scholarly journals Students’ Perspectives on Learning Practical Nursing Skills: A Focus Group Study in Norway

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
A. G. Gregersen ◽  
M. T. Hansen ◽  
S. E. A. Brynhildsen ◽  
V. A. Grøndahl ◽  
A. C. Leonardsen
Keyword(s):  
Clinical Practice ◽  
Focus Group ◽  
Healthcare Services ◽  
Clinical Placement ◽  
Patient Treatment ◽  
Practical Nursing ◽  
Practical Skills ◽  
Focus Group Study ◽  
Nursing Skills ◽  
Nurse Students

Practical nursing skills are complex and involve technical, theoretical, and practical aspects, caring perspectives adjusted to both patient and circumstances, as well as ethical and moral considerations. Patients’ length of stay in hospitals is decreasing, and more advanced patient treatment is conducted in primary healthcare settings. Hence, education and nursing skills need adjustment in line with the rapidly evolving field of practice. Studies emphasize a need to uncover whether the technical aspect of nursing skills, in general, is challenging in students’ learning. The aim of this study was to explore students’ perspectives on practical nursing skills and how they can best learn these. Three focus group interviews were conducted with registered nurse students and intellectual disability nurse students in their last semester (n = 11). Conventional, inductive content analysis in line with recommendations from Hsieh and Shannon was used to analyze the data. Two main categories with subcategories were identified: (1) the content of practical skills, with subcategories (a) human-to-human relations, (b) organizational competence, and (c) technical mastering and (2) building competence, with subcategories (a) need for supervision, (b) planning the learning situations, and (c) relevance for practice. Students experienced that practical skills did not only include technical aspects but also the ability to establish a relationship to the patient and to organize their working day. Supervising was assumed as essential both when training in the simulation center and in clinical placement, as well as planning of the training, respectively. Students experienced that some skills learned in the university college were less relevant in clinical practice and that certain skills were difficult to perform in practice due to the type of clinical placement. Hence, there is a need to review the approach to and content of practical nursing skills’ learning in healthcare undergraduate programs, to prepare students for clinical practice, and to ensure that they build the competence needed in healthcare services.

scholarly journals A focus group study of older Chinese people with CVD patients in the North West of the UK

2021 ◽  
Vol 22 ◽  
Author(s):  
Shaun Speed ◽  
Zeyuan Sun ◽  
Zhenmi Liu
Keyword(s):  
Cardiovascular Disease ◽  
Primary Care ◽  
Focus Group ◽  
Cultural Values ◽  
Help Seeking ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Chinese Patients ◽  
Focus Group Study ◽  
North West

Abstract Background: Cardiovascular disease (CVD) is the leading cause of death for Chinese migrants around the world. Chinese CVD patients rely heavily on their native Chinese language, cultural values and beliefs, which adds challenges for the healthcare providers to offer primary healthcare services with standard protocol. The inappropriate treatment could lead to life loss, mistrust in doctor-patient relationship and heavy burden for healthcare funding. Methods: 28 participants were included for focus group study with the grounded theory methodology. Results: There is considerable misunderstanding among the Chinese community about the role of primary care doctors in the treatment of cardiovascular disease resulting in the variable use of primary care services. Conclusion: Chinese CVD patients or identified risk factors for CVD arguably need closer management, culturally sensitive advice, support and robust follow-up compared to the general population. Doctors and nurses should enhance their practice and give them confidence in their interaction with Chinese patients on the basis of how they think and behave in relation to help seeking.

Perception of Belgian nurses about evidence-based clinical practice implementation: a focus group study

2017 ◽  
Vol 73 (2) ◽  
pp. 110-118 ◽  
Author(s):  
Benoit Pétré ◽  
Nicolas Gillain ◽  
Nadine Jacqmin ◽  
Jef Adriaenssens ◽  
Kristel Vandenbosch ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Focus Group ◽  
Evidence Based ◽  
Focus Group Study ◽  
Practice Implementation

scholarly journals A qualitative focus group study concerning perceptions and experiences of Nigerian mothers on stillbirths

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
R. Milton ◽  
F. I. Alkali ◽  
F. Modibbo ◽  
J. Sanders ◽  
A. S. Mukaddas ◽  
...  
Keyword(s):  
Focus Group ◽  
Social Dynamics ◽  
Healthcare Facility ◽  
Healthcare Services ◽  
Northern Nigeria ◽  
Health Seeking ◽  
Focus Group Study ◽  
Major Barrier ◽  
Societal Factors ◽  
Tertiary Healthcare

Abstract Objective To explore the experiences and perceptions of stillbirth among mothers from a tertiary medical centre in Kano, Northern Nigeria. Design Qualitative, interpretative. Setting Tertiary healthcare facility, Murtala Muhammad Specialist Hospital (MMSH), Kano, Northern Nigeria. Sample Mothers who had given birth to a liveborn baby at the MMSH in the prior 6 months (n = 31). In order to capture the experiences and perception of stillbirth within this cohort we approached mothers who had in a previous pregnancy experienced a stillbirth. Of the 31 who attended 16 had a previous stillbirth. Methods Semi-structured Focus Group Discussions, consisting of open-ended questions about stillbirth, beliefs, experiences and influences were held in MMSH, conducted over 1 day. Results Our findings highlight that this is a resource-poor tertiary facility serving an ever-growing population, increasing strain on the hospital and healthcare workers. Many of the participants highlighted needing permission from certain family members before accessing healthcare or medical treatment. We identified that mothers generally have knowledge on self-care during pregnancy, yet certain societal factors prevented that from being their priority. Judgement and blame was a common theme, yet a complex area entwined with traditions, superstitions and the pressure to procreate with many mothers described being made to feel useless and worthless if they did not birth a live baby. Conclusions As access to healthcare becomes easier, there are certain traditions, family and social dynamics and beliefs which conflict with scientific knowledge and act as a major barrier to uptake of healthcare services. The findings highlight the need for investment in maternity care, appropriate health education and public enlightenment; they will help inform appropriate interventions aimed at reducing stigma around stillbirth and aide in educating mothers about the importance of appropriate health seeking behaviour. Stillbirths are occurring in this area of the world unnecessarily, globally there has been extensive research conducted on stillbirth prevention. This research has highlighted some of the areas which can be tackled by modifying existing successful interventions to work towards reducing preventable stillbirths.

scholarly journals Towards a nationwide implementation of a standardized nutrition and dietetics terminology in clinical practice: a pre-implementation focus group study including a pretest and using the consolidated framework for implementation research

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Gabriele Gäbler ◽  
Michaela Coenen ◽  
Katrin Fohringer ◽  
Michael Trauner ◽  
Tanja A. Stamm
Keyword(s):  
Clinical Practice ◽  
Focus Group ◽  
Implementation Research ◽  
Implementation Strategy ◽  
Implementation Process ◽  
World Health ◽  
International Classification Of Functioning ◽  
Focus Group Study ◽  
Facilitators And Barriers ◽  
Nationwide Implementation

Abstract Background & Aims In order to assure high quality of nutrition and dietetic care as well as research, the implementation of a standardized terminology, such as the World Health Organization (WHO) International Classification of Functioning, Disability and Health for Dietetics (ICF-Dietetics) is indispensable. The aim of this study was to explore the clinical practicability and applicability of the ICF-Dietetics in the field of nutrition and dietetic practice prior to the implementation in order to develop criteria (points to consider) for a targeted implementation strategy. Methods A focus group study including a pretest of the ICF-Dietetics was conducted. Subsequently, facilitators and barriers for a nationwide implementation of the ICF-Dietetics in clinical nutrition and dietetic practice were identified and linked to interventions (combining theory-based and group-based approach) using the Consolidated Framework of Implementation Research (CFIR) to organize and represent data and summarized in a logic model. Results In the pretest 55 clinical documentations which consisted of 248 different ICF-Dietetics categories were received. In four focus groups with 22 health professionals, 66 relevant higher-level themes and implementation strategy criteria (points to consider) were identified. These themes referred to all five domains of the CFIR, namely intervention characteristics, inner setting, outer setting, characteristics of individuals and implementation process and contained important barriers and facilitators that were linked to six implementation objectives as well as six context requirements and five main actors. Conclusions This study provides facilitators and barriers to be addressed when implementing the ICF-Dietetics in clinical practice and shows potential interventions based on this analysis. A nationwide implementation was mainly seen as a great advantage for enhancing quality and continuity of care and for providing comparable data. However, it requires further refinements and a multifaceted implementation strategy where the engagement of leadership of institutions plays a crucial role. These results have provided a foundation for a targeted implementation strategy to increase the success, reproducibility and comparability.

scholarly journals Talking about dying and death: a focus group study to explore a local community perspective

2011 ◽  
Vol 1 (1) ◽  
pp. 8 ◽  
Author(s):  
Marilyn N. Y. Kirshbaum ◽  
Ian Carey ◽  
Brigid Purcell ◽  
Seamus Nash
Keyword(s):  
Focus Group ◽  
Qualitative Methodology ◽  
Local Community ◽  
National Policy ◽  
Healthcare Services ◽  
Framework Analysis ◽  
Focus Group Study ◽  
Care Services ◽  
Wide Range ◽  
Palliative Care Services

There is a general perception held by health care practitioners based in hospices, palliative care services and general healthcare services that society is reluctant to talk about dying and death. This avoidance behaviour is observed, noted and expressed in national policy briefings as being detrimental to patient involvement in decision making, effective coping and preparation for death, organ donation, writing a will, and the process of bereavement. The aim of the pilot study was to explore the perceptions of a local community on the broad subject of <em>Talking about Dying and Death</em>. An interactive qualitative methodology using a constructivist approach enabled exploration of a wide range of views from a self-selected group resident within the local community (n=8). Data were collected from a focus group session facilitated by the researcher and an associate researcher. Systematic and analytical coding of transcripts was undertaken using Framework Analysis (Richie and Spencer 1994). Four overriding themes were identified: i) <em>emotions, beliefs and behaviours</em>; ii) <em>coping with adversity</em>; iii) <em>difficulties, barriers and tensions</em>, and iv) <em>fostering a participative future</em>. There were some notions of superstition amongst the participants, but little mention of formal religious beliefs. Within the themes, <em>Coping with Adversity</em> and <em>Difficulties, Barriers and Tensions</em> is the core of the community&rsquo;s views and needs. The link to the local hospice service is significant for it is the place where practical help, spiritual care, and an appreciation for sensitivity, openness and honesty can be put into action. The importance of communication and language are critical above all else. Dying and death was articulated as an upsetting topic, and remains a taboo in this community in the United Kingdom, with a belief that talking will bring harm. Promotion of talking about dying and death was discussed in relation to the role of the local hospice and several suggestions were put forward.

Everyday Life with Rheumatoid Arthritis and Implications for Patient Education and Clinical Practice: A Focus Group Study

2011 ◽  
Vol 10 (1) ◽  
pp. 29-38 ◽  
Author(s):  
Tine Mechlenborg Kristiansen ◽  
Jette Primdahl ◽  
Rasmus Antoft ◽  
Kim Hørslev-Petersen
Keyword(s):  
Rheumatoid Arthritis ◽  
Clinical Practice ◽  
Patient Education ◽  
Focus Group ◽  
Everyday Life ◽  
Focus Group Study

scholarly journals Supervising students in a complex nursing practice- a focus group study in Norway

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Ann-Chatrin Leonardsen ◽  
Siri Brynhildsen ◽  
Mette Tindvik Hansen ◽  
Vigdis Abrahamsen Grøndahl
Keyword(s):  
Intellectual Disability ◽  
Clinical Practice ◽  
Registered Nurses ◽  
Nursing Student ◽  
Nursing Practice ◽  
Technical Skills ◽  
Healthcare Services ◽  
Clinical Settings ◽  
Focus Group Study ◽  
Group Interviews

Abstract Background The supervisory role of registered nurses and intellectual disability nurses will be even more essential in the future, to support the education of competent newly graduated candidates. To our knowledge few studies have explored nursing student supervisors’ perspectives on supervision across primary- and hospital healthcare services and also across nurse educational programs. The aim of the current study was to investigate supervisors’ perspectives on supervising from different clinical settings, and across registered nurses’ and intellectual disability nurses’ clinical practice. Methods The study had an exploratory and descriptive design. The study was conducted within one university college catchment area in Southeastern-Norway. Eight focous group interviews were conducted in primary healthcare (n = 4) and hospital (n = 4) wards. A total of 31 registered nurses and three intellectual disability nurses participated. Hsieh and Shannon’s conventional content analysis was used to analyze the data. Results Participants across primary- and hospital healthcare agreed that clinical practice was complex, and required that students gained competence in both technical and non-technical skills. Moreover, needed skills were described both as general and arena specific, and as both basic and advanced. Participants perceived that technical and non-technical skills together, ideally should lead to students being able to «see the person» behind the patient. Conclusions Supervisors emphasized the challenges of supervising students in a complex nursing practice. Students should gain both procedural competence and an ability to provide person-centred care, and this challenged the supervisors’ own competence. Our findings indicate a need to support supervisors, to enable them to meet these challenges.

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