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首页> 外文期刊>BMC Medical Education >Influencing nursing students’ perceptions of community care with curriculum-redesign; a quasi-experimental cohort study
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Influencing nursing students’ perceptions of community care with curriculum-redesign; a quasi-experimental cohort study

机译：重新设计课程，影响护理学生对社区护理的看法;准实验队列研究

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The shift in healthcare to extramural leads to more patients with complex health problems receiving nursing care at home. However, the interest of baccalaureate nursing students for community nursing is moderate, which contributes to widespread labour-market shortages. This study investigates the effect of a more ‘community-care-oriented’ curriculum on nursing students’ perceptions of community care. A quasi-experimental quantitative survey study with a historic control group (n?=?477; study cohorts graduating in 2015, 2016, and 2017; response rate 90%) and an intervention group (n?=?170; graduating in 2018; response rate 93%) was performed in nursing students of a University of Applied Sciences in a large city in the Netherlands. The intervention group underwent a new curriculum containing extended elements of community care. The primary outcome was assessed with the Scale on Community Care Perceptions (SCOPE). The control and intervention group were compared on demographics, placement preferences and perceptions with a chi-square or T-test. Multiple regression was used to investigate the effect of the curriculum-redesign on nursing students’ perceptions of community care. The comparison between the control and intervention group on students’ perceptions of community care shows no significant differences (mean 6.18 vs 6.21 [range 1–10], respectively), nor does the curriculum-redesign have a positive effect on students’ perceptions F (1,635)?=?.021, p?=?.884, R2?=? .001. The comparison on placement preferences also shows no significant differences and confirms the hospital’s popularity (72.7% vs 76.5%, respectively) while community care is less often preferred (9.2% vs 8.2%, respectively). The demographics ‘working in community care’ and ‘belonging to a church/religious group’ appear to be significant predictors of more positive perceptions of community care. Graduating students who experienced a more ‘community-care-oriented’ curriculum did not more often prefer community care placement, nor did their perceptions of community care change. Apparently, four years of education and placement experiences have only little impact and students’ perceptions are relatively static. It would be worth a try to conduct a large-scale approach in combination with a carefully thought out strategy, based on and tying in with the language and culture of younger people.
机译：医疗保健向壁外的转移导致更多患有复杂健康问题的患者在家中接受护理。但是，学士学位的护理学生对社区护理的兴趣是中等的，这导致了广泛的劳动力市场短缺。这项研究调查了更“以社区护理为导向”的课程对护理学生对社区护理的看法的影响。一项准实验定量调查研究，其中一个历史对照组（n = 477;研究人群于2015、2016和2017年毕业;回应率90％）和一个干预组（n = 170; 2018年毕业;回应率93％）是在荷兰大城市的应用科学大学的护理系学生中进行的。干预小组接受了新课程，其中包含社区护理的扩展内容。主要结果通过社区护理感知量表（SCOPE）进行评估。对照组和干预组在人口统计学，安置偏好和看法方面进行了卡方检验或T检验。多元回归被用来调查重新设计课程对护理学生对社区照顾的看法的影响。对照组和干预组对学生对社区照顾的看法之间的比较显示无显着差异（分别为平均6.18和6.21 [范围1–10]），课程的重新设计也不会对学生的观念F产生积极影响（ 1,635）？= ?. 021，p？= ?. 884，R2？=？<。001。安置偏好的比较也没有显着差异，并确认了医院的受欢迎程度（分别为72.7％和76.5％），而社区护理则不太受欢迎（分别为9.2％和8.2％）。 “在社区照顾中工作”和“属于教会/宗教团体”的人口统计学似乎是对社区照顾更积极看法的重要预测因素。经历了更多“以社区护理为导向”课程的即将毕业的学生并不经常偏爱社区护理，他们对社区护理的看法也没有改变。显然，四年的教育和实习经验几乎没有影响，学生的看法相对静止。在年轻人的语言和文化的基础上并加以结合，尝试将大规模方法与经过深思熟虑的策略相结合是值得的。

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