scholarly journals Informed Strangers: Witnessing and Responding to Unethical Care as Student Nurses

2017 ◽  
Vol 4 ◽  
pp. 233339361773020
Author(s):  
Joyce Engel ◽  
Jenn Salfi ◽  
Samantha Micsinszki ◽  
Andrea Bodnar

Nursing students occupy a unique perspective in clinical settings because they are informed, through education, about how patient care ought to happen. Given the brevity of placements and their “visiting status” in clinical sites, students are less invested in the ethos of specific sites. Subsequently, their perspectives of quality care are informed by what should happen, which might differ from that of nurses and patients. The purpose of this study was to identify predominant themes in patient care, as experienced by students, and the influence that these observations have on the development of their ethical reasoning. Using a qualitative descriptive approach in which 27 nursing student papers and three follow-up in-depth interviews were analyzed, three main themes emerged: Good employee, poor nurse; damaged care; and negotiating the gap. The analysis of the ethical situations in these papers suggests that students sometimes observe care that lacks concern for the dignity, autonomy, and safety of patients. For these student nurses, this tension led to uncertainty about patient care and their eventual profession.

Background: Nursing is a dynamic profession. On the other hand, due to its poor social image, it is not regarded as a first career choice. Nurses’ poor social image converts into a big challenge as the country is facing chronic nurses’ shortage and retention issues. Both problems warrant devising policies to increase students’ enrollment in nursing programs. Therefore, it is very necessary to explore nursing students’ perceptions regarding their decision to choose nursing as a career. Methodology: A qualitative descriptive study was employed which included a convenience sampling and a focus group discussion method to collect the data. Data were analyzed through thematic content analysis procedure. Two group discussions were arranged with 08 participants in each group. All the participants (16) were freshly enrolled in the first year (04-year) Bachelors' of Science in Nursing (session: 2018-19) at a Nursing Institute located in a female Medical University of Sindh Province. Results: One main theme ‘nursing as an opportunity to fulfill broken dreams’ and four supporting themes as ‘broken dreams; nursing as a way to continue your education; feeling as a nursing student and nursing as my destiny’ were unearthed. Conclusion: Student nurses are demotivated because their first dream remained unfulfilled. It is their confidence in themselves and curiosity to continue their education (that they stood up and decided to join nursing) to revitalize their broken dreams. A big opportunity falls on the shoulders of the Institute specially and teaching faculty, in general, to continuously support student nurses as they reenergize themselves to grow as professional and ethical nurse practitioners in the coming days.


Children's Nurses require excellent clinical skills to provide high quality care to children and young people across a range of different ages. After the first year of their training, children's nursing students must master skills of increasing complexity whilst developing clinical judgement and confidence. Therefore, it is vital that links are made to children's biology and development, family needs, legal issues and problem solving but until now, it has been hard to find all this in one place. Clinical Skills for Children's Nursing is designed for children's and general nursing students in second year onwards to facilitate the transition from closely supervised beginners, to qualified professionals. By clearly explaining essential principles, evidence and special considerations, this text helps students to build up their confidence, not just in performing skills, but also in decision-making in readiness for registration and beyond. Step-by-step guides to performing core and advanced procedures are presented in tables for easy comprehension and revision, illustrated by photographs and drawings. Each skill draws on the available evidence base, which is updated regularly on the accompanying Online Resource Centre. Uniquely, this text develops students' critical thinking skills and ability to deliver child centred care by providing clear links to anatomical, physiological and child development milestones as well as regular nursing alerts which help prevent readers from making common mistakes. Clearly reflecting the Nursing and Midwifery Council's Essential Skills Clusters for registration and beyond, Clinical Skills for Children's Nursing is designed to support student nurses develop into competent practitioners. Supported by a dedicated Online Resource Centre with up-to-date evidence, realistic scenarios, and a wealth of other tools. On the Online Resource Centre: For registered lecturers and mentors: - Figures from the book, ready to download and use in teaching material For students: - Evidence, guidelines and protocols, reviewed and updated every 6 months - Over 40 interactive scenarios - Active web links provide a gateway to the articles cited in the book - Flashcard glossary to help learn key terms


2016 ◽  
Vol 23 (8) ◽  
pp. 910-918 ◽  
Author(s):  
Gloria Copeland Smith ◽  
Troy Keith Knudson

Background: This study is the result of findings from a previous dissertation conducted by this author on Student Nurses’ Unethical Behavior, Boundaries, and Social Media. The use of social media can be detrimental to the nurse–patient relationship if used in an unethical manner. Method: A mixed method, using a quantitative approach based on research questions that explored differences in student nurses’ unethical behavior by age (millennial vs nonmillennial) and clinical cohort, the relationship of unethical behavior to the utilization of social media, and analysis on year of birth and unethical behavior. A qualitative approach was used based on a guided faculty interview and common themes of student nurses’ unethical behavior. Participants and Research Context: In total, 55 Associate Degree nursing students participated in the study; the research was conducted at Central Texas College. There were eight faculty-guided interviews. Ethical considerations: The main research instrument was an anonymous survey. All participants were assured of their right to an informed consent. All participants were informed of the right to withdraw from the study at any time. Findings: Findings indicate a significant correlation between student nurses’ unethical behavior and use of social media (p = 0.036) and a significant difference between student unethical conduct by generation (millennials vs nonmillennials (p = 0.033)) and by clinical cohort (p = 0.045). Further findings from the follow-up study on year of birth and student unethical behavior reveal a correlation coefficient of 0.384 with a significance level of 0.003. Discussion: Surprisingly, the study found that second-semester students had less unethical behavior than first-, third-, and fourth-semester students. The follow-up study found that this is because second-semester students were the oldest cohort. Conclusion: Implications for positive social change for nursing students include improved ethics education that may motivate ethical conduct throughout students’ careers nationally and globally for better understanding and promotion of ethics and behavior.


2017 ◽  
Vol 7 (10) ◽  
pp. 91 ◽  
Author(s):  
Elizabeth E. Cooper

Teaching methods to improve the safety of care for patients has been a priority for nurse educators. This article discusses the student nurses’ use of error reporting tools in the clinical setting, revealing study results completed by the Quality and Safety Officer in a School of Nursing and Health Professions. The aim was to report on the use of safety tools and the perception of safety issues in clinical settings identified by 121 prelicensure baccalaureate nursing students. Responses suggest that it is challenging for nursing students to report errors and near miss events. Barriers exist for the nursing student. The survey reveals difficulty in reporting but discloses that safety for the patient continues to be a primary concern for the nursing student.


Author(s):  
Serpil Türkleş ◽  
Münevver Boğahan ◽  
Hilal Altundal ◽  
Zeliha Yaman ◽  
Mualla Yılmaz

Little is known about the experiences of nursing students during the pandemic process. This research was conducted to determine the feelings, thoughts, and experiences of nursing students during the COVID-19 pandemic process. This qualitative study was conducted with 47 first-year nursing students of a faculty that experienced the COVID-19 pandemic between 3–30 April 2020. Student nurses stated that they felt fear and anxiety; they liked this situation in the beginning due to the constraints during the pandemic process, but due to the prolongation of this process, they experienced boredom due to monotonous extraordinary days of doing the same things every day and realized that every moment before the pandemic was very valuable. In addition, the students stated that rich and poor are equal in the face of the virus and that all humanity has learned solidarity by leaving wars, fights, and superiority efforts. In this process, it was found that nursing students have negative coping methods, such as not being able to manage time well due to constraints at home and spending too much time on the phone, internet, and computer. In this context, empowering nursing students to cope with challenging emotions and thoughts starting from their educational life will contribute to the development of both students and the profession.


2021 ◽  
Author(s):  
Dame Elysabeth Tarihoran ◽  
Dian Anggraini ◽  
Enni Juliani ◽  
Ressa Ressa ◽  
Ihlus Fardan

Background: Nurses should have a good level of e-health literacy to help patients utilize e-health information. Objective: To measure e-health literacy skills and contribute factors. Methods: A cross-sectional study of 2209 nursing student in Indonesia (October–November 2019) using eHeals. Result: The overall eHealth literacy was 4 (Scale 1–5). There were statistically significant differences between e-Heals score with contribute factors (<0.001). Conclusion: Indonesian nursing students already have basic necessary skills of e-health.


2020 ◽  
Vol 11 (3) ◽  
pp. 41
Author(s):  
Krysia Warren Hudson ◽  
Sandra Marie Swoboda ◽  
Mishiko Redd ◽  
Melissa Diane Hunter ◽  
Nancy Sullivan

Background and purpose: As COVID 19 impacted schools of nursing, the impact of clinical training was immediate. Students were removed from clinical sites but clinical training was necessary to continue the education of nursing students at all levels. Select virtual clinical experiences were substituted for in person clinical experience to reinforce foundational nursing skills.Results: Implementing virtual clinical activities proved to be a challenge for schools of nursing. Finding, structuring and managing activities that foster key foundational concepts for novice student nurses is imperative.Conclusions: Management of virtual clinical activities, via a SIM Center, is key in providing foundational experiences via simulation for the novice nursing student. Substituting structured virtual clinical days, with expert clinical debriefing, can provide an adequate clinical experience.


2015 ◽  
Vol 1 (2) ◽  
pp. 18-28
Author(s):  
Baitesda Suba

Introduction. Improving nurses and nursing student’s knowledge and attitudes toward patients with HIV/AIDS is vital for providing quality care to each patients. The purpose of this study is to identify the knowledge and the attitudes of nursing students toward patients living with HIV/AIDS. Methods. This descriptive cross-sectional study was conducted at Faculty of Nursing, Universitas Klabat (Unklab), Airmadidi. The inclusion criteria for the nursing students were as follows: being at least 18 years of age; being a fourth-year in course and as a nurse profession program nursing student; and having consent to participate in the research. The sample comprised of 90 nursing students. The study used two data collection tools: (1) the HIV/AIDS Knowledge Questionnaire and (2) the HIV/AIDS Attitude Questionnaire. Results. Participant’s knowledge were moderate or good, but they generally have negative attitude towards patients with HIV/AIDS. On the result of statistic test, there was no statistically significant relation between nursing students  knowledge level and attitude scale toward patients with HIV/AIDS,    p = 0.804 (p > 0,05). Conclusions. The current results reveal that nursing students have good knowledge of HIV/AIDS, but they have a negative attitude. Therefore their attitudes need to be improved.Keyword: HIV/AIDS, knowledge, attitudes, nursing student Full printable version: PDF


2019 ◽  
Vol 13 (5) ◽  
pp. 1513
Author(s):  
Gylce Eloisa Cabreira Panitz CRUZ ◽  
Manuel Carlos Rodrigues Fernandes Chaves ◽  
João Luís Alves Apostolo

ABSTRACT Objective: to describe the methodology and strategies of the educational plan of the clinical teaching of Nursing Fundamentals in the community that, through the study of health determinants with elderly people, has the goal of training the skills and abilities of undergraduate students in Nursing. Method: this is a qualitative, descriptive, experience-type study developed with Nursing students. The results are presented in figures. Results: the students were led to develop the competencies defined by the different capacities and criteria experienced by the students, in this clinical teaching, during the suggested learning experiences, as well as others that were implemented. Conclusion: the Nursing student was allowed to integrate nursing activities shared between teams and subteams, to build their own knowledge and to add technical and scientific quality to their training. It has become the study of health determinants with older people key to the training of students' undergraduate nursing course. Through this experience, it is possible to offer, based on the perspective of the European continent, a new dimension of learning in the clinical teaching of the Nursing Degree to other continents. Descriptors: Clinical Teaching; Fundamentals of Nursing; Community; Skills; Student; Elderly. RESUMOObjetivo: descrever a metodologia e as estratégias do plano educacional do ensino clínico de Fundamentos de Enfermagem na comunidade que, por meio do estudo de determinantes de saúde com pessoas idosas, tem como meta a formação de competências e capacidades dos estudantes do curso de Licenciatura em Enfermagem. Método: trata-se de um estudo qualitativo, descritivo, do tipo relato de experiência, desenvolvido com estudantes de Enfermagem. Apresentam-se os resultados em forma de figuras. Resultados: conduziu-se os estudantes a desenvolver as competências definidas pelas diferentes capacidades e critérios vivenciados pelos estudantes, neste ensino clínico, durante as experiências de aprendizagem sugeridas, assim como outras que foram implementadas. Conclusão: permitiu-se, ao estudante de Enfermagem, pela integração de atividades de Enfermagem compartilhadas entre equipes e subequipes, construir seu próprio conhecimento e acrescentar qualidade técnica e científica à sua formação. Tornou-se o estudo de determinantes de saúde com pessoas idosas fundamental para a formação de competências dos estudantes do curso de Licenciatura em Enfermagem. Pode-se disponibilizar, por esta experiência, com propostas baseadas no olhar do continente europeu, uma nova dimensão de aprendizagem no ensino clínico da Licenciatura de Enfermagem para outros continentes. Descritores: Ensino Clínico; Fundamentos de Enfermagem; Comunidade; Competências; Estudante; Idoso. RESUMEN Objetivo: describir la metodología y las estrategias del plan educativo de la enseñanza clínica de Fundamentos de Enfermería en la comunidad que, a través del estudio de determinantes de salud con personas mayores, tiene como meta la formación de competencias y capacidades de los estudiantes del curso de Licenciatura en Enfermería. Método: se trata de un estudio cualitativo, descriptivo, del tipo relato de experiencia, desarrollado con estudiantes de Enfermería. Se presentan los resultados en forma de figuras. Resultados: se llevó a los estudiantes a desarrollar las competencias definidas por las diferentes capacidades y criterios vivenciados por los estudiantes, en esta enseñanza clínica, durante las experiencias de aprendizaje sugeridas, así como otras que se implementaron. Conclusión: se permitió al estudiante de Enfermería, por la integración de actividades de Enfermería compartidas entre equipos y subequipos, construir su propio conocimiento y añadir calidad técnica y científica a su formación. Se ha convertido el estudio de determinantes de salud con personas de edad avanzada para la formación de competencias de los estudiantes del curso de Licenciatura en Enfermería. Se puede disponer, por esta experiencia, con propuestas basadas en la mirada del continente europeo, una nueva dimensión de aprendizaje en la enseñanza clínica de la Licenciatura de Enfermería para otros continentes. Descritores: Enseñanza Primaria; Fundamentos de Enfermeíra; Comunidad; Habilidades: Estudiante; Ancianos.


2019 ◽  
Vol 4 (1) ◽  

Students are excited and committed to learning nursing practice and becoming a nurse. This article reflects on the contributions and complications of nursing student engagement. It then describes the complexity involved in coping, as nursing is a complex, emotional, and importantly, a caring profession. Subsequently, resiliency is elaborated upon as it relates to its development within nursing. Resiliency is the key to maintaining caring nurses and quality care within the challenging healthcare environment.


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