Growth in Career Academy Students' Experience, Knowledge, and Self-Confidence Related to Health Care Careers

2016 ◽  
Vol 41 (1) ◽  
pp. 13-31 ◽  
Author(s):  
Gustavo Loera ◽  
Jonathan Nakamoto ◽  
Ashley L. Boal ◽  
Staci J. Wendt ◽  
Cindy Beck ◽  
...  
Phainomenon ◽  
2018 ◽  
Vol 28 (1) ◽  
pp. 77-102
Author(s):  
Sarah Troubé

Abstract A large amount of research in mental health care relates to the notion of trust, as a possible common factor in psychopathology, and as a common dimension of psychotherapeutic alliance, underlying the various therapeutic methods. Such hypotheses call for a more detailed analysis of this notion of trust. The paper seeks to shed light on this issue by confronting the clinical and phenomenological approaches. We propose to focus on three issues at stake: 1/ the issue of the existence of a tacit or pre-reflective trust, which can be defined by a phenomenological method. 2/ the issue of a foundation of trust in empathy, which questions the debates about empathy in phenomenological works. 3/ the issue of a structural self-opacity, brought to light through the paradoxical structure of trust, and that we propose to tackle with the notions of attestation and narrative identity.


2019 ◽  
Author(s):  
Aiza Soares

The contemporary American Health Care System created a demand for skilled advanced practice registered nurses (APRNs) to meet the health care needs of the U.S. population. It is imperative that graduate nursing programs adequately educate APRN students with the competencies to address these demands. Graduate nursing programs have adopted simulation-based learning to provide safe, cost-effective learning opportunities without the potential for real-world negative outcomes that can arise during hospital-based education. The purpose of this quality improvement project was to provide a tailored, APRN-focused prebriefing activity before simulation-based learning and measure its effects on self-reported student self-confidence scores. This project was conducted using a quantitative post-intervention survey design with a convenience sample of 17 APRN students. The participants were provided a prebriefing intervention by email prior to their interprofessional education (IPE). After the prebriefing intervention, the APRN students participated in four pre-established IPE simulation scenarios. The participants were then asked to complete the National League for Nursing (NLN) Satisfaction and Self-confidence in Learning Scale, a thirteen-statement survey with a 5-point Likert scale measuring self-reported, student satisfaction and self confidence related to their simulation-based learning experiences. Overall, high scores resulted on the post-intervention survey for the two subscales. This project supported the implementation of a structured prebriefing activity before IPE simulation-based learning in graduate nursing education.


2020 ◽  
Author(s):  
Petros Galanis ◽  
Irene Vraka ◽  
Despoina Fragkou ◽  
Angeliki Bilali ◽  
Daphne Kaitelidou

AbstractBackgroundDuring the COVID-19 pandemic, physical and mental health of the nurses is greatly challenged since they work under unprecedented pressure and they are more vulnerable to the harmful effects of the disease.AimTo examine the impact of the COVID-19 pandemic on nurses’ burnout and to identify associated risk factors.MethodsWe followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines for this systematic review and meta-analysis. PubMed, Scopus, ProQuest and pre-print services (medRχiv and PsyArXiv) were searched from January 1, 2020 to November 15, 2020 and we removed duplicates. We applied a random effect model to estimate pooled effects since the heterogeneity between results was very high.FindingsFourteen studies, including 17,390 nurses met the inclusion criteria. Five standardized and valid questionnaires were used to measure burnout among nurses; Maslach Burnout Inventory, Copenhagen Burnout Inventory, Professional Quality of Life Scale version 5, Mini-Z, and Spanish Burnout Inventory. The overall prevalence of emotional exhaustion was 34.1% (95% confidence interval [CI]: 22.5-46.6%), of depersonalization was 12.6% (95% CI: 6.9-19.7%), and of lack of personal accomplishment was 15.2% (95% CI: 1.4-39.8%). The following factors were associated with increased nurses’ burnout: younger age, higher educational level, higher degree, decreased social support, having a relative/friend diagnosed with COVID-19, low family and colleagues readiness to cope with COVID-19 outbreak, increased perceived threat of Covid-19, longer working time in quarantine areas, working in a high-risk environment (a COVID-19 designated hospital, a COVID-19 unit, etc.), working in hospitals with inadequate and insufficient material and human resources, decreased working safety while caring for COVID-19 patients, increased workload, decreased self-confidence in self-protection, and lower levels of specialized training regarding COVID-19, job experience, and self-confidence in caring for COVID-19.ConclusionNurses experience high levels of burnout during the COVID-19 pandemic, while several sociodemographic, social and occupational factors affect this burnout. Several interventions need to be implemented to mitigate mental health impact of the COVID-19 pandemic on nurses, e.g. screening for mental health illness and early supportive interventions for high-risk nurses, immediate access to mental health care services, social support to reduce feelings of isolation, sufficient personal protective equipment for all nurses to provide security etc. Governments, health care organizations and policy makers should act in this direction to prepare health care systems, individuals and nurses for a better response against the COVID-19 pandemic.


10.2196/20021 ◽  
2020 ◽  
Vol 22 (6) ◽  
pp. e20021 ◽  
Author(s):  
Peng-Wei Wang ◽  
Wei-Hsin Lu ◽  
Nai-Ying Ko ◽  
Yi-Lung Chen ◽  
Dian-Jeng Li ◽  
...  

Background People obtain information on the coronavirus disease (COVID-19) from the internet and other sources. Understanding the factors related to such information sources aids health professionals in educating individuals. Objective This study used data collected from the online survey study on COVID-19 in Taiwan to examine what major COVID-19 information sources are available and which sources are significantly related to the self-confidence of people in coping with COVID-19 in Taiwan. Methods A total of 1904 participants (1270 non–health-care workers and 634 health care workers) were recruited from the Facebook advertisement. Their major sources of information about COVID-19, the relationships between the sources and demographic factors, and the relationships between the sources and the self-confidence in coping with COVID-19 were surveyed. Results Most Taiwanese people relied on the internet for COVID-19 information. Many respondents also used a variety of sources of information on COVID-19; such variety was associated with sex, age, and the level of worry toward COVID-19, as well as if one was a health care worker. For health care workers, the use of formal lessons as an information source was significantly associated with better self-confidence in coping with COVID-19. The significant association between receiving information from more sources and greater self-confidence was found only in health care workers but not in non–health-care workers. Conclusions Medical professionals should consider subgroups of the population when establishing various means to deliver information on COVID-19.


2021 ◽  
pp. OP.20.01038
Author(s):  
Bryan A. Sisk ◽  
Jessica A. Zavadil ◽  
Lindsay J. Blazin ◽  
Justin N. Baker ◽  
Jennifer W. Mack ◽  
...  

PURPOSE: Communication breakdowns in pediatric oncology can have negative consequences for patients and families. A detailed analysis of these negative encounters will support clinicians in anticipating and responding to communication breakdowns. METHODS: Semistructured interviews with 80 parents of children with cancer across three academic medical centers during treatment, survivorship, or bereavement. We analyzed transcripts using semantic content analysis. RESULTS: Nearly all parents identified negative communication experiences (n = 76). We identified four categories of contributors to negative experiences: individual (n = 68), team (n = 26), organization (n = 46), and greater health care system (n = 8). These experiences involved a variety of health care professionals across multiple specialties. Parents reported 12 personal consequences of communication breakdowns: emotional distress (n = 65), insufficient understanding (n = 48), decreased trust or confidence (n = 37), inconvenience (n = 36), medical harm (n = 23), decreased self-confidence (n = 17), decreased emotional support (n = 13), decreased engagement (n = 9), false hope (n = 9), decreased hope (n = 7), financial insult (n = 7), and decreased access to resources (n = 3). We identified five categories of supportive responses from clinicians: exploring (n = 8), acknowledging (n = 17), informing (n = 27), adapting (n = 27), and advocating (n = 18). Parents often increased their own advocacy on behalf of their child (n = 47). Parents also identified the need for parental engagement in finding solutions (n = 12). Finally, one parent suggested that clinicians should assume that communication will fail and develop contingency plans in advance. CONCLUSION: Communication breakdowns in pediatric oncology negatively affect parents and children. Clinicians should plan for communication breakdowns and respond by exploring, acknowledging, informing, adapting, advocating, and engaging parents in finding solutions.


2020 ◽  
Author(s):  
Peng-Wei Wang ◽  
Wei-Hsin Lu ◽  
Nai-Ying Ko ◽  
Yi-Lung Chen ◽  
Dian-Jeng Li ◽  
...  

BACKGROUND People obtain information on the coronavirus disease (COVID-19) from the internet and other sources. Understanding the factors related to such information sources aids health professionals in educating individuals. OBJECTIVE This study used data collected from the online survey study on COVID-19 in Taiwan to examine what major COVID-19 information sources are available and which sources are significantly related to the self-confidence of people in coping with COVID-19 in Taiwan. METHODS A total of 1904 participants (1270 non–health-care workers and 634 health care workers) were recruited from the Facebook advertisement. Their major sources of information about COVID-19, the relationships between the sources and demographic factors, and the relationships between the sources and the self-confidence in coping with COVID-19 were surveyed. RESULTS Most Taiwanese people relied on the internet for COVID-19 information. Many respondents also used a variety of sources of information on COVID-19; such variety was associated with sex, age, and the level of worry toward COVID-19, as well as if one was a health care worker. For health care workers, the use of formal lessons as an information source was significantly associated with better self-confidence in coping with COVID-19. The significant association between receiving information from more sources and greater self-confidence was found only in health care workers but not in non–health-care workers. CONCLUSIONS Medical professionals should consider subgroups of the population when establishing various means to deliver information on COVID-19.


2021 ◽  
pp. 095935432110342
Author(s):  
Emilie Sørås ◽  
Øyvind Ibrahim Marøy Snipstad

Coercion in psychiatric care may cause long-term negative effects such as trauma, reluctance to seek later treatment, as well as erosion of self-confidence and trust in one’s own feelings and thoughts. Based on data from a previous study and the theoretical framework developed by Hans Skjervheim, this article discusses how experiences with coercion may appear as a result of how the patients are approached and defined when involuntarily admitted. If patients admitted to involuntary psychiatric care are treated as objects they might respond by objectifying the professionals back or succumbing to the descriptions of themselves as sick. The latter may ultimately cause them to question their own sanity. In light of this, this paper argues that there is a need for an ongoing ethical discussion on how to find common ground between patients and health care workers, where both are viewed as subjects with knowledge and opinions worthy of respect.


Author(s):  
C.E. 'Betty' Cragg ◽  
Mary-Anne Andrusyszyn

This qualitative, descriptive study examined changes in perspective experienced by 22 recent graduates of Master’s in Nursing programs from three Ontario universities. Participants responded to semi-structured, taped interviews and recounted personal, practice, and attitudinal changes they could attribute to completing a Master’s program in Nursing. Among outcomes were personal ones including greater self-confidence, credibility, and acuity of critical thinking. Deeper and broader world-views of the profession and health care were evident. All participants valued evidence-based practice, reporting greater use of multiple information sources. Participants communicated with other professionals on more equal terms and some described a multicultural function, translating knowledge between staff nurses and members of other disciplines. Pride in nursing and its potential for shaping health care was a recurring theme. More professional opportunities became available following Master’s studies. The outcomes of this study contribute to understanding the effects of graduate education in nursing.


Globalization and Industrialization provides job opportunity both for working men and women. With new job opportunity for women there are opportunity for high pay, which increase self- confidence and bring about freedom. Traditionally society has allocated women the responsibility of traditional domestic chores and skillful upbringing of their children’s. Today’s society has added some new responsibilities to women that are contributing to family earnings, which make them capable to shouldering twofold expectations with their male counter parts. Tattered between career aspirations, work culture of organization, and work over load today’s women are facing the burden of stress and strain in their normal life. The rising prospect of health care institutions call for enhanced work pressure and competition for success in the health care sectors becomes the new segments where employees stress is much higher. Anxiety and stress due to the demands from workplace creates job stress which simultaneously affects the family life and career of working women. The present study is a small sample survey where primary data has been collected through self administered questionnaire from working women, more specifically doctors and nurses working in private hospitals in Bhubaneswar. This study try to find how women employees in hospital sector experienced role conflict between their career and economic obligations, are subjected to psychological and physical harm


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