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  • 1.
    Abelsson, Anna
    et al.
    Karlstads universitet, Institutionen för hälsovetenskaper.
    Bisholt, Birgitta
    Karlstads universitet, Institutionen för hälsovetenskaper.
    Nurse students learning acute care by simulation: Focus on observation and debriefing2017In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 24, p. 6-13Article in journal (Refereed)
    Abstract [en]

    Introduction:

    Simulation creates the possibility to experience acute situations during nursing education which cannot easily be achieved in clinical settings.

    Aim:

    To describe how nursing students learn acute care of patients through simulation exercises, based on observation and debriefing.

    Design:

    The study was designed as an observational study inspired by an ethnographic approach.

    Method:

    Data was collected through observations and interviews. Data was analyzed using an interpretive qualitative content analysis.

    Results:

    Nursing students created space for reflection when needed. There was a positive learning situation when suitable patient scenarios were presented. Observations and discussions with peers gave the students opportunities to identify their own need for knowledge, while also identifying existing knowledge. Reflections could confirm or reject their preparedness for clinical practice. The importance of working in a structured manner in acute care situations became apparent. However, negative feedback to peers was avoided, which led to a loss of learning opportunity.

    Conclusion:

    High fidelity simulation training as a method plays an important part in the nursing students' learning. The teacher also plays a key role by asking difficult questions and guiding students towards accurate knowledge. This makes it possible for the students to close knowledge gaps, leading to improved patient safety.

  • 2. Arvidsson , B
    et al.
    Skärsäter , I
    Baigi , A
    Fridlund, Bengt
    Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work.
    The development of a questionnaire for evaluating process-oriented group supervision during nursing education2008In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 8, no 2, p. 88-93Article in journal (Refereed)
    Abstract [en]

    The benefits of process-oriented group supervision are difficult to evaluate, as the validity and reliability of the existing instruments have been questioned. The aim was to develop and test the psychometric properties of a questionnaire in order to evaluate the effects of process-oriented group supervision on nursing students during their three-year nursing education. A 55-item Process-oriented Group Supervision Questionnaire (PGSQ) with a developmental design was formulated on the basis of a literature review and the expectations of nursing students who participated in a three-year nursing education programme (N=176). Construct validity and internal consistency reliability were tested at the end of each study year: year 1 (T1), year 2 (T2), and year 3 (T3) by means of exploratory factor analysis and Cronbach's alpha coefficient. An adequate explorative factor analysis (principal component analysis, varimax rotation) with an Eigenvalue >1.0 and factor loadings >0.40, reduced the questionnaire to 18 items comprising three factors labelled educative, supportive and developmental, which explained 60.2% at T1, 71.8% at T2, and 69.3% at T3 of the total cumulative variance. The corresponding Cronbach's alpha coefficient figures were 0.89 (T1), 0.94 (T2) and 0.93 (T3). The 18-item PGSQ is considered to be a short and useful tool due to its satisfactory validity and reliability figures.

  • 3. Bendz, Mona
    et al.
    Widäng, Ingrid
    Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science.
    Johansson, Inez
    Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science.
    Paulsson, Åsa
    Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science.
    Student nurses' views of a learning model: a multi-method research study2004In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 4, no 4, p. 279-286Article in journal (Refereed)
    Abstract [en]

    The aim of this study is to describe students´ perceptions of various assignments within a specific learning model. In particular the study focuses on how the students perceived and reacted to the assessment processes used. A learning model was developed in which the learning of nursing theory and practice was integrated with the overall aim of motivating students to integrate their cognitive, affective and psychomotor skills.

    A multi-methods design was applied using a questionnaire and qualitative interviews. Two hundred and eighty four students were asked to complete the questionnaire. Fifteen of the 252 students who returned the questionnaire were interviewed. The main findings were that the students constructed their own learning depending on how they understood the specific assignment and there was diversity and the students´ interpretation of f the assignments.

    They focused on the assignments in accordance to the demands they expected to face as registered nurses and their interpretations on the demands differed between them.

    The way the individual student understands the paradigm of nursing must therefore be challenged; what does the student intend to achieve and why. Dialogues in which students and teachers share their understandings of the meaning of various aspects of nursing must be emphasized in nursing education.

  • 4.
    Ewertsson, Mona
    et al.
    Örebro University, School of Health Sciences.
    Bagga-Gupta, Sangeeta
    Jönköping University, School of Education and Communication, HLK, Learning Practices inside and outside School (LPS), Communication, Culture & Diversity @ JU (CCD@JU).
    Blomberg, Karin
    Örebro University, School of Health Sciences.
    Nursing students' socialisation into practical skills2017In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 27, p. 157-164Article in journal (Refereed)
    Abstract [en]

    Socialisation is a significant factor that shapes nursing students' learning in clinical settings. Little is known about the ways in which students learn practical skills during their clinical practice and how they are socialised into these skills. This knowledge is important for creating an optimal environment for ensuring a high standard of care and patient safety. This study aims to address this knowledge gap. An ethnographic approach was used. Data were collected by participant observations during nursing students' clinical practice in an emergency department at a university hospital in Sweden, and during informal conversations with students and their preceptors. In the analysis, four themes emerged: A reflective approach based on a theoretical framing; Multitasking situations; Shifts in an active role as a nursing student; and Styles of supervision. Students' socialisation into practical skills was shaped by several factors where preceptors played a key role. Teaching and learning styles and interactions between the preceptor and the student shaped the learning situations. A dominant discrepancy regarding whether and how reflections took place between preceptors and students was identified. This highlights the need for creating continuity between the ways that experiences are organised across the settings of learning (university-based and clinically based learning) to enhance nursing students' learning and socialisation into practical skills.

  • 5.
    Henoch, Ingela
    et al.
    The Sahlgrenska Academy, University of Gothenburg, Institute of Health and Care Sciences, Gothenburg, Sweden / Angered Local Hospital, Gothenburg, Sweden.
    Melin-Johansson, Christina
    The Sahlgrenska Academy, University of Gothenburg, Institute of Health and Care Sciences, Gothenburg, Sweden / Mid Sweden University, Department of Health Sciences, Östersund, Sweden.
    Bergh, Ingrid
    Högskolan i Skövde, Institutionen för hälsa och lärande.
    Strang, Susann
    The Sahlgrenska Academy, University of Gothenburg, Institute of Health and Care Sciences, Gothenburg, Sweden / Angered Local Hospital, Gothenburg, Sweden.
    Ek, Kristina
    Högskolan i Skövde, Institutionen för hälsa och lärande.
    Hammarlund, Kina
    Högskolan i Skövde, Institutionen för hälsa och lärande.
    Lundh Hagelin, Carina
    Sophiahemmet University, Stockholm, Sweden / Karolinska Institutet, Department of Learning, Informatics, Management and Ethics, Stockholm, Sweden / Stockholms Sjukhem Foundation, Stockholm, Sweden.
    Westin, Lars
    Högskolan i Skövde, Institutionen för hälsa och lärande.
    Österlind, Jane
    Ersta Sköndal University College and Ersta Hospital, Palliative Research Centre, Stockholm, Sweden.
    Browall, Maria
    Högskolan i Skövde, Institutionen för hälsa och lärande.
    Undergraduate nursing students' attitudes and preparedness toward caring for dying persons: A longitudinal study2017In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 26, p. 12-20, article id S1471-5953(17)30384-0Article in journal (Refereed)
    Abstract [en]

    Nursing education needs to prepare students for care of dying patients. The aim of this study was to describe the development of nursing students' attitudes toward caring for dying patients and their perceived preparedness to perform end-of-life care. A longitudinal study was performed with 117 nursing students at six universities in Sweden. The students completed the Frommelt Attitude Toward Care of the Dying Scale (FATCOD) questionnaire at the beginning of first and second year, and at the end of third year of education. After education, the students completed questions about how prepared they felt by to perform end-of-life care. The total FATCOD increased from 126 to 132 during education. Five weeks' theoretical palliative care education significantly predicted positive changes in attitudes toward caring for dying patients. Students with five weeks' theoretical palliative care training felt more prepared and supported by the education to care for a dying patient than students with shorter education. A minority felt prepared to take care of a dead body or meet relatives.

  • 6.
    Kapborg, Inez
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science.
    Rosander, Reine
    Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science.
    Swedish student nurses solving mathematical items with or without help of a hand-held calculator: a comparison of results2001In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 1, no 2, p. 80-84Article in journal (Refereed)
    Abstract [en]

    Drug dosage calculations can be worrying for student nurses. Every nursing education programme therefore presupposes knowledge of basic mathematics. A well-tried and validated mathematical test was given to two groups of beginner student nurses. The purp ose of this paper is to compare the results on the diagnostic mathematical test between student nurses who used a hand-held calculator and student nurses who worked without a calculator. The results showed that student nurses who carried out the test using a calculator correctly solved considerably more items than the other group. A separate analysis of rote learning items versus concept learning items was performed. This study gave evidence that student nurses will increase their ability to solve mathematical problems, comparable to the type and level of difficulty found in drug dosage calculations, using a calculator. Therefore, all future teaching and examinations during the nursing education programme should permit the use of calculators.

  • 7.
    Sterner, Anders
    et al.
    University of Borås, Borås, Sweden.
    Hagiwara, Magnus Andersson
    University of Borås, Borås, Sweden.
    Ramstrand, Nerrolyn
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. CHILD.
    Palmér, Lina
    University of Borås, Borås, Sweden.
    Factors developing nursing students and novice nurses´ ability to provide care in acute situations2019In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 35, p. 135-140Article in journal (Refereed)
    Abstract [en]

    Nurses play an important role in detecting, interpreting and deciding appropriate actions to take in order to care for patients in acute situations. Nevertheless, novice nurses are reported as feeling unprepared to provide appropriate care in acute situations. In order to address this issue, it is important to describe factors in nursing education and first year of practice that enable nurses to provide appropriate care in acute situations. 17 novice nurses were interviewed in this qualitative study. A phenomenographic analysis was applied and four categories were discovered: Integrating theory into practice, access to adequate support, experience-based knowledge and personality traits. Results suggest that a variety of factors contribute to novice nurses’ ability to provide appropriate care in acute situations. Experience of acute situations and the integration of theory and practice are pivotal in acquiring skills to provide appropriate care. To accomplish this, reflection, practice and/or applied training with a patient perspective is recommended.

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