Background Clinical placements are essential to nursing education, allowing students to gain live experience and knowledge of nursing in clinical environments prior to entering the healthcare workforce. Healthcare has increasingly integrated information and communication technology (ICT) into clinical environments, therefore ICT is also significant in nursing students’ clinical placements. However, research has revealed that despite its benefits, nurses and nursing students are unable to use ICT effectively for their practice and their learning. This may reflect one aspect of the challenges faced by nursing students as they learn during clinical placements. Therefore this research aims to analyse the dynamics of undergraduate nursing students’ learning and use of ICT during clinical placements. By doing so, this research seeks to develop theoretical models that can be used to improve clinical nursing education amidst the current technology era. - Research design This study was conducted in Seoul, South Korea. A qualitative-dominant mixed method strategy was adopted. Quantitative data was collected through the development of a modified Information Technology Attitude Scales for Health (ITASH), which was then administered to 508 nursing students from six different universities from October 2012 to December 2012. Constructivist grounded theory (CGT) guided qualitative data collection, which was achieved through sequence of four rounds of intensive individual and group interviews with 16 nursing students, 4 qualified nurses, and 2 university lecturers from April 2013 to June 2015 (a total of 23 individual interviews and 6 group interviews). The exploratory and confirmatory factor analyses of quantitative data analysis were supported by SPSS and LISREL, while the constant comparison approach of qualitative data was supported by Nvivo 10. - Findings The findings revealed: 1) nursing students’ learning dynamics through the qualitative research process based on CGT methodology, and 2) nursing students’ use of ICT during clinical placements based on the learning dynamics via both qualitative and quantitative research processes. In the learning dynamics, this study identified the nursing students’ cognitive learning and knowledge building process, and then the factors and dynamics influencing that process in the clinical environment. This was compared with classroom and simulation environments. Based on these dynamics, the factors and dynamics influencing the use of ICT for learning in the clinical environment was identified. An integration of the findings with supporting literature resulted in two theoretical models, the knowledge building dynamic (KBD) model and the contextual knowledge building dynamic (CKBD) model. These models assist in understanding the cognitive processes involved in an individual’s learning process, the influence of context and resulting dynamics on these processes, and subsequently, learning with ICT. - Conclusion This research expands on current nursing education literature by exploring the cognitive aspects of learning, specifically within the clinical environment. These are shaped by contextual factors such as socio-cultural factors, and their influence on students’ learning and use of clinical ICT. The theoretical models are relevant for several applications in educational assessment and design, policy, and in learning itself with the goal of improving the quality of patient care.

Tratar sobre a temática da morte, o morrer e a finitude da vida faz parte do desenvolvimento humano, apesar de ser considerado um tabu sócio-cultural ocidental ou até mesmo um tema interdito ou silenciado. Abordar esse assunto com os profissionais da saúde, inserido na linha da educação para a saúde é de suma importância, pois possibilita o desenvolvimento humano pessoal e profissional. Pois, enfocar sobre a temática da morte estamos também falando de vida, de seus estilos, e a qualidade da mesma acaba sendo repensada, como também, a questão da morte digna. Objetivamos Identificar e verificar a visão cultural dos Docentes e Discentes em relação à Morte e Morrer e a finitude da vida, e construir um grupo de discussão sobre a temática, para auxiliar na formação dos profissionais de enfermagem, trabalhando coletivamente, ações educativas e planos de aula, para implementar a temática em foco. Trata- se de uma pesquisa qualitativa mediatizada pela metodologia da pesquisa-ação, de cunho humanista. Análise foi realizada por categorização, convergente/divergente, o público-alvo foram docentes que abordam essas temáticas, e discentes do 1º e 5º ano ambos do curso de enfermagem de uma universidade estadual do interior paulista. Após o levantamento dos temas geradores construímos as ações educativas que foram planos de aula abordando a morte e o morrer e a finitude da vida em suas várias faces, além da construção de uma oficina voltada para esse tema que foi realizada num congresso científico. No decorrer de todo esse processo de pesquisa depreendemos que estudar e abordar a temática sobre a morte, o morrer e a finitude da vida pode proporcionar e favorecer uma formação acadêmica diferenciada aos estudantes da área da saúde, preparando-os para lidarem com esse tema no seu cotidiano profissional. Para isso consideramos ser de grande importância a inserção dessa temática nos currículos escolares e nos cursos de atualização profissional e formação docente, com foco na abordagem crítico-social, na ação-reflexão-ação e na humanização do atendimento em saúde / Treating on the subject of death, dying and the finitude of life is part of human development, despite being considered a western socio-cultural taboo, or even an interdict or muted topic. Approach this subject with health professionals, inserted into the line of health education is extremely important, as it allows the personal and professional human development. Therefore, focusing on the theme of death, we are also talking about life, about their styles, and the quality of it turns out to be reconsidered, as well as, the issue of death with dignity. We aim to identify and verify the cultural vision of the teachers and students in relation to the Death and Dying and the finiteness of life, and create a discussion group about this theme, to assist in the formation of nursing professionals, by working collectively, educational activities and lesson plans, to implement the subject that is currently in focus. This is a qualitative research mediated by the methodology of action-research, of humanist nature. Analysis was performed by categorization, convergent/divergent, the target were teachers that approach these issues, and nursing students of the 1st and 5th year, both of the nursing course of a state university in São Paulo. After bringing up the generating themes, we build the educational activities that were lesson plans, addressing the death and the dying and the finitude of life in its many faces, and the construction of a workshop geared towards this theme, which was performed in a scientific congress. During the whole research process, we concluded that study and approach the issue about the death, the dying and the finitude of life can provide and promote a differentiated academic formation for students in the health area, preparing them to deal with this issue in their daily professional activities. For this, we consider to be of great importance the inclusion of this subject in the school curriculum and in the professional updating courses and the teacher formation, focusing on the critical-social approach, in action-reflection-action and the humanization of health care

Made available in DSpace on 2014-06-11T19:28:19Z (GMT). No. of bitstreams: 0 Previous issue date: 2009-12-17Bitstream added on 2014-06-13T19:57:34Z : No. of bitstreams: 1 conde_cr_me_botfm.pdf: 768200 bytes, checksum: 2dc94ee9d0d148feec5f995f93575fda (MD5) / Secretaria de Saúde do Estado de São Paulo / O objetivo deste estudo foi compreender os motivos que levaram os formandos de 2008 da Faculdade Marechal Rondon a escolherem o Curso de Graduação em Enfermagem. Para alcançar essa finalidade optou-se por uma abordagem qualitativa, na vertente da Fenomenologia Social de Alfred Schütz. Por meio das descrições obtidas foi possível desvendar os “motivos para” e “motivos porque” dos formandos. Participaram do estudo dez formandos, cujas entrevistas foram áudio-gravadas, sendo utilizada a questão norteadora: Quais os motivos pelos quais escolheu o curso de enfermagem? para desvelar o fenômeno. A seguir, definiram-se as categorias concretas do vivido denominadas de: Enfermagem como segunda opção, Assistência de Enfermagem, Influência Familiar, Mercado de trabalho, Identidade profissional e Realização. Ao analisar a primeira categoria foi possível compreender que a profissão escolhida a princípio não era a enfermagem. E ainda, que o formando buscou a enfermagem com a possibilidade de assistir ao ser humano, permitindo que a experiência ou convivência familiar contribuíssem para a escolha. O mercado de trabalho promissor, identificação com os ideais da profissão após cursar o nível médio em enfermagem, satisfação e crescimento profissional foram motivos relevantes no momento da opção pelo Curso de Graduação em Enfermagem. Considera-se que a Fenomenologia Social possibilitou a compreensão do mundo da vida dos formandos, atores sociais do estudo, por meio de atribuição de significados, resgate de valores e história biográfica em um cenário econômico, cultural e social. / This study aimed at understanding the reasons that led the students who graduated from Faculdade Marechal Rondon in 2008 to choose the Undergraduate Nursing Program. To that end, a qualitative approach was used with basis on Social Phenomenology as proposed by Alfred Schütz. Through the descriptions obtained, it was possible to unveil the “reasons for” and “reasons why” given by the graduate students. Ten graduate students participated in the study. Their interviews were taped and then used to unveil the phenomenon by using the following guiding question: For what reasons did you choose the nursing program? Next, the concrete categories of the experience lived were defined and denominated as: Nursing as a second option, Nursing Care, Family Influence, Work Market, Professional Identity and Fulfillment. When analyzing the first category, it was possible to understand that the profession chosen at first was not nursing and that the graduate students sought for nursing as a possibility to assist human beings, allowing their experience and family living to contribute to their choice. A promising work market, identification with the profession’s ideals after completing a vocational nursing course, satisfaction and professional development were relevant reasons when choosing the Undergraduate Nursing Program. It is considered that Social Phenomenology enabled to understand the world in the lives of graduate students, the social players in this study, by attributing meanings, recovering values and biographical histories in an economic, cultural and social scenario.

Resumo: O objetivo deste estudo foi compreender os motivos que levaram os formandos de 2008 da Faculdade Marechal Rondon a escolherem o Curso de Graduação em Enfermagem. Para alcançar essa finalidade optou-se por uma abordagem qualitativa, na vertente da Fenomenologia Social de Alfred Schütz. Por meio das descrições obtidas foi possível desvendar os "motivos para" e "motivos porque" dos formandos. Participaram do estudo dez formandos, cujas entrevistas foram áudio-gravadas, sendo utilizada a questão norteadora: Quais os motivos pelos quais escolheu o curso de enfermagem? para desvelar o fenômeno. A seguir, definiram-se as categorias concretas do vivido denominadas de: Enfermagem como segunda opção, Assistência de Enfermagem, Influência Familiar, Mercado de trabalho, Identidade profissional e Realização. Ao analisar a primeira categoria foi possível compreender que a profissão escolhida a princípio não era a enfermagem. E ainda, que o formando buscou a enfermagem com a possibilidade de assistir ao ser humano, permitindo que a experiência ou convivência familiar contribuíssem para a escolha. O mercado de trabalho promissor, identificação com os ideais da profissão após cursar o nível médio em enfermagem, satisfação e crescimento profissional foram motivos relevantes no momento da opção pelo Curso de Graduação em Enfermagem. Considera-se que a Fenomenologia Social possibilitou a compreensão do mundo da vida dos formandos, atores sociais do estudo, por meio de atribuição de significados, resgate de valores e história biográfica em um cenário econômico, cultural e social. / Abstract: This study aimed at understanding the reasons that led the students who graduated from Faculdade Marechal Rondon in 2008 to choose the Undergraduate Nursing Program. To that end, a qualitative approach was used with basis on Social Phenomenology as proposed by Alfred Schütz. Through the descriptions obtained, it was possible to unveil the "reasons for" and "reasons why" given by the graduate students. Ten graduate students participated in the study. Their interviews were taped and then used to unveil the phenomenon by using the following guiding question: For what reasons did you choose the nursing program? Next, the concrete categories of the experience lived were defined and denominated as: Nursing as a second option, Nursing Care, Family Influence, Work Market, Professional Identity and Fulfillment. When analyzing the first category, it was possible to understand that the profession chosen at first was not nursing and that the graduate students sought for nursing as a possibility to assist human beings, allowing their experience and family living to contribute to their choice. A promising work market, identification with the profession's ideals after completing a vocational nursing course, satisfaction and professional development were relevant reasons when choosing the Undergraduate Nursing Program. It is considered that Social Phenomenology enabled to understand the world in the lives of graduate students, the social players in this study, by attributing meanings, recovering values and biographical histories in an economic, cultural and social scenario. / Orientador: Maria de Lourdes da Silva Marques Ferreira / Coorientador: Regina Célia Popim / Banca: Creusa Capalbo / Banca: Marília de Campos Tozoni Reis / Mestre

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / Trata-se de um estudo cujo objeto foi a caracterização sociodemográfica e ocupacional dos egressos da Faculdade de Enfermagem da Universidade do Estado do Rio de Janeiro (ENF/UERJ). Objetivos: a) Caracterizar os egressos do curso de graduação em enfermagem da ENF/UERJ com relação às situações sociodemográfica e ocupacional e b) analisar os resultados acerca das caracterizações sociodemográfica e ocupacional dos egressos de enfermagem da ENF/UERJ. Método: Pesquisa quantitativa, transversal e observacional, cujo projeto foi aprovado pelo Comitê de Ética e Pesquisa sob o número 360.021. A coleta de dados ocorreu no período de dezembro de 2013 a maio de 2014 e foi realizada com egressos das turmas graduadas entre o primeiro semestre de 2000 e o segundo semestre de 2010. Para coleta de dados foram utilizadas as estratégias presencial e on-line, através de um questionário autoaplicável. Após aplicação do questionário, no formato impresso ou por meio do envio aos e-mails dos egressos, obtiveram-se 147 questionários respondidos. Para análise dos dados, aplicou-se o teste exato de Fisher, considerando valor de p significativo ≤ 0,05. A população foi dividida em dois grupos (G1 e G2), tomando-se por base a divisão equilibrada das 22 turmas pesquisadas (11 turmas no G1 e 11 no G2). Resultados: População com o predomínio do sexo feminino (88,4%), média de idade de 32 anos ( 1), maioria residindo no Estado do Rio de Janeiro (96,6%), com renda familiar ≥ 3 salários mínimos (96,6%) e até três dependentes da renda (81%). A maioria possuía mais de um emprego (53,7%) e cumpria carga horária de trabalho semanal superior a 30 horas (80,3%). Não houve diferença quantitativa entre os grupos em relação às escalas de trabalho diurna e noturna. Sobre as diferenças entre os grupos G1 e G2, verificou-se aumento significativo dos egressos com vínculos laborais não celetista e não estatutário (p = 0,0244) no G2; redução do salário dos enfermeiros que constituíram o G2 (p = 0,0015); e aumento da atuação na área hospitalar dos egressos inseridos no G2 (p = 0,0018) quando comparados à saúde pública, à pesquisa e ao ensino. Conclusão: A área hospitalar ainda é o grande empregador de enfermeiros, apesar de haver uma política governamental para aquecer a área de enfermagem em Atenção Básica. Os efeitos do neoliberalismo e a consequente precarização das condições de trabalho impactaram negativamente nos participantes do estudo. Isso porque houve aumento de vínculos não convencionais entre os grupos, no decorrer do tempo, e, apesar da multiplicidade de vínculos, a renda como enfermeiro, entre os grupos de egressos, foi reduzida. Verificou-se ainda um absentismo significativa nos grupos (24%), em especial por motivo de doença, fato que preocupa, considerando que os egressos investigados eram jovens, em plena fase produtiva e com expectativa de pouca ou nenhuma morbidade. / This is a study whose object was the sociodemographic and occupational characterization of the newly-formed nurses from the Faculty of Nursing of the State University of Rio de Janeiro (ENF/UERJ). Objectives: (1) To characterize the newly-formed from the undergraduate nursing course of NFE/UERJ with regard to sociodemographic and occupational situations and (2) analyze the results about sociodemographic and occupational characterization of the newly-formed nurses of nursing of NFE/UERJ. Method: it is a quantitative, cross-sectional and observational research, whose project was approved by the Research Ethics Committee, under the n 360 021. Data collection took place from December 2013 to May 2014, and it was performed with newly-formed nurses from graduate classes between the first half of 2000 and the second half of 2010. In order to collect data, we made use of on-site and on-line strategies, through a self-administered questionnaire. After applying the questionnaire, in printed format or by means of mailing to the newly-formed nurses emails, we obtained 147 questionnaires answered. In order to analyze data, we applied the Fishers exact test by considering the significant p value ≤ 0,05. The population was divided into two groups (G1 and G2) by taking as a basis the balanced division of the 22 surveyed classes (11 classes in G1 and 11 in G2). Results: Population with predominance of female gender (88,4%), average age of 32 years ( 1), most living in the State of Rio de Janeiro (96,6%), with family income ≥ 3 minimum wages (96,6%) and with up to three dependents on income (81%). Most had more than one employment (53,7%) and fulfilled a weekly workload longer than 30 hours (80,3%). There was no quantitative difference between the groups with regard to daytime and nighttime work shifts. As for differences between G1 and G2, we found a significant increase of newly-formed nurses with public-sector (under CLT) and non-statutory employment links (p = 0,0244) in G2; reduction of the wage of the nurses who composed the G2 (p = 0,0015); and increased activity in the hospital area of the newly-formed nurses inserted into G2 (p = 0.0018) compared to public health, research and teaching. Conclusion: The hospital area is still the large employer of nurses, although there is a government policy to boost the nursing field in Primary Care. The effects of neoliberalism and the consequent precarization of working conditions have negatively impacted on the study participants. This is because there was an increase of unconventional links between groups in the course of time. Despite the multiplicity of links, the income as a nurse, among the groups of newly-formed was reduced. Furthermore, we found a significant absenteeism in both groups (24%), especially due to illness. This fact becomes worrisome when one considers that the investigated newly-formed subjects were young, in full production phase and with expectation of little or no morbidity.

FundaÃÃo de Amparo a CiÃncia e Tecnologia de Pernambuco / O ensino e as pesquisas na Ãrea de enfermagem tÃm procurado adequar-se aos avanÃos das tecnologias de informaÃÃo e comunicaÃÃo. Percebeu-se entÃo a importÃncia de investigar a utilizaÃÃo de uma tecnologia digital na aprendizagem dos futuros profissionais de saÃde, em face da repercussÃo das infecÃÃes sexuais no sistema de saÃde e a relevÃncia da temÃtica para a formaÃÃo do enfermeiro. O foco desta investigaÃÃo foi avaliar o resultado da utilizaÃÃo de hipermÃdia educativa para aprendizagem de acadÃmicos de enfermagem sobre doenÃas sexualmente transmissÃveis. Trata-se de um estudo quase-experimental, aprovado pelo Comità de Ãtica em Pesquisa da Universidade Federal do CearÃ. Estrutura-se em quatro etapas: 1) construÃÃo da hipermÃdia; 2) validaÃÃo por especialistas; 3) avaliaÃÃo da aprendizagem; e 4) avaliaÃÃo pelos alunos. Na primeira etapa, fez-se um amplo resgate da literatura de modo a disponibilizar as principais referÃncias e consensos existentes sobre a temÃtica. Selecionaram-se as mÃdias e elaboraram-se o guia do aluno, os objetivos acadÃmicos e o conteÃdo dos mÃdulos. A hipermÃdia foi hospedada no ambiente virtual de aprendizagem SOLAR. Na segunda etapa, a hipermÃdia foi validada por nove especialistas de conteÃdo e trÃs especialistas tÃcnicos, definidos a partir de parÃmetros adaptados da literatura. Obteve-se Ãndice de validade do conteÃdo geral de 0,97 nos itens avaliados (objetivo, conteÃdo, relevÃncia, ambiente, funcionalidade, usabilidade e eficiÃncia). Na terceira etapa, participaram 58 acadÃmicos de enfermagem divididos em dois grupos semelhantes (controle e intervenÃÃo). O grupo controle participou da aula tradicional e o grupo intervenÃÃo utilizou a hipermÃdia no ambiente virtual de aprendizagem. Ambos responderam a um questionÃrio validado sobre o tema (prà e pÃs-teste). No pÃs-teste, a mÃdia de acertos obteve ganho de 4,20 (30,95%) questÃes no grupo controle e 6,65 (54,46%) questÃes no grupo intervenÃÃo. Hà evidÃncia de aumento da mÃdia no pÃs-teste (p=0,00) do grupo intervenÃÃo apontando a aprendizagem online como estratÃgia tÃo eficaz quanto a presencial e que pode ser utilizada como recurso de ensino complementar na formaÃÃo de enfermeiros. Na quarta etapa, a maioria dos acadÃmicos de enfermagem avaliou a hipermÃdia como adequada, tendo como base os antecedentes do conceito aprendizagem online (interaÃÃo e estÃmulo, ferramentas de comunicaÃÃo, material didÃtico, interesse e motivaÃÃo para aprender, dedicaÃÃo, disciplina e gerenciamento de tempo, papel do aluno). A atitude do aluno referente à motivaÃÃo (p=0,001) e ao fato dele acreditar ser responsÃvel por sua aprendizagem (p=0,004) tiveram relaÃÃo estatisticamente significativa no aumento do nÃmero de acertos do pÃs-teste. Conclui-se que a hipermÃdia sobre doenÃas sexualmente transmissÃveis està apta a facilitar o processo de ensino/aprendizagem dos acadÃmicos de enfermagem. Constitui-se em uma ferramenta de apoio ao ensino presencial que colabora com o processo de formaÃÃo profissional, tornando a aprendizagem ativa e significativa.

Introdução: Na área da enfermagem, a simulação de alta fidelidade vem se expandindo a fim de fornecer novas ferramentas para os enfermeiros atuarem em situações de saúde em seu cotidiano de trabalho, proporcionando um conjunto de experiências que ampliam as possibilidades de olhar o assistir por diferentes dimensões do cuidado individualizado, considerando também as relações em equipe e privilegiando o saber e o fazer como processos indissociáveis. Objetivo: Analisar a vivência do enfermeiro na simulação de alta fidelidade no contexto da saúde. Método: Estudo de caráter exploratório e descritivo, desenvolvido por meio da vertente qualitativa. Foram realizadas 14 entrevistas com enfermeiros que vivenciaram simulações de alta fidelidade e aplicada a análise de conteúdo temático referida por Minayo. Da análise dos dados, surgiram 11 categorias, sendo sete relacionadas como componentes fortes e quatro como componentes vulneráveis da simulação. Resultados: Componentes fortes - aspectos da simulação que propiciam a crítica reflexiva e analítica, abrangendo a esfera comportamental e social e a importância do facilitador na condução do debriefing para o aprimoramento do saber na estratégia da simulação. Componentes vulneráveis - presença de posturas e sentimentos não esperados na simulação e necessidade de os participantes já terem conhecimentos teóricos para obter um melhor desempenho durante a simulação. Considerações finais: A simulação abre espaço para criar e recriar, tendo como base ferramentas que aproximam cada vez mais o participante de seu real propósito de aprender, podendo ir além da realidade, no sentido de transcender aquilo que já conhece, viabilizando o alcance de novos conhecimentos e indo além da dimensão técnica. Essa realidade se estende ao educador, contribuindo para fortalecer a estratégia da simulação como recurso de aprendizagem no contexto da assistência de enfermagem. / Introduction: In the area of nursing, high-fidelity simulation has been expanding in order to provide new tools for nurses to work in health situations in their daily work, providing a set of experiences that broaden the possibilities of looking at different dimensions of individualized care, also considering team relationships and privileging knowledge and practice as inseparable processes. Objective: To analyze the experience of nurses in high-fidelity simulation in health context. Method: Descriptive and exploratory study, developed through the qualitative aspect. There were realized 14 interviews with nurses who experienced high fidelity simulations and applied the thematic content analysis reported by Minayo. From the analysis of the data, 11 categories emerged, being seven related as strong components and four as vulnerable components of simulation. Results: Strong components aspects of simulation that provide analytical and reflexive criticism, including social and behavioral sphere and the importance of the facilitator in debriefing conduction to the improvement of the knowledge in the simulation strategy. Vulnerable components presence of unexpected postures and feelings during simulation and the need for participants to already have theoretical knowledge to obtain better performance during the simulation. Final considerations: Simulation opens space to create and recreate, based on tools that increasingly bring the participant closer to real purpose of learning, being able to go beyond reality, in order to transcend what participant already knows, making possible the achievement of new knowledge and going beyond technical dimension. This reality extends to educator, contributing to strengthen simulation strategy as a learning resource in the context of nursing care.

Philosophiae Doctor - PhD / South Africa’s transition from apartheid to democracy necessitated transformation within all sectors to ensure their appropriateness for the new democratic era. In line with the national transformation agenda and the transformation and restructuring of the higher education sector, the Minister of Education in 2002 announced that the University of the Western Cape (UWC) and the Cape Peninsula University of Technology (CPUT) would be the only enrolling institutions for undergraduate nursing education in the Western Cape. This decision meant that the University of Stellenbosch and the University Cape Town would no longer enrol undergraduate nurses, but would combine their strengths in a collaborative manner with UWC to train nurses for the region. The Cape Higher Education Consortium (CHEC), however, proposed the establishment of a Common Teaching Platform (CTP) for undergraduate nursing education in the region, requiring collaboration between all higher education institutions in the Western Cape. The Common Teaching Platform came into effect in 2005. The purpose of the study was to evaluate the effectiveness of the regional collaboration on the Common Teaching Platform for B Cur Nursing in the Western Cape. An evaluation research design using qualitative methods was adopted for the study. Stufflebeam’s decision-oriented evaluation model, which caters for the evaluation of the context, input, process and product components of programmes, was used to guide the research process. Semi-structured, in-depth interviews, focus group discussions and a record review were used to collect data from the Chief Executive Officers of CHEC; Deputy Vice-Chancellors of the participating universities; Deans of the Health Science Faculties; Heads of Departments, Lecturers and Students of the Nursing Departments of the participating universities. The study adopted an inductive approach to data analysis. The inductive analysis procedure described by Thomas (2003) was adapted and used. The results evinced a general lack of application of the basic tenets of change management and a systems approach to the planning and implementation of the Common Teaching Platform. Transformation of nursing education in the Western Cape, according to the results, was in line with the national transformation agenda. Participants, however, felt that people were not yet ready to collaborate and needed enough time to accept the change, given that transformation was relatively new in the country. A critical finding was that important stakeholders were excluded from the planning phase, which led to challenges during the implementation of the Common Teaching Platform. The results further highlighted that a top-down approach was adopted. Numerous challenges with regards to the implementation of the Common Teaching Platform, including inter alia, poor communication, lack of commitment to the collaboration process, lack of adequate resources and challenges with the delivery of the curriculum, were shared by all the participants. Despite all these challenges the results showed that the student throughput rates were not compromised, and that the number of reported complaints from lecturers and students decreased over the years. On the whole, however, participants felt that the goals of the collaboration were not met due to the unresolved challenges which included inadequate resources, lack of sharing of resources and expertise across institutions, lack of commitment to participation on the CTP and failure to produce sufficient graduates to address the nurse shortage in the province. / National Research Foundation (NRF) and The Atlantic Philanthropies

Magister Curationis - MCur / Clinical learning experiences form an integral part of the 2nd and 3rd year learner nurses' training, because it is in the clinical placement that nurses should acquire the knowledge, skills and values that are necessary for professional practice competency. Nurses who are working night shift routinely feel deserted and left out of the information sphere. In most cases, these nurses find themselves in situations of staff shortages, diminished resources and reduced managerial direction. This situation is leading to demotivation. Maslow’s theory in relation to the hierarchy of human needs is regarded as the basic motivators of human activity. Maslow’s theoretical framework of the hierarchy of basic human needs was employed to compare the motivational needs of 2nd and 3rd year learner nurses who were working either night or day shift at the time of data collection. The purpose of the study was to compare the motivational needs of 2nd and 3rd year learner nurses who were working day and / or night shift. The researcher followed a quantitative, descriptive and comparative survey design with a sample of the population. A sample of 2nd year (n = 103) and 3rd year learner nurses (n = 103) was drawn from each group and a 100 fully completed questionnaires were submitted by each group. The researcher gathered the data with the assistance of a self-administered questionnaire that comprised primarily of closed-ended questions and a 5-point Likert scale was employed to capture their responses. The researcher used a structured questionnaire to explore the perceptions of the 2nd and 3rd year learner nurses about their needs to acquire motivation in the workplace in the context of Maslow’s hierarchy of needs. The researcher used descriptive and inferential statistics to analyse the data. Data was plotted and expressed by means of frequency tables. Descriptive statistical analysis and associations between various variables were completed by using parametric tests. The findings of the study were related to Maslow’s hierarchy of needs; i.e. the physiological, safety, social, self-esteem and self-actualisation needs to motivate the 2nd and 3rd year learner nurses during day and night shift. The findings include significant differences between the needs of 2nd and 3rd year respondents in relation to working day and night shift at the health service institutions in the Western Cape Province. In Item 27, the perceived needs of the 2nd and 3rd year respondents to be placed in their units of preference during night shift varied between never to sometimes. The 2nd year respondents (n = 74, 74.0%) and (n = 74, 76.8%) of 3rd year respondents on night shift experienced their need to be placed in a unit of preference to be considered. From the descriptive statistics (Tables 4.15 – 4.220), it was evident that the 2nd year respondents did neither have the highest nor lowest mean values across the study; the observation for the 3rd year respondents was similar. The mean values of night shift respondents mostly scored lower than the day shift mean values. The inferential statistics indicated significant differences between 2nd and 3rd year day shift respondents and between 2nd and 3rd year night shift respondents with night shift depicting more significant differences than day shift. That confirmed that both 2nd and 3rd year learner nurses’ motivational needs of night shift respondents were more pronounced than the needs of day shift respondents. Emerging from this research, recommendations were formulated for clinical educators, nurse educators, unit managers and professional nurses in accordance with Maslow's hierarchy of needs with the purpose of meeting the motivational needs of the 2nd and 3rd year learner nurses at the health service institutions in the Western Cape Province. Validity and reliability principles were applied during the entire research process. The reliability and validity of the research instrument was determined by applying Cronbach's alpha test. The Cronbach alpha coefficients were 0.93 and 0.93 for the day and night shift respondents respectively. Those values were above 70% and close to 100%, which indicated that the questionnaire had been a reliable research instrument. All coefficients of the pilot study were above 70% which indicated that the instrument was consistent and reliable. The reliability of the questions were tested for content and face validity. The researcher observed ethical considerations during the entire research process. Ethical considerations of beneficence, avoiding undue intrusion, the right to privacy, confidentiality, fair treatment, respect for the respondents, the right to freedom and the right to withdraw from the study at any stage, informed consent and protecting respondents from any harm were adhered to. The respondents provided written consent that acknowledged those ethical principles.

At the outset, I dis-claim any knowledge or understanding what-so-ever, which is a peculiar stance to take for a nurse educator immersed in the language of “expertise,” “best practices,” and “champion” healthcare offerings. I do not dis-claim knowledge to absolve my professional accountability, nor do I absolve myself of being responsible for my text, rather I apprehend this journey of sentience and incarnation as an infant experiencing and learning the world in which it finds itself. It is only through a naïve, furtive play that I am able to proceed, through the difficulties and paradoxical tensions of constructed identities, without complete paralysis. As I play and ponder my way through multiple methodologies, a representational form emerges between repetitious moments of contemplation, remembering lived experiences, and reflecting on philosophical discourses. The difficulty or tension lies in the provocation of identities, as nurse, educator, and mother, among many other stances and formulations. Each identified discourse compels me to challenge the gaps in my knowledge in new ways. As I explore, I unravel the forms of text that are various incarnations of narrative reflection. The choices I make are about inquiring through concept, form and identification, which I both uniquely challenge as an individual and hold in common by being socially and historically situated. Each transition, contemplation and provocation is hopeful and volatile. I am always attuned to how it is that I live the spaces between each, unknowing my “self” as my otherness, letting go the ideal/real and becoming the (/) through a relational pedagogy. / Education, Faculty of / Graduate