Objective:To explore the application of the Registered Nurses'Association of Ontario(RNAO)Best Practice Guideline(BPG)for Developing and Sustaining Nursing Leadership through the lens of nursing students transitio...Objective:To explore the application of the Registered Nurses'Association of Ontario(RNAO)Best Practice Guideline(BPG)for Developing and Sustaining Nursing Leadership through the lens of nursing students transitioning from classroom learning to clinical practice.Through this reflection,the authors hope to inspire and empower future nursing leaders to champion innovation,resilience,and excellence in healthcare.Methods:By integrating evidence-based leadership principles,the authors reflect on their personal experiences,challenges,and successes in implementing these guidelines in real-world settings.Results:The paper highlights the significance of leadership in fostering healthy work environments and improving patient outcomes,emphasizing the role of nursing students as emerging leaders.Practical strategies for applying BPG,the RNAO BPG suggests leadership skills on professional development,and recommendations for embedding leadership principles into nursing education and practice are discussed.Conclusions:Implementing nursing leadership from the beginning of a nursing student's journey is vital for shaping the next generation of healthcare leaders.By integrating leadership principles early in nursing education,students can develop the skills needed to navigate clinical challenges,collaborate effectively with healthcare teams,and advocate for positive change.Starting with leadership guidelines in nursing school ensures that future nurses are equipped to foster supportive work environments,improve patient outcomes,and drive innovation from the very start of their careers,making leadership an inherent part of their professional identity.展开更多
Objective: To understand the current status of peer caring behavior and empathy among undergraduate nursing students and to explore the relationship between the two. Method: Using the convenience sampling method, a qu...Objective: To understand the current status of peer caring behavior and empathy among undergraduate nursing students and to explore the relationship between the two. Method: Using the convenience sampling method, a questionnaire survey was conducted among 292 nursing students from a medical college in Jiangxi Province, using the Peer Caring Behavior Scale and the Jefferson Scale of Empathy. Results: The score for peer caring behavior among undergraduate nursing students was 85.00 (78.00-92.00), and the score for empathy was 101.00 (92.00-110.00). A positive correlation was found between the two (r = 0.362, p < 0.05). Conclusion: The level of peer caring behavior among undergraduate nursing students is above average, while their empathy level is moderate, with a positive correlation between the two. This suggests that nursing educators should strengthen the development of peer caring behavior, which may help enhance the empathy of undergraduate nursing students.展开更多
Nursing education is undergoing a paradigm shift from skill training to clinical thinking cultivation.The integration of artificial intelligence technology offers technical possibilities for this transformation,but it...Nursing education is undergoing a paradigm shift from skill training to clinical thinking cultivation.The integration of artificial intelligence technology offers technical possibilities for this transformation,but it also brings about a deep tension between the cultivation of humanistic qualities and a standardized training.Based on the analysis of the practical forms of nursing smart education,this paper examines the cognitive gap between the deterministic feedback of virtual simulation systems and the complexity of real clinical scenarios,reveals the potential narrowing effect of data-driven ability profiling on the all-round development of nursing students,and then proposes the design logic of intelligent teaching resources centered on real clinical problems,a hierarchical teaching model with clear human-machine division of labor,and a dynamic assessment mechanism for technology application led by professional nursing teachers,in an attempt to find a balance between technological empowerment and humanistic commitment in smart nursing education.展开更多
association with academic and clinical performance.This study aimed to determine the EI level of hospital-based nursing students and examine differences between full-time and part-time students.Methods:We conducted a ...association with academic and clinical performance.This study aimed to determine the EI level of hospital-based nursing students and examine differences between full-time and part-time students.Methods:We conducted a cross-sectional study in a hospital-based nursing school.EI level was measured using the Schutte Self-report Emotional Intelligence Scale(SSEIS).Results:We recruited 287 participants(mean age:21.9 years).Their mean SSEIS score was 119.6(95%CI=118.57-120.65).The mean SSEIS scores of 172 full-time and 115 part-time nurses were 120.7(95%CI=119.3-122.0)and 118.1(95%CI=116.5-119.6),respectively.There was no significant difference between the groups.Conclusion:The EI difference between full-time and part-time nursing students was statistically insignificant.The need for further EI development among both full-time and part-time students must be addressed.展开更多
With the continuous improvement of the medical industry’s requirements for the professional capabilities of nursing talents,traditional nursing teaching models can hardly meet the needs of complex nursing work in neu...With the continuous improvement of the medical industry’s requirements for the professional capabilities of nursing talents,traditional nursing teaching models can hardly meet the needs of complex nursing work in neurology.This paper focuses on nursing education for neurology nursing students and explores the construction of the“one-on-one”teaching model,aiming to achieve a paradigm shift in nursing education.By analyzing the current status of neurology nursing education,this paper identifies the problems in traditional teaching models.Combining the advantages of the“one-on-one”teaching model,it elaborates on the construction path of this model from aspects such as the selection and training of teaching instructors,the design of teaching content,the innovation of teaching methods,and the improvement of the teaching evaluation system.The research shows that the“one-on-one”teaching model can significantly enhance nursing students’mastery of professional knowledge,clinical operation skills,communication skills,and emergency response capabilities,as well as strengthen their professional identity and sense of responsibility.It provides an effective way to cultivate high-quality nursing talents who can meet the needs of neurology nursing work and promotes the innovative development of nursing education.展开更多
Objective:This study aimed to investigate the learning expectations of undergraduate nursing students regarding the flipped Health Assessment course.Methods:This descriptive,qualitative study was conducted at a medica...Objective:This study aimed to investigate the learning expectations of undergraduate nursing students regarding the flipped Health Assessment course.Methods:This descriptive,qualitative study was conducted at a medical university in Fuzhou,Fujian Province,China.An interview outline was designed based on the core dimensions of Expectation Confirmation Theory(expectation sources,expectation content,and expectation importance).Thirty second-year undergraduate nursing students who had completed first-year basic medical courses and were about to take the flipped Health Assessment course were interviewed between June and July 2022.Interview data were analyzed using qualitative content analysis.Results:Five major themes and thirteen subthemes were identified.Theme 1 was expectation sourcesperceived learning difficulties from past experiences,which included four subthemes:insufficient autonomous learning ability,confusion regarding learning methods,insufficient engagement in learning,and low professional identity.Theme 2 included knowledge and information expectations,which comprised three subthemes:knowledge to improve professional competence,knowledge to enhance academic competitiveness,and knowledge to boost self-efficacy.Theme 3 comprised logical expectations and included two subthemes:flexible teaching methods and efficient instructional tools.Theme 4,pleasure expectations,included two subthemes:vivid teaching styles and diversified teaching evaluations.Theme 5 comprised professional value expectations and included two subthemes:teachers'responsible professional attitudes and gentle emotional support.Conclusion:Students'learning expectations originate from perceived learning difficulties,such as insufficient learning autonomy and engagement,confusion about learning methods,and a lack of professional identity.They showed various learning expectations for the flipped Health Assessment course,including knowledge and information,logic,pleasure,and professional value expectations.展开更多
Objective:To investigate the preference characteristics and relative importance of each core factor in the teaching program for undergraduate nursing students during clinical practice,and to provide empirical support ...Objective:To investigate the preference characteristics and relative importance of each core factor in the teaching program for undergraduate nursing students during clinical practice,and to provide empirical support for the creation of a student-centered,formalized clinical teaching system that meets the actual needs of nursing students.Methods:The quantitative research method of discrete choice experiment was adopted,and the questionnaire was designed based on the random utility theory.Through a systematic literature review,semi-structured interviews,and two rounds of Delphi expert consultations,six core attributes of the instructor,namely educational qualifications,teaching methods,frequency of individualized guidance,operational practice opportunities,feedback timeliness,and instructor title,and their corresponding levels were determined.The study period was from January 2024 to January 2025,and 158 undergraduate nursing students who chose to intern at Deyang People’s Hospital were selected as the research subjects.A survey tool with 12 choice sets was created using Ngene software,and then statistical analysis was performed on the obtained data using the conditional Logit model to measure the impact of each attribute on the choice behavior of nursing students.Results:The results showed that the conditional Logit model fitted well(likelihood ratio chi-square=85.32,p<0.001).The analysis results indicated that the most important teaching attributes for undergraduate nursing students were,in order:the academic qualifications of the teaching instructor(master vs.Junior college,β=0.42,p<0.01),individualized guidance frequency(daily vs.Weekly,β=0.38,p<0.01),operational practice opportunities(more vs.less,β=0.31,p<0.05),and the timeliness of feedback(timely versus delayed,β=0.29,p<0.05).The influence of the title of the instructor was not statistically significant(p>0.05).Conclusion:Undergraduate nursing students show a clear and systematic preference structure for clinical teaching,with a high expectation of frequent personalized guidance from highly educated teachers,as well as sufficient operational opportunities and timely teaching feedback.展开更多
Background: For nursing students, gathering social information is essential for understanding healthcare and social issues and developing critical thinking and decision-making skills. However, the choice of informatio...Background: For nursing students, gathering social information is essential for understanding healthcare and social issues and developing critical thinking and decision-making skills. However, the choice of information sources varies by age and individual habits. With the widespread use of the internet, there are notable differences between younger and older generations in their reliance on the internet versus traditional media sources like newspapers and television. Given the wide age range and diverse backgrounds of nursing students, understanding generational differences in information-gathering methods is important for implementing effective education. Purpose: The purpose of this study is to identify how nursing students in different age groups obtain social information and to examine media usage trends by age group. Additionally, we aim to use the findings to provide insights into effective information dissemination methods in nursing education. Results: The results showed that nursing students in their teens to forties, regardless of gender, primarily relied on the internet as their main information source, with television playing a secondary role. In contrast, students in their fifties tended to obtain information more often from newspapers and television than from the internet. This highlights an age-related difference in preferred information sources, with older students showing a greater reliance on traditional media. Conclusions: This study demonstrates that nursing students use different information-gathering methods based on their age, suggesting a need to custo-mize information dissemination strategies in nursing education. Digital media may be more effective for younger students, while traditional media or printed materials might better serve older students. Educational institutions should consider these generational differences in media usage and adopt strategies that meet the diverse needs of their student populations.展开更多
Background: Disaster preparedness is a critical aspect of nursing education, enhancing students’ ability to respond effectively in emergencies. However, the extent to which nursing curricula influence disaster prepar...Background: Disaster preparedness is a critical aspect of nursing education, enhancing students’ ability to respond effectively in emergencies. However, the extent to which nursing curricula influence disaster preparedness awareness remains underexplored. Our study found that 39% of students reported improved awareness after three years, highlighting the need for targeted curriculum enhancements. Purpose: To evaluate changes in disaster preparedness awareness among nursing students over three years of education and identify gaps in current curricula impacting this awareness. Results: Findings indicate that while 39% of students showed improved awareness, significant gaps remain, suggesting the need for a dedicated course on emergency preparedness. Conclusions: This study emphasizes the importance of integrating comprehensive disaster preparedness education within nursing curricula to address these gaps and foster resilience in future healthcare professionals.展开更多
Objective:To assess the level of nursing students’knowledge about delirium and its associated risk factors.Delirium is a clinical syndrome characterized by alterations in cognition and psychomotor activity.Since deli...Objective:To assess the level of nursing students’knowledge about delirium and its associated risk factors.Delirium is a clinical syndrome characterized by alterations in cognition and psychomotor activity.Since delirium is common among geriatric patients,adequate preparedness of nursing students to assess and manage delirious geriatric patients is necessary to improve potential nurses’quality of care and communication with this group.Limited research work was conducted to address nursing students’knowledge about delirium.Methods:This cross-sectional descriptive study was conducted from October 2022 to February 2023.A convenience sampling was used,and 319 valid questionnaires were obtained from nursing students from six Jordanian governmental and private universities,who were at least in their third academic year.An adopted delirium knowledge scale was used to collect data.Descriptive statistics and an independent t-test were used for data analysis.Results:The mean for general knowledge about delirium was 57.5%.The mean for knowledge of delirium risk factors was 61.8%.Nursing students in their fourth academic year scored significantly higher on both general knowledge and risk knowledge scales than students in the third academic year.Conclusions:Nursing students’knowledge regarding delirium and its risk factors was low.Educational efforts should be maximized for incorporating and addressing the topic of delirium in the undergraduate nursing curriculum.Implications of this study include revising nursing curricula to ensure that students receive enough education on delirium,including its detection,diagnosis,and management.The implications also include giving nursing students the chance to gain experience in caring for delirious patients and providing them with the tools and resources they need to assess and manage delirium.展开更多
Objective: The importance of culture in nursing lies in its influence on patients’ health perceptions, behaviors, and responses to care. Despite the challenges posed by the complexity of studying culture, there remai...Objective: The importance of culture in nursing lies in its influence on patients’ health perceptions, behaviors, and responses to care. Despite the challenges posed by the complexity of studying culture, there remains a critical need to develop cultural competence in nursing. This study investigated how nursing students in rural Indonesia enhance their cultural competence through education and practice. Methods: This study employed a qualitative descriptive phenomenological approach. It conducted face-to-face interviews with 32 students across 6 regions, selected purposively. Thematic analysis was employed to evaluate the results. Results: Five themes emerge in this research: perceptions of cultural competence, learning cultural competence in the classroom, practical experience, learning expectations related to cultural competence, and cultural learning barriers. Conclusions: Enhancing cultural competence necessitates enriched curricula, adept clinical mentors, and continual student evaluation. This iterative assessment informs tailored strategies for nurturing cultural proficiency.展开更多
BACKGROUND Death anxiety is a common emotional response to death,and it varies in intensity across cultures and regions.However,there is a paucity of research on death anxiety among nursing students during their clini...BACKGROUND Death anxiety is a common emotional response to death,and it varies in intensity across cultures and regions.However,there is a paucity of research on death anxiety among nursing students during their clinical internship,especially in relation to their emotional experiences and behavioral responses.AIM To explore the relationship between empathy and death anxiety as well as to identify factors influencing students’empathetic skills during their initial clinical experiences.METHODS This cross-sectional study included 473 nursing students enrolled from across vocational colleges in Quanzhou(Fujian Province,China)during June–July 2023.These students were trained at three Grade-A general hospitals.The Empathy Scale and Death Anxiety Scale were applied to assess their empathetic skills and death anxiety levels during the early stages of the clinical internship.Data ana-lyses employed descriptive statistics,correlation analyses,independent sample t-tests,one-way analysis of variance,and multiple linear regression analysis.RESULTS The mean death anxiety score was 46.33±6.29,with 95.6%of participants exhi-biting high death anxiety.The mean scores across dimensions were as follows:Cognitive-affective,18.08±3.15;pain and illness,13.25±2.41;awareness of the passage of time,5.58±1.40;stimuli related to death,9.40±1.56.The mean empathy score was 63.78±11.49.Regression analysis revealed that students’subject major,total death anxiety level,and pain and stress dimensions acted as significant predictors of their empathetic skills during early clinical practice(P<0.05).CONCLUSION Vocational nursing students,especially those in midwifery with higher death anxiety,exhibited lower empathetic skills during the early stages of their clinical internship.Nursing educators should take measures to enhance the empathetic skills of students through appropriate training and support for students with high death anxiety levels.展开更多
Nursing students often exhibit emotional suppression,avoidance,or over-expression when confronted with high-pressure work environments and emotional challenges.These disorders affect nursing students mental health,pro...Nursing students often exhibit emotional suppression,avoidance,or over-expression when confronted with high-pressure work environments and emotional challenges.These disorders affect nursing students mental health,professional adaptation,and quality of communication with patients.The causes of emotional expression difficulties include individual personality,emotional intelligence,educational background,and socio-cultural pressures.To address this issue,it is recommended to enhance nursing students emotional expression and regulation capabilities through psychological interventions,emotional intelligence training,and optimization of educational systems,thereby improving their mental health and career development,ultimately enhancing nursing service quality and doctor-patient relationships.展开更多
Objective:To explore the application effect of the path for improving humanistic literacy of operating room nursing students based on the ORTCC model,in order to make up for the deficiency of systematic humanistic edu...Objective:To explore the application effect of the path for improving humanistic literacy of operating room nursing students based on the ORTCC model,in order to make up for the deficiency of systematic humanistic education in the traditional teaching model.Methods:120 nursing students who practiced in the operating room from June 2023 to June 2024 were randomly divided into the experimental group and the control group,with 60 students in each group.The control group received routine teaching,while the experimental group applied the ORTCC model on the basis of routine and intervened through setting humanistic literacy goals,formulating behavioral norms,conducting diversified training,implementing two-way assessment,and creating departmental culture.The effect of the intervention was evaluated using the Nurse Humanistic Quality Scale,the Clinical Communication Ability Assessment Scale for Operating Room Nursing Students,and a self-made nursing satisfaction questionnaire.Results:After the intervention,the total score of humanistic literacy in the experimental group(4 weeks of intervention:161.43±10.06 points,12 weeks of intervention:165.71±9.45 points)was significantly higher than that in the control group(139.38±10.95 points,143.31±10.52 points)(all p<0.001);The total score of clinical communication ability in the experimental group(109.69±8.05 points for 4 weeks of intervention,116.90±7.21 points for 12 weeks of intervention)was also significantly better than that in the control group(99.14±9.23 points,103.03±8.78 points)(all p<0.001);The total score of patient care satisfaction in the experimental group(94.2±4.3)was significantly higher than that in the control group(82.6±5.7)(p<0.001).Conclusion:The ORTCC model can systematically enhance the humanistic literacy,clinical communication skills and patient satisfaction of operating room nursing students,providing an effective approach for optimizing clinical teaching in the operating room.展开更多
Objective: To investigate the current state of caring behavior among nursing students in a 3A hospital and analyze its influencing factors. Methods: A convenient sampling method was employed to survey 157 nursing stud...Objective: To investigate the current state of caring behavior among nursing students in a 3A hospital and analyze its influencing factors. Methods: A convenient sampling method was employed to survey 157 nursing students in a 3A hospital from October 2023 to March 2024, using a self-designed general data questionnaire and the Chinese version of the Caring Behavior Scale. Results: The caring behavior score of the nursing students was 102.39 ± 14.42. Among the three dimensions, the highest score was observed in “respect and connection” (40.29 ± 6.65), while the lowest score was in “knowledge and skill” (22.25 ± 3.53). Statistically significant differences in caring behavior scores were found in relation to education level, relationship with parents (general), and unwillingness to engage in nursing work after graduation (P < 0.05). Conclusion: The caring behavior scores of the nursing students in this study were at a moderate level. Education level, the quality of the relationship with parents (general), and an unwillingness to pursue nursing as a career after graduation were identified as the primary influencing factors.展开更多
This study investigates the mental health challenges faced by international nursing students in the Philippines during a global health disruption like the COVID-19 pandemic,particularly focusing on symptoms of depress...This study investigates the mental health challenges faced by international nursing students in the Philippines during a global health disruption like the COVID-19 pandemic,particularly focusing on symptoms of depression,anxiety,and stress(DAS).With the first incidence of global outbreak in the Philippines reported in 2020,the pandemic has intensified psychological distress among international students,who already struggle with sociocultural adjustment issues such as alienation and culture shock.The study aimed to determine the prevalence and contributing factors of DAS among this group.Using descriptive statistics and the DASS-21 tool,the research found that international nursing students exhibited alarmingly high levels of depression,anxiety,and stress.Pearson’s test of association was employed to explore relationships between DAS symptoms and demographic variables.Results highlighted key predictors of mental health distress,including age,gender,length of stay in the country,and sleep patterns.These findings address a significant gap in existing literature concerning international students’mental health in the Philippines during pandemics.The study concludes by urging healthcare providers and policymakers to integrate these insights into emergency preparedness plans and educational reforms,emphasizing the importance of supporting the psychological well-being of international students during crises.Replication with additional variables is recommended for a more comprehensive understanding.展开更多
Objectives:The objective of this study is to evaluate the effect of simulation-based education(SBE)on the knowledge and skills of nursing students in managing childhood epileptic seizures.Materials and Methods:A quasi...Objectives:The objective of this study is to evaluate the effect of simulation-based education(SBE)on the knowledge and skills of nursing students in managing childhood epileptic seizures.Materials and Methods:A quasi-experimental design was conducted among 160 third-year B.Sc.nursing students at a SUM nursing college in Bhubaneswar,India.The experimental group(n=80)participated in a structured simulation-based session,while the control group(n=80)received routine lecture-demonstration sessions.Knowledge was measured using a 20-item multiple-choice questionnaire and skills were assessed through an Objective Structured Clinical Examination checklist.Results:The experimental group demonstrated significant improvements in posttest knowledge(13.15±1.40 vs.9.56±2.10;t=11.24,P<0.001)and skill scores(17.28±1.82 vs.12.42±2.18;t=10.96,P<0.001)compared with the control group.Ranked data analysis further confirmed higher postintervention knowledge and skill levels(Z=−-6.42 and−-6.55,respectively;P<0.001).These results indicated that SBE produced substantial gains in both cognitive and psychomotor domains.Conclusion:SBE significantly enhances nursing students’knowledge and skills in managing childhood epileptic seizures compared to traditional teaching.Incorporating structured simulation modules into pediatric nursing curricula can improve clinical competence,reduce anxiety,and bolster patient safety in pediatric emergency care.展开更多
This study explored the role of learning engagement in the relationship between academic self-efficacy and self-directed learning ability among nursing students.Participants were 328 Chinese nursing students(male=11.3...This study explored the role of learning engagement in the relationship between academic self-efficacy and self-directed learning ability among nursing students.Participants were 328 Chinese nursing students(male=11.3%,female=88.7%;mean age=20.86 years;SD=1.75 years).The participants completed surveys on academic self-efficacy(Academic Self-efficacy Scale),learning engagement(Learning Engagement Scale),and self-directed learning ability(Self-directed Learning Instrument).Hayes regression-based PROCESS macro analysis revealed that learning engagement mediated the relationship between academic self-efficacy and self-directed learning ability.The hierarchical regression analysis showed higher academic self-efficacy to be associated with self-directed learning ability.Additionally learning engagement was associated with higher self-directed learning ability.Based on thesefindings,there is a need for interventions to improve students’self-directed learning ability through increasing their academic self-efficacy and enhancing learning engagement.展开更多
Objective: To conduct a scoping review of research on the professional self-concept (PSC) of undergraduate nursing students, comprehensively analyzing its status, influencing factors, and significance, and providing a...Objective: To conduct a scoping review of research on the professional self-concept (PSC) of undergraduate nursing students, comprehensively analyzing its status, influencing factors, and significance, and providing a reference for enhancing the PSC of undergraduate nursing students in China. Methods: Using the methodological framework of Arksey and O’Malley’s scoping review, six literature databases were searched, including CNKI, Wanfang, Chinese Biomedical Literature Database, PudMed, Web of Science, and ScienceDirect. Studies on the factors influencing undergraduate nursing students’ PSC from database inception to July 31, 2023, were reviewed and data extracted. Results: A total of 1,955 articles were retrieved, and 27 studies were included. The current status of PSC primarily focuses on self-perception. Factors influencing undergraduate nursing students’ PSC are mainly individual and demographic, while external factors include various teaching methods and environments. PSC impacts professional maturity, mental health, self-concept, and pre-internship stress among nursing students. Conclusion: PSC profoundly influences undergraduate nursing students’ future career choices and professional development. Nursing educators and administrators should adopt measures to enhance and improve PSC levels, thereby fostering a larger pool of nursing professionals.展开更多
Objective:To translate and adapt the dementia knowledge assessment scale(DKAS)into Sinhala version and to evaluate its psychometric properties among nursing students.Methods:A cross-sectional validation study was cond...Objective:To translate and adapt the dementia knowledge assessment scale(DKAS)into Sinhala version and to evaluate its psychometric properties among nursing students.Methods:A cross-sectional validation study was conducted in two phases:(i)translation and adaptation and(ii)evaluating psychometric properties(N=394 nursing students).Results:The DKAS was adapted to the Sinhala(Si-DKAS)version,and the content validity index(CVI=0.9)was satisfactory.Exploratory factor analysis(EFA)and confirmatory factor analysis(CFA)resulted in an 18-item Si-DKAS with a four-factor model:“care considerations,”“causes and characteristics of dementia,”“health promotion,”and“misconceptions about dementia.”The model fit indices were suboptimal(comparative fix index[CFI]=0.809 and Turker-Lewis index[TLI]=0.773),and some indices were acceptable(standardized root-mean-squared residual[SRMR]=0.040 and root-mean-squared error of approximation[RMSEA]=0.053).Internal consistency(0.7)and test-retest correlation(0.9)were acceptable.Discriminant validity was confirmed by knowledge score differences based on academic years.Conclusions:This is a valid and reliable tool for assessing knowledge of dementia among Sinhala-speaking nursing students.展开更多
文摘Objective:To explore the application of the Registered Nurses'Association of Ontario(RNAO)Best Practice Guideline(BPG)for Developing and Sustaining Nursing Leadership through the lens of nursing students transitioning from classroom learning to clinical practice.Through this reflection,the authors hope to inspire and empower future nursing leaders to champion innovation,resilience,and excellence in healthcare.Methods:By integrating evidence-based leadership principles,the authors reflect on their personal experiences,challenges,and successes in implementing these guidelines in real-world settings.Results:The paper highlights the significance of leadership in fostering healthy work environments and improving patient outcomes,emphasizing the role of nursing students as emerging leaders.Practical strategies for applying BPG,the RNAO BPG suggests leadership skills on professional development,and recommendations for embedding leadership principles into nursing education and practice are discussed.Conclusions:Implementing nursing leadership from the beginning of a nursing student's journey is vital for shaping the next generation of healthcare leaders.By integrating leadership principles early in nursing education,students can develop the skills needed to navigate clinical challenges,collaborate effectively with healthcare teams,and advocate for positive change.Starting with leadership guidelines in nursing school ensures that future nurses are equipped to foster supportive work environments,improve patient outcomes,and drive innovation from the very start of their careers,making leadership an inherent part of their professional identity.
基金2024 University-level Research Project of Fuzhou Medical College,Fuzhou Medical College of Nanchang University(Project No.:fykj202406)。
文摘Objective: To understand the current status of peer caring behavior and empathy among undergraduate nursing students and to explore the relationship between the two. Method: Using the convenience sampling method, a questionnaire survey was conducted among 292 nursing students from a medical college in Jiangxi Province, using the Peer Caring Behavior Scale and the Jefferson Scale of Empathy. Results: The score for peer caring behavior among undergraduate nursing students was 85.00 (78.00-92.00), and the score for empathy was 101.00 (92.00-110.00). A positive correlation was found between the two (r = 0.362, p < 0.05). Conclusion: The level of peer caring behavior among undergraduate nursing students is above average, while their empathy level is moderate, with a positive correlation between the two. This suggests that nursing educators should strengthen the development of peer caring behavior, which may help enhance the empathy of undergraduate nursing students.
基金Funding Project for Ideological and Political Model Courses of“Epidemic Fighting”Courses in Henan Province(Project No.:531,2020)University-level Curriculum Ideological and Political Demonstration Course Support Project of Zhengzhou Sias University(Project No.:34,2024)+2 种基金University-level Key Discipline Support Project of Zhengzhou Sias University(Project No.:1,2022)2025 Key Scientific Research Projects of Henan Universities(Project No.:25B360003)Henan Province Private Brand Professional Support Project(Project No.:527,2019)。
文摘Nursing education is undergoing a paradigm shift from skill training to clinical thinking cultivation.The integration of artificial intelligence technology offers technical possibilities for this transformation,but it also brings about a deep tension between the cultivation of humanistic qualities and a standardized training.Based on the analysis of the practical forms of nursing smart education,this paper examines the cognitive gap between the deterministic feedback of virtual simulation systems and the complexity of real clinical scenarios,reveals the potential narrowing effect of data-driven ability profiling on the all-round development of nursing students,and then proposes the design logic of intelligent teaching resources centered on real clinical problems,a hierarchical teaching model with clear human-machine division of labor,and a dynamic assessment mechanism for technology application led by professional nursing teachers,in an attempt to find a balance between technological empowerment and humanistic commitment in smart nursing education.
文摘association with academic and clinical performance.This study aimed to determine the EI level of hospital-based nursing students and examine differences between full-time and part-time students.Methods:We conducted a cross-sectional study in a hospital-based nursing school.EI level was measured using the Schutte Self-report Emotional Intelligence Scale(SSEIS).Results:We recruited 287 participants(mean age:21.9 years).Their mean SSEIS score was 119.6(95%CI=118.57-120.65).The mean SSEIS scores of 172 full-time and 115 part-time nurses were 120.7(95%CI=119.3-122.0)and 118.1(95%CI=116.5-119.6),respectively.There was no significant difference between the groups.Conclusion:The EI difference between full-time and part-time nursing students was statistically insignificant.The need for further EI development among both full-time and part-time students must be addressed.
文摘With the continuous improvement of the medical industry’s requirements for the professional capabilities of nursing talents,traditional nursing teaching models can hardly meet the needs of complex nursing work in neurology.This paper focuses on nursing education for neurology nursing students and explores the construction of the“one-on-one”teaching model,aiming to achieve a paradigm shift in nursing education.By analyzing the current status of neurology nursing education,this paper identifies the problems in traditional teaching models.Combining the advantages of the“one-on-one”teaching model,it elaborates on the construction path of this model from aspects such as the selection and training of teaching instructors,the design of teaching content,the innovation of teaching methods,and the improvement of the teaching evaluation system.The research shows that the“one-on-one”teaching model can significantly enhance nursing students’mastery of professional knowledge,clinical operation skills,communication skills,and emergency response capabilities,as well as strengthen their professional identity and sense of responsibility.It provides an effective way to cultivate high-quality nursing talents who can meet the needs of neurology nursing work and promotes the innovative development of nursing education.
基金This research received grant from 2022 Undergraduate Education and Teaching Research Project of Fujian Medical University(22028).
文摘Objective:This study aimed to investigate the learning expectations of undergraduate nursing students regarding the flipped Health Assessment course.Methods:This descriptive,qualitative study was conducted at a medical university in Fuzhou,Fujian Province,China.An interview outline was designed based on the core dimensions of Expectation Confirmation Theory(expectation sources,expectation content,and expectation importance).Thirty second-year undergraduate nursing students who had completed first-year basic medical courses and were about to take the flipped Health Assessment course were interviewed between June and July 2022.Interview data were analyzed using qualitative content analysis.Results:Five major themes and thirteen subthemes were identified.Theme 1 was expectation sourcesperceived learning difficulties from past experiences,which included four subthemes:insufficient autonomous learning ability,confusion regarding learning methods,insufficient engagement in learning,and low professional identity.Theme 2 included knowledge and information expectations,which comprised three subthemes:knowledge to improve professional competence,knowledge to enhance academic competitiveness,and knowledge to boost self-efficacy.Theme 3 comprised logical expectations and included two subthemes:flexible teaching methods and efficient instructional tools.Theme 4,pleasure expectations,included two subthemes:vivid teaching styles and diversified teaching evaluations.Theme 5 comprised professional value expectations and included two subthemes:teachers'responsible professional attitudes and gentle emotional support.Conclusion:Students'learning expectations originate from perceived learning difficulties,such as insufficient learning autonomy and engagement,confusion about learning methods,and a lack of professional identity.They showed various learning expectations for the flipped Health Assessment course,including knowledge and information,logic,pleasure,and professional value expectations.
基金Teaching Reform Research Project at Southwest Medical University(Project No.:JG2023jdyb034)Humanities and Social Sciences Research Project at Sichuan Vocational College of Nursing(Project No.:2022RWSY45)。
文摘Objective:To investigate the preference characteristics and relative importance of each core factor in the teaching program for undergraduate nursing students during clinical practice,and to provide empirical support for the creation of a student-centered,formalized clinical teaching system that meets the actual needs of nursing students.Methods:The quantitative research method of discrete choice experiment was adopted,and the questionnaire was designed based on the random utility theory.Through a systematic literature review,semi-structured interviews,and two rounds of Delphi expert consultations,six core attributes of the instructor,namely educational qualifications,teaching methods,frequency of individualized guidance,operational practice opportunities,feedback timeliness,and instructor title,and their corresponding levels were determined.The study period was from January 2024 to January 2025,and 158 undergraduate nursing students who chose to intern at Deyang People’s Hospital were selected as the research subjects.A survey tool with 12 choice sets was created using Ngene software,and then statistical analysis was performed on the obtained data using the conditional Logit model to measure the impact of each attribute on the choice behavior of nursing students.Results:The results showed that the conditional Logit model fitted well(likelihood ratio chi-square=85.32,p<0.001).The analysis results indicated that the most important teaching attributes for undergraduate nursing students were,in order:the academic qualifications of the teaching instructor(master vs.Junior college,β=0.42,p<0.01),individualized guidance frequency(daily vs.Weekly,β=0.38,p<0.01),operational practice opportunities(more vs.less,β=0.31,p<0.05),and the timeliness of feedback(timely versus delayed,β=0.29,p<0.05).The influence of the title of the instructor was not statistically significant(p>0.05).Conclusion:Undergraduate nursing students show a clear and systematic preference structure for clinical teaching,with a high expectation of frequent personalized guidance from highly educated teachers,as well as sufficient operational opportunities and timely teaching feedback.
文摘Background: For nursing students, gathering social information is essential for understanding healthcare and social issues and developing critical thinking and decision-making skills. However, the choice of information sources varies by age and individual habits. With the widespread use of the internet, there are notable differences between younger and older generations in their reliance on the internet versus traditional media sources like newspapers and television. Given the wide age range and diverse backgrounds of nursing students, understanding generational differences in information-gathering methods is important for implementing effective education. Purpose: The purpose of this study is to identify how nursing students in different age groups obtain social information and to examine media usage trends by age group. Additionally, we aim to use the findings to provide insights into effective information dissemination methods in nursing education. Results: The results showed that nursing students in their teens to forties, regardless of gender, primarily relied on the internet as their main information source, with television playing a secondary role. In contrast, students in their fifties tended to obtain information more often from newspapers and television than from the internet. This highlights an age-related difference in preferred information sources, with older students showing a greater reliance on traditional media. Conclusions: This study demonstrates that nursing students use different information-gathering methods based on their age, suggesting a need to custo-mize information dissemination strategies in nursing education. Digital media may be more effective for younger students, while traditional media or printed materials might better serve older students. Educational institutions should consider these generational differences in media usage and adopt strategies that meet the diverse needs of their student populations.
文摘Background: Disaster preparedness is a critical aspect of nursing education, enhancing students’ ability to respond effectively in emergencies. However, the extent to which nursing curricula influence disaster preparedness awareness remains underexplored. Our study found that 39% of students reported improved awareness after three years, highlighting the need for targeted curriculum enhancements. Purpose: To evaluate changes in disaster preparedness awareness among nursing students over three years of education and identify gaps in current curricula impacting this awareness. Results: Findings indicate that while 39% of students showed improved awareness, significant gaps remain, suggesting the need for a dedicated course on emergency preparedness. Conclusions: This study emphasizes the importance of integrating comprehensive disaster preparedness education within nursing curricula to address these gaps and foster resilience in future healthcare professionals.
文摘Objective:To assess the level of nursing students’knowledge about delirium and its associated risk factors.Delirium is a clinical syndrome characterized by alterations in cognition and psychomotor activity.Since delirium is common among geriatric patients,adequate preparedness of nursing students to assess and manage delirious geriatric patients is necessary to improve potential nurses’quality of care and communication with this group.Limited research work was conducted to address nursing students’knowledge about delirium.Methods:This cross-sectional descriptive study was conducted from October 2022 to February 2023.A convenience sampling was used,and 319 valid questionnaires were obtained from nursing students from six Jordanian governmental and private universities,who were at least in their third academic year.An adopted delirium knowledge scale was used to collect data.Descriptive statistics and an independent t-test were used for data analysis.Results:The mean for general knowledge about delirium was 57.5%.The mean for knowledge of delirium risk factors was 61.8%.Nursing students in their fourth academic year scored significantly higher on both general knowledge and risk knowledge scales than students in the third academic year.Conclusions:Nursing students’knowledge regarding delirium and its risk factors was low.Educational efforts should be maximized for incorporating and addressing the topic of delirium in the undergraduate nursing curriculum.Implications of this study include revising nursing curricula to ensure that students receive enough education on delirium,including its detection,diagnosis,and management.The implications also include giving nursing students the chance to gain experience in caring for delirious patients and providing them with the tools and resources they need to assess and manage delirium.
基金supported by an internal grant from Universitas Citra Bangsa(Number 6/VI/LP3M/UCB/22).
文摘Objective: The importance of culture in nursing lies in its influence on patients’ health perceptions, behaviors, and responses to care. Despite the challenges posed by the complexity of studying culture, there remains a critical need to develop cultural competence in nursing. This study investigated how nursing students in rural Indonesia enhance their cultural competence through education and practice. Methods: This study employed a qualitative descriptive phenomenological approach. It conducted face-to-face interviews with 32 students across 6 regions, selected purposively. Thematic analysis was employed to evaluate the results. Results: Five themes emerge in this research: perceptions of cultural competence, learning cultural competence in the classroom, practical experience, learning expectations related to cultural competence, and cultural learning barriers. Conclusions: Enhancing cultural competence necessitates enriched curricula, adept clinical mentors, and continual student evaluation. This iterative assessment informs tailored strategies for nurturing cultural proficiency.
基金Supported by 2021 Annual Routine Project of the 14th Five-Year Plan of Fujian Education Science,No.FJJKGZ21-110.
文摘BACKGROUND Death anxiety is a common emotional response to death,and it varies in intensity across cultures and regions.However,there is a paucity of research on death anxiety among nursing students during their clinical internship,especially in relation to their emotional experiences and behavioral responses.AIM To explore the relationship between empathy and death anxiety as well as to identify factors influencing students’empathetic skills during their initial clinical experiences.METHODS This cross-sectional study included 473 nursing students enrolled from across vocational colleges in Quanzhou(Fujian Province,China)during June–July 2023.These students were trained at three Grade-A general hospitals.The Empathy Scale and Death Anxiety Scale were applied to assess their empathetic skills and death anxiety levels during the early stages of the clinical internship.Data ana-lyses employed descriptive statistics,correlation analyses,independent sample t-tests,one-way analysis of variance,and multiple linear regression analysis.RESULTS The mean death anxiety score was 46.33±6.29,with 95.6%of participants exhi-biting high death anxiety.The mean scores across dimensions were as follows:Cognitive-affective,18.08±3.15;pain and illness,13.25±2.41;awareness of the passage of time,5.58±1.40;stimuli related to death,9.40±1.56.The mean empathy score was 63.78±11.49.Regression analysis revealed that students’subject major,total death anxiety level,and pain and stress dimensions acted as significant predictors of their empathetic skills during early clinical practice(P<0.05).CONCLUSION Vocational nursing students,especially those in midwifery with higher death anxiety,exhibited lower empathetic skills during the early stages of their clinical internship.Nursing educators should take measures to enhance the empathetic skills of students through appropriate training and support for students with high death anxiety levels.
基金Supported by National Natural Science Foundation of China(71774049).
文摘Nursing students often exhibit emotional suppression,avoidance,or over-expression when confronted with high-pressure work environments and emotional challenges.These disorders affect nursing students mental health,professional adaptation,and quality of communication with patients.The causes of emotional expression difficulties include individual personality,emotional intelligence,educational background,and socio-cultural pressures.To address this issue,it is recommended to enhance nursing students emotional expression and regulation capabilities through psychological interventions,emotional intelligence training,and optimization of educational systems,thereby improving their mental health and career development,ultimately enhancing nursing service quality and doctor-patient relationships.
文摘Objective:To explore the application effect of the path for improving humanistic literacy of operating room nursing students based on the ORTCC model,in order to make up for the deficiency of systematic humanistic education in the traditional teaching model.Methods:120 nursing students who practiced in the operating room from June 2023 to June 2024 were randomly divided into the experimental group and the control group,with 60 students in each group.The control group received routine teaching,while the experimental group applied the ORTCC model on the basis of routine and intervened through setting humanistic literacy goals,formulating behavioral norms,conducting diversified training,implementing two-way assessment,and creating departmental culture.The effect of the intervention was evaluated using the Nurse Humanistic Quality Scale,the Clinical Communication Ability Assessment Scale for Operating Room Nursing Students,and a self-made nursing satisfaction questionnaire.Results:After the intervention,the total score of humanistic literacy in the experimental group(4 weeks of intervention:161.43±10.06 points,12 weeks of intervention:165.71±9.45 points)was significantly higher than that in the control group(139.38±10.95 points,143.31±10.52 points)(all p<0.001);The total score of clinical communication ability in the experimental group(109.69±8.05 points for 4 weeks of intervention,116.90±7.21 points for 12 weeks of intervention)was also significantly better than that in the control group(99.14±9.23 points,103.03±8.78 points)(all p<0.001);The total score of patient care satisfaction in the experimental group(94.2±4.3)was significantly higher than that in the control group(82.6±5.7)(p<0.001).Conclusion:The ORTCC model can systematically enhance the humanistic literacy,clinical communication skills and patient satisfaction of operating room nursing students,providing an effective approach for optimizing clinical teaching in the operating room.
基金Demonstration Course Project of Ideological and Political Education in Henan Province-Fundamentals of Nursing(JiaoGao[2022]No.268)。
文摘Objective: To investigate the current state of caring behavior among nursing students in a 3A hospital and analyze its influencing factors. Methods: A convenient sampling method was employed to survey 157 nursing students in a 3A hospital from October 2023 to March 2024, using a self-designed general data questionnaire and the Chinese version of the Caring Behavior Scale. Results: The caring behavior score of the nursing students was 102.39 ± 14.42. Among the three dimensions, the highest score was observed in “respect and connection” (40.29 ± 6.65), while the lowest score was in “knowledge and skill” (22.25 ± 3.53). Statistically significant differences in caring behavior scores were found in relation to education level, relationship with parents (general), and unwillingness to engage in nursing work after graduation (P < 0.05). Conclusion: The caring behavior scores of the nursing students in this study were at a moderate level. Education level, the quality of the relationship with parents (general), and an unwillingness to pursue nursing as a career after graduation were identified as the primary influencing factors.
文摘This study investigates the mental health challenges faced by international nursing students in the Philippines during a global health disruption like the COVID-19 pandemic,particularly focusing on symptoms of depression,anxiety,and stress(DAS).With the first incidence of global outbreak in the Philippines reported in 2020,the pandemic has intensified psychological distress among international students,who already struggle with sociocultural adjustment issues such as alienation and culture shock.The study aimed to determine the prevalence and contributing factors of DAS among this group.Using descriptive statistics and the DASS-21 tool,the research found that international nursing students exhibited alarmingly high levels of depression,anxiety,and stress.Pearson’s test of association was employed to explore relationships between DAS symptoms and demographic variables.Results highlighted key predictors of mental health distress,including age,gender,length of stay in the country,and sleep patterns.These findings address a significant gap in existing literature concerning international students’mental health in the Philippines during pandemics.The study concludes by urging healthcare providers and policymakers to integrate these insights into emergency preparedness plans and educational reforms,emphasizing the importance of supporting the psychological well-being of international students during crises.Replication with additional variables is recommended for a more comprehensive understanding.
文摘Objectives:The objective of this study is to evaluate the effect of simulation-based education(SBE)on the knowledge and skills of nursing students in managing childhood epileptic seizures.Materials and Methods:A quasi-experimental design was conducted among 160 third-year B.Sc.nursing students at a SUM nursing college in Bhubaneswar,India.The experimental group(n=80)participated in a structured simulation-based session,while the control group(n=80)received routine lecture-demonstration sessions.Knowledge was measured using a 20-item multiple-choice questionnaire and skills were assessed through an Objective Structured Clinical Examination checklist.Results:The experimental group demonstrated significant improvements in posttest knowledge(13.15±1.40 vs.9.56±2.10;t=11.24,P<0.001)and skill scores(17.28±1.82 vs.12.42±2.18;t=10.96,P<0.001)compared with the control group.Ranked data analysis further confirmed higher postintervention knowledge and skill levels(Z=−-6.42 and−-6.55,respectively;P<0.001).These results indicated that SBE produced substantial gains in both cognitive and psychomotor domains.Conclusion:SBE significantly enhances nursing students’knowledge and skills in managing childhood epileptic seizures compared to traditional teaching.Incorporating structured simulation modules into pediatric nursing curricula can improve clinical competence,reduce anxiety,and bolster patient safety in pediatric emergency care.
基金supported by the Medical and Health Communication Research Center of Zigong Academy of Medical Sciences(No.YXJKCB-2024-06)the Demonstration Project for Consolidating the Scientific and Educational Support for Medical Talents(Scientific Research Team for improving the Service Quality of“the Elderly and the Young”).
文摘This study explored the role of learning engagement in the relationship between academic self-efficacy and self-directed learning ability among nursing students.Participants were 328 Chinese nursing students(male=11.3%,female=88.7%;mean age=20.86 years;SD=1.75 years).The participants completed surveys on academic self-efficacy(Academic Self-efficacy Scale),learning engagement(Learning Engagement Scale),and self-directed learning ability(Self-directed Learning Instrument).Hayes regression-based PROCESS macro analysis revealed that learning engagement mediated the relationship between academic self-efficacy and self-directed learning ability.The hierarchical regression analysis showed higher academic self-efficacy to be associated with self-directed learning ability.Additionally learning engagement was associated with higher self-directed learning ability.Based on thesefindings,there is a need for interventions to improve students’self-directed learning ability through increasing their academic self-efficacy and enhancing learning engagement.
文摘Objective: To conduct a scoping review of research on the professional self-concept (PSC) of undergraduate nursing students, comprehensively analyzing its status, influencing factors, and significance, and providing a reference for enhancing the PSC of undergraduate nursing students in China. Methods: Using the methodological framework of Arksey and O’Malley’s scoping review, six literature databases were searched, including CNKI, Wanfang, Chinese Biomedical Literature Database, PudMed, Web of Science, and ScienceDirect. Studies on the factors influencing undergraduate nursing students’ PSC from database inception to July 31, 2023, were reviewed and data extracted. Results: A total of 1,955 articles were retrieved, and 27 studies were included. The current status of PSC primarily focuses on self-perception. Factors influencing undergraduate nursing students’ PSC are mainly individual and demographic, while external factors include various teaching methods and environments. PSC impacts professional maturity, mental health, self-concept, and pre-internship stress among nursing students. Conclusion: PSC profoundly influences undergraduate nursing students’ future career choices and professional development. Nursing educators and administrators should adopt measures to enhance and improve PSC levels, thereby fostering a larger pool of nursing professionals.
文摘Objective:To translate and adapt the dementia knowledge assessment scale(DKAS)into Sinhala version and to evaluate its psychometric properties among nursing students.Methods:A cross-sectional validation study was conducted in two phases:(i)translation and adaptation and(ii)evaluating psychometric properties(N=394 nursing students).Results:The DKAS was adapted to the Sinhala(Si-DKAS)version,and the content validity index(CVI=0.9)was satisfactory.Exploratory factor analysis(EFA)and confirmatory factor analysis(CFA)resulted in an 18-item Si-DKAS with a four-factor model:“care considerations,”“causes and characteristics of dementia,”“health promotion,”and“misconceptions about dementia.”The model fit indices were suboptimal(comparative fix index[CFI]=0.809 and Turker-Lewis index[TLI]=0.773),and some indices were acceptable(standardized root-mean-squared residual[SRMR]=0.040 and root-mean-squared error of approximation[RMSEA]=0.053).Internal consistency(0.7)and test-retest correlation(0.9)were acceptable.Discriminant validity was confirmed by knowledge score differences based on academic years.Conclusions:This is a valid and reliable tool for assessing knowledge of dementia among Sinhala-speaking nursing students.
