Nursing Open最新文献

{"title":"Nursing students' perceptions of interaction in a multiplayer virtual reality simulation: A qualitative descriptive study.","authors":"Niina Piispanen, Elina Haavisto, Linda Hublin, Riikka Ikonen, Jaana-Maija Koivisto","doi":"10.1002/nop2.2245","DOIUrl":"10.1002/nop2.2245","url":null,"abstract":"<p><strong>Aim: </strong>To describe nursing students' perceptions of interaction in a multiplayer virtual reality (MPVR) simulation.</p><p><strong>Design: </strong>A qualitative descriptive study.</p><p><strong>Methods: </strong>Second-semester nursing students (n = 24) participated in pairs in MPVR simulations and semi-structured interviews. Data were analysed deductively and inductively.</p><p><strong>Results: </strong>Four types of interaction in a MPVR simulation were identified: interaction between the students, interaction between the student and the virtual environment (VE), interaction between the student and the virtual patient (VP), and interaction between the student and the simulation facilitator. Interaction consisted of verbal and nonverbal interaction, as well as object manipulation and movement in the VE. The reasons for interaction were to coordinate the care, to assess the VP, and to implement VPs' care.</p><p><strong>Conclusions: </strong>MPVR simulation offered nursing students an opportunity to practice nurse-to-nurse interaction and interaction related to nurses' collaboration, which are essential skills in nursing practice. Students were also able to interact with the VP, which can promote students' nurse-patient interaction skills. Therefore, MPVR simulations can be utilized as a platform to enhance interaction skills of future healthcare professionals, which could improve patient safety.</p><p><strong>Patient or public contribution: </strong>None.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 8","pages":"e2245"},"PeriodicalIF":2.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11290554/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141861301","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":"A qualitative exploration to inform an oral health training for disability care workers in Burkina Faso.","authors":"Ave Põld, Dan Filwendé Kientega, Jocelyne Valérie Garé, Michael Lorenz","doi":"10.1002/nop2.2249","DOIUrl":"10.1002/nop2.2249","url":null,"abstract":"<p><strong>Aim: </strong>To explore enablers and barriers to the creation of an oral health training for care workers at specialized centres for children with disabilities in Ouagadougou.</p><p><strong>Design: </strong>This was a formative study informed by the Theoretical Domains Framework using qualitative methods.</p><p><strong>Methods: </strong>Qualitative observations and 14 semi-structured interviews were conducted with care workers from six specialized centres for disability.</p><p><strong>Results: </strong>Carer workers emphasized that a successful oral health training must account for available resources and competencies in each specific centre. Part of the training must be dedicated to oral hygiene targeted for people with disabilities and provide knowledge about risk factor management. Care workers must be empowered through the training with practical skills and tools to manage regular toothbrushing and identify oral health needs of their dependents.</p><p><strong>Conclusion: </strong>This study gathered valuable and unique perspectives about the roles of care workers of children with disabilities in Ouagadougou and underscores the need for improving access to oral health and care services for children with disabilities in low-resourced settings.</p><p><strong>Implications for patient care: </strong>Teams planning oral health promotion activities in low resourced settings for vulnerable population groups can benefit from the methodology and results of this research for ensuring their interventions are appropriate and relevant.</p><p><strong>Impact: </strong>This is a unique field study conducted in a scarcely researched area of caregiving practices for children with disabilities in a low-income country, Burkina Faso. Results from the disability centre observations and interviews with local caregivers are of great value to any team planning health projects in similar low-resourced settings. Psychiatric and mental health nursing practices are highly context-dependent, thus using proposed qualitative methods can help to ensure that planned interventions are appropriate and relevant.</p><p><strong>Patient or public contribution: </strong>There was no patient contribution in this study.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 8","pages":"e2249"},"PeriodicalIF":2.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11336652/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142009727","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":"Explain the professional identity of nursing during COVID-19 pandemic.","authors":"Tooba Hoseini Azizi, Saideh Varasteh, Maryam Esmaeili","doi":"10.1002/nop2.2253","DOIUrl":"10.1002/nop2.2253","url":null,"abstract":"<p><strong>Aim: </strong>To explore the professional identity of nursing during the COVID-19 pandemic in Iran. Professional identity guides nurses' interaction with patients. In the COVID-19 pandemic, recent developments in society's view of the nursing profession are expected to change the perception of nurses' professional identities.</p><p><strong>Design: </strong>The qualitative study used a conventional content analysis approach.</p><p><strong>Methods: </strong>Data were collected using in-depth semi-structured interviews from June 2020 to January 2021. Data analysis was performed using Landman and Granheim's analysis and Lincoln and Guba's criteria to ensure the data's rigour.</p><p><strong>Results: </strong>After analysing the 20 interviews with 17 participants, including 11 nurses with an average age of 32.63 ± 6.71 years and six varius community members with an average age of 38.66 ± 5.85 years, three main categories were formed: (1) The dual role of the media in the two subcategories (the positive role and the negative role of the media), (2) Changes in public view of nursing during the COVID-19 pandemic (respect for avoidance and understanding the value of nursing practice) and (3) Change of professional identity by showing self-sacrifice (dealing with adversity and commitment to professional obligations).</p><p><strong>Conclusion: </strong>The image in the public view of the nursing profession during the COVID-19 pandemic media differs from before and shows self-sacrifice, professional commitment and humanity in nursing. Nurses' experience of caring during the COVID-19 pandemic has positively affected their professional identity; however, they are concerned about the instability of improving the nursing image in society.</p><p><strong>Impact: </strong>Nursing leaders and policymakers can utilize media platforms to portray the nursing profession in a positive light and emphasize the scientific capabilities of nurses. This approach goes beyond highlighting sacrifice and compassion, aiming to shift societal perceptions of nursing and bolster the professional identity of nurses.</p><p><strong>Reporting method: </strong>We used the COREQ (COnsolidated criteria for REporting Qualitative research) checklist as a reporting method.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 8","pages":"e2253"},"PeriodicalIF":2.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11337112/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019202","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 effects of profession-related films on the professional pride of nursing students: A randomised controlled trial.","authors":"Cevriye Ozdemir, Ayşe Kabuk","doi":"10.1002/nop2.70000","DOIUrl":"10.1002/nop2.70000","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to determine the effects of profession-related films on the professional pride of nursing students.</p><p><strong>Designs: </strong>The study was conducted with a randomised controlled experimental design.</p><p><strong>Methods: </strong>The sample of the study consisted of 102 students enrolled in the first year of the School of Nursing, Zonguldak Bulent Ecevit University in Türkiye in the 2022-2023 academic year. These students were randomly assigned to the experimental (n = 57) and control (n = 45) groups. The experimental group watched two documentaries and a film on YouTube with a one-week break. Self-administered online questionnaires were distributed via WhatsApp groups for pretests and posttests. Data were collected with a \"Sociodemographic Data Form\" and the \"Nursing Professional Pride Scale (NPPS)\" included in the questionnaire forms prepared on the Google Forms platform. Data were analysed using Spearman's rho, the Mann-Whitney U Test, and the Wilcoxon Signed-Rank Test.</p><p><strong>Results: </strong>The mean age of the participants was 18.80 ± 0.99 years, 80% of the participants were female, the place where 79.4% had lived for the longest duration in their lives was the city, 85.3% had information about the profession of nursing before they started university (36.8% from the internet, 34.6% from people around them). The experimental group had significantly higher NPPS scores than the control group after the intervention (p = 0.017). There was also a significant increase in the dimensions of professional feeling (p = 0.012) and desire to continue the profession in the experimental group (p = 0.002).</p><p><strong>Patient or public contribution: </strong>Patients and public were not involved in this research.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 8","pages":"e70000"},"PeriodicalIF":2.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11335808/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142009742","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":"Enhancing nursing students' cultural awareness through Community of Inquiry-guided online 'Internationalization at Home' strategies-An intervention study.","authors":"Siu Ling Chan, John Tai Chun Fung, Naomi Takemura, Pui Hing Chau, Jay Jung Jae Lee, Hye Ri Choi, Wai Hin Wan, Harrison Withrow, Chia-Chin Lin","doi":"10.1002/nop2.2251","DOIUrl":"https://doi.org/10.1002/nop2.2251","url":null,"abstract":"<p><strong>Aim: </strong>Internationalization at Home (IaH) strategies play an important role in nursing curricula to enhance nursing students' cultural awareness in the globalized world. The Community of Inquiry (CoI) is a theoretical framework for the optimal design of online learning environments to support critical inquiry and discourse among students and teachers. To optimise nursing students' online cultural awareness learning experiences, it was timely to develop online IaH strategies based on a sound theoretical model. This study aimed to examine the effectiveness of CoI-guided online IaH strategies on enhancing the cultural awareness of nursing undergraduates who enrolled in a community nursing course.</p><p><strong>Design: </strong>This was an interventional pre-test post-test study.</p><p><strong>Method: </strong>One hundred and six nursing undergraduates who enrolled in the course participated in the study. The online IaH strategies were developed focusing on the interactions of teaching presence, cognitive presence and social presence of CoI framework and they were integrated into the course. A previously validated Cultural Awareness Scale was adopted for pre-post evaluation. Higher scores indicate greater cultural awareness.</p><p><strong>Results: </strong>The results showed that there was a significantly higher total score of cultural awareness of participating students at post-online IaH strategies. To be effective, aligning CoI-guided online IaH strategies with course content, pedagogy and assessment was shown to be significant. The inclusion of technological elements in related strategies was also critical to engage student learning. The positive change on the total score of cultural awareness suggested the effectiveness of the deployed strategies. In this ever-changing educational landscape, it may provide insights to educators regarding considering online IaH strategies with theoretical underpinning for curriculum planning and design.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 8","pages":"e2251"},"PeriodicalIF":2.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11358211/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113587","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":"Cognitive dysfunction in older patients undergoing non-neurosurgery in the immediate postoperative period: A systematic review.","authors":"Pinyapat Kitthanyateerakul, Thitipong Tankumpuan, Patricia M Davidson","doi":"10.1002/nop2.70023","DOIUrl":"10.1002/nop2.70023","url":null,"abstract":"<p><strong>Aim: </strong>To explore the risk factors associated with postoperative cognitive dysfunction in older patients within the first 7 days after non-neurosurgical surgery and anaesthesia.</p><p><strong>Design: </strong>A systematic review.</p><p><strong>Methods: </strong>Following, PRISMA 2020 (Preferred Reporting Items for Systematic Reviews and Meta-analyses). Checklist, a systematic review of studies published from January 2018 to January 2024. The literature search was conducted across six electronic online databases, including PubMed, EMBASE, Scopus, Ovid, MEDLINE and Science Direct, and the Johns Hopkins Nursing Evidence-Based Practice Evidence Rating Scale was used for study appraisal.</p><p><strong>Results: </strong>The initial search yielded 1750 studies. The review included 19 studies which comprised prospective observational, case-control and retrospective studies. The prevalence of postoperative cognitive dysfunction ranged from 19% to 64% among older adults undergoing non-neurosurgery. The identified risk factors were classified into three phases including preoperative, intraoperative and postoperative. Preoperative risk factors were found in age, educational attainment, malnutrition, preoperative biomarkers and co-morbidities. Intraoperative risk factors were the duration of the operation, blood loss during the operation and anaesthesia used. Postoperative risk factors consisted of postoperative biomarkers and postoperative pain.</p><p><strong>Patient or public contribution: </strong>The result from this review may assist researchers and healthcare providers in assessing the underlying causes and risk factors of postoperative cognitive dysfunction, and in formulating suitable preventative and therapeutic strategies for older adults with non-neurosurgery during the short-term postoperative period.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 8","pages":"e70023"},"PeriodicalIF":2.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11348231/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142074286","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":"Indicators and factors related to one-year improved SCImago journal rank in nursing journals: A bibliometric analysis.","authors":"Sutthisak Srisawad, Kullacha Lertsittiphan, Pennapa Saenkla, Sirirut Tunsirirut","doi":"10.1002/nop2.70022","DOIUrl":"10.1002/nop2.70022","url":null,"abstract":"<p><strong>Aims: </strong>To analyse the bibliometric data of nursing journals covering general fields, specializations, skills and practices and investigate the influence of selection factors on the one-year improved SCImago journal rank (SJR).</p><p><strong>Design: </strong>A bibliometric analysis.</p><p><strong>Methods: </strong>The study sample included academic journals in the field of nursing indexed in the Scopus and SJR database using data from 2020 to 2022. Quantile regression were performed that investigated the influence factors over the one-year improved SJR when variables were found to be non-normally distributed, characterized by extremely high kurtosis.</p><p><strong>Results: </strong>Results from 539 nursing journals retrieved from the Scopus and SCImago databases revealed that citation index remains the main factor that positively affects differences in SJR, while citable articles only affect the early stages of quantile regression. In addition, an excessively high number of research articles may negatively affect SJR, and the influence of self-citations can initially be positive but become negative the following year. Citations continue to be the dominant factor, while the rapid growth in the number of articles and self-citations must be addressed with caution.</p><p><strong>No patient or public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 8","pages":"e70022"},"PeriodicalIF":2.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11347613/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142074287","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":"Quality of nursing care: Predictors of patient satisfaction in a national sample.","authors":"Fawzi Al-Hammouri, Khaldoun M Hamdan, Abdullah M Haymour, Malak O Ibrahim, Adeeb Malkawi, Sakher S Al-Hiary, Maha Alkaid Albqoor, Abeer M Shaheen","doi":"10.1002/nop2.2252","DOIUrl":"10.1002/nop2.2252","url":null,"abstract":"<p><strong>Aim: </strong>To assess patients' satisfaction with the quality of nursing care and the relationship between patients' characteristics and their level of satisfaction.</p><p><strong>Design: </strong>A descriptive correlational cross-sectional design was used in this study.</p><p><strong>Methods: </strong>Convenient sampling was utilized to include 1014 inpatients from six hospitals in Jordan: three private hospitals; two governmental hospitals; and one university-affiliated hospital. The data collection process occurred from September 2022 to January 2023. The data were collected using the Arabic version of the Patients' Satisfaction with Nursing Care Quality Questionnaire. The data were analysed using Pearson correlation, t-test, one-way ANOVA and multiple hierarchal regression.</p><p><strong>Results: </strong>The study included 1014 patients with an average age of 51.3 (SD = 18.6), and 59.9% were females. More than two thirds of the sample reported having health insurance, and 62.7% were unemployed. The mean total score of patients' satisfaction with nursing care quality (NCQ) was 68.2 (SD = 12.9), indicating high satisfaction. Higher-income levels (p < 0.001), higher education levels (p = 0.003), having health insurance (p < 0.001), being admitted to private hospitals (p < 0.001), being admitted to critical care units (p = 0.002), being in a single room (p = 0.001), excellent perceived health status (p < 0.001) and willingness to recommend the hospital to family and friends (p < 0.001) were significant predictors of patients' satisfaction with NCQ.</p><p><strong>Conclusions: </strong>Patient and hospital environment characteristics affected patients' satisfaction with NCQ. Hospital management should consider these characteristics to improve patient satisfaction and outcomes.</p><p><strong>Implications for the profession and/or patient care: </strong>Policymakers and hospital management should consider improving the physical environment of their facilities to improve patients' satisfaction. Continuous professional development should emphasize nurses' communication skills to enhance their abilities to deliver information to their patients.</p><p><strong>Impact: </strong>This study examined levels and predictors of patients' satisfaction with the quality of nursing care. The results indicated that improving patients' satisfaction can be achieved by focusing on areas of nurses' communication skills and explaining information to patients.</p><p><strong>Reporting method: </strong>The study adhered to STORBE guidelines for reporting observational studies.</p><p><strong>Patient or public contribution: </strong>Hospitalized patients contributed to the data of this study. Hospital administrators facilitated its implementation.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 8","pages":"e2252"},"PeriodicalIF":2.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11336376/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142009730","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":"Occupational stress and associated sources and risk factors among nurses in Gaza strip, Palestine: A cross-sectional survey.","authors":"Ahmed Hassan Albelbeisi, Sameh Musleh Al-Amoudi, Azadeh Anabri, Hassan Abu Obaid, Fady Alijla, Edris Kakemam","doi":"10.1002/nop2.70004","DOIUrl":"10.1002/nop2.70004","url":null,"abstract":"<p><strong>Aim: </strong>To determine the occurrence of occupational stress among Palestinian nurses, and their associated sources and risk factors.</p><p><strong>Design: </strong>A cross-sectional descriptive design.</p><p><strong>Methods: </strong>A total of 250 registered nurses from eight governmental hospitals, using a convenience sampling method. Data collection were conducted using the 30-items self-reported Occupational Stress Scale from December 2022 to March 2023. Descriptive statistics, independent sample t-test, one-way ANOVA, and multiple linear regression analysis were applied to analysis data. Data analysis included descriptive statistics, independent sample t-test, one-way ANOVA, and multiple linear regression analysis.</p><p><strong>Results: </strong>The prevalence of high occupational stress levels was 64.8% (Mean = 3.9 out of 5). The main sources of stress are too much responsibility and work, understaffing, lack of promotion and recognition, inadequate pay, time pressure, and management style. The results regression analysis demonstrated that male nurses with a Masters or PhD degree and those working in fixed shifts experienced higher occupational stress. Moreover, participants who worked overtime hours were more susceptible to stress.</p><p><strong>Conclusions: </strong>The research indicates that occupational stress presents a notable challenge for nurses in the Gaza Strip, Palestine. It suggests that in order to alleviate this stress, decision-makers in healthcare policy and hospital management should prioritize the execution of strategies aimed at addressing the primary stressors and risk factors identified.</p><p><strong>Reporting method: </strong>This study adhered to the STROBE guidelines.</p><p><strong>Public contribution: </strong>A total of 250 registered nurses were taken part in this study by answering a self-administered study survey.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 8","pages":"e70004"},"PeriodicalIF":2.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11336378/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142009729","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":"Students' core competence performance during fundamental nursing practicum: A cross-sectional survey with importance-performance analysis.","authors":"Yu-Hsuan Chang, Shiow-Ching Shun, Pao-Chen Lin","doi":"10.1002/nop2.70012","DOIUrl":"10.1002/nop2.70012","url":null,"abstract":"<p><strong>Aim: </strong>Limited available studies compare the core competence performance of students undertaking their practicum at different level-of-care practicum sites. This study aimed to (1) compare the gaps between the perception of importance for competence and the perceived performance of nursing students at practicum sites involving different level-of-care and (2) identify low competencies that must be prioritized for improvement at different sites during the fundamental nursing practicum.</p><p><strong>Design: </strong>Cross-sectional design.</p><p><strong>Methods: </strong>A total of 659 students who had passed their fundamental nursing practicum within 1 month from six nursing colleges in Taiwan were recruited. The students completed the 25-item Core Competence in Fundamental Nursing Practicum Scale, wherein both the importance and performance level of each item are indicated. One-way analysis of variance along with the Scheffe post hoc test and importance-performance analysis were used to explore the gaps between the perception of importance for competence and the perceived performance and to identify weak competencies that must be prioritized for improvement, respectively.</p><p><strong>Results: </strong>Compared with nursing students practicing in district hospitals (predominantly caring for chronically ill patients), nursing students practicing in medical centres (predominantly caring for patients with severe and critical conditions) had larger gaps in total scores and the application of nursing processes. Students in medical centres also had larger gaps in professional attitude than their counterparts in long-term care facilities. Importance-performance analysis identified a common shortfall in communication skills among nursing students for all level-of-care practicum sites. Students at long-term facilities had the highest number of weak competencies that required improvement. The results of this study can guide instructors in designing curricular activities focused on the weaker core competencies of the students at a practicum site for each level of care.</p><p><strong>Patient or public contribution: </strong>No patient or public contributions.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 8","pages":"e70012"},"PeriodicalIF":2.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11336056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142009731","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}