scholarly journals ‘I decided to attend to him because it’s my duty’: Student Nurses perception and attitude towards care of older adults

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Priscilla Yeye Adumoah Attafuah ◽  
Ninon Amertil ◽  
Jacob Owusu Sarfo ◽  
David Atsu Deegbe ◽  
Delight Nyonator ◽  
...  
Keyword(s):  
Older Adults ◽  
Nursing Students ◽  
Student Nurses ◽  
Structured Interview ◽  
Early Years ◽  
Group Discussions ◽  
Basic Care ◽  
Males And Females ◽  
Number Of Males

Abstract Background and Aim Nurses perception and attitude towards an older patient can positively or negatively influence the quality rendered. As students under training, the views of this population needs to be sought and shaped to improve the quality of care the older patients receive. This is because life expectancy is on the rise. The study aimed to explore students’ perception of ageing and their attitude towards care of the older adults. Methods and materials An exploratory descriptive design was used. Data form containing the sociodemographic attributes of the students and a semi-structured interview form developed by the researchers in line with the literature. The participants interviewed were student nurses who had been in clinical practice for at least one semester. Four focus group discussions (FGD) were held. Results Average age of the participants was 22.30 years. An equal number of males and females (15 each) were recruited to have a balance in gender. Students expressed that they saw the older adults as their grandparents so they try to accord them respect and care. However, older adults are perceived not receptive to nurses in training. The students stated that registered nurses neglected the basic care of older adults such as diaper changes, bathing, and feeding, and would rather beckon student nurses to attend to the older adults. Conclusion Gerontology as a stand-alone course is necessary for early years of training to give an in-depth education to nursing students and instil a positive attitude towards older adult patients.

scholarly journals Nairobi Early Childcare in Slums (NECS) Study Protocol: a mixed-methods exploration of paid early childcare in Mukuru slum, Nairobi

2020 ◽  
Vol 4 (1) ◽  
pp. e000822
Author(s):  
Robert C Hughes ◽  
Patricia Kitsao-Wekulo ◽  
Sunil Bhopal ◽  
Elizabeth W Kimani-Murage ◽  
Zelee Hill ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Focus Group ◽  
Early Years ◽  
Epidemiological Methods ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Early Childcare ◽  
Depth Interviews ◽  
Childcare Providers

IntroductionThe early years are critical. Early nurturing care can lay the foundation for human capital accumulation with lifelong benefits. Conversely, early adversity undermines brain development, learning and future earning.Slums are among the most challenging places to spend those early years and are difficult places to care for a child. Shifting family and work structures mean that paid, largely informal, childcare seems to be becoming the ‘new normal’ for many preschool children growing up in rapidly urbanising Africa. However, little is known about the quality of this childcare.AimsTo build a rigorous understanding what childcare strategies are used and why in a typical Nairobi slum, with a particular focus on provision and quality of paid childcare. Through this, to inform evaluation of quality and design and implementation of interventions with the potential to reach some of the most vulnerable children at the most critical time in the life course.Methods and analysisMixed methods will be employed. Qualitative research (in-depth interviews and focus group discussions) with parents/carers will explore need for and decision-making about childcare. A household survey (of 480 households) will estimate the use of different childcare strategies by parents/carers and associated parent/carer characteristics. Subsequently, childcare providers will be mapped and surveyed to document and assess quality of current paid childcare. Semistructured observations will augment self-reported quality with observable characteristics/practices. Finally, in-depth interviews and focus group discussions with childcare providers will explore their behaviours and motivations. Qualitative data will be analysed through thematic analysis and triangulation across methods. Quantitative and spatial data will be analysed through epidemiological methods (random effects regression modelling and spatial statistics).Ethics and disseminationEthical approval has been granted in the UK and Kenya. Findings will be disseminated through journal publications, community and government stakeholder workshops, policy briefs and social media content.

scholarly journals Factors Affecting the Initial Engagement of Older Adults in the Use of Interactive Technology

2021 ◽  
Vol 18 (6) ◽  
pp. 2847
Author(s):  
Lina Lee ◽  
Mary Lou Maher
Keyword(s):  
Older Adults ◽  
Interactive Technology ◽  
Key Factors ◽  
Group Discussions ◽  
Interactive Technologies ◽  
Factors Affecting ◽  
Diary Studies ◽  
User Focus ◽  
Depth Interviews

Smart environments and the use of interactive technology has the potential to improve the quality of life for the senior community as well as to support the connections among the senior community and the world outside their community. In addition to the increasing number of studies in the field of aging and technologies, research is needed to understand the practical issues of user focus, adoption, and engagement for older adults to accept interactive technologies in their lives. In this study, we use two commercial technological interventions (uDraw and GrandPad) to understand technology-related perceptions and behaviors of older adults. We present five case studies that emerge from empirical observations of initial engagement with technology through research methods such as focus group discussions, in-depth interviews, observations, and diary studies. The contributions of this study are identification of the key factors that influence the initial engagement with interactive technology for older adults.

Career Preferences of Nursing Students

2012 ◽  
Vol 31 (4) ◽  
pp. 471-482 ◽  
Author(s):  
Odette N. Gould ◽  
Anna MacLennan ◽  
Suzanne Dupuis-Blanchard
Keyword(s):  
Older Adults ◽  
Nursing Students ◽  
Health Outcomes ◽  
Older Patients ◽  
Student Nurses ◽  
Career Interests ◽  
Quadratic Effect ◽  
Advanced Students ◽  
Negative Health Outcomes ◽  
Career Preferences

ABSTRACTThis study investigates novice and experienced student nurses’ attitudes about caring for patients across the lifespan. Students were also asked why they would enjoy or not enjoy caring for children and older adults. Both novice (n = 114) and advanced (n = 56) nursing students were relatively positive about caring for patients across the lifespan. However, novices were significantly more negative about working with older patients, particularly after experiencing a first clinical placement. In contrast, a significant quadratic effect was found for advanced students, indicating more negativity about working with both children and older adults. When giving reasons for why they would enjoy caring for older patients, novices were more likely than were advanced students to focus on stereotypical characteristics and on negative health outcomes of older adults as a group. Overall, results suggest that the attitudes driving career interests in nursing students change as training advances.

scholarly journals “…we were like tourists in the theatre, the interns assisted almost all procedures…” Challenges facing the Assistant Medical Officers training for the performance of Caesarean section delivery in Tanzania

2021 ◽  
Author(s):  
Nathanael Sirili ◽  
Amani Anaeli ◽  
Lilian Mselle ◽  
Obadia Venance Nyongole ◽  
Siriel Massawe
Keyword(s):  
Caesarean Section ◽  
Holistic Approach ◽  
Structured Interview ◽  
Group Discussions ◽  
District Hospitals ◽  
Caesarean Section Delivery ◽  
District Management ◽  
The Government ◽  
Almost All

Abstract Background: Training of mid-level providers is a task-sharing strategy that has gained popularity in the recent past for addressing the critical shortage of the health workforce. In Tanzania, training of mid-level providers has existed for over five decades; however, concerns exist regarding the quality of mid-level cadres amidst the growing number of medical universities. This study sought to explore the challenges facing the Assistant Medical Officers training for the performance of Caesarean section delivery in Tanzania. Methods: An exploratory qualitative case study was carried out in four regions to include one rural district in each of the selected regions and two AMO training colleges in Tanzania. A semi-structured interview guide was used to interview 29 key informants from the district hospitals, district management, regional management, AMO training college, and one retired AMO. Also, four focus group discussions were conducted with 35 AMO trainees.Results: Training of AMOs in Tanzania faces many challenges. The challenges include: use of outdated and static curriculum, inadequate tutors (lack of teaching skills and experience of teaching adults), inadequate teaching infrastructure in the existence of many other trainees, including interns, and limited or lack of scholarships and sponsorship for the AMO trainees. Conclusions: The findings of this study underscore that the challenges facing AMO training for the performance of Caesarean section delivery have the potential to negatively impact the quality of Caesarean sections performed by this cadre. A holistic approach is needed in addressing these challenges. The solutions should focus on reviewing the curriculum, deploying qualified tutors, and improving the competencies of the available tutors through continuing medical education programmes. Furthermore, the government in collaboration with other stakeholders should work together to address the challenges in teaching infrastructure and providing financial support to this cadre that has continued to be the backbone of primary healthcare in Tanzania. Long-term solutions should consider deploying medical officers at the primary facilities and phasing out the performance of Caesarean section by AMOs.

scholarly journals The perceptions of Kwazulu-Natal nursing students about the discipline

Curationis ◽  
2000 ◽  
Vol 23 (1) ◽  
Author(s):  
LR Uys
Keyword(s):  
Quality Of Care ◽  
Nursing Students ◽  
Working Conditions ◽  
Student Nurses ◽  
Descriptive Study ◽  
The Past ◽  
Kwazulu Natal ◽  
Depth Interviews ◽  
Realistic Appraisal

This article reports on a descriptive study aimed at exploring the perceptions of student nurses about the past, present and future of the discipline. In-depth interviews with 12 students from KwaZulu- Natal were transcribed and analysed. Students showed a realistic appraisal of the discipline. They valued the essence of the profession, and were positive about their work and their training. They felt, however that nurses are not treated well by others, that the working conditions are poor and the quality of care often bad. They saw their current role as more autonomous than in the past, and saw the nurse as moving more into the community, becoming more specialised, and more entrepreneurial in future. They saw the challenges of the future in the areas of quality of care, improving training, recognition of the profession, and management, and dealing with the problem of HIV/AIDS.

scholarly journals “ … we were like tourists in the theatre, the interns assisted almost all procedures … ” Challenges facing the assistant medical officers training for the performance of caesarean section delivery in Tanzania

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nathanael Sirili ◽  
Amani Anaeli ◽  
Lilian Mselle ◽  
Obadia Nyongole ◽  
Siriel Massawe
Keyword(s):  
Caesarean Section ◽  
Holistic Approach ◽  
Structured Interview ◽  
Group Discussions ◽  
District Hospitals ◽  
Caesarean Section Delivery ◽  
District Management ◽  
The Government ◽  
Almost All

Abstract Background Training of mid-level providers is a task-sharing strategy that has gained popularity in the recent past for addressing the critical shortage of the health workforce. In Tanzania, training of mid-level providers has existed for over five decades; however, concerns exist regarding the quality of mid-level cadres amidst the growing number of medical universities. This study sought to explore the challenges facing the Assistant Medical Officers training for the performance of Caesarean section delivery in Tanzania. Methods An exploratory qualitative case study was carried out in four regions to include one rural district in each of the selected regions and two AMO training colleges in Tanzania. A semi-structured interview guide was used to interview 29 key informants from the district hospitals, district management, regional management, AMO training college, and one retired AMO. Also, four focus group discussions were conducted with 35 AMO trainees. Results Training of AMOs in Tanzania faces many challenges. The challenges include: use of outdated and static curriculum, inadequate tutors (lack of teaching skills and experience of teaching adults), inadequate teaching infrastructure in the existence of many other trainees, including interns, and limited or lack of scholarships and sponsorship for the AMO trainees. Conclusions The findings of this study underscore that the challenges facing AMO training for the performance of Caesarean section delivery have the potential to negatively impact the quality of Caesarean sections performed by this cadre. A holistic approach is needed in addressing these challenges. The solutions should focus on reviewing the curriculum, deploying qualified tutors, and improving the competencies of the available tutors through continuing medical education programmes. Furthermore, the government in collaboration with other stakeholders should work together to address the challenges in teaching infrastructure and providing financial support to this cadre that has continued to be the backbone of primary healthcare in Tanzania. Long-term solutions should consider deploying medical officers at the primary facilities and phasing out the performance of Caesarean section by AMOs.

scholarly journals “…we were like tourists in the theatre, the interns assisted almost all procedures…” Challenges facing the training of Assistant Medical Officers in Tanzania

2020 ◽  
Author(s):  
Nathanael Sirili ◽  
Amani Anaeli ◽  
Lilian Mselle ◽  
Obadia Venance Nyongole ◽  
Siriel Massawe
Keyword(s):  
Holistic Approach ◽  
Structured Interview ◽  
Group Discussions ◽  
District Hospitals ◽  
District Management ◽  
The Government ◽  
Almost All ◽  
Phase Out ◽  
Continued Medical Education

Abstract Background: Training of mid-level providers is a task sharing strategy that has gained popularity in the recent past for addressing critical shortage of health workforce. In Tanzania, training of mid-level providers has existed for over five decades, however, concerns are upon the quality of the mid-level cadres amidst the growing number of medical universities. This study sought to explore the challenges facing the training of the Assistant Medical Offices in Tanzania.Methods: An exploratory qualitative case study was carried out in four regions to include one rural district in each of the selected regions and two AMOs Training Colleges in Tanzania. A semi-structured interview guide was used to interview 29 Key informants from the district hospitals, district management, regional management, AMOs training college and one retired AMO. In addition, four focus group discussions were conducted with 35 AMO trainees.Results: Training of AMOs in Tanzania faces many challenges. The challenges include; use of outdated and static curriculum, inadequate tutors (lack of teaching skills and experience of teaching adults), Inadequate teaching infrastructure in existence of many other trainees to include interns, and limited or lack of scholarships and sponsorship for the AMO trainees. Conclusions: The findings of this study underscore that the challenges facing AMO training have the potentials to negatively impact the quality of care rendered by this cadre. Holistic approach is needed in addressing these challenges. The solutions should focus on reviewing the curriculum, deploying qualified tutors and improving the competencies of the available tutors through continued medical education programmes. Furthermore, the government in collaboration with other stakeholders should work together to address the challenges on teaching infrastructure and financial support to this cadre that has continued to be the backbone of the primary health care in Tanzania. Long term solution should consider to deploy the medical officers at the primary facilities and phase out the AMOs. Finally, challenges facing mid-level providers in Tanzania and similar settings are similar, thus these findings can be used as a starting pointing in addressing them.

scholarly journals National Program for Improving Access and Quality of Primary Care: Implications of its implementation in the Brazilian Northeast

10.3823/2461 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Ianna Priscilla Dantas de Queiroz ◽  
Cecília Nogueira Valença ◽  
Renata Fonsêca Sousa de Oliveira ◽  
Cristiane da Silva Ramos Marinho ◽  
Ádilla Conceição Brito de Azevedo ◽  
...  
Keyword(s):  
Primary Care ◽  
Structured Interview ◽  
National Program ◽  
Work Process ◽  
Unified Health System ◽  
Basic Care ◽  
Quality Of Primary Care ◽  
Access And Quality ◽  
Brazilian Northeast

Introduction: The Ministry of Health has been very interested in initiative to maintain and / or improve the quality of population health, among which the National Program for Improving Access and Quality of Basic Care (PMAQ) stands out. Objective: To analyze the changes in the area of work management of the basic care teams after the implementation of the Program of Improvement of Access and Quality of Primary Care (PMAQ) from the perspective of professionals inserted in Primary Care. Method: This is a descriptive study with a qualitative approach, carried out in the city of Santa Cruz, in the county of the PMAQ implementation in the Trairi region, in the state of Rio Grande do Norte, from September to November 2016. Two techniques were used for data collection: the semi-structured interview with the secretary of health and coordinator of basic care of the county, and the technique of focus group with the graduated professionals who work in the Basic Units that joined the PMAQ. Results: From this analysis emerged 3 categories: Implementation of the National Program for Improving Access and Quality of Primary Care, PMAQ encouraging changes in the health work process, and Evaluation on the PMAQ. Conclusion: The main change made by the PMAQ in the work process of Primary Care professionals was their organization.   KEY WORDS: primary health Care; Unified Health System; human resources.

scholarly journals Prioritization of Indicators of the Quality of Care Provided to Older Adults with Frailty by Key Stakeholders from Five Canadian Provinces

2021 ◽  
Author(s):  
Anik Giguere ◽  
Jayna M. Holroyd-Leduc ◽  
Sharon E. Straus ◽  
Robin Urquhart ◽  
Véronique Turcotte ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Family Doctor ◽  
Healthcare Providers ◽  
Policy Decision ◽  
Structured Interview ◽  
Care Quality ◽  
Key Stakeholders ◽  
Healthcare Administrators

Abstract Background: To meet the needs of older adults with frailty better, it is essential to understand which aspects of care are important from their perspective. We therefore sought to assess the importance of a set of quality indicators (QI) for monitoring outcomes in this population. Methods: In this mixed-method study, key stakeholders completed a survey on the importance of 36 QIs, and then explained their ratings in a semi-structured interview. Stakeholders included older adults with frailty and their caregivers, healthcare providers (HCPs), and healthcare administrators or policy/decision makers (DMs). We conducted descriptive statistical analyses of quantitative variables, and deductive thematic qualitative analyses of interview transcripts. Results: The 42 participants (8 older adults, 18 HCPs, and 16 DMs) rated six QIs as more important: increasing the patients’ quality of life; increasing healthcare staff skills; decreasing patients’ symptoms; decreasing family caregiver burden; increasing patients’ satisfaction with care; and increasing family doctor continuity of care.Conclusions: Key stakeholders prioritized QIs that focus on outcomes targeted to patients and caregivers, whereas the current healthcare systems generally focus on processes of care. Quality improvement initiatives should therefore take better account of aspects of care that are important for older adults with frailty, such as having a chance to express their individual goals of care, receiving quality communications from HCPs, or monitoring symptoms that they might not spontaneously describe. Our results point to the need for patient-centred care that is oriented toward quality of life for older adults with frailty.

scholarly journals Nursing Students’ Expectations of their Clinical Instructors: Practical Implications in Nursing Education

2020 ◽  
Vol 12 (4) ◽  
pp. 393-410
Author(s):  
Reynold Culimay Padagas ◽  
Keyword(s):  
Nursing Education ◽  
Nursing Students ◽  
Teaching Strategies ◽  
Learning Experience ◽  
Structured Interview ◽  
The Philippines ◽  
Clinical Instructors ◽  
Teacher Student ◽  
Assessment Of Student Learning

Nursing students learn under the responsibility of clinical instructors during their related learning experience (RLE). Generally, nursing students regard their clinical instructors as pivotal sources of foundational knowledge, skills, and values to develop themselves into competent and compassionate nurses. It is usual for them to leverage their expectations of their clinical instructors. The study aimed to uncover and learn from the nursing students’ expectations of their clinical instructors in terms of inductive codes such as teaching strategies, assessment of student learning outcomes, monitoring and evaluating learning progress, recognizing student efforts, professional mastery, and descriptions of ideal clinical instructors. This descriptive qualitative study employed thematic analysis to structured interview transcripts from conveniently sampled nursing students in a private university in the Philippines. During their RLE, the nursing students viewed that i.) clinical instructors utilize various teaching strategies; ii.) variety of assessment techniques are used revealing innate teacher values and some students' undesirable feelings towards their clinical instructors; iii.) limited techniques in monitoring and evaluating students' progress are employed; iv.) students have feelings of being denied of recognition; v.) teacher-student likeness, and some unwanted perceptions on professional mastery are essential; and vi.) caring attributes, cognitive, and clinical competence make up the ideal clinical instructors. The quality of nursing students is as good as the quality of their clinical instructors. Their clinical instructors primarily influence their level of confidence during the RLE. Findings suggest that clinical instructors need to rethink about their practices in ensuring quality instruction and supervision during RLE.

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