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Nursing students' reasoning about two fictitious elderly patient cases.
Karolinska Institutet.
1999 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 13, no 4, p. 247-53Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to examine and describe how nursing students developed their reasoning and knowledge about the state of health of, and their possible actions regarding, two fictitious elderly patient case histories during their three-year education. The descriptions were audiotaped, transcribed verbatim and analysed by content analysis. The findings show a development in the students' reasoning concerning the more acute case, but no development in reasoning regarding the case of a confused person. This could be due either to a lack of education in gerontology and geriatrics, or to the students receiving limited guidance during their education on how to reason about and reflect upon different ways of approaching emerging problems. The findings could also be understood in the light of traditions and history in nursing education.

Place, publisher, year, edition, pages
1999. Vol. 13, no 4, p. 247-53
National Category
Nursing
Identifiers
URN: urn:nbn:se:esh:diva-1817PubMedID: 12032922OAI: oai:DiVA.org:esh-1817DiVA, id: diva2:574617
Note

Alternativ titel: Swedish nursing students' reasoning about two fictitious elderly patient cases during education

Available from: 2012-12-06 Created: 2012-12-06 Last updated: 2020-06-03Bibliographically approved
In thesis
1. Nursing students' narrated, lived experiences of caring, education and the transition into nursing, focusing on care of the elderly
Open this publication in new window or tab >>Nursing students' narrated, lived experiences of caring, education and the transition into nursing, focusing on care of the elderly
1998 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The overall aim of this longitudinal research project was to elucidate and reach an understanding of influencing aspects on nursing students' choice of future work area as newly graduated nurses. The influencing aspects should be affiliated with the three-year education, the students' transition into nursing and the care of the elderly. The first study (I) concerned the amount of projected education in gerontology and geriatrics in 30 colleges of nursing and health, and the result showed a variety between colleges. Newly admitted nursing students in three colleges responded to a questionnaire. A majority of the students preferred to work in the emergency care, rather than elder care, after graduation. Phenomenological analyses of one interview theme, after one year (II), gave two phenomena; patients' helplessness and identification/nonidentification of the individual patient. Phenomenological hermeneutic analyses were carried out on all interviews and diaries provided from the three years (III-V). The findings (III) show that the rneaning of caring for elderly patients was a process from naive caring via deeper relationships with patients to an organizational perspective. The transition into nursing (IV) meant for the students a process from a natural interest in caring to the perspective of an RN, where co-operation with team members had a strong influence. The students' experiences of theoretical and clinical elder care were not positive, which meant that their reluctance to work there was reinforced (V). Content analyses about students' reasoning regarding two fictitious elderly patient cases (Vl) showed a development in reasoning in a more acute oriented case but not in a case with a confused elderly patient. Conclusions drawn imply that both the theoretical and the clinical education in gerontology and geriatrics need to be strengthened.

Place, publisher, year, edition, pages
Stockholm: Norstedt, 1998. p. 97
Keywords
nursing students, elder care, longitudinal study, caring, transition into nursing, nursing education
National Category
Nursing
Identifiers
urn:nbn:se:esh:diva-1818 (URN)91-628-2894-0 (ISBN)
Public defence
1998-04-03, Aulan, sal Adam, Doktorsringen 12 A, Karolinska Institutet., Solna, 13:00 (Swedish)
Opponent
Supervisors
Available from: 2012-12-06 Created: 2012-12-06 Last updated: 2020-06-03Bibliographically approved

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