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护理人才流失:多元化护理队伍建设的障碍。

Nursing's leaky pipeline: Barriers to a diverse nursing workforce.

机构信息

Western Kentucky University, School of Nursing, United States of America.

出版信息

J Prof Nurs. 2021 Mar-Apr;37(2):441-450. doi: 10.1016/j.profnurs.2020.05.002. Epub 2020 May 11.

DOI:10.1016/j.profnurs.2020.05.002
PMID:33867103
Abstract

BACKGROUND

Nursing educational programs have been charged with increasing the diversity of the nursing workforce; however, this depends on having a diverse and qualified applicant pool to select from.

PURPOSE

To determine the effects of student losses over time on nursing program diversity.

DESIGN AND METHODS

Descriptive longitudinal study. Progression of all students from a single university enrolled as pre-nursing majors from 2012 to 2016 (N = 2498) was tracked over seven key checkpoints during a seven-year time period.

RESULTS

Slightly more than half of the students (57%) were lost prior to nursing program application, which occurred at the end of the sophomore year. Losses were higher for minority students (70%), those requiring remedial coursework (65%), and first-generation students (62%). Older students, those with a prior degree, and those who started in another major were more likely to persist through some, but not all, of the checkpoints.

CONCLUSIONS

Pre-nursing program losses significantly decreased the diversity of the remaining nursing applicant pool, particularly for African American students. Losses were highest during the freshman level Anatomy and Physiology course. Nursing education programs need to develop early intervention programs to support diverse students during the critical pre-nursing period to increase the diversity of the nursing workforce.

摘要

背景

护理教育计划被要求增加护理人员的多样性;然而,这取决于是否有一个多样化和合格的申请人库可供选择。

目的

确定学生流失对护理项目多样性的影响。

设计和方法

描述性纵向研究。对 2012 年至 2016 年期间作为护理专业大学生注册的一所大学的所有学生(N=2498)在七年时间内的七个关键检查点进行了跟踪。

结果

略多于一半的学生(57%)在申请护理课程之前就流失了,这发生在大二结束时。少数民族学生(70%)、需要补习课程的学生(65%)和第一代学生(62%)的流失率更高。年龄较大的学生、有先修学位的学生和转专业的学生更有可能在某些但不是所有的检查点中坚持下来。

结论

护理前项目的流失大大降低了剩余护理申请人库的多样性,尤其是对非裔美国学生。流失率在大一的解剖和生理学课程中最高。护理教育计划需要制定早期干预计划,在关键的护理前阶段为多样化的学生提供支持,以增加护理人员队伍的多样性。

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