scholarly journals A European evaluation of the patients’ role in clinical education: a six-country cross sectional

2022 ◽  
pp. 103287
Author(s):  
Sanna KOSKINEN ◽  
Helena LEINO-KILPI ◽  
Katrín BLÖNDAL ◽  
Indrė BRASAITĖ-ABROMĖ ◽  
Eimear BURKE ◽  
...  
2021 ◽  
pp. e20200018
Author(s):  
Sarah Wojkowski ◽  
Kathleen E. Norman ◽  
Paul Stratford ◽  
Brenda Mori

Purpose: This research examines 1 year of cross-sectional, Canada-wide ratings from clinical instructors using the Canadian Physiotherapy Assessment of Clinical Performance (ACP) and analyzes the performance profiles of physiotherapy students’ performance ratings over the course of their entry-to-practice clinical placements. Method: Canadian physiotherapy programmes that use the ACP were invited to submit anonymized, cross-sectional data for placements completed during 2018. Descriptive analyses and summary statistics were completed. Mixed-effects modelling was used to create typical performance profiles for each evaluation criterion in the ACP. Stepwise ordered logistic regression was also completed. Results: Ten programmes contributed data on 3,290 placements. Profiles were generated for each ACP evaluative item by means of mixed-effects modelling; three profiles are presented. In all cases, the predicted typical performance by the end of 24 months of study was approximately the rating corresponding to entry level. Subtle differences among profiles were identified, including the rate at which a student may be predicted to receive a rating of “entry level.” Conclusions: This analysis identified that, in 2018, the majority of Canadian physiotherapy students were successful on clinical placements and typically achieved a rating of “entry level” on ACP items at the end of 24 months.


2020 ◽  
Vol 29 (19) ◽  
pp. S30-S38
Author(s):  
Nancy Moureau ◽  
Gilbert Gregory E.

Background The purpose of this study was to investigate ultrasound-guided peripheral intravenous (UGPIV) supply usage practices by clinicians working in vascular access, in emergency departments (EDs), or in other roles. Methodology In 2019, a voluntary cross-sectional descriptive survey was conducted via SurveyMonkey. Data collected included demographics, practice-oriented information, procedural activities, and supplies used for UGPIV insertions. Frequency distributions and results of Fisher's exact test and one-way analysis of variance were reported using R v.3.5.2. Results A total of 26,649 surveys were distributed with a response rate of 5.5% (n = 1475). Forty-eight percent of respondents (n = 709) indicated that they worked in a vascular access role, 310 (21%) worked in an ED, and 455 (31%) categorized their role as other. Clinically meaningful differences existed in all variables for UGPIV procedures and supplies between departments (P < 0.0001) and in all care settings. Using an investigatorconstructed overall metric of supplies used, important differences were demonstrated between personnel supply use in vascular access roles and other roles (P < 0.0001) and personnel in EDs and other roles (P < 0.0001). Conclusions Use of supplies for UGPIV insertions varies by department. The variability in supply usage for UGPIV insertions revealed by this survey suggests a need for clinical education on guideline application and evaluation of compliance with policies to promote standardization of supplies for UGPIV insertion.


2017 ◽  
Vol 6 (1) ◽  
pp. 32 ◽  
Author(s):  
Mohammad Al Qadire ◽  
Loai Tawalbeh ◽  
Mohammad Suliman

Background: Despite the advantages of Central venous catheters (CVC), patients are at high risk of infection (local and systematic) that could be lethal. Lack of knowledge of the available guidelines for the prevention of CVC-associated infection may increase the rate of CVC-associated infections.Objective: The purpose of the study is to evaluate student nurses’ knowledge of the guidelines for preventing CVC-associated infection.Methods: A descriptive cross-sectional survey was used. This study involved 267 student nurses from four government universities. They were in their second-, third- or fourth-year of study.Results: Most of the students were female (72.3%) with a mean age of 21.2 (SD 2.5). The mean total score of students’ knowledge was very low at 1.6 (SD 1.5) out of 10, the maximum score, and ranged from 0 to 7. Students who reported having received adequate theoretical and clinical education about CVC had higher mean total knowledge scores than those who had not.Conclusions: The results showed that Jordanian student nurses have insufficient knowledge about the prevention of CVC-associated infection. In order to improve their knowledge, an evidence-based teaching approach is required in the theoretical classes. This should be combined with the best clinical training through the use of simulation techniques.


2020 ◽  
Vol 10 (6) ◽  
pp. 36
Author(s):  
Nancy L. Novotny ◽  
Debbie Stark

Background and objective: Preceptor-facilitated clinical nursing education prevalence information is dated. Information is most often limited to regional baccalaureate programs and provides sparse evidence of its education-related outcomes. The purpose of this study is to describe the nationwide use, structures, facilitators, and challenges of using preceptors in prelicensure clinical education; compare its use by program characteristics; and explore its impact on education-related outcomes.Methods: In this cross-sectional comparative study, prelicensure programs in randomly selected jurisdictions in all four regions of the US were identified and official pass rates obtained.  Program administrators completed an online questionnaire about preceptor use, incentives used, challenges, facilitators, and perceived impact on program capacity.Results: Preceptors were used in 73% of the 366 responding programs. Prevalence rates ranged from 25% to 87% by program type and from 64% to 86% by region. Programs’ NCLEX-RN® pass rates and perceived impact on program capacity did not differ by use of preceptors. Most respondents indicated there was no impact although one-fifth perceived moderate to high impact. The top five challenges and facilitators to preceptor use were identified. Programs used a variety of preceptor incentives, ranging from 62% using informal recognition to 7% providing some type of financial compensation.Conclusions: Most programs use preceptors with differences by program type and region. Designating resources to enhance preceptor orientation and preceptor-student-faculty communications may be useful, as well as identifying the challenges and facilitators. While a variety of preceptor incentives are available, few offer direct monetary compensation. Regional preceptor incentive data provide useful benchmarks. With high rates of use in some sectors and yet no demonstrable influence on pass rates, closer scrutiny of the quality of preceptor-facilitated educational experiences and associated outcomes are warranted.


Author(s):  
Benita E Cohen ◽  
David Gregory

This paper presents the findings of a survey of community health clinical education in twenty-four Canadian pre-licensure baccalaureate nursing programs. A qualitative research design was used, involving a content analysis of Canadian course syllabi and supporting documents for community health courses. This study afforded a cross-sectional understanding of the "state of the art" of community health clinical education in Canadian schools of nursing. Clinical course conceptual approaches, course objectives, types of clinical sites, format and number of clinical hours, and methods of student evaluation are identified. The findings suggest the need for a national dialogue or consensus building exercise regarding curriculum content for community health nursing. Informing this dialogue are several strengths including the current focus on community health (as opposed to community-based) nursing education, and a solid socio-environmental perspective informing clinical learning and practice. The national data set generated by this study may have relevance to nursing programs globally.


Author(s):  
Anisa Hidayah ◽  
Martina Sinta Kristanti ◽  
Mariyono Sedyowinarso

Background: Nurses are supposed to be able to show empathy to patients. Empathy is capability to feel the emotion, thought, and condition of the patient without involving self emotion. Capability of showing empathy in nurses is builtsince the period of education. Every stage in nursing education at nursing study program has different learning activities and load of materials. The difference may be affected by capability of showing empathy in students. The objective of this study is to identify difference in empathy capability of nursing students of Faculty of Medicine UGMMethod: This was a quantitative study with cross sectional design. Samples were taken through purposive proportional sampling involving 88 nursing students at Faculty of Medicine Universitas Gadjah Mada undergoing academic education (batch 2009 to 2012) and clinical education (batch 2007 and 2008). Empathy capability was assessed using Jefferson Scale of Physician Empathy – Nursing Student Version R (JSPE-R).Results: Average score of empathy capability was 113.26 with standard deviation 10.45. There was difference in empathy capability of students of batch 2007 to 2012 (p=0.014). Average score of empathy capability of the students decreased along with the duration of education. There was no difference in empathy capability based on gender (p=0.516), age (p=0.668), ethnic group (p=0.167), and stage of education (p=0.541). There was difference in score of standing in the patient shoes between academic and clinical students (p=0.022).Conclusion: There is difference in empathy capability in nursing students from different batch at Faculty of Medicine UGM.


2020 ◽  
Vol 6 (2) ◽  
Author(s):  
Evi Annisa Haryati ◽  
Efri Widianti ◽  
Nur Oktavia Hidayati

ABSTRACT  During the industrial revolution of 4.0, everything becomes easily accessible. One of its developments is information and communication technology. The high use of a smartphone as communication tools can cause dependency which is characterized by repeatedly checking smartphones which can cause addiction so that it can cause fear or phobia, commonly known as Nomophobia. The aim of this study was to determine the overview of nomophobia in Nursing students at Padjadjaran University. This research used a quantitative descriptive method with cross-sectional approach. Samples were taken using a total sampling technique from the population of an active student of the Bachelor program in the year of 2016, 2017, 2018 and 2019 Faculty of Nursing, Padjadjaran University. Data were collected using the Nomophobia Questionnaire (NMP-Q) and analyzed using descriptive frequency distribution. The results of this study showed that the majority of respondents 559 (63.5%) showed moderate nomophobia, as many as 243 respondents (27.6%) showed severe nomophobia and 79 respondents (9%) showed mild nomophobia. The conclusion of this study is that majority of respondents belong to the category of moderate nomophobia. Therefore, it is recommended for the following institution to be able to develop policies that regulate the use of smartphones in the context of clinical education and practice.ABSTRAKPada era revolusi industri 4.0 segala sesuatunya semakin mudah diakses. Salah satu perkembangannya adalah teknologi informasi dan komunikasi. Tingginya penggunaan alat komunikasi smartphone dapat menimbulkan ketergantungan yang ditandai dengan selalu memeriksa smartphone yang dapat menimbulkan suatu kecanduan sehingga dapat menimbulkan ketakutan atau fobia yang lebih dikenal dengan sebutan Nomophobia. Tujuan penelitian ini adalah untuk mengetahui gambaran nomophobia pada mahasiswa Fakultas Keperawatan Universitas Padjadjaran. Penelitian ini menggunakan metode  deskriptif kuantitatif dengan pendekatan cross sectional. Sampel diambil dengan menggunakan teknik total sampling dari populasi mahasiswa aktif program Sarjana angkatan 2016,2017,2018 dan 2019 Fakultas Keperawatan Universitas Padjadjaran. Data dikumpulkan dengan menggunakan instrumen Nomophobia Questionnaire (NMP-Q dan dianalisis secara deskriptif  distribusi frekuensi. Hasil penelitian ini menunjukkan bahwa sebagian besar  responden 559 (63,5%) menunjukkan nomophobia sedang, sebanyak 243 responden (27,6%) menunjukkan nomophobia berat dan sebanyak 79 responden (9%) menunjukkan nomophobia ringan. Simpulan dari penelitian ini adalah sebagian besar responden tergolong kedalam kategori nomophobia sedang. Oleh karena itu, disarankan bagi pihak instansi untuk dapat mengembangkan kebijakan yang mengatur penggunaan smartphone dalam konteks pendidikan dan praktikum klinis.


Author(s):  
Abdolreza Gilavand ◽  
Mohammad Shooriabi ◽  
Mehrnoosh Malakootian

 Objective: In spite of great developments in infection control during recent years, many problems are still seen at the level of faculties, private, and public hospitals. Therefore, this research was carried out to evaluate the frequency of occupational exposure in dentistry students of Ahvaz Jundishapur University of Medical Sciences, Southwest of Iran.Methods: This study was conducted using a descriptive and cross-sectional method in 2016. The population of the study included all the 124 dentistry students graduated from Ahvaz Jundishapur University of Medical Sciences (AJUMS), southwest of Iran, who started their clinical education. The data were collected through a researcher-developed questionnaire and were analyzed using SPSS 22 software.Results: A total of 84 (67.7%) of the participants were male and 40 (23.3%) were female. Of all the participants, 54.8% of the students had no occupational exposure, 17.9% had needle stick experience, 17.9% of them had splash exposure, and 8.9% had a history of exposure to both needlestick acid and patient discharge. In the current research, no significant relationship was found between job exposure and age, gender, and marital status (p<0.05). However, a significant relationship was found between occupational exposure, year of admission to university, academic semester, and educational environment (p<0.05).Conclusion: Given the relatively high prevalence of occupational exposure in students, the development of prevention and exposure to occupational protocols and requiring students to comply with these protocols in clinical dentistry environments is recommended.


Author(s):  
Karim Shafi ◽  
Francis Lovecchio ◽  
Grant J. Riew ◽  
Dino Samartzis ◽  
Philip K. Louie ◽  
...  

Abstract Purpose To utilize a global survey to elucidate spine surgeons’ perspectives towards research and resident education within telemedicine. Methods A cross-sectional, anonymous email survey was circulated to the members of AO Spine, an international organization consisting of spine surgeons from around the world. Questions were selected and revised using a Delphi approach. A major portion of the final survey queried participants on experiences with telemedicine in training, the utility of telemedicine for research, and the efficacy of telemedicine as a teaching tool. Responses were compared by region. Results A total of 485 surgeons completed the survey between May 15, 2020 and May 31, 2020. Though most work regularly with trainees (83.3%) and 81.8% agreed that telemedicine should be incorporated into clinical education, 61.7% of respondents stated that trainees are not present during telemedicine visits. With regards to the types of clinical education that telemedicine could provide, only 33.9% of respondents agreed that interpretation of physical exam maneuvers can be taught (mean score = − 0.28, SD =  ± 1.13). The most frequent research tasks performed over telehealth were follow-up of imaging (28.7%) and study group meetings (26.6%). Of all survey responses provided by members, there were no regional differences (p > 0.05 for all comparisons). Conclusions Our study of spine surgeons worldwide noted high agreement among specialists for the implantation of telemedicine in trainee curricula, underscoring the global acceptance of this medium for patient management going forward. A greater emphasis towards trainee participation as well as establishing best practices in telemedicine are essential to equip future spine specialists with the necessary skills for navigating this emerging platform.


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