scholarly journals Budding nurses readiness for clinical practice: the future is now

Author(s):  
Vivanjeet Kaur ◽  
Varsha Dhama ◽  
Karamjeet Kaur ◽  
Malar Kodi S. ◽  
Rashmi Rawat

Background: Freshly registered nurses’ experience of conversion from student to skilled professionals calls for making significant adjustments to shifting personal and professional roles at the beginning of their career as a nurse. Nursing education is aimed to help students to become beginning practitioners in the field of nursing. This study was taken up to explore the perception of the outgoing nursing students about their readiness to work in the clinical settings after graduation. On completion of graduation, these budding practitioners are anticipated to adjust in the clinical settings rapidly and be proficient of providing innocuous care for patients with multifaceted care needs. It is expected from graduate nurses to be well equipped for clinical practice, but reality may be different and there could be numerous barriers associated with it.Methods: It was a descriptive cross-sectional survey. A total of 176 outgoing graduate nursing students were selected using total enumerative sampling from different colleges of state of Uttarakhand and were asked to complete a demographic data sheet and self- reported readiness to clinical practice questionnaire.Results: Results have shown that more than half of the outgoing graduate nursing students were not ready for clinical practice. Most of them recognized sleep disturbance, low salary, lack of time and documenting error as barrier for their readiness to clinical practice.Conclusions: The findings of the study show that 63.3% of outgoing graduate nursing students were not ready to work in clinical area which is a matter of concern with the rising healthcare needs and increasing demands of the consumers of health. The results call for a change in the working condition for the nursing staff and a raise in wages worth making them to opt for clinical practice.

Author(s):  
Satu Kajander-Unkuri ◽  
Riitta Meretoja ◽  
Jouko Katajisto ◽  
Helena Leino-Kilpi ◽  
Arja Suikkala

AbstractDuring nursing education, nursing students are required to develop their competence to be able to fulfill their duties safely as Registered Nurses. The aims of this study were to explore 1) nursing students’ self-assessed competence levels during education 2) the relationship with competence and frequency at which competencies are utilized in clinical practice, and 3) factors related to competence levels. 841 (response rate 67.6 %) nursing students responded to the Nurse Competence Scale in a cross-sectional study. The self-assessed overall competence levels were improving during the education continuum (VAS-means 1st 56.6; 2nd 58.3; 3rd 59.8 and 3.5th -year students 68.4). Every group revealed a significant positive correlation with competence and frequency at which competencies are utilized in clinical practice in clinical placement. Risk factors for low competence were also identified. Systematic multimethod competence evaluations with longitudinal designs are needed to monitor outcomes of nursing education.


2019 ◽  
Vol 10 (5) ◽  
pp. 1
Author(s):  
Connie Berthelsen ◽  
Bente Martinsen ◽  
Marianne Vamosi

Objective: To describe Master of Science in Nursing students’ expectations to participate in nursing research-related tasks in daily clinical practice after completing their education.Methods: To support this assumption a descriptive cross-sectional study was conducted to describe Master of Science in nursing students’ expectations to participate in nursing research-related tasks in daily clinical practice after completing their education. Data were collected using a 41-item structured questionnaire.Results: A convenience sample of Master of Science in Nursing students (n = 116) was recruited during their third semester and 92 (79.3%) students replied the questionnaire. The results showed how 91.3% of the students expressed high expectations regarding their possibilities for participation in nursing research-related tasks in clinical practice. However, 64.1% doubted that time and resources would be allocated to nursing research.Conclusions: The key motivator for the students was to improve patient care, further develop clinical practice, and strengthen the nursing profession. However, the literature suggests that colleagues and the nursing management in clinical practice impose certain barriers that prevent nurses from participating in research.


2022 ◽  
pp. 216507992110498
Author(s):  
Özgür Bilek ◽  
Sibel Kiran ◽  
Sergül Duygulu ◽  
Ali N. Yıldız

Background Occurrence and underreporting of needlesticks and other sharps injuries (NSIs) are still immediate concerns among nursing students. This study examined the relationship between occupational health and safety (OHS) awareness and empowerment levels of nursing students and the occurrence and reporting of NSIs. Methods This cross-sectional study was conducted among purposively selected 840 students in a nursing school in 2018–2019. A self-report questionnaire was used to collect data about students’ sociodemographic characteristics, OHS awareness and empowerment levels, and NSIs characteristics. After bivariate analyses, multivariate logistic regression was used. Results The number of evaluated questionnaires was 469, for a response rate of 55.8%. Participants, 21.2% ( n = 99), had suffered NSIs, and 47.8% had reported their injuries. The NSIs were statistically related to age, academic year, working night shift, OHS awareness level of students, and the number of clinical placements completed by students. The odds of experiencing NSIs was 2.3 (95% confidence interval [CI] = [1.0, 5.3]) times higher in male students, 4.3 (95% CI = [2.4, 7.4]) times higher in those beyond the second academic year, and 2.5 (95% CI = [1.4, 4.4]) times higher in those who had received OHS training for a shorter period than the average duration. Conclusion/Application to practice The levels of awareness and empowerment were higher in students who received OHS and NSIs prevention training and those who received OHS training for the above-average duration. Increasing awareness and empowerment levels of nursing students through training can reduce the occurrence and the underreporting of NSIs.


2018 ◽  
Vol 54 ◽  
pp. 65-70 ◽  
Author(s):  
Chien-Chou Su ◽  
Ya Mei Bai ◽  
Ming-Hui Chou ◽  
Jung-Der Wang ◽  
Yen Kuang Yang

AbstractBackground:Disturbance of functionality is one of the core features of schizophrenia, and has deleterious effects on a patient’s employment, increased healthcare costs, and a large societal burden. Thus, if a patient’s disability status could be predicted, and interventions needed identified in advance, poor outcomes could be prevented. To achieve this aim, we developed a method by which to assess dynamic changes of dysfunction and estimate the lifetime duration of disability in patients with schizophrenia, as a proxy for assessing their specialized healthcare needs.Methods:The proposed method was developed based on a nationwide database and a cross-sectional survey. The primary analysis investigated the dynamic change in the proportion of patients with manifested disability over time, while the secondary analysis estimated the lifetime duration of disability, obtained as the proportion of patients with manifested disability multiplied by the survival probability throughout the life of patients.Results:The average lifetime duration of manifested disability of global functioning was estimated to be 20.9 years, which represents approximately 73% of the whole lifetime of patients. The duration of disability in socially-useful activities was estimated to be 15.6 years, while that in personal and social relationships was 17.5 years. The female patients had a longer duration of manifested disability (22.9 years) than the male patients (19.5 years).Conclusions:The developed method of analysis indicated that the longest lifetime durations of manifest disability were observed in the areas of socially-useful activities and personal and social relationships, and the proportions of patients with these disabilities rapidly increased at 200 months after diagnosis.


Author(s):  
Eyad Musallam ◽  
Brooke A. Flinders

Abstract Objectives The Coronavirus Disease 2019 (COVID-19) has impacted overall nursing education program requirements, classroom delivery of theory hours, as well as clinical and laboratory learning opportunities for students. The aims of this study were to explore the impacts of COVID 19 on the students’ perceptions of readiness for practice and their preparation for the NCLEX exam and initial clinical practice. Methods A cross-sectional descriptive design was used to investigate the impact of COVID-19 on senior BSN students’ preparation for NCLEX and future careers. The Casey-Fink Readiness for Practice Survey was used to investigate the perceptions of the BSN students’ clinical confidence and readiness for practice. Results Students reported substantial impacts of COVID-19 on their clinical experiences, their ability to practice skills and procedures, their preparations for NCLEX exam, and their nursing career. The most significant confidence concerns noted from this study seemed to center on handling multiple patient assignments, calling the physician, responding to a change in patient condition, and treating a dying patient. Conclusions Healthcare experts expect that the impact of COVID-19 may last until 2022. More research is needed to understand the impact of COVID-19 on nursing education and transition to nursing practice. While clinical confidence and readiness for practice are essential topics, more research is needed to investigate the psychological and physiological impacts of COVID-19 on nurses, nursing students, nursing preceptors, and faculty members.


Author(s):  
Bernadette M. Longo

Abstract Objective: Nurses are a vital workforce to the disaster response of an earthquake. The aim of this study was to assess preexisting knowledge in baccalaureate nursing students about disaster preparedness and self-protective behavioral responses during an earthquake. Methods: A descriptive cross-sectional survey of nursing students from a seismologically active region was conducted. Data were collected prior to earthquake preparedness education and ShakeOut drills designed to enhance personal safety. Results: A total of 274 nursing students participated in the survey (response rate – 93%). More than half (57%) of respondents did not feel prepared for an earthquake; 88% were without a household emergency plan and 82% lacked emergency supplies. Self-protective actions of drop, cover, and hold on and stay in bed were accurately identified by 77% and 96% of respondents, respectively. Hazardous actions selected included stand in a doorway (77% of respondents) and go outside into the street (23% of respondents). Conclusions: These results demonstrate a lack of personal disaster preparedness in nursing students and several behavioral responses that do not promote self-preservation during seismic activity. Although existing baccalaureate nursing education addresses competencies for disaster care, actions are needed to develop curriculum that emphasizes preparedness and safety to regional environmental hazards.


2021 ◽  
Vol 2 (2) ◽  
pp. 1-9
Author(s):  
Amel Ahmed Hassan ◽  
Eltayeb Mohammed Awad Alkareem ◽  
Hammad Fadlalmola

Nursing training is a blend of both theoretical and practical learning.  Students learn practically in the clinical environment. Despite the progression in nursing education, in some clinical settings, the effective teaching behavior of clinical instructors is absent that affects student learning. The aim of this study is to assess nursing students' perception of a good clinical preceptor. A descriptive cross-sectional study design was used for the study. Data were collected from all 4th year nursing students (n=130) in the Department of Nursing at the Faculty of Medical Technical Sciences, Alzaiem Alazhari University (AAU). The result shows that 68 out of 130 (52.3%) nursing students considered teaching ability as very important followed by competencies 57 (43.8%).    


Rev Rene ◽  
2016 ◽  
Vol 16 (1) ◽  
Author(s):  
João Lopes Toledo Neto ◽  
Carla Moretti de Souza ◽  
Edna Aparecida Lopes Bezerra Katakura ◽  
Talita Vidotte Costa ◽  
Kelly Holanda Prezotto ◽  
...  

Objective: to identify the knowledge of nursing professionals about breastfeeding infants with a cleft lip and palate. Methods:a cross-sectional survey with nurses from two Brazilian Universities. A questionnaire with personal characteristics andknowledge related to nursing education was used. Results: all 13 nurses reported the lack of training on breastfeedingfor infants with a cleft lip and palate. Most of the nurses were unaware of offering ways of feeding, suggesting that despitebeing one of the professionals who give more guidance on breastfeeding, knowledge on the subject is just beginning aboutthe need for attention and care in attending children with a cleft lip and palate. Conclusion: further research in the area isrecommended in order to improve understanding of caring for newborns with a cleft lip and palate, and to help professionalsupgrade the care process.


BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e027385 ◽  
Author(s):  
Kin Cheung ◽  
Shirley SY Ching ◽  
Samuel Hung Nam Cheng ◽  
Simone Sin Man Ho

ObjectivesStudies of violence towards nursing students (NSs) have been scattered mainly in the West and Middle East, but to date there have been no studies in Eastern countries. Differences in nursing education systems and cultures might have contributed to variations in incidences of clinical violence. The purpose of this study was to investigate the prevalence, associated factors and impact of clinical violence to NSs.MethodsThis was a cross-sectional survey study. Convenience sampling was used to recruit university NSs from March to June 2012 in classroom settings in Hong Kong. A valid and reliable questionnaire was used to collect the data. 1297 questionnaires were distributed and 1017 NSs completed questionnaires, with a response rate of 78.41%.ResultsOf the 1017 NSs, 37.3% (n=379) reported having experienced clinical violence during their nursing studies. The prevalence of verbal abuse (30.6%) was significantly greater than that of physical violence (16.5%). The perpetrators of verbal abuse were predominantly patients (66.8%), hospital staff (29.7%), university supervisors (13.4%) and patients’ relatives (13.2%). Patients (91.0%) were the greatest source of physically violent assaults. Compared with those who had experienced physical violence, the NSs who had experienced verbal abuse were more likely not to take action, and not to stop or report the incident, but were also more likely to tell their friends/families. Although the negative effects on emotions, clinical performance and the extent to which they were disturbed by the violence were significantly greater for verbal abuse than that for physical violence, their intention to leave the nursing profession after experiencing either verbal or physical violence was significantly higher after than before the experience (p<0.001).ConclusionsOur results found a moderately high prevalence of clinical violence among NSs. Provision and/or reinforcement of appropriate training about clinical violence in the nursing curricula is necessary.


2016 ◽  
Vol 15 (4) ◽  
pp. 615-620
Author(s):  
Zohreh Badiyepeymaiejahromi ◽  
Sara Shahsavari Isfahani ◽  
Nehleh Parandavar ◽  
Afifeh Rahmanian

Background: Patient education is an important component of patient care. It includes all educational activities to help patients and their families in order to make informed decisions about the disease and learn self-care skills. This study was conducted to investigate nursing students’ perspectives regarding the challenges of patient education in clinical settings.Material and Methods: This descriptive cross-sectional study was conducted on 78 third and fourth year nursing students of Jahrom University of Medical Sciences who were selected by census method. Data were collected through a valid and reliable questionnaire consisted of four parts. The first part was about demographic data, the second included 16 questions about importance of patient education, the third and fourth part contained 20 questions about challenges of patient education, 10 questions assessed barriers and 10 questions were about facilitators of patient education in clinical settings.Results: From the nursing students’ perspective, the average importance of patient education was 4.36±0.05 out of 5. The most important challenges regarding barriers of patient education were; lack of resources and educational tools, lack of enough time, inadequate knowledge and skills of the nurse, and lack of patient readiness both physically and psychologically. Also, the most important facilitators were; high skill and knowledge, having interest to education and phased implementation of patient›s education with respect to the patient›s condition. There was no relationship between academic year, sex and average grade with importance of patient education total score (p=0>05).Conclusion: Nursing managers and educational supervisors of hospitals need to pursue patients’ education programs with rely on the standards developed at national and international accreditation programs as a major strategy and provide necessary resources and educational tools.Bangladesh Journal of Medical Science Vol.15(4) 2016 p.615-620


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