Nursing Students' Views and Suggestions Regarding the Disability-Friendly Nursing Education Curriculum: A Mixed Method Research
Yıl 2023,
Cilt: 10 Sayı: 3, 246 - 255, 28.12.2023
Güven Soner
,
İlknur Aydın Avcı
Öz
Aim: The aim of this study is to determine the views and suggestions of nursing students attending different universities in Türkiye regarding disability-friendly nursing education.
Material and Methods: This convergent mixed methods design research was conducted between 1 May and 1 September 2020. The research sample consisted of 830 students studying in the nursing departments of 61 different universities. In order to collect the data for the study, the researchers created an online questionnaire asking nursing students questions about the disabled-friendly framework of the nursing education they received. The Chi-Square Test was used to compare the findings of students' views and thoughts on nursing education with some variables. The answers to the open-ended questions were analysed by content analysis.
Results: The study participants are women at the rate of 83.3%. It has been found that the state of having sufficient knowledge about nursing care for the health of persons with disabilities impacts the students' thinking that their nursing education is disabled-friendly (p <.001).
Conclusion: As a result of this research, most of the nursing students in Türkiye did not evaluate the education they received as disabled-friendly, and a large part of the students stated that they wanted to be educated on disability-related issues.
Kaynakça
- 1. Leonardi M, Bickenbach J, Ustun TB, Kostanjsek N, Chatterji S, MHADIE Consortium. The definition of disability: What is in a name?. Lancet. 2006;368(9543):1219-21.
- 2. World Health Organization, World Bank. World report on disability 2011 [Internet]. 2011 [Erişim Tarihi 9 Mayıs 2022]. Erişim adresi: https://www.who.int/teams/noncommunicable-diseases/sensory-functions-disability-and-rehabilitation/world-report-on-disability
- 3. World Health Organization. Disability [Internet]. 2020 [Erişim Tarihi 9 Mayıs 2022]. Erişim adresi: https://www.who.int/westernpacific/health-topics/disability
- 4. World Health Organization. Disability and health [Internet]. 2020 [Erişim Tarihi 9 Mayıs 2022]. Erişim adresi: https://www.who.int/news-room/fact-sheets/detail/disability-and-health
- 5. Roscigno CI. Challenging Nurses’ Cultural Competence of Disability to Improve Interpersonal Interactions. J Neurosci Nurs. 2013;45(1):21-37.
- 6. Ganle JK, Otupiri E, Obeng B, Edusie AK, Ankomah A, Adanu R. Challenges Women with Disability Face in Accessing and Using Maternal Healthcare Services in Ghana: A Qualitative Study. PLoS One. 2016;11(6):e0158361.
- 7. Devkota HR, Murray E, Kett M, Groce N. Healthcare provider's attitude towards disability and experience of women with disabilities in the use of maternal healthcare service in rural Nepal. Reprod Health. 2017;14(1):79.
- 8. Pelleboer‐Gunnink HA, Van Oorsouw WMWJ, Van Weeghel J, Embregts PJCM. Mainstream health professionals' stigmatising attitudes towards people with intellectual disabilities: a systematic review. J Intellect Disabil Res. 2017;61(5):411-34.
- 9. Agaronnik ND, Pendo E, Campbell EG, Ressalam J, Iezzoni LI. Knowledge Of Practicing Physicians About Their Legal Obligations When Caring For Patients With Disability. Health Aff (Millwood). 2019;38(4):545-53.
- 10. Gonzalez HC, Hsiao EL. Disability Inclusion in Nursing Education. Teach. Learn. Nurs. 2020;15(1):53-6.
- 11. Anyinam CK, Coffey S, Da Silva C. Integrating critical disability perspectives in nursing education. J Nurs Educ Pract. 2019;9(9):63-72.
- 12. Velonaki VS, Kampouroglou G, Velonaki M, Dimakopoulou K, Sourtzi P, Kalokerinou A. Nurses' knowledge, attitudes and behavior toward Deaf patients. Disabil Health J. 2015;8(1):109-17.
- 13. Ndengeyingoma A, Ruel J. Nurses' representations of caring for intellectually disabled patients and perceived needs to ensure quality care. J Clin Nurs. 2016;25(21-22):3199-208.
- 14. Desroches ML, Sethares KA, Curtin C, Chung J. Nurses' attitudes and emotions toward caring for adults with intellectual disabilities: Results of a cross-sectional, correlational-predictive research study. J Appl Res Intellect Disabil. 2019;32(6):1501-13.
- 15. Kiliç E, Çıtıl R. Attitudes of physicians and nurses towards the disabled and awareness of applications for the disabled in a University Hospital. TJFMPC. 2019;13(2):129-41.
16. American Academy of Colleges of Nursing. Tool Kit of Resources for Cultural Competent Education for Baccalaureate Nurses [Internet]. 2008 [Erişim Tarihi 9 Mayıs 2022]. Erişim adresi: https://www.aacnnursing.org/Portals/42/AcademicNursing/CurriculumGuidelines/Cultural-Competency-Bacc-Tool-Kit.pdf
- 17. Trollor JN, Eagleson C, Turner B, Salomon C, Cashin A, Iacono T, et al. Intellectual disability health content within nursing curriculum: An audit of what our future nurses are taught. Nurse Educ Today. 2016;45:72-9.
- 18. Smeltzer SC, Blunt E, Marozsan H, Wetzel-Effinger L. Inclusion of disability-related content in nurse practitioner curricula. J Am Assoc Nurse Pract. 2015;27(4):213-21.
- 19. Polikandrioti M, Govina O, Vasilopoulos G, Adamakidou T, Plakas S, Kalemikerakis I, et al. Nursing Students’ Attitudes towards People with Disabilities. Int. J. Caring Sci. 2020:13(1);480-8.
- 20. Matziou V, Galanis P, Tsoumakas C, Gymnopoulou E, Perdikaris P, Brokalaki H. Attitudes of nurse professionals and nursing students towards children with disabilities. Do nurses really overcome children's physical and mental handicaps?. Int Nurs Rev. 2009;56(4):456-60.
- 21. Sahin H, Akyol AD. Evaluation of nursing and medical students' attitudes towards people with disabilities. J Clin Nurs. 2010;19(15-16):2271-9.
- 22. Uysal A, Albayrak B, Koçulu B, Kan F, Aydın T. Attitudes of nursing students toward people with disabilities. Nurse Educ Today. 2014;34(5):878-84.
- 23. Girli A, Sarı HY, Kırkım G, Narin S. University students’ attitudes towards disability and their views on discrimination. Int J Dev Disabil. 2016;62(2):98-107.
- 24. Oliva Ruiz P, Gonzalez-Medina G, Salazar Couso A, Jiménez Palomares M, Rodríguez Mansilla J, Garrido Ardila EM, et al. Attitude towards People with Disability of Nursing and Physiotherapy Students. Children (Basel). 2020;7(10):191.
- 25. Kritsotakis G, Galanis P, Papastefanakis E, Meidani F, Philalithis AE, Kalokairinou A, et al. Attitudes towards people with physical or intellectual disabilities among nursing, social work and medical students. J Clin Nurs. 2017;26(23-24):4951-63.
- 26. Willis DS, Thurston M. Working with the disabled patient: exploring student nurses views for curriculum development using a SWOT analysis. Nurse Educ Today. 2015;35(2):383-7.
- 27. Yüksek Öğretim Kurulu Hemşirelik Eğitimi Komisyonu. Hemşirelik Ulusal Çekirdek Eğitim Programı (HUÇEP) 2014 [Internet]. 2014 [Erişim Tarihi 9 Mayıs 2022]. Erişim adresi: https://www.yok.gov.tr/Documents/Kurumsal/egitim_ogretim_dairesi/Ulusal-cekirdek-egitimi-programlari/hemsirelik_cekirdek_egitim_programi.pdf
- 28. Tugut N, Golbasi Z, Erenel AS, Koc G, Ucar T. A Multicenter Study of Nursing Students’ perspectives on the sexuality of people with disabilities. Sex Disabil. 2016;34(4):433-42.
- 29. Rimmer JH, Rowland JL. Health promotion for people with disabilities: Implications for empowering the person and promoting disability-friendly environments. Am J Lifestyle Med. 2008;2(5):409-20.
- 30. World Health Organization. WHO global disability action plan 2014-2021: Better health for all people with disability [Internet]. 2015 [Erişim Tarihi 9 Mayıs 2022]. Erişim adresi: https://www.who.int/publications/i/item/who-global-disability-action-plan-2014-2021
- 31. Heera S, Maini A. 2018. Disability Inclusion. In S. Dhir, Sushil, S. Dhir, Sushil (Eds.), Flexible Strategies in VUCA Markets. Singapore: Springer; 2018.
- 32. United Nations. The United Nations Disability Inclusion Strategy [Internet]. 2020 [Erişim Tarihi 9 Mayıs 2022]. Erişim adresi: https://www.un.org/en/content/disabilitystrategy/
- 33. Yüksek Öğretim Kurulu. Eğitim ve Öğretim Alanları Sınıflamasına Göre Lisans Düzeyindeki Öğrenci Sayıları [Internet]. 2020 [Erişim Tarihi 9 Mayıs 2022]. Erişim adresi: https://istatistik.yok.gov.tr/
- 34. Yüksek Öğretim Kurulu. Hemşirelik (Fakülte) Programı Bulunan Tüm Üniversiteler | YÖK Lisans Atlası [Internet]. 2020 [Erişim Tarihi 9 Mayıs 2022]. Erişim adresi: https://yokatlas.yok.gov.tr/lisans-bolum.php?b=10248
- 35. Türk Hemşireler Derneği. Türk Hemşireler Derneği—Komisyonlar [Internet]. 2020 [Erişim Tarihi 9 Mayıs 2022]. Erişim adresi: https://www.thder.org.tr/komisyonlar
- 36. Lyon L, Houser R. Nurse Educator Attitudes toward People with Disabilities. Nurs Educ Perspect. 2018;39(3):151-5.
- 37. Thurman WA, Harrison TC, Garcia AA, Sage WM. The social construction of disability and the capabilities approach: Implications for nursing. Nurs Forum. 2019;54(4):642-9.
- 38. Smeltzer SC, Robinson-Smith G, Dolen MA, Duffin JM, Al-Maqbali M. Disability-related content in nursing textbooks. Nurs Educ Perspect. 2010;31(3):148-55.
- 39. Çömez T, Altan Sarikaya N. Hemşirelik Fakültesi Öğrencilerinin Engelli Bireyleri Damgalamaya İlişkin Düşünceleri ve Uygulamaları. JAREN. 2017;3(3):145–52.
- 40. Aydoğan C, Çeti̇n H. Hemşirelik Öğrencilerinin Zihinsel Engelli Bireylere Yönelik Sosyal Mesafelerinin İncelenmesi. Hitit Üniversitesi Sosyal Bilimler Enstitüsü Dergisi. 2018;11(1):683-708.
- 41. Ozdemi̇r T, Karadağ G. Hemşirelik Öğrencilerinin Özel Gereksinimi Olan Bireylere İlişkin Tutumlarını Etkileyen Faktörler. Halk Sağlığı Hemşireliği Dergisi. 2021;3(2):96-106.
- 42. Geçkil E, Kaleci E, Cingil D, Hisar F. The effect of disability empathy activity on the attitude of nursing students towards disabled people: A pilot study. Contemp Nurse. 2017;53(1):82-93.
- 43. Temple B, Mordoch E. Nursing student perceptions of disability and preparation to care for people with intellectual disabilities. J Nurs Educ. 2012;51(7):407-10.
Hemşirelik Eğitimi Müfredatının Engelli Dostu Olmasına İlişkin Hemşirelik Öğrencilerinin Görüşleri ve Önerileri: Bir Karma Yöntem Araştırması
Yıl 2023,
Cilt: 10 Sayı: 3, 246 - 255, 28.12.2023
Güven Soner
,
İlknur Aydın Avcı
Öz
Amaç: Bu çalışmanın amacı, Türkiye'de farklı üniversitelerde öğrenim gören hemşirelik öğrencilerinin hemşirelik eğitimi müfredatının engelli dostu olmasına ilişkin görüşlerini ve önerilerini belirlemektir.
Gereç ve Yöntem: Eş zamanlı karma yöntemler araştırması olan bu çalışma, 1 Mayıs-1 Eylül 2020 tarihleri arasında gerçekleştirildi. Araştırmanın örneklemini 61 farklı üniversitenin hemşirelik bölümlerinde öğrenim gören 830 öğrenci oluşturdu. Araştırmanın verilerini toplamak için araştırmacılar tarafından hemşirelik öğrencilerine aldıkları hemşirelik eğitiminin engelli dostu çerçevesi hakkında sorular soran çevrimiçi bir anket oluşturulmuştur. Öğrencilerin hemşirelik eğitimi ile ilgili görüş ve düşüncelerine ilişkin bulguların bazı değişkenlerle karşılaştırılmasında Ki-Kare Testi kullanıldı. Açık uçlu soruların yanıtlarının değerlendirilmesinde içerik analizi kullanılmıştır.
Bulgular: Araştırmanın katılımcıları %83.3 oranında kadındır. Engelli bireylerin sağlığına yönelik hemşirelik bakımı konusunda yeterli bilgiye sahip olmanın öğrencilerin hemşirelik eğitiminin engelli dostu olduğunu düşünmelerinde etkili olduğu (p <.001) bulunmuştur.
Sonuç: Bu araştırma sonucunda Türkiye'deki hemşirelik öğrencilerinin çoğu aldıkları eğitimi engelli dostu olarak değerlendirmemekte ve öğrencilerin büyük bir kısmı engellilik ile ilgili konularda eğitim almak istediklerini belirtmektedir.
Kaynakça
- 1. Leonardi M, Bickenbach J, Ustun TB, Kostanjsek N, Chatterji S, MHADIE Consortium. The definition of disability: What is in a name?. Lancet. 2006;368(9543):1219-21.
- 2. World Health Organization, World Bank. World report on disability 2011 [Internet]. 2011 [Erişim Tarihi 9 Mayıs 2022]. Erişim adresi: https://www.who.int/teams/noncommunicable-diseases/sensory-functions-disability-and-rehabilitation/world-report-on-disability
- 3. World Health Organization. Disability [Internet]. 2020 [Erişim Tarihi 9 Mayıs 2022]. Erişim adresi: https://www.who.int/westernpacific/health-topics/disability
- 4. World Health Organization. Disability and health [Internet]. 2020 [Erişim Tarihi 9 Mayıs 2022]. Erişim adresi: https://www.who.int/news-room/fact-sheets/detail/disability-and-health
- 5. Roscigno CI. Challenging Nurses’ Cultural Competence of Disability to Improve Interpersonal Interactions. J Neurosci Nurs. 2013;45(1):21-37.
- 6. Ganle JK, Otupiri E, Obeng B, Edusie AK, Ankomah A, Adanu R. Challenges Women with Disability Face in Accessing and Using Maternal Healthcare Services in Ghana: A Qualitative Study. PLoS One. 2016;11(6):e0158361.
- 7. Devkota HR, Murray E, Kett M, Groce N. Healthcare provider's attitude towards disability and experience of women with disabilities in the use of maternal healthcare service in rural Nepal. Reprod Health. 2017;14(1):79.
- 8. Pelleboer‐Gunnink HA, Van Oorsouw WMWJ, Van Weeghel J, Embregts PJCM. Mainstream health professionals' stigmatising attitudes towards people with intellectual disabilities: a systematic review. J Intellect Disabil Res. 2017;61(5):411-34.
- 9. Agaronnik ND, Pendo E, Campbell EG, Ressalam J, Iezzoni LI. Knowledge Of Practicing Physicians About Their Legal Obligations When Caring For Patients With Disability. Health Aff (Millwood). 2019;38(4):545-53.
- 10. Gonzalez HC, Hsiao EL. Disability Inclusion in Nursing Education. Teach. Learn. Nurs. 2020;15(1):53-6.
- 11. Anyinam CK, Coffey S, Da Silva C. Integrating critical disability perspectives in nursing education. J Nurs Educ Pract. 2019;9(9):63-72.
- 12. Velonaki VS, Kampouroglou G, Velonaki M, Dimakopoulou K, Sourtzi P, Kalokerinou A. Nurses' knowledge, attitudes and behavior toward Deaf patients. Disabil Health J. 2015;8(1):109-17.
- 13. Ndengeyingoma A, Ruel J. Nurses' representations of caring for intellectually disabled patients and perceived needs to ensure quality care. J Clin Nurs. 2016;25(21-22):3199-208.
- 14. Desroches ML, Sethares KA, Curtin C, Chung J. Nurses' attitudes and emotions toward caring for adults with intellectual disabilities: Results of a cross-sectional, correlational-predictive research study. J Appl Res Intellect Disabil. 2019;32(6):1501-13.
- 15. Kiliç E, Çıtıl R. Attitudes of physicians and nurses towards the disabled and awareness of applications for the disabled in a University Hospital. TJFMPC. 2019;13(2):129-41.
16. American Academy of Colleges of Nursing. Tool Kit of Resources for Cultural Competent Education for Baccalaureate Nurses [Internet]. 2008 [Erişim Tarihi 9 Mayıs 2022]. Erişim adresi: https://www.aacnnursing.org/Portals/42/AcademicNursing/CurriculumGuidelines/Cultural-Competency-Bacc-Tool-Kit.pdf
- 17. Trollor JN, Eagleson C, Turner B, Salomon C, Cashin A, Iacono T, et al. Intellectual disability health content within nursing curriculum: An audit of what our future nurses are taught. Nurse Educ Today. 2016;45:72-9.
- 18. Smeltzer SC, Blunt E, Marozsan H, Wetzel-Effinger L. Inclusion of disability-related content in nurse practitioner curricula. J Am Assoc Nurse Pract. 2015;27(4):213-21.
- 19. Polikandrioti M, Govina O, Vasilopoulos G, Adamakidou T, Plakas S, Kalemikerakis I, et al. Nursing Students’ Attitudes towards People with Disabilities. Int. J. Caring Sci. 2020:13(1);480-8.
- 20. Matziou V, Galanis P, Tsoumakas C, Gymnopoulou E, Perdikaris P, Brokalaki H. Attitudes of nurse professionals and nursing students towards children with disabilities. Do nurses really overcome children's physical and mental handicaps?. Int Nurs Rev. 2009;56(4):456-60.
- 21. Sahin H, Akyol AD. Evaluation of nursing and medical students' attitudes towards people with disabilities. J Clin Nurs. 2010;19(15-16):2271-9.
- 22. Uysal A, Albayrak B, Koçulu B, Kan F, Aydın T. Attitudes of nursing students toward people with disabilities. Nurse Educ Today. 2014;34(5):878-84.
- 23. Girli A, Sarı HY, Kırkım G, Narin S. University students’ attitudes towards disability and their views on discrimination. Int J Dev Disabil. 2016;62(2):98-107.
- 24. Oliva Ruiz P, Gonzalez-Medina G, Salazar Couso A, Jiménez Palomares M, Rodríguez Mansilla J, Garrido Ardila EM, et al. Attitude towards People with Disability of Nursing and Physiotherapy Students. Children (Basel). 2020;7(10):191.
- 25. Kritsotakis G, Galanis P, Papastefanakis E, Meidani F, Philalithis AE, Kalokairinou A, et al. Attitudes towards people with physical or intellectual disabilities among nursing, social work and medical students. J Clin Nurs. 2017;26(23-24):4951-63.
- 26. Willis DS, Thurston M. Working with the disabled patient: exploring student nurses views for curriculum development using a SWOT analysis. Nurse Educ Today. 2015;35(2):383-7.
- 27. Yüksek Öğretim Kurulu Hemşirelik Eğitimi Komisyonu. Hemşirelik Ulusal Çekirdek Eğitim Programı (HUÇEP) 2014 [Internet]. 2014 [Erişim Tarihi 9 Mayıs 2022]. Erişim adresi: https://www.yok.gov.tr/Documents/Kurumsal/egitim_ogretim_dairesi/Ulusal-cekirdek-egitimi-programlari/hemsirelik_cekirdek_egitim_programi.pdf
- 28. Tugut N, Golbasi Z, Erenel AS, Koc G, Ucar T. A Multicenter Study of Nursing Students’ perspectives on the sexuality of people with disabilities. Sex Disabil. 2016;34(4):433-42.
- 29. Rimmer JH, Rowland JL. Health promotion for people with disabilities: Implications for empowering the person and promoting disability-friendly environments. Am J Lifestyle Med. 2008;2(5):409-20.
- 30. World Health Organization. WHO global disability action plan 2014-2021: Better health for all people with disability [Internet]. 2015 [Erişim Tarihi 9 Mayıs 2022]. Erişim adresi: https://www.who.int/publications/i/item/who-global-disability-action-plan-2014-2021
- 31. Heera S, Maini A. 2018. Disability Inclusion. In S. Dhir, Sushil, S. Dhir, Sushil (Eds.), Flexible Strategies in VUCA Markets. Singapore: Springer; 2018.
- 32. United Nations. The United Nations Disability Inclusion Strategy [Internet]. 2020 [Erişim Tarihi 9 Mayıs 2022]. Erişim adresi: https://www.un.org/en/content/disabilitystrategy/
- 33. Yüksek Öğretim Kurulu. Eğitim ve Öğretim Alanları Sınıflamasına Göre Lisans Düzeyindeki Öğrenci Sayıları [Internet]. 2020 [Erişim Tarihi 9 Mayıs 2022]. Erişim adresi: https://istatistik.yok.gov.tr/
- 34. Yüksek Öğretim Kurulu. Hemşirelik (Fakülte) Programı Bulunan Tüm Üniversiteler | YÖK Lisans Atlası [Internet]. 2020 [Erişim Tarihi 9 Mayıs 2022]. Erişim adresi: https://yokatlas.yok.gov.tr/lisans-bolum.php?b=10248
- 35. Türk Hemşireler Derneği. Türk Hemşireler Derneği—Komisyonlar [Internet]. 2020 [Erişim Tarihi 9 Mayıs 2022]. Erişim adresi: https://www.thder.org.tr/komisyonlar
- 36. Lyon L, Houser R. Nurse Educator Attitudes toward People with Disabilities. Nurs Educ Perspect. 2018;39(3):151-5.
- 37. Thurman WA, Harrison TC, Garcia AA, Sage WM. The social construction of disability and the capabilities approach: Implications for nursing. Nurs Forum. 2019;54(4):642-9.
- 38. Smeltzer SC, Robinson-Smith G, Dolen MA, Duffin JM, Al-Maqbali M. Disability-related content in nursing textbooks. Nurs Educ Perspect. 2010;31(3):148-55.
- 39. Çömez T, Altan Sarikaya N. Hemşirelik Fakültesi Öğrencilerinin Engelli Bireyleri Damgalamaya İlişkin Düşünceleri ve Uygulamaları. JAREN. 2017;3(3):145–52.
- 40. Aydoğan C, Çeti̇n H. Hemşirelik Öğrencilerinin Zihinsel Engelli Bireylere Yönelik Sosyal Mesafelerinin İncelenmesi. Hitit Üniversitesi Sosyal Bilimler Enstitüsü Dergisi. 2018;11(1):683-708.
- 41. Ozdemi̇r T, Karadağ G. Hemşirelik Öğrencilerinin Özel Gereksinimi Olan Bireylere İlişkin Tutumlarını Etkileyen Faktörler. Halk Sağlığı Hemşireliği Dergisi. 2021;3(2):96-106.
- 42. Geçkil E, Kaleci E, Cingil D, Hisar F. The effect of disability empathy activity on the attitude of nursing students towards disabled people: A pilot study. Contemp Nurse. 2017;53(1):82-93.
- 43. Temple B, Mordoch E. Nursing student perceptions of disability and preparation to care for people with intellectual disabilities. J Nurs Educ. 2012;51(7):407-10.