Examining the Effect of Structured Educational Support for Students in Nursing Clinical Practices on Students' Attitudes and Satisfaction Towards Stress and Clinical Practices
Yıl 2024,
Cilt: 11 Sayı: 2, 278 - 289, 28.06.2024
Dilek Menekşe
,
Seda Tecik
,
Hilal Bülbül
,
Faruk Kabul
,
Nursan Çınar
Öz
Objective: The purpose of this study is to evaluate the effect of structured education on clinical practice of nursing students. The research is a two-group pretest-posttest randomized controlled experimental research design. The population of the research consisted of 157 students taking the Child Health and Diseases Nursing Course, 78 people in Group A and 79 people in Group B. No sample selection was made from the universe. A total of 80 students (40 in group A, 40 in group B) who accepted to participate in the study and did their internship in the five-bed clinic where the research was conducted constituted the sample.
Method: Research data collected by using the Participants Introductory Information Form, Perceived Stress Scale (PSS) for nursing students , The Nursing Students’ Attitudes towards Clinical Practices Scale, Clinical Comfort and Worry Assessment Tool of Pediatric Nursing Student and Clinical Practice Satisfaction Scale (Visual Analog Scale-VAS). Frequency and percentage calculation, distribution of data chi-square test, Independent Simple t-test and t-test were used to evaluate the data. Statistical significance of the data was evaluated at the p<0.05 level.
Results: Significant difference was not determined between the intervention and control groups Perceived Stress Scale for nursing students, The Nursing Students’ Attitudes towards Clinical Practices Scale, the total score averages of the Clinical Comfort and Worry Assessment Tool for Pediatric Nursing Students (p˂0.05). However, while the Perceived Stress Scale for nursing students total mean score in the intervention group did not show a statistically significant change over time (p>0.05), the Perceived Stress Scale for nursing students total mean score in the control group was found to be statistically significantly lower (p=.001).
Conclusion: In our research, it was observed that nursing students' approaches to clinical practices were positive with structured education and student satisfaction increased.
Kaynakça
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Hemşirelik Klinik Uygulamalarında Öğrencilere Yönelik Yapılandırılmış Eğitim Desteğinin Öğrencilerin Stres ve Klinik Uygulamalara Yönelik Tutum ve Memnuniyetlerine Etkisinin İncelenmesi
Yıl 2024,
Cilt: 11 Sayı: 2, 278 - 289, 28.06.2024
Dilek Menekşe
,
Seda Tecik
,
Hilal Bülbül
,
Faruk Kabul
,
Nursan Çınar
Öz
Amaç: Bu çalışmanın amacı hemşirelik öğrencilerinin klinik uygulamalarda yapılandırılmış eğitimin etkisini değerlendirmektir. Araştırma iki gruplu ön test-son test randomize kontrollü deneysel bir araştırma tasarımıdır. Araştırmanın evrenini Çocuk Sağlığı ve Hastalıkları Hemşireliği Dersini alan 157 öğrenci, A grubu 78 kişi ve B grubu 79 kişi oluşturmuştur. Evrenden örneklem seçimine gidilmemiş araştırmayı katılmayı kabul eden ve araştırmanın gerçekleştirildiği beş yataklı klinikte toplamda 80 öğrenci (A grubu 40, B grubu 40) oluşturmuştur.
Gereç ve Yöntem: Araştırma verileri Tanıtıcı Bilgi Formu, Hemşirelik Öğrencileri İçin Algılanan Stres Ölçeği (HÖASÖ), Hemşirelik Öğrencileri için Klinik Uygulamalara Yönelik Tutum Ölçeği HÖKUYTÖ), Pediatri Hemşireliği Öğrenci Klinik Rahatlık ve Endişe Değerlendirme Aracı (PHÖKREDA) ve Klinik Uygulama Memnuniyet Ölçeği (Visual Analog Scale-VAS) ile toplanmıştır. Verilerin değerlendirilmesi frekans ve yüzdelik hesaplama, verilerin dağılımı ki-kare testi, Independent Simple t- testi ve t-testi kullanılmıştır. Verilerin istatistiksel anlamlılık durumu p<0.05 düzeyinde değerlendirilmiştir.
Bulgular: Girişim ve kontrol grupları arasında Hemşirelik Öğrencileri İçin Algılanan Stres Ölçeği, Hemşirelik Öğrencileri için Klinik Uygulamalara Yönelik Tutum Ölçeği, Pediatri Hemşireliği Öğrencileri Klinik Rahatlık ve Endişe Değerlendirme Aracı toplam puan toplam puan ortalamaları arasında anlamlı bir farklılık saptanmamıştır (p˂0,05). Ancak zamana göre girişim grubunda HÖASÖ toplam puan ortalaması istatistiksel olarak anlamlı derecede bir değişim göstermemekte (p>0,05) iken kontrol grubunda HÖASÖ toplam puan ortalaması istatistiksel olarak anlamlı derecede düşük bulunmuştur (p=,001).
Sonuç: Araştırmamızda hemşirelik öğrencilerinin yapılandırılmış eğitim ile birlikte klinik uygulamalara yönelik yaklaşımlarının olumlu yönde olduğu ve öğrenci memnuniyetinin de arttığı görülmüştür.
Kaynakça
- 1. Eker F, Açıkgöz F, Karaca Aysel. Hemşirelik Öğrencileri Gözüyle Mesleki Beceri Eğitimi. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi. 2014;7(4).
- 2. Jack K, Hamshire C, Harris WE, Langan M, Barrett N, Wibberley C. “My mentor didn’t speak to me for the first four weeks”: Perceived Unfairness experienced by nursing students in clinical practice settings. J Clin Nurs. 2018;27(5–6).
- 3. Mackey A, Bassendowski S. The History of Evidence-Based Practice in Nursing Education and Practice. Journal of Professional Nursing. 2017;33(1).
- 4. Karabulut N, Aktaş YY, Alemdar DK. The relationship of clinical learning environment to nursing students’ academic motivation. Kontakt. 2015;17(1).
- 5. Flott EA, Linden L. The clinical learning environment in nursing education: A concept analysis. J Adv Nurs. 2016;72(3).
- 6. Ion R, Smith K, Dickens G. Nursing and midwifery students’ encounters with poor clinical practice: A systematic review. Vol. 23, Nurse Education in Practice. 2017.
- 7. Atasoy I, Sütütemi̇z N. Bir grup hemşirelik son sınıf öğrencisinin hemşirelik eğitimi ile ilgili görüşleri. Florence Nightingale Hemşirelik Dergisi. 2014;22(2):94–104.
- 8. Labrague LJ, McEnroe-Petitte DM, Papathanasiou I V., Edet OB, Tsaras K, Leocadio MC, et al. Stress and coping strategies among nursing students: an international study. Journal of Mental Health. 2018;27(5).
- 9. Omansky GL. Staff nurses’ experiences as preceptors and mentors: An integrative review. J Nurs Manag. 2010;18(6).
- 10. Immonen K, Oikarainen A, Tomietto M, Kääriäinen M, Tuomikoski AM, Kaučič BM, et al. Assessment of nursing students’ competence in clinical practice: A systematic review of reviews. Vol. 100, International Journal of Nursing Studies. 2019.
- 11. Chen CJ, Chen YC, Sung HC, Hsieh TC, Lee MS, Chang CY. The prevalence and related factors of depressive symptoms among junior college nursing students: A cross-sectional study. J Psychiatr Ment Health Nurs. 2015;22(8).
- 12. John B, Al-Sawad M. Perceived stress in clinical areas and emotional intelligence among baccalaureate nursing students. Journal of the Indian Academy of Applied Psychology. 2015;41(Special Issue 3).
- 13. Macauley K, Plummer L, Bemis C, Brock G, Larson C, Spangler J. Prevalence and Predictors of Anxiety in Healthcare Professions Students. Health Professions Education. 2018;4(3).
- 14. Savitsky B, Findling Y, Ereli A, Hendel T. Anxiety and coping strategies among nursing students during the covid-19 pandemic. Nurse Educ Pract. 2020;46.
- 15. Sanad HM. Stress and Anxiety among Junior Nursing Students during the Initial Clinical Training: A Descriptive Study at College of Health Sciences, University of Bahrain. American Journal of Nursing Research. 2019;7(6).
- 16. Rafati F, Nouhi E, Sabzevari S, Dehghan-Nayeri N. Coping strategies of nursing students for dealing with stress in clinical setting: A qualitative study. Electron Physician. 2017;9(12).
- 17. Kaur G, Chernomas WM, Scanlan JM. Nursing studen
ts’ perceptions of and experiences coping with stress in clinical practice. Int J Nurs Educ Scholarsh. 2020;17(1).
- 18. Al-Gamal E, Alhosain A, Alsunaye K. Stress and coping strategies among Saudi nursing students during clinical education. Perspect Psychiatr Care. 2018;54(2).
- 19. Rafati F, Nouhi E, Sabzehvari S, Dehghan-Nayyeri N. Iranian Nursing Students’ Experience of Stressors in Their First Clinical Experience. Journal of Professional Nursing. 2017;33(3).
- 20. Çınar N, Menekşe D, Tecik S, Suzan ÖK, Aydın İ. Causes of burnout in nursing seniors: A mixed methods study. Nurse Educ Today. 2023;131.
- 21. Aljohani W, Banakhar M, Sharif L, Alsaggaf F, Felemban O, Wright R. Sources of stress among Saudi Arabian nursing students: A cross-sectional study. Int J Environ Res Public Health. 2021;18(22).
- 22. Galdino MJQ, de Almeida LPBM, da Silva LFR, Cremer E, Scholze AR, Martins JT, et al. Burnout among nursing students: A mixed method study. Invest Educ Enferm. 2020;38(1).
- 23. Özsaban A, Bayram A. Türkiye’de Hemşirelik Öğrencilerinin Klinik Uygulama Deneyimlerini Etkileyen Faktörler: Sistematik Derleme. Journal of Ankara Health Sciences. 2020;9(2).
- 24. Al-Zayyat AS, Al-Gamal E. Perceived stress and coping strategies among Jordanian nursing students during clinical practice in psychiatric/mental health courses. Int J Ment Health Nurs. 2014;23(4).
- 25. Yankey FWM, Dankwah DA, Adu-Aboagye L, Asempah A, Prempeh EBA, Forkuo S, et al. Stress among Nursing and Midwifery Students Offering a Top-Up Module in the University of Health and Allied Health Sciences, Ho. OAlib. 2017;04(01).
- 26. McCarthy B, Trace A, O’Donovan M, Brady-Nevin C, Murphy M, O’Shea M, et al. Nursing and midwifery students’ stress and coping during their undergraduate education programmes: An integrative review. Vol. 61, Nurse Education Today. 2018.
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