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Perceptions of nursing as a career choice of students in the Baccalaureate nursing program.

Schools of nursing must recruit and retain qualified applicants in order to confront the current challenge to nursing resources. Perceptions of nursing have been linked to students' decisions to enter the nursing profession and to continue in or withdraw from nursing programs. As part of an on-going longitudinal study in Canada, the nursing attitude questionnaire and nursing orientation tool were used to explore the perceptions of nursing of 213 beginning and 150 graduating students in a Baccalaureate nursing program. Overall, both groups of students held a positive image of nursing. There were however, significant differences between the groups in their orientation to nursing as well as their views on nursing roles, education, political issues, and the value of nursing as a profession. Implications for recruitment of nursing students are presented.

Adolescent↗

Exploring factors affecting attrition of male students from an undergraduate nursing course: a qualitative study.

This article reports the findings of a qualitative study that investigated the factors influencing both the academic and clinical practice performance of undergraduate male nursing students at a regional Australian university. The impetus for the study evolved from the recognition that, despite increasing numbers of males choosing to undertake nursing as a career, attrition by males from nursing courses continues to be problematic. In a profession that is hallmarked by critical staff shortages, it was viewed as important to investigate reasons contributing to the attrition of male nursing students enrolled in undergraduate nursing courses. The informants for the research were eight male nursing students enrolled internally in the Bachelor of Nursing course at a regional university in Australia. Data were collected using in-depth interviews and written narratives in the form of a diary. Data were analysed using thematic analysis, the findings revealing that male nursing students face particular challenges from an academic and clinical practice perspective during their university experience. For example, themes identified from interviews and narratives highlighted the fact that there is a tendency for male nursing students to feel isolated and excluded from an academic and clinical perspective. As well as this, the informants in this study clearly highlighted their preference for engaging in the technical aspects of nursing. The implications for nurse educators are emphasized and from this, educational strategies are suggested to facilitate the retention of male nursing students in undergraduate nursing courses.

Adult↗

Nursing students assess nursing education.

This study assessed the characteristics of nursing students currently enrolled in nursing education programs, how students finance their nursing education, their plans for clinical practice and graduate education, and the rewards and difficulties of being a nursing student. Data are from a survey administered to a national sample of 496 nursing students. The students relied on financial aid and personal savings and earnings to finance their education. Parents, institutional scholarships, and government loans are also important sources, but less than 15% of the students took out bank loans. Nearly one quarter of the students, particularly younger and minority students, plan to enroll in graduate school immediately after graduation and most want to become advanced nursing practitioners. Most of the nursing students (88%) are satisfied with their nursing education and nearly all (95%) provided written answers to two open-ended questions. Comments collapsed into three major categories reflecting the rewards (helping others, status, and job security) and three categories reflecting the difficulties (problems with balancing demands, quality of nursing education, and the admissions process) of being a nursing student. Implications for public policymaking center on expanding the capacity of nursing education programs, whereas schools themselves should focus on addressing the financial needs of students, helping them strike a balance among their school, work, and personal/family responsibilities and modifying certain aspects of the curriculum.

Adolescent↗

Attitudes to absenteeism among diploma nursing students in Ireland - an exploratory descriptive survey.

Nurse education within Ireland is currently in a transition period. October 2002 heralds the national implementation of a third-level four-year degree based programme for the preparation of nurses, to replace the current three-year diploma system. Anecdotally, one concern expressed by nurse educators regarding this move, is the regulation and monitoring of student non-attendance. This study explores the views of those involved in nurse education in Ireland to absenteeism among diploma nursing students to ascertain whether or not concern exists. The findings reveal absenteeism as a potential problem among nursing students. Most respondents agree that student attendance at both the practical and theoretical aspect of current education programmes is a problem. There is overwhelming agreement that student attendances while on the clinical area should be monitored, while the majority of respondents agree that attendance monitoring during lectures should take place. Some divergent views emerge among the lecturers and tutors with the lecturers seeming more 'liberal' on average than the tutors, reflecting perhaps the different traditions of their environments. Mostly however, the differences between the two groups are small and statistically insignificant. Overall responses indicate a continued commitment to monitoring and control of absenteeism in this population. Systematic policies need to be developed and enforced and key personnel need to be employed to support attendance monitoring in the third level setting.

Absenteeism↗

Effectiveness of student admission essays in identifying attrition.

Nursing school admission selection processes exist to select the "best and brightest" applicants assuming that those selected will be successful. However, attrition occurs. Effectiveness of grade point averages (GPAs) and test scores have been reported, while the effectiveness of essays in predicting attrition in undergraduate nursing education has not been reported in the literature. For the purposes of this study, attrition was defined as students enrolled in courses following acceptance into the program who did not complete the program. Data from a retrospective longitudinal sample including 236 students from one baccalaureate nursing program were analyzed for differences between students who completed the program ("completers", n=193) and those who dropped out ("non-completers", n=43). t-tests between the group mean essay scores revealed a statistical difference (t=2.092, p=0.043), while there was no statistical difference (t=0.22, p=ns) between the mean admission GPAs of the groups. Content analysis revealed thematic differences in the essays. Non-completers tended to write about nursing as external to themselves, in contrast to the completers who described an internalization of the role. Answers to questions of motivation for entering nursing and personal experience with a nurse may provide helpful information in selecting those students most likely to complete the program.

Adult↗

[School refusal anxiety].

School refusal mainly affects 11-13-year-old children but may be observed at any age from 5 to 15 years. It has two main clinical varieties: 1) school phobia in which the refusal attitude is directed toward school itself or an aspect of school environment; 2) separation anxiety in which the refusal of going to school is related to the separation with attached relatives, frequently the mother. Early recognition and intervention are determining factors for the prognosis. Hospital management and/or medication (imipramine) may be necessary in severe forms.

Adolescent↗

An epidemiologic approach to addressing student attrition in nursing programs.

The retention of students in nursing programs continues to be a major challenge for nurse educators and deans of nursing programs. Student attrition negatively impacts the needed supply of registered nurses to fill staff, administrative, and teaching positions. There is little recent research in the nursing literature related to the factors that influence undergraduate attrition among the new population of nursing students. Tinto's model of student retention has been used widely to explain factors that influence retention. In this article, the author suggests that Tinto's model may not be appropriate for explaining attrition among the new population of undergraduate nursing students. An epidemiologic framework is offered as a way of rethinking and reconceptualizing the problem of undergraduate student attrition. Primary, secondary, and tertiary approaches are presented to show that high rates of student attrition can be prevented by identifying critical points for intervention.

Attitude of Health Personnel↗

Student drop-out from UK dental schools.

OBJECTIVE: To determine the level of student drop-out from UK dental schools and to establish if drop-out is increasing, remaining steady or decreasing. DESIGN: Retrospective analysis of data from the University Statistical Record. SETTING: UK dental schools 1989-1994. SUBJECTS AND METHODS: The data covered all dental students entering and leaving dental schools during the relevant time period. RESULTS: The drop-out rate from UK dental schools between 1989 and 1994 ranged from 8.4% to 16.8% and is equivalent to the output of two to three medium-sized dental schools. Drop-out rate was higher in the three most recent years studied (1992-1994; 14.8%) than in the three earliest years studied (1989-1991; 10.6%). CONCLUSIONS: Student drop-out is a significant and increasing problem for UK dental schools. Unless controlled, it will result in fewer dentists qualifying in the UK and exacerbate shortages in qualified dentists that may occur in future years.

Dentistry↗

A complementary therapy approach to the management of individual stress among student nurses.

This paper examines the difference between qualitative and quantitative research approaches and applies the debate to assessing student nurses' stress coping styles. In particular, it looks at the value of the qualitative approach as a means of appreciating the individual nature of the stress experience. A pilot study was conducted among a small group of Project 2000 students. The results illustrate that a flexible model which appreciates the differences in individual perception is a successful way of enabling students to handle negative stress. The paper also reports on a new concept called Determination and the Hypnotic Interaction model which enables student nurses to utilize determined experiences from previous times and apply them to present and future negative stress. The model utilizes a wide range of complementary therapy approaches including relaxation, imagery and hypnosis, to enable students to appreciate positive stress and to discover and use their natural resources of determination to deal with negative stress.

Adaptation, Psychological↗

Student nurse wastage: a case study of the profile and perceptions of students of an institution.

A case study was undertaken at a university school of nursing in South Africa in order to establish to what extent student nurse wastage at this school conformed to trends in schools offering the same 4-year basic nursing course. Further, the views of students were solicited about factors that precipitated student nurse attrition at this school, as well as means which, in their opinion, could curb wastage and retain students on this course. A total of 147 students who were currently pursuing the course, and all previous students of this school who answered the description of actually or potentially dropping out of the course, were the target population. A questionnaire was returned by 84% of this group. Findings showed that this institution was amongst those whose attrition rate was low, but it conformed to the trend of student attrition in other universities. Respondents' perceptions of this issue were divergent, and so were their recommendations.

Attitude↗

Pre-registration diploma students: a quantitative study of entry characteristics and course outcomes.

Nurse education has been transformed over the last decade and continuing change is likely. Nurse educators are responsible for meeting the quality assurance standards of local stakeholders and student retention and progress are important aspects of this process. As part of a monitoring exercise, an enquiry was set up to review pre-registration selection and recruitment strategies and to establish if there were any significant relationships between the characteristics of pre-registration diploma entrants and their academic achievement or completion rates. A multi-factorial tree-based technique was used for this purpose. This is one of the first British studies to consider both academic performance and completion rates for pre-registration diploma students. Four cohorts (N = 355) were studied. There was marked heterogeneity in student characteristics with a wide age distribution, a significant proportion of mature entrants with previous care experience, and considerable diversity in terms of education. Education and age were significant predictors of academic achievement: entrants with a minimum of two A levels and mature women with recent study experience did particularly well. Younger recruits with modest educational qualifications on entry performed less well in their assessments of theoretical knowledge. Younger students tended to leave more regularly, and well-qualified entrants showed a greater tendency to complete, although these relationships were not statistically significant. Multi-factorial analysis demonstrated that organisational and course characteristics have a conjoint influence on course outcomes. Although the study is concerned with Project 2000 in the United Kingdom, there are lessons to be drawn concerning the selection and support of non-traditional recruits into nursing.

Achievement↗

A longitudinal cohort study of burnout and attrition in nursing students.

BACKGROUND: It is well-established that stress is likely to contribute to attrition in nursing students. Attrition from nursing programmes and retention of nurses in the profession are international concerns and steps are currently being taken in the United Kingdom to tackle these issues. AIM: The aim of this study was to investigate prospectively the determinants of, and relationships among, stress, burnout and attrition in nursing students. METHOD: A longitudinal design involving a complete cohort of nursing students was employed, using a battery of instruments to measure personality, intelligence, psychological morbidity, stress, coping and burnout. Data were gathered on entry, at 12 and 24 months, and at the end of the nursing programme. FINDINGS: Students experienced increasing levels of stress and use of negative coping mechanisms as the programme progressed and psychological morbidity increased. Positive aspects of personality were more likely to lead to aspects of burnout, and personality was a more important indicator of attrition than cognitive ability. CONCLUSIONS: Stress, burnout and attrition may not be directly linked. Personality factors at course entry contributed significantly to the prediction of burnout and programme completion, but the relationships were not strong enough to be practically useful.

Adaptation, Psychological↗

Value of admission interviews in selecting of undergraduate nursing students.

METHODS: The attrition of students in the undergraduate nursing program was evaluated. The value of the admission interview and its preferred nature were assessed by questionnaires filled by candidates and faculty. FINDINGS: It was found that although interviewing was only partially effective in screening potential drop-outs, including those who left the programme on non-academic grounds, without interviews the attrition rate increased. Personal interviews accounted for a somewhat lower attrition rate than the unanimously preferred group interviews. CONCLUSION: The process of choosing candidates to nursing programmes requires new thinking, as high attrition rates are not prevented by interviews. More research into the proper mechanism of student selection is needed.

Adult↗