Current Issue : April-June Volume : 2022 Issue Number : 2 Articles : 5 Articles
Objective: To investigate the status of professional identity of undergraduate nursing students at different admission levels before clinical practice, and analyze the differences and reasons, so as to provide basis for guiding the development of nursing students’ professional identity. Methods: A total of 186 nursing students (including the first batch of admissions from senior middle school, the second batch admissions from senior middle school of secondary college, and the admissions from junior college graduates) were surveyed by using occupational identity scale before clinical practice. The scale contains four dimensions: career moratorium, career diffusion, career achievement, and career foreclosure. The highest-scoring dimension is recorded as the status type of professional identity for each nursing student. If a student’s highest score is not unique, his type is considered ambiguous. Results: 1) 35.5% of them are in the status of career moratorium, 1.6% of them are in the status of career diffusion, 52.2% of them reach to the status of career achievement, 2.2% of them are in the status of career foreclosure, 8.6% of them are ambiguous. 2) The ANOVA analysis and further LSD-test of four dimensions of the three categories of nursing students found that only the difference in the career achievement dimension is statistically significant (P < 0.05), the second batch of admitted nursing students from senior middle school had the highest score, followed by the nursing students admitted from junior college graduates, and the first batch of admitted nursing students from senior middle school has the lowest score, the remaining differences are not statistically significant (P > 0.05). Conclusions: Nearly half of the undergraduate nursing students have not reached the career achievement. The second batch of admitted nursing students has the highest professional achievement, and the first batch has the lowest. Nursing educators should take targeted measures to................
Over the years there have been many challenges in attracting and retaining various workers, especially in the health sector, and for nurses in particular. Literature has often mentioned the increased difficulties in attracting and retaining young nurses in particular and this increases labour shortage due to the demographic evolution and also to retirement of many nurses. With the aging of population, we see an increase in demand for health services, which makes the labor shortage even more preoccupying. Two main issues have been put forward a few years ago in order to try to explain the difficulty in attracting and retaining nurses: work organization and Lean Management, in particular job control and work-family balance issues. We conducted a research in Canada (Québec) with an online questionnaire sent to a sample of nurses. The article presents the result in the form of descriptive statistics. In this article, we address these challenges and identify the elements on which the Health Department and hospitals could act in order to increase the number of nurses, and more specifically to attract and retain more. For this, two main issues are addressed in the literature that is firstly work-life issues, and second, work organization, including (lean) management and job control, which we discuss here. These results could also be useful for attraction and retention of other health personnel and also for managers facing labor shortages in other sectors....
As hospitals undergo reductions in budget and the demand for endoscopic procedures grows, the need for more efficient endoscopy units has increased. Certified Registered Nurse Anesthetists (CRNAs) play a vital role in Endoscopy Units and because of this, increasing CRNA work efficiency would increase the efficiency of the entire unit. This pilot study aims to explore CRNA workflow and identify workflow barriers present in endoscopy rooms through qualitative interview analysis. Ten semi-structured interviews were conducted at the University of Cincinnati Medical Center. The interview data were analyzed qualitatively to generate workflow diagrams and four themes of workflow barriers and representative quotes. These themes include: 1) physician unavailability, 2) patient delay and variability, 3) suboptimal teamwork and coordination, and 4) issues with supporting tools. The workflow barriers reflect and extend the current literature, and can inform future quality improvement initiatives....
Introduction: Problems-based learning (PBL) methodology seeks challenges in the daily life context, where students protagonise their own learning using new technologies as the ideal means to find updated and adequate information, for its processing and dissemination towards a better active and participative role. The aim was to analyze the usefulness and importance of PBL, as a strategy of significant learning in daily experiences of nursing students during the COVID-19 pandemic. Method: The study was qualitative and phenomenological, with 15 informant students of the Module “Attention to addictions in the health area” aged 20 - 25 years, enrolled in the sixth semester of nursing from a public university. Data were collected through oral testimonies, texts, and semi-structured interviews of relevant aspects to them in their everyday life facing the COVID-19 pandemic, telling their experiences. Students signed an informed consent, and the qualitative analysis followed De Souza Minayo. Results: Four categories emerged: Category 1. Students’ experiences along pandemic; 1.1, Positive experiences; 1.2, Negative experiences. Category 2. Students’ knowledge and abilities for self-care along pandemic. Category 3. Abilities to promote problem solving. Category 4. Impact and usefulness of PBL in students’ experiences for health education; 4.1, Positive impact of PBL; 4.2 Negative impact of PBL. Conclusion: PBL is very useful for significant learning. It opens knowledge, developing skills to face, support, debate, evaluate and make decisions; it does incorporate critical thinking and problem solving. PBL does encourage collaborative work....
Introduction: Quality healthcare is a major contributor to health disparities and inequalities in resource limited settings. Patient satisfaction remains an important and valuable method of assessing the quality of care. Aim: This study assessed patients’ satisfaction with quality of inpatient clinical care in a mission hospital in a semi urban setting. Methods: The study was a cross-sectional study carried out on 140 inpatients at a mission hospital in Afikpo, South East Nigeria. Data was collected using pretested structured questionnaires designed on a five-point likert scale with 1 indicating the lowest and 5 indicating the highest scale. Knowledge of factors contributing to quality of care and satisfaction in the following domains: patient-staff relationship, patient-staff (doctors/nurses) communication, facility convenience, technical aspect of care (availability of equipment, drugs and adequacy of staff) and overall general satisfaction were measured. Operationally, patients who rated 3 points and above were considered satisfied while ratings less than 3 points were considered dissatisfied. Results: Knowledge of factors contributing to quality of care was 4.65 ± 0.48. General satisfaction rated 4.22 ± 0.52. Specifically, the different domains had the following scores: inter personal relationship 4.28 ± 0.81, technical aspect of care (availability of drugs, equipment and medical personnel) 4.29 ± 0.57 and facility convenience 4.21 ± 0.51. Conclusions: Knowledge of factors contributing to quality of care and overall patients’ satisfaction with inpatient care were good and comparable with patients’ satisfaction with tertiary health institutions in Nigeria. Mission hospitals may serve as excellent alternatives to government hospitals in resource limited settings to promote health equity across populations....
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