Intern Nurses Research Articles

Factors influencing the professional identity of nursing interns: a cross-sectional study

BackgroundImproving the professional identity of nursing intern is significant for enhancing the number of new registered nurses and easing the shortage of nursing personnel. The clinical internship is a key period for the formulation of professional identity. However, we know little about the factors influencing the nursing interns’ professional identity during clinical internship. Therefore, this study explore the influencing factors of nursing interns’ professional identity during clinical internship. This study will provide evidence and suggestions for generating effective strategies contributing to professional identity improvement of nursing interns.MethodsThis was a cross-sectional study. The convenience sampling was used to recruit 398 nursing interns from a teaching hospital in Hunan, China. The demographic characteristics information was collected by a self-developed questionnaire. The nursing interns’ professional identity and potential influencing factors (e.g., work atmosphere, teacher capacity) were measured by questionnaires with good psychometric properties. The appropriate indicators were used for descriptive statistics, and t test, analysis of variance, Pearson’s correlation analysis and multiple linear regression were used to analyse the influencing factors.ResultsIn this study, the influencing factors of nursing interns' professional identity are education level, first choice of major, residential status, work atmosphere, and teacher capacity. The results showed that: (1) the nursing interns with a higher education level reported a lower level of professional identity; (2) the nursing interns whose first choice of major was not nursing discipline reported a lower level of professional identity; (3) the nursing interns live in rural areas (compared to urban areas) reported a higher level of professional identity; (4) the nursing interns in better work atmosphere reported a higher level of professional identity; (5) the nursing interns under the guidance of the teachers equipped with better teaching capacity reported a higher level of professional identity.ConclusionThe education level, first choice of major and residential status are influence factors of nursing interns’ professional identity. The nursing educators need to pay attention to nursing interns whose first choice is not nursing, and in a bachelor program, who may have a lower level of professional identity. It is crucial to enhance the nursing interns’ professional identity by improve the work atmosphere and clinical teachers’ capacity, to promote nursing interns to choose nursing as a profession and reduce the shortage of nursing workforce.

The Perception of Decision-Making During Patient Care Among Nurse Interns at Umm Al Qura University

Aims: The study assesses the perception of decision-making and its effect on the patient are among nurses at Umm-al-Qura University. Backgrounds: The interns who are inducted into the program for a year are included, which leads to the residency program. Methods: The cross-sectional quantitative study is adapted from the sample of (n=30) to the nursing interns in Umm-al-Qura University hospital. The clinical decision- making skills were measured as a part of a questionnaire taken from Wiens (1991) reference article. The methods, such as descriptive statistics, independent t-test, and Cronbach alpha, are utilized for the study. Results: The findings show that the successful integration of the cross-section survey was high, which indicate the high reliability of the results. Among various means for the perceived dimension management received the lowest score in the decision-making; clinical quality is regarded as the highest attribute for dimension with a mean of 4.10, and the lowest dimension is the clinical instructions as a dimension with a 3.3 mean. The percentage distribution according to the perception of stress indicates that there is a 63.3% strong agreement and 36.7% strong disagreement for both the stress that interns feel in the clinical setting. Besides, there was no significant correlation found between decision-making and competence among both males and female interns. Conclusions: The knowledge gathered from the study is beneficial to the nursing staff, interns, administration, and the university authorities to formulate the curriculum based on skill gaps that interns faced during their internship period.

Covid-19 Salgını Sürecinde İntörn Hemşirelerde Genel Özyeterlilik ve Mesleki Hazıroluşluk Durumu

Aim: This study was conducted to evaluate the general self-efficacy and professional readiness of intern nurses during the Covid-19 epidemic. Method: As a descriptive study, the study was completed with 173 students who took the fall and spring semester Intern Practice courses of the Faculty of Health Sciences of Erciyes University in the 2021-2022 academic year. Students Descriptive Form, General Self-Efficacy Scale and Professional Readiness Perception Scale in Nursing were used in the study. Ethical permission was obtained from Erciyes University Social and Human Ethics Committee (Date: 26.04.2022; no: 174). Results: Students' General Self-Efficacy Scale total median value was 32.0; The Occupational Fit sub-dimension median value of 4.0; Communication cooperation sub-dimension median value was 4.5; The median value of the professional competence sub-dimension was determined as 4.0. It has been determined that there is a statistically significant difference between professional adaptation, communication cooperation and professional competence, choosing the profession, his thoughts about his profession, and the effects of the epidemic on working life (p≤0.05). A positive, weak and significant relationship was found between the students' general self-efficacy scale scores, professional adjustment (rho= 0.39), communication cooperation (rho= 0.34) and professional competence (rho= 0.37) (p≤0.05). Conclusion and recommendations: It is recommended to increase the professional readiness of students by increasing their self-efficacy levels in acute processes such as epidemics. Keywords: Covid-19, Intern Nurse, Self-efficacy, Professional Readiness, Epidemic

A year and a half later: Clinical experiences of intern nursing students in the COVID-19 Pandemic: A constructivist grounded theory

AimsThe aim of this study is to develop a theory to explore the clinical experiences of interns in clinical practice during the COVID-19 pandemic. BackgroundThe COVID-19 pandemic is a serious public health problem influencing the healthcare systems worldwide. Nursing students were excluded from clinical practice for a long time due to the pandemic. However, the prolonged and uncertain pandemic conditions required the inclusion of fourth-year nursing students in clinical practice. DesignA qualitative research design based on the Constructivist Grounded Theory approach was used in this study. MethodsThe research data were collected from fourth-year nursing students doing an internship at a university hospital in Turkey. Fourteen nursing students (12 females and 2 males) in the clinical practice during the COVID-19 pandemic with a mean age of 22.64 ± 0.225 were included in the study. In the collection of data, firstly, the purposeful sample selection method, then the theoretical sample selection method was used. On the online interview platform, the data were collected through individual interviews with those agreeing to participate in the study between July 2021 and August 2021 using a semi-structured interview form. The results were analyzed with initial, focused and theoretical coding. The research was reported based on the Consolidated Criteria for Reporting Qualitative Research guide. ResultsA core category and five main categories emerged in the study. The core category is a lonely bird and the main categories are emotions, challenges, coping methods, nursing experiences and solution suggestions. ConclusionsThis research can help create a conceptual framework of clinical practice experiences of intern nursing students during the COVID-19 pandemic. It is thought that intern nursing students need to be supported by reliable authorities before and during the internship. Intern students stated that they experienced many emotions together and felt alone. Our study results revealed that intern nurses need more psychological support, especially during the pandemic period. A remarkable finding of the research is that interns now think of themselves as professional nurses. For interns to develop effective coping methods, intensive and regular training should be organized in cooperation with the hospital and school administration.

Preliminary Survey in the Preparation of a Questionnaire on Nursing Practices at Group Homes for Elderly People with Dementia

The users of Group Homes (GH) for elderly people with dementia have increasing medical needs, and the number of GH that employ nurses is increasing. Due to the variety of employment patterns of nurses, we feel that it is necessary to conduct a cross-sectional survey of the practical situation of nurses and their practices. The purpose of this study was to interview eight GH nurses and prepare a questionnaire in which "Internal nurses" are defined as nurses employed by GH, regardless of whether they are full-time or part-time, and "external nurses" are defined as nurses who belong to home-visit nursing stations and visit by contract with GH. The results of a qualitatively descriptive analysis of the data obtained from the interviews revealed that 44 items were common to both the internal and the external nurses, and 2 items were added to the external nurses only, for a total of 46 items. In the future, a cross-sectional survey using this questionnaire with a large number of participants will clarify the actual, practical situation of GH nurses, and will also clarify whether there are differences between internal nurses and external nurses in practice due to differences in employment patterns.

Transition program and its Effect on Nurse Interns' Role Perception

Transition program and its Effect on Nurse Interns' Role Perception

Nurse Interns' Perception Regarding Patients' Rights and Advocacy

Nurse Interns' Perception Regarding Patients' Rights and Advocacy

Demographic Determinants of Intern nurses’ Resilience during The COVID – 19 Pandemic

Demographic Determinants of Intern nurses’ Resilience during The COVID – 19 Pandemic

Effect of Training Program on Technical Nursing Interns' Performance Regarding Application of Patients' Rights

Effect of Training Program on Technical Nursing Interns' Performance Regarding Application of Patients' Rights

Stress and Coping Among Nursing Students During the Introductory Internships Training

Background: Introductory internships are essential in the nursing profession. Nursing students are often new to nursing and caregiving and are learning to deal with many different people and situations. As a result, they are exposed to many types of stress in their internship. Strategies to cope with these stressors are crucial because the stressors can negatively impact the students’ learning and performance. The objective of this study was to examine the stressors in introductory internships and the coping strategies employed by first-time nursing interns. Methods: A cross-sectional study design was used. Convenience sampling was used to recruit 266 nursing students from a junior college of medicine, nursing, and management in northern Taiwan. A questionnaire that consisted of the participants’ basic information, a stress of internship scale, and a coping strategies scale was administered to the participants. The data were analyzed using SPSS 22 statistical software. Results: The stress of assignments and workloads was the primary stressor perceived by the interns (2.81 ± 0.79). The overall status of stressors in the internship program was at a moderate level, with a mean of 2.43 (SD = 0.52). However, the students tended to adopt ineffective coping strategies more frequently when they perceived a high level of stress from nursing personnel (r = .12, p < .05), peers (r = .15, p < .05), lack of professional knowledge and skills (r = .14, p < .05), internship environment (r = .15, p < .05) and overall stress of the clinical internship program (r = .17, p < .01). The most common coping strategy used was problem-based coping (3.0 ± 0.48), followed by ineffective coping strategies and emotion-focused coping. Conclusions: The results of this study shed light on the stressors exposed to first-time nursing interns and the coping strategies used by the students. The findings can serve as a reference for college educators and clinical instructors to teach the students how to cope with the stress of their internship through positive and active strategies.

İNTÖRN HEMŞİRELERİN KORONOVİRÜS (COVID-19) SALGININA İLİŞKİN ALGILARI: NİTELİKSEL BİR ÇALIŞMA

Aim: The COVID-19 pandemic has affected the individual and professional lives of all people, especially health professionals. For this reason, this study aimed to qualitatively determine the perceptions of intern nurses regarding the COVID-19 pandemic.
 Materials and Method: This phenomenological study was conducted with intern students receiving education at the final year of the nursing department of a state university in the Marmara Region of Turkey between November 1, 2020, and January 15, 2021. An in-depth face-to-face interview method was used in the study. In the interviews, four semi-structured interview questions developed by the researchers were asked to the participants; the answers were audio-recorded and the interviews were analyzed by the researchers. Main themes and sub-themes were generated with the codes obtained in the analysis.
 Results: As a result of the data analysis, three main themes, seven sub-themes, and twenty-four codes were determined for the perceptions of the participants regarding the Coronavirus (COVID-19) pandemic. It was determined that many factors affected intern nurses’ daily lives negatively and positively during the pandemic process and that participants resorted to some physical, psychological, and social methods to cope with the pandemic process. A group of intern nurses who performed clinical practice during the pandemic stated that this process had a positive effect on their individual development, their approach to patients, and their professional attitudes. Nevertheless, another group stated that their professional commitment decreased, that they felt worried and worthless, and that they avoided participating in the practices.
 Conclusion: It was determined that intern nurses, the closest group to the nursing profession, were affected by the pandemic process in many positive and negative aspects, that their professional perceptions changed due to their concerns about the current situation and future, and that they used different techniques that supported and restrained their development in coping with the process. Educational institutions are recommended to provide motivation, counseling, and psychological support programs in order for student nurses to be able to manage their concerns, negative affections, and changing professional perceptions.

Faculty of Medicine and Faculty of Nursing Intern Students' Views on the Future of Their Professional Lives: A Comparative Research

Bu çalışma tıp ve hemşirelik fakültesi son sınıf öğrencilerinin mesleklerine ilişkin mevcut ve ileriye yönelik görüşlerini saptamak amacıyla planlanmıştır. Araştırma, nitel araştırma yöntemlerinden olgubilim (fenomenolojik) araştırma desenine uygun olarak yapılmıştır. Araştırmanın çalışma grubunu, ülkemizin Ege Bölgesi’ndeki bir üniversitenin tıp ve hemşirelik fakültesi son sınıf öğrencileri içerisinden çalışmaya gönüllü 10 öğrenciden oluşmuştur. Veri toplama aracı olarak araştırmacılar tarafından hazırlanan yarı yapılandırılmış görüşme formu kullanılmıştır. Görüşmeden elde edilen veriler “mesleki yaşantıdan beklentiler” ve “mesleğin gelecek on yıldaki durumu” olmak üzere iki tema altında toplanmıştır. “Mesleki yaşantılarından beklentiler” ana temasının alt temaları olarak “profesyonellik”, “maddi beklentiler”, “manevi beklentiler” olmak üzere üç alt tema oluşturulmuştur. Mesleğin gelecek on yıldaki durumu ana temasının altında ise “değer görme”, “otonomi”, “sağlıkta şiddet”, “hasta hakları”, “hasta özerkliği”, “tıp hukuku” olmak üzere altı alt tema oluşturulmuştur. Çalışmaya katılan Hemşirelik Fakültesi 4. sınıf ve Tıp Fakültesi 6. sınıf öğrencilerinin mesleğe adım atmaya yaklaştıkları bir dönemde mesleği profesyonel anlamda sürdürme konusunda kaygılı oldukları saptanmıştır. Bu doğrultuda öğrencilerin mesleğe hazır bulunuşluğu, gelecek kaygısı ve profesyonel iş yaşantısı gibi konuların vurgulanması danışman öğretim üyelerinin, sağlık hizmetleri yöneticilerinin ve politika belirleyicilerin iç görüsü bakımından konunun farklı boyutlarıyla ele alındığı çalışmalar bilimsel literatüre kazandırılmalıdır.

Stress and coping styles among nursing students during the initial period of the clinical practicum: A cross-section study

ObjectivesThis study aimed to explore the level of stress, types of stressors, type of coping styles, and factors influencing stress levels and coping styles among nursing students during the initial period of the clinical practicum. MethodsA cross-sectional survey design was used. In September 2017, participants were recruited from a tertiary hospital in Zhejiang Province, China, using a convenience sampling method. A demographic characteristics questionnaire, the Intern Nursing Student Stressor Scale, and the Simple Coping Style Questionnaire were used to collect data. Data were analyzed using descriptive analysis, independent sample t-tests, one-way analysis of variance, Pearson’s correlation analysis, and multiple linear regression analysis. ResultsA total of 158 nursing students were recruited, most of whom were female, undergraduates, and from rural areas. The nursing students perceived a moderate level of stress during the initial period of the clinical practicum. The need for knowledge and skills was the most common source of stress. Positive coping styles were most commonly adopted. Nursing students who were undergraduates, only children, and chose nursing major involuntarily experienced higher stress levels than those who were junior college students, not only children, and chose nursing major voluntarily. Nursing undergraduates were more likely to use positive coping styles than junior college students. Male nursing students and those experiencing higher stress levels related to the “environment and equipment of the wards” and the “nature and content of the work” were more likely to use negative coping styles. ConclusionNursing educators should offer targeted guidance based on the stress reported during the clinical practicum and the demographic characteristics of the nursing students. Guidance should be provided to encourage nursing students to adopt effective coping strategies and reduce stress.

Nursing internship in COVID-19 times

The objective of the research is to know how nursing students fulfill the rotating internship service, knowing that this is a mandatory program in medicine, nursing, obstetrics, and nutrition careers in higher education institutions in Ecuador. To complete this program, students apply and deepen the knowledge acquired in their previous levels of training. An analysis of the situation of intern nursing students during the pandemic caused by SARs CoV2 is presented. The regulations for the development of the internship were analyzed, evidencing educational gaps in biosafety matters and it became necessary to reorient the current regulations for the realization of the rotating internship and other clinical practices in terms of the functions of the interns and the obligations of the establishments of Health. It is concluded that the rotating nursing internship program must be reviewed and analyzed to prevent students from risking their physical and mental health in practice, for this, the Ministry of Public Health of Ecuador and the universities must reorient inter-institutional agreements towards the health care and optimal training of future professionals.

Problems Facing Intern Nursing Students and Its Relation with their Perceived Stress

Problems Facing Intern Nursing Students and Its Relation with their Perceived Stress

Awareness and Practice of Lassa Fever Prevention among Health Workers in a Tertiary Health Facility in a Southern Nigerian City

Background: The Lassa fever outbreak has claimed the lives of numerous healthcare personnel in recent years and this reflects the poor infection prevention control practices and ill-preparedness for such contagious epidemic. Objective: The aim of the study was to assess the knowledge and quality of practice with regard to prevention of Lassa fever transmission among health workers. Methods: In this cross sectional study 230 health workers including intern nurses & doctors were assessed using pretested self- administered questionnaire adopting the WHO & Nigerian Centre for Disease and Control (NCDC) recommended prevention protocols against the deadly virus. Data were analyzed using Statistical Package for Social Science version 25. Results: Two hundred and twenty-four completed questionnaire (97.4% response rate) were analyzed. A vast majority 172 (76.8%) possessed satisfactory knowledge about Lassa fever transmission and infection prevention whereas only 77(44%) actively practiced the recommended protocols for infection prevention against Lassa fever virus satisfactorily. In the regression analysis, duration of service was the only significant factor positively associated with satisfactory knowledge on Lassa fever infection prevention (X 2 9 (0.05) = 19.559, P value= 0.001) . Almost all the participants practiced hand washing before and after attending to patients. However, only 1.34% of the respondents utilized full personal protective equipment (PPE) kits consistently while attending to high risk patients. Overall, their infection preventive practices were not significantly influenced by their occupation designation (P=0.586), duration of service or training in years and demographic profile such as: gender (P=0.118), age (P=0.840), marital status (P=0.819) and residing in urban area (P = 0.561). There was a weak positive correlation between knowledge scores and practice scores (r=0.137). Conclusion: It is recommended that the standard infection prevention practice protocols be adopted consistently in caring for patients with suspected or confirmed endemic viral infection like Lassa fever. Hospital management and policy makers should provide adequate PPE to minimize nosocomial infection in healthcare workers. Regular hospital-based seminars on infection prevention is recommended. Keywords: Nosocomial infection, hand washing, personal protective equipment, healthcare workers, endemic viral infection. DOI: 10.7176/JEP/13-7-08 Publication date: March 31 st 2022

Effect of a Training Program on Intern Nursing Students’ Professionalism

Effect of a Training Program on Intern Nursing Students’ Professionalism

Effect of Management Program on Nurse Interns’ Awareness and Use of Professional Nursing Values Dimensions at Intensive Care Units

Effect of Management Program on Nurse Interns’ Awareness and Use of Professional Nursing Values Dimensions at Intensive Care Units

Mentoring role effectiveness and satisfaction during internship training: A psychometric evaluation of Saudi nursing interns

BackgroundMentors play significant roles in developing their mentees’ careers. To study how effectively mentors contribute to their mentees’ career development, a valid and reliable measure is needed considering cultural background. PurposeThe twofold aim of this study was to evaluate the psychometric properties of the Ragins and McFarlin Mentor Role Instrument – Saudi version (RMMRI-S) and assess the effectiveness and satisfaction of staff nurses’ mentoring roles as perceived by nursing interns. MethodsThis descriptive study used translation, validation, exploratory factor analysis, and reliability tests. The pretesting data were collected in November 2017 and the main study data were collected between January 2018 and December 2018. A convenience sample of 342 Saudi nursing interns enrolled in the internship programme of three teaching hospitals in Riyadh, Saudi Arabia was recruited to participate in the study. The study adhered to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines. ResultsThe RMMRI-S yielded a scale-level index and an item-level index of 1. The factor analysis yielded two components that collectively explained 71.39% of the variances. While the inter-item correlation coefficients of the RMMRI-S and career development subscale were a = 0.97, it was a = 0.88 for the psychosocial subscale. All demographic variables were significantly correlated with the mentoring roles. Likewise, career development and psychosocial roles were significantly correlated with mentoring effectiveness and satisfaction. ConclusionThe study confirmed the robustness of the psychometric properties of the RMMRI-S and showed sound validity and strong reliability for measuring staff nurses’ mentoring role effectiveness and satisfaction according to nursing interns during their internship training. This scale can be utilised across the Arab Gulf region and internationally for Arabic-speaking nursing interns and students.

Application of Micro-class Teaching in Otorhinolaryngology Clinical Nursing Interns

Application of Micro-class Teaching in Otorhinolaryngology Clinical Nursing Interns