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加纳库马西的大专后护士和助产士获得高等教育的激励因素和感知效果:一项横断面研究。

The motivational factors and the perceived effects of attaining higher education among post-diploma graduate nurses and midwives in Kumasi, Ghana: A cross-sectional study.

机构信息

Department of Nursing, Kwame Nkrumah University of Science and Technology, PMB, KNUST, Kumasi, Ghana.

Department of Nursing, Kwame Nkrumah University of Science and Technology, PMB, KNUST, Kumasi, Ghana.

出版信息

Nurse Educ Today. 2023 Nov;130:105936. doi: 10.1016/j.nedt.2023.105936. Epub 2023 Aug 11.

DOI:10.1016/j.nedt.2023.105936
PMID:37595323
Abstract

BACKGROUND

Globally, there has been increased demand for higher education in nursing and midwifery to support evidence-based practice. It is believed that higher education in nursing leads to improved quality of care. The motivation for pursuing higher education, the choice of institution for learning and the effects of higher education programs have not been given much attention in research literature in Ghanaq OBJECTIVE: To assess the motivating factors, reasons for the choice of institution and the perceived effects of attaining higher educational qualifications among post-diploma graduate nurses and midwives.

STUDY DESIGN

Descriptive cross-sectional study.

SETTING

Kumasi.

PARTICIPANTS

Convenience and snowball sampling were used to select 523 nurses and midwives who had pursued higher education after their Diploma in Nursing or Midwifery education.

METHOD

A researcher-developed questionnaire was used to collect data on motivation, choice of institution and perceived effects of higher education by nurses and midwives. Data were analyzed through descriptive statistics, Pearson correlation and linear regression at 0.05 significance level.

RESULTS

The greatest motivation for higher education by nurses/midwives was to improve clinical judgment. Academic quality and reputation of the institution were the main reasons for the choice of institution (n = 458, 92.7 %). There were weak but positive significant correlations between the perceived effects of higher nursing and midwifery education and pressure from the workplace (r = 0.204, p < .001), and increasing new demands from clients (r = 0.284, p < .001). Increasing demands from clients (β = 0.203, p < .001) and improving social status (β = 0.264, p < .001) were the motivating factors that influenced the perceived effects of higher nursing and midwifery education.

CONCLUSION

The desire for improved professionalism and increased expertise are the reasons nurses and midwives seek higher education. Health managers should support nurses and midwives to attain higher education to improve the quality of care.

摘要

背景

在全球范围内,人们对护理和助产学的高等教育需求不断增加,以支持循证实践。人们相信,护理高等教育可以提高护理质量。在加纳的研究文献中,对护理和助产士攻读高等教育的动机、学习机构的选择以及高等教育项目的效果并没有给予太多关注。

目的

评估大专毕业后继续深造的护士和助产士的激励因素、选择机构的原因以及对获得高等教育资格的认知效果。

研究设计

描述性的横断面研究。

地点

库马西。

参与者

采用方便抽样和雪球抽样,共选取 523 名在完成护理或助产学文凭教育后接受高等教育的护士和助产士。

方法

使用研究者自行设计的问卷收集护士和助产士的动机、选择机构以及对高等教育的认知效果的数据。采用描述性统计、Pearson 相关分析和线性回归,在 0.05 显著性水平下进行数据分析。

结果

护士/助产士接受高等教育的最大动机是提高临床判断能力。学术质量和机构声誉是选择机构的主要原因(n=458,92.7%)。护士和助产士对高等护理和助产学教育的认知效果与工作场所的压力(r=0.204,p<0.001)和不断增加的客户新需求(r=0.284,p<0.001)之间存在微弱但呈正相关。客户需求的增加(β=0.203,p<0.001)和社会地位的提高(β=0.264,p<0.001)是影响高等护理和助产学教育认知效果的激励因素。

结论

提高专业精神和增加专业知识的愿望是护士和助产士寻求高等教育的原因。卫生管理人员应支持护士和助产士接受高等教育,以提高护理质量。

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