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Original Article

Vol. 3 No. 1 (2024): January 2024

Expectation and perception of nursing students in caring for patient with deteriorating: A descriptive qualitative study

DOI
https://doi.org/10.55048/jpns93
Submitted
July 20, 2023
Published
2024-01-06

Abstract

Introduction: Nursing students commonly exhibit low confidence levels when handling complex patient conditions, particularly those involving deteriorating health. Their lack of confidence and competence in managing deteriorating patients may potentially cause harm and even lead to fatal consequences if early recognition of such conditions is not made, given their role as primary responders in healthcare settings.
Objective: This study aims to explore the expectation and percetiption of nursing students in caring for deteriorating patients.
Methods: A descriptive, qualitative approach was employed, utilizing purposive sampling to select participants. Specifically, nursing students from a school in Pahang were chosen for this study. A topic guide was provided during interviews, employing a semi-structured approach with open-ended questions. Data obtained were analyzed using thematic analysis, resulting in the identification of themes and subthemes.
Results: Findings revealed that 37.5% of the nursing students were not ready, while others felt prepared despite encountering various barriers and challenges. Three themes emerged: 1) unpredictable, 2) predictable, and 3) anticipated.
Conclusions: In summary, the readiness of nursing students in providing care for deteriorating patients significantly influences the care received by the patient, both directly and indirectly. Despite struggling to adapt to challenges, the nursing students displayed willingness to provide nursing care.

References

  1. Anstey, M. H., Bhasale, A., Dunbar, N. J., & Buchan, H. (2019). Recognising and responding to deteriorating patients: what difference do national standards make?. BMC Health Services Research, 19(1), 1-7. https://doi.org/10.1186/s12913-019-4339-z DOI: https://doi.org/10.1186/s12913-019-4339-z
  2. Ardey, R., & Ardey, R. (2015). Patient perceptions and expectations from primary health-care providers in India. Journal of family medicine and primary care, 4(1), 53. https://doi.org/10.4103/2249-4863.152254. PMID: 25810990; PMCID: PMC4367007. DOI: https://doi.org/10.4103/2249-4863.152254
  3. Benner, P. (1984). From Novice To Expert: Excellence and Power in Clinical Nursing Practice. Menlo Park, CA: Addison-Wesley Publishing Company. https://doi.org/10.1002/nur.4770080119 DOI: https://doi.org/10.1002/nur.4770080119
  4. Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa DOI: https://doi.org/10.1191/1478088706qp063oa
  5. Della Ratta, C. (2016). Challenging graduate nurses’ transition: Care of the deteriorating patient. Journal of Clinical Nursing, 25(19–20), 3036–3048. https://doi.org/10.1111/jocn.13358 DOI: https://doi.org/10.1111/jocn.13358
  6. Van Goor, H., Eddahchouri, Y., van Loon, K., Bredie, S., Schoonhoven, L., Kaasjager, H., & van Goor, H. (2021). Can continuous remote vital sign monitoring reduce the number of room visits to patients suspected of COVID-19: A quasi-experimental study. International Journal of Nursing Studies, 115, 103868. https://doi.org/10.1016/j.ijnurstu.2020.103868 DOI: https://doi.org/10.1016/j.ijnurstu.2020.103868
  7. Gazarian PK, Henneman EA & Chandler GE. (2010). Nurse decision making in the prearrest period. Clinical Nursing Research 19, 21–37. https://doi.org/10.1177/1054773809353161 DOI: https://doi.org/10.1177/1054773809353161
  8. Gillan, P. C., Delaney, L. J., Tutticci, N., & Johnston, S. (2022). Factors influencing nursing students’ ability to recognise and respond to simulated patient deterioration: A scoping review. Nurse Education in Practice, 62, 103350. https://doi.org/10.1016/j.nepr.2022.103350 DOI: https://doi.org/10.1016/j.nepr.2022.103350
  9. Inayat, S., Younas, A., Sundus, A., & Khan, F. H. (2021). Nursing students’ preparedness and practice in critical care settings: A scoping review. Journal of Professional Nursing, 37(1), 122-134. https://doi.org/10.1016/j.profnurs.2020.06.007 DOI: https://doi.org/10.1016/j.profnurs.2020.06.007
  10. Jarvelainen, M., Cooper, S., & Jones, J. (2018). Nursing students’ educational experience in regional Australia: reflections on acute events. A qualitative review of clinical incidents. Nurse education in practice, 31, 188-193. https://doi.org/10.1016/j.nepr.2018.06.007 DOI: https://doi.org/10.1016/j.nepr.2018.06.007
  11. Kolb, D. A. (2014). Experiential learning: Experience as the source of learning and development. FT press.
  12. Liaw SY, Scherpbier A, Klainin-Yobas P & Rethans JJ. (2011). A review of educational strategies to improve nurses’ roles in recognizing and responding to deteriorating patients. International Nursing Review, 58, 296–303. https://doi.org/10.1111/j.1466-7657.2011.00915.x DOI: https://doi.org/10.1111/j.1466-7657.2011.00915.x
  13. Sterner, A., Hagiwara, M. A., Ramstrand, N., & Palmér, L. (2019). Factors developing nursing students and novice nurses’ ability to provide care in acute situations. Nurse Education in Practice, 35, 135–140. https://doi.org/10.1016/j.nepr.2019.02.005 DOI: https://doi.org/10.1016/j.nepr.2019.02.005
  14. Waldrop, D. P., McGinley, J. M., Dailey, M. W., & Clemency, B. (2018). Decision-Making in the Moments Before Death: Challenges in Prehospital Care. Prehospital Emergency Care, 23(3), 356–363. https://doi.org/10.1080/10903127.2018.1518504 DOI: https://doi.org/10.1080/10903127.2018.1518504

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