scholarly journals Student nurses’ perceptions of guidance and support in rural hospitals

Curationis ◽  
2014 ◽  
Vol 37 (1) ◽  
Author(s):  
Steppies R. Rikhotso ◽  
Martha J.S. Williams ◽  
Gedina De Wet
Keyword(s):  
Nursing Students ◽  
Qualitative Content Analysis ◽  
Rural Hospitals ◽  
Limpopo Province ◽  
Rural Hospital ◽  
Hospital Environment ◽  
Clinical Exposure ◽  
Clinical Guidance ◽  
Contextual Design ◽  
Professional Nurses

Background: Clinical guidance and support of nursing students in rural hospitals is a challenge for novice nurses, who rotate amongst accredited hospitals throughout the province for clinical exposure, and fid themselves in an unfamiliar environment. Theory learned at the training college is integrated with clinical exposure at hospitals and supplemented through teaching by hospital staff. Nursing students complain about lack of support and guidance from professional nurses within the hospital, some feeling restricted in execution of their nursing tasks by professional nurses and other staff. Students perceived negative attitudes from clinical staff, a lack of clinical resources, inadequate learning opportunities and a lack of support and mentoring during their clinical exposure.Objectives: This article describes perceptions of guidance and support of nursing students by professional nurses in a rural hospital and suggests guidelines for clinical guidance and support of nursing students.Method: A qualitative, explorative, descriptive and contextual design was used. Two focus group interviews were employed to collect data from a sample drawn from level II nursing students from one training college in Limpopo Province, South Africa, on different days (n = 13; n = 10). Qualitative content analysis was used to analyse data.Results: Three themes (mutual distrust and disrespect, hospital environment, and clinical guidance and support) and subthemes (student behaviour and staff behaviour) emerged.Conclusion: Failure to support and guide nursing students professionally may lead to high turnover and absenteeism, resulting in students’ refusal to be allocated to a rural hospital for clinical exposure. Proposed guidelines have been formulated for clinical guidance and support of nursing students at the selected rural hospital. The college and hospital management should foster collaboration between the college tutors and professional nurses to ensure adequateguidance and support of nursing students.

scholarly journals Identification of Nasal Carriage of Staphylococcus aureus among Nursing Students during Curricular Clinical Internships: An Observational Study

2021 ◽  
Vol 8 ◽  
Author(s):  
Maria João Coelho ◽  
Ricardo Magalhães ◽  
Inês Lopes Cardoso ◽  
Cristina Pina ◽  
Maria Pia Ferraz
Keyword(s):  
Staphylococcus Aureus ◽  
Nursing Students ◽  
Nasal Carriage ◽  
Control Measures ◽  
Hospital Environment ◽  
Emergency Rooms ◽  
Clinical Exposure ◽  
Clinical Rotations ◽  
Infection Control Measures ◽  
Mrsa Colonization

Staphylococcus aureus is considered one of the most frequently isolated bacteria in the community and in the hospital environment, being associated with several infections. Healthcare professionals represent a group vulnerable to Staphylococcus aureus and MRSA colonization, therefore being potential disseminators of these microorganisms during their care activities. The aim of this study was to evaluate the dynamics of S. aureus and MRSA nasal colonization among nursing students over the four years of university attendance, including pre-clinical exposure and at different moments during clinical rotations. Samples were collected from students from the 1st, 2nd, 3rd and 4th year. The study identified 55.9% MSSA positive samples and 31.4% MRSA positive samples from the total studied population. Simultaneous carriage of MRSA and MSSA was observed in students from all years of the nursing degree, but a highest MSSA colonization (61.5%) was linked to a lower MRSA colonization (30.8%). MRSA colonization seems to be dependent on the type of clinical internship, since the group attending internship in emergency rooms and surgery wards presented a significant increase in the amount of MRSA samples. Nursing students should be educated on the risks involved in carrying S. aureus and MRSA and informed about infection control measures.

HUBUNGAN PENGETAHUAN TERHADAP KOMPETENSI MAHASIWA PROFESI NERS DALAM PENERAPAN EVIDENCE BASED PRACTICE

2018 ◽  
Vol 14 (1) ◽  
Author(s):  
Hasniatisari Harun ◽  
Yusshy Kurnia Herliani ◽  
Anita Setyawati
Keyword(s):  
Nursing Education ◽  
Nursing Students ◽  
Quantitative Research ◽  
Evidence Based Practice ◽  
Sampling Technique ◽  
Nursing Program ◽  
Evidence Based ◽  
Professional Nursing ◽  
Professional Nurses ◽  
High Competence

Professional nurses could be prepared through professional nursing programs. Professional nursing program is part of the nursing education program. One of the competencies required to be professional nurses is implementing evidence-based practice (EBP) to explore the best nursing interventions for patients to get optimal outcome. Nursing students have learned EBP during bachelor degree by analysis case using the EBP method. However, evaluation related  students' understanding of the method and its application of EBP to the clinical practice was none. The purpose of this study was to determine the relationship of knowledge with student competency in the implementation of evidence based practice (EBP) to managed patients in the medical surgical nursing stage. This research is quantitative research. The sample in this study was 120 nursing students who were at professional nursing program that were recruited using total sampling technique. The instrument used is the Evidence Based Practice Questionnaire (EBPQ) questionnaire. The results showed that more than half of the respondents had high knowledge (68%), and high competence (49%). This study shows a meaningful relationship between knowledge of student competence in applying EBP (r = .6070, p <0.01). The findings of this study are important for recommendations related to developing teaching materials in nursing education related to for providing the best service for patients.

scholarly journals Attributes of turnaround rural hospitals: Case study findings and research opportunities

2017 ◽  
Vol 6 (6) ◽  
pp. 8
Author(s):  
Asa B. Wilson
Keyword(s):  
Theory Of The Firm ◽  
Access Point ◽  
Hospital Performance ◽  
Rural Hospitals ◽  
Rural Hospital ◽  
Classical Economics ◽  
The Status ◽  
History Of ◽  
Closure Conversion ◽  
The Impact

Background: Rural and Critical Access Hospitals (CAHs) have a history of operating challenges and closure-conversion threats. The history is reviewed including the supportive public policy provisions and administrative tactics designed to maintain a community’s hospital as the hub and access point for health services. Limited research indicates that rural facilities are not strategic in their responses to challenges. A question emerges regarding the enduring nature of operating difficulties for these facilities, i.e., no understanding with explanatory value.Objective: The author, as the CEO in six rural hospitals designated as turnaround facilities, used inductive participant-observer involvement to identify operating attributes characteristic of these organizations. An objective description of each facility is provided. While implementing a turnaround intervention, fifteen behaviors or outcomes were found to be consistent across all six entities. This information is used to posit factors associated with or accounting for identified performance weaknesses.Conclusions: It is conceptualization that observed organizational behaviors can be explained as remnants of an agrarian ideology. Such a mindset is focused on preserving the status quo despite challenges that would require strategic positioning of the organization. In addition, emerging studies on community types indicates that follow-up research is needed that assesses the impact of community attributes on rural hospital performance. Also, this study shows that a theory of the rural hospital firm based on neo-classical economics has no explanatory value. Thus, a theory of the firm can be developed that includes behavioral economic principles.

scholarly journals Analysis of the Relationship between the Psychological Well-Being, Emotional Intelligence, Willpower, and Job-Efficacy of Clinical Nurses: A Structural Model Application

2021 ◽  
Vol 18 (11) ◽  
pp. 5582
Author(s):  
Jin-Hwa Lee ◽  
In-Ok Sim
Keyword(s):  
Emotional Intelligence ◽  
Nursing Students ◽  
Structural Model ◽  
Well Being ◽  
Psychological Well Being ◽  
Clinical Nurses ◽  
Professional Nurses ◽  
Mediating Factor ◽  
Future Work ◽  
The Relationship

The aim of this study to discover the relationship between psychological well-being, emotional intelligence, willpower, and job-efficacy. The data were collected from 26 May to 30 May 2020 by distributing a questionnaire to 317 clinical nurses with six months of experience in a general hospital located in Seoul. Three hundred copies were collected and used for final data analysis. The results of the study verified that the direct factors of psychological well-being, emotional intelligence, and willpower affect the job-efficacy of clinical nurses and confirmed that emotional intelligence is a mediating factor between psychological well-being and job-efficacy. This study is meaningful in that it proves the necessity of establishing various curriculums focusing on these factors so that nursing students can best perform their duties as professional nurses. In particular, it is suggested that an educational program and curriculum be established that can strengthen the psychological well-being and enhance the emotional intelligence of nursing students. It is expected that such training will equip professional clinical nurses to effectively handle future work in their stress-filled field.

scholarly journals Factors affecting integration of midwifery nursing science theory with clinical practice in Vhembe District, Limpopo Province as perceived by professional midwives

2016 ◽  
Vol 8 (2) ◽  
Author(s):  
Thivhulawi Malwela ◽  
Sonto M. Maputle ◽  
Rachel T. Lebese
Keyword(s):  
Clinical Practice ◽  
Role Models ◽  
Clinical Skills ◽  
Limpopo Province ◽  
Factors Affecting ◽  
Nursing Science ◽  
Whole Process ◽  
Science Theory ◽  
Contextual Design ◽  
Vhembe District

Background: Professional midwives have an important role to play in midwifery training to produce a competent midwife. According to the social learning theory, professional midwives act as role models for students. When allocated for clinical learning experiences in the training hospitals, students will have the opportunity to observe the well-trained, skilled, and experienced professional midwives. The whole process will enable students to integrate theory with practice and they will become competent.Aim: The aim of this study was to determine the factors affecting integration of midwifery nursing science theory with clinical practice as perceived by midwives.Setting: The study was conducted at the training hospitals in Vhembe district of the Limpopo Province, South Africa. These hospitals were: Donald Fraser, Siloam, and Tshidzini.Methods: A qualitative explorative, descriptive and contextual design was used. A Nonprobability, convenient sampling method was used to select 11 midwives from the following hospitals: Donald Fraser, Siloam, and Tshidzini, in Vhembe district. In-depth individual interviews were conducted. Data were analysed through open coding method.Result: One theme and five sub-themes emerged from the analysed data, namely: shortage of midwives, attitudes towards student midwives, reluctance to perform teaching functions, language barriers, and declining midwifery practice standards.Conclusion: Shortage of midwives in the clinical areas led to fewer numbers of mentors whom the students could observe and imitate to acquire clinical skills. Some of the midwives were reluctant to teach students. Recommendations were made for both training institutions and hospitals to employ preceptors for students in the clinical practical.

scholarly journals Psychological Distress Among Young Norwegian Health Professionals

2014 ◽  
Vol 4 (1) ◽  
Author(s):  
Per Nerdrum ◽  
Amy Østertun Geirdal
Keyword(s):  
Psychological Distress ◽  
Nursing Students ◽  
Health Professionals ◽  
General Health Questionnaire ◽  
Occupational Therapists ◽  
The Other ◽  
Personal Support ◽  
Young Professionals ◽  
Professional Nurses ◽  
Explained Variance

In this study, we present longitudinal data on psychological distress among 169 young Norwegian health professionals. Psychological distress was measured at the end of their studies, and three years later on, when being professional nurses, physiotherapists and occupational therapists. Psychological distress was assessed by applying the 12-item version of the General Health Questionnaire (GHQ 12). Twenty-seven percent of the nursing students scored higher than the GHQ 12 case score at the end of the study, but as nurses, they became significantly less distressed three years later (13 percent). The other two professions showed relatively small and non-significant reductions in psychological distress during the first three years as a professional. Hierarchical multiple analyses showed that the level of psychological distress when finishing the study, the young professionals’ experience of personal support from colleagues, the experience of work-home conflicts and the experience of methodological coping at work were significant predictors of psychological distress three years after working as young health professionals. These four predictors explained together 29 percent in the variance in GHQ 12 three years after graduation. Belonging to any of the three professions did not contribute to the explained variance in psychological distress three years after graduation.

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