Adult Health Nursing

Permanent URI for this collection

http://etd.aau.edu.et/handle/123456789/85

Browse

Browsing Adult Health Nursing by Author "Addisie Almaz"

Now showing 1 - 1 of 1
  • No Thumbnail Available
    Item
    Challenges Faced by Nursing Students’ During their Clinical Placement; Study done in Health Science Collages; a Mixed Method Study; Addis Ababa, Ethiopia, 2020.
    (Addis Ababa University, 2020-06) Addisie Almaz; Cherie Amsale (PHD); Gela Debela(BSc)
    ABSTRACT Background: The clinical learning environment is important to achieve the defined learning outcomes of the program .However; nurse students face a multitude of challenges during their clinical placement. Objectives: The objective of the study was to explore challenges experienced by nursing students during clinical placement and to identify factors affecting clinical practice of nursing students in four randomly selected public and private institutions collage in clinical placementAddis Ababa,Ethiopia, 2020. Method: A mixed method research approach containing Institution based descriptivequantitative cross sectional study design and qualitative phenomenological method wasemployed. This study comprised of 179 third- and fourth-year undergraduate nursing studentsselected randomly by using simple random sampling method from their proportion for the quantitative study and seven purposively selected students for qualitative portion who were participated in quantitative study. Self-administered questionnaire and recording of telephone interview were used to collect data. For quantitative data descriptive analysis was employed to describe the percentages and number distributions of the respondents, also Bivariate and multivariable logistic regression analysis was used to see the association of independent with the dependent variable. Crude and adjusted odds ratios together with the corresponding 95% confidence intervals computed. A P-value ≤ 0.05 considered statistically significant in this study. The qualitative data were analyzed, the voice recorder of telephone interview was transliterated, read, and review on a number of times and extracting significant statements, formulating meanings, and coded, categorizing into clusters of themes using the content analysis approach and using ATLAS ti.Version 7.5.16 qualitative analyses software. Qualitative method was sequential design only was appropriate for expansion purposes of quantitative data and data was collected from February 15, to April 30, 2020 GC. Result: The Findings of this study indicated that, the prevalence of challenge among nursing students was found to be 29 (16.9%).Consequently, in bivariable logistic regression, students’religion, residence, entrance year, learning institution and substance use were found to have association with challenge among nursing students. However, after controlling the effect of confounding in multivariable analysis the final result confirmed that only substance use [AOR=8.25 (1.74, 39.04)]0.008*and learning institution [AOR= 0.10 (0.01, 0.98) 0.048* were found tohave significant association with nursing students challenge. And there was statisticallysignificant negative moderate correlation between students total challenge score and their overall competency score. [r= -0.672, P value = <0.001].The qualitative content result; content was compare for similarity and differences, merged together, and categorize, finally themes were emerging. Seven themes emerged from the study, which were Student Nurses factors, Lack of role Model Instructors Responsibilities Inadequate support Structure & Communication, Lackof Equipment and College Responsibility. Conclusion and Recommendations: It is essential to improve students’ clinical supervision and support at clinical setting by their instructors and staff nurses; & essential to plan for clinical supervision and provision successfully to create skillful nursing students and minimize theirchallenge. So, Instructors need to give adequate orientation for each attachment practical area inentrance and ongoing follow-up.