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1.
Predicting student attrition using social determinants: Implications for a diverse nursing workforce
Tammy Barbé Laura P. Kimble Lanell M. Bellury Cynthia Rubenstein 《Journal of Professional Nursing》2018,34(5):352-356
Background
Attrition of academically qualified nursing students affects the size of the nursing workforce. A better understanding of the multifaceted predictive factors of attrition is needed to inform targeted interventions to promote program progression and maintain an adequate nursing workforce.Purpose
The purpose of this study was to identify demographic, academic, and social determinant factors associated with attrition at the end of the first semester in an upper-division baccalaureate nursing program.Method
Students' demographic and academic data from an administrative database were combined with social determinants data collected via a web-based survey.Results
Among this cohort (n = 164), social determinants were significantly associated with attrition. A significantly greater percentage of students who failed were born outside the United States (U.S.), had one or both parents born outside the U.S., reported English was not the primary language spoken in the home, and were racially/ethnically diverse.Conclusions
Attrition was primarily among students with diverse racial, ethnic, and/or cultural backgrounds, which has implications for achieving a diverse nursing workforce. Proactive strategies to support success should be especially targeted on diverse students. 相似文献2.
Patricia Voelpel Lori Escallier Judith Fullerton Ismael Rodriguez 《Journal of Professional Nursing》2018,34(4):273-279
Background
A commitment to increase the enrollment, retention and educational success of United States veterans admitted to a baccalaureate degree nursing program was established through the support of a grant received from HRSA in collaboration with the US Departments of Defense and Veteran Affairs.Method
Challenges encountered by the student veterans were identified and programs of mentorship, tutoring, equine therapy and interface with services offered by the University Office of Veteran Affairs were developed.Results
Thirty-two student veterans provided positive feedback about their perceptions of academic and personal support provided during their program. Sixteen faculty and staff also described positive experiences about working with the student veteran population.Conclusion
The continuous assessment of all program elements indicates that the program is meeting its intended outcomes and serves the purpose of providing the opportunity for returning veterans to choose nursing as a professional healthcare career. 相似文献3.
4.
Melissa Alves Cirelli Marianna Sobral Lacerda Camila Takao Lopes Juliana de Lima Lopes Alba Lucia Bottura Leite de Barros 《Archives of Psychiatric Nursing》2018,32(2):235-241
AimTo describe and investigate correlations among anxiety, stress and depression and identify their relationship with sociodemographic and clinical characteristics of patients with heart failure.
Methods
This is an analytical cross-sectional study. Sociodemographic and clinical characteristics were collected, along with levels of anxiety, stress and depression from 309 outpatients.Results
The mean levels of stress, anxiety and depression were correlated but low. Time since diagnosis, the disease's functional class, family income, and smoking influenced stress. Functional class and Chagas disease influenced anxiety and depression. Being unemployed and smoking influenced anxiety, while being a homeowner influenced depression.Conclusion
These findings should be considered when planning nursing interventions. 相似文献5.
6.
Lorna Jane Moxham Ritin Fernandez Bora Kim Samuel Lapkin Wilma ten Ham-Baloyi Abbas Al Mutair 《Journal of Professional Nursing》2018,34(6):502-506
Background
Caring for self by maintaining emotional well-being is important for pre-registration nursing students if they are to graduate as confident and competent health professionals.Purpose
The purpose of this cross-sectional study was to identify the predictors of emotional well-being of pre-registration nursing students by measuring their levels of anxiety, depression, behavioural control, positive affect and general distress.Method
A cross-sectional study designed facilitated an examination of the level of emotional well-being of pre-registration nursing students (enrolled in their first, second and third year) in an Australian university across five campuses using the Mental Health Index (MHI). Purposive, all-inclusive sampling was used to recruit 920 nursing students. Data was collecting during a two month period (August to October 2016). Regression analyses were used to identify predictors of emotional well-being.Results
Results indicate that employment status was one of the major predictors of students' emotional well-being.Conclusion
Given this finding, and the importance that paid employment appears to have as a protective factor nurse education programs need to support these students to effectively balance their academic performance and employment. Innovative ways to structure course curriculum and modes of delivery to support work and study demands should be a focus of future research. 相似文献7.
8.
Background
Poor sleep quality and depressive symptoms are common among college nursing students, and may be associated with each other. However, the mechanism for this association has not been well understood.Purpose
The study is to examine the potential mediating role of coping styles in the association between sleep quality and depressive symptoms among college nursing students.Methods
242 undergraduate nursing students at a public university in the northeast United States completed an online survey delivered through SurveyMonkey® with self-reports of sleep quality, coping styles, and depressive symptoms from October to November 2015.Results
Multivariate linear regression models suggested that poor sleep quality was significantly associated with depressive symptoms (β = 1.00, p < 0.01) in nursing students. The four coping styles (problem engagement, emotion engagement, problem disengagement, and emotion disengagement) together reduced the strength of the association between sleep quality and depressive symptoms by 41%. Specifically, emotion disengagement coping plays an important mediating role in this association.Conclusions
In addition to sleep promotion, effective interventions to facilitate the development of appropriate coping strategies among nursing students are needed to enhance their mental health and well-being. 相似文献9.
Background
Collaborative learning has been used in nursing education for more than two decades. However, little is known about its relationship to quality of nursing education, its implementation process as well as what factors likely influence the effectiveness of the teaching approach.Methods
Previous relevant literature had been searched and located from three electronic databases including CINAIL, PubMed, and Google Scholar.Results
Collaborative learning had been employed in classroom teaching, clinical education and online course teaching. The strategy of instruction was found useful for improving nursing knowledge and skill performance, improving student clinical competency, as well as promote student group skills and learning behavior (e.g., Class engagement, motivation for learning, self-confidence).Conclusions
It was recommended to integrate collaborative learning into nursing education due to positive influences on student learning. 相似文献10.
11.
Ana Carolina G. Zanetti Tais Milena Pantaleão de Souza Larissa de Souza Tressoldi João Mazzoncini de Azevedo-Marques Gabriel Elias Corrêa-Oliveira Amanda Heloisa Santana da Silva Isabela dos Santos Martin Kelly Graziani Giacchero Vedana Lucilene Cardoso Sueli Aparecida Frari Galera Edilaine Cristina da Silva Gherardi-Donato 《Archives of Psychiatric Nursing》2018,32(3):390-395
BACKGROUND
Evidence suggests that expressed emotion (EE) and family burden (FB) are phenomena that interact, but there is a lack of studies that analyze this association in patients in first-episode psychosis.AIM
This study evaluated the relationship between EE and FB in relatives of patients in first-episode psychosis.METHOD
A convenience sample of 71 family members of patients being assisted in an outpatient care unit participated in the study. We used a form with sociodemographic and clinical variables of family members and patients, the Family Questionnaire-Brazilian Portuguese Version and the Brazilian version of the Burden Interview. The data were obtained via semi-structured interviews. Statistical analyses included Fisher's exact tests, Mann Whitney tests, Spearman correlations, and Student's t-tests.RESULTS
Our results showed high levels of EE and its component emotional over-involvement (EOI) among relatives, and a strong correlation between critical comments (CC) and EOI and FB measurements. In addition, family members with elevated EE levels showed higher means for FB and this difference was significant.CONCLUSIONS
Mental health nurses are expected to consider these concepts for proposing nursing interventions to first-episode psychosis patients and their relatives. 相似文献12.
Giancarlo Cicolini Carlo Della Pelle Valentina Simonetti Dania Comparcini Gianna Sepede Francesco Cipollone 《Archives of Psychiatric Nursing》2018,32(2):305-309
Purpose
To investigate the role of psychiatric dimensions, behavioral or substance addictions and demographical variables as determinants of pathological gambling among nursing students.Design
Multicenter cross-sectional study.Methods
From June to October 2015 a survey was carried out among Italian Nursing students. Data were collected using a six-section tool.Findings
Nursing students who completed the survey numbered 1083, 902 (83.3%) had some problems with gambling and 29 (2.7%) showed pathological gambling. Percentage of pathological gambling was significantly associate with illicit drug/alcohol use (65.5%; p = 0.001) and with male gender (58.6%) comparing to student nurse with non-pathological gambling (20%) and those with some problem (24.2%). Significant main effect was observed for IAT score (Beta = 0.119, t = 3.28, p = 0.001): higher IAT scores were associated with higher SOGS scores.Conclusions
Italian nursing students have some problems with gambling and pathological gambling problem, and males are those who have more problems. Results might be useful for faculties of health professionals to identify students at risk in an early stage, to direct prevention tailored interventions.Clinical relevance
Nursing faculties should be aware of the prevalence of Gambling among students.Prevention interventions should be planned to minimize the risk of gambling behavior in the future nurses' health care workers. 相似文献13.
Background
Leadership competency is required throughout nursing. Students have difficulty understanding leadership as integral to education and practice. A consistent framework for nursing leadership education, strong scholarship and an evidence base are limited.Purpose
To establish an integrated leadership development model for prelicensure nursing students that recognizes leadership as a fundamental skill for nursing practice and promotes development of nursing leadership education scholarship.Method
Summarizing definitions of nursing leadership, conceptualizing leadership development capacity through reviewing trends, and synthesizing existing leadership theories through directed content analysis.Discussion
Nine leadership skills form the organizing structure for the Nursing Leadership Development Model. Leadership identity development is supported via dimensions of knowing, doing, being and context.Conclusion
The Nursing Leadership Development Model is a conceptual map offering a structure to facilitate leadership development within prelicensure nursing students, promoting student ability to internalize leadership capacity and apply leadership skills upon entry to practice. 相似文献14.
Bing Xiang Yang Teresa E. Stone Marcia A. Petrini Diana L. Morris 《Archives of Psychiatric Nursing》2018,32(1):31-38
OBJECTIVE
Workplace violence and its impact on mental health nurses have yet to be thoroughly explored in China. This study aims to investigate the incidence, type, related factors, and effects of workplace violence on mental health nurses as well as identifying coping strategies.METHODS
A researcher - designed workplace violence questionnaire and the Maslach Burnout Inventory-General Survey were distributed to nurses at a mental health hospital in Wuhan, China.RESULTS
Most nurses reported a high incidence of workplace violence (94.6%) in the past year ranging from verbal aggression, sexual harassment, to physical attack. The forms of violence significantly correlated with each other (r > 0.5, p = 0.000). Working on the psychiatric intensive care unit for adult males and being a male nurse placed nurses at significantly higher risk for workplace violence. Providing routine treatment, caring for male patients, and working the night shift increased the risk of sexual harassment. Nurses who believed that workplace violence was preventable experienced a significantly lower incidence of violence. Burnout levels of the mental health nurses were relatively mild, but increased with age, professional title, years of employment and frequency of workplace violence.CONCLUSION
The incidence of workplace violence among mental health nurses is common, and its frequency is correlated with nurses' level of burnout. Management and clinical nurses should work together on an organization-wide strategy targeting the major identified risk areas to reduce the incidence of workplace violence and minimize its impact on nurses. 相似文献15.
Demetrius A. Abshire Janessa M. Graves Mary Lee Roberts Janet Katz Celestina Barbosa-Leiker Cynthia F. Corbett 《Nursing outlook》2018,66(1):84-93.e3
Background
Factors that contribute to student success in accelerated degree nursing programs are poorly understood and may vary by gender.Purpose
Examine associations between satisfaction with peer and mentor support, gender, and academic outcomes among students in accelerated degree nursing programs.Methods
We used data (demographic variables, satisfaction with peer and mentor support, graduation, and attempts of National Council Licensure Examination for Registered Nurses) from the American Association of Colleges of Nursing and Robert Wood Johnson Foundation's New Career in Nursing Program. Multivariable mixed effects regression models were used to examine associations among gender, satisfaction with support, and academic outcomes.Findings
Males had an increased probability of reporting high satisfaction with peer support. Both males and females who were very dissatisfied with peer support were less likely to graduate than students who were very satisfied with peer support. Gender did not moderate the relationships between satisfaction with peer and mentor support and academic outcomes.Conclusion
Peer support is an important aspect of graduation among students in accelerated degree nursing programs. Continuous quality improvement strategies to improve student peer support may be warranted. 相似文献16.
17.
Physical and mechanical restraint in psychiatric units: Perceptions and experiences of nursing staff
Kelly Graziani Giacchero Vedana Danielle Maria da Silva Carla Aparecida Arena Ventura Bianca Cristina Ciccone Giacon Ana Carolina Guidorizzi Zanetti Adriana Inocenti Miasso Tatiana Longo Borges 《Archives of Psychiatric Nursing》2018,32(3):367-372
Background
Physical restraint in psychiatric units is a common practice but extremely controversial and poorly evaluated by methodologically appropriate investigations. The cultural issues and professionals' perceptions and attitudes are substantial contributors to the frequency of restraint that tend to be elevated.AimIn this qualitative study, we aimed to understand the experiences and perceptions of nursing staff regarding physical restraint in psychiatric units.Method
Through theoretical sampling, 29 nurses from two Brazilian psychiatric units participated in the study. Data were collected from 2014 to 2016 from individual interviews and analyzed through thematic analysis, employing theoretical presuppositions of symbolic interactionism.Results
Physical restraint was considered unpleasant, challenging, risky, and associated with dilemmas and conflicts. The nursing staff was often exposed to the risks and injuries related to restraint. Professionals sought strategies to reduce restraint-related damages, but still considered it necessary due to the lack of effective options to control aggressive behavior.Conclusions
This study provides additional perspectives about physical restraint and reveals the need for safer, humanized and appropriate methods for the care of aggressive patients that consider the real needs and rights of these patients. 相似文献18.
Background
As facing the rapid growth of the elderly population, the demands for geriatric and long-term care are drastically increasing. Since one of the important strategies in preparation for long-term care system is to focus on the engagement of health care professionals, this paper applies a systematic approach to review the current geriatric and long term care courses in Bachelor of Science in Nursing (BSN) programs. This review assessed the impact of Geriatric Nursing (GN) and/or Long Term Care (LTC) courses on nursing students' knowledge, care intention and competence of Geriatric Long Term Care (GLTC) care to enable their nursing competence before graduation.Method
Data related to the purpose of the study, research design, sample, curriculum content, teaching strategies, evaluation measurements and results were extracted. The methodological quality of all publications was included in the review.Results
Eighteen articles were eligible for analysis, including 16 quantitative and 2 qualitative studies. The review revealed that including geriatric and long term care content in undergraduate nursing curriculum could effectively enhance students' nursing competence.Conclusion
GN and LTC curriculum development should offer established content on geriatric and long term care as a foundation to implement early learning experiences in the curriculum. Both theory and clinical practice of GLTC course can be developed to increase the nursing students' knowing on the elders and the disabled through the clinical placement. 相似文献19.
Mahdieh Arian Mohsen Soleimani Mohammad Bagher Oghazian 《Journal of Professional Nursing》2018,34(5):389-399