Strategies for bridging the theory-practice gap in nursing education from the perspective of nursing teachers, clinical nurses, and nursing students: A qualitative study

Yuvraj Adha, Chris Thomas
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Abstract

Background: Nurses are the integral part of the health-care team who focus on the well-being of the patient and quality patient care. With wide range of roles and responsibility, nurses should have proper knowledge of the subject along with the necessary competent skills to perform their duties. The gap between education and the clinical practice has always been challenge for educational experts in the field. Objectives: The objectives were to explore the factors causing the theory-practice gap in nursing education in India and to identify the strategies for bridging the theory-practice gap in nursing education. Methods: The research design was descriptive qualitative design. The data were collected from 30 participants including 10 clinical nurses, 10 nursing teachers and 10 nursing students from selected hospitals and nursing colleges of Northern India. Non-probability purposive sampling technique was used to collect the data. Semi-structured telephonic interview with self-administered questionnaire was used to collect the data. The collected data were analysed by using Coloizzi's method and the data were organised and transcribed. Results: The five emergent themes were clinical practice and clinical nurse-related factors, curriculum-related factors, student-related factors, nurse faculty-related factors and administration-related factors. Findings for the strategies to bridge the theory practice gap were organised into 12 subcluster themes, 7 cluster themes and 5 emergent themes which are collaborative health care approach, reforms in teaching styles and evaluation system, system change and integrative approach of nursing curriculum. Conclusion: Nursing practice is closely associated with the theory taught in the class. Hence, the theory should be wisely applied in the clinical areas to deliver the quality nursing care to the patients.
从护理教师、临床护士和护生的角度探讨护理教育理论与实践的差距:一项质性研究
背景:护士是医疗团队中不可或缺的一部分,他们专注于患者的健康和高质量的患者护理。由于角色和责任范围广泛,护士应该具备适当的主题知识以及必要的胜任技能来履行职责。教育与临床实践的差距一直是困扰教育专家的难题。目的:目的是探讨导致印度护理教育理论与实践差距的因素,并确定弥合护理教育理论与实践差距的策略。方法:采用描述性定性设计。数据收集自30名参与者,包括10名临床护士,10名护理教师和10名护理学生,来自印度北部选定的医院和护理学院。采用非概率目的抽样技术进行数据采集。采用半结构化电话访谈和自填问卷收集数据。采用cololoizzi方法对收集到的资料进行分析,整理和转录。结果:临床实践与临床护理相关因素、课程相关因素、学生相关因素、护士师资相关因素和管理相关因素是5个紧急主题。研究结果将弥合理论与实践差距的策略分为12个子类主题、7个类主题和5个紧急类主题,即协同医疗方式、教学方式与评价体系改革、体系变革和护理课程整合方法。结论:护理实践与课堂理论教学密切相关。因此,应将该理论应用于临床,为患者提供优质的护理服务。
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