Bakgrund: Relationsvåld riktat mot kvinnor är ett globalt folkhälsoproblem med många negativa hälsokonsekvenser. Våld i nära relationer sägs vara vanligt och kulturellt accepterat i Ghana trots införandet av Domestic Violence Act år 2007 som gör relationsvåld illegalt. Forskning har visat att sjuksköterskor besitter en nyckelposition för att arbeta mot relationsvåld men att många sjuksköterskor saknar beredskap. Sjuksköterskeutbildningen har visat sig vara otillräcklig vad gäller relationsvåld. Syfte: Att beskriva Ghananska sjuksköterskestudenters attityder till relationsvåld och hur ämnet berörs i utbildningen. Metod: En deskriptiv kvalitativ studie som baseras på data från sex semistrukturerade intervjuer med Ghananska sjuksköterskestudenter. Intervjuerna spelades in, transkriberades och analyserades därefter med hjälp av innehållsanalys. Resultat: Sjuksköterskestudenterna kände sig förberedda för att möta kvinnor utsatta för relationsvåld och ansåg att sjuksköterskan hade en viktig roll. Studenterna tyckte att relationsvåld var ett problem som skulle lösas inom familjen och sjuksköterskan beskrevs ha en roll som rådgivare. Ingen av studenterna tyckte att relationsvåld var acceptabelt. De pratade om könsroller, mannens överordnade position i familjen och att våld uppstod när rollerna inte upprätthölls. Låg utbildningsnivå sågs som en orsak till att relationsvåld uppstår och utbildning föreslogs vara en nyckel till att eliminera relationsvåld. Slutsats: En förbättrad sjuksköterskeutbildning som problematiserar relationsvåld ur ett genusperspektiv behövs för att påverka blivande sjuksköterskors attityder och möjliggöra en professionell vård av utsatta patienter världen över. Klinisk betydelse: För att förbättra sjuksköterskeutbildningar borde relationsvåld och dess samband med den könsbestämda maktstrukturen uppmärksammas i större utsträckning. / Background: Intimate partner violence (IPV) is a global public health problem with many negative health consequences. IPV is said to be common and culturally accepted in Ghana despite the introduction of The Domestic Violence Act 2007 that prohibits IPV. Research has shown that nurses are in a key position to handle IPV though many nurses are unprepared. A lack of IPV education for nursing students has been identified. Aim: To describe Ghanaian nursing students’ attitudes toward IPV and how it is addressed in their education. Method: A descriptive qualitative study based on data from six semi-structured interviews with Ghanaian nursing students. Interviews were recorded, transcribed and analysed with content analysis. Results: Ghanaian nursing students felt prepared to meet IPV and they thought that nurse’s role was of importance. Students advocated for a domestic handling of IPV and described the nurse’s role as a counsellor. None of the students found IPV acceptable. Students spoke about the gender roles and illuminated the view of the man as superior and that lack of role performance might lead to IPV. Low educational level was spoken of as a reason for the prevalence of IPV and suggested as a key to the elimination of IPV. Conclusion: To affect nurses’ attitudes and enable professional handling of IPV we suggest more IPV education that problematizes IPV from a gender perspective in nursing programmes globally. Clinical significance: To improve nursing educations concerning IPV more attention needs to be given IPV and the correlation between IPV and the gendered power structure.

The study describes the founding and growth of professional nursing at Indiana Wesleyan University in Marion, Indiana, from the program's initial planning in 1972 to 1992. The review of literature traces the historical development of professional nursing education schools in the United States from early 1800 training schools to teaching advanced nursing technology in 1992. A chronological approach involving both primary and secondary sources will be used to identify educational and developmental changes in administration, facilities, faculty positions and qualifications, curriculum, policies related to students and graduates, accreditation by the state of Indiana and the National League for Nursing, and the impact of religious-based program on student graduates.The historical research study will show the development of professional nursing education at Indiana Wesleyan University in Marion, Indiana. The development of the baccalaureate degree curriculum was facilitated by its founders with a goal to enable the school to meet accreditation requirements.The findings indicated that professional nursing education at Marion College/Indiana Wesleyan University in Marion, Indiana, followed the average trend in the development of a baccalaureate of science degree in nursing in the United States. A strength was Marion College/Indiana Wesleyan University developed a nursing program that had a strong Christian, multicultural foundation. This theme was interwoven throughout the curriculum, the uniqueness of the program lay in its development when compared to other nursing programs in Indiana and across the nation.The nursing directors and faculty members contributed to the quality of the education that was offered to nursing students. The nursing program expanded in 1981, and a graduate program in community health nursing was offered. / School of Nursing

Patient centred collaborative practice between nurses and physicians is currently being promoted worldwide. There is increasing evidence that post licensure interprofessional educational interventions improve patient outcomes but similar evidence for pre-licensure interprofessional learning is lacking. The impact of contemporary nursing and medical education on graduates’ ability to collaborate in the workplace is also unclear. To address this gap, an interview based qualitative study underpinned by hermeneutic phenomenology and informed by the theoretical lens of social identity was designed. Eleven junior registered nurses and eleven junior residents from a single healthcare jurisdiction each, in Canada and the United Kingdom (UK) were interviewed to explore how the processes that lead to socialization, professional identification and identity formation in professional schools are perceived to influence collaborative teamwork upon graduation. Data were as analyzed through iterative naive and thematic interpretations aligned with the hermeneutic process, to arrive at a comprehensive understanding. The impact of contemporary undergraduate nursing and medical education on the ability to practice collaboratively was found to be obfuscated by internal contradictions and overshadowed by the contingencies and demands of the workplace, during residency and early nursing practice in both locations. In medical schools, the intense socialization described in literature was replaced by individual reflection and a struggle to maintain work-life balance. Values internalized were of a sense of responsibility and hard work. Students espoused an attitude of collaboration but lacked training in enabling competencies and practical application. Exposure to interprofessional learning and its impact was variable and inconsistent and formal assertions of collaboration were not consistently modeled by faculty. In nursing schools, the value of caring, self-awareness and assertiveness was promoted. Training for collaboration with physicians was largely transactional and teaching about the status of the nurse vis-à-vis the physician was mired in contradictions. Residents and the nurses could not rely on their experience of professional school as they transited to the workplace. Initiation was frequently precipitous and contingencies of the workplace determined how they acted. For residents the community of clinical practice was fluid and repeatedly new. Both residents and nurses were overwhelmed by unpreparedness, workload, and responsibility and acted to get by and get the job done. Residents learned to preface doing the best for the patient and not compromising patient care, while nurses became proficient at routine tasks and found fulfilment as the patient’s advocate. There was a propensity for conflict when uniprofessional roles and values collided. In busy wards each group had interdependent but competing priorities which lead to adversarial expressions of uniprofessional identity and consequent derogatory out-group stereotyping. In contrast situations demanding urgent focused attention, such as a cardiac arrest, lead to the spontaneous formation of a collaborative team which briefly expressed an interprofessional identity. Complex cross-generational and gender based interactions were sometimes adversarial and provoked resentment. Consequently junior nurses retreated to derive fulfilment as the patient`s advocate while residents looked forward to collaborating with other health professionals on their own terms, in the future. Neither contemporary professional education nor the hospital environment sustained consistent collaborative practice. / Graduate

Considerable conceptual confusion exists regarding the meaning of health promotion, yet nurses are called to be leaders in the movement. Pre-registration nursing curricula have been designed purporting to incorporate health promotion principles. In the United Kingdom this change in nursing education has been called Project 2000. Empirical evidence in the United Kingdom suggests that nurses perceive health promotion from an individualistic biomedical perspective. Chapters 1- 4 explore the philosophical and social origins of the concept. It is argued that this is evolutionary, rooted in health education, derived from ancient Greek philosophy. The development of health promotion theory and application to nursing is examined through the development of nursing theory in the United States. Critical comparisons are made by review of national and international literature relating to the focus of health promotion in nursing. Chapters 5-11 contain the main body of the thesis. Three longitudinal case studies investigate Project 2000 nursing student's perceptions of the concept. Three intentions aim to determine the students' health beliefs and values of health promotion on entry to nursing, to establish if any changes in their perceptions of health promotion could be attributed to the philosophical shift from intervention to prevention in nurse education and healthcare generally, and finally to develop an instrument to be used to measure changes in perception as part of curriculum evaluation. The results of the study are reported and contextualised by the influence of teachers, the curriculum and the climate of change in healthcare at that time. The properties of the instrument and the implications for its purpose are addressed. Weaknesses in the design of the strategy are examined. The thesis concludes with a review of the evidence presented. More recent conceptual development is examined. Final conclusions lead to recommendations for further refinement of the instrument, by development of psychometric properties.

<p> African Americans diagnosed with diabetes are less likely to self-manage diabetes-specific modifiable risk factors. As a result, utilization of healthcare services occurs at a greater rate than other racial groups, and thereby incurs higher than expected healthcare costs. This ethnographic study explored the elements of diabetes educational material African Americans in a large city in the southern part of the United States found most useful to facilitate self-management of their disease. Bandura's self-efficacy theory provided the theoretical framework. Research questions addressed the preferred educational content, layout of material, and methods for educational delivery and caregiver support. A purposive sample of 30 African Americans with diabetes who had engaged in diabetes education classes participated in this study. Data were collected through in-depth personal interviews, which were inductively coded and then categorized around emergent themes. A key finding of this study is that participants preferred group learning formats, but perceived educational material to be confusing and difficult to understand. They also expressed some preferences for the use of color, pictures, and presentation of graphical information that may provide the basis for a revision of educational materials. Interestingly, participants indicated a tendency to seek out church members rather than family for support. The positive social change implications of this study include recommendations to healthcare professionals to adopt educational curricula that reflect cultural nuances and needs of target populations in order to support better health outcomes for at-risk populations and cost efficiency improvements.</p>

The purpose of this exploratory qualitative case study is to describe the formation of a graduate enrollment evaluation system (GEES) to capture and explore the perceptions of key stakeholders to critically examine the barriers and benefits of a PhD nursing program at a large, public designated high research institution. As the research suggest, there is a current need for increased enrollment for nurses into nursing doctorate programs to further meet the patient's expanding demand, to expand the science of the nursing profession, and to increase the pipeline of qualified nursing faculty. Without a pipeline of qualified nursing faculty, fewer new nurses can be trained for the nursing workforce that already experiences a critical deficiency in staffing.

Introduction The purpose of this study was to improve Indonesian nursing students' self-directed learning readiness. An educational intervention program (EIP) was developed, implemented and evaluated. Background to the study Many studies have documented the need for nursing students to be prepared for the rapidly changing and complex health care environment. Lifelong, self-directed learning (SDL) has been identified as an important ability for nursing graduates. However, no study has documented the needs of, or preparation required for, nursing students to function effectively in the rapidly changing health care system in Indonesia. The Indonesian diploma nursing schools still use a teacher-centred approach with little emphasis on a student-centred approach. Method The study used a mixed method involving both quantitative and qualitative design. Simple random sampling was used to select an intervention school and control school. The sample was 2nd year nursing students with 47 in the intervention group and 54 in the control group. A pre-post test questionnaire, using the Self-Directed Learning Readiness Scale (Guglielmino, 1978), was used to collect quantitative data and focus group discussions (FGD) were used to collect qualitative data regarding students' perceptions of SDL prior to and at the completion of study. The intervention group received an EIP. The Staged Self-Directed Learning Model (Grow, 1991) and the Teacher Student Control Continuum (D'A Slevin & Lavery, 1991) were used as the organising framework. A self-learning module and learning plans were used as learning strategies to operationalise SDL concepts alongside teacher-centred methods. The control group received the existing teacher-centred methods. At the completion of the intervention, clinical instructors from both the intervention and control groups participated in FGD to explore their perceptions of students' activities during the EIP. Results For the majority of students, readiness for SDL was 'below average'. The mean for the Indonesian nursing students was significantly lower than established norms (Guglielmino, 1978). The introduction of SDL concepts through an EIP improved the level of readiness for SDL in the intervention group from 'below average' to 'average' compared to the control group who remained in the 'below average' range. Higher SDL readiness was reported by female students and students who completed the educational intervention. The FGD before the intervention revealed that students perceived SDL as a 'self-activity'. Perceptions of students in the intervention group changed during the EIP compared to students in the control group. Students in the intervention group viewed SDL as a 'process of learning'. Increased self-confidence, incremental learning, and having direction in learning were identified as benefits of SDL. Knowledge and skills in SDL, learning materials and communication were identified as important issues that needed to be improved. Clinical Instructors' perceptions of students' clinical activities confirmed that students in the intervention group were 'more active' compared to the control group who were 'still inactive'. Conclusion The study confirmed the expected effect of the EIP on students' SDL readiness. The EIP improved nursing students' readiness for SDL and had a positive impact on students' perceptions of SDL. Introducing the concept of SDL through the EIP was found acceptable by the sample and was deemed feasible to implement within the Indonesian nursing education system. The study has potential to make a significant contribution to nursing education in Indonesia by promoting lifelong learning and SDL in nursing students and in curricula through the development of innovative curricula and teaching and learning practices. The study also has potential wider benefit to nursing practice and global health practice.

The aim of this study was to explore the practice of flexible learning for postgraduate nurses. Flexible learning is a contemporary approach to learning that utilises the benefits of technology. Flexible learning can be understood as a continuum, from fully on-line or web-based courses, to those that are on-campus and supported by technology. Internationally, the rise of flexible learning has been influenced by increased demand for higher education and competition among providers within the context of reduced education funding. The study population, New Zealand postgraduate nurses are accessing higher education in increasing numbers to advance their practice and to position themselves for new roles and opportunities. These are often experienced nurses yet inexperienced in higher university education, who combine study, work and other commitments. The study employed a qualitative case study design because it enabled multiple perspectives to be gained. Data included documentation, participant observation, survey, students’ assessed work and interviews with key stakeholders: student, teacher and the organisation. Data collection and analysis occurred simultaneously as an iterative process. Thematic analysis was conducted on reviewed documentation, participant observation and interviews. The survey was analysed using descriptive statistical analysis techniques. Finally, a rubric was constructed as a matrix for analysing assessed work. The study identifies the elements that contribute to flexible learning and the interconnectedness between the elements within the dynamic context of a university to illustrate that effective flexible learning can be provided by using a student centred approach to ensure the learning needs of postgraduate nurses are met. Flexible learning was found to improve access, choice, and provide an emphasis on the student as central to learning. In response to these findings the weighting of recommendations are toward the organisation as it is at this level where greater change can be made to improve support for flexible learning provision.

The aim of this study was to explore the practice of flexible learning for postgraduate nurses. Flexible learning is a contemporary approach to learning that utilises the benefits of technology. Flexible learning can be understood as a continuum, from fully on-line or web-based courses, to those that are on-campus and supported by technology. Internationally, the rise of flexible learning has been influenced by increased demand for higher education and competition among providers within the context of reduced education funding. The study population, New Zealand postgraduate nurses are accessing higher education in increasing numbers to advance their practice and to position themselves for new roles and opportunities. These are often experienced nurses yet inexperienced in higher university education, who combine study, work and other commitments. The study employed a qualitative case study design because it enabled multiple perspectives to be gained. Data included documentation, participant observation, survey, students’ assessed work and interviews with key stakeholders: student, teacher and the organisation. Data collection and analysis occurred simultaneously as an iterative process. Thematic analysis was conducted on reviewed documentation, participant observation and interviews. The survey was analysed using descriptive statistical analysis techniques. Finally, a rubric was constructed as a matrix for analysing assessed work. The study identifies the elements that contribute to flexible learning and the interconnectedness between the elements within the dynamic context of a university to illustrate that effective flexible learning can be provided by using a student centred approach to ensure the learning needs of postgraduate nurses are met. Flexible learning was found to improve access, choice, and provide an emphasis on the student as central to learning. In response to these findings the weighting of recommendations are toward the organisation as it is at this level where greater change can be made to improve support for flexible learning provision.

The aim of this study was to explore the practice of flexible learning for postgraduate nurses. Flexible learning is a contemporary approach to learning that utilises the benefits of technology. Flexible learning can be understood as a continuum, from fully on-line or web-based courses, to those that are on-campus and supported by technology. Internationally, the rise of flexible learning has been influenced by increased demand for higher education and competition among providers within the context of reduced education funding. The study population, New Zealand postgraduate nurses are accessing higher education in increasing numbers to advance their practice and to position themselves for new roles and opportunities. These are often experienced nurses yet inexperienced in higher university education, who combine study, work and other commitments. The study employed a qualitative case study design because it enabled multiple perspectives to be gained. Data included documentation, participant observation, survey, students’ assessed work and interviews with key stakeholders: student, teacher and the organisation. Data collection and analysis occurred simultaneously as an iterative process. Thematic analysis was conducted on reviewed documentation, participant observation and interviews. The survey was analysed using descriptive statistical analysis techniques. Finally, a rubric was constructed as a matrix for analysing assessed work. The study identifies the elements that contribute to flexible learning and the interconnectedness between the elements within the dynamic context of a university to illustrate that effective flexible learning can be provided by using a student centred approach to ensure the learning needs of postgraduate nurses are met. Flexible learning was found to improve access, choice, and provide an emphasis on the student as central to learning. In response to these findings the weighting of recommendations are toward the organisation as it is at this level where greater change can be made to improve support for flexible learning provision.