Clinical competency:perceptions of nursing interns and clinical mentors

Objective:To assess the clinical competency of nursing interns and the perception of clinical nurse mentors toward student nurses'clinical competency.Methods:A study was carried out among 104 nursing interns and 26 clinical nurse mentors using the purposive sampling technique.A self-repor ted perception scale was used to collect the data.Results:In general,most nursing interns perceived themselves as clinically competent during the internship.The clinical nurse mentors too repor ted that the current internship is helping the nursing interns in becoming competent.Conclusions:Frequent clinical evaluation,buddy system,provision of stipends,good leadership,and coordination between the academic institute and hospital are repor ted as the critical motivating factors for improving the clinical competency of student interns.

Research and Application of Bedside Rhetorical Teaching Method in Teaching Nursing Interns

Objective:To observe and analyze the application of the bedside rhetorical teaching method in teaching nursing interns.Methods:A total of 64 nursing interns in the gastroenterology department of our hospital from July 2022 to May 2023 were randomly divided into two groups,32 cases in the control group and 32 cases in the intervention group.The control group was given conventional teaching methods,and the intervention group was given the bedside rhetorical teaching method on the basis of the conventional teaching.The differences in the methods of teaching between the two groups were compared after the end of the internship,and there was a statistically significant difference with P<0.05.Results:The scores of the interns in the intervention group were significantly better than those of the control group in theoretical knowledge,communication skills,and case analysis items(P<0.05).Conclusion:The bedside rhetorical teaching method transforms classroom education into bedside teaching,which enables the interns to apply the theoretical knowledge to clinical practice,and has a higher improvement in the three aspects of disease knowledge,communication skills,and case analysis,cultivates the interns’comprehensive clinical skills,and lays a good foundation for the future entry into the nursing field.

Theories behind a nursing intern’s error in terms of clinical decision-making

Clinical decision-making and judgment is an essential skill that should be acquired by nursing interns.However,many studies reveal that a large proportion of nursing interns have difficulty in meeting the basic expectation of clinical decision-making.This article begins with a brief review of some theories related to clinical decision-making.Then it takes a case,for example,to show how the wrong decision is made.Furthermore,it makes a general analysis on the case drawing on the concept of bounded rationality,dual-process model,and skills acquisition theory.This article ends with some reflections from the case,to improve the consciousness and skills in decision-making for nursing interns.

Analysis of the Current Situation and Influencing Factors of Knowledge,Attitude,and Practice of Nursing Informatics Among Intern Nursing Students

Objective:To investigate the current situation of knowledge,attitude,and practice(KAP)of nursing informatics for intern nursing students.Methods:A total of 213 intern nursing students were selected as subjects.Results:The total score of the questionnaire of knowledge dimension was 10.32±3.23;the score of attitude dimension was 58.78±6.80;the score of practice dimension was 29.06±14.35.Logistic regression analysis showed that further learning plans,telemedicine hospital intern experience,self-learning ability,and telecare training were the related influencing factors of KAP(P<0.05).Conclusions:The current KAP level of nursing informatics among intern nursing students was low to moderate.Hence,the strengthening of school courses and skill training programs is urgently needed.

Professional identity, wellness, and future hope among nurse interns in Egypt

Objective:Since nursing is a performance-based profession,clinical learning environments play an important role in the acquisition of professional abilities and train nursing students to enter the nursing profession and become a registered nurse.The study aimed to investigate the relations among professional identity,wellness,and future hope in nurse interns.Methods:A cross-sectional,analytic,descriptive,correlational study design was used to test these relations in the study where 210 nurse interns’students were selected using a convenience sampling from Zagazig University hospitals and Suez Canal University hospitals in Egypt.The questionnaires consisted of 4 parts,namely demographic characteristics,Professional Identity Scale for Nursing Students(PISNS),Holistic Health and Wellness Survey,and Hope scale.Results:Less than half of the study sample had chosen nursing specialty by own will(43.8%),while slightly more than half of them had a"very good"graduation level,and had no nursing role model.The lowest mean professional identity score was for independence in career choice while the highest was for social modeling.The repor ted physical wellness mean-score was the least,while social wellness was the highest.Professional identity,wellness,and future hope scores differed significantly based on nurse interns’personal characteristics.There were statistically significant,positive,weak-to-moderate correlations among the scores of professional identity,wellness,and future hope;however,the"choice of nursing study by own will"was a statistically significant independent positive predictor of the scores of professional identity,wellness,and future hope.Conclusions:Nurse interns’professional identity,wellness,and future hope were positively inter-correlated.However,nurse interns’wellness was the lowest,and it should be fostered as it was the main predictor for future hope.The internship programs should be modulated to improve nurse interns’professional identity,par ticularly regarding independence,and should foster their well-being in the clinical environment.

The benefits and caveats of international nurse migration

Worldwide,there is a dramatic shortage of nurses.An increase in the migration of nurses from their home countries to recipient countries is having a global effect on the healthcare system.This global phenomenon stems from historical,economical,social,and political factors.Migration has a significant impact on both the individual and national level.This article summarizes the factors that contribute to nurse migration form the perspective of the source and recipient countries.Additionally,the impacts and issues surrounding nurse migration were also analyzed.