Perceptions of community care and placement preferences in first-year nursing students: A multicentre, cross-sectional study

Margriet van Iersel, Corine H.M. Latour, Rien de Vos, P.A. Kirschner, Wilma J.M. Scholte op Reimer

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Background
Despite increasing shortages of highly educated community nurses, far too few nursing students choose community care. This means that a strong societal problem is emerging that desperately needs resolution.

Objectives
To acquire a solid understanding of the causes for the low popularity of community care by exploring first-year baccalaureate nursing students' perceptions of community care, their placement preferences, and the assumptions underlying these preferences.

Design
A quantitative cross-sectional design.

Settings
Six universities of applied sciences in the Netherlands.

Participants
Nursing students in the first semester of their 4-year programme (n = 1058).

Methods
Data were collected in September–December 2014. The students completed the ‘Scale on Community Care Perceptions’ (SCOPE), consisting of demographic data and three subscales measuring the affective component of community care perception, perceptions of a placement and a profession in community care, and students' current placement preferences. Descriptive statistics were used.

Results
For a practice placement, 71.2% of first-year students prefer the general hospital and 5.4% community care, whereas 23.4% opt for another healthcare area. Students consider opportunities for advancement and enjoyable relationships with patients as most important for choosing a placement. Community care is perceived as a ‘low-status-field’ with many elderly patients, where students expect to find little variety in caregiving and few opportunities for advancement. Students' perceptions of the field are at odds with things they believe to be important for their placement.

Conclusion
Due to misconceptions, students perceive community care as offering them few challenges. Strategies to positively influence students' perceptions of community nursing are urgently required to halt the dissonance between students' preference for the hospital and society's need for highly educated community nurses.
Original languageEnglish
Pages (from-to)92-97
Number of pages6
JournalNurse Education Today
Volume60
DOIs
Publication statusPublished - Jan 2018

Fingerprint

Nursing Students
cross-sectional study
nursing
Cross-Sectional Studies
Students
community
student
nurse
Hospital Societies
Nurses
applied science
first-year student
caregiving
descriptive statistics
General Hospitals
Netherlands
semester
popularity
shortage
Nursing

Keywords

  • Bachelor of Nursing
  • CHOICES
  • Career preferences
  • Community care
  • GERIATRIC CARE
  • NURSES ATTITUDES
  • Nursing education
  • Nursing students
  • OLDER-PEOPLE
  • Perceptions
  • Placements
  • SETTINGS
  • WANT
  • WORK

Cite this

van Iersel, Margriet ; Latour, Corine H.M. ; de Vos, Rien ; Kirschner, P.A. ; Scholte op Reimer, Wilma J.M. / Perceptions of community care and placement preferences in first-year nursing students: A multicentre, cross-sectional study. In: Nurse Education Today. 2018 ; Vol. 60. pp. 92-97.
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title = "Perceptions of community care and placement preferences in first-year nursing students: A multicentre, cross-sectional study",
abstract = "BackgroundDespite increasing shortages of highly educated community nurses, far too few nursing students choose community care. This means that a strong societal problem is emerging that desperately needs resolution.ObjectivesTo acquire a solid understanding of the causes for the low popularity of community care by exploring first-year baccalaureate nursing students' perceptions of community care, their placement preferences, and the assumptions underlying these preferences.DesignA quantitative cross-sectional design.SettingsSix universities of applied sciences in the Netherlands.ParticipantsNursing students in the first semester of their 4-year programme (n = 1058).MethodsData were collected in September–December 2014. The students completed the ‘Scale on Community Care Perceptions’ (SCOPE), consisting of demographic data and three subscales measuring the affective component of community care perception, perceptions of a placement and a profession in community care, and students' current placement preferences. Descriptive statistics were used.ResultsFor a practice placement, 71.2{\%} of first-year students prefer the general hospital and 5.4{\%} community care, whereas 23.4{\%} opt for another healthcare area. Students consider opportunities for advancement and enjoyable relationships with patients as most important for choosing a placement. Community care is perceived as a ‘low-status-field’ with many elderly patients, where students expect to find little variety in caregiving and few opportunities for advancement. Students' perceptions of the field are at odds with things they believe to be important for their placement.ConclusionDue to misconceptions, students perceive community care as offering them few challenges. Strategies to positively influence students' perceptions of community nursing are urgently required to halt the dissonance between students' preference for the hospital and society's need for highly educated community nurses.",
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Perceptions of community care and placement preferences in first-year nursing students: A multicentre, cross-sectional study. / van Iersel, Margriet; Latour, Corine H.M.; de Vos, Rien; Kirschner, P.A.; Scholte op Reimer, Wilma J.M.

In: Nurse Education Today, Vol. 60, 01.2018, p. 92-97.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Perceptions of community care and placement preferences in first-year nursing students: A multicentre, cross-sectional study

AU - van Iersel, Margriet

AU - Latour, Corine H.M.

AU - de Vos, Rien

AU - Kirschner, P.A.

AU - Scholte op Reimer, Wilma J.M.

PY - 2018/1

Y1 - 2018/1

N2 - BackgroundDespite increasing shortages of highly educated community nurses, far too few nursing students choose community care. This means that a strong societal problem is emerging that desperately needs resolution.ObjectivesTo acquire a solid understanding of the causes for the low popularity of community care by exploring first-year baccalaureate nursing students' perceptions of community care, their placement preferences, and the assumptions underlying these preferences.DesignA quantitative cross-sectional design.SettingsSix universities of applied sciences in the Netherlands.ParticipantsNursing students in the first semester of their 4-year programme (n = 1058).MethodsData were collected in September–December 2014. The students completed the ‘Scale on Community Care Perceptions’ (SCOPE), consisting of demographic data and three subscales measuring the affective component of community care perception, perceptions of a placement and a profession in community care, and students' current placement preferences. Descriptive statistics were used.ResultsFor a practice placement, 71.2% of first-year students prefer the general hospital and 5.4% community care, whereas 23.4% opt for another healthcare area. Students consider opportunities for advancement and enjoyable relationships with patients as most important for choosing a placement. Community care is perceived as a ‘low-status-field’ with many elderly patients, where students expect to find little variety in caregiving and few opportunities for advancement. Students' perceptions of the field are at odds with things they believe to be important for their placement.ConclusionDue to misconceptions, students perceive community care as offering them few challenges. Strategies to positively influence students' perceptions of community nursing are urgently required to halt the dissonance between students' preference for the hospital and society's need for highly educated community nurses.

AB - BackgroundDespite increasing shortages of highly educated community nurses, far too few nursing students choose community care. This means that a strong societal problem is emerging that desperately needs resolution.ObjectivesTo acquire a solid understanding of the causes for the low popularity of community care by exploring first-year baccalaureate nursing students' perceptions of community care, their placement preferences, and the assumptions underlying these preferences.DesignA quantitative cross-sectional design.SettingsSix universities of applied sciences in the Netherlands.ParticipantsNursing students in the first semester of their 4-year programme (n = 1058).MethodsData were collected in September–December 2014. The students completed the ‘Scale on Community Care Perceptions’ (SCOPE), consisting of demographic data and three subscales measuring the affective component of community care perception, perceptions of a placement and a profession in community care, and students' current placement preferences. Descriptive statistics were used.ResultsFor a practice placement, 71.2% of first-year students prefer the general hospital and 5.4% community care, whereas 23.4% opt for another healthcare area. Students consider opportunities for advancement and enjoyable relationships with patients as most important for choosing a placement. Community care is perceived as a ‘low-status-field’ with many elderly patients, where students expect to find little variety in caregiving and few opportunities for advancement. Students' perceptions of the field are at odds with things they believe to be important for their placement.ConclusionDue to misconceptions, students perceive community care as offering them few challenges. Strategies to positively influence students' perceptions of community nursing are urgently required to halt the dissonance between students' preference for the hospital and society's need for highly educated community nurses.

KW - Bachelor of Nursing

KW - CHOICES

KW - Career preferences

KW - Community care

KW - GERIATRIC CARE

KW - NURSES ATTITUDES

KW - Nursing education

KW - Nursing students

KW - OLDER-PEOPLE

KW - Perceptions

KW - Placements

KW - SETTINGS

KW - WANT

KW - WORK

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DO - 10.1016/j.nedt.2017.09.016

M3 - Article

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JO - Nurse Education Today

JF - Nurse Education Today

SN - 0260-6917

ER -