Final Year Research Articles

Perspectives of work readiness among Australian health students trained during the COVID-19 pandemic

BackgroundTo explore perspectives of work readiness, including readiness to work rurally, among health students trained in Australia during the COVID-19 pandemic.MethodsParticipants were allied health, medicine, and nursing students in the later years of their degree (third, fourth or final year of an undergraduate entry to practice degree, or second year of postgraduate entry to practice degree), where training is clinically immersive. These students had completed a University Department of Rural Health facilitated rural and remote placement between January 2021 and October 2022. They participated in a cross-sectional online survey (n = 426), comprising Likert-scale questions. Interested survey respondents participated in a semi-structured interview (n = 34). Multiple logistic regression was conducted to examine the predictors of work readiness within the survey, and interview data was analysed via reflexive thematic analysis.ResultsAmong survey respondents, 69.7% felt they would be ready to be a health practitioner when the time came to graduate and 71.8% felt clinically prepared to work in a rural location. Concerns about having developed enough clinical skills on placements to competently practice on graduation and being able to continue studying their course during the pandemic were both predictive of work readiness and feeling clinically prepared to work rurally. Four themes reflecting factors impacting work readiness were developed from interview data: (1) ‘I’d estimate probably a 20–30% reduction in face-to-face handling practice over the course of all of my placements’ encompassed student concerns regarding the collective impact of cancelled placements and lower patient attendance at healthcare facilities on clinical skill development; (2) ‘Two and a half years of sitting behind a computer’ related to student experiences of superficial learning and cohort disconnectedness due to online course delivery and loss of on campus simulations; (3) ‘I’ll still need like a lot of support in my grad year’ related to students recognising the need for support and supervision post-qualifying to bridge the gaps in their learning; and (4) ‘We are the COVID nurses’ encompassed student recognition of skills gained including communication skills, competence with technology and telehealth, knowledge of infection control, and work readiness skills (e.g. adaptability and resilience) as a result of training during the global pandemic.ConclusionsUniversities can support work readiness during pandemic circumstances by fostering clinical skills development through continuation of quality placement experiences and face-to-face curriculum delivery. Although health graduates trained during the pandemic are likely to have a range of additional work ready skills, health services will need to proactively support their transition into the workforce in the coming years.

Who you are and who you want to be: a pilot study of dental hygiene students' professional identity formation

BackgroundDental hygienists play a crucial role in providing successful community-based healthcare for patients. They should perform expected roles to address various tasks, in response to changing social contexts and needs. The value created by the role of a dental hygienist closely relates to job satisfaction, which is formed through daily clinical experiences, and in the process of professional identity formation, learners must internalise a value system. This study examined how dental hygiene students developed their professional identities during their undergraduate education.MethodsThis study adopted a case study approach based on an interpretivist paradigm. Ten dental hygiene students in their final year were selected, and semi-structured interviews were conducted regarding changes in their views on dental hygienists and their identities as health professionals. The data were analysed using a thematic analysis approach to identify the components of their professional identities and the factors influencing identity formation.ResultsStudents pre-professional identities were transformed into inter-professional collaborators with a more patient-centric and generalist perspective. The following three aspects of professional identity were identified: their own roles in promoting oral and general health, broadening the perspectives on professional competencies of dental hygienists, and the context of inter-professional collaborative practice. Additionally, this study identified some key factors influencing their identity formation, namely role models, clinical experiences, health care system, and social relationships with others. Among these factors, role models and clinical experiences were the most influential.ConclusionsThis study suggests that recognition of professional roles during preclinical education, and collaborative opportunities in clinical education are necessary to promote professional identity formation. Such learning opportunities enable students to reflect on the kind of dental hygienist they want to become. Moreover, for the students to continuously pursue their profession with a sense of fulfilment, educators need to gain a deeper understanding of the challenges the students would encounter as they transition from their undergraduate degrees to employment. This understanding is essential for developing and supporting communities where dental hygienists connect, help, and learn from each other.

The mitigating effect of social protection on undernourishment during economic downturns: A longitudinal study of 46 low- and middle-income countries over the last two decades

BackgroundLow- and middle-income countries (LMICs) are particularly vulnerable to the adverse effects of economic downturns on the Prevalence of Undernourishment (PoU). Our study aimed to evaluate the impact of Social Protection and Labor Programs (SPL) on PoU in 46 LMICs from 2001 to 2019, and to estimate SPL mitigating effects during economic downturns. MethodsThis cohort study used a multi-country ecological design with two-ways fixed effects multivariable linear regression models, adjusted for relevant demographic, socioeconomic, and contextual variables. Interaction terms between economic downturns and SPL were used to evaluate SPL mitigating effects. FindingsOur study cohort displayed an average 15.30% PoU and 34.34% SPL coverage in the initial year, contrasting with 8.58% PoU and 43.81% SPL coverage in the final year. A 10% SPL coverage was associated with a 0.51% PoU reduction (95%CI: 0.04–0.99) across all countries and 0.78% reduction within the poorest subgroup. SPL have been able to prevent an estimated 1.01 billion (95% UI: 0.16–1.86) cases of undernourishment over the study period in the 46 LMICs. Economic downturns were associated with a 4.55% PoU increase (95% CI: 1.28–7.81) in all countries, and a 6.06% PoU increase in the poorest subgroup. High SPL coverage during the downturns had significant mitigating effects, reducing an overall 1.17% PoU for every 10% SPL coverage in all countries, and 1.81% PoU in the poorest nations. InterpretationAmid the ongoing multiple global crises, expanding the coverage of social protection could effectively mitigate the potential increases in undernourishment during economic downturns, contributing to the achievement of nutrition-related Sustainable Development Goals in LMICs.

A Study on the Utilization of Library Information Resources for Undergraduate Students in Women's Colleges of Government Level from 2017 to 2023

The aim of this study to find out the effective usage of Library and information resource from our college undergraduate students to develop their academic and career achievements. This study was only conducted for “BA” and, “Bcom” final year students from 2017 to 2023. Co - relation of the student’s response with their academic and currier achievement had significant relationship to their use of books and use of competitive magazines, reference material, and other electronic materials.

Penerapan Hipnosis 5 Jari Terhadap Tingkat Kecemasan Pada Mahasiswa Yang Menyelesaikan Tugas Akhir di Universitas ‘Aisyiyah Surakarta

Background: Final year students must complete a final assignment or thesis, on a topic in a particular field. Students experience a lot of stress and anxiety during the process of compiling their final assignment. The prevalence of anxiety disorders in adolescents in Central Java was recorded at 7.71%, up 4.7% from 2013 to 2018. To overcome anxiety can be done with pharmacology or non-pharmacology. Five-finger hypnosis is one type of relaxation therapy that can reduce anxiety and tension. Objective: To determine the effect of 5-finger hypnosis on reducing anxiety at Universitas 'Aisyiyah Surakarta. Method: Using a pre-test-post-test design. Samples of two students who are working on their final assignment and experiencing moderate to severe anxiety levels. The HARS questionnaire was used to measure anxiety levels. Results: The level of anxiety before and after being given Five Finger Hypnosis was that Ms. R's anxiety changed from moderate to mild and Ms. M's anxiety changed from severe to moderate. Conclusion: There is an influence on the anxiety experienced by students who are completing their final assignments before and after being given Five (5) Finger Hypnosis at 'Aisyiyah University, Surakarta.

On the Way to Be(Coming) a Social Worker: Phenomenological Reflections by Social Work Students on Their Final Year as a Site of Professional Identity Exploration

Abstract In the field of social work research and practice, considerable focus has been placed on the preparedness of students as they transition from being students to becoming professionals. However, insufficient attention has been paid to the processes that occur during the final academic year of their training—a critical transition period that requires a deeper examination. Using a qualitative approach, the study examined the phenomenological perspectives of twenty-nine social work students at an Israeli university during the final academic year of their bachelor’s degree, employing the photovoice methodology. Content analysis of the results identified four key characteristics of the final academic year: (1) the liminal-transitional nature of identity work during the final year; (2) separation from the student identity; (3) the doorknob effect; and (4) entering the professional shoes. The research results are discussed and conceptualised within the framework of the theory of liminality, highlighting its relevance to understanding the transition processes that characterise professional identity work. Additionally, the study explores the implications of liminality in preparing students for entering the job market, particularly considering the distinction between being a professional and becoming a professional.

Mental health of nursing students regarding the Moroccan earthquake: A cross-sectional study

ObjectiveIn addition to the economic and social impact, mental health issues are one of health needs during natural disaster such as earthquake. Thus, surveillance for mental health variables is crucial for public health planning. Nursing students as professional students may be particularly vulnerable to adverse mental health effects after an earthquake because of their potential role in emergency response and the challenges associated with providing medical care in crisis conditions. The aim of this research was to assess the mental health of students after six months of the Moroccan earthquake and associated factors. MethodA cross-sectional survey of student nurses was conducted on March 2024; six months after the Moroccan earthquake in front to 261 students using class sampling method. Three validated psychometric measures, Post-Traumatic Stress Disorder (PCL-C), Depression, Anxiety and Stress Scale (DASS-21), and The Connor-Davidson Resilience Scale (CD-RISC) were used to assess the nursing student mental health after Moroccan earthquake. ResultsAnxiety, Depression, Stress and abnormal post-traumatic stress rank was present respectively in 44.8%, 37.1%, 7.7%, 61.3% of participants. However, a minority of students obtained the high resilience score (13.8%). The results showed that the DAS scale correlated negatively with age (p = 0.034). Furthermore, the female gender, 3rd grade students (as final year for the nursing diploma) and those who had lost a family member in the natural disaster obtained higher medians with a significant difference in the DAS scale score (p < 0.05). The post-traumatic stress scale was only affected by material damage (p = 0.044). However, the high level of scores resilience obtained significantly for students living with their families. In contrast, no association between the mental health of nursing students and attending the phenomenon or living near earthquake foci. ConclusionThis study has demonstrated the crucial need to train healthcare providers in emotion management in the event of a natural disaster, and to launch a priori initiatives, particularly with regard to the mental health of students in health universities, in order to prepare them psychologically for any intervention in the case of an alert.

Final year projects in engineering education: a comparative study of final year engineering projects at public universities in Malawi, Namibia and South Africa

Final year projects in engineering education: a comparative study of final year engineering projects at public universities in Malawi, Namibia and South Africa

Comparative analysis of factors and barriers intervening in research participation among romanian and international medical graduates from one romanian medical faculty across three generations

Abstract Objectives This study focuses on the factors that encouraged engagement in research activities, as well as the barriers that restricted their involvement, until the final year of study at Iuliu Hatieganu University of Medicine and Pharmacy Cluj-Napoca, Faculty of Medicine. The main objectives of this study are to investigate potential disparities in research culture and student engagement in various research opportunities between Romanian and international medical graduates, as well as to conduct an examination of the observed patterns across various graduating years (2021–2023). Materials and methods A cross-sectional investigation was conducted among graduate students of the Faculty of Medicine at the Iuliu Hațieganu University of Medicine and Pharmacy in Cluj-Napoca, Romania. From 2021 to 2023, all graduate students from the Romanian and international programs of the faculty were asked to participate in the study by filling out an anonymous online questionnaire. The final sample included 572 participants, of whom 392 were students from the Romanian section and 180 were students from international programs. Results Motivation and personal interest drive research engagement, according to over half of graduates. For over one-third of graduates, institutional elements like financial support and education also play a major role, as does the desire to enhance their curriculum vitae. More than 25% of graduates value community influence, 70% of graduates attended medical congresses, 12–15% presented papers at medical conferences, 23% wrote medical articles, 10–15% published at least one scientific paper in medical journals, and 20% participated in medical school research projects. Comparative analysis showed that Romanian students start research earlier, attend more medical conferences, present posters, collect data for studies, and are more interested in publishing graduation thesis data in scientific journals. To encourage international students to participate in research, the study found that colleagues’ examples were more important, and both time and funds were key barriers. The research also shows that 2022 and 2023 graduates will organize more scientific conferences. According to the study, 2022 graduates began their research earlier than others. Conclusions To increase student engagement in research activities, medical schools should prioritize the promotion of positive factors, minimize common barriers, offer customized support and resources, encourage collaborative research activities, and facilitate cross-cultural learning.

Trends of Overactive Bladder and Pharmacologic Treatment Among U.S. Women.

To evaluate and consider how prescribing practices have changed in relation to high-risk overactive bladder (OAB) medications. The objective of this study was to evaluate trends in the prevalence of OAB and pharmacologic treatment over time in the United States. Data from the National Health and Nutrition Examination Survey (NHANES, 2001-2018, n = 30,478) and the National Ambulatory Medical Care Survey (NAMCS, 2003-2019, n = 251,330) were used to identify women with symptomatic incontinence and overactive bladder (OAB) (NHANES) as well as determine the frequency of prescription use for OAB medications (NHANES and NAMCS) using sampling-based weights. Joinpoint regression was used to determine adjusted annual percent change (APC, adjusting for race, age, body mass index, and insurance status). Trends were assessed overall and by race, age, body mass index, and insurance status. The prevalence of OAB was 31.2% in the final survey year of NHANES (2017-2018). Women aged >65 years had the highest prevalence of OAB at 54% compared with other age groups. There was an overall increase in OAB (APC 1.24 [0.64, 1.84], P = 0.002) over time. Overall, only 3.5% of patients with symptoms of OAB reported pharmacologic treatment in NHANES. The NAMCS demonstrated a significant decrease in anticholinergic prescriptions from 2003 until 2019 (APC -6.44 [-9.77, -2.98], P = 0.001). However, in NHANES, there was no significant change in anticholinergic use (APC 0.62 [-20.2, 26.8], P = 0.944). There was a stable prevalence of β3-adrenergic agonist prescriptions since they were introduced to market (APC 0.65 [-2.24, 3.62], P = 0.616). This study demonstrates an increasing prevalence of OAB and highlights the likely undertreatment of symptomatic patients. The high and increasing prevalence coupled with the relative undertreatment of OAB underscores the importance of screening for this condition.

“Roots of Reluctance”: Exploring the Reasons Behind the Management Undergraduates’ Less Preference for Qualitative Research Approaches. - A Case of Sri Lankan State University

The study was contextually undertaken in the Faculty of Management (FOM) at a State University of Sri Lanka with two objectives: to explore the reasons for the less preference for qualitative approaches and to classify such contextual reasons for a proper understanding that is necessary for practical implications of diverse parties. The key study areas of undergraduates’ perspectives on qualitative research and influences on them when selecting the research approach were majorly subjective. Thus, the philosophical paradigm is qualitative interpretivism. Thematic Analysis was conducted on the data collected through semi-structured interviews with 27 students who belong to a final year from different genders and ethnicities. Purposive sampling was undertaken by the researchers to narrow down the population into samples. The study found four major themes, the impact of the learning environment, the role of supervisors, the impact of the mindset of undergraduates, and the perception of the qualitative research process being the areas of reasons for less preference. This study is one of the initial qualitative explorations on the reasons influencing the choice of undergraduates about their final year research.

Development of Meaningful Learning from Family-School Integration

The research shows the results of a study carried out on family-school integration as a foundation for meaningful learning in secondary basic education students, belonging to the official sector in the Colombian Caribbean region. The type of research was descriptive, with a deductive rationalist approach and a mixed or complementary paradigm. The sample was made up of sixty-four (64) students in their final year of high school and twenty-four (24) parents and/or guardians, to whom a survey was applied, eleven (11) teachers and one (1) director of the educational institution, consulted through an interview. Once the information was obtained, the triangulation technique was used to cross-reference the opinions, perceptions and beliefs of the actors involved in the comprehensive training of the students. As a result, it was possible to characterize the factors that favor family-school integration, including emotionality, participation, communication, attention and motivation of parents in accompanying their children's academic activities. For their part, schools must organize spaces that promote integration relationships, which represents an alternative to face the dilemmas of the educational context and promote the development of meaningful learning.

Adolescent anxiety and depression: perspectives of network analysis and longitudinal network analysis

BackgroundAnxiety and depression often co-occur, exhibiting high comorbidity, with their trends evolving over time. However, the specific pathways through which comorbid symptoms of anxiety and depression evolve and interact remain unclear. To investigate these questions, this study employed Network Analysis (NA) and Longitudinal Network Analysis (LNA) to explore the central symptoms of anxiety and depression, as well as the temporal evolution of these central symptoms.MethodsThe study focused on 606 high school students who were not in their final year in Shandong of China, with assessments conducted from March to September 2022. The bootnet package in R was used for establishing NA and LNA models, as well as for conducting accuracy analysis and node stability analysis.ResultsThe results of the NA indicated that adolescent highly susceptible to anxiety and depression. And uncontrollable worry was a common central symptom, while irritability emerged as a central bridging symptom across all three NAs. The LNA results revealed that suicidal ideation and worthlessness were key central symptoms in the LNA. Furthermore, worthlessness played a pivotal role in the developmental pathway of “suicidal ideation → worthlessness → anxiety and uncontrollable worry.” A reduction in suicidal ideation was associated with decreased severity in other symptoms.ConclusionsThe findings suggest that adolescent anxiety and depression are in a state of vulnerability, and that irritability, worthlessness, and suicidal ideation are potential targets for interventions to address adolescent anxiety and depression.

Investigating clinical decision-making in bleeding complications among nursing students: A longitudinal mixed-methods study

AimTo describe undergraduate nursing students’ clinical decision-making in post-procedural bleeding scenarios and explore the changes from the first to the final year of their program. BackgroundBleeding is a common complication following invasive procedures and its effective management requires nurses to develop strong clinical decision-making competencies. Although nursing education programs typically address bleeding complications, there is a gap in understanding how nursing students make clinical decisions regarding these scenarios. Additionally, little is known about how their approach to bleeding management evolves over the course of their education. DesignLongitudinal mixed-methods study based on the Recognition-Primed Decision Model. MethodsA total of 59 undergraduate students recorded their responses to two clinical decision-making vignettes depicting patients with signs of bleeding post-hip surgery (first year) and cardiac catheterization (final year). Their responses were analyzed using content analysis. The resulting categories capture the cues students noticed, the goals they aimed to achieve, the actions they proposed and their expectations for how the bleeding situations might unfold. Code frequencies showing the most variation between the first and final years were analyzed to explore changes in students’ clinical decision-making. ResultsNearly all students focused on two primary categories: ‘Bleeding’ and ‘Instability and Shock.’ Fewer students addressed six secondary categories: ‘Stress and Concern,’ ‘Pain,’ ‘Lifestyle and Social History,’ ‘Wound Infection,’ ‘Arrhythmia,’ and ‘Generalities in Surgery.’ Students often concentrated on actions to manage bleeding without further assessing its causes. Changes from the first to the final year included a more focused assessment of instability and shifts in preferred actions. ConclusionsThis study reveals that nursing students often prioritize immediate actions to stop bleeding while sometimes overlooking the assessment of underlying causes or broader care goals. It suggests that concept-based learning and reflection on long-term outcomes could improve clinical decision-making in post-procedural care.

The Influence of Field Work Practices, Motivation, and Self-Efficacy on Work Readiness

Job readiness is the ability of a human being to do things related to work activities. Job readiness is a trait and behavior that will be needed by students, especially final year students. To build job readiness, it is also necessary to practice field work, motivation and self-efficacy of students. This research is a type of quantitative research. This study made a sample of final year Management students Faculty of Economics and Business, UPNV East Java The sample technique used was Simple Random Sampling with a total of 94 students and data analysis techniques using the PLS (Partial Least Square) method, using validity tests, reliability tests, and hypothesis tests. The results of previous research on research related to the variables of this study show that there is a positive and significant influence on the influence of field work practices, motivation, and self-efficacy on work readiness.

Awareness about clear aligner among dental students- Cross sectional study

To assess the awareness about clear aligner among dental students of first year, second year, third year, final year and interns of Pushpagiri College Of Dental Science.A cross-sectional questionnaire study conducted among Dental Students of Pushpagiri College of Dental Sciences, by collecting data using questionaire. Students of first year, second year, third year, final year and interns were included for the study. A questionnaire composed of 10 questions, designed to assess awareness about clear aligner among students. Fifty students participated in the study.The study reveals that out of fifty attendees – I)83.3% attendees didn’t used clear aligner before II) 91.7% of attendees aware about clear aligner III)83.3% attendees knows in which cases Invisalign can be use IV)83.3% attendees knows clear aligner have better oral hygiene than traditional brackets. Awareness program regarding clear aligner are necessary to create awareness among dental students.

A comprehensive near-peer revision course delivered by final year medical students to fourth year students

A comprehensive near-peer revision course delivered by final year medical students to fourth year students

Specialty referrals simulation: an educational initiative for final year medical students

Specialty referrals simulation: an educational initiative for final year medical students

Design and evaluation of the student led ward round - a multidisciplinary intervention allowing practice of essential ward round skills for final year medical students

Design and evaluation of the student led ward round - a multidisciplinary intervention allowing practice of essential ward round skills for final year medical students

Exploring the factors affecting undergraduate nursing students' migration intention: A qualitative study

BackgroundThe escalating global nursing shortage, fueled by the migration of healthcare professionals from resource-constrained nations to those with greater economic prosperity, presents a formidable challenge to healthcare systems worldwide. Nepal, grappling with a significant brain drain of its nursing workforce, serves as a poignant illustration of this phenomenon. The departure of skilled nurses not only jeopardizes the country's healthcare quality but also underscores the urgent need to address the underlying educational and systemic deficiencies contributing to this trend. AimThe study aims to explore the early formation of migration intentions among undergraduate nursing students in Nepal and identify key factors influencing their decision to pursue opportunities abroad. DesignA descriptive qualitative research design. SettingsThe study was conducted at two urban nursing colleges in Nepal. ParticipantsSeventeen nursing students in their final year of undergraduate studies. MethodsData were collected via semi-structured interviews and analyzed using thematic analysis. ResultsThe thematic analysis unearthed four principal themes: (1) Aspirations Beyond Borders: Structural and Systemic Catalysts; (2) Navigating Personal Ambitions; (3) Socio-Political Currents Influencing Career Pathways; (4) Economic Incentives and Realities: Weighing the Prospects. ConclusionThe study's findings highlight the need for systemic changes to retain nursing professionals in Nepal. There is a significant gap between policy initiatives aimed at improving the status of nursing and the persistent challenges nursing students face. This gap fosters disillusionment and drives migration intentions. The research underscores the urgent need to address systemic deficiencies, empower nurses, and ensure equitable recognition. These actions are crucial to cultivating a sustainable nursing workforce dedicated to advancing health equity.