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护士教育中与学业不通过相关因素的分析:混合方法研究。

Analysis of the factors related to academic disapproval in the education of nurses: A mixed-method study.

机构信息

Universidade Federal de Goiás, Goiânia, GO, Brazil.

Scholarship holder at the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brazil.

出版信息

Rev Lat Am Enfermagem. 2021 Apr 9;29:e3411. doi: 10.1590/1518-8345.4458.3411. eCollection 2021.

DOI:10.1590/1518-8345.4458.3411
PMID:33852683
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8040778/
Abstract

OBJECTIVE

to evaluate the frequency and factors associated to disapproval among nursing students.

METHOD

a descriptive and cross-sectional study, outlined by the convergent mixed method. A total of 88 nursing students of a Brazilian public university took part. The Reduced Academic Experiences Questionnaire was used for evaluating academic adaptation. The association of the variables in the study with disapproval was verified by bivariate analysis.

RESULTS

the frequency of disapprovals in the sample was 68.2%, recurrences in the same discipline in 39.8%, with the associated factors: age over or equal to 22 years old (p=0.015), family income below 2 minimum wages (p=0.019) and lag in the curricular flow (p<0.001). Disciplines with higher frequencies of disapprovals are of the basic area, taught in the first two years of the course and common to the health courses. Students without disapprovals had better perception of physical and psychological well-being (p=0.002), good interpersonal relationships (p=0.017) and more assertive study behaviors (p=0.005). Personal, study-related and institutional issues were motivating.

CONCLUSION

the results reveal a high rate of disapproval, especially in the basic area. An association was found between disapprovals and mental health for nursing students during their education process, and difficulties were pointed out that can culminate with the disapproval rate in the curricular flow.

摘要

目的

评估护理专业学生不认可的频率及其相关因素。

方法

这是一项描述性和横断面研究,采用了收敛混合方法。巴西一所公立大学共有 88 名护理专业学生参与了该研究。使用简化学术经历问卷评估学生的学术适应情况。通过单变量分析,对研究中的变量与不认可之间的关系进行了验证。

结果

在该样本中,不认可的频率为 68.2%,同一学科的重复率为 39.8%,相关因素包括:年龄在 22 岁及以上(p=0.015)、家庭收入低于 2 个最低工资标准(p=0.019)和课程流程滞后(p<0.001)。不认可率较高的学科属于基础领域,在课程的前两年教授,且与健康课程通用。没有不认可的学生对身心健康的感知更好(p=0.002)、人际关系更好(p=0.017),且更具有自信的学习行为(p=0.005)。个人、学习相关和机构问题是激发因素。

结论

结果显示不认可率较高,特别是在基础领域。护理学生在教育过程中的不认可与心理健康之间存在关联,并指出了可能导致课程流程中不认可率上升的困难。

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本文引用的文献

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Effects of peer-mentoring on stress and anxiety levels of undergraduate nursing students: An integrative review.同伴指导对本科护生应激和焦虑水平的影响:综合评价。
J Prof Nurs. 2020 Jul-Aug;36(4):223-228. doi: 10.1016/j.profnurs.2019.12.007. Epub 2019 Dec 20.
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Nurses' workload: lights and shadows in the Family Health Strategy.护士的工作量:家庭健康战略中的光明与阴影
Cien Saude Colet. 2020 Jan;25(1):147-158. doi: 10.1590/1413-81232020251.28622019. Epub 2019 Oct 2.
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Expanding the role of nurses in primary health care: the case of Brazil.扩大护士在初级卫生保健中的作用:以巴西为例。
Rev Lat Am Enfermagem. 2019 Dec 5;27:e3245. doi: 10.1590/1518-8345.0000.3245.
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An integrative review of leadership competencies and attributes in advanced nursing practice.高级护理实践中的领导力胜任力和特征的综合回顾。
J Adv Nurs. 2019 Nov;75(11):2378-2392. doi: 10.1111/jan.14092. Epub 2019 Jul 21.
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Nursing students' experiences of repeating units in an undergraduate program: A qualitative study.护理专业本科生重修课程的体验:一项定性研究。
Nurse Educ Today. 2019 Aug;79:147-152. doi: 10.1016/j.nedt.2019.05.024. Epub 2019 May 16.
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The influence of socio-demographic factors, resilience and stress reducing activities on academic outcomes of undergraduate nursing students: A cross-sectional research study.社会人口学因素、心理韧性及减压活动对本科护理专业学生学业成绩的影响:一项横断面研究。
Nurse Educ Today. 2019 Jan;72:90-96. doi: 10.1016/j.nedt.2018.10.013. Epub 2018 Nov 6.
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Prevalence of depression among nursing students: A systematic review and meta-analysis.护理专业学生抑郁的患病率:系统评价和荟萃分析。
Nurse Educ Today. 2018 Apr;63:119-129. doi: 10.1016/j.nedt.2018.01.009. Epub 2018 Feb 9.
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Mental health problems among medical students in Brazil: a systematic review and meta-analysis.巴西医学生的心理健康问题:一项系统综述与荟萃分析。
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Reorientation of nurses' training: analysis of the protagonists.护士培训的重新定位:对相关人员的分析
Rev Gaucha Enferm. 2017 Mar 30;37(spe):e68457. doi: 10.1590/1983-1447.2016.esp.68457.
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Toward Advanced Nursing Practice along with People-Centered Care Partnership Model for Sustainable Universal Health Coverage and Universal Access to Health.迈向高级护理实践以及以人民为中心的护理伙伴关系模式,以实现可持续的全民健康覆盖和全民健康可及性。
Rev Lat Am Enfermagem. 2017 Jan 30;25:e2839. doi: 10.1590/1518-8345.1657.2839.