Abstract
Objective:to evaluate the frequency and factors associated to disapproval among nursing students.Method:a descriptive and cross-sectional study, outlined by the convergent mixed method. A total of 88 nursing students of a Brazilian public university took part. The Reduced Academic Experiences Questionnaire was used for evaluating academic adaptation. The association of the variables in the study with disapproval was verified by bivariate analysis.Results:the frequency of disapprovals in the sample was 68.2%, recurrences in the same discipline in 39.8%, with the associated factors: age over or equal to 22 years old (p=0.015), family income below 2 minimum wages (p=0.019) and lag in the curricular flow (p<0.001). Disciplines with higher frequencies of disapprovals are of the basic area, taught in the first two years of the course and common to the health courses. Students without disapprovals had better perception of physical and psychological well-being (p=0.002), good interpersonal relationships (p=0.017) and more assertive study behaviors (p=0.005). Personal, study-related and institutional issues were motivating.Conclusion:the results reveal a high rate of disapproval, especially in the basic area. An association was found between disapprovals and mental health for nursing students during their education process, and difficulties were pointed out that can culminate with the disapproval rate in the curricular flow.
Highlights
The phenomena of disapprovals and dropout in higher education still occur in expressive dimensions in Brazil[1]
Nurses are essential for strengthening health care in Brazil and worldwide, and the need is clear for more professionals available to act in face of the growing demands of the world population[6]
It was observed that only 32.5% (n=27) of the sample followed the flow of disciplines suggested by the institution, while a considerable portion was lagging in the curricular flow (67.5%; n=56), emphasizing the pre-requisites locks
Summary
The phenomena of disapprovals and dropout in higher education still occur in expressive dimensions in Brazil[1]. Nurses are essential for strengthening health care in Brazil and worldwide, and the need is clear for more professionals available to act in face of the growing demands of the world population[6]. Strategies must be created within the teaching institutions to ensure the education of qualified, critical and committed professionals to act in the health system, avoiding dropouts and retentions in this process. For this purpose, education scholars have been engaged in discussing pedagogical proposals, methods and strategies focused on the students, aiming at their autonomy and active participation in their own learning process[7]. The literature denotes the efforts of the health and education areas in the qualification of professionals who are articulated among the different categories, who navigate among the disciplines and focus on integral and integrated assistance to the users of the Unified Health System[7,8]
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