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Nursing Students' Opinions on Facilitating and Hindering Factors in the Clinical Training Setting
Iman Abdullah Mohammed Abdulmutalib,
Naglaa Abdelaziz Mahmoud El Seesy,
Shadia Abdallah Hassan Yousuf
Issue:
Volume 8, Issue 1, February 2019
Pages:
1-8
Received:
3 December 2018
Accepted:
13 December 2018
Published:
19 January 2019
Abstract: Clinical training for nursing students is essential in any nursing program because nursing is a discipline that requires students to apply theoretical knowledge into clinical training setting and acquire various skills to enhance their performance. The study aimed to identify nursing students’ opinions on facilitating and hindering factors in the clinical training setting. A descriptive cross-sectional design was used. The study was conducted in the Faculty of Nursing King Abdulaziz University on 86 student nurses enrolled in 2nd, 3rd, and 4th year. The tool was developed by the researchers and consists of two parts: Part I: Demographic characteristics. Part II: This part includes 42 items, 15 items related to facilitating factors and 27 items hindering factors. The study results showed that there was a statistically significant difference among all three academic years of the student nurses regarding common hindering factors named patient’s morning care, difficulty in being initiative or not being self-reliant, feeling of not being treated seriously/receiving condescending comments from the supervisor, and insufficient supervision or supervisors irritated or not interested. While no statistically significant difference among all three academic years of the student nurses opinions in relation to the common facilitating factors. Conclusions: The common facilitating factors among all students in the present study were patient family cooperation help me to be more confident, having opportunities to practice different tasks gives confidence, more practice makes learning from mistakes, being receiving feedback gives self-confidence, having a good collaboration with staff gives the confidence to ask questions or show weakness, and working with another student-helped make the work and care of the client go smoothly. Furthermore, the common hindering factors among all students were fear of making mistakes, evaluation by faculty, patient’s morning care, lack of time to accomplish the required tasks, difficulty in being initiative or not being self-reliant, receiving condescending comments from the supervisor, and insufficient supervision and supervisors not interested. Recommendations: Develop an organized supervision system, through specialized clinical supervisors, and assigned preceptors from the hospital to help the students in the clinical training. Develop a standardized evaluation form to support and fair evaluation. Prepare the students before direct contact with the patients, through attending simulation training to minimize mistakes when contact with the patients in the clinical setting.
Abstract: Clinical training for nursing students is essential in any nursing program because nursing is a discipline that requires students to apply theoretical knowledge into clinical training setting and acquire various skills to enhance their performance. The study aimed to identify nursing students’ opinions on facilitating and hindering factors in the c...
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The Nurse Manager’s Role in the Primary Nursing Care Model: A Review of Clinical and Management Aspects
Francesca Bertoldi,
Ornella Roat
Issue:
Volume 8, Issue 1, February 2019
Pages:
9-17
Received:
20 September 2018
Accepted:
1 November 2018
Published:
30 January 2019
Abstract: Implementation of the primary nursing care model requires a change in the role of the nurse manager from “a collector of information and responses” to a nurses’ trainer in care planning and related decision-making and support. To describe the experience of introducing the primary nursing care model in a surgical setting; to describe methods designed to change the nurse manager’s role; and to provide organizational elements and data based on practical experience. In order to apply the four cornerstones of primary nursing to a surgical setting, the staff was given full assistance by creating the necessary organizational and relational conditions and promoting the transition from “being a primary nurse” to “feeling a primary nurse” in their provision of care to, and relationship with patients, as well as in their experience with their respective families and social environment. The transition from a team nursing to primary nursing model was prepared by defining care standards, reshaping organizational processes, mapping nursing competencies, defining materials and resources, building instruments such as clinical care pathways, and administering a questionnaire for nurses and patients as both a fact-finding survey tool preceding the introduction of the model and an impact-assessment tool at one year’s distance of such introduction. The application of the primary nursing model created a positive environment in professional relationships where nurses could test their accountability; in addition, patients’ satisfaction with the care provided was higher; their perception of dignity improved with regard to privacy, autonomy and relational aspects; and, finally, pain perceived at rest and on movement dropped. The manager’s satisfaction does not derive from knowing anything about his or her patients and controlling the situation at any time, but rather from seeing patients recognize and seek care from their attending nurses, who are closely involved in care provided to patients and feel comfortable about what they are doing and their own professional growth. The primary nursing model implies a necessary renewal in the cordinatoor’s role to include clinical and managerial components in its leadership activities at the patient’s bedside. When the model is applied, a nurse manager becomes a clinical manager who works out standards for the care practice, assesses the performance of his or her staff, teaches nurses, supports them in decision-making, oversees care, coordinates care activities, and has a direct experience in the relationship that a nurse establishes with a patient.
Abstract: Implementation of the primary nursing care model requires a change in the role of the nurse manager from “a collector of information and responses” to a nurses’ trainer in care planning and related decision-making and support. To describe the experience of introducing the primary nursing care model in a surgical setting; to describe methods designe...
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Associated Factors and Outcomes of Dysmenorrhea Among Female Nursing Students at King Abdulaziz University
Fawziya Alghamdi,
Ahlam Al-Zahrani,
Hawa Alabdulaziz
Issue:
Volume 8, Issue 1, February 2019
Pages:
18-25
Received:
18 December 2018
Accepted:
10 January 2019
Published:
31 January 2019
Abstract: Background: Dysmenorrhea is a common menstrual complaint around the world, and it negatively affects women’s quality of life. The present study aims to identify the associated factors of dysmenorrhea and outcomes among female nursing students at King Abdulaziz University (KAU). Methods: A cross-sectional study was conducted on 194 dysmenorrhea undergraduate female nursing students from the Faculty of Nursing at KAU. Self-administered questionnaires were used to obtain relevant data, which was analysed using SPSS version 24. Result: The study found that a heavy menstrual flow increases the severity of dysmenorrhea, while exercising three times per week decreases the severity of dysmenorrhea. A significant association was found between the severity of dysmenorrhea and feelings of inferiority sleep disturbances, depressed mood, decreased social activities and conflicts with others. Conclusion: Dysmenorrhea is a common health concern among young women with negative outcomes, and awareness of the factors associated with dysmenorrhea intensity can help health care professionals provide proper management to relieve or reduce its adverse effects. Additional studies on the factors associated with dysmenorrhea intensity in different populations are also necessary.
Abstract: Background: Dysmenorrhea is a common menstrual complaint around the world, and it negatively affects women’s quality of life. The present study aims to identify the associated factors of dysmenorrhea and outcomes among female nursing students at King Abdulaziz University (KAU). Methods: A cross-sectional study was conducted on 194 dysmenorrhea unde...
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Exploring the Study of Health Quotient Education in Improving Ischemic Cerebral Apoplexy with Hyperuricemia in Zhuang Nationality Youth
Qianqian Tan,
Lihua Qin,
Xiaohua Nong,
Jiangling Huang,
Peiyun Huang,
Qiu Li,
Xuelian Huang,
Zhizhi Huang
Issue:
Volume 8, Issue 1, February 2019
Pages:
26-31
Received:
17 December 2018
Accepted:
15 January 2019
Published:
4 February 2019
Abstract: Objective: Exploring the application of Health quotient idea in improving symptoms of Ischemic Cerebral Apoplexy with Hyperuricemia in the Zhuang nationality youth. Method: 256 patients with Ischemic Cerebral Apoplexy with Hyperuricemia were enrolled in the neurology department of our hospital from January 2016 to August 2018.; According to the randomization method, 256 patients were divided into study group and control group, 128 cases each; the control group was routinely intervened according to the traditional methods, such as: routine care, health education, discharge guidance, continuous intervention after discharge, etc; the study team conducted Health quotient education on the basis of the control group; the health quotient index, healthy behavior, functional exercise compliance, and blood uric acid level which were measured before intervention and intervention after 3 months, and the recurrence rate of Ischemic Cerebral Apoplexy was counted within 1 year after discharge . Results: The indexes of health quotient, health behavior, compliance of functional exercise and serum uric acid level were compared between the two groups before intervention and the result of the difference was not statistically significant (P＞0.05). After three months of intervention, the indexes of health quotient index, health behavior, compliance of functional exercise and blood uric acid levels of the study group were significantly higher than those of the control group (P＜0.001); the recurrence rate of the study group was 0.78% within 1 year after the intervention (1/128) while the recurrence rate of the control group was 12.5% (16/128); Comparison between the two groups: x2=4.4326, P=0.0353 . The difference was statistically significant. Conclusion: Through the education of the Health quotient idea, it can effectively improve the indicators of health quotient, health behavior, functional exercise compliance and blood uric acid level in patients with Ischemic Cerebral Apoplexy and Hyperuricemia in Zhuang nationality youth and can promote patients to develop healthy ways of life behavior, thus effectively preventing the recurrence of Ischemic Cerebral Apoplexy with Hyperuricemia, and it is worth promoting.
Abstract: Objective: Exploring the application of Health quotient idea in improving symptoms of Ischemic Cerebral Apoplexy with Hyperuricemia in the Zhuang nationality youth. Method: 256 patients with Ischemic Cerebral Apoplexy with Hyperuricemia were enrolled in the neurology department of our hospital from January 2016 to August 2018.; According to the ran...
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Effect of Comprehensive Nursing Intervention on Thyroid Stimulating Hormone Suppression for Patients with Differentiated Thyroid Cancer
Zhou Miaoli,
Lin Qingran,
Shang Jingjie,
Gong Jian,
Xu Hao
Issue:
Volume 8, Issue 1, February 2019
Pages:
32-35
Received:
2 December 2018
Accepted:
31 January 2019
Published:
27 February 2019
Abstract: Objective to investigate the effect of comprehensive nursing intervention on thyroid stimulating hormone (TSH) suppression for patients with differentiated thyroid cancer (DTC) in the Department of Nuclear Medicine. Methods From January 2016 to December 2016, a total of 90 patients with DTC, receiving 131I treatment in the Department of Nuclear Medicine of the First Affiliated Hospital of Jinan University are enrolled in this study. All patients have received TSH suppression treatment for at least 3 months prior to admission, and are given individual-based comprehensive nursing intervention on TSH suppression after admission. Through questionnaire and telephone follow-up, patients’ awareness of TSH suppression and their medication compliance before and after nursing intervention are analyzed and compared. Results The awareness of the knowledge of TSH suppression and medication compliance are significantly improved in 90 patients after comprehensive nursing intervention (P<0.05). Conclusions Individual-based comprehensive nursing intervention can effectively improve awareness of the knowledge of TSH suppression, medication compliance and confidence in cure in patients with DTC, which helps promote the harmonious relationship between nurses and patients and improve the prognosis of patients. The comprehensive nursing intervention is worthy of clinical application.
Abstract: Objective to investigate the effect of comprehensive nursing intervention on thyroid stimulating hormone (TSH) suppression for patients with differentiated thyroid cancer (DTC) in the Department of Nuclear Medicine. Methods From January 2016 to December 2016, a total of 90 patients with DTC, receiving 131I treatment in the Department of Nuclear Med...
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