Undergraduate nursing student academic resilience during medical surgical clinical practicum: A constructivist analysis of Taiwanese experience |
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| Institution: | 1. Department of Nursing, Chang Gung University of Science and Technology, Chang Gung Memorial Hospital, Taiwan;2. Department of Nursing, Chang Gung University of Science and Technology, Chang Gung Memorial Hospital at Linkou, Taiwan;3. Department of Emergency Medicine, Gold Coast Hospital and Health Service, Gold Coast University Hospital, Gold Coast, Queensland, Australia;4. Department of Nursing, Chang Gung University of Science and Technology, Taiwan;5. Department of Nursing, New Taipei Municipal TuCheng Hospital, No.6, Sec.2, Jincheng Rd., Tucheng Dist., New Taipei City 236, Taiwan;1. University of Cincinnati, College of Nursing, 3110 Vine Street, Cincinnati, OH 45221, United States of America;2. University of Cincinnati, College of Medicine, 3230 Eden Ave., Cincinnati, OH 45267, United States of America;3. University of Cincinnati, Department of Sociology, 155 B McMicken Hall, Cincinnati, OH 45221, United States of America;1. William F. Connell School of Nursing, Boston College, 140 Commonwealth Avenue, Chestnut Hill, MA 02467, United States of America;2. VA Boston Healthcare System, 1400 VFW Parkway, West Roxbury, MA 02132-4927, United States of America;3. Young School of Nursing, Regis College, 25 Wellesley Street, Weston, MA, 02493, United States of America |
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| Abstract: | BackgroundNursing students often experience a reality shock in the course of their practicums that can significantly impact their studies.PurposeThis study aimed to explore the academic resilience of undergraduate nursing students during their Adulting Nursing practicums and identify protective factors to mitigate their impact.MethodsThe constructivist grounded theory approach enabled us to explore nursing students' academic resilience in their practicums. Purposive and theoretical sampling was used to recruit 19 participants. Individual in-depth interviews were audio-recorded and transcribed verbatim. The constant comparative method directed theoretical sampling. The criteria of credibility, originality, resonance, and usefulness were considered to ensure the quality and trustworthiness of the study.ResultsThe main challenges were related to facilitators, the environment, and application of techniques. Students reported feelings of ‘walking on thin ice’ and doubts about their decision to pursue a nursing career. Academic resilience was identified as the ability to maintain optimism while facing challenges. Participants concluded that overcoming their ignorance through practical learning was an important outcome of the process of developing academic resilience.ConclusionThe findings highlight the need for facilitators to re-examine their teaching strategies and provide supplementary support to help students to improve their academic resilience. |
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