlands Health Campus, National Healthcare Group, Singapore
| | - Zhao Jun Lim
- Department of Nursing, National University Hospital, National University Health System, Singapore
| | | | | | - Siew Tiang Lau
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
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Pekçetin S, Hasgül E, Yıldırım Düğeroğlu R, Arabacı Z. The effect of extended contact with community-dwelling older adults on the ageist and helping attitudes of home care students: A single-blind randomised controlled trial. Int J Older People Nurs 2021; 16:e12382. [PMID: 34032387 DOI: 10.1111/opn.12382] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2020] [Revised: 03/30/2021] [Accepted: 04/30/2021] [Indexed: 11/28/2022]
Abstract
BACKGROUND Ageist and helping attitudes among undergraduate homecare students are a concern for educators, healthcare professionals and home care workers due to their potential to increase the marginalisation of older people and negatively impact quality of care. OBJECTIVES The current study evaluated the effect of extended contact with community-dwelling older adults on the ageist and helping attitudes of home care students. METHODS Fifty-five students attending a public university in Turkey were randomly assigned to the intervention group (n = 27) or control group (n = 28). The intervention group received positive theoretical education and had extended contact with community-dwelling older adults, while the control group only received positive theoretical education. Before and after the intervention, the students' ageist attitudes were evaluated with Kogan's Attitudes towards Old People scale (KAOP) and helping attitudes were evaluated with the Helping Attitude Scale (HAS). RESULTS There were statistically significant differences between pre- and post-test mean KAOP total, positive ageism and negative ageism subscale scores in the intervention group (p < 0.05) and in KAOP negative ageism score in the control group (p < 0.05). HAS scores showed no significant post-intervention change in helping attitudes in either group. CONCLUSION Extended contact with community-dwelling older adults had a favourable influence on undergraduate health students' ageism attitudes. These results suggest that contact with older adults may be an effective strategy to reduce ageism but may not increase helping behaviours. IMPLICATIONS FOR PRACTICE Positive contact experiences with community-dwelling older adults can be used to reduce ageism in home care students.
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Affiliation(s)
- Serkan Pekçetin
- Department of Occupational Therapy, Faculty of Gülhane Health Sciences, University of Health Sciences Turkey, Ankara, Turkey
| | - Ergün Hasgül
- Department of Social Work Ankara, Faculty of Gülhane Health Sciences, University of Health Sciences Turkey, Ankara, Turkey
| | - Rasime Yıldırım Düğeroğlu
- Department of Health Care Services, Tosya Vocational School, Kastamonu University, Kastamonu, Turkey
| | - Zeynep Arabacı
- Department of Health Care Services, Tosya Vocational School, Kastamonu University, Kastamonu, Turkey
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Skela-Savič B, Klemenčič Mirazchiyski E, Lobe B. Perceptions of Slovenian elementary schoolchildren on nursing and nurses-Exploratory study. Nurse Educ Pract 2021; 53:103083. [PMID: 34058572 DOI: 10.1016/j.nepr.2021.103083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2020] [Revised: 05/01/2021] [Accepted: 05/11/2021] [Indexed: 11/19/2022]
Abstract
AIM The research aimed to assess the perception on nursing and nurses among schoolchildren of Slovenian elementary schools. BACKGROUND Among the general public, nursing remains under-recognized as an occupation and a science. Especially young people have unrealistic perceptions of nurses. DESIGN A cross-sectional research design was undertaken. METHODS The study included 1984 eighth grade schoolchildren from 103 elementary schools. Data were collected with a structured questionnaire. RESULTS The research results revealed a positive general perception of nursing. Surprisingly, only 2.5% of respondents would consider a career in nursing. Girls had more understanding of nursing compared to boys (p < 0.001); having a nurse relative meant better understanding of nursing (p = 0.032). The influence of the traditional view of nursing and the biomedical model of care which describes nursing not as autonomous, but as subordinate to medicine, was considerate (p < 0.001). CONCLUSIONS The study shows that elementary school children do not express an interest in a career in nursing. They perceive the job of a nurse as female-dominated, they cling to the traditional perception of nursing being subordinate to medicine, and they indicated dominance of the biomedical model of care. Healthcare policy makers must remember that healthcare systems cannot function without nurses, so developing nursing is crucial. To increase interest in the profession, a national campaign promoting nursing programs and the nursing profession and presenting horizontal and vertical career opportunities is needed. Young people must have realistic information on nursing as an occupation and a science, its role in the healthcare system, and career opportunities. Activities aimed at changing public opinion on nursing must be planned.
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Affiliation(s)
- Brigita Skela-Savič
- Full Professor (delite Research Councilor), Head of Angela Boškim Institute for Research in Healthcare Sciences, Angela Boškin Faculty of Health Care, Spodnji Plavž 3, 4270 Jesenice, Slovenia.
| | - Eva Klemenčič Mirazchiyski
- Head of Center for applied epistemology Educational Research Institute Gerbičeva 62, 1000 Ljubljana, Slovenia.
| | - Bojana Lobe
- Faculty of Social Sciences, University of Ljubljana, Kardeljeva ploščad 5, 1000 Ljubljana, Slovenia.
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Chua WL, Rahim NRBA, McKenna L, Ho JTY, Liaw SY. Intraprofessional collaboration between enrolled and registered nurses in the care of clinically deteriorating ward patients: A qualitative study. Aust Crit Care 2021; 35:81-88. [PMID: 33926789 DOI: 10.1016/j.aucc.2021.01.009] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2020] [Revised: 01/06/2021] [Accepted: 01/11/2021] [Indexed: 11/26/2022] Open
Abstract
BACKGROUND Nurses' role in vital signs monitoring places them in an ideal position to recognise and respond to clinical deterioration in general wards. However, enrolled nurses (ENs) and registered nurses (RNs) do not always work collaboratively, and this can lead to delays in recognition and escalation of clinical deterioration in general wards. OBJECTIVES The aim of the study was to explore the collaboration experiences between ENs and RNs in recognising and responding to clinical deterioration in general ward settings. METHODS A qualitative descriptive study involving 12 ENs and 11 RNs was conducted in a 1250-bed tertiary hospital in Singapore using semistructured interviews. Interviews were transcribed and thematically analysed. FINDINGS Three main themes emerged from the data analysis. The first, "reaching a collective understanding of patients' conditions', identifies nursing shift handover as the primary method of obtaining patient information essential for ENs and RNs to work collaboratively to deliver safe patient care. However, the dissociation of ENs during the handover process created information gaps on patients at risk of clinical deterioration. The second, "role expectations of each other", describes expectations that both groups of nurses had for each other's functions and responsibilities and the importance of mutual support in the nursing teamwork process. The third, "lacking in shared decision-making", depicts a top-down approach in decision-making, wherein ENs were often not engaged in the decision-making process related to patient care. CONCLUSIONS A less-than-optimal collaborative EN-RN relationship was observed in this study, which sometimes caused delays in recognising and responding to deteriorating ward patients. This study illuminates the need for intraprofessional learning opportunities in prelicensure nursing programmes and the workplace to foster effective EN-RN collaborative practice. Nurse managers and educators are instrumental in fostering EN-RN collaboration and providing ongoing education on nursing teamwork skills and competencies.
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Affiliation(s)
- Wei Ling Chua
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Level 3, Clinical Research Centre, Block MD11, 10 Medical Drive, 117597, Singapore.
| | | | - Lisa McKenna
- School of Nursing and Midwifery, La Trobe University, Plenty Rd & Kingsbury Dr, Bundoora (Melbourne), Victoria, 3086, Australia
| | - Jasmine Tze Yin Ho
- National University Hospital, 5 Lower Kent Ridge Road, 119074, Singapore
| | - Sok Ying Liaw
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Level 3, Clinical Research Centre, Block MD11, 10 Medical Drive, 117597, Singapore
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Mao A, Wang J, Zhang Y, Cheong PL, Van IK, Tam HL. Factors influencing recruitment and retention of male nurses in Macau and mainland China: a collaborative, qualitative study. BMC Nurs 2020; 19:104. [PMID: 33292195 PMCID: PMC7653746 DOI: 10.1186/s12912-020-00497-9] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2020] [Accepted: 10/29/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Macau and the Mainland China have different political and socio-economic policies but are both influenced by Chinese culture. By comparing the professional development experiences of male nurses from Macau and the Mainland, this study aims to explore factors influencing the recruitment and retention of male nurses. METHODS A collaborative, qualitative approach was adopted in which researchers from Macau and the Mainland were jointly involved in carrying out interviews and analyzing data. A total of 24 clinical male nurses were invited, with 12 each from Macau the Mainland. Recruitment was based on purposive sampling from various health institutions in the two regions. Semi-structured interviews were conducted in 2017-2018 with similar interview guidelines for both Macau and the Mainland sites. Thematic analysis was used for data analysis, and Nvivo11 Plus software was used to facilitate the analysis. RESULTS Key facilitators/barriers to recruitment and retention of male nurses were clustered under the two research questions: 1) What are the factors influencing the recruitment of male nurses? 2) What are the factors influencing the retention of male nurses? Males in Macau and the Mainland experienced pressure while entering nursing because of the stereotype that nursing is a feminine occupation. However, males in Macau chose nursing as a college major under their own volition while males in the Mainland were mostly forced into nursing. The males in Macau hardly thought of leaving nursing while their Mainland counterparts constantly felt uncertain about their professional future. The males on both sides hoped to thrive in career development. While the Macanese tended to pursue advanced programs in specialty nursing for better health care in the frontline, the Mainlanders wanted to get promoted to leave the frontline. CONCLUSION Male nurses in Macau and Mainland share some common experiences in professional development but have different views and values regarding nursing.
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Affiliation(s)
- Aimei Mao
- Kiang Wu Nursing College of Macau, Est. Repouso No.35, Macau, China.
| | - Jialin Wang
- College of Nursing, Chengdu University of Traditional Chinese Medicine, 1166 Liutai Road, Wenjiang District, Chengdu, Sichuan, China
| | - Yuan Zhang
- Neijiang Health Vocational College, 368 East Section 4, Han-an Avenue, Dongxing District, Neijiang, Sichuan, China
| | - Pak Leng Cheong
- Kiang Wu Nursing College of Macau, Est. Repouso No.35, Macau, China
| | - Iat Kio Van
- Kiang Wu Nursing College of Macau, Est. Repouso No.35, Macau, China
| | - Hon Lon Tam
- Kiang Wu Nursing College of Macau, Est. Repouso No.35, Macau, China
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Almutary H, Al‐Moteri M. Psychometric properties of factors influencing Healthcare Career Choice Scale. Nurs Open 2020; 7:1588-1596. [PMID: 32802380 PMCID: PMC7424428 DOI: 10.1002/nop2.541] [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: 01/03/2020] [Revised: 05/08/2020] [Accepted: 05/20/2020] [Indexed: 11/25/2022] Open
Abstract
Aim The aim of this paper was to modify Factors Influencing Teaching Choice scale (FIT-Choice scale) to be appropriate for healthcare professionals and to assess the psychometric properties of the modified scale. Design A cross-sectional study was used. Methods A convenience sample of 395 students at the preparatory stage of their health path participated in study to evaluate the psychometric properties of "Healthcare Career Choice Scale" (HCC Scale). The study involves two phases: instrument modification and psychometric evaluation. Results The content validity index was 0.88. Using factor analysis, 12 factors were extracted and explained 71.8% of the total variance. The internal consistency was demonstrated with Cronbach's α = .91.
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Affiliation(s)
- Hayfa Almutary
- Medical/Surgical Department Faculty of NursingKing Abdulaziz UniversityJeddahSaudi Arabia
| | - Modi Al‐Moteri
- Nursing DepartmentFaculty of Applied Medical SciencesTaif UniversityTaifSaudi Arabia
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Who Wants To Be a Nurse? Understanding Emirati Female Students' Knowledge and Attitudes About Nursing as a Career. Nurs Educ Perspect 2020; 41:E14-E19. [PMID: 32310910 DOI: 10.1097/01.nep.0000000000000659] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
AIM The aim of this study was to increase understanding of female high school students' intentions to pursue a nursing career. The objective is to explore theories on attitudinal research and propose a research model that examines the relationship between attitude, knowledge, and impact on intention to pursue a nursing career. BACKGROUND There is a paucity of research on understanding the reasons for the shortage of local nurses in the United Arab Emirates. METHOD Data were collected from 157 female high school students. The research model was empirically tested using standard procedures. RESULTS Findings support some of the proposed direct and interactional effects. Attitude is a predictor of intention of high school students to pursue a nursing profession. The interaction effect of attitude and knowledge significantly predicts intention. CONCLUSION The study calls for further investigation on the effects of attitude and knowledge on students' intention to pursue a nursing career and bring about changes in thinking.
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18
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Bilik O, Damar HT, Ozdagoglu G, Ozdagoglu A, Damar M. Identifying trends, patterns, and collaborations in nursing career research: A bibliometric snapshot (1980–2017). Collegian 2020. [DOI: 10.1016/j.colegn.2019.04.005] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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19
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The development of Singapore nursing education system – challenges, opportunities and implications. Int Nurs Rev 2019; 66:467-473. [DOI: 10.1111/inr.12539] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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20
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Chua WL, Legido-Quigley H, Ng PY, McKenna L, Hassan NB, Liaw SY. Seeing the whole picture in enrolled and registered nurses’ experiences in recognizing clinical deterioration in general ward patients: A qualitative study. Int J Nurs Stud 2019; 95:56-64. [DOI: 10.1016/j.ijnurstu.2019.04.012] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2018] [Revised: 04/15/2019] [Accepted: 04/17/2019] [Indexed: 11/29/2022]
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21
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Ng P, Lau S, Ong S, S.Y L. Singaporean nursing students' perceptions of a career in community nursing. Int Nurs Rev 2019; 66:514-522. [DOI: 10.1111/inr.12528] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- P.Y. Ng
- Khoo Teck Puat Hospital, National Healthcare Group Singapore Singapore
| | - S.T. Lau
- Alice Lee Centre for Nursing Studies Yong Loo Lin School of Medicine, National University of Singapore Singapore Singapore
| | - S.F. Ong
- Yishun Community Hospital, National Healthcare Group Singapore Singapore
| | - Liaw S.Y
- Alice Lee Centre for Nursing Studies Yong Loo Lin School of Medicine, National University of Singapore Singapore Singapore
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Shorey S, Goh ML, Ang SY, Ang L, Devi MK, Ang E. The Progression and Future of Nursing in Singapore: A Descriptive Qualitative Study. J Transcult Nurs 2019; 30:512-520. [PMID: 30688168 DOI: 10.1177/1043659618823909] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Introduction: Nursing professionalism and nursing identity are important for retention of nurses. Despite of much attention on nurses in Singapore, there is still a shortage of nurses. This study aims to understand the perceptions of the progression and future of the nursing profession in Singapore. Methodology: A descriptive qualitative study design was used. The participants were 20 nurse educators, clinical nurses, and student nurses. Data were collected through focus group and online interviews and analyzed thematically. Results: Nurses felt a need to bridge the theory-practice gap and various factors to the underlying cause of the shortage of nurses were highlighted. Nurses shared their desires to see greater autonomy among nurses and a greater focus on community nursing in the future. Discussion: Collaboration between nurse academics and clinical nurses may bridge the theory-practice gap. To reduce the issue of the shortage of nurses, efforts to promote nursing professionalism are required.
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Affiliation(s)
| | - Mien Li Goh
- 1 National University of Singapore, Singapore
| | | | - Lina Ang
- 1 National University of Singapore, Singapore
| | | | - Emily Ang
- 1 National University of Singapore, Singapore
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Glerean N, Hupli M, Talman K, Haavisto E. Perception of nursing profession – focus group interview among applicants to nursing education. Scand J Caring Sci 2019; 33:390-399. [DOI: 10.1111/scs.12635] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2018] [Accepted: 11/07/2018] [Indexed: 11/27/2022]
Affiliation(s)
- Niina Glerean
- Department of Nursing Science University of Turku Turku Finland
| | - Maija Hupli
- Department of Nursing Science University of Turku Turku Finland
| | - Kirsi Talman
- Department of Nursing Science University of Turku Turku Finland
| | - Elina Haavisto
- Department of Nursing Science University of Turku Hospital District of Satakunta Turku Finland
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Lopez V, Yobas P, Chow YL, Shorey S. Does building resilience in undergraduate nursing students happen through clinical placements? A qualitative study. NURSE EDUCATION TODAY 2018; 67:1-5. [PMID: 29704800 DOI: 10.1016/j.nedt.2018.04.020] [Citation(s) in RCA: 55] [Impact Index Per Article: 9.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/23/2017] [Accepted: 04/16/2018] [Indexed: 06/08/2023]
Abstract
BACKGROUND The shortage of nurses has become a global phenomenon, and methods of decreasing the attrition rate of nurses have been explored. Resilience was one of the important factors that increased the retention rate of nurses who stayed in this highly stressful profession. OBJECTIVES To understand how undergraduate nursing students perceive and experience their clinical placements and to identify the factors that helped them build resilience. DESIGN A qualitative design utilizing focus group interviews was adopted for this study. PARTICIPANTS Nineteen third- and fourth-year undergraduate nursing students in a Bachelor of Nursing program participated in this study. SETTING This study was conducted at a local university in Singapore. METHOD Four audio-taped focus group interviews were conducted. RESULTS Students reported that they were stressed while facing challenges head-on during their first clinical placements, mainly due to a lack of peer and clinical support. Gradually, students built resilience overtime and were able to adapt to the ward culture through peer support and reframing coping strategies. CONCLUSION Nursing students gradually built resilience after accumulating experiences from their clinical placements. Although they eventually adapted well, peer, clinical, and informational support during clinical placements were lacking. Resilience programs that teach positive coping strategies and mindfulness training could be implemented in the undergraduate nursing curriculum.
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Affiliation(s)
- Violeta Lopez
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, MD 11, Level 2, Clinical Research Centre, 10 Medical Drive, 117597, Singapore.
| | - Piyanee Yobas
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, MD 11, Level 2, Clinical Research Centre, 10 Medical Drive, 117597, Singapore.
| | - Yeow Leng Chow
- Alice Lee Centre for Nursing Studies, National University of Singapore, MD 11, Level 3, Clinical Research Centre, 10 Medical Drive, 117597, Singapore.
| | - Shefaly Shorey
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, MD 11, Level 2, Clinical Research Centre, 10 Medical Drive, 117597, Singapore.
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25
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Wu LT, Wang W, Holroyd E, Lopez V, Liaw SY. Factors deterring dentistry, medical, pharmacy, and social science undergraduates from pursuing nursing as a healthcare career: a cross-sectional study in an Asian university. BMC MEDICAL EDUCATION 2018; 18:23. [PMID: 29373973 PMCID: PMC5787325 DOI: 10.1186/s12909-018-1118-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/11/2017] [Accepted: 01/05/2018] [Indexed: 06/07/2023]
Abstract
BACKGROUND Globally more registered nurses need to be recruited to meet the needs of aging populations and increased co-morbidity. Nursing recruitment remains challenging when compared to other healthcare programs. Despite healthcare students having similar motivation in joining the healthcare industry, many did not consider nursing as a career choice. This study aims to identify the deterrents to choosing nursing among healthcare undergraduates by examining the differences in the factors influencing healthcare career choices and nursing as a career choice. METHODS A cross sectional study was conducted using a 35-parallel items instrument known as Healthcare Career Choice and Nursing Career Choice scale. Six hundred and four (n = 604) first year medical, pharmacy, dentistry and social science students from a university in Singapore completed the survey. RESULTS Nursing as a career was perceived by healthcare students to be more likely influenced by prior healthcare exposure, the nature of the work, job prospects, and social influences. Lack of autonomous decision making, perceived lower ability to make diagnosis, having to attend to patients' hygiene needs, engendered stigma, and lack of parental support were identified as deterring factors to choosing nursing as a career. CONCLUSION An understanding of the deterrents to choosing nursing as career allows policy makers and educational leaders to focus on recruitment strategies. These include providing more exposure to nurses' roles in early school years, helping young people to overcome the fear of providing personal hygiene care, promoting nurses' autonomous nursing practice, addressing gender stigma, and overcoming parental objection.
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Affiliation(s)
- Ling Ting Wu
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Level 2, Clinical Research Centre, Block MD11 10 Medical Drive, Singapore, 117597 Singapore
| | - Wenru Wang
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Level 2, Clinical Research Centre, Block MD11 10 Medical Drive, Singapore, 117597 Singapore
| | - Eleanor Holroyd
- Nursing Research Capacity Building, Aga Khan University, P. O. Box 8842, Kampala, Uganda East Africa
| | - Violeta Lopez
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Level 2, Clinical Research Centre, Block MD11 10 Medical Drive, Singapore, 117597 Singapore
| | - Sok Ying Liaw
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Level 2, Clinical Research Centre, Block MD11 10 Medical Drive, Singapore, 117597 Singapore
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Liaw SY, Wu LT, Chow YL, Lim S, Tan KK. Career choice and perceptions of nursing among healthcare students in higher educational institutions. NURSE EDUCATION TODAY 2017; 52:66-72. [PMID: 28267629 DOI: 10.1016/j.nedt.2017.02.008] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/03/2016] [Revised: 01/26/2017] [Accepted: 02/08/2017] [Indexed: 06/06/2023]
Abstract
BACKGROUND Due to the ageing population and competition from other healthcare courses, a greater demand in the healthcare workforce has made it challenging for educational institutions to attract school leavers to enter nursing courses. Understanding the considerations of students who have chosen non-nursing healthcare courses and their perceptions of nursing can help identify specific strategies to enhance the attractiveness of nursing course. This study aims to examine the differences between healthcare career choices and perceptions of nursing as a career choice among first-year non-nursing healthcare students. METHOD A descriptive survey design was conducted at the beginning of the healthcare courses of seven healthcare groups and from four higher educational institutions in Singapore. A total of 451 students responded, yielding an overall response rate of 52.7%. The online survey was administered using a valid and reliable 35-item parallel scale, known as the Healthcare Career Choice and Nursing Career Choice. RESULTS The participants perceived prior healthcare exposure as the most influential factor and self-efficacy as the least influential factor when choosing nursing as a career. In comparison to their own healthcare career choices, nursing was perceived to have greater gender stigma and, as nurses, they would be less likely to achieve higher qualifications and career advancements, and they would be less likely to enjoy fulfilling careers. They also perceived that they would be less likely to gain their parents' support to pursue nursing and to make their parents proud. CONCLUSIONS This study provides educators and policy-makers with vital information to develop key strategies to improve nursing enrolment in educational institutions. These strategies include early exposure to nursing as a rewarding career during school years, addressing the issue of gender stigma, and promoting information on the career and educational advancement of a registered nurse to parents of school leavers.
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Affiliation(s)
- Sok Ying Liaw
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
| | - Ling Ting Wu
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
| | - Yeow Leng Chow
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
| | - Siriwan Lim
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
| | - Khoon Kiat Tan
- School of Health Sciences, Nanyang Polytechnic, Singapore.
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Liaw SY, Wu LT, Lopez V, Chow YL, Lim S, Holroyd E, Tan KK, Wang W. Development and psychometric testing of an instrument to compare career choice influences and perceptions of nursing among healthcare students. BMC MEDICAL EDUCATION 2017; 17:72. [PMID: 28449685 PMCID: PMC5408422 DOI: 10.1186/s12909-017-0910-7] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 04/21/2016] [Accepted: 04/20/2017] [Indexed: 06/07/2023]
Abstract
BACKGROUND With the availability of more healthcare courses and an increased intake of nursing students, education institutions are facing challenges to attract school leavers to enter nursing courses. The comparison of career choice influences and perception of nursing among healthcare students can provide information for recruitment strategies. An instrument to compare the influences of healthcare career choice is lacking. The purpose of this study is to develop and evaluate the psychometric properties of an instrument to compare the influences of healthcare career choice with perceptions of nursing as a career choice. METHODS The study was conducted in two phases. In phase one, two sets of scales with parallel items that measure the influences of healthcare career choice and perceptions of nursing as a career choice were developed through an earlier qualitative study, literature review, and expert validation. Phase two involved testing the construct validity, concurrent validity and reliability with a convenience sample of 283 first year healthcare students who were recruited at two education institutions in Singapore. RESULTS An exploratory factor analysis revealed 35-parallel items in a six-factor solution (personal interest, prior healthcare exposure, self-efficacy, perceived nature of work, job prospects, and social influences) that explained 59 and 64% of the variance for healthcare career choice and nursing as a career choice respectively. A high correlation (r = 0.76, p < 0.001) was obtained with an existing tool, confirming the concurrent validity. The internal consistency was sufficient with Cronbach's alpha of 0.93 for healthcare career choice and 0.94 for nursing as a career choice. The test-retest reliability was acceptable with an Intraclass Correlation Coefficient of 0.63 for healthcare career choice and 0.60 for nursing as a career choice. CONCLUSIONS The instrument provides opportunities for understanding the differences between influences of healthcare career choice and perceptions of nursing as a career choice. This comparative understanding of career choice influences can guide educator and policy-makers on nursing recruitment.
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Affiliation(s)
- Sok Ying Liaw
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Level 2, Clinical Research Centre, Block MD11 10 Medical Drive, Singapore, 117597 Singapore
| | - Ling Ting Wu
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Level 2, Clinical Research Centre, Block MD11 10 Medical Drive, Singapore, 117597 Singapore
| | - Violeta Lopez
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Level 2, Clinical Research Centre, Block MD11 10 Medical Drive, Singapore, 117597 Singapore
| | - Yeow Leng Chow
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Level 2, Clinical Research Centre, Block MD11 10 Medical Drive, Singapore, 117597 Singapore
| | - Siriwan Lim
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Level 2, Clinical Research Centre, Block MD11 10 Medical Drive, Singapore, 117597 Singapore
| | - Eleanor Holroyd
- Auckland University of Technology, 90 Akoranga Drive, Northcote, Auckland New Zealand
| | - Khoon Kiat Tan
- School of Health Sciences, Nanyang Polytechnic, Singapore, Singapore
| | - Wenru Wang
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Level 2, Clinical Research Centre, Block MD11 10 Medical Drive, Singapore, 117597 Singapore
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