In Swedish nursing education, student nurses should gain a bachelor degreein the main field of study. However, five designations of the main field ofstudy exist among the higher education institutions and the present thesisfocuses on the main field of study caring science. Former studies show thatthe acquisition of knowledge in caring by student nurses is characterized bytroubles, uncertainty and confusion. The aim was to describe how growingin caring is experienced by student nurses during education.The theoretical perspective was caring science with focus on caringscience didactics, while the epistemological frame constituted of a phenomenological lifeworld approach. Data was gathered with interviews andwritten narratives at different occasions during the education in order tograsp the general structure of growing in caring.The findings illuminated that growing in caring means a struggle forone’s own caring beliefs to exist and survive in a world filled with diverseexpectations of caring. Through recognizing expectations of caring, studentnurses discover the complexity of caring. In this complexity, they understand themselves as being different and the otherness appears. The otherness consists of unique beliefs about caring based on former experiences. Inorder to give evidence for the otherness, concepts from caring theories thatagree with one’s own caring beliefs are found, which transform the concepts from being meaningless to being essential in caring. The conceptsstrengthen the student nurses’ growth in caring and constitute a support intheir discussions about caring. In this struggle for gaining access with theirotherness, they become convinced that they can make changes for the patient and strength arises to fight for their otherness.The study showed that the otherness appears as the hub in the studentnurse’s world, which gains nourishment to discover paths to think, feel andact in a caring manner. This gives an incentive that innovative learningstrategies that both grasp the student nurses’ lifeworld as well as bringknowledge in caring into awareness for them are needed to be developed.

Magister Curationis - MCur / The purpose of this qualitative explorative study is to explain individualized lived experiences of registered nurses working and participating in clinical supervision for nursing students within the clinical environment at selected hospitals. The study explores the challenges faced by registered nurses on a daily basis on how to structure clinical activities for the nursing students and provide high quality care to patients. / South Africa

Philosophiae Doctor - PhD / The mental health care environment is a stressful environment because of the environment, perceived unpreparedness of students and the emotional demands placed on the students which are inherent in the nature of the work. The use of the self as a therapeutic tool also presents challenges for students. Whilst researchers have identified supportive interventions and strategies to address students support needs in mental health care settings, these interventions/strategies focus on meeting clinical learning objectives with the assumption that if the student learning needs are met, they will feel emotionally supported. Literature and experience indicates that it is imperative that in this field of study, students should be prepared to cope emotionally with the demands of mental health work. The aim of this research was to develop a model of emotional support for student nurses working in mental health care settings. A theory-generating design based on a qualitative, explorative and descriptive research approach was used to achieve the aim of the study. Purposive sampling was employed to select participants namely: students, educators and clinical staff who met the eligibility criteria. A sample of 40 students, nine educators and nine clinical staff who worked in the four psychiatric hospitals and community mental health clinics in the Western Cape participated in the study. Data collection was by means of focus group interviews (students) and indepth individual interviews (educators and clinical staff). Data was analysed by means of Tesch’s method of content analysis. The model was developed by means of the four steps of the theory generation process. Step one was concept development which consisted of two sub-steps namely concept identification and concept definition. A total of 22 concepts were identified which was further synthesised into six main concepts. The main concepts which were used to develop the model were: positive self-concept; positive work environment; academic and professional development; effective communication; formal and informal supportive interventions and collaboration between the Higher Education Institution and the mental health care setting. Step two of the theory generating process was model development. These main concepts were placed in relation with each other which formed an emotional support model for students working in mental health care settings. Step three was model description. The model was described using the three phases of interpersonal communication namely orientation phase, working phase and the termination phase. A visual application of the model which depicts the main concepts, the process and the context was shown. Step four dealt with the development of the guidelines for the implementation of the emotional support model. A critical reflection of the model was done using five criteria for model evaluation according to Chinn & Kramer. Trustworthiness of the data was ensured by means of applying Guba’ model of truth value, applicability, consistency and neutrality. Reflexivity was used by the researcher to further enhance trustworthiness. Permission to conduct the study was obtained from the relevant authorities. The ethical principles of respect for human dignity, beneficence and justice were applied throughout the study. Limitations were identified and ecommendations for nursing practice, education concluded the study.

Magister Curationis - MCur / The development of internet has provided an opportunity for offering online learning. Online learning otherwise known as ‘e-learning’ is a fast growing new concept of modern education. Substantial evidence indicates that many universities across the world have started offering study programmes through a variety of e-learning methods. Although e- learning environments are becoming popular, there is minimal research on learners’ attitudes toward online learning environments. Past research has recommended a variety of factors affecting user attitude so far as e-Learning is concern. It is thus against this background that this study purports to determine the attitudes of undergraduate nursing students toward e–learning at the University of the Western Cape. The study developed an integrated model with six dimensions: learners, instructors, courses, technology, design, and environment. A survey was conducted on 213 undergraduate nursing students to assess their attitudes toward e-learning. The study employed the survey methodology based on the questionnaire that was distributed randomly to students to assess their attitudes towards e-learning and to find out if any existing demographical factors impact on the students’ use of e- learning. The results revealed that males and females differed significantly in terms of satisfaction levels. When specific demographic variables with two outcome levels (age group, computer facility at home, computer training experience and experience in e-learning prior to registering at UWC) are considered, there is no statistically significant difference (from the sample t-test) in learner satisfaction between these groups. From a valid response rate (90% of the sample), statistical analysis (multivariate analysis) revealed that learner satisfaction as the control variable is influenced by perceived easy to use, gender and year level of participants. The findings also showed a significant difference between male and female satisfaction. In this regard, 4th year nursing students were proven to be less likely to be satisfied with e-learning than 2ndyear nursing students, whereas female nursing students are more likely to be satisfied with e-learning than male nursing students. Generally, the study’s findings demonstrate a favourable attitude towards e-learning among nursing students at University of the Western Cape.

This study reports the effects of a 4-week online mindfulness meditation practice in a sample of undergraduate and graduate nursing students. Self-reported levels of mindfulness, depression, stress, and anxiety were measured pre- and post-intervention. A randomized pretest posttest control group design was implemented, and members of the National Student Nurses Association were invited via email to participate. A total of 145 participants completed the study.During the study the active control group received audio modules reporting nursing news and the experimental group received audio meditation modules. Meditation modules were created and recorded by the researchers. Participants in both groups were asked to utilize the audio modules at least three times a week. All participants completed the 21-item Depression, Anxiety, and Stress Scale and the 39-item Five Facet Mindfulness Questionnaire online before and after the intervention. Results revealed a statistically significant interaction between group and time of test for all four outcome variables. Simple main effects analyses showed a reduction in symptoms of depression, stress, and anxiety, as well as a significant increase in reported feelings of mindfulness in the experimental group. Findings of the study support the need to better recognize mental health challenges in nursing students and to consider the use of meditation practice in nursing programs to improve psychological outcomes.

Physician assisted suicide (PAS) has been a legalized presence in the United States since Oregon first passed the Death with Dignity Act in 1994. Now PAS is legalized in six states and it is realistic that nurses may encounter PAS during their career. This project explores pre-licensure nursing student attitudes toward PAS. A mixed method design incorporating descriptive correlation and thematic analysis of an open-ended question was used. Surveys were sent to 550 nursing students enrolled in the UCF nursing program asking participants to complete the 34-question survey. This survey included a 12 item “Domino scale” on student nursing opinions toward physician-assisted suicide, and a 23-item demographic scale. Complete, usable results were obtained from 231 participants. Demographic data revealed that the typical participant was between 18 and 25 years of age (80%), female (82%), single (87%), white (69%), in their first two semesters of the nursing program (60%), and unemployed (56%). The total scores for the Domino scale indicated a mean of 40. Regression analyses found that participant experience of someone having asked for help with PAS, and participant religiosity were significant predictors (F = 9.82, p = .0019; and F= 160.36, p < .0001) respectively of nursing student opinions on PAS as measured by the Domino scale. Qualitative analysis produced the following themes related to participant opinion on the nurse’s role in PAS: ways nurses can help with PAS, nurses should not be involved with PAS, clarification and delineation of the PAS process, the preservation of autonomy, the need for more education and inaccurate assumptions of PAS. This study showed that nursing students are moderately in support of PAS and willing to provide care to patients who are terminally ill regardless of a his or her personal decisions regarding PAS. Participants also comment that they desire additional education. Suggestions for further education, practice enhancements, research and policy development are discussed.

The background and problem statement centre on the evolution of technology within teaching and learning, which involves undergraduate student nurses, as well as the use of social media as interactive teaching and communication tool. While examining the background to this topic, the researcher recognised a need to gain a deeper understanding of responsible social media use by undergraduate student nurses to the benefit of all the stakeholders, namely the Nursing Education Institution (NEI), applicable health care facilities, the patients and the student nurses. The study starts off with a literature review to peruse what is known about social media and information communication technology by undergraduate student nurses within a Higher Education (HE) environment. Literature shows that nurses in their work environment are not excluded from social media interaction processes. Within this context, social media offers improved contact and communication in general and in the working environment through the internet. The aim of this study is to explore and describe responsible use of social media by undergraduate student nurses. Methodology: The study followed a qualitative, explorative, descriptive and contextual design. All-inclusive, probable and purposive sampling (Brink, van der Walt & van Rensburg, 2006:134) was applied to select participants from a population of undergraduate student nurses (N=200, n=39). Prospective participants were informed by the researcher regarding the research by means of a Power Point slideshow and from there prospective participants had to make an informed decision to participate voluntarily in the research. Data was collected by means of an unstructured conversation between the researcher and participants via the real-time, online Chat Room of Sakai 2.9.1. Sakai 2.9.1 refers to an educational software platform which is a Java-based, service-oriented application used in an open source academic community. Sakai 2.9.1 is used within this context as a Course Management System and Virtual Learning Environment. The following questions were asked: “Tell me how you use your social media (e.g. Facebook™, Twitter™, WAYN™, LinkedIn™, WhatsApp™, etc.)”; “How do you access and on which device do you use social media?”, “What is your view of responsible social media use as a student nurse?” Although it was an all-inclusive sample and all members of the population were invited to participate, the sample size was established once the research reached data saturation (Brink et al., 2006:135). Thirty-nine participants (n=39) participated and the analysed results were first confirmed in a focus group. Six (6) main themes where identified, namely: social media as a quick academic reference; the social communication uses of social media; social curiosity; multiple social media registrations, but limited social media use; student nurses’ need for guidelines regarding responsible social media use and a need to share photographs on social media. The final conclusion was that student nurses entered the nursing profession with established social media skill. Yet, student nurses need guidance to divert social media use from a social perspective to social media use within a professional capacity. Recommendations for enhanced responsible social media use by student nurses where formulated. (Word count: 489) / MCur, North-West University, Potchefstroom Campus, 2014

The background and problem statement centre on the evolution of technology within teaching and learning, which involves undergraduate student nurses, as well as the use of social media as interactive teaching and communication tool. While examining the background to this topic, the researcher recognised a need to gain a deeper understanding of responsible social media use by undergraduate student nurses to the benefit of all the stakeholders, namely the Nursing Education Institution (NEI), applicable health care facilities, the patients and the student nurses. The study starts off with a literature review to peruse what is known about social media and information communication technology by undergraduate student nurses within a Higher Education (HE) environment. Literature shows that nurses in their work environment are not excluded from social media interaction processes. Within this context, social media offers improved contact and communication in general and in the working environment through the internet. The aim of this study is to explore and describe responsible use of social media by undergraduate student nurses. Methodology: The study followed a qualitative, explorative, descriptive and contextual design. All-inclusive, probable and purposive sampling (Brink, van der Walt & van Rensburg, 2006:134) was applied to select participants from a population of undergraduate student nurses (N=200, n=39). Prospective participants were informed by the researcher regarding the research by means of a Power Point slideshow and from there prospective participants had to make an informed decision to participate voluntarily in the research. Data was collected by means of an unstructured conversation between the researcher and participants via the real-time, online Chat Room of Sakai 2.9.1. Sakai 2.9.1 refers to an educational software platform which is a Java-based, service-oriented application used in an open source academic community. Sakai 2.9.1 is used within this context as a Course Management System and Virtual Learning Environment. The following questions were asked: “Tell me how you use your social media (e.g. Facebook™, Twitter™, WAYN™, LinkedIn™, WhatsApp™, etc.)”; “How do you access and on which device do you use social media?”, “What is your view of responsible social media use as a student nurse?” Although it was an all-inclusive sample and all members of the population were invited to participate, the sample size was established once the research reached data saturation (Brink et al., 2006:135). Thirty-nine participants (n=39) participated and the analysed results were first confirmed in a focus group. Six (6) main themes where identified, namely: social media as a quick academic reference; the social communication uses of social media; social curiosity; multiple social media registrations, but limited social media use; student nurses’ need for guidelines regarding responsible social media use and a need to share photographs on social media. The final conclusion was that student nurses entered the nursing profession with established social media skill. Yet, student nurses need guidance to divert social media use from a social perspective to social media use within a professional capacity. Recommendations for enhanced responsible social media use by student nurses where formulated. (Word count: 489) / MCur, North-West University, Potchefstroom Campus, 2014

The purpose of this study was to explore and describe the perceptions of registered nurses with regard to facilitating the learning of student nurses during clinical placement. Focus group interviews with fifteen registered nurses were done, followed by participant observations in two clinical areas, to gain a clearer picture of obstacles, as well as the strategies employed during placement of student nurses in the clinical area. The :findings indicate that facilitation of the learning of student nurses during clinical placement is achieved by guidance, involvement, assisting and supervision of student nurses in the clinical area by nurses of all categories, and medical and paramedical personnel. Many obstacles were identified which obstruct the employment of strategies that are suitable for facilitation in the clinical area. Guidelines for the facilitation of learning of student nurses were recommended, to improve facilitation in the clinical area. / Health Studies / M.A. (Nursing Science)

The research question the researcher set out to answer was: How do student nurses experience learning in the clinical field? The research question stemmed from years of experience in nursing education and a concern about student nurses' involvement in the clinical area. A phenomenological investigation was embarked upon involving principles from Wertz's (1983, 1984, 1985) empirical psychological reflection. The existential base-line for the research was stated as: Human experience results in learning. The base-line also supported the assumptions underlying the current research and are in line with phenomenological philosophy. Participants were selected from the student nurse population in the Limpopo Province via convenience and purposive sampling. Five students from second through fourth year of training according to SANC Regulation R425 were selected. Data were collected through in-depth interviews. One initial and one follow-up interview were conducted with each participant. Interviews were audio-taped and transcribed verbatim. Data analysis at the idiographic and nomothetic levels was conducted through open coding, categorisation and constant comparative analysis. Four major themes emerged from the data namely: * Descriptive overview of clinical learning * The lived experience of student nurses * Motivational factors in clinical learning * Erosive factors in clinical learning Awareness figured as an all accommodating concept to theme and categories. It figured as a multi-dimensional concept that positions and orientates student nurses in the clinical setting. Awareness answers the student nurse's existential question: Where am I? Based on the findings OF the current research and guided by the concept of an integrated holistic awareness, conclusions were drawn and recommendations and guidelines were formulated relating to: nursing education, nursing management, cooperation between education and services, clinical teaching, future research and theory development. / Health Studies / D.Litt. et Phil. (Health Studies)