Margriet van Iersel, Corine H.M. Latour, Marjon van Rijn, Rien de Vos, Paul A. Kirschner, Wilma J.M. Scholte op Reimer, Factors underlying perceptions of community care and other healthcare areas in first-year baccalaureate nursing students: A focus group study, Nurse Education Today, Volume 66, 2018, Pages 57-62, ISSN 0260-6917, https://doi.org/10.1016/j.nedt.2018.04.004
Factors underlying perceptions of community care and other healthcare areas in first-year baccalaureate nursing students : a focus group study
|Author:||van Iersel, Margriet1; Latour, Corine H.M.1; van Rijn, Marjon1,2;|
1ACHIEVE - Centre of Applied Research, Faculty of Health, Amsterdam University of Applied Sciences, Amsterdam, The Netherlands
2Department of Internal Medicine, Section of Geriatric Medicine, Academic Medical Centre, Amsterdam, The Netherlands
3Centre of Evidence Based Education, Academic Medical Centre, Amsterdam, The Netherlands
4Centre of Evidence Based Education, Academic Medical Centre, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands
5Open University of the Netherlands, Heerlen, The Netherlands
6University of Oulu, Oulu, Finland
7Department of Cardiology, Academic Medical Centre, Amsterdam, The Netherlands
8Department of Cardiology, Academic Medical Centre, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands
|Online Access:||PDF Full Text (PDF, 0.7 MB)|
|Persistent link:|| http://urn.fi/urn:nbn:fi-fe2019070422775
|Publish Date:|| 2019-07-04
Background: Despite the increasing labour market shortage of well-educated community nurses, few baccalaureate nursing students choose for a career in community care. Obtaining knowledge of how students perceive healthcare areas early in their education is important to take meaningful steps in counteracting any existing misconceptions with targeted curriculum redesign.
Objective: Determination of factors underlying perceptions of healthcare areas in first-year baccalaureate nursing students.
Design: A descriptive qualitative study using focus group inquiry.
Methods: This study follows up on a large-sample quantitative multicentre survey study. Fourteen first-year nursing students at a university of applied sciences in the Netherlands participated in focus group discussions in October 2014. Transcripts of the discussions were coded by two independent researchers at three levels – open, axial and selective coding – on the basis of two templates. The codes were sorted into categories and assigned to suitable main codes in the templates. The number of sub-codes per category and code were added together.
Results: Eight main themes were formulated, to wit (1) variety and diversity, (2) challenges, (3) improving people's health, (4) collaboration, (5) role models, (6) patient- or environment-based perceptions, (7) self-efficacy and (8) immediate vicinity. Data suggest that first-year students have clear ideas about the characteristics which they consider important in professional practice. Their perceptions do not necessarily reflect the actual situation, as they expect the hospital to possess all desired characteristics while community nursing seems to be undervalued.
Conclusion: To remedy students' misperceptions, four recommendations are formulated for curriculum redesign strategies deriving from the eight themes. These recommendations are based on collaboration between school and care organisations as well as on themes related to in-depth knowledge within the educational programme. The interventions will potentially help to strengthen the focus on community care, which will foster a more optimistic and realistic career outlook on this field.
Nurse education today
|Pages:||57 - 62|
|Type of Publication:||
A1 Journal article – refereed
|Field of Science:||
516 Educational sciences
This study was funded by ZonMw, the Netherlands Organisation for Research and Development, dossier number: 80-80705-98-032 and by NWO, the Netherlands Organisation for Scientific Research, project number 023.010.044.
© 2018 The Author(s). Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/BY-NC-ND/4.0/).