The study site is a holistic patient-centered organization that has developed a 16-week long orientation program for new graduate nurses entering the hospital setting. The purpose of the program is for new graduate nu...The study site is a holistic patient-centered organization that has developed a 16-week long orientation program for new graduate nurses entering the hospital setting. The purpose of the program is for new graduate nurses to gain the confidence, competence, and critical thinking skills for providing safe patient care. The issue occurring within the organization is that there is an increasing rise in the number of turnover rates of new graduates leaving the hospital, thus making evaluating the program a necessity to problem-solving. There has been no evaluation of the program in the past five years to reveal why the increase in the recent turnover rates. The data collected during the interview process was coded and categorized into three main sections: organizational, substantive, and theoretical. The evaluator used an organizational category to investigate for board areas or issues within the problem attempting to be solved. The evaluator concluded from the results and findings that the issue, a poor preceptor-preceptee relationship was seen by all stakeholders involved. The literature presented concludes that continuous evaluation of orientation programs is crucial for the professional and personal growth of new graduate nurses in the hospital.展开更多
Background: Transversal competences are included in the United Nations Organization 2030 Agenda for the formation of staff professional in higher education, having disciplinary and transversal skills to develop indivi...Background: Transversal competences are included in the United Nations Organization 2030 Agenda for the formation of staff professional in higher education, having disciplinary and transversal skills to develop individual, professional, social, and entrepreneurship at present time, creative individuals being able to solve social problems via collaboration. The aim was to evaluate the transversal competences developed by graduates, specialists in nursing with the accompaniment of clinic tutorship. Methods: Qualitative, phenomenological, and interpretative research. The informants were seven graduates from the Unique Program of Nursing Specialties (UPNS), from the National Autonomous University of Mexico (UNAM), one participant from each knowledge field: Nursing in the Elderly, Public Health, Neurology, Physical and Sports Culture, Oncology, and two participants from Adult in Critical Condition. Information collection was through a focal group, and data analysis according to the principles of Souza Minayo. Signed informed consent was obtained previously. Results: Five categories with 24 sub-categories emerged. Category 1, Student’s perception on clinic tutorship specialty. Category 2, Competences promoted by clinic tutorship according to student’s experience. Category 3, Experiences about clinic tutorship planning. Category 4, Challenges faced by the student in the evaluation of clinic tutorship. Category 5, Opportunity fields in clinic tutorship from students’ experiences. Conclusion: Graduate students from the specialties describe transversal competences related with decision taking, collaborative work, and increase of population welfare, as well as generic disciplinary competences. The analogy of a social hinge between the clinic tutor and the student is highlighted, which allows to identify mobile and fixed components while the bolt that binds mentor with mentee is learning, by means of the accompaniment by an expert. .展开更多
Objectives:Newly graduated nurses commence night shifts during a phase of heightened vulnerability to reality shock,exacerbating the challenges faced by these graduates.Therefore,this study aimed to identify the chall...Objectives:Newly graduated nurses commence night shifts during a phase of heightened vulnerability to reality shock,exacerbating the challenges faced by these graduates.Therefore,this study aimed to identify the challenges experienced by newly graduated nurses when undertaking night shifts in order to help identify a strategy for supporting their adaptation to these shifts.Methods:Semi-structured personal interviews were used to collect data.Fifteen newly graduated nurses were selected to participate in the study by purposive sampling method from November 2021 to March 2022 in one of four general hospitals situated in the southwestern region of Japan.Semi-structured interviews were analyzed by using thematic analysis.Results:The analysis revealedfive central themes and nine subthemes:challenges in task efficiency(task organization challenges,challenges in time-constrained task performance),challenges in responding to patients’changing conditions(challenges in responding to patients’irregular conditions,challenges in responding to nighttime changes in patients’behaviors),challenges in independent practice(challenges in engaging in independent nursing practice,challenges in dealing with unexpected events),challenges in establishing collaborative relationships(challenges in working closely with other staff,challenges in establishing collaborative relationships during night shifts with limited resources),challenges in adapting to shift work(challenges in managing physical conditions for shift work).Conclusions:Newly graduated nurses often encounter challenges in performing their tasks during the transition period.When working night shifts,they face additional hurdles unique to nocturnal duties.Thefindings underscore the necessity for these graduates to develop night shift-specific readiness to effectively navigate the demands inherent in such work schedules.展开更多
Objectives:To explore the current admittance situation of clinical teachers for masters of nursing specialist(MNS)postgraduates and to test the competence of clinical teachers in self-evaluation and other evaluations....Objectives:To explore the current admittance situation of clinical teachers for masters of nursing specialist(MNS)postgraduates and to test the competence of clinical teachers in self-evaluation and other evaluations.Methods:In this cross-sectional study,using a random number table,we chose 80 MNS postgraduates under clinical practice,their clinical teachers,and head nurses each from six hospitals in Hunan and Guangdong.The participants were tested on the basis of the Clinical Teachers'Competence Inventory of MNS Postgraduates.The competences of clinical teachers were evaluated by the three groups of participants.Results:The aggregated scores of teacher competence as evaluated by the MNS postgraduates(181.33±24.95)were lower than those assigned by both clinical teachers(190.75±24.30)and their head nurses(198.53±18.90),with significant differences in all dimensions except for clinical managing ability.The five highest rated items from all participants focused on the teachers'clinical nursing ability,and the five lowest rated items were mainly about their clinical research ability.Conclusion:The evaluation from MNS postgraduates is obviously lower than the self-evaluation of clinical teachers,and all participants are aware of the deficiency in research ability of the teachers.Thus,the admittance and examination of clinical teachers should be controlled strictly.Training should be carried out immediately to strengthen their comprehensive abilities,especially their research ability.展开更多
Objective: To explore graduation practical ability assessment mode of graduate students in nursing (Master of Nursing Specialist, MNS). Methods: All 28 MNS 2020th graduate students in a university were selected as sub...Objective: To explore graduation practical ability assessment mode of graduate students in nursing (Master of Nursing Specialist, MNS). Methods: All 28 MNS 2020th graduate students in a university were selected as subjects by convenient sampling method, using the improved 4-station objective structured examination (Objective Structured Clinical Examination, OSCE) model. The assessment content included nursing assessment, nursing diagnosis, basic nursing operation, specialist nursing operation, theoretical written test and oral test and overall evaluation. And self-made questionnaire was used to evaluate the effect of the assessment model and the improvement of clinical practice ability of graduate students. Results: The overall satisfaction rate of graduation assessment was 89.51%, the overall satisfaction rate of graduation assessment mode and practical ability improvement evaluation was 84.66%, the pass rate of assessment results was 100%, and the excellent rate was 71.42%. Conclusion: The MNS graduation practical ability assessment model has a high degree of satisfaction, objectively evaluates the knowledge, skills, attitudes and emotions of graduate students, promotes the comprehensive quality and ability of graduate students, which is worthy of promotion.展开更多
Generational diversity provides a unique quandary for nursing leaders and educators to enlist, orient, and retain nurses. Millennials are the largest cohort since the Baby Boomers and the age group from which the nurs...Generational diversity provides a unique quandary for nursing leaders and educators to enlist, orient, and retain nurses. Millennials are the largest cohort since the Baby Boomers and the age group from which the nursing profession will build its future workforce. This study examined the experiences of the new graduate nurse of the millennial generation as they navigate orientation in an acute care setting. Using a Web-based survey to conduct the study allowed nurses from across the country to participate while providing easy access to the study questions. Analysis of the data through qualitative content analysis demonstrated a dominate theme of seeking structure while expecting an individualized orientation. The survey also revealed the importance of the preceptor and manager in the perceived success of this generation’s transition and a need to assimilate into the professional role of RN. Recognizing that there is a need to promote a more individualized orientation with improved mentoring for novice nurses and their preceptors is evident and challenges nursing leaders and educators to rethink current practices to retain new nurses. Established roles within the hospital and individual nursing units are changing and traditional strategies for recruitment and retention no longer apply. A structured orientation can facilitate the transition from new graduate to professional nurse and assist in the retention of qualified nurses and ultimately safe patient care.展开更多
The current research conducted a longitudinal study of new graduate nurses at 3 times-prior to their employment as nurses and 3 months and 1 year afterward. This study yielded 3 findings. 1) The mental health of new g...The current research conducted a longitudinal study of new graduate nurses at 3 times-prior to their employment as nurses and 3 months and 1 year afterward. This study yielded 3 findings. 1) The mental health of new graduate nurses significantly worsens 3 months after employment as a nurse and mental health 1 year after employment as a nurse was significantly worse than that before employment. 2) A sense of coherence (SOC) is the ability to cope with stressors, and the 3 components of SOC decreased significantly in the year after employment as a nurse. 3) The mental health of new graduate nurses was significantly affected by a low SOC and by previous diminishing of SOC. Findings suggested the importance of support to sustain and improve the mental health of new graduate nurses and the importance of approaches in the workplace to encourage the development of SOC.展开更多
Aims and Objectives: This paper describes Registered Nurses’ (RN’s) perceptions of the transferability of New Graduate Registered Nurses (NGRN’s) skills across settings: one aspect of a larger study exploring RN’s...Aims and Objectives: This paper describes Registered Nurses’ (RN’s) perceptions of the transferability of New Graduate Registered Nurses (NGRN’s) skills across settings: one aspect of a larger study exploring RN’s perceptions of NGRN’s work-readiness. Background: There is evidence RN’s do not consider NGRN’s as adequately prepared for practice. However, there does not appear to be consensus on what characterizes work-readiness. Methods: An adapted online questionnaire was sent to RNs in a range of clinical settings. They rated NGRNs’ skills and the applicability of those skills to their clinical setting using a 5-point Likert scale. Results: Perceptions of transferability of skills across settings varied. In the skills grouping of routine assessment, basic clinical skills, advanced clinical skills the percentage rated as “not applicable” was over 40% in 75% of the skills. The low or zero non-applicable responses to communication skills indicate this skill group contains transferable skills regardless of the setting. The zero non-applicable responses for preparedness for practice for all but two skills indicate these groups contain transferable skills across settings. Conclusion: There appears to be some alignment between expectations from RNs and current NGRN preparation. The lack of transferability of more advanced technical skills raises questions about the role of education in preparing the NGRN versus that of industry-based graduate programmes. The increase in nursing roles and the increased emphasis on aged care and primary health care dictates that generalist preparation of NGRNs emphasising the attributes of an RN should be the focus rather competency in advanced technical skills.展开更多
<strong>Introduction:</strong> Hospital nurses’ recruitment during the COVID-19 pandemic is a major challenge for the hospital, the staff themselves and for their families & relatives. Although the wo...<strong>Introduction:</strong> Hospital nurses’ recruitment during the COVID-19 pandemic is a major challenge for the hospital, the staff themselves and for their families & relatives. Although the world has undergone different pandemics and disasters, the literature has shown that the new nurses still face uncertainty in dealing with health emergencies and disasters that impose significant stress on their performance at work. The situation in Oman is not different and little is known about the newly employed nurses’ experiences during the COVID-19 pandemic. <strong>Method: </strong>The qualitative study was designed to include face to face interviews of the newly employed nurses between May and December 2020 at the biggest tertiary hospital in Muscat, the capital of Oman to explore their experiences and how they confronted the COVID-19 pandemic challenges during their internship period. <strong>Result:</strong> The data was analyzed through qualitative manifest content analysis and disclosed different experiences which were framed into four contexts: Introductory Nurses Plan, Hospital Environment, Nurses Characters and Nurses Families & Relatives. The negative experiences were mainly related to the intense internship requirements, non-availability of the preceptors, hospital environment and COVID-19 circumstances. On the other hand, the positive experiences were mainly related to their self-motivation, recruitment satisfaction, and family encouragement and support. <strong>Conclusion:</strong> Clear nurses’ lack of knowledge towards COVID-19 pandemic was disclosed and associated with mixed emotional insights towards themselves, their families and relatives, their preceptors and towards the hospital environment including their preparatory plan. The study identified the nurses’ stressors and motivators that could be addressed with a clear need for preparatory adjustments to support newly employed nurses in future appointments with a lot of involvements shared responsibilities and implications.展开更多
Aim:Review the impact of master's-educated nurses on inpatient care in different healthcare systems and specialties.Background:Improved healthcare service quality and efficiency are needed due to a number of facto...Aim:Review the impact of master's-educated nurses on inpatient care in different healthcare systems and specialties.Background:Improved healthcare service quality and efficiency are needed due to a number of factors,including an aging population,advancing medical technology and increasingly complex methods of healthcare delivery.Overcoming these challenges requires nurses with more than a basic nursing education.However,masters training for Chinese nurses is a relatively new development,and,therefore,the cost effectiveness of master's-educated nurses in China and extent to which they contribute to improvements in access to Chinese healthcare services and the quality of those services remains unknown.Method:A systematic review of quantitative studies was conducted using PubMed and the China National Knowledge Infrastructure(CNKI).Studies were included in this review if they met the inclusion criteria.Results:Nine papers met the inclusion criteria and were included in this review.These studies indicated that palliative care,continuity of care,mental health,transition care,post-transplant care and central venous catheter care were improved when patient care was delivered by master's-educated nurses.Conclusion:Developing master's education for nurses may improve the current standard of health care and help meet modern challenges.This topic deserves additional attention at the academic and policy level.This review provides an important reference for Chinese nursing educators and policy makers.展开更多
Purpose: In Japan, demand for nursing is high. However, some novice nurses are unable to adapt to the workplace, and subsequently quit. This study aimed at clarifying relationship issues between novice and senior nurs...Purpose: In Japan, demand for nursing is high. However, some novice nurses are unable to adapt to the workplace, and subsequently quit. This study aimed at clarifying relationship issues between novice and senior nurses and examining measures that could be enforced in wards for novice nurses based on the results. Methods: An inductive analysis was conducted on qualitative data from semi-structured interviews with 11 newly hired nurses who had recently graduated from nursing school. The study period was from November 2016 to March 2017. Results: The analysis generated the following three themes related to potential workplace maladaptation: 1) Adaptation to the workplace: difficulty in forming relationships with senior nurses and adapting, 2) Workplace education system: education by preceptors and senior nurses, 3) Professional stance: qualities as a nurse. Conclusion: The results indicated that novice nurses had difficulties in adapting to the workplace as well as its education system in wards. Hence, it was necessary to create habits that would not overly burden others, but instead, spread the rules of the organization, help novice nurses to understand their responsibilities, and assist them in overcoming challenges.展开更多
Purpose:To assess the culturing cognition and teaching of core capabilities of clinical advisers for masters degree level nursing graduate students in order to provide criteria for selecting and training clinical advi...Purpose:To assess the culturing cognition and teaching of core capabilities of clinical advisers for masters degree level nursing graduate students in order to provide criteria for selecting and training clinical advisers,and to monitor clinical teaching quality.Methods:A questionnaire was completed by 66 nursing specialty clinical advisers.The questionnaire was divided into three sections:basic condition,culturing cognition of the nursing specialty graduate students,and self-evaluation of teaching core capabilities as measured by the Clinical Nursing Teachers Core Capabilities Graphic Rating Scale.Results:Forty-five of the surveyed advisers served undergraduate level students(68.18%),and seven of them(10.61%)had experience advising graduate nursing students.The advisers,in general,had limited knowledge regarding guidance for nursing specialty graduate students.The self evaluation total score for core capabilities teaching was(120.557.37),containing professional capability(4.47±0.34),leadership capability(4.01±0.22),problem solving capability(3.89±0.30),and education teaching capability(3.65±0.23).The highest scored item was the capability to assess and handle a patients’condition(4.44±0.56),while the lowest scored item was the capability to do scientific research(3.29±0.89).Conclusion:Clinical advisers for nursing specialty graduate students in our survey were generally inexperienced with regarding to training and culturing nursing graduate students.These advisers were prepared for core teaching competency,but were not qualified to conduct scientific research.Based on these results,it would be beneficial to provide the clinical advisers more training on teaching cognition for graduate students and improve their competency to perform scientific research.展开更多
Purpose:To explore the feasibility of using graduate students as preceptors in the clinical education of medical nursing students.Methods:Five second-year graduate nursing students were recruited to participate in the...Purpose:To explore the feasibility of using graduate students as preceptors in the clinical education of medical nursing students.Methods:Five second-year graduate nursing students were recruited to participate in the clinical teaching of medical nursing for 38 undergraduates in the first semester of the 2010 e2011 academic year,divided into two groups.The first group first received clinical teaching in caring for respiratory diseases from graduate preceptors for six weeks followed by clinical teaching in caring for circulatory diseases from nurse preceptors for six weeks.The second group received clinical teaching in the reverse order,from the nurse preceptors followed by the graduate student preceptors.Following training,all students were examined with a written test and scores were compared.In addition,review meetings were held to evaluate the teaching outcomes.Results:No significant differences in test scores were observed between the two teaching groups.Undergraduate student feedback indicated that the training provided by the graduate students was satisfactory,and the medical nursing course leader was satisfied with the teaching outcome with a few exceptions.Conclusion:These data indicate that graduate students are capable of training undergraduates in medical nursing,although some areas can be improved.展开更多
This paper reports on a qualitative research study that examined the experience of expert and novice nurses participating in a new, reflective program of “clinical supervision”, intending to facilitate the transitio...This paper reports on a qualitative research study that examined the experience of expert and novice nurses participating in a new, reflective program of “clinical supervision”, intending to facilitate the transition of new graduate nurses into the workforce. Three patterns emerged during the constructivist inquiry: readiness to reflect, valuing of clinical supervision, and sustainability of the clinical supervision model. The researchers suggest generational sensitivity as a key perspective to consider when developing engaging workplace strategies for millennial nurses. The article offers recommendations for the implementation of clinical supervision and would be of interest to nurse leaders in a clinical setting.展开更多
<strong>Background:</strong> To ensure quality and relevance of Postgraduate Programs are a commitment of the National Quality Postgraduate Programs (PNPC), and those from UNAM. Then, the self-evaluation o...<strong>Background:</strong> To ensure quality and relevance of Postgraduate Programs are a commitment of the National Quality Postgraduate Programs (PNPC), and those from UNAM. Then, the self-evaluation of the Masters in Nursing Program (PME) is necessary for it to be part of the PNPC. This study focuses on self-evaluation of implementation mechanisms to assure effective communication and collaboration with and among graduated alumni. <strong>Methods:</strong> The research was qualitative, exploratory and descriptive. An informed consent was signed by four informants, graduated from the seventeenth generation of PME. Data collection from a focal group and descriptive data analysis by atlas.ti from guidance questions that were contrasted with the scale value from PME curriculum. <strong>Results:</strong> Four categories emerged from PME graduated alumni: Category <strong>I</strong>, Professional academic performance, Category<strong> II</strong>, International activities attendance, Category <strong>III</strong>, Academic networks, and Category <strong>IV</strong>, Higher satisfaction of international activities.<strong> Conclusions:</strong> It is concluded that self-evaluation shows a graduate’s vision of conditions and networks where PME develops. Masters in Nursing Program fulfills graduates expectancy to create networks, which will contribute to knowledge and recognition of professional practice, as well as on the area’ opportunities opening for better contributions.展开更多
Objective:To explore experiences of Chinese nurses who study for Master of Science in Professional Practice(health care)in the United Kingdom.Methods:A qualitative approach was applied,consisting of semi-structured te...Objective:To explore experiences of Chinese nurses who study for Master of Science in Professional Practice(health care)in the United Kingdom.Methods:A qualitative approach was applied,consisting of semi-structured telephone interviews(n=8).The Colaizzi seven-step framework analysis method was used to extract themes.Results:The themes that emerged are as follows:(1)gains from studying overseas,(2)difficulties during studying,and(3)impacts of learning experience on work.The gains for nurses studying overseas include the improvement of scientific research capabilities,reconstruction of critical thinking,and development of reflection ability.Difficulties while studying mainly include language barrier,strict assessment,and boring life.Conclusions:The education of nursing postgraduate attaches impor tance to the cultivation of thinking.Nurses are very interested in nursing research including qualitative and quantitative methods.Nurses encountered language barriers in their study and life even though they knew a cer tain level of English.展开更多
文摘The study site is a holistic patient-centered organization that has developed a 16-week long orientation program for new graduate nurses entering the hospital setting. The purpose of the program is for new graduate nurses to gain the confidence, competence, and critical thinking skills for providing safe patient care. The issue occurring within the organization is that there is an increasing rise in the number of turnover rates of new graduates leaving the hospital, thus making evaluating the program a necessity to problem-solving. There has been no evaluation of the program in the past five years to reveal why the increase in the recent turnover rates. The data collected during the interview process was coded and categorized into three main sections: organizational, substantive, and theoretical. The evaluator used an organizational category to investigate for board areas or issues within the problem attempting to be solved. The evaluator concluded from the results and findings that the issue, a poor preceptor-preceptee relationship was seen by all stakeholders involved. The literature presented concludes that continuous evaluation of orientation programs is crucial for the professional and personal growth of new graduate nurses in the hospital.
文摘Background: Transversal competences are included in the United Nations Organization 2030 Agenda for the formation of staff professional in higher education, having disciplinary and transversal skills to develop individual, professional, social, and entrepreneurship at present time, creative individuals being able to solve social problems via collaboration. The aim was to evaluate the transversal competences developed by graduates, specialists in nursing with the accompaniment of clinic tutorship. Methods: Qualitative, phenomenological, and interpretative research. The informants were seven graduates from the Unique Program of Nursing Specialties (UPNS), from the National Autonomous University of Mexico (UNAM), one participant from each knowledge field: Nursing in the Elderly, Public Health, Neurology, Physical and Sports Culture, Oncology, and two participants from Adult in Critical Condition. Information collection was through a focal group, and data analysis according to the principles of Souza Minayo. Signed informed consent was obtained previously. Results: Five categories with 24 sub-categories emerged. Category 1, Student’s perception on clinic tutorship specialty. Category 2, Competences promoted by clinic tutorship according to student’s experience. Category 3, Experiences about clinic tutorship planning. Category 4, Challenges faced by the student in the evaluation of clinic tutorship. Category 5, Opportunity fields in clinic tutorship from students’ experiences. Conclusion: Graduate students from the specialties describe transversal competences related with decision taking, collaborative work, and increase of population welfare, as well as generic disciplinary competences. The analogy of a social hinge between the clinic tutor and the student is highlighted, which allows to identify mobile and fixed components while the bolt that binds mentor with mentee is learning, by means of the accompaniment by an expert. .
基金supported by Japan Society for the Promotion of Science,Grants-in-Aid for Scientific Research[grant number 23K09804]The JSPS has had any roles in the survey's design,implementation,and analysis.
文摘Objectives:Newly graduated nurses commence night shifts during a phase of heightened vulnerability to reality shock,exacerbating the challenges faced by these graduates.Therefore,this study aimed to identify the challenges experienced by newly graduated nurses when undertaking night shifts in order to help identify a strategy for supporting their adaptation to these shifts.Methods:Semi-structured personal interviews were used to collect data.Fifteen newly graduated nurses were selected to participate in the study by purposive sampling method from November 2021 to March 2022 in one of four general hospitals situated in the southwestern region of Japan.Semi-structured interviews were analyzed by using thematic analysis.Results:The analysis revealedfive central themes and nine subthemes:challenges in task efficiency(task organization challenges,challenges in time-constrained task performance),challenges in responding to patients’changing conditions(challenges in responding to patients’irregular conditions,challenges in responding to nighttime changes in patients’behaviors),challenges in independent practice(challenges in engaging in independent nursing practice,challenges in dealing with unexpected events),challenges in establishing collaborative relationships(challenges in working closely with other staff,challenges in establishing collaborative relationships during night shifts with limited resources),challenges in adapting to shift work(challenges in managing physical conditions for shift work).Conclusions:Newly graduated nurses often encounter challenges in performing their tasks during the transition period.When working night shifts,they face additional hurdles unique to nocturnal duties.Thefindings underscore the necessity for these graduates to develop night shift-specific readiness to effectively navigate the demands inherent in such work schedules.
基金Postgraduates Research Innovation Project in Hunan Province(CX2016B484)
文摘Objectives:To explore the current admittance situation of clinical teachers for masters of nursing specialist(MNS)postgraduates and to test the competence of clinical teachers in self-evaluation and other evaluations.Methods:In this cross-sectional study,using a random number table,we chose 80 MNS postgraduates under clinical practice,their clinical teachers,and head nurses each from six hospitals in Hunan and Guangdong.The participants were tested on the basis of the Clinical Teachers'Competence Inventory of MNS Postgraduates.The competences of clinical teachers were evaluated by the three groups of participants.Results:The aggregated scores of teacher competence as evaluated by the MNS postgraduates(181.33±24.95)were lower than those assigned by both clinical teachers(190.75±24.30)and their head nurses(198.53±18.90),with significant differences in all dimensions except for clinical managing ability.The five highest rated items from all participants focused on the teachers'clinical nursing ability,and the five lowest rated items were mainly about their clinical research ability.Conclusion:The evaluation from MNS postgraduates is obviously lower than the self-evaluation of clinical teachers,and all participants are aware of the deficiency in research ability of the teachers.Thus,the admittance and examination of clinical teachers should be controlled strictly.Training should be carried out immediately to strengthen their comprehensive abilities,especially their research ability.
文摘Objective: To explore graduation practical ability assessment mode of graduate students in nursing (Master of Nursing Specialist, MNS). Methods: All 28 MNS 2020th graduate students in a university were selected as subjects by convenient sampling method, using the improved 4-station objective structured examination (Objective Structured Clinical Examination, OSCE) model. The assessment content included nursing assessment, nursing diagnosis, basic nursing operation, specialist nursing operation, theoretical written test and oral test and overall evaluation. And self-made questionnaire was used to evaluate the effect of the assessment model and the improvement of clinical practice ability of graduate students. Results: The overall satisfaction rate of graduation assessment was 89.51%, the overall satisfaction rate of graduation assessment mode and practical ability improvement evaluation was 84.66%, the pass rate of assessment results was 100%, and the excellent rate was 71.42%. Conclusion: The MNS graduation practical ability assessment model has a high degree of satisfaction, objectively evaluates the knowledge, skills, attitudes and emotions of graduate students, promotes the comprehensive quality and ability of graduate students, which is worthy of promotion.
文摘Generational diversity provides a unique quandary for nursing leaders and educators to enlist, orient, and retain nurses. Millennials are the largest cohort since the Baby Boomers and the age group from which the nursing profession will build its future workforce. This study examined the experiences of the new graduate nurse of the millennial generation as they navigate orientation in an acute care setting. Using a Web-based survey to conduct the study allowed nurses from across the country to participate while providing easy access to the study questions. Analysis of the data through qualitative content analysis demonstrated a dominate theme of seeking structure while expecting an individualized orientation. The survey also revealed the importance of the preceptor and manager in the perceived success of this generation’s transition and a need to assimilate into the professional role of RN. Recognizing that there is a need to promote a more individualized orientation with improved mentoring for novice nurses and their preceptors is evident and challenges nursing leaders and educators to rethink current practices to retain new nurses. Established roles within the hospital and individual nursing units are changing and traditional strategies for recruitment and retention no longer apply. A structured orientation can facilitate the transition from new graduate to professional nurse and assist in the retention of qualified nurses and ultimately safe patient care.
文摘The current research conducted a longitudinal study of new graduate nurses at 3 times-prior to their employment as nurses and 3 months and 1 year afterward. This study yielded 3 findings. 1) The mental health of new graduate nurses significantly worsens 3 months after employment as a nurse and mental health 1 year after employment as a nurse was significantly worse than that before employment. 2) A sense of coherence (SOC) is the ability to cope with stressors, and the 3 components of SOC decreased significantly in the year after employment as a nurse. 3) The mental health of new graduate nurses was significantly affected by a low SOC and by previous diminishing of SOC. Findings suggested the importance of support to sustain and improve the mental health of new graduate nurses and the importance of approaches in the workplace to encourage the development of SOC.
文摘Aims and Objectives: This paper describes Registered Nurses’ (RN’s) perceptions of the transferability of New Graduate Registered Nurses (NGRN’s) skills across settings: one aspect of a larger study exploring RN’s perceptions of NGRN’s work-readiness. Background: There is evidence RN’s do not consider NGRN’s as adequately prepared for practice. However, there does not appear to be consensus on what characterizes work-readiness. Methods: An adapted online questionnaire was sent to RNs in a range of clinical settings. They rated NGRNs’ skills and the applicability of those skills to their clinical setting using a 5-point Likert scale. Results: Perceptions of transferability of skills across settings varied. In the skills grouping of routine assessment, basic clinical skills, advanced clinical skills the percentage rated as “not applicable” was over 40% in 75% of the skills. The low or zero non-applicable responses to communication skills indicate this skill group contains transferable skills regardless of the setting. The zero non-applicable responses for preparedness for practice for all but two skills indicate these groups contain transferable skills across settings. Conclusion: There appears to be some alignment between expectations from RNs and current NGRN preparation. The lack of transferability of more advanced technical skills raises questions about the role of education in preparing the NGRN versus that of industry-based graduate programmes. The increase in nursing roles and the increased emphasis on aged care and primary health care dictates that generalist preparation of NGRNs emphasising the attributes of an RN should be the focus rather competency in advanced technical skills.
文摘<strong>Introduction:</strong> Hospital nurses’ recruitment during the COVID-19 pandemic is a major challenge for the hospital, the staff themselves and for their families & relatives. Although the world has undergone different pandemics and disasters, the literature has shown that the new nurses still face uncertainty in dealing with health emergencies and disasters that impose significant stress on their performance at work. The situation in Oman is not different and little is known about the newly employed nurses’ experiences during the COVID-19 pandemic. <strong>Method: </strong>The qualitative study was designed to include face to face interviews of the newly employed nurses between May and December 2020 at the biggest tertiary hospital in Muscat, the capital of Oman to explore their experiences and how they confronted the COVID-19 pandemic challenges during their internship period. <strong>Result:</strong> The data was analyzed through qualitative manifest content analysis and disclosed different experiences which were framed into four contexts: Introductory Nurses Plan, Hospital Environment, Nurses Characters and Nurses Families & Relatives. The negative experiences were mainly related to the intense internship requirements, non-availability of the preceptors, hospital environment and COVID-19 circumstances. On the other hand, the positive experiences were mainly related to their self-motivation, recruitment satisfaction, and family encouragement and support. <strong>Conclusion:</strong> Clear nurses’ lack of knowledge towards COVID-19 pandemic was disclosed and associated with mixed emotional insights towards themselves, their families and relatives, their preceptors and towards the hospital environment including their preparatory plan. The study identified the nurses’ stressors and motivators that could be addressed with a clear need for preparatory adjustments to support newly employed nurses in future appointments with a lot of involvements shared responsibilities and implications.
文摘Aim:Review the impact of master's-educated nurses on inpatient care in different healthcare systems and specialties.Background:Improved healthcare service quality and efficiency are needed due to a number of factors,including an aging population,advancing medical technology and increasingly complex methods of healthcare delivery.Overcoming these challenges requires nurses with more than a basic nursing education.However,masters training for Chinese nurses is a relatively new development,and,therefore,the cost effectiveness of master's-educated nurses in China and extent to which they contribute to improvements in access to Chinese healthcare services and the quality of those services remains unknown.Method:A systematic review of quantitative studies was conducted using PubMed and the China National Knowledge Infrastructure(CNKI).Studies were included in this review if they met the inclusion criteria.Results:Nine papers met the inclusion criteria and were included in this review.These studies indicated that palliative care,continuity of care,mental health,transition care,post-transplant care and central venous catheter care were improved when patient care was delivered by master's-educated nurses.Conclusion:Developing master's education for nurses may improve the current standard of health care and help meet modern challenges.This topic deserves additional attention at the academic and policy level.This review provides an important reference for Chinese nursing educators and policy makers.
文摘Purpose: In Japan, demand for nursing is high. However, some novice nurses are unable to adapt to the workplace, and subsequently quit. This study aimed at clarifying relationship issues between novice and senior nurses and examining measures that could be enforced in wards for novice nurses based on the results. Methods: An inductive analysis was conducted on qualitative data from semi-structured interviews with 11 newly hired nurses who had recently graduated from nursing school. The study period was from November 2016 to March 2017. Results: The analysis generated the following three themes related to potential workplace maladaptation: 1) Adaptation to the workplace: difficulty in forming relationships with senior nurses and adapting, 2) Workplace education system: education by preceptors and senior nurses, 3) Professional stance: qualities as a nurse. Conclusion: The results indicated that novice nurses had difficulties in adapting to the workplace as well as its education system in wards. Hence, it was necessary to create habits that would not overly burden others, but instead, spread the rules of the organization, help novice nurses to understand their responsibilities, and assist them in overcoming challenges.
文摘Purpose:To assess the culturing cognition and teaching of core capabilities of clinical advisers for masters degree level nursing graduate students in order to provide criteria for selecting and training clinical advisers,and to monitor clinical teaching quality.Methods:A questionnaire was completed by 66 nursing specialty clinical advisers.The questionnaire was divided into three sections:basic condition,culturing cognition of the nursing specialty graduate students,and self-evaluation of teaching core capabilities as measured by the Clinical Nursing Teachers Core Capabilities Graphic Rating Scale.Results:Forty-five of the surveyed advisers served undergraduate level students(68.18%),and seven of them(10.61%)had experience advising graduate nursing students.The advisers,in general,had limited knowledge regarding guidance for nursing specialty graduate students.The self evaluation total score for core capabilities teaching was(120.557.37),containing professional capability(4.47±0.34),leadership capability(4.01±0.22),problem solving capability(3.89±0.30),and education teaching capability(3.65±0.23).The highest scored item was the capability to assess and handle a patients’condition(4.44±0.56),while the lowest scored item was the capability to do scientific research(3.29±0.89).Conclusion:Clinical advisers for nursing specialty graduate students in our survey were generally inexperienced with regarding to training and culturing nursing graduate students.These advisers were prepared for core teaching competency,but were not qualified to conduct scientific research.Based on these results,it would be beneficial to provide the clinical advisers more training on teaching cognition for graduate students and improve their competency to perform scientific research.
基金funded by the Teaching Reform Project of Soochow University.
文摘Purpose:To explore the feasibility of using graduate students as preceptors in the clinical education of medical nursing students.Methods:Five second-year graduate nursing students were recruited to participate in the clinical teaching of medical nursing for 38 undergraduates in the first semester of the 2010 e2011 academic year,divided into two groups.The first group first received clinical teaching in caring for respiratory diseases from graduate preceptors for six weeks followed by clinical teaching in caring for circulatory diseases from nurse preceptors for six weeks.The second group received clinical teaching in the reverse order,from the nurse preceptors followed by the graduate student preceptors.Following training,all students were examined with a written test and scores were compared.In addition,review meetings were held to evaluate the teaching outcomes.Results:No significant differences in test scores were observed between the two teaching groups.Undergraduate student feedback indicated that the training provided by the graduate students was satisfactory,and the medical nursing course leader was satisfied with the teaching outcome with a few exceptions.Conclusion:These data indicate that graduate students are capable of training undergraduates in medical nursing,although some areas can be improved.
文摘This paper reports on a qualitative research study that examined the experience of expert and novice nurses participating in a new, reflective program of “clinical supervision”, intending to facilitate the transition of new graduate nurses into the workforce. Three patterns emerged during the constructivist inquiry: readiness to reflect, valuing of clinical supervision, and sustainability of the clinical supervision model. The researchers suggest generational sensitivity as a key perspective to consider when developing engaging workplace strategies for millennial nurses. The article offers recommendations for the implementation of clinical supervision and would be of interest to nurse leaders in a clinical setting.
文摘<strong>Background:</strong> To ensure quality and relevance of Postgraduate Programs are a commitment of the National Quality Postgraduate Programs (PNPC), and those from UNAM. Then, the self-evaluation of the Masters in Nursing Program (PME) is necessary for it to be part of the PNPC. This study focuses on self-evaluation of implementation mechanisms to assure effective communication and collaboration with and among graduated alumni. <strong>Methods:</strong> The research was qualitative, exploratory and descriptive. An informed consent was signed by four informants, graduated from the seventeenth generation of PME. Data collection from a focal group and descriptive data analysis by atlas.ti from guidance questions that were contrasted with the scale value from PME curriculum. <strong>Results:</strong> Four categories emerged from PME graduated alumni: Category <strong>I</strong>, Professional academic performance, Category<strong> II</strong>, International activities attendance, Category <strong>III</strong>, Academic networks, and Category <strong>IV</strong>, Higher satisfaction of international activities.<strong> Conclusions:</strong> It is concluded that self-evaluation shows a graduate’s vision of conditions and networks where PME develops. Masters in Nursing Program fulfills graduates expectancy to create networks, which will contribute to knowledge and recognition of professional practice, as well as on the area’ opportunities opening for better contributions.
基金supported by the Shenzhen Nanshan Science and Technology Bureau Program(No.2020130)。
文摘Objective:To explore experiences of Chinese nurses who study for Master of Science in Professional Practice(health care)in the United Kingdom.Methods:A qualitative approach was applied,consisting of semi-structured telephone interviews(n=8).The Colaizzi seven-step framework analysis method was used to extract themes.Results:The themes that emerged are as follows:(1)gains from studying overseas,(2)difficulties during studying,and(3)impacts of learning experience on work.The gains for nurses studying overseas include the improvement of scientific research capabilities,reconstruction of critical thinking,and development of reflection ability.Difficulties while studying mainly include language barrier,strict assessment,and boring life.Conclusions:The education of nursing postgraduate attaches impor tance to the cultivation of thinking.Nurses are very interested in nursing research including qualitative and quantitative methods.Nurses encountered language barriers in their study and life even though they knew a cer tain level of English.