Investigating factors influencing 4th-year physiotherapy students' opinions of cardiorespiratory physiotherapy as a career path

Recruitment and retention issues in cardiorespiratory physiotherapy (CRP) have led to concerns for the future of this specialist area of physiotherapy. This study evaluated the career choices of student physiotherapists and elicited factors that influenced their perceptions of CRP. A postal questionnaire to two schools of physiotherapy in New Zealand and two in Australia was administered. Final year students were randomly selected and invited to complete the questionnaire. Details of respondents' clinical experience, future career intentions, and perceptions of CRP as a specialism were ascertained. A response rate of 61% (n?=?149) was obtained. Although the majority of respondents had undertaken cardiorespiratory placements, only 3% of respondents reported being “extremely interested” in specializing in CRP. The variety and timing of clinical placements and educational and clinical supervision were key factors that had the potential to both positively and negatively influence students' opinions of CRP. An understanding of the role of CRP beyond that of inpatient care appeared limited. To promote uptake of CRP as a career option, clinicians, educators, and managers should strive to provide positive clinical placements and educational opportunities. The extensive scope of clinical practice of cardiorespiratory physiotherapists could be a greater focus within physiotherapy curricula.     

High school students' perceptions of nursing as a career choice

Declining enrollments in nursing programs, coupled with the current shortage of practicing registered nurses, prompted this investigation of 306 high school students' beliefs about nurses and nursing. The study also identifies potential numbers of future nursing students from high school populations and their primary source of information about nursing. Using an investigator questionnaire, subjects responded to statements about educational requirements for registered nurses along with their working conditions, earning power, and social status. Findings reveal a projected continuing shortage of nurses based on the very small percentage of subjects even considering nursing as a career. Additional findings show that whereas some perceptions about nursing seem congruent with those of nurses themselves, other beliefs held by high school students are not consistent with the realities of professional nursing today. Results of this study can be used by nurse recruiters to correct misconceptions about nursing and to help high school students perceive the profession in a more positive way. Expanding the informational sources about nursing can facilitate the recruitment process.     

College students' image of nursing as a career choice.

This article reports a study of the image of nursing among college students. It has been inferred that the poor image of nursing has a negative impact on recruitment into the profession. A convenience survey of two groups of college students was instituted to determine the image of nursing in relation to an ideal career, and to discover if any factors make the choice of nursing as a career more likely. The responses of 163 nonnursing students were compared to those of 93 nursing students. These findings indicate that the image of nursing as a career choice among nonnursing college students correlated with their ideal career at r = .4072. As expected, nursing students correlated nursing with their ideal career more positively (r = .5941) than the nonnursing students. Implications for nursing and suggestions for further study are included.     

Characteristics and processes of physiotherapy clinical decision making: a study of acute care cardiorespiratory physiotherapy

Background and Purpose . Physiotherapists have been increasingly interested in investigating physiotherapy clinical reasoning and decision‐making processes. Cardiorespiratory physiotherapy has received little attention within this increasing body of research. This study aimed to investigate characteristics and processes of cardiorespiratory physiotherapy decision making and to contribute to the broader understanding of physiotherapy reasoning and decision making. Methods . Fourteen cardiorespiratory physiotherapists took part in the study. Qualitative research methods were used, guided by a philosophical hermeneutic approach. Participants were observed undertaking their usual daily patient care activities and were later interviewed about their decision making. In‐depth, iterative hermeneutic strategies were used to interpret the texts created by these processes to identify the nature and processes of decision making. Results . Clinical decision making in cardiorespiratory physiotherapy is focused on making decisions about the nature of patients' problems, physiotherapeutic intervention and interaction, and evaluation of effectiveness of actions. Cardiorespiratory physiotherapy decisions varied in their difficulty according to the attributes of the decisions. The variable nature of decisions influenced the reasoning processes used. Clinical decision making involved complex reasoning processes that were cyclic, evolving and flexible in nature, with interdependence and interrelation between the different foci of clinical decision making. Clinical decision making was also found to be a social and collaborative process. Conclusions . This study contributes to the body of literature on physiotherapy reasoning and decision making by revealing details about the characteristics and processes of cardiorespiratory physiotherapy decision making. This research can be used to shape the education of beginning practitioners and provide practicing physiotherapists with a basis for critical appraisal of their decision making. Copyright © 2008 John Wiley & Sons, Ltd.     

High school students' perceptions of nursing as a career: a pilot study

A pilot survey of 300 high school junior students was implemented to elicit their perceptions of nursing and to explore the relationship between the experience of having a nursing role model and the decision to consider nursing as a career. The results indicated that the majority of students in the sample were aware of the caring and helping aspects of nursing, but there seemed to be a lack of knowledge about expanded roles and opportunities for advancement. High school students had significantly different mean opinion scores according to their sex (F = 17.03, p less than 0001) and the decision to consider nursing as a career (F = 10.00, p less than 002). There appeared to be a significant relationship between the experience of having a nurse role model and consideration of nursing as a career option (chi 2 = 8.23, p less than .0041). These findings have important implications for recruitment of young people into the nursing profession.     

Urban high school students' perceptions of nursing as a career choice.

One hundred and fourteen high school students (n = 114) completed the Attitudes, Values, and Beliefs Questionnaire. A two-sided Wilcoxon Signed Ranks test revealed that students perceived an ideal career as having more power, more positive evaluation, and less activity than a career in nursing would. The areas of greatest perceived disparity and those that showed nursing less favorably were making decisions for one's self, always having a job, working in a safe place, making a lot of money, and earning appreciation and respect. Areas in which nursing appeared more favorable were working with one's hands and being very busy. Caring for others and working hard were valued equally for both careers. Students' perceptions of nursing may have been based on misinformation, on a lack of awareness about the options available within the profession, or based simply on a higher regard for a different career. Future endeavors to recruit these students into nursing must include exposure to the multiple opportunities that await them as experienced by contemporary nursing professionals.     

医学本科女生职业生涯规划影响因素的调查分析

[目的]分析影响医学本科女生职业生涯规划的因素.[方法]采用问卷调查法,自行设计调查表对476名医学本科女生进行医学本科女生职业生涯规划影响因素调查.[结果]医学本科女生职业生涯规划的主要影响因素为个人的气质、性格和能力、父母的教育方式、人脉、可获得的资源、专业发展前景以及职业形象.[结论]多种因素影响医学本科女生的职业生涯规划,应采取相应的支持体系,促进其职业生涯发展.     

Motivating factors in a student's choice of nursing as a career.

Motivation factors in a student's choice of nursing as a career were the focus of this study. There was a three-fold purpose: definition of nursing, reasons for choosing nursing, and who/what influenced their choice. A questionnaire was developed to collect data from a random national sample of nine BSN and 11 ADN NLN-accredited schools. The five most frequent responses to the question "What does nursing mean to you?" were: caring, personal growth, illness focus, professionalism, and job security. The most frequently reported reasons for choosing nursing were: nurturance, emotional needs, employment opportunities, financial benefits, and interest in science. Practicing nurses were identified most frequently as influencing students' image of nursing/choice of nursing. Nursing continues to be perceived as a caring profession as well as one that offers many personal benefits.     

影响护生实习积极性的因素分析及对策

目的 探讨影响护生实习积极性的主要因素.方法 对本、专科实习护生进行自填式问卷调查.结果 影响护生实习积极性的6个因素分别为:人际关系;专业思想;支持系统;临床带教;实习环境;激励机制.影响护生实习积极性的较重要的4个项目依次是:与带教老师关系不和;带教方法不合理;排班不合理;所做工作不受重视.另外,对护理工作缺乏热情、毕业后不去医院工作、未受到带教老师的尊重3个项目对本科护生实习积极性的影响明显高于专科护生.结论 加强专业思想教育,培养护生的沟通技巧和交际能力,优化带教师资队伍,改进临床教学方法,使用有效激励措施,遴选实习基地,优化实习环境可以激励护生实习的积极性.     

临床实习护生职业认同现状调查及其影响因素研究

目的调查临床实习护生的职业认同现状,并分析其影响因素。方法采用实习护生一般资料调查表和职业认同感问卷对98名实习护生进行调查。结果实习护生职业认同感得分为23～34（28．45±5．44）分。职业认同感的影响因素为报考志愿。结论不同特征的实习护生职业认同感不同,护理管理者应根据实习护生的自身特点对其进行针对性的职业引导。     

护理本科女生职业生涯规划影响因素分析

[目的]分析护理本科女生职业生涯规划的影响因素.[方法]按分层随机抽样方法,抽取某大学护理本科女生235名,采用问卷调查自评方式了解影响护理本科女生职业生涯规划的因素.[结果]影响护理本科士生职业生涯规划的因素主要包括气质、性格、能力,父母的教育方式,人脉,可获得的资源,专业发展前景,社会认可.[结论]护理本科女生在职业生涯规划过程中应努力消除个人、家庭、人际关系、学校、专业发展和社会因素的影响.     

影响临床本科学历护士职业生涯发展的相关因素

[目的]通过对护理本科毕业者的调查,探析影响临床本科护士职业生涯发展的相关因素。[方法]采用问卷形式调查上海第二医科大学1999年—2003年护理本科毕业者的个人发展需求、影响个人发展的因素以及个人对自身综合能力和对所在单位的培养、发展与使用状况的评价。[结果]87名从事护理专业相关岗位的本科毕业生中,对自身发展的首位需求主要为护理教育(22.99%)和护理管理(18.39%);对所在单位的培养、个人发展机遇、培养计划的落实及培养与使用状况表示满意的分别占24.14%、32.18%、37.94%、4.60%;影响本科护士职业发展的主要因素有人际关系和沟通能力不良(33.75%),临床经验、知识和技能缺乏(32.92%),医院提供的培养机会少(24.17%),缺乏良性的成长环境(9.17%)。[结论]影响临床本科护士职业发展有其内在和外在因素,包括对自身能力的评估和期望值过高;协调和沟通能力有限;缺乏规范有效的培养和使用;缺乏有利成长和发展的良好环境。     

护士长职业生涯成功状况及影响因素分析

[目的]了解护士长职业生涯成功的现状及其影响因素,为护士的职业生涯成功教育、管理提供参考和依据。[方法]采用客观职业生涯成功问卷和主观职业生涯成功问卷、职业发展状况调查表、职前和职后调查表以及自行设计的一般资料调查表对88名护士长进行测评。[结果]职业生涯成功状况得分为（37.450±5.272）分,得分率为68.10%;职业发展状况、职后经历中的团队合作及组织政策对职业生涯成功影响较大;职前教育中,选择专业的原因影响主观职业生涯成功,奖学金的获得及担任学生干部情况影响客观职业生涯成功。[结论]护士长职业生涯成功状况处于中上水平,影响因素为多方面,应关注护士长职业生涯成功状况的影响因素并开展相应的教育与培训,以促进护理事业的发展。     

职业院校护生主观职业障碍及其影响因素调查

目的调查职业院校护生主观职业障碍现状及其影响因素。方法采用一般资料调查表和大学生主观职业障碍问卷对325名职业院校护生进行调查。结果职业院校护生主观职业障碍总均分为(2.36±0.33)分;参加社会活动情况、学习成绩、对护理专业的态度、家庭人均月收入是影响职业院校护生主观职业障碍的主要影响因素。结论护理教育者应根据职业院校护生主观职业障碍的特点,适应性地提供就业指导与服务,做好职业生涯规划教育,使其顺利就业。