Application of Roy's Adaptation Model in understanding content saturation in nursing education

Background@#Significant changes in healthcare and society prompted constant revisions in the nursing curriculum that resulted in content saturation in nursing education and challenged the delivery of effective instruction. Various factors contributed to content saturation in nursing education, which has produced adverse individual and institutional outcomes. Alack of literature on a theoretical framework limited understanding of this phenomenon. This article addressed this gap in the literature.@*Purpose@#This article aims to describe the applicability of the Roy Adaptation Model (RAM) as a theoretical framework for understanding content saturation in nursing education.@*Methods@#A literature review of published articles from the 1980s to 2020s on using RAM in nursing education was conducted. Walker and Avant's (2011) concept theory and derivation techniques were used to propose a new conceptual model based on RAM.@*Results@#RAM is widely used in nursing research, practice, and education. However, it has not been used to describe content saturation in nursing education. The Content Saturation in Nursing Education Model (CSNEM) is proposed to explain this phenomenon.@*Conclusion@#RAM provides a theoretical lens for understanding content saturation in nursing education. The CSNEM can be a new framework to describe this phenomenon, contributing to knowledge development in nursing education.

Educação em enfermagem de saúde mental e psiquiatria no curso de licenciatura em enfermagem / Education in mental health and psychiatric nursing at the undergraduate nursing course / Educación en enfermería salud mental y psiquiatría en la licenciatura en enfermería

Incluir conhecimentos de saúde mental no cuidado integral ao ser humano e conseguir identificar quando a pessoa-alvo dos seus cuidados necessita de apoio de Enfermagem especializada em Saúde Mental e Psiquiatria são competências essenciais de qualquer enfermeiro de cuidados gerais, sendo importante perceber como integrar esse conhecimento nos planos de estudo dos enfermeiros de cuidados gerais. Este artigo tem como objetivos descrever a concepção e o planejamento da aprendizagem da Enfermagem de Saúde Mental e Psiquiatria dos estudantes do Curso de Licenciatura em Enfermagem, em Coimbra, Portugal, caracterizar as unidades curriculares de Enfermagem de Saúde Mental e Psiquiatria que integram o plano de estudos e analisar os seus contributos para a formação de competências dos enfermeiros de cuidados gerais.

Generalist nurses should be able to apply mental health knowledge to the comprehensive care of the human being and to understand when patients need specialized support from mental health and psychiatric nurses. Therefore, it is important to understand how this knowledge can be integrated into the curricula of generalist nurses. This article aims to describe the process of designing and planning how BSN students learn about Mental Health and Psychiatric Nursing in Coimbra, Portugal, to characterize the course units on mental health and psychiatric nursing in this BSN curriculum, and to analyze their contribution to the acquisition of generalist nurses’ skills.

Incluir el conocimiento de la salud mental en la atención integral de los seres humanos y ser capaz de identificar cuando la persona cuidada necesita apoyo de enfermería especializada en salud mental y psiquiatría son habilidades esenciales para cualquier enfermera general, así es importante entender cómo integrar este conocimiento en los planes de estudio de las enfermeras de cuidados generales. Este artículo objetiva describir el diseño y planificación del aprendizaje de Enfermería de Salud Mental y Psiquiatría de los estudiantes de Licenciatura en Enfermería de Coimbra, Portugal, caracterizar las disciplinas de enfermería en salud mental y psiquiatría que incluye el plan de estudio y analizar su contribución a la formación de las habilidades de las enfermeras de cuidados generales.

Explore to set up genetics and genomics for nursing course in nursing undergraduate curriculum system / 中国实用护理杂志

The nursing educations in many developed countries thought great important for nursing students to learn the gene relating knowledge, and emphasized the importance of setting up gene relating course in nursing education system.Our school integrated genetics and genomics for nursing course into the undergraduate nursing curriculum system during the period of international course weeks.This article introduced the basic theories and practice needs of genetics and genomics for nursing course,the settings of this course in the foreign and our country′s undergraduate nursing curriculum system, the concrete practice of our school carrying out this course,and analysed the challenges of carrying out this course in our country,put forward the corresponding suggestions.

Incorporación de contenidos de enfermería basada en evidencia (EBE) en los currículos de estudio de la licenciatura de enfermería de la Universidad Nacional de Córdoba (R. Argentina, 2011) / The incorporation of Evidence-Based Nursing (EBN) in the academic curriculum of Nursing Degree at the National University of Cordoba (R. Argentina, 2011)

Resumen:

La Enfermería Basada en la Evidencia (EBE) es una metodología que en los últimos años ha servido de base para la utilización crítica y conciente de los resultados de las investigaciones en la práctica profesional. La revisión de los currículums de varias escuelas de enfermería de Argentina muestran la ausencia de abordaje específico de esta temática, lo que resulta de interés propiciar su estudio. El objetivo general fue conocer la opinión de los egresados de enfermería sobre la incorporación de contenidos de EBE en los planes de estudio de la Licenciatura en Enfermería. Metodología: estudio descriptivo, trasversal. El universo estuvo constituido por todos los egresados de no más de cinco años. La muestra fue aleatoria simple (n: 70). La técnica e instrumento fue un cuestionario autoadministrado. La fuente primaria. Resultados: la población estuvo constituida por egresados con edad promedio de 36,6. El 71% de los encuestados entre cuatro y cinco años, el 20% de un año y el 9% entre dos y tres. El grado de conocimiento fue mediano y con necesidad de actualizar un 49,5%, con igual porcentaje se expresa la necesidad de adquirir el nuevo conocimiento. Respecto al interés demostrado, los licenciados responden como importante y necesario, sin diferencias significativas entre las cohortes. Al preguntar sobre en qué nivel de formación se deberían incluir, el 52% opina en los primeros años, el 30% en los últimos. En relación a la modalidad de inclusión, el 63% selecciona la manera integrada. Conclusiones: la temática de la incorporación de contenidos de EBE en los planes de estudio es de interés para los graduados encuestados y representa un desafío de flexibilización curricular.

Abstract:

The Evidence-Based Nursing (EBN) is a methodology that in recent years has been the basis for critical and conscious use of research findings in practice. The revision of the curricula of several schools of nursing in Argentina shows the absence of specific approach to this issue, which is interesting to study. The overall objective was to know the opinion of nursing graduates on the incorporation of EBE content in the curriculum in the Bachelor of Nursing degree. Methodology: a descriptive, cross-study. The universe consisted of all graduates graduating not more than 5 years ago. The sample was simple random (n = 70). The technique and the instrument was a self-completed questionnaire. The source was primary. Results: the population consisted of graduates with an average age of 36,6 years. 71% of respondents graduated four to five years ago, 20% a year ago and 9% between two and three years ago. The degree of knowledge was intermediate and in need of updating in 49,5% of respondents, with the same percentage expressing the need to acquire new knowledge. Regarding the graduates’ interest in this issue they responded it was important and necessary, with no significant differences between the cohorts. When asked about what level of training should be included, 52% believed it should be included in the early years and 30% in the later ones. In relation to the mode of inclusion, 63% selected an integrated manner. Conclusions: the issue of incorporation EBE content in the curriculum is of interest to the graduates surveyed and represents a challenge of curricular flexibility.

A Enfermagem Baseada em Evidências (EBE) é uma metodologia que nos últimos anos tem sido a base para o uso crítico e consciente dos resultados da investigação na prática. A revisão dos currículos das diversas escolas de enfermagem da Argentina mostra nenhuma abordagem específica para esta questão, que é de interesse para facilitar o seu estudo O objetivo geral foi conhecer a opinião dos graduados de enfermagem sobre a incorporação de conteúdos de EBN no currículo do Bacharelado em Enfermagem.

Metodología: descritivo, transversal. O universo consistiu de todos os formadnos de nao mais de 5 anos. A amostra aleatória simples. (n = 70). A técnica e um instrumento de auto-administrado. A fonte primária. Resultados: a população foi composta de graduados com uma idade média de 36,6. 71% dos entrevistados de quatro a cinco anos, 20% ao ano e 9% entre dois e três. O grau de conhecimento era de médio e na necessidade de actualização de 49,5%, com a mesma porcentagem expressou a necessidade de adquirir novos conhecimentos. Em relação aos graduados atender interesse mostrado como um importante e necessário, sem diferenças significativas entre os grupos. Quando perguntado sobre o nível de formação devem ser incluídos, 52% acreditam que nos primeiros anos, 30% no passado. Em relação ao modo de inclusão, 63% seleccionada de modo integrado. Conclusões: O conteúdo temático da incorporação de BSE no currículo é de interesse para alunos pesquisados e representa um desafio de flexibilidade curricular.

O currículo de enfermagem da Ufba e o SUS / The nursing curriculum of Ufba and SUS / El plan de estudios de enfermería de la Ufba y el SUS

A construção do Sistema Único de Saúde (SUS), como proposto pelo movimento da Reforma Sanitária Brasileira,implica em mudança do modelo médico-assistencial, até então hegemônico, para um modelo voltado para o enfrentamentodos problemas e atendimento das necessidades de saúde da população. Tais mudanças requerem novaspráticas profissionais e processos de formação profissional direcionados para o novo modelo de atenção, o quelevou à indagação sobre a direcionalidade do currículo da Escola de Enfermagem da Universidade Federal da Bahia(EEUFBA). Este estudo tem como objetivo analisar o conteúdo e a estrutura do currículo da EEUFBA, no períodode 2002 a 2007. Trata-se de um estudo de caso com abordagem quantiqualitativa, assumindo como dimensões deanálise o conteúdo curricular e a estrutura curricular. As fontes de dados foram as grades curriculares e as ementasdas disciplinas do período considerado. Os achados permitem afirmar que, até o ano de 2007, a EEUFBA mantinhao conteúdo, a estrutura e a organização do seu currículo seguindo o modelo biologicista e centrado na doença,impedindo a compreensão do ser humano na sua integralidade, isto é, a direcionalidade do currículo é para aformação de profissionais para a reprodução do modelo médico assistencial hegemônico na saúde, contrariando,inclusive, as indicações das novas diretrizes curriculares.

The construction of the Unified Health System as proposed by the Brazilian Health Reform movement involves changesin the medical-assistance model, so far hegemonic, into a model aimed at confronting the problems and meeting thehealth needs of the population. Such changes require new working practices and procedures for training targetedto the new model of care, which led to the questioning of the curriculum of the School of Nursing at The FederalUniversity of Bahia (EEUFBA). This study aims to analyze the content and structure of the curriculum of EEUFBAfrom 2002 to 2007. This is a quantitative and qualitative case study, which analyzes the curriculum content andcurriculum structure. Data sources were the syllabus subjects and the curriculum structure of the period mentioned.The findings show that by the year of 2007, the EEUFBA kept the content, structure and organization of its curriculumfollowing the biological model and focused on the disease, preventing the human understanding in the whole, that is,the curriculum is led to the training of professionals for the reproduction of the hegemonic medical-assistance model,which opposes the new curriculum guidelines for Nursing Faculties in Brazil.

La construcción del Sistema Único de Salud propuesto por el movimiento de la Reforma Sanitária Brasilera consisteen el cambio del modelo médico-asistencial, hasta entonces hegemónico, por un modelo orientado para el enfrentamientode los problemas y al atendimiento de las necesidades de salud de la población. Tales cambios requierennuevas prácticas profesionales y procesos de formación de los profesionales direccionados para el nuevo modelo deatención, lo que llevó al cuestionamiento sobre el direccionamiento del currículo de la Escuela de Enfermería de laUniversidad Federal de la Bahia (EEUFBA). Este estudio tiene como objetivo analizar el contenido y la estructura delplan de estudio de la EEUFBA, en el período de 2002 a 2007. Se trata de un estudio de caso com enfoque cuanticualitativo,asumiendo como dimensiones de análisis el contenido curricular y la estructura curricular. Las fuentes dedatos fueron las parrillas curriculares y los menús de las disciplinas del período considerado. Los resultadosmuestran que hasta el año 2007, la EEUFBA mantenía el contenido,la estructura y la organización de su curriculosiguiendo el modelo biológicista y centrado en la enfermedad, impidiendo la comprensión del ser humano en su totalidad, o sea, la direccionalidad del curriculo es para la formación de profesionales para la reproduccióndel modelo médico asistencial hegemónico en la salud, incluso, contrariando las indicaciones de lasnuevas directrices curriculares.

Timing for Introducing Japanese Nursing Students to International Health Nursing / 国際保健医療

<b>Objective</b><br> This study examined when it is most effective to introduce the subject of international health nursing into the curriculum for Japanese nursing students. <br><b>Methods</b><br> The study population was third and fourth year nursing students. The study used a self-reported anonymous questionnaire and an examination of student understanding of international health nursing. The questionnaire was administered during the first and the final lectures on international health nursing. The author analyzed 127 data points in the self-reported questionnaire administered during the first lecture, 96 data points in the self-reported questionnaire administered during the final lecture and 137 data points in the examination about understanding of international health nursing which was administered within one week after the final lecture.<br><b>Results</b><br> The fourth year students were significantly more likely to have higher scores than the third year students in self-reported evaluation of learning results and in examinations to measure understanding of international health nursing (p<0.001 respectively) . Experience in overseas travel increased self-reported evaluations of learning results(p<0.001). The fourth year students were also more likely to have experience in overseas travel than the third year students (p<0.001) . After controlling for confounding factors, the fourth year students were significantly more likely to have higher scores than third year students in the self-reported evaluation of learning results: Common Odd Ratio: 249.26, 95%Confidence Interval: 35.56-1747.31 for understanding of health problems in developing countries; Common Odd Ratio: 71.91, 95%Confidence Interval: 14.77-350.17 for understanding of diseases in developing countries.<br><b>Conclusion</b><br> This study suggests that the learning effects in regard to the subject of international health nursing increase among nursing students when they study it in the fourth year.

Formação do enfermeiro na perspectiva das competências: uma breve reflexão / Nurse training in the area of abilities: a short reflection / Formación del enfermero en la perspectiva de las competencias: una breve reflexión

Diante das novas diretrizes curriculares para os cursos de graduação da área da saúde, urge reflexão e tomada de consciência sobre os rumos do ensino de Enfermagem. A transição entre: currículos mínimos e currículo por diretrizes; objetivos educacionais e formação por competência; competências no mundo do trabalho e formação profissional; além de formação humana e formação tecnicista são alguns elementos que precisam fazer parte do cotidiano dos enfermeiros em todas as suas áreas de atuação. Importa no momento iniciar uma reflexão sobre estas questões. É o que se coloca como o propósito deste texto.

The new curriculum directives for under-graduate courses in the health area require reflection and awareness of the direction of nursing teaching. The transition between the basic curriculum and curriculum by directives; educational objectives and training by ability; ability in the working world and professional training; in addition to human and technical development, are some elements that need to become part of nurses' everyday practice in all the areas in which they work. It is important to start reflecting on these questions at this time, and that is the purpose of this text.

Ante las nuevas directrices curriculares para los cursos de graduación en salud, es necesario reflexionar y hacer una concienciación sobre los rumbos de la enseñanza de Enfermería. La transición entre: currículos mínimos y currículo por directrices; objetivos educativos y formación por competencia; competencias en el mundo del trabajo y formación profesional; además de una formación humana y científica; todo ello son elementos que tienen que formar parte de lo cotidiano de los enfermeros en todas los campos que actúan. Importa en este momento empezar una reflexión sobre estas cuestiones. Es lo que se plantea con este texto.

Tobacco-Related Education in Graduate, Baccalaureate and Associate Degree Programs in Korea / 간호학회지

PURPOSE: The purpose of this research was to find out tobacco control education taught graduate, baccalaureate and associate degree-nursing programs in Korea. METHOD: A valid and reliable questionnaire previously used to assess tobacco use in medical and nursing schools in the United States was translated and revalidated. Surveys were sent out to all the graduate, baccalaureate and associate nursing programs in Korea. All 6-tobacco curricula content areas recommended by the United States National Cancer Institute and the Agency for Health Care Policy and Research was included. RESULT: Majority of BSN (93.2%-75%) and AD (92.3%-64.1%) programs were teaching health hazards, cancer risk, health effects of tobacco, effects of ETS, contents of cigarette, withdrawal symptoms and high risk groups of smoking as a part of required courses. However, 87.5% (14/16) of graduate, 50.0% (22/44) in baccalaureate, 53.8% (21/39) in associate degree programs were not teaching about the 5 A's. Of those who reported teaching smoking cessation strategies, they were covered most frequently in Community Nursing (50%), Adult Health Nursing (43.8%) on the graduate level, and in Community Nursing (65.9%-BSN, 76.9%-AD) and Adult Health (54.5%-BSN, 74.4%-AD) on the undergraduate level. 31.1% (5/16) in Graduate, 18.2%(8/44) in BSN, 10.3% (4/39) in Associate Degree programs reported that there are no smoking students in their schools and rest of the schools reported either do not know or they have 1 to more than 21% of students smoking. CONCLUSION: The study results identifies the quantity and level of tobacco control content in three different nursing programs and will help in developing curricular guidelines in the future. Further survey needs to be done on nursing students' knowledge, attitude and belief on smoking and smoking cessation.

Analysis of the Nursing Curricula in Graduate Programs in Korea / 간호학회지

This study was designed to analyze the nursing curricula in graduate programs and suggest the direction of future nursing curricula. Thirty-two nursing curricula for a master's degree and fifteen curricula for a doctoral degree from general graduate programs, fifteen nursing curricula for a master's degree from fifteen educational graduate programs, eight nursing curricula for master degree from eight out of twelve public health graduate programs, three nursing curricula for a master's degree from three administrative graduate programs, and four nursing curricula for a master's degree from four clinical nursing graduate programs, were analyzed. Consequently, It was hard to find a clear difference between the educational goals and objectives, the subjects open in nursing curricula for a master's degree and those for a doctoral degree of graduate programs. The educational graduate programs, public health graduate programs, administrative graduate programs, and clinical nursing graduate programs, each program showed ittle diffrent in each educational goal and objective. However, because the various kinds of subjects open in each program were not based on the core curricula, the quality of the nursing curricula need to be evaluated and develope the curricula to difference are the goal and objective. Accordingly, future studies need to be focused on developing core nursing curricula reflecting the characteristics of each graduate program.

Nursing Education between South and North Korea through Verbal Evidence from Defecting North Korean Medical Personnels / 간호학회지

Recently, there has been an increasing interchange between South Korea and North Korea. Accordingly, there has been active research to understand the society and culture of North Korea, it has been attempted to have comparative study about nursing education to increase understanding between South and North Korea. In the current educational system, 12 years of education is required for entering a nursing college or university in South Korea, but there are only 10 years for entering nursing college in North Korea. After finishing undergraduate studies one can enter graduate school for a masters degree and or a doctoral degree, but there is a longitudinal relation to medical education in North Korea. Regarding the number of nursing educational institutions, there are 50 BSN programs & 61 Diploma programs in South Korea and 11 Diploma programs in North Korea. In regards to curriculum, South Korea has diverse subjects for general education for freshmen, then is subjects to basic specialities sophomore year, and speciality subject and clinical practices from junior year corresponding to the student's intentions. North Korea has minor subjects for general education and basic specialities in freshmen, speciality subjects sophomore year, speciality subjects and clinical practice in the junior year that may not correspond with the student's intentions. The most outstanding difference in the curriculum is North Korea has various subjects for oriental medicine with clinical application. North Korea also does not teach computer science and English is at a very low level. In clinical practice, South Korea has various settings for clinical practice including community health institutions under the nursing professor or clinical instructor. However, North Korea has limited settings for clinical practice (general hospitals) under a doctor's instruction. Also both South and North Korea have a similar licensing system. Therefore, there must be many more studies regarding North Korea, especially in nursing and nursing education in order to decrease differences and confusion between the Koreas and to prepare for a future unification.

A Survey of the Educational Demand for the Pediatric Nursing Curriculum in RN-BSN Students / 아동간호학회지

Considering the rapid change of modern nursing knowledge, it is necessary to make changes in the curriculum of nursing education periodically according to the patient-nursing needs and the students' needs. This means that nursing education has to provide opportunities for the development of knowledge, skills, and attitudes. Also, as the students of the RN-BSN program being all registered nurses, the education program for them is planned differently from the general undergraduate program. This study was conducted to establish the scope of educational contents of pediatric nursing in RN-BSN program. The contents of the pediatric nursing curriculum and its necessity was identified and reviewed. From June 5 to June 30 2000, data were collected from 309 RN-BSN students in 5 nursing schools. The questionnaire used for this study was developed by their researchers and the Korean Nursing Association and consisted of items according to the curriculum contents of pediatric nursing. The data were analyzed through frequency and percentages and was analyzed using SPSSWIN 10.0 programs. The results were as follows: 1.In the section surveying on the credits of pediatric theory and clinical practice, 3 out of 5 schools had 2 credits in theory (60.0%), and 2 credits for clinical practice in 2 schools, and 2 credits were given to the elective practice in 2 other schools. 2. In analyzing the degree of demand for lecture and clinical practice, 52.1% of students preferred lectures to be given by professors and 53.7% preferred their level of undergraduate knowledge updated and finally most of the students (81.9%) didn't want to do the clinical practice. 3.The students weighted the importance of current curriculum contents as follows : sex education of adolescence(60.8%), high-risk infant(59.5%), sex education of school age children(59.2%), the handicapped children (55.7%), health assessment(52.4%), children with pneumonia(51.5%), children with asthma (47.1%), children with burns(41.1%). In conclusion, there is a need for research to measure the degree of education satisfaction and needs in RN-BSN students and to improve the curriculum contents in pediatric nursing.

Ensino da disciplina administração em enfermagem: em busca de um novo paradigma / Nursing administration course: looking for the new paradigm

Neste trabalho as autoras apresentam, um relato da experiência sobre o ensino da disciplina Administração em Enfermagem, da Escola de Enfermagem da USP, descrevendo como esta vem sendo inserida no novo currículo do curso de graduação em Enfermagem.

This is to present the experience, at the University of São Paulo - School of Nursing, under development by nursing faculties in the Nursing Administration Course, as part of undergraduate nursing curriculum reform.