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Al-Noumani H, Al Zaabi O, Arulappan J, George HR. Professional identity and preparedness for hospital practice among undergraduate nursing students: A cross-sectional study. NURSE EDUCATION TODAY 2024; 133:106044. [PMID: 38011753 DOI: 10.1016/j.nedt.2023.106044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/19/2023] [Revised: 10/29/2023] [Accepted: 11/12/2023] [Indexed: 11/29/2023]
Abstract
BACKGROUND Professional identity is a crucial characteristic that undergraduate nursing students must possess to ensure effective and safe clinical practice. It has been identified as a factor influencing nursing student retention and their intention to remain in the nursing profession. However, the influential factors that impact the development of professional identity among nursing students currently are not well known. OBJECTIVES To identify factors determining professional identity among undergraduate nursing students and to confirm the relationship between nursing students' professional identity and their preparedness for hospital practice. DESIGN A cross-sectional study. SETTINGS The largest public nursing college in Oman. PARTICIPANTS 180 full-time undergraduate nursing students in their third and fourth years who had completed at least one clinical course. METHODS Students completed validated, self-administered paper questionnaires through convenience sampling, including professional identity and preparedness for hospital practice scales. RESULTS The mean total score for professional identity was 63.3 (SD = 10.5), indicating a moderate level of professional identity. The findings showed a low level of preparedness for hospital practice among nursing students, with, a mean total score of 165.8 out of 246 (SD = 30.4). We found a significant positive association between professional identity and preparedness for hospital practice (r = 0.43, p < 0.001), the number of clinical courses taken (r = 0.15, p = 0.041), enrolment in fourth-year clinical courses (H (4) = 19.9, p = 0.001), grade (H (3) = 7.8, p = 0.049) and the selection of nursing profession as the first choice (H (3) = 28.0, p = 0.05). CONCLUSIONS The study has implications for identifying students with lower readiness for hospital practice and providing them with the necessary training. Nursing educators should prioritize reinforcing professional identity among students who have chosen nursing as a secondary option or have a lower grade. This can be achieved by promoting a positive nursing image and fostering a supportive clinical learning environment.
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Affiliation(s)
- Huda Al-Noumani
- Adult Health and Critical Care Department, College of Nursing, Sultan Qaboos University, 66, Al Khoud, Muscat, Oman.
| | - Omar Al Zaabi
- Adult Health and Critical Care Department, College of Nursing, Sultan Qaboos University, 66, Al Khoud, Muscat, Oman.
| | - Judie Arulappan
- Department of Maternal and Child Health, College of Nursing, Sultan Qaboos University, 66, Al Khoud, 123 Muscat, Oman.
| | - Hema Roslin George
- Adult Health and Critical Care Department, College of Nursing, Sultan Qaboos University, 66, Al Khoud, Muscat, Oman.
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Ait Ali D, Ncila O, Ouhhamou S, Rizzo A, Chirico F, Khabbache H. Motivations Driving Career Choices: Insights From a Study Among Nursing Students. SAGE Open Nurs 2024; 10:23779608241255876. [PMID: 38784645 PMCID: PMC11113027 DOI: 10.1177/23779608241255876] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2024] [Revised: 04/18/2024] [Accepted: 05/01/2024] [Indexed: 05/25/2024] Open
Abstract
Introduction Globally, the nursing workforce is crucial to the functioning of healthcare systems. The alarming shortage of nursing staff necessitates careful consideration of the challenging aspects related to this issue to develop successful strategies for attracting and retaining nurses. Objectives This study aims to explore the motivational factors influencing the decision of students to choose a nursing career and the associated factors. Methods In this cross-sectional research, a questionnaire was administered to 308 students studying nursing at the Higher Institute of Nursing Professions and Health Techniques. Results The results of this study revealed several factors influencing the decision of nursing students to choose this profession. The desire to contribute to society and have a positive impact on individuals' lives was identified as the primary motivating factor. Economic considerations also played a significant role. Additionally, it was found that the educational level of parents is a factor influencing students' decisions. Conclusion This study highlights the importance of various factors in the decision-making process of nursing students. By considering these results, policymakers and healthcare professionals can create an environment conducive to attracting and retaining future nurses.
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Affiliation(s)
- Driss Ait Ali
- Laboratory of “Morocco: History, Theology and Languages”, Department of Psychology, Faculty of Arts and Human Sciences Fès-Saïss, Sidi Mohamed Ben Abdellah University, Fez, Morocco
| | - Oumaima Ncila
- Higher Institute of Nursing Professions and Health Technics, Ouarzazate, Morocco
| | - Soukaina Ouhhamou
- Higher Institute of Nursing Professions and Health Technics, Ouarzazate, Morocco
| | - Amelia Rizzo
- Department of Cognitive Sciences, Psychological, Educational, and Cultural Studies, University of Messina, Messina, Italy
| | - Francesco Chirico
- Post-Graduate School of Occupational Health, Università Cattolica del Sacro Cuore, Rome, Italy
| | - Hicham Khabbache
- Laboratory of “Morocco: History, Theology and Languages”, Department of Psychology, Faculty of Arts and Human Sciences Fès-Saïss, Sidi Mohamed Ben Abdellah University, Fez, Morocco
- Department of Psychology, Lifelong Learning Observatory (UNESCO/ USMBA), Fez, Morocco
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Avraham R, Wacht O, Yaffe E, Grinstein-Cohen O. Choosing a Nursing Career During a Global Health Event: A Repeated Cross-Sectional Study. Nurse Educ 2023; 48:E116-E121. [PMID: 36877984 PMCID: PMC10296985 DOI: 10.1097/nne.0000000000001392] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/19/2023] [Indexed: 03/08/2023]
Abstract
BACKGROUND Although in the past, the decision to enter the nursing profession was mainly due to intrinsic motives, more recent generations present additional extrinsic career choice motives. The motivation of choosing a nursing career may be affected by global health events, such as COVID-19. PURPOSE To examine the motivation for choosing a nursing career during COVID-19. METHODS A repeated cross-sectional study was conducted among 211 first-year nursing students at a university in Israel. A questionnaire was distributed during 2020 and 2021. Linear regression evaluated the motives that predict choosing a nursing career during COVID-19. RESULTS Intrinsic motives were the leading motives for choosing a nursing career in a univariate analysis. A multivariate linear model revealed that choosing a nursing career during the pandemic was associated with extrinsic motives (β= .265, P < .001). Intrinsic motives did not predict choosing a nursing career during COVID-19. CONCLUSION Reassessment of motives among candidates may help the efforts of faculty and nursing to recruit and retain nurses in the profession.
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Affiliation(s)
- Rinat Avraham
- Departments of Nursing (Drs Avraham and Grinstein-Cohen) and Emergency Medicine (Drs Wacht and Yaffe), Recanati School for Community Health Professions, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel; and Magen David Adom, Israel (Drs Wacht and Yaffe)
| | - Oren Wacht
- Departments of Nursing (Drs Avraham and Grinstein-Cohen) and Emergency Medicine (Drs Wacht and Yaffe), Recanati School for Community Health Professions, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel; and Magen David Adom, Israel (Drs Wacht and Yaffe)
| | - Eli Yaffe
- Departments of Nursing (Drs Avraham and Grinstein-Cohen) and Emergency Medicine (Drs Wacht and Yaffe), Recanati School for Community Health Professions, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel; and Magen David Adom, Israel (Drs Wacht and Yaffe)
| | - Orli Grinstein-Cohen
- Departments of Nursing (Drs Avraham and Grinstein-Cohen) and Emergency Medicine (Drs Wacht and Yaffe), Recanati School for Community Health Professions, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel; and Magen David Adom, Israel (Drs Wacht and Yaffe)
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Allen L, Cooper S, Missen K. Perceptions of being a registered nurse (PRN): development and validation of a survey tool. BMC Nurs 2023; 22:159. [PMID: 37165374 PMCID: PMC10170037 DOI: 10.1186/s12912-023-01324-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2022] [Accepted: 04/29/2023] [Indexed: 05/12/2023] Open
Abstract
BACKGROUND Nursing students enter nursing programs with idealistic perceptions of what it is to be a nurse. Upon graduation, many find these perceptions mismatched with the actual nurse's role. This can lead to discontentment in their chosen career. These issues highlight the importance of nursing students developing an understanding of the nurse's role during their undergraduate nursing education. One way to accomplish this is to assess perceptions and address them accordingly during the nursing program. Survey tools assessing perceptions of nursing exist but lack contemporary and multicultural foci. AIM To develop a feasible, valid, and reliable survey tool to identify nursing students' perceptions of being a nurse. DESIGN/METHODS In Phase 1, a literature review and Nominal Group Technique meetings were used to generate primary survey items. Phase 2 included a pre-pilot and online pilot testing of the Perceptions of being a Registered Nurse (PRN) survey tool with 797 nursing students across all year levels at three Australian Universities. RESULTS The 34-item PRN survey tool uses a five-point Likert scale to measure nursing students' perceptions of nursing, including factors influencing a nurse's well-being, attributes and qualities of nurses, the role of the nurse, and nursing professionalism. The Item-Content validity index was high (> 0.78), and the inter-item correlation validity was identified by Pearson's product-moment coefficient of r = .712. Internal reliability was confirmed with a Cronbach's alpha = 0.83. Based upon the participation completion rate, the survey tool was deemed applicable and feasible. The majority of respondents believed that nurses have altruistic attributes; however, perceptions of nursing varied significantly when rating factors influencing the physical, emotional, and social well-being of a nurse. In later stages of training, respondents were more likely to agree that nursing is physically and emotionally demanding and that nurses experience social isolation due to shift work, finding it difficult to achieve a work-life balance. CONCLUSIONS The PRN survey tool was found to be valid, reliable, and feasible. Future use and outcomes from PRN assessments may lead to changes to nursing curricula that enhance nursing students' perceptions of nursing.
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Affiliation(s)
- Louise Allen
- Institute of Health and Wellbeing, Federation University, Room 2W-144, Gippsland Campus, Churchill, VIC, Australia.
| | - Simon Cooper
- Healthcare Research, Institute of Health and Wellbeing, Federation University, Berwick Campus, Berwick, VIC, Australia
| | - Karen Missen
- Institute of Health and Wellbeing, Federation University, Gippsland Campus, Churchill, VIC, Australia
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Cazalilla-Parras S, Martínez-Linares JM, Yuba-Francia J, López-Entrambasaguas OM. Nursing students in Saharan refugee camps: Expectations and options of professional future from a qualitative perspective. Nurse Educ Pract 2022; 65:103466. [DOI: 10.1016/j.nepr.2022.103466] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2022] [Revised: 10/02/2022] [Accepted: 10/10/2022] [Indexed: 11/29/2022]
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Bachelor of Science in Nursing students' perceptions of being a nurse: A scoping review. J Prof Nurs 2022; 42:281-289. [DOI: 10.1016/j.profnurs.2022.07.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2022] [Revised: 07/24/2022] [Accepted: 07/29/2022] [Indexed: 11/20/2022]
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Edwards L, Corley AG, Lucea MB. An assessment of the Libyan baccalaureate nursing education during political turmoil. Public Health Nurs 2022; 39:831-838. [PMID: 35005798 DOI: 10.1111/phn.13047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2021] [Revised: 11/18/2021] [Accepted: 12/22/2021] [Indexed: 11/30/2022]
Abstract
Since the Libyan Revolution in 2011, the country's nursing workforce has been struggling. Libyan nursing schools have focused on rebuilding the country's supply of nurses after many emigrated. Wanting to infuse the workforce with more baccalaureate-prepared nurses, Libyan nursing faculty invited nursing and public health representatives from a US-based academic medical institution and a non-governmental medical organization to collaborate with local stakeholders in a country-wide assessment. The purpose of this article is to outline the national programs' strengths and weaknesses and make recommendations for developing a strategy to elevate nursing education to meet international standards. This can serve as a launching point to strengthen Libya's health services provision capacity, particularly during this time of transition when opportunities may become available to move in new directions. The approach and findings may have wider application to other countries who are similarly experiencing civil and political turmoil.
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Affiliation(s)
- Lori Edwards
- University of Maryland School of Nursing, Baltimore, Maryland
| | - Andrew G Corley
- Johns Hopkins University School of Nursing, Baltimore, Maryland
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Skela-Savič B, Klemenčič Mirazchiyski E, Lobe B. Perceptions of Slovenian elementary schoolchildren on nursing and nurses-Exploratory study. Nurse Educ Pract 2021; 53:103083. [PMID: 34058572 DOI: 10.1016/j.nepr.2021.103083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2020] [Revised: 05/01/2021] [Accepted: 05/11/2021] [Indexed: 11/19/2022]
Abstract
AIM The research aimed to assess the perception on nursing and nurses among schoolchildren of Slovenian elementary schools. BACKGROUND Among the general public, nursing remains under-recognized as an occupation and a science. Especially young people have unrealistic perceptions of nurses. DESIGN A cross-sectional research design was undertaken. METHODS The study included 1984 eighth grade schoolchildren from 103 elementary schools. Data were collected with a structured questionnaire. RESULTS The research results revealed a positive general perception of nursing. Surprisingly, only 2.5% of respondents would consider a career in nursing. Girls had more understanding of nursing compared to boys (p < 0.001); having a nurse relative meant better understanding of nursing (p = 0.032). The influence of the traditional view of nursing and the biomedical model of care which describes nursing not as autonomous, but as subordinate to medicine, was considerate (p < 0.001). CONCLUSIONS The study shows that elementary school children do not express an interest in a career in nursing. They perceive the job of a nurse as female-dominated, they cling to the traditional perception of nursing being subordinate to medicine, and they indicated dominance of the biomedical model of care. Healthcare policy makers must remember that healthcare systems cannot function without nurses, so developing nursing is crucial. To increase interest in the profession, a national campaign promoting nursing programs and the nursing profession and presenting horizontal and vertical career opportunities is needed. Young people must have realistic information on nursing as an occupation and a science, its role in the healthcare system, and career opportunities. Activities aimed at changing public opinion on nursing must be planned.
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Affiliation(s)
- Brigita Skela-Savič
- Full Professor (delite Research Councilor), Head of Angela Boškim Institute for Research in Healthcare Sciences, Angela Boškin Faculty of Health Care, Spodnji Plavž 3, 4270 Jesenice, Slovenia.
| | - Eva Klemenčič Mirazchiyski
- Head of Center for applied epistemology Educational Research Institute Gerbičeva 62, 1000 Ljubljana, Slovenia.
| | - Bojana Lobe
- Faculty of Social Sciences, University of Ljubljana, Kardeljeva ploščad 5, 1000 Ljubljana, Slovenia.
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Kandil F, El Seesy N, Banakhar M. Factors Affecting Students’ Preference for Nursing Education and their Intent to Leave: A Cross-sectional Study. Open Nurs J 2021. [DOI: 10.2174/1874434602115010001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Introduction:Insufficient research has been conducted into the factors that prompt young students to select nursing education as a profession in Saudi Arabia.Aim:The aim of the study is to identify factors affecting students' preference for nursing education and their intent to leave.Methods:This study follows a descriptive cross-sectional research design, with data collected by adapting the Tan-Kuick questionnaire to measure second-year nursing students’ (n=162) preference for nursing education and intent to leave one academic institution in Saudi Arabia.Results:Nursing image is identified as the major factor influencing the nursing students’ preference for nursing education in Saudi Arabia (69.89 ± 16.49), and parents' image of nursing is identified as the factor with the least amount of influence (34.52 ± 22.04). Additionally, more than half of the nursing students surveyed report intending to leave the nursing profession. Regarding the reasons for their intent to leave, a total of 70% of the surveyed nursing students report having no interest in the nursing profession. Family disagreement and societal image are also identified as common prompts to leave nursing.Conclusion:The study recommends the use of media to enhance the image of the nursing profession through the presentation of role models that talk to the students and encourage and motivate them to engage in the working life of a nurse. In addition, the study suggests replicating the longitudinal study for the same group in their third and fourth year of study to see if they leave the nursing profession.
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One-third of postoperative pediatric orthopedic patients pursue a career path in the healthcare field: a multicenter study. J Pediatr Orthop B 2021; 30:101-102. [PMID: 33021512 DOI: 10.1097/bpb.0000000000000813] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Rodríguez-Gázquez MDLÁ, Basurto Hoyuelos S, González-López JR. Countries' cultures and professional nursing values: Cross-cultural evidence from Spanish and Colombian nursing students. Nurse Educ Pract 2020; 50:102953. [PMID: 33373879 DOI: 10.1016/j.nepr.2020.102953] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2020] [Revised: 10/20/2020] [Accepted: 12/12/2020] [Indexed: 11/25/2022]
Abstract
This study aimed to identify countries' cultural values associated with the importance given to certain professional nursing values by nursing students from Spain and Colombia. Weis and Schank's Nurses Professional Values Scale-Revised (NPVS-R) in its Spanish version and the Hofstede cultural classification were used for this purpose. The sample was composed of 880 nursing students. Nursing students from both countries showed a greater importance for professional nursing values compared to evidence from other countries. Significant differences were also found in the total score, dimensions, and items, always being higher for Colombian students. Based on regression results, the impact that the academic year had on the importance given to NPVS-R is non-linear (U-inverted). Both groups of students gave the highest importance to the same group of items. Those showing the largest difference in the rankings were associated with country culture differences based on the scores identified by Hofstede. Colombian and Spanish societies present similarities in Power Distance and Uncertainty Avoidance, as well as differences in the other cultural dimensions.
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Affiliation(s)
| | - Salomé Basurto Hoyuelos
- School of Nursing of Vitoria/Gasteiz, Spain. C/ Jose Atxotegi, s/n. 01009, Vitoria-Gasteiz, Álava, Spain.
| | - José Rafael González-López
- Department of Nursing, Faculty of Nursing, Physiotherapy and Podiatry, Universidad de Sevilla, Spain. C/ Avenzoar, n° 6, 41009, Seville, Spain.
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De Braganca AV, Nirmala R. Nurses’ Perception about Stakeholders’ Image of a Nurse. JOURNAL OF HEALTH AND ALLIED SCIENCES NU 2020. [DOI: 10.1055/s-0040-1716810] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Abstract
Introduction The diversity in the public image about nurses, the nursing profession, and the comprehension about the true functions and domains of nurses’ job engagement is one of the powerful contrivances that impact nurses’ self-esteem and authority, and recruitment and retention in the health industry.
Objective This study aims at identifying the difference between nurses’ perception about the different stakeholders’ image of a nurse.
Methods Self-reports on nurses’ perception about doctors’ image of a nurse, patients’ image of a nurse, other hospital staffs’ image of a nurse, and self-perception about a nurse were collected from a sample of 749 registered nurses selected using stratified random sampling from different settings across the state. Data were collected using an adapted version of the Porter Nursing Image Scale.
Results Data were tested for the mean and standard deviation (SD); and within-subjects difference using the general linear model and repeated measures analysis of variance indicated a difference in the nurses’ perception about image of a nurse with respect to doctors (mean = 53.22; SD = 6.5), patients (mean = 51.91; SD = 6.9), other hospital staff (mean = 53.05; SD = 6.8), and self (mean = 58.36; SD = 6.9), with F(2.625, 1963.5) = 352.656, p < 0.000, and R
2 = 0.32.
Conclusion The findings indicate a difference in the nurses’ perception about the stakeholders’ image of a nurse. This research suggests the need for strategies toward promoting positive nurse image among stakeholders.
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Affiliation(s)
| | - R. Nirmala
- Goa Business School, Goa University, Goa, India
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Kim SY, Shin YS. Structural Model of Professional Socialization of Nursing Students With Clinical Practice Experience. J Nurs Educ 2020; 59:133-141. [DOI: 10.3928/01484834-20200220-03] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2019] [Accepted: 11/04/2019] [Indexed: 11/20/2022]
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van den Boogaard TC, Roodbol PF, Poslawsky IE, Ten Hoeve Y. The orientation and attitudes of intermediate vocational trained nursing students (MBO-V) towards their future profession: A pre-post survey. Nurse Educ Pract 2019; 37:124-131. [PMID: 31153129 DOI: 10.1016/j.nepr.2019.04.007] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2017] [Revised: 11/04/2018] [Accepted: 04/13/2019] [Indexed: 11/16/2022]
Abstract
Students' perceptions of nursing influence recruitment and retention in nursing education. Nursing education in the Netherlands differentiates two levels: Bachelor's (HBO-V) and intermediate vocational (MBO-V) level training, with MBO-V students accounting the majority. To avoid the expected nursing shortages, these students' perceptions of nursing need to be explored. We aimed to examine the orientation and attitudes of MBO-V students towards their future profession and their relation to demographic characteristics. A descriptive survey with a pretest-posttest design was conducted. Newly enrolled MBO-V students completed a questionnaire at the beginning and after five months of education, consisting of the Nursing Orientation Tool, the Nursing Attitude Questionnaire and demographic characteristics. The Wilcoxon signed-rank test, Mann-Whitney U test and regression analysis were used for data analyses. At the first time point, students agreed most with statements related to caring, nursing expertise, advocacy, empathy, and knowledge. After five months, students were more life-oriented, while caring, nursing expertise, advocacy, and empathy decreased. Selecting nursing as a first-choice programme and aiming for a nursing career influenced students' orientation and attitudes towards nursing positively. Being aware of students' orientation and attitudes towards nursing can help nursing educators in recruitment and retention strategies.
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Affiliation(s)
- T C van den Boogaard
- NHL Stenden University of Applied Sciences, Academy of Healthcare, Postbus 1080, 8900, CB, Leeuwarden, the Netherlands.
| | - P F Roodbol
- University of Groningen, University Medical Center Groningen, Health Sciences, Nursing Research, P.O. Box 30.001, 9700, RB, Groningen, the Netherlands.
| | - I E Poslawsky
- University Medical Center Utrecht, the Netherlands, Division of Neuroscience, and Lecturer Nursing Science, Program in Clinical Health Sciences, 3584, CX, Utrecht, the Netherlands.
| | - Y Ten Hoeve
- University of Groningen, University Medical Center Groningen, Health Sciences, Nursing Research, P.O. Box 30.001, 9700, RB, Groningen, the Netherlands.
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Fang W, Zhang Y, Mei J, Chai X, Fan X. Relationships between optimism, educational environment, career adaptability and career motivation in nursing undergraduates: A cross-sectional study. NURSE EDUCATION TODAY 2018; 68:33-39. [PMID: 29885567 DOI: 10.1016/j.nedt.2018.05.025] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/15/2017] [Revised: 04/17/2018] [Accepted: 05/27/2018] [Indexed: 05/15/2023]
Abstract
BACKGROUND For solving the problem of the abandonment of the career in nursing undergraduates, it is important to understand their motivation to choose nursing as a career and its associated personal and situational factors. OBJECTIVES To examine the relationships between optimism, educational environment, career adaptability, and career motivation in nursing undergraduates using the career construction model of adaptation. DESIGN This study adopted a cross-sectional design. PARTICIPANTS AND METHODS A convenience sample of 1060 nursing undergraduates from three universities completed questionnaires for measuring optimism, educational environment, career adaptability, and career motivation. Confirmatory factor analyses, descriptive analyses, comparison analyses, correlation analyses, and mediation analyses were performed accordingly. RESULTS Nursing undergraduates' career motivation was positively correlated with their career adaptability (r = 0.41, P < 0.01), the educational environment (r = 0.60, P < 0.01), and optimism (r = 0.26, P < 0.01). In addition, the effects of optimism and educational environment on career motivation were partially mediated by career adaptability in nursing undergraduates. CONCLUSIONS In nursing undergraduates, the educational environment had a relatively strong positive association with career motivation, while optimism had a weak one. Career adaptability played a mediating role in the relationships. Targeted interventions may improve nursing undergraduates' career motivation.
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Affiliation(s)
- Wenjie Fang
- School of Nursing, Shandong University, 44# Wenhua Xi Road, Jinan, Shandong, PR China
| | - Yanting Zhang
- School of Nursing, Shandong University, 44# Wenhua Xi Road, Jinan, Shandong, PR China
| | - Jiaojiao Mei
- School of Nursing, Shandong University, 44# Wenhua Xi Road, Jinan, Shandong, PR China
| | - Xiaohui Chai
- School of Nursing, Shandong University, 44# Wenhua Xi Road, Jinan, Shandong, PR China
| | - Xiuzhen Fan
- School of Nursing, Shandong University, 44# Wenhua Xi Road, Jinan, Shandong, PR China.
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Wu LT, Wang W, Holroyd E, Lopez V, Liaw SY. Factors deterring dentistry, medical, pharmacy, and social science undergraduates from pursuing nursing as a healthcare career: a cross-sectional study in an Asian university. BMC MEDICAL EDUCATION 2018; 18:23. [PMID: 29373973 PMCID: PMC5787325 DOI: 10.1186/s12909-018-1118-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/11/2017] [Accepted: 01/05/2018] [Indexed: 06/07/2023]
Abstract
BACKGROUND Globally more registered nurses need to be recruited to meet the needs of aging populations and increased co-morbidity. Nursing recruitment remains challenging when compared to other healthcare programs. Despite healthcare students having similar motivation in joining the healthcare industry, many did not consider nursing as a career choice. This study aims to identify the deterrents to choosing nursing among healthcare undergraduates by examining the differences in the factors influencing healthcare career choices and nursing as a career choice. METHODS A cross sectional study was conducted using a 35-parallel items instrument known as Healthcare Career Choice and Nursing Career Choice scale. Six hundred and four (n = 604) first year medical, pharmacy, dentistry and social science students from a university in Singapore completed the survey. RESULTS Nursing as a career was perceived by healthcare students to be more likely influenced by prior healthcare exposure, the nature of the work, job prospects, and social influences. Lack of autonomous decision making, perceived lower ability to make diagnosis, having to attend to patients' hygiene needs, engendered stigma, and lack of parental support were identified as deterring factors to choosing nursing as a career. CONCLUSION An understanding of the deterrents to choosing nursing as career allows policy makers and educational leaders to focus on recruitment strategies. These include providing more exposure to nurses' roles in early school years, helping young people to overcome the fear of providing personal hygiene care, promoting nurses' autonomous nursing practice, addressing gender stigma, and overcoming parental objection.
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Affiliation(s)
- Ling Ting Wu
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Level 2, Clinical Research Centre, Block MD11 10 Medical Drive, Singapore, 117597 Singapore
| | - Wenru Wang
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Level 2, Clinical Research Centre, Block MD11 10 Medical Drive, Singapore, 117597 Singapore
| | - Eleanor Holroyd
- Nursing Research Capacity Building, Aga Khan University, P. O. Box 8842, Kampala, Uganda East Africa
| | - Violeta Lopez
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Level 2, Clinical Research Centre, Block MD11 10 Medical Drive, Singapore, 117597 Singapore
| | - Sok Ying Liaw
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Level 2, Clinical Research Centre, Block MD11 10 Medical Drive, Singapore, 117597 Singapore
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Yousef S, Athamneh M, Masuadi E, Ahmad H, Loney T, Moselhy HF, Al-Maskari F, ElBarazi I. Association between Depression and Factors Affecting Career Choice among Jordanian Nursing Students. Front Public Health 2017; 5:311. [PMID: 29214151 PMCID: PMC5703015 DOI: 10.3389/fpubh.2017.00311] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2017] [Accepted: 11/06/2017] [Indexed: 11/24/2022] Open
Abstract
Background Although stress reaction is high among nursing staff and nursing students in the Middle East and its effect on life is known, there are scant studies reporting on these clinical and social features. In addition, there are no studies reporting on factors that influence career choice among this group. Aim This study aimed to investigate factors that influence career choice among nursing students and their possible association with depressive symptoms. Method Participants were 150 (84.7% response rate) nursing students randomly selected from each academic year at the Nursing College/Jordan University of Science and Technology. Participants consented and completed the socio-demographic data collection sheet. The Arabic version of the Beck Depression Inventory-II Scale was used to assess participants with respect to depressive symptoms. A modified list of factors influencing career choice and a Likert scale to assess the level of sadness and the degree of religiosity were used as well. Results Students ranked the most important three factors influencing their career selection as family decision, religious factors, and the desire to care for others. The prevalence of depression among the sample was 26%. Students who had a desire to care for others were less likely to suffer from depression and those who chose nursing as their career due to religious factors were significantly less depressed than those who did not. Meanwhile, students who chose nursing under family pressure or because of a lack of alternative opportunities were more depressed. The odds ratio for depressive symptoms was 0.24 when students chose nursing because of religious factors, whereas it was 4.92 when the family strongly influenced the student’s career decision and 3.61 when a nursing career was the only perceived opportunity available. Conclusion The main factors associated with depression among this sample of nursing students were pressure from their family to choose a nursing career and having no other career or employment opportunities. Religiosity was negatively associated with depression and may act as a protective factor; however, future studies using longitudinal designs will need to confirm this hypothesis.
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Affiliation(s)
- Said Yousef
- Department of Psychiatry, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates
| | | | - Emad Masuadi
- King Saud bin Abdulaziz University, College of Medicine, Riyadh, Saudi Arabia
| | - Haitham Ahmad
- Jordan University of Science and Technology, Irbid, Jordan
| | - Tom Loney
- College of Medicine and Health Sciences, Institute of Public Health, United Arab Emirates University, Al Ain, United Arab Emirates
| | - Hamdy F Moselhy
- Department of Psychiatry, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates
| | - Fatma Al-Maskari
- College of Medicine and Health Sciences, Institute of Public Health, United Arab Emirates University, Al Ain, United Arab Emirates
| | - Iffat ElBarazi
- College of Medicine and Health Sciences, Institute of Public Health, United Arab Emirates University, Al Ain, United Arab Emirates
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Glerean N, Hupli M, Talman K, Haavisto E. Young peoples' perceptions of the nursing profession: An integrative review. NURSE EDUCATION TODAY 2017; 57:95-102. [PMID: 28755570 DOI: 10.1016/j.nedt.2017.07.008] [Citation(s) in RCA: 47] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/31/2017] [Revised: 06/20/2017] [Accepted: 07/12/2017] [Indexed: 06/07/2023]
Abstract
OBJECTIVES The purpose of this integrative review was to describe young people's perceptions of the nursing profession and to identify factors influencing the perception. DESIGN Integrative literature review. DATA SOURCES The CINAHL, PubMed and Medic electronic databases were searched for research publications between 2006 and 2016. The keywords used were: perception, attitude, belief, view, knowledge, image, nurse, nursing care, career, profession, role, teen, middle school student, high school student, adolescent and pupil. A manual search was conducted of the reference lists of the identified articles. REVIEW METHODS Whittemore and Knafl's method for conducting an integrative review was utilized. The quality of the chosen articles was assessed with Joanna Briggs Institute's quality appraisal tools. FINDINGS The search resulted in eight articles. Young people described the nature of nursing work with poor working conditions, shift work and a limited level of autonomy. Nursing work was mainly seen as caring for and helping patients which was considered inferior to doctors' work. Young people did not recognize the educational requirements or the career pathways in nursing and described the status of nursing as low in society. Nurses were considered as kind and caring people who work hard and are less intellectual. The factors influencing the perception were family and relatives, friends, media, significant others and personal factors. CONCLUSIONS Perceptions of young people do not reflect the reality of the nursing profession and the perceived image of nursing has not changed in the last ten years. Young people and the public need realistic information of the nursing profession and the actions to change the image should take place at all levels of the society. Further research is needed to understand how the perceptions of the young people can be influenced and changed to reflect a more realistic image of a contemporary nurse.
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Affiliation(s)
- Niina Glerean
- Department of Nursing Science, University of Turku, 20014, Finland.
| | - Maija Hupli
- Department of Nursing Science, University of Turku, 20014, Finland.
| | - Kirsi Talman
- Department of Nursing Science, University of Turku, 20014, Finland.
| | - Elina Haavisto
- Department of Nursing Science, Hospital District of Satakunta, University of Turku, 20014, Finland.
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Liaw SY, Wu LT, Chow YL, Lim S, Tan KK. Career choice and perceptions of nursing among healthcare students in higher educational institutions. NURSE EDUCATION TODAY 2017; 52:66-72. [PMID: 28267629 DOI: 10.1016/j.nedt.2017.02.008] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/03/2016] [Revised: 01/26/2017] [Accepted: 02/08/2017] [Indexed: 06/06/2023]
Abstract
BACKGROUND Due to the ageing population and competition from other healthcare courses, a greater demand in the healthcare workforce has made it challenging for educational institutions to attract school leavers to enter nursing courses. Understanding the considerations of students who have chosen non-nursing healthcare courses and their perceptions of nursing can help identify specific strategies to enhance the attractiveness of nursing course. This study aims to examine the differences between healthcare career choices and perceptions of nursing as a career choice among first-year non-nursing healthcare students. METHOD A descriptive survey design was conducted at the beginning of the healthcare courses of seven healthcare groups and from four higher educational institutions in Singapore. A total of 451 students responded, yielding an overall response rate of 52.7%. The online survey was administered using a valid and reliable 35-item parallel scale, known as the Healthcare Career Choice and Nursing Career Choice. RESULTS The participants perceived prior healthcare exposure as the most influential factor and self-efficacy as the least influential factor when choosing nursing as a career. In comparison to their own healthcare career choices, nursing was perceived to have greater gender stigma and, as nurses, they would be less likely to achieve higher qualifications and career advancements, and they would be less likely to enjoy fulfilling careers. They also perceived that they would be less likely to gain their parents' support to pursue nursing and to make their parents proud. CONCLUSIONS This study provides educators and policy-makers with vital information to develop key strategies to improve nursing enrolment in educational institutions. These strategies include early exposure to nursing as a rewarding career during school years, addressing the issue of gender stigma, and promoting information on the career and educational advancement of a registered nurse to parents of school leavers.
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Affiliation(s)
- Sok Ying Liaw
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
| | - Ling Ting Wu
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
| | - Yeow Leng Chow
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
| | - Siriwan Lim
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
| | - Khoon Kiat Tan
- School of Health Sciences, Nanyang Polytechnic, Singapore.
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20
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Liaw SY, Wu LT, Lopez V, Chow YL, Lim S, Holroyd E, Tan KK, Wang W. Development and psychometric testing of an instrument to compare career choice influences and perceptions of nursing among healthcare students. BMC MEDICAL EDUCATION 2017; 17:72. [PMID: 28449685 PMCID: PMC5408422 DOI: 10.1186/s12909-017-0910-7] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 04/21/2016] [Accepted: 04/20/2017] [Indexed: 06/07/2023]
Abstract
BACKGROUND With the availability of more healthcare courses and an increased intake of nursing students, education institutions are facing challenges to attract school leavers to enter nursing courses. The comparison of career choice influences and perception of nursing among healthcare students can provide information for recruitment strategies. An instrument to compare the influences of healthcare career choice is lacking. The purpose of this study is to develop and evaluate the psychometric properties of an instrument to compare the influences of healthcare career choice with perceptions of nursing as a career choice. METHODS The study was conducted in two phases. In phase one, two sets of scales with parallel items that measure the influences of healthcare career choice and perceptions of nursing as a career choice were developed through an earlier qualitative study, literature review, and expert validation. Phase two involved testing the construct validity, concurrent validity and reliability with a convenience sample of 283 first year healthcare students who were recruited at two education institutions in Singapore. RESULTS An exploratory factor analysis revealed 35-parallel items in a six-factor solution (personal interest, prior healthcare exposure, self-efficacy, perceived nature of work, job prospects, and social influences) that explained 59 and 64% of the variance for healthcare career choice and nursing as a career choice respectively. A high correlation (r = 0.76, p < 0.001) was obtained with an existing tool, confirming the concurrent validity. The internal consistency was sufficient with Cronbach's alpha of 0.93 for healthcare career choice and 0.94 for nursing as a career choice. The test-retest reliability was acceptable with an Intraclass Correlation Coefficient of 0.63 for healthcare career choice and 0.60 for nursing as a career choice. CONCLUSIONS The instrument provides opportunities for understanding the differences between influences of healthcare career choice and perceptions of nursing as a career choice. This comparative understanding of career choice influences can guide educator and policy-makers on nursing recruitment.
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Affiliation(s)
- Sok Ying Liaw
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Level 2, Clinical Research Centre, Block MD11 10 Medical Drive, Singapore, 117597 Singapore
| | - Ling Ting Wu
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Level 2, Clinical Research Centre, Block MD11 10 Medical Drive, Singapore, 117597 Singapore
| | - Violeta Lopez
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Level 2, Clinical Research Centre, Block MD11 10 Medical Drive, Singapore, 117597 Singapore
| | - Yeow Leng Chow
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Level 2, Clinical Research Centre, Block MD11 10 Medical Drive, Singapore, 117597 Singapore
| | - Siriwan Lim
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Level 2, Clinical Research Centre, Block MD11 10 Medical Drive, Singapore, 117597 Singapore
| | - Eleanor Holroyd
- Auckland University of Technology, 90 Akoranga Drive, Northcote, Auckland New Zealand
| | - Khoon Kiat Tan
- School of Health Sciences, Nanyang Polytechnic, Singapore, Singapore
| | - Wenru Wang
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Level 2, Clinical Research Centre, Block MD11 10 Medical Drive, Singapore, 117597 Singapore
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Ten Hoeve Y, Castelein S, Jansen WS, Jansen GJ, Roodbol PF. Nursing students' changing orientation and attitudes towards nursing during education: A two year longitudinal study. NURSE EDUCATION TODAY 2017; 48:19-24. [PMID: 27697678 DOI: 10.1016/j.nedt.2016.09.009] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/12/2016] [Revised: 08/26/2016] [Accepted: 09/19/2016] [Indexed: 05/23/2023]
Abstract
BACKGROUND Previous studies have shown that nursing students' perceptions of nursing change over time. Little research has been undertaken in the Netherlands of students entering nursing programmes and of how they progress. OBJECTIVES The aims of this study were to explore whether nursing students' orientation and attitudes towards nursing changed over time, when these changes occurred, and what factors influenced the changes. We also aimed to identify the factors which prompted them to consider leaving their programmes, and what factors affected their motivation to stay. DESIGN The study used a longitudinal quantitative design. PARTICIPANTS Questionnaires were administered to all students enrolled in a Bachelor's of Nursing programme at four nursing universities of applied sciences in the Netherlands (n=1414). The data for this study were collected during the first two years of the programme, from September 2011 to June 2013. A total of 123 respondents completed the survey each year and this group was used to examine changes over time. METHODS At four time intervals respondents completed a survey consisting of 1) the Nursing Orientation Tool, 2) the Nursing Attitude Questionnaire and 3) background characteristics. Non-parametric tests were used to explore changes in factor scores over time. RESULTS The results showed an improvement in the students' orientation and attitudes towards knowledge, skills and the professional roles of nurses, while empathic behaviour decreased over time. Although the changes showed non-linear patterns over time, the results showed clear effects between the different time points. The reasons for attrition (24%) proved to be related both to problems with the educational programme and to personal problems. An important motivator for students to stay in the course was their passionate desire to become nurses, suggesting that the positive aspects of a nursing career dominated the problems they encountered. CONCLUSIONS Tutors and mentors should pay more attention to the individual perceptions and problems of first and second-year students, both in the classroom and during clinical placements. Knowledge of the students' perceptions from the very beginning could be vital to study success.
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Affiliation(s)
- Yvonne Ten Hoeve
- University of Groningen, University Medical Center Groningen, School of Nursing & Health, P.O. Box 30.001, 9700 RB Groningen, The Netherlands.
| | - Stynke Castelein
- Lentis Research, Lentis Psychiatric Institute, P.O. Box 86, 9700 AB Groningen, The Netherlands.
| | - Wiebren S Jansen
- Utrecht University, Department of Social and Organizational Psychology, Heidelberglaan 1, 3584 CS Utrecht, The Netherlands.
| | - Gerard J Jansen
- Hanze University of Applied Sciences, School of Nursing, Master of Advanced Nursing Practice, Eyssoniusplein 18, 9714 CE Groningen, The Netherlands.
| | - Petrie F Roodbol
- University of Groningen, University Medical Center Groningen, School of Nursing & Health, P.O. Box 30.001, 9700 RB Groningen, The Netherlands; Hanze University of Applied Sciences, School of Nursing, Master of Advanced Nursing Practice, Eyssoniusplein 18, 9714 CE Groningen, The Netherlands.
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Wu LT, Low MMJ, Tan KK, Lopez V, Liaw SY. Why not nursing? A systematic review of factors influencing career choice among healthcare students. Int Nurs Rev 2016; 62:547-62. [PMID: 26572517 DOI: 10.1111/inr.12220] [Citation(s) in RCA: 53] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
BACKGROUND A global shortage of healthcare professionals calls for effective recruitment and retention strategies. The nursing profession faces greater staffing shortages compared with other healthcare professions. Identifying these factors for choosing a career in health care is an important step in structuring future nursing recruitment strategies. AIM This systematic review examined the motivations for choosing a career in health care, then compared them to factors that influence the choice to pursue a career in nursing. METHODS A literature search of the CINAHL, PubMed, Web of Science and Scopus databases for articles published between 2002 and 2013 was conducted. The search included studies that focused on factors influencing career choice among undergraduate medicine, dentistry, pharmacy and nursing students. RESULTS A total of 29 papers were included in the review. The themes and subthemes that emerged from this review included: (1) intrinsic factors, including a desire to help others and a personal interest in health care, (2) extrinsic factors, such as financial remuneration, job security, professional prestige and job autonomy, (3) socio-demographic factors such as gender and socio-economic status, and (4) interpersonal factors, encompassing the influence of family and other professional individuals. DISCUSSION Healthcare professionals were generally motivated by intrinsic factors. However, public perceptions of nursing as a low-paying and low-status job have significantly hindered the participants' choice to pursue it as a career. CONCLUSION AND IMPLICATIONS FOR NURSING AND/OR HEALTH POLICY Nursing institutions could provide more platforms to help school leavers better understand the nursing career. In turn, hospital administrators could invite parents to nursing career fairs, increase financial remuneration for nurses, and provide decision-making avenues aimed at recruiting and retaining more nurses.
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Affiliation(s)
- L T Wu
- National University Hospital, Singapore
| | - M M J Low
- National University Hospital, Singapore
| | - K K Tan
- Department of Nursing Science, Faculty of Health Science, University of Eastern Finland, Kuopio, Finland
| | - V Lopez
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
| | - S Y Liaw
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
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23
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Arreciado Marañón A, Isla Pera MP. Contradictory views of nursing care among students at the end of their nursing education. J Adv Nurs 2016; 73:410-420. [DOI: 10.1111/jan.13114] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/26/2016] [Indexed: 11/29/2022]
Affiliation(s)
| | - Mª Pilar Isla Pera
- Public Health, Mental Health and Maternal Department; Universitat de Barcelona; Spain
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Marcinowicz L, Owlasiuk A, Slusarska B, Zarzycka D, Pawlikowska T. Choice and perception of the nursing profession from the perspective of Polish nursing students: a focus group study. BMC MEDICAL EDUCATION 2016; 16:243. [PMID: 27644123 PMCID: PMC5029103 DOI: 10.1186/s12909-016-0765-3] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/29/2016] [Accepted: 09/14/2016] [Indexed: 05/24/2023]
Abstract
BACKGROUND Although previous quantitative studies provide important information on the factors which influence the choice of nursing as a career, qualitative analysis makes it possible to study the subject more thoroughly. The purpose of this study was to conduct an in-depth analysis of the reasons why Polish students choose nursing as a profession and their later perception of the job based on experiences acquired during the nursing course. METHODS A qualitative descriptive study was designed. We organized 8 focus group discussions with third-year nursing students. A total of 76 students participated in the study. RESULTS Several reasons why students had chosen the nursing profession were identified: desire to help others, family tradition, desire to work abroad, failure to get into another course, pure chance, and low admission requirements (relative to medical studies). The participants' views of the nursing profession were based on their own personal experiences or observations of nurses at work. Often these observations were superficial, concerning only selected fragments of nursing work. The participants also identified reasons for there being low regard for the nursing profession. CONCLUSION The decision about choosing nursing is mainly determined by practical aspects, e.g., the opportunity for employment. Although young people are aware of the low prestige of the nursing profession in Poland, they believe it is possible to improve its image and enhance its prestige.
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Affiliation(s)
- Ludmila Marcinowicz
- Department of Primary Health Care, Medical University of Bialystok, Mieszka I 4 B, 15 054 Bialystok, Poland
| | - Anna Owlasiuk
- Department of Primary Health Care, Medical University of Bialystok, Mieszka I 4 B, 15 054 Bialystok, Poland
| | - Barbara Slusarska
- Chair of Community Nursing, Department of Oncology and Environmental Health Care, Faculty of Health Sciences, Medical University of Lublin, Lublin, Poland
| | - Danuta Zarzycka
- Department of Paediatric Nursing, Faculty of Health Sciences, Medical University of Lublin, Lublin, Poland
| | - Teresa Pawlikowska
- Health Professions Education Centre, Royal College of Surgeons in Ireland, Dublin, Ireland
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25
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Liaw S, Wu L, Holroyd E, Wang W, Lopez V, Lim S, Chow Y. Why not nursing? Factors influencing healthcare career choice among Singaporean students. Int Nurs Rev 2016; 63:530-538. [DOI: 10.1111/inr.12312] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- S.Y. Liaw
- Alice Lee Centre for Nursing Studies; Yong Loo Lin School of Medicine; National University of Singapore; Singapore
| | - L.T. Wu
- Alice Lee Centre for Nursing Studies; Yong Loo Lin School of Medicine; National University of Singapore; Singapore
| | - E. Holroyd
- School of Health Sciences; RMIT University; Melbourne Vic Australia
| | - W. Wang
- Alice Lee Centre for Nursing Studies; Yong Loo Lin School of Medicine; National University of Singapore; Singapore
- Pi Iota Chapter; Sigma Theta Tau International Honor Society of Nursing; Indianapolis IN USA
| | - V. Lopez
- Alice Lee Centre for Nursing Studies; Yong Loo Lin School of Medicine; National University of Singapore; Singapore
| | - S. Lim
- Alice Lee Centre for Nursing Studies; Yong Loo Lin School of Medicine; National University of Singapore; Singapore
| | - Y.L. Chow
- Alice Lee Centre for Nursing Studies; Yong Loo Lin School of Medicine; National University of Singapore; Singapore
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26
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Keshet Y, Popper-Giveon A. Work experiences of ethnic minority nurses: a qualitative study. Isr J Health Policy Res 2016; 5:18. [PMID: 27441082 PMCID: PMC4952233 DOI: 10.1186/s13584-016-0076-5] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2015] [Accepted: 05/12/2016] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Recruitment and retention of a diverse ethnic workforce in healthcare settings contribute to the provision of culturally competent care in multicultural contexts. Nevertheless, the work experiences of ethnic minority nurses, which impact the attractiveness of the occupation, job burnout and turnover intentions, are not well understood. The present exploratory research seeks to examine the work experiences of ethnic minority Arab nurses in Israeli public hospitals. Israel is an interesting case study as the number of Arab nurses operating in the Israeli workforce has risen significantly over recent decades; many of them work in mixed Jewish-Arab environments, which are affected by the Israeli-Palestinian conflict. METHODS In-depth interviews with 13 Arab nurses working in Israeli public hospitals. RESULTS The interviewed Arab nurses mentioned various benefits associated with the nursing profession, as well as various difficulties they encounter during their daily work, which are specific to them as ethnic minority nurses. They describe nursing as an occupation that offers numerous employment opportunities, job security, professional development and promotion. They believe that their work as a nurse contributes to the health of the Arab family and community and enhances culturally competent healthcare in Israeli hospitals. However, Arab nurses also feel they are stereotyped; they face disapproving looks, refusal to be treated by them, and incidences of hostility toward them. The dual experience of both integration and rejection shapes their coping strategies. CONCLUSIONS The findings can inform a more systematic study that could potentially examine both nurses' and patients' conceptions of multicultural care. Action should be taken to ensure optimal working conditions for Arab healthcare professionals. Institutional policies and actions are needed to cope with their unique difficulties, such as the appointment of a functionary responsible for minimizing and coping with stereotypical and hostile attitudes.
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Affiliation(s)
- Yael Keshet
- />Western Galilee Academic College, Acre, Israel
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27
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Haron Y, Azuri P. Integrating Ultra-Orthodox Jewish Men in Academic Nursing Training. J Transcult Nurs 2016; 27:627-632. [DOI: 10.1177/1043659615604026] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Affiliation(s)
- Yafa Haron
- Academic College of Tel Aviv-Yaffo, Tel Aviv, Israel
| | - Pazit Azuri
- Academic College of Tel Aviv-Yaffo, Tel Aviv, Israel
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Edberg AK, Lilja Andersson P. The shift from a medical to a nursing orientation: A comparison of Swedish nursing students' expectations when entering the nursing degree programme in 2003 and 2013. NURSE EDUCATION TODAY 2015; 35:e78-e83. [PMID: 26163141 DOI: 10.1016/j.nedt.2015.06.015] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/03/2015] [Revised: 06/11/2015] [Accepted: 06/23/2015] [Indexed: 06/04/2023]
Abstract
BACKGROUND The focus of education in nursing has changed over time with a decreased focus on biomedicine and an increased focus on nursing science. It is therefore important to investigate whether these changes are also reflected in the students' conceptions and expectations of the programme over time. OBJECTIVES The aim of the study was to describe and compare two cohorts of students entering the nursing programme with 10year in between (2003 and 2013), regarding their demographic background, reasons for wanting to become a registered nurse, expectations of the programme and perceptions of the nursing profession. DESIGN AND SETTING The study was a descriptive cross-sectional cohort study carried out at a university in southern Sweden. PARTICIPANTS In all, 177 nursing students participated in the study, 89 from the 2003 cohort and 88 from the 2013 cohort. METHODS Data were collected at the start of the programme using a questionnaire consisting of predefined and open-ended questions. The responses were statistically analysed and compared. RESULTS The students' reasons for wanting to become a registered nurse remained stable over the 10-year period. The main reason stated by the students in both cohort was humanitarian, i. e wanting to help others. The students' expectations regarding both the programme and the nursing profession had, however, changed significantly from a biomedical to a nursing orientation in the 10-year perspective. CONCLUSIONS The change in the students' preconceptions of the nursing education towards increasing importance of nursing science indicates the beginning of a paradigm shift.
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Arreciado Marañón A, Isla Pera MP. Theory and practice in the construction of professional identity in nursing students: a qualitative study. NURSE EDUCATION TODAY 2015; 35:859-863. [PMID: 25863650 DOI: 10.1016/j.nedt.2015.03.014] [Citation(s) in RCA: 88] [Impact Index Per Article: 9.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/16/2015] [Revised: 03/11/2015] [Accepted: 03/20/2015] [Indexed: 06/04/2023]
Abstract
BACKGROUND The problem of nurses' professional identity continues to be seen in the disjunction between theoretical training and clinical placements. Moreover, it is not known how nursing students perceive these contradictions or how this discrepancy influences the construction of professional identity. OBJECTIVE To gain insight into nursing students' perception of their theoretical and practical training and how this training influences the process of constructing their professional identity. DESIGN Qualitative, ethnographic study. PARTICIPANTS/SETTINGS Third-year nursing students at the l'Escola Universitària d'Infermeria Vall d'Hebron de Barcelona. METHODS Participant observation was conducted in the hospital setting and primary care. Discussion groups were held. The constant comparative method was used for the analysis. The study adhered to the criteria of credibility, transferability, dependability and confirmability. RESULTS Students believed that both theoretical and practical trainings were indispensable. Nevertheless, clinical placements were considered essential to confer sense to the theory and to shape their identity, as they helped student nurses to experience their future professional reality and to compare it with what they had been taught in theoretical and academic classes. The role of the clinical placement mentor was essential. With regard to theory, the skills developed in problem-based learning gave novice nurses' confidence to approach the problems of daily practice and new situations. Equally, this approach taught them to reflect on what they did and what they were taught and this ability was transferred to the clinical setting. CONCLUSIONS For students, both strategies (theory and practice) are vital to nursing education and the construction of a professional identity, although pride of place is given to clinical placements and mentors. The skills developed with problem-based learning favor active and reflective learning and are transferred to learning in the clinical setting.
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Affiliation(s)
- Antonia Arreciado Marañón
- Nursing Department, Universitat Autònoma de Barcelona, Can Domènech, Edifici M, Campus de la Universitat Autònoma de Barcelona, 08193 Bellaterra (Cerdanyola del Vallès), Barcelona, Spain.
| | - Ma Pilar Isla Pera
- Public Health, Mental Health and Maternal Department, Universitat de Barcelona, Feixa Llarga s/n, Campus Ciències de la Salut de Bellvitge, 08907 L'Hospitalet de Llobregat, Barcelona, Spain.
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Cheng M, Cheng C, Tian Y, Fan X. Student nurses' motivation to choose gerontological nursing as a career in China: a survey study. NURSE EDUCATION TODAY 2015; 35:843-848. [PMID: 25792382 DOI: 10.1016/j.nedt.2015.03.001] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/27/2014] [Revised: 02/07/2015] [Accepted: 03/03/2015] [Indexed: 06/04/2023]
Abstract
BACKGROUND The world's population is aging, and the need for nurses is increasing. Working with older adults, however, has always been an unpopular career choice among student nurses. It is important to understand student nurses' motivation for choosing gerontological nursing as a career. OBJECTIVES The purpose of this study was to examine the motivation for choosing gerontological nursing as a career and to identify the associated factors among student nurses. DESIGN Cross-sectional survey. SETTINGS AND PARTICIPANTS Participants were last-semester student nurses from 7 universities offering nursing undergraduate programs in Shandong, China. Of the 1290 student nurses, 916 completed the survey (a response rate of 71.0%). METHODS The outcome variable was the motivation to choose gerontological nursing as a career. This was measured using a motivation questionnaire that included expectancy and value subscales. Other instruments included the Chinese version of the Facts on Aging Quiz I, the Geriatrics Attitudes Scale, the Anxiety about Aging Scale, a clinical practice environment questionnaire and a self-administered general information questionnaire. RESULTS Student nurses' expectancy and value aspects of motivation for choosing gerontological nursing as a career were both at a moderate level; the highest value they held was of personal interest. Clinical practice environment, anxiety about aging and the attitudes about geriatrics were the main factors influencing student nurses' motivation to choose gerontological nursing as a career in China. CONCLUSIONS It is imperative for nurse educators to improve the gerontological nursing clinical practice environment for student nurses. Moreover, cultivating student nurses' positive attitudes about geriatrics and relieving anxiety about aging could be beneficial.
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Affiliation(s)
- Min Cheng
- School of Nursing, Shandong University, Jinan, Shandong, PR China.
| | - Cheng Cheng
- School of Nursing, Shandong University, Jinan, Shandong, PR China.
| | - Yan Tian
- School of Nursing, Shandong University, Jinan, Shandong, PR China.
| | - Xiuzhen Fan
- School of Nursing, Shandong University, Jinan, Shandong, PR China.
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