Dans l’optique de perfectionner l’utilisation de la simulation clinique, il importe de se questionner sur la qualité des débriefings et surtout sur la perception qu’en ont les étudiant(e)s. L’outil le plus utilisé à cet effet est le Debriefing Experience Scale (DES; Reed, 2012) qui évalue l’expérience et l’importance du débriefing selon les étudiant(e)s. Cet outil n’est pas disponible en français et il est essentiel qu’il soit adapté au contexte et à la population auprès de qui on souhaite l’utiliser. Le but de cette étude a été de traduire en français, adapter au contexte québécois et valider le contenu du DES (Reed, 2012). Selon les recommandations de Sousa et Rojjanasrirat (2011), le DES a été traduit en français et rétrotraduit en anglais pour obtenir une version française, le DES-FR. La pertinence et la clarté de ses énoncés ont été évaluées par 10 expert(e)s en simulation clinique. Un échantillon de convenance de 29 étudiant(e)s en sciences infirmières a été sollicité pour évaluer la clarté des énoncés de l’outil. Les résultats indiquent que le DES-FR a un indice de validité de contenu global (IVC-S) de 0,93 selon les expert(e)s, suggérant une bonne validité de contenu, ainsi qu’un indice de clarté global (IC-S) de 0,96, soutenant qu’il est dans son ensemble clair selon l’échantillon étudiant. Le DES-FR est le premier outil en français présentant une validité de contenu et adapté au contexte de formation québécois qui permettra d’obtenir des données sur la qualité des débriefings selon la perspective étudiante. / To further improve the use of clinical simulations, it is crucial to question the quality of debriefings, especially students’ perceptions of them. The most used tool for this purpose is the Debriefing Experience Scale (DES; Reed, 2012), which assesses the experience and importance of debriefing for nursing students. The DES (Reed, 2012) is not available in French, and it must be congruent with the context and population it is intended to be used. This study aimed to translate into French, adapt to the Quebec educational context, and validate the content of the DES (Reed, 2012). For the method, we followed Sousa and Rojjanasrirat (2011) guidelines. Thus, the DES (Reed, 2012) was translated into French and back-translated into English to obtain a French version, the DES-FR. Ten clinical simulation experts assessed the French version for item relevance and clarity. In total, 29 nursing students evaluated the DES-FR item clarity. According to the experts, the DES-FR has an overall content validity index (S-CVI) of 0.93, suggesting good content validity. The overall scale’s clarity index (S-CI) reached 0.96, supporting that the content of the DES-FR is clear according to nursing students. The DES-FR is the first content-validated French tool adapted to the Quebec educational context that will provide data on the quality of debriefings from the student perspective.

The question the researcher set out to answer was "What is the educational focus of a nursing college when viewed within Bevis and Watson's Humanistic-Educative-Caring Curriculum Paradigm versus a Stimulus-Response Curriculum Paradigm?" The purpose of this study was to develop and test an instrument based on the Bevis and Watson Humanistic-Educative-Caring Model; an educational paradigm shift from the Tylerian rationale in nursing education. A questionnaire comprising 181 Two-Choice Comparative-Value-Statement Items was developed and tested. A non-experimental research design was implemented. During the developmental phase, a non-probability, purposive sample was used; the questionnaire (instrument) was developed; data were analysed by applying content analysis and the questionnaire was refined. During the testing phase a stratified, random sample was used consisting of first to fourth year students from two nursing colleges from the Gauteng Province; the items were tested against biographic data and hypotheses resulting from the Bevis and Watson model. Six conceptual continuums comprise the Bevis and Watson model namely, the Learner Maturity Continuum, the Teacher-student relationship, the Teacher-student structure, the Typology of Learning, Criteria for Teacher-Student Interactions and Criteria for Selecting and Devising Learning Experiences. Both descriptive and inferential statistics were utilised. The results indicated that the educational focus of the respondents with regard to the Bevis and Watson model was predominantly humanistic. The exception occurred with regard to TUTOR: Teacher-student structure; pertaining to hypothesis 7 on language; and hypothesis 9 on gender, where a behaviouristic orientation appears to prevail. Significant differences were found between the model variables (conceptual continuums) and year group, language, college A and B, and gender. In hypothesis 5, although a humanistic orientation predominated, the 4th year students tended to display an increasing behaviouristic orientation. In hypothesis 8, although a humanistic orientation predominated, college A appeared less humanistic than college B. Recommendations were made regarding nursing education and further research studies to refine the instrument. The implementation of the Bevis and Watson model calls for a curriculum paradigm shift in nursing education. / Health Studies / D.Litt. et Phil.

The academic challenges faced by pregnant and nursing students in Zimbabwe do not seem to attract the attention of scholars. This study focused on the educational challenges faced by pregnant and nursing adult learners at Morgenster Teachers‟ College, a tertiary education institution. Participants‟ perceptions of the academic challenges they faced were established through the use of a qualitative methodology in which the semi-structured interview was the dominant data collection method. Non-participant observation and document analysis were employed to complement the dominant method. The findings indicated that the academic challenges faced by mothering adult learners are related to physical problems, social relationships, inadequate financial resources and administrative problems. The study revealed that such students develop strategies to alleviate some of the educational challenges they face. In view of the findings, recommendations are made to improve the learning environment of mothering students and for further research to address the problem. / M. Ed. (Adult Education) / Educational Studies

The purpose of midwifery nursing education is to prepare midwives who are fully qualified to provide high-quality, evidence-based mother and child health care services. A quantitative descriptive explorative design was used to identify and explore midwifery students’ experiences of clinical teaching at Sovenga Campus, (Limpopo College of Nursing), Limpopo province. Structured questionnaires were used to collect data. The research sample consisted of fifty (50) midwifery students from Sovenga Campus. Ethical principles were adhered to. Validity and reliability were maintained. The findings showed that learning opportunities are being utilised and clinical accompaniment by tutors has improved. The findings indicated that clinical teaching in midwifery units does not include implementation of the maternity guidelines and protocols’ being used .A recommendation was that tutors be included in student orientation and the planning of monthly unit in-service programmes. / Health Studies / M.A. (Nursing Science)

Text in English / The purpose of this study, was to identify and describe factors, which facilitate or impede learning in clinical learning settings. The study adopted an exploratory descriptive approach, incorporating both quantitative and qualitative designs. Data collection tool, comprised of two sections: Section 1 focused on demographic characteristics. While section 2 addressed study variables of clinical setting, staffing, patient care/ practice standards, nurse manager's commitment and interpersonal relationships. The last section had two parts; part 1 being close ended Likert type scale ranging from strongly agree to strongly disagree. Part 2, was open ended, and solicited respondents' feelings opinions and experiences on factors they perceived to facilitate or impede clinical learning. The findings indicate that the majority of settings studied did not provide adequate factors to facilitate clinical learning. Factors such as availability of learning experiences, acceptable unit organization, space and resource availability, and accessibility to students, adequate staffing with qualified staff who actively participate in teaching, appropriate and quality patient care role modelled, lecturer availability and involvement in clinical teaching, team building and inclusion of students in the team, committed nurse managers involved in students' learning, conducive relationships among staff, students and patients, comfort relationships, advocacy and creating conducive relationship by the nurse manager, were identified as necessary for learning. These factors however, were found to be either lacking, inadequate or inaccessible to students. Findings were based on data from a quota sample of 202 participants proportionately drawn from students, nurse managers and nurse lecturers. The study made recommendations to improve and enhance the conduciveness of clinical practice settings used for learning in Botswana. / Health Studies / D.Litt. et Phil. (Advanced Nursing Science)

The question the researcher set out to answer during this research is: How is a caring concern maintained by the (student nurse) as caregiver? It stemmed from unresolved plausible hypotheses stated during a previous qualitative study into the phenomenon caring, from media reports on the "poor care" rendered in health institutions in South Africa, and a concern about the Tylerian rationale in nursing education. The theory generation required was achieved through Wertz's Empirical Psychological Reflection and existential phenomenology. Heidegger's theory of"Care as the essence of being" constituted a central concept in this research. A linguistic epistemology and expanded definition of the term empirical were also pertinent in this research. The literature review focussed on the methodology, ontology (caring and maintenance) and epistemology, serving a purpose towards bracketing. A purposive sample of informants was extracted according to students' performance on the Personal Orientation Inventory (POI). Sixteen qualitative research interviews were conducted. Analysis was conducted through open coding, categorisation and axial coding. At the idiographic level, twelve individual psychological profiles were constructed serving the purpose of imaginative variation. At the nomothetic level four major themes emerged, namely: The Caring Phenomenon (Contextualisation); Factors Eroding a Caring Concern; Factors in the Maintenance of a Caring Concern; and Core Experiences. The dialogue among the four intra-psychic processes of Care, will, meaning attribution and conscience accounts for all events encountered in the data. This dialogue results in either reason or intuition, displaying caring and the maintenance of a caring concern. Positing will and conscience as thesis and antithesis, the resulting synthesis postulates the basic ethical concepts of autonomy, authority, responsibility and accountability as existentially inherent to being and existence, and to the maintenance of a caring concern. The final manifestation of the object ofintention, maintenance, is proposed as an anthropological model. When extended to the fields of (nursing) education, human motivation and the teaching of (nursing) ethics, emotional intelligence, social intelligence, the self-science curriculum and life-skills training become imperative to (nursing) curricula. It is also proposed that human caring be studied as a manifestation of human motivation. / Health Studies / D. Litt et Phil. (Advanced Nursing Sciences)

The purpose of this study was to determine the contribution of unit managers towards the training of student nurses coming to their units for clinical practica. The sample consisted of students training in the four nursing colleges in the Cape Peninsula, and unit managers working in health services accommodating students for clinical practica in the same area. The findings revealed that the majority of unit managers were teaching students whenever they had the opportunity. Generally unit managers were prepared for their teaching function, but many students were not satisfied with some clinical learning opportunities presented to them, for example drawing up patients' care plans, discussing patients' treatment plans when handing over report, giving assistance regarding patient care decisions and lending support when students are confronted with patient care problems. There appears to be a need to educate unit managers regarding these and other aspects of the students' training programme. / Health Studies / M.A. (Nursing Science)

Text in English / The purpose of the study was to describe and explore the experiences of student nurses in caring for mental health users with profound intellectual disabilities in one of the care and rehabilitation centre at Gauteng province incorporating the Common Sense Model. Qualitative descriptive and explorative research was conducted to explore the experiences of student caring for mental health care users with profound intellectual disabilities and to recommend the best practices in caring for mental health care users with profound intellectual disabilities. Data collection was done using reflective diaries and in depth interviews. Twelve participants participated in the study. The study composed of student nurses (n=12) caring for mental health care users with profound intellectual disabilities. Five themes emerged from the study i.e. emotionally challenging, communication difficulties, lack of knowledge on the nature of intellectual disability, burden of care and mixed feelings. Findings of the study revealed that completing nurses find working with profound intellectual disabilities to be emotionally challenging and that negative experiences outweigh the positive experiences, resulting in their reluctance to want to work with profound intellectual disability users. It is therefore incumbent upon policy makers and hospital administrators to take cognisance of these negative feelings so that ways of minimising these frustrations and promoting the wellbeing of nurses caring for mental health care users with profound intellectual disabilities are promoted. / Health Studies / M.A. (Health Studies)

Submitted in fulfillment of the requirements for the Degree in Masters of Technology in Nursing, Durban University of Technology, Durban, South Africa, 2015. / Background The current health care system in South Africa and its diverse settings of health care delivery system require a nurse who can make decisions, think critically, solve problems and work effectively in a team. Traditional nursing education teaching strategies have over the years relied on didactic and often passive approaches to learning. In pursuit of quality, academics and students must be continually engaged in a process of finding opportunities for improving the teaching and learning process. Purpose of the study The purpose of this study was to evaluate the structure and the process in case based learning at the University of Technology. Methodology This study is qualitative in nature, governed by an interpretive paradigm. This is a case study, which enabled the researcher to merge student interview data with records in order to gain insight into the activities and details of case based learning as practised at the University of Technology under study. Most importantly, the case study method was deemed appropriate for the current study, since case-based learning as a pedagogical approach (and a case) cannot be abstracted from its context for the purposes of study. Case based learning is evaluated in its context namely, the undergraduate nursing programme, using the Donabedian framework of structure, process and product. Results The study recorded that students were positive towards case based learning though some identified dynamics of working in groups as demerits of case based learning. The structures that are in place in the programme and the CBL processes are adequate and support CBL. There are however areas that need attention such as the qualification of the programme coordinator, the size of the class-rooms and the service of the computer laboratory. Conclusion The study found that apart from a few minor discrepancies, case based learning is sufficiently implemented, and experienced as invaluable by students, at the University of Technology under study.

The purpose of this study was to explore and describe the experiences of Recognition of Prior Learning (RPL) nursing candidates related to the four-year comprehensive nursing training programme at a Nursing Education Institution in Gauteng. To this end an exploratory descriptive qualitative research design was undertaken. The research sample comprised of 13 purposefully selected participants. Face-to-face individual interviews, using open-ended questions (Grand tour), were used to collect data, which was analysed using Tesch’s approach. Findings from the study highlighted the challenges faced by nursing RPL candidates as adult students. These included challenges related to their theoretical learning as well as their clinical facility experiences. Based on the study results, recommendations were formulated in assisting them to successfully and timeously complete their nursing programme / Health Studies / M.A. (Nursing Science)