Factors underlying perceptions of community care and other healthcare areas in first-year baccalaureate nursing students: A focus group study

Margriet Van Iersel, Corine Latour, Marjon van Rijn, Rien De Vos, P.A. Kirschner, Wilma J.M. Scholte op Reimer

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Background
Despite the increasing labour market shortage of well-educated community nurses, few baccalaureate nursing students choose for a career in community care. Obtaining knowledge of how students perceive healthcare areas early in their education is important to take meaningful steps in counteracting any existing misconceptions with targeted curriculum redesign.

Objective

Determination of factors underlying perceptions of healthcare areas in first-year baccalaureate nursing students.

Design
A descriptive qualitative study using focus group inquiry.

Methods
This study follows up on a large-sample quantitative multicentre survey study. Fourteen first-year nursing students at a university of applied sciences in the Netherlands participated in focus group discussions in October 2014. Transcripts of the discussions were coded by two independent researchers at three levels – open, axial and selective coding – on the basis of two templates. The codes were sorted into categories and assigned to suitable main codes in the templates. The number of sub-codes per category and code were added together.

Results
Eight main themes were formulated, to wit (1) variety and diversity, (2) challenges, (3) improving people's health, (4) collaboration, (5) role models, (6) patient- or environment-based perceptions, (7) self-efficacy and (8) immediate vicinity. Data suggest that first-year students have clear ideas about the characteristics which they consider important in professional practice. Their perceptions do not necessarily reflect the actual situation, as they expect the hospital to possess all desired characteristics while community nursing seems to be undervalued.

Conclusion
To remedy students' misperceptions, four recommendations are formulated for curriculum redesign strategies deriving from the eight themes. These recommendations are based on collaboration between school and care organisations as well as on themes related to in-depth knowledge within the educational programme. The interventions will potentially help to strengthen the focus on community care, which will foster a more optimistic and realistic career outlook on this field.
Original languageEnglish
Pages (from-to)57-62
Number of pages6
JournalNurse Education Today
Volume66
Early online date13 Apr 2018
DOIs
Publication statusPublished - Jul 2018

Fingerprint

Nursing Students
study group
Focus Groups
nursing
Delivery of Health Care
Students
Curriculum
community
student
Wit and Humor
Professional Practice
career
Self Efficacy
curriculum
applied science
Netherlands
Multicenter Studies
first-year student
role model
Nursing

Keywords

  • Community care
  • Focus group
  • Healthcare areas
  • Nursing education
  • Nursing students
  • Perceptions

Cite this

Van Iersel, Margriet ; Latour, Corine ; van Rijn, Marjon ; De Vos, Rien ; Kirschner, P.A. ; Scholte op Reimer, Wilma J.M. / Factors underlying perceptions of community care and other healthcare areas in first-year baccalaureate nursing students: A focus group study. In: Nurse Education Today. 2018 ; Vol. 66. pp. 57-62.
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Factors underlying perceptions of community care and other healthcare areas in first-year baccalaureate nursing students: A focus group study. / Van Iersel, Margriet; Latour, Corine; van Rijn, Marjon; De Vos, Rien; Kirschner, P.A.; Scholte op Reimer, Wilma J.M.

In: Nurse Education Today, Vol. 66, 07.2018, p. 57-62.

Research output: Contribution to journalArticleAcademicpeer-review

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T1 - Factors underlying perceptions of community care and other healthcare areas in first-year baccalaureate nursing students: A focus group study

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AU - Kirschner, P.A.

AU - Scholte op Reimer, Wilma J.M.

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N2 - BackgroundDespite the increasing labour market shortage of well-educated community nurses, few baccalaureate nursing students choose for a career in community care. Obtaining knowledge of how students perceive healthcare areas early in their education is important to take meaningful steps in counteracting any existing misconceptions with targeted curriculum redesign.ObjectiveDetermination of factors underlying perceptions of healthcare areas in first-year baccalaureate nursing students.DesignA descriptive qualitative study using focus group inquiry.MethodsThis study follows up on a large-sample quantitative multicentre survey study. Fourteen first-year nursing students at a university of applied sciences in the Netherlands participated in focus group discussions in October 2014. Transcripts of the discussions were coded by two independent researchers at three levels – open, axial and selective coding – on the basis of two templates. The codes were sorted into categories and assigned to suitable main codes in the templates. The number of sub-codes per category and code were added together.ResultsEight main themes were formulated, to wit (1) variety and diversity, (2) challenges, (3) improving people's health, (4) collaboration, (5) role models, (6) patient- or environment-based perceptions, (7) self-efficacy and (8) immediate vicinity. Data suggest that first-year students have clear ideas about the characteristics which they consider important in professional practice. Their perceptions do not necessarily reflect the actual situation, as they expect the hospital to possess all desired characteristics while community nursing seems to be undervalued.ConclusionTo remedy students' misperceptions, four recommendations are formulated for curriculum redesign strategies deriving from the eight themes. These recommendations are based on collaboration between school and care organisations as well as on themes related to in-depth knowledge within the educational programme. The interventions will potentially help to strengthen the focus on community care, which will foster a more optimistic and realistic career outlook on this field.

AB - BackgroundDespite the increasing labour market shortage of well-educated community nurses, few baccalaureate nursing students choose for a career in community care. Obtaining knowledge of how students perceive healthcare areas early in their education is important to take meaningful steps in counteracting any existing misconceptions with targeted curriculum redesign.ObjectiveDetermination of factors underlying perceptions of healthcare areas in first-year baccalaureate nursing students.DesignA descriptive qualitative study using focus group inquiry.MethodsThis study follows up on a large-sample quantitative multicentre survey study. Fourteen first-year nursing students at a university of applied sciences in the Netherlands participated in focus group discussions in October 2014. Transcripts of the discussions were coded by two independent researchers at three levels – open, axial and selective coding – on the basis of two templates. The codes were sorted into categories and assigned to suitable main codes in the templates. The number of sub-codes per category and code were added together.ResultsEight main themes were formulated, to wit (1) variety and diversity, (2) challenges, (3) improving people's health, (4) collaboration, (5) role models, (6) patient- or environment-based perceptions, (7) self-efficacy and (8) immediate vicinity. Data suggest that first-year students have clear ideas about the characteristics which they consider important in professional practice. Their perceptions do not necessarily reflect the actual situation, as they expect the hospital to possess all desired characteristics while community nursing seems to be undervalued.ConclusionTo remedy students' misperceptions, four recommendations are formulated for curriculum redesign strategies deriving from the eight themes. These recommendations are based on collaboration between school and care organisations as well as on themes related to in-depth knowledge within the educational programme. The interventions will potentially help to strengthen the focus on community care, which will foster a more optimistic and realistic career outlook on this field.

KW - Community care

KW - Focus group

KW - Healthcare areas

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KW - Nursing students

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