PERCEPCIÓN DE LOS PROFESIONALES SOBRE LA INTEGRACIÓN DE LA TEORÍA A LA PRÁCTICA EN LA FORMACIÓN DE ENFERMERAS/OS.

Introducción. La enfermería como disciplina y profesión científica, uno de su rol es proporcionar atención sanitaria en sus distintos niveles, teniendo en cuenta los metaparadigmas que orientan el cuidado a la persona familia y o comunidad. Una de las mayores preocupaciones de las Instituciones formadoras de Enfermeras en Latinoamérica y el mundo, es lograr que los estudiantes integren la teoría y la práctica en los diferentes campos de acción, evitando así que se genere una discordancia entre los aspectos cognitivos desde la teoría a la práctica. Para lograr el cuidado profesional que caracterizan a la enfermería. Objetivo Comprender las percepciones sobre la integración asistencial que tienen los profesionales hacia los estudiantes preprofesionales de Enfermería desde el punto de vista de la práctica. Métodos. Este artículo es resultado de un estudio de tipo cualitativo fenomenológico como prueba piloto. El procesamiento y análisis de datos se realizó con el método comparativo constante de Glaser y Strauss, donde se generó una matriz de categorización con enfoque inductivo, con 4 núcleos temáticos emergentes, y subcategorías asociadas. Conclusiones. Las actitudes y compromiso de las enfermeras (os) pueden influir en las actitudes de las estudiantes. Por lo que el Enfermero (a) debe de ser un ejemplo que seguir y debe de estar preparado científicamente para que los estudiantes puedan desempeñarse en su práctica formativa. Palabras claves: Enfermería, Práctica, Investigación cualitativa, Hospitales ABSTRACT Introduction. Nursing as a discipline and scientific profession, one of its role is to provide health care at different levels, taking into account the meta-paradigms that guide care to the person, family and or community. One of the major concerns of Nursing Training Institutions in Latin America and the world is to ensure that they integrate theory and practice in the different fields of action, thus avoiding the creation of a discordance between cognitive aspects from theory to theory. practice. To achieve the professional care that characterize nursing. Objective. To understand the perceptions of healthcare integration that professionals have towards students from the point of view of practice. Methods. This article is the result of a qualitative phenomenological study as a pilot test. The data processing and analysis was carried out with the constant comparative method of Glaser and Strauss, where a categorization matrix with an inductive approach was generated, with 4 emerging thematic cores, and associated subcategories. Conclusions. Nurses attitudes and commitment can influence student attitudes. Therefore, the Nurse must be an example to follow and must be scientifically prepared so that students can perform in their training practice. Keywords: Nursing, Practice, Qualitative research, Hospitals

Investigating the dimensions of Incivility Scale in Learner-Trainer Interactions at Zanjan University of Medical Sciences

Introduction: This study aims to identify the psychometric properties of developmental tools observed by the learner and the trainer in the process of nursing training. Methods: In this study, 200 nursing students of Abhar University of Medical Sciences (110 males and 90 females), completed the perceived incivility tools in learner -trainer interactions. To evaluate the reliability, Cronbach alpha retest and calculation methods were used. To determine the structural validity of the tools, exploratory factor analysis was used. Result: After modification of the questions of scale, reliability was found to be acceptable. Exploration factor analysis revealed the first part of the scale containing four components thus determining 60.72% of the total variance. These components are referred to as: students' incivility in the classroom, lack of motivation, lack of planning and preparation of the learners, and the indifference of the learners to the opinions of others. The second part of the scale contains three components determining 64.69% of the total variance. These components are also referred to as incivility of professors in the classroom, ineffective teaching and lack of effective interpersonal communication skills. Conclusion: The above tool bears an acceptable validity for examining the perceived incivility between learner and trainer in the nursing training process and is suitable for Iranian students so that it can be deployed for other universities of medical sciences across the country.

Design of a Clinical Practice Guideline in Nurse-Led Ventilator-Weaning for Nursing Training

Cardiothoracic intensive care unit (CICU) nurses have shared the role and responsibility for ventilator-weaning to expedite decision-making in patient care. However, the actions taken are based on individual's unstructured training experience as there is no clinical practice guideline (CPG) for nurses in Malaysia. Hence, this study aims to design a CPG for the process of weaning from mechanical ventilation (MV) for a structured nursing training in a CICU at the National Heart Institute (Institut Jantung Negara, IJN) Malaysia. The Fuzzy Delphi Method (FDM) was employed to seek consensus among a panel of 30 experts in cardiac clinical practice on the guidelines. First, five experts were interviewed and their responses were transcribed and analyzed to develop the items for a FDM questionnaire. The questionnaire, comprising of 73 items, was distributed to the panel and their responses were analyzed for consensus on the design of the CPG. The findings suggested that the requirements expected for the nurses include: (a) the ability to interpret arterial blood gases, (b) knowledge and skills on the basics of mechanical ventilation, and (c) having a minimum 1-year working experience in the ICU. On the other hand, the CPG should mainly focus on developing an ability to identify criteria of patient eligible for weaning from MV. The learning content should focus on: (a) developing the understanding and reasoning for weaning and extubating and (b) technique/algorithm for extubating and weaning. Also, the experts agreed that the log book/competency book should be used for evaluation of the program. The CPG for structured nursing training at IJN in the context of the study is important for developing the professionalism of CICU nurses in IJN and could be used for training nurses in other CICUs, so that decision for ventilator-weaning from postcardiac surgery could be expedited.

Using simulation exercises to improve student skills and patient safety

The COVID-19 pandemic has affected the delivery of nursing training in higher education and how workforce development programmes are delivered. Using simulated practice is an opportunity for experiential and immersive learning in a safe and supported environment that replaces real life. This article discusses the use of simulation in nurse education to improve patient safety.

Knowledge, attitude and practice of hepatitis B infection prevention among nursing students in the Upper West Region of Ghana: A cross-sectional study

Introduction Hepatitis B infection remains a public health threat associated with undesirable statistics of morbidity and mortality. Good knowledge, attitude and practice (KAP) of hepatitis B infection (HBI) prevention are essential for HBI control. However, there is limited evidence concerning the KAP of HBI prevention among nursing students, who are significantly exposed to HBI. We assessed the KAP of HBI prevention and the factors associated with the practice of HBI prevention among nursing students in the Upper West Region of Ghana. Methods We administered an online cross-sectional survey in November 2020 to a stratified random sample of 402 nursing students in two nursing training colleges in the Upper West Region. Using STATA version 13, we computed composite scores of KAP of HBI prevention with maximum scores of 18 for knowledge and 8 each for attitude and practice. A generalised ordered logistic regression model was run to assess the factors associated with the practice of HBI prevention. Results The students had moderate median scores for knowledge (12.00; IQR = 10–13) and attitude (6.00; IQR = 5.00–7.00) but a poor median score (5.00; IQR = 4.00–6.00) for the practice of HBI prevention. High knowledge (aOR = 2.05; p = 0.06), good attitude, being a male, second year student and having parents with tertiary education were significantly associated with higher likelihoods (aOR >1; p < 0.05) of demonstrating good practice of HBI prevention. Students who had never married were significantly (aOR = 0.34; p = 0.010) less likely to exhibit good practice of HBI prevention. Conclusion The KAP scores of HBI prevention among the students were sub-optimal. We recommend institution-based policies and regular education on HBI prevention, free/subsidised HBI prevention services, and the enforcement of proper professional ethics on HBI prevention in nursing training colleges. Such interventions should predominantly target female, non-married and first year nursing students.

Perception of Nursing Students of a Good Clinical Preceptor

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%).