Fixing the Leaky Pipeline of Burn Nurses.

IF 2 4区 医学 Q1 NURSING
American Journal of Nursing Pub Date : 2026-05-01 Epub Date: 2026-04-23 DOI:10.1097/AJN.0000000000000301
Dania Johnson, Trevor Pickering, Claudia Nevarez, Kimberley Magsayo, Leonece Myers, Elaine Terr, Violeta Perez, T Justin Gillenwater, Haig A Yenikomshian
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引用次数: 0

Abstract

Background: Burn care is a vital nursing specialty currently facing significant workforce challenges, as many burn nurses are leaving the field and attracting new talent is increasingly difficult. The underlying reasons for this trend are unclear, but limited exposure to burn care during training may be a contributing factor.

Purpose: We aimed to develop and evaluate a burn-focused curriculum for nursing students to increase interest, knowledge, and readiness to pursue burn nursing careers.

Methods: Twenty nursing students in their final semester were randomly selected to participate in an educational intervention consisting of a one-hour, burn-focused lecture and a two-day shadowing experience at an urban burn center. Students observed burn surgeries, participated in wound care, attended multidisciplinary rounds, and visited the outpatient clinic. A multiple-choice quiz was completed before and after the lecture. Pre- and postexperience surveys assessed the nursing students' interest in burn nursing and wound care, comfort with burn care, perceived understanding of burn management, and likelihood of pursuing a career in burn nursing. Wilcoxon signed rank tests were used for analysis.

Results: Most students initially expressed interest in working in ICU, ED, or operating room settings, with 85% reporting no prior exposure to burn-related content. Common barriers to considering burn nursing included a lack of exposure and concerns about the emotional toll. After the intervention, students showed significant increases in interest in burn nursing (P = 0.007), comfort with burn care (P = 0.008), and perceived understanding of burn management (P < 0.001). Quiz scores significantly increased from 62% before the lecture to 86% afterward (P < 0.001), and the likelihood of pursuing a burn nursing career increased from 30% before the two-day shadowing experience to 85% afterward (P < 0.001). Interest in wound care remained unchanged (P = 0.53).

Conclusion: Early exposure to burn care through targeted education and clinical experiences may increase nursing students' interest in and preparedness for careers in burn nursing, addressing a critical workforce gap.

修复烧伤护士渗漏的管道。
背景:烧伤护理是一个重要的护理专业,目前面临着巨大的劳动力挑战,因为许多烧伤护士离开了这个领域,吸引新的人才越来越困难。这种趋势的潜在原因尚不清楚,但在训练期间有限的烧伤护理可能是一个促成因素。目的:我们旨在为护理学生开发和评估以烧伤为重点的课程,以增加他们对烧伤护理职业的兴趣、知识和准备。方法:随机选择20名最后一学期的护理专业学生参加一个教育干预,包括一个小时的烧伤讲座和一个为期两天的城市烧伤中心的影子体验。学生们观察烧伤手术,参与伤口护理,参加多学科查房,并参观门诊。讲座前后各完成了一个选择题测验。经验前和经验后调查评估了护生对烧伤护理和伤口护理的兴趣,对烧伤护理的舒适度,对烧伤管理的感知理解,以及从事烧伤护理职业的可能性。采用Wilcoxon符号秩检验进行分析。结果:大多数学生最初表示对在ICU、ED或手术室工作感兴趣,85%的学生报告之前没有接触过与烧伤相关的内容。考虑烧伤护理的常见障碍包括缺乏接触和对情感损失的担忧。干预后,学生对烧伤护理的兴趣(P = 0.007)、对烧伤护理的舒适度(P = 0.008)和对烧伤管理的理解显著增加(P < 0.001)。测验成绩从讲座前的62%显著增加到讲座后的86% (P < 0.001),从事烧伤护理职业的可能性从讲座前的30%增加到讲座后的85% (P < 0.001)。对伤口护理的兴趣保持不变(P = 0.53)。结论:通过有针对性的教育和临床经验,早期接触烧伤护理可以提高护生对烧伤护理职业的兴趣和准备,解决关键的劳动力缺口。
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来源期刊
CiteScore
1.10
自引率
3.70%
发文量
604
审稿时长
6-12 weeks
期刊介绍: The American Journal of Nursing is the oldest and most honored broad-based nursing journal in the world. Peer reviewed and evidence-based, it is considered the profession’s premier journal. AJN adheres to journalistic standards that require transparency of real and potential conflicts of interests that authors,editors and reviewers may have. It follows publishing standards set by the International Committee of Medical Journal Editors (ICMJE; www.icmje.org), the World Association of Medical Editors (WAME; www.wame.org), and the Committee on Publication Ethics (COPE; http://publicationethics.org/). AJN welcomes submissions of evidence-based clinical application papers and descriptions of best clinical practices, original research and QI reports, case studies, narratives, commentaries, and other manuscripts on a variety of clinical and professional topics. The journal also welcomes submissions for its various departments and columns, including artwork and poetry that is relevant to nursing or health care. Guidelines on writing for specific departments—Art of Nursing, Viewpoint, Policy and Politics, and Reflections—are available at http://AJN.edmgr.com. AJN''s mission is to promote excellence in nursing and health care through the dissemination of evidence-based, peer-reviewed clinical information and original research, discussion of relevant and controversial professional issues, adherence to the standards of journalistic integrity and excellence, and promotion of nursing perspectives to the health care community and the public.
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