An Investigation into the Views of Nursing Students on the Rationing Nursing Care in Clinical Applications

Year 2024, Volume: 3 Issue: 1, 1 - 7, 25.04.2024

Havva Arslan Yürümezoğlu

https://doi.org/10.59398/ahd.1326345

Abstract

Aim
The aim of the study was to examine the raitoning nursing care of the nursing students.
Method
The study was conducted as descriptive and cross-sectional. The research sample of the study consists of 205 students studying and practicing at a public university (%27.33). The data was collected between July-August 2021 using the sociodemographic and clinical characteristic form, questions about the clinical setting and quality of care, and the BERNCA-Student Version as well as the Research Electronic Data Capture application. The data was evaluated with mean, standard deviation and percent using descriptive statistics.
Results
The students who participated in the study evaluated the patient safety, quality of nursing care and working environment in the clinics where they practiced at a moderate level between 6.5-6.9. The types of rationing nursing care areas that students cannot meet most were as follows: monitoring patients was 72.1%, preparations for discharge was 71.2%, responding to patients who were in need in a short period of time was 69.2%, preparation for tests and rehabilitating care was 66.8%.
Conclusion
It has been understood that nursing students often cannot meet many care areas, especially the physical care of the patients they care for in their practice areas. It has been suggested that the results of the present research will guide the handling of the rationing nursing care problems in nursing education programs and the discussion and review of practice trainings within the context of this problem.

Keywords

Nursing students, Rationing nursing care, Practice education.

Hemşirelik Öğrencilerinin Klinik Uygulamalarda Karşılanmamış Hemşirelik Bakımına İlişkin Görüşlerinin İncelenmesi

Abstract

Amaç
Çalışmanın amacı hemşirelik öğrencilerinin karşılayamadıkları hemşirelik bakımlarının incelenmesidir. Yöntem
Tanımlayıcı ve kesitsel olarak yapılmıştır. Araştırmanın örneklemini bir kamu üniversitesinde öğrenim gören ve klinik/alan uygulaması yapan 750 öğrenci oluşturmaktadır. Bunlardan verileri uygun olan 205’i (%27.33) analize dahil edilmiştir. Veriler Temmuz-Ağustos 2021 tarihleri arasında sosyodemografik ve klinik özellikler formu, klinik ortam ve bakım kalitesine ilişkin sorular ve Karşılanmamış Bakım Ölçeği-Öğrenci Versiyonu kullanılarak Research Electronic Data Capture uygulaması ile toplanmıştır. Veriler ortalama, standart sapma ve yüzde gibi tanımlayıcı istatistikler kullanılarak değerlendirilmiştir.
Bulgular
Öğrenciler uygulama yaptıkları kliniklerdeki hasta güvenliği, hemşirelik bakımının kalitesi ve çalışma ortamını orta düzeyde (6.5-6.9±1,8-2,2) değerlendirmişlerdir. Öğrencilerin en fazla karşılayamadıkları bakım alanları; %72.1 oranında hasta izlemleri, %71.2 taburculuk planı, %69.2 gereksinimi olan hastaya kısa sürede cevap verme, %66.8 hastayı girişimler için hazırlama ve rehabilite edici bakım olmuştur.
Sonuç
Hemşirelik öğrencilerinin uygulama alanlarında bakım verdikleri hastaların fiziksel bakımları başta olmak üzere pek çok bakım alanını sıklıkla karşılayamadıkları anlaşılmaktadır. Araştırma sonuçlarının; karşılanmamış bakım probleminin hemşirelik eğitim programlarında ele alınması, uygulamalı eğitimlerin bu sorun bağlamında tartışılması ve gözden geçirilmesine yol gösterici olacağı öngörülmektedir.

Keywords

Hemşirelik öğrencileri, Karşılanmamış bakım, Uygulama eğitimi

References

• Mandal L, Seethalakshmi A, Rajendrababu A. Rationing of nursing care, a deviation from holistic nursing: A systematic review. Nurs Philos. 2020;21(1):e12257.
• Chaboyer W, Harbeck E, Lee BO, Grealish L. Missed nursing care: An overview of reviews. Kaohsiung J Med Sci. 2021;37(2): 82-91.
• Schubert M, Schaffert-Witvliet B, De Geest S, Glass T, Aiken L, Sloane D.S. et al. RICH-Nursing Study: Rationing of Nursing Care in Switzerland. Effects of Rationing of Nursing Care in Switzerland on Patient’ and Nurses’ Outcomes. 2005, Basel, Switzerland: Institute of Nursing Science, University of Basel, Final Report.
• Ball JE, Bruyneel L, Aiken LH, Sermeus W, Sloane DM, Rafferty AM, et al. Post-operative mortality, missed care and nurse staffing in nine countries: a cross-sectional study. Int J Nurs Stud. 2018;78: 10-15.
• Aiken LH, Sloane DM, Ball J, Bruyneel L, Rafferty AM, & Griffiths. P. Patient satisfaction with hospital care and nurses in England: an observational study. BMJ Open. 2018; 8(1): e019189.
• Ausserhofer D, Zander B, Busse R, Schubert M, De Geest S, Rafferty AM, et al. Prevalence, patterns and predictors of nursing care left undone in European hospitals: results from the multicountry cross-sectional RN4CAST study. BMJ Qual Saf. 2014; 23(2):126-135.
• Bagnasco A, Timmins F, de Vries JM, Aleo G, Zanini M, Catania G, et al. Understanding and addressing missed care in clinical placements-Implications for nursing students and nurse educators. Nurse Educ Today. 2017;56:1-5.
• Gibbon B, Crane J. The impact of ‘missed care’on the professional socialisation of nursing students: A qualitative research study. Nurse Educ Today. 2018;66:19-24.
• Kalánková D, Bartoníčková D, Kirwan M, Gurková E, Žiaková K, Košútová D. Undergraduate nursing students' experiences of rationed nursing care-A qualitative study. Nurse Educ Today. 2021;97:104724.
• Schubert M, Glass TR, Clarke SP, Schaffert- Witvliet B, De Geest S. Validation of the Basel extent of rationing of nursing care instrument. Nursing Research. 2007;56(6): 416-424.
• Schubert M, Ausserhofer D, Desmedt M, Schwendimann R, Lesaffre E, Li B. et al. Levels and correlates of implicit rationing of nursing care in Swiss acute care hospitals— A cross sectional study. Int J Nurs Stud. 2013;50(2):230-239.
• Arslan Yürümezoğlu H, Schubert M, Sarıoğlu E, & Kocaman G. Cultural adaptation of the revised Basel Instrument for Rationing of Care to the Turkish context: a study of validity and reliability. Journal of Research in Nursing. 2023;28(5):338-351.
• Tichelaar E. Education and Training on Rationing of Nursing Care: A Joint Responsibility for Educators and Practitioners. NERP. 2020;10(1):1-3.
• Zhang J, Shields L, Ma B, Yin Y, Wang J, Zhang R. et al. The clinical learning environment, supervision and future intention to work as a nurse in nursing students: a cross-sectional and descriptive study. BMC Med Educ. 2022;22(1):1-9.
• Pitkänen S, Kääriäinen M, Oikarainen A, Tuomikoski AM, Elo S, Ruotsalainen H. et al. Healthcare students' evaluation of the clinical learning environment and supervision– a cross-sectional study. Nurse Educ Today. 2018;62:143-149.
• Salifu DA, Gross, Salifu, MA, Ninnoni JP. Experiences and perceptions of the theory‐ practice gap in nursing in a resource‐constrained setting: A qualitative description study. Nursing Open. 2019;6(1):72-83.