Factors in the clinical learning environment that influence caring behaviors of undergraduate nursing students: An integrative review

Inocian, Ergie Pepito; Hill, Meredith B; Felicilda-Reynaldo, Rhea Faye D; Kelly, Susan Harrison; Paragas, Emmanuel Dayao; Turk, Melanie T.

doi:10.1016/j.nepr.2022.103391

Cited by 19 publications

(15 citation statements)

References 47 publications

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“…The results are also consistent with Inocian et al.’s research results [ 35 ], revealing that the use of role modelling in clinical and health practice can help health students have compassion towards patients which are requisite for providing humanistic care. As Burgess et al.…”

Section: Discussionsupporting

confidence: 90%

The use of social cognitive learning for humanistic professional role modelling: impacts on awareness of humanistic professionalism, caring behaviour, and transitional anxiety

Wang

Liao

2023

Annals of Medicine

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Background Although medical literature has highlighted the importance of role modelling, hardly any reveals how humanistic qualities and role modelling should be taught. This study aimed to determine whether the use of Bandura’s social cognitive learning for humanistic professional role modelling could elicit any positive effect on medical university students’ awareness of humanistic professionalism, caring behaviours, and school-to-work transitional anxiety. Methods We conducted a 16-week quasi-experimental study to examine whether the intervention could elicit any differences between the experimental group (BanduraSCLT – HPRM – Literature-and-Film Study; N = 34) and the control group (non-BanduraSCLT – HPRM – Literature-and-Film Study; N = 33), comprising of medical university students from the central part of Taiwan. The quantitative instruments included the Humanistic Professional Awareness Scale (HPAS-HSP), Caring Behaviour Scale (CBS-HSP) and School-to-Work Transitional Anxiety Scale (StWTA-HS). One-way MANOVA (multivariate analysis of variance) and one-way MANCOVA (multivariate analysis of covariance) were used for statistical analysis. Results The results revealed that students who received Bandura’s social cognitive learning for humanistic professional role modelling had significantly stronger humanistic professional awareness in terms of ‘personal integrity and accountability’, ‘sensitivity to others’ and ‘professional competence’. They also had more effective caring behaviour in terms of ‘support and attentiveness’, ‘professional knowledge and skills’, ‘gratifying needs and responsiveness’ and ‘confidentiality and trust’. In addition, they had less school-to-work transitional anxiety in terms of ‘inexperience in professional knowledge and skills’, ‘fear of death’, ‘fear of being infected’ and ‘interpersonal interactions.’ Conclusion The findings suggest that using Bandura’s social cognitive learning for humanistic professional role modelling can have a positive impact on awareness of humanistic professionalism, caring behaviour and school-to-work transitional anxiety. Hence, it can be an effective teaching tool for medical education.

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Section: Discussionsupporting

confidence: 90%

The use of social cognitive learning for humanistic professional role modelling: impacts on awareness of humanistic professionalism, caring behaviour, and transitional anxiety

Wang

Liao

2023

Annals of Medicine

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“…Our ndings demonstrated climate of caring in hospital help reduce nursing interns' level of transition shock. A perceived climate of caring fosters interns' senses of belonging and recognition in hospital [41,42], thus mitigate transition shock. Interestingly, the one-to-one nursing teacher's caring for patients subscale has strongest inverse relationship with transition shock among nursing interns.…”

Section: Disscusionmentioning

confidence: 99%

Transition Shock among Nursing Interns and its Relationship with Patient Safety Attitudes, Professional Identity and Climate of Caring: A Cross-Sectional Study

Zhang

Liang

Tao

et al. 2023

Preprint

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Background: Nursing interns often experience lots of challenges during their clinical nursing internships, which can adversely affect career decisions and result in a squandering of nursing education resources. Patient safety attitudes, professional identity and climate of caring may affect nursing interns’ clinical experience. However, more evidence is requested to validate these relationships for nursing educators to develop effective education programs and facilitate interns’ successful transition. Methods: This was a cross-sectional study, which used a convenience sampling method to recruit 387 nursing interns during December 2022 to April 2023 in university affiliated hospital in Hunan province, China. Data were collected using standardized scales. Spearman correlation and multiple regression analysis were employed to examine the relationship between transition shock, patient safety attitudes, professional identity, and climate of caring. Results: Nursing interns experienced transition shock at moderate levels and the highest levels of transition shock in response to overwhelming practicum workloads, with the second being related to the conflict between theory and practice. Transition shock was negatively correlated with patient safety attitudes, professional identity and climate of caring among nursing interns. Conclusions:Understanding the current level of transition shock among nursing interns can provide nursing educators and administrators with opportunities for reflection and subsequent personal and professional growth. Findings from this study identified the transition shock experienced by nursing interns at moderate levels, the dimensions of overwhelming practicum workloads and conflict between theory and practice scored high, which complimented previous quantitative research, and the correlation results showed that transition shock were negatively correlated with professional identity, patient safety attitudes, and climate of caring. Nursing manager and educators can use these results to build a more comprehensive educational programme and provide nursing interns with a caring environment in the clinical setting to facilitate their professional growth.

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“…A study shows that the supervisor's competence is the most dominant factor compared to the guidance settings, learning methods, and learning environment (Ahmad et al, 2020). Other studies have shown that environmental factors that influence the development of caring in nursing students include role models from education and professional nurses, a conducive clinical environment, effective communication skills, good simulations, and alternative clinical placements (Inocian et al, 2022).…”

Section: Theme and Categorymentioning

confidence: 99%

Nursing Students Experience in Learning of Caring

Mujiyanti¹,

Haryani²,

Rachmaniah³

2022

FHJ

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Professional value is needed in professional nursing practice. Caring plays an important role for nursing students in providing nursing intervention to clients. The purpose of the study was to determine the phenomenon of the student learning process of caring to improve their caring competence. The study used a descriptive qualitative design of phenomenology. The number of participants was 15 students, both at the academic and internship levels. Convenience sampling and analysis content were used to analyze data. The result of this study found three themes with eight categories. The first theme, caring was focused on physical, psychological, social, and spiritual conditions aimed at patient’s healing. The second theme, caring was influenced by themselves, family, and the learning environment. The Third theme students need competent lecturers, adequate facilities, and good learning strategies to improve their caring competence. Learning that focuses on increasing students' caring competence become a need felt by nursing students. Lecturers and faculty need to review the existing curriculum and curriculum tools to ensure that these needs are met.

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Factors in the clinical learning environment that influence caring behaviors of undergraduate nursing students: An integrative review

Cited by 19 publications

References 47 publications

The use of social cognitive learning for humanistic professional role modelling: impacts on awareness of humanistic professionalism, caring behaviour, and transitional anxiety

The use of social cognitive learning for humanistic professional role modelling: impacts on awareness of humanistic professionalism, caring behaviour, and transitional anxiety

Transition Shock among Nursing Interns and its Relationship with Patient Safety Attitudes, Professional Identity and Climate of Caring: A Cross-Sectional Study

Nursing Students Experience in Learning of Caring

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