Ashghali Farahani Mansoureh, Ghaffari Fatemeh, Oskouie Fatemeh, Zagheri Tafreshi Mansoureh
Nursing Care Research Center and School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
Ramsar Nursing Care Research Center, Babol University of Medical Sciences, Mazandaran, Postal Code: 4691714141 Iran.
Nurse Educ Pract. 2017 Jan;22:98-104. doi: 10.1016/j.nepr.2017.01.002. Epub 2017 Jan 6.
Attrition is a major challenge facing nursing students that results in substantial costs on the education, health, and treatment systems across countries and can have an unwanted effect on the quality and quantity of health services provided as well as on the health of citizens. This descriptive study investigated nursing students' perceptions toward factors influencing attrition. We conducted a qualitative study using a content analysis approach. Nineteen students enrolled in nursing bachelor program were recruited using purposive and snowball sampling. Data were collected using face-to-face interviews, focus group interviews, and participant observation, and analysed using conventional content analysis approach. Attrition factors were categorized into two themes: 'before admission' and 'after admission'. The most important factors were obligation to choose nursing in the National Entrance Exam, poor management in workforce provision and improper supervision, discrepancy between expectations and experiences, and being work abused in clinical training. Authorities in education and practice sectors can use these findings to improve the quality of clinical and theoretical education and to avoid nursing student attrition. This can be achieved through an increase in community awareness of the identity of nursing, efficient management of workforce provision and clear and concise supervision of activities in both theoretical and clinical fields.
流失率是护理专业学生面临的一个重大挑战，给各国的教育、卫生和治疗系统带来了巨大成本，并可能对所提供的卫生服务的质量和数量以及公民的健康产生不良影响。这项描述性研究调查了护理专业学生对影响流失率的因素的看法。我们采用内容分析法进行了一项定性研究。通过目的抽样和滚雪球抽样的方法，招募了19名就读于护理学本科专业的学生。通过面对面访谈、焦点小组访谈和参与观察收集数据，并采用传统的内容分析法进行分析。流失因素分为两个主题：“入学前”和“入学后”。最重要的因素包括在全国入学考试中选择护理专业的义务、劳动力供应管理不善和监督不当、期望与经历之间的差异以及在临床培训中遭受工作虐待。教育和实践部门的当局可以利用这些研究结果来提高临床和理论教育的质量，并避免护理专业学生流失。这可以通过提高社区对护理职业的认知度、有效管理劳动力供应以及对理论和临床领域的活动进行清晰简洁的监督来实现。
