Nursing Open最新文献

{"title":"Influencing Factors of Social Anxiety of Undergraduate Nursing Students Based on Random Forest Model: A Cross-Sectional Study.","authors":"Yuling Jia, Yuexue Yue","doi":"10.1002/nop2.70137","DOIUrl":"10.1002/nop2.70137","url":null,"abstract":"<p><strong>Aim: </strong>Social anxiety is common among students, yet research specifically on undergraduate nursing students is scarce. Previous studies have identified various influencing factors but lack a clear ranking of their importance, making it challenging to implement effective intervention strategies with limited resources. This study aims to assess the level of social anxiety in undergraduate nursing students and rank the importance of its influencing factors, providing essential insights for developing efficient and targeted interventions.</p><p><strong>Design: </strong>A cross-sectional study was conducted with 546 undergraduate nursing students in China.</p><p><strong>Methods: </strong>Data were collected via a web-based questionnaire, which included the fear of positive and negative evaluation scale, the self-efficacy scale, and the social anxiety scale. The random forest model was employed to analyse the data and rank the importance of the influencing factors.</p><p><strong>Results: </strong>The total social anxiety score among undergraduate nursing students was 11.20 ± 4.71. Social anxiety had a positive correlation with both fear of positive evaluation (r = 0.521, p < 0.001) and fear of negative evaluation (r = 0.648, p < 0.001) and a negative correlation with self-efficacy (r = -0.273, p < 0.001). According to the random forest model, the top five predictors of social anxiety in this study were fear of negative evaluation, fear of positive evaluation, personality traits, self-efficacy, and academic performance.</p><p><strong>Conclusion: </strong>Attention to social anxiety in undergraduate nursing students is necessary, particularly for those with a higher fear of evaluations, introverted personalities, lower self-efficacy, and poor academic performance. Nursing educators should consider recognising social anxiety and developing personalised interventions tailored to the specific characteristics of these students.</p><p><strong>Patient or public contribution: </strong>All participants contributed to the conducting of this study by completing self-reported questionnaires.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 1","pages":"e70137"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11723782/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient Experiences and Prerequisites of Collaboration as Partners in Person-Centred Care: An Interview Study.","authors":"Lena Rosenlund, Sofie Jakobsson, Helen Lloyd, Anna Diffner, Åsa Lundgren-Nilsson, Anna Dencker","doi":"10.1002/nop2.70133","DOIUrl":"10.1002/nop2.70133","url":null,"abstract":"<p><strong>Aim: </strong>To explore what characterises communication and collaboration within a patient and professional partnership in outpatient care settings garnered from the experiences of persons living with long-term conditions.</p><p><strong>Design: </strong>A qualitative descriptive study design.</p><p><strong>Methods: </strong>Semi-structured individual interviews were conducted with 15 persons with long-term condition/s who experienced outpatient treatment or follow-up care. Data were explored through inductive thematic analysis. The COREQ checklist was followed.</p><p><strong>Results: </strong>The analysis revealed five themes: adapting and self-managing in daily life, handling and carrying information, building trust and continuity, acting in a flexible and transparent dialogue and sharing the way forward. The participants described their personal and informal resources, and their actions to take control and manage health and well-being. A person-centred approach, sharing of knowledge and communication skills enabled the development of trust in the healthcare providers and their treatment and care. Communication was facilitated through availability, shared documentation, continuity and coordination of care. Collaboration was described as a flexible dialogue with mutual trust and transparency, shared learning and problem-solving. Sharing the way forward was a process, alongside and important to the life-changing process to cope with the illness.</p><p><strong>Conclusions: </strong>Prerequisites for the collaboration in outpatient settings were availability, continuity and a healthcare system that acknowledged, empowered and adapted to patients' health status, resources, everyday life and a patient's coping processes to manage their disease. For a co-created, person-centred outpatient care, it is important to acknowledge and/or collaborate with the patient's team of other healthcare providers and informal caregivers.</p><p><strong>Relevance to clinical practice: </strong>The study contributes to better understanding of patient preferences and prerequisites how to work in partnership and how to develop future services and person-centred care for persons living with long-term conditions.</p><p><strong>Patient and public contribution: </strong>Patients included in this study were participants during the data collection process.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 1","pages":"e70133"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11671734/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characteristics of Patients With Community-Acquired Pressure Injuries.","authors":"Midori Nagano, Yoshiko Kubo, Akiko Egawa, Masayo Kobayashi, Masami Sato","doi":"10.1002/nop2.70128","DOIUrl":"10.1002/nop2.70128","url":null,"abstract":"<p><strong>Aim: </strong>(1) To classify patients with community-acquired pressure injury (CAPI) according to the risk factors of PI and to assess validity of the classified groups. (2) To clarify characteristics of each group for CAPI prevention and care.</p><p><strong>Design: </strong>This study is designed to classify CAPI patients into clusters based on a retrospective study of medical records, followed by cluster analysis and description of each cluster's characteristics.</p><p><strong>Methods: </strong>Risk factors and status of CAPI, as well as discharge destination, were investigated based on 1 year's worth of medical records of patients with CAPI on hospital admission during 2018-2019. After calculating descriptive statistics, cluster analysis was conducted by Ward's method of Euclidean distance referring to risk factors of PI. Lastly, each of the defined clusters underwent multiple comparisons.</p><p><strong>Results: </strong>From 324 patients with CAPI, 272 patients were selected as the study subjects, due to availability of sufficient information regarding risk factors of PI. After classification into three groups, data were interpreted by Euclidean distance and comparison between 'attribute and risk factors of PI' and 'PI and destinations after discharge'.</p><p><strong>Patient or public contribution: </strong>Patients with CAPI were classified into three clusters and validity of the classification was assessed. Patients who had 'maintained ADL', as well as cognitive status, were expected to be capable of self-care and self-management. Patients with 'low ADL' were characterised by insufficient self-care or home care resulting in having CAPI and would require aged care service. Patients who were at 'very high risk' of having PI were characterised by incurring significant burden on caregivers and need of medical services that prospects terminal care.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 1","pages":"e70128"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11684881/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Errors Associated With Medication Administration by a Nurse During Hospitalisation: A Prospective Observational Multicentric Study.","authors":"Ondrej Tesar, Martin Dosedel, Ales Antonin Kubena, Katerina Mala-Ladova, Radka Prokesova, Iva Brabcova, Hana Hajduchova, Martin Cerveny, Ivana Chloubova, Jiri Vlcek, Valerie Tothova, Josef Maly","doi":"10.1002/nop2.70139","DOIUrl":"10.1002/nop2.70139","url":null,"abstract":"<p><strong>Aims: </strong>To explore all medication administration errors (MAEs) throughout the entire process of medication administration by nurses in the inpatient setting, to describe their prevalence, and to analyse associated factors, including deviation from the good practice standards.</p><p><strong>Background: </strong>Worldwide, MAEs are very common and regarded as a serious risk factor to inpatient safety. Nurses assume an essential role in the hospital setting during the administration of medications.</p><p><strong>Design: </strong>The prospective observational study was carried out in accordance with the STROBE guidance.</p><p><strong>Methods: </strong>This study was conducted in four regional hospitals from June to August 2021. MAEs were collected when nurses administered medications to the adult inpatients during the morning, noon, and evening medication rounds at the internal, surgical, and follow-up care departments in each hospital over three consecutive days. Direct observation by the multidisciplinary team was employed. MAEs were classified as major MAEs (from the potentially most serious and common to all drug forms), specific MAEs (specific to a drug form), and procedural MAEs (e.g., patient identification, hygiene standards, or generic drug substitution). Predictors of either major MAE or specific MAE frequency were analysed using the generalised linear model and the decision tree model.</p><p><strong>Results: </strong>Overall, 58 nurses administering medication to 331 inpatients at 12 departments were observed. In total, 6356 medication administrations were observed, of which 461 comprised major MAEs, 1497 specific MAEs, and 12,045 procedural MAEs. The predictors of the occurrence of major MAEs and specific MAEs were the specific hospital, the nurse's length of practice (less than 2 years), and two procedural MAEs (the unclear prescription and the wrong strength).</p><p><strong>Conclusions: </strong>Non-adherence to the standard processes in healthcare facilities for prescribing and administering drugs increased the prevalence of severe MAEs. Determinants of MAE occurrence such as incorrect prescriptions or limited experience of nurses should be considered.</p><p><strong>Implication for the profession and patient care: </strong>The identified determinants of MAE should be considered by hospital stakeholders in their support programs to reduce the level of burden for nurses during medication administration.</p><p><strong>Patient or public contribution: </strong>Neither patients nor public was not involved in the design, data collection, or dissemination plans of this study. The researchers observed nurse care delivery at medical departments acting as passive participants.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 1","pages":"e70139"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11723783/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Haemoglobin for Fall Risk Screening in Gynaecological and Obstetric Wards: Retrospective Survey and Delphi Validation.","authors":"Bijun Mao, Yan Chen, Chunsheng Wang, Yihan Ma, Huifeng Gu, Ya Shen, Luping Liu, Peihong Zhou, Huiping Jiang","doi":"10.1002/nop2.70124","DOIUrl":"10.1002/nop2.70124","url":null,"abstract":"<p><strong>Aims: </strong>The objective of this study is to ascertain the suitability of haemoglobin as a screening factor for falls among obstetrics and gynaecology inpatients and to formulate a stratified scheme for assessing fall risk based on haemoglobin.</p><p><strong>Design: </strong>A retrospective analysis and Delphi surveys were employed for this investigation.</p><p><strong>Methods: </strong>Initially, a retrospective survey analysed falls among obstetrics and gynaecology inpatients in two hospitals from January 1, 2020, to July 10, 2022. Descriptive statistics, receiver operating characteristic (ROC) curve analysis, Youden index, sensitivity and specificity were utilised for data examination. The conclusions drawn were subsequently validated by Delphi surveys, featuring 21 experts participating in five rounds of consultation. The Kappa value and the coefficient of variation (CV) were employed to assess expert advice.</p><p><strong>Results: </strong>The area under the Receiver Operating Characteristic curve (AUC) of haemoglobin was 0.762 ± 0.030, 95% CI (0.703, 0.821). The highest Youden index was 0.425, with sensitivity at 0.705 and specificity at 0.720 when haemoglobin was 107.5 g/L. Two consensuses were reached by experts: anaemia was important in causing falls in obstetrics and gynaecology wards, and haemoglobin should be employed as a screening factor for falls. The stratification of anaemia was developed as follows: ≥ 110; 90-109; 60-89; and < 60 g/L. Approval for the final results was unanimous among all experts. The Kappa value (K*) was 1, and the CV of expert advice ranged from 0.092 to 0.219.</p><p><strong>Conclusions: </strong>Haemoglobin could potentially be used as a predictor of fall risk in Gynaecological and Obstetric Wards. The recommended stratified scheme for anaemia in fall risk assessment is as follows: ≥ 110; 90-109; 60-89; and < 60 g/L.</p><p><strong>Implications for the profession and/or patient care: </strong>What problem did the study address? The study revealed a relationship between falls and haemoglobin in obstetrics and gynaecology inpatients. It also proposed a stratification scheme for assessing fall risk based on haemoglobin levels. What were the main findings? Haemoglobin has a good performance on fall risk prediction in Gynaecological and Obstetric Wards. The stratified scheme of anaemia for fall risk assessment was suggested as follows: ≥ 110; 90-109; 60-89; and < 60 g/L. Where and on whom will the research have an impact? Nurses and inpatients in obstetrics and gynaecology wards will be affected by the results of this study, and it provided a reference for fall prevention.</p><p><strong>Reporting method: </strong>This study has adhered to relevant EQUATOR guidelines and named the reporting method. No Patient or Public Contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 1","pages":"e70124"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11671741/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Mental Health Literacy and Stigma Scale-Bilingual Cultural Adaptation: Validity and Reliability Pilot Study in Nursing Students.","authors":"Maria José Nogueira, Síria Sas, Lucía Rodríguez, Andrea Carbonero, Uxía Bello, Leandro Nascimento, Susana Mendonça, Delfina Teixeira","doi":"10.1002/nop2.70073","DOIUrl":"10.1002/nop2.70073","url":null,"abstract":"<p><strong>Aim: </strong>To describe and evaluate the psychometric properties (reliability and construct validity) of the Mental Health Literacy and Stigma Scale-Bilingual (MHLaSS-B).</p><p><strong>Design: </strong>This is a methodological study designed in a convenience sample of 271 Portuguese and Spanish nursing students who volunteered to participate in the research.</p><p><strong>Methods: </strong>The Mental Health Literacy and Stigma Scale-Bilingual version (Spanish and Portuguese) was used for data collection. MHLaSS-B intercultural adaptation followed three stages: translation, back-translation and pilot test and the thinking-aloud techniques. Content validity was performed by Content Validity Index and Modified Kappa statistic. Construct validity and reliability tests were performed. Internal consistency was assessed by Cronbach's alpha. Data were analysed using SPSS programs. Ethics committee approval and permission from the institution involved were obtained.</p><p><strong>Results: </strong>The MHLaSS-B has 28 items of one-factor structure. Cronbach's alpha was 0.702. The cumulative variance explained was 23.14%. Respondents show High literacy and Low Stigma (M = 23.4).</p><p><strong>Patient or public contributions: </strong>The availability of the MHLaSS-B allows the general population of Portugal and Spain to have a versatile instrument for assessing stigma and MHL. The MHLaSS-B presents good psychometric properties, and it can be a useful tool for novice health workers to better understand the aspects they should pay attention to manage MHL and stigma successfully. The MHLaSS-B is a reliable, adaptable instrument that is now available and it can be used in investigation, teaching and clinical practice.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 1","pages":"e70073"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11740086/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Moral Distress, Related Factors and Coping in Emergency Nurses: A Mixed Method Study.","authors":"Selin Keskin Kızıltepe, Zeliha Koç","doi":"10.1002/nop2.70141","DOIUrl":"10.1002/nop2.70141","url":null,"abstract":"<p><strong>Aim: </strong>To determine emergency nurses with moral distress level, related factors and coping.</p><p><strong>Design: </strong>This is a mixed-methods study which included quantitative and qualitative approaches.</p><p><strong>Methods: </strong>In quantitative phase, surveys were completed to 252 emergency nurses, while in the qualitative phase, semi-structured interviews were conducted with 23 nurses. Descriptive analysis was used for quantitative data and thematic analysis for qualitative data.</p><p><strong>Results: </strong>The related factors of moral distress in nurses were as follows; educational status, work experience, satisfaction, and employment status. EN usually uses positive reinterpretation and development to cope with problems and tried to solve moral distress by getting own individual solutions and getting support from colleagues, friends and families due to lack of support from managers. In order to improve healthy working environment and conditions, it is important to create plans and strategies for EDs. It is recommended to develop practical and structural strategies and interventions that effective coping with moral distress by hospital managers.</p><p><strong>Patient or public contribution: </strong>It will increase the quality of care provided by nurses and patient satisfaction.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 1","pages":"e70141"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11761396/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143042586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diabetes Education Program for Nursing Students: A Systematic Review and Meta-Analysis.","authors":"Jeong-Ah Ahn, Eun-Mi Kim, Jung Eun Lee, Kyoung-A Kim","doi":"10.1002/nop2.70105","DOIUrl":"10.1002/nop2.70105","url":null,"abstract":"<p><strong>Aim: </strong>The purpose of this study was to summarise the current state of the science on diabetes mellitus education programs for nursing students.</p><p><strong>Design: </strong>A systematic review and meta-analysis.</p><p><strong>Methods: </strong>Eligible studies were identified by searching PubMed, EMBASE, CINAHL, and Cochrane Library databases. Randomised controlled trials and quasi-experimental studies, published in English between 2013 and 2022, that examined diabetes education programs for nursing students were considered in the review. The quality of the articles was evaluated using the Joanna Briggs Institute's Critical Appraisal Checklist. Key information such as authors, study focus, population, sample size, details of intervention and control group treatments, outcome variables, and main findings were extracted and summarised in a data extraction form for further analyses and syntheses.</p><p><strong>Results: </strong>The literature search identified 464 articles, from which 13 studies were evaluated in the systematic review. Most studies (n = 12, 92.3%) used technology-based teaching methods, such as high-fidelity simulations, mobile applications, and virtual reality simulations. Regarding the evaluation of diabetes education program effectiveness, the majority of studies showed significant improvements in knowledge (n = 8, 61.5%), followed by satisfaction with learning (n = 4, 30.8%), nursing skill performance (n = 3, 23.1%), and self-confidence (n = 3, 23.1%) in nursing students. In meta-analyses, technology-based teaching interventions, compared to traditional education, showed no statistically significant improvement in diabetes knowledge (standard mean difference 9.52, 95% CI [-0.18, 19.21], p = 0.05) and self-efficacy (standard mean difference 24.09, 95% CI [-10.75, 58.92], p = 0.18). Despite this, technology-based methods demonstrated favourable effects on knowledge and self-efficacy against traditional education. Findings highlight the importance of emerging technology-based diabetes education programs tailored for nursing students, crucial for enhancing positive educational outcomes. No Patient or Public Contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 12","pages":"e70105"},"PeriodicalIF":2.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11605939/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142751970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial: Digital Health Literacy and Black Older Adults: Bridging the Digital Divide in Managing Chronic Conditions.","authors":"Brenda Owusu, Serina Gbaba, Judith Juste, Balkys Bivins, Diana Baptiste","doi":"10.1002/nop2.70123","DOIUrl":"10.1002/nop2.70123","url":null,"abstract":"","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 12","pages":"e70123"},"PeriodicalIF":2.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11646935/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurses' Experiences With Mentoring Nursing Students in Nursing Homes Where an Active, Collaborative Learning Model Is Introduced. A Qualitative Study.","authors":"Anne Raustøl, Kirsten Eika Amsrud, Eli-Anne Skaug, Anne Lyberg, Bodil Tveit","doi":"10.1002/nop2.70107","DOIUrl":"10.1002/nop2.70107","url":null,"abstract":"<p><strong>Aim: </strong>To explore the experiences of nurses mentoring nursing students who study in an active collaborative learning model in their first clinical placement in nursing homes.</p><p><strong>Background: </strong>Clinical nurses play a crucial role in providing a meaningful learning environment when mentoring nursing students. Active collaborative learning models are increasingly being implemented in clinical placements in nursing education and it is important to explore the experiences of mentoring nurses when implementing such models. In our study, a model where one mentor supports a learning cell of two students, again being supported by a team of two persons in joint positions, was explored.</p><p><strong>Design: </strong>The study had a qualitative design, interviewing mentors in focus groups about their experiences with mentoring nursing students in a new, collaborative model.</p><p><strong>Methods: </strong>Twenty-seven mentors were interviewed in six focus groups. The data from the interviews were analysed using thematic analysis.</p><p><strong>Results: </strong>Two main themes emerged from the analysis: (1) navigating to find the mentor role in a new approach and (2) sharing responsibility for student mentoring.</p><p><strong>Conclusions: </strong>Mentors in active, collaborative learning models can experience a shift from emphasis on developing a close relationship with one student to emphasis on supporting a learning cell of two students in organising their learning. When introducing new models to practice learning it is essential to also provide a supportive structure for the mentors.</p><p><strong>Relevance to clinical practice: </strong>Active collaborative learning models have the potential to provide more clinical placements of high quality. Nurses who mentor students need support. A supportive environment being facilitated by academic-practice collaboration provide a community of practice on mentoring for nurses.</p><p><strong>Patient or public contribution: </strong>The result of the research was shared and discussed with stakeholders prior to submitting the article for publication.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 12","pages":"e70107"},"PeriodicalIF":2.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11616784/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}