Investigating Factors Affecting the Gap of Nursing Education and Practice from students and instructors’ viewpoints

Document Type : Original Article

Authors

1 Department of Educational Management, Payame Noor University of Mashhad, Mashhad, Iran

2 Department of Physiology, Birjand University of Medical Sciences, Birjand, Iran

3 Department of nursing, Faculty of Nursing and Midwifery, Birjand University of Medical Sciences, Qaen, Iran

Abstract

Background:
The existence of a gap between theory and practice in nursing is a problem that is rooted in the history of nursing education, which means that there is a difference between what the student at the college and the behavior that appears in the clinic, and this discrepancy is of concern to community health educators. A coherent understanding of the learning and practice gap is a crucial step in dealing with this gap and thus promoting nursing and community health. This study aimed to determine the factors affecting the gap between education and practice from the three viewpoints of nurses in Shohada Medical Center and nursing students and trainers of the Faculty of Nursing and Midwifery of Qaen.
Methods:
 This descriptive-analytic study was carried out at the Faculty of Nursing and Shohada Hospital in Qaen. The instrument was a researcher-made questionnaire, completed by a census sampling method, completed by 107 nurses and 16 instructors and 105 nursing students from the Faculty of Nursing and Midwifery of Qaen, and analyzed.
Results:
 The greatest impact on the gap between training and practice in terms of students, the use of experienced mentors, self-confidence, coaching support, and the greatest impact from the mentors' view, coach's conscience, motivation, weak mentor supervision, the use of experienced coaches, educational perspective Managers and most impact from nurses' perspective: self-esteem, experienced mentors, nurse motivation and nursing shortages. The results also showed that students had more faith in the training and practice gap than instructors and nurses.
Conclusion:
 It seems that, given the gap between education and practice, managers of educational centers should take the necessary measures to reduce this gap in management, decision making and educational planning.

Keywords

Main Subjects

References

1. Kambiz Rokhzadi MZ, Mahmoudi S, Abdolmaleki MR, Salehnejad Gh. A study on the accessibility of nursing students to clinical internship learning objectives. Research in medical education 2015; 7(2):  37-44. [In Persian].
2.         Pourghane P, Hosseini MA. The role of clinical nurses on nursing students' learning in the hospital environment. Journal of medical education development in Zanjan 2010; 3(4): 7-11. [In Persian].
3.         Tanumand A, Abdullah Zadeh F, Niknam F. The study of environmental barriers in clinical education from the viewpoint of students and instructors. Journal of education development in Jondishapour 2014; 5(2): 106-13. [In Persian].
4.         Mohammadzadeh A, Ramezani Badr F, Amini K, Musaeefar M. Factors affecting clinical learning of nursing students: A qualitative study. Journal of development of medical education in Zanjan 2011; 4: 20-30. [In Persian].
5.         Alaei S, Kahui M. Study of nursing students' information needs in clinical education of emergency departments. Koomesh 2010; 11(3): 155-61. [In Persian].
6.         Nazari R, Beheshti Z, Arzani A, Haji Hosseini F, Saatsaz S, Bijani A. Stressors in Clinical Education of Nursing Students of Amol Nursing Midwifery Faculty. Journal of Babol University of Medical Sciences 2007; 9: 45-50. [In Persian].
7.         Hatlevik IK. Reflective skills and theoretical knowledge as key factors in bridging the gap between theory and practice in initial nursing education. J Adv Nurs 2012; 68(4): 868-77.
8.         Zayghami R, Saadatjoo A, Khorasani P, Afshani S, Ganjeiy S, Jafarian H, et al. Drafting a national document on reducing the breakdown of theory and practice in nursing in Iran. Journal of nursing education 2014; 3(2): 68-75. [In Persian].
9.         Khodayi A, Mansourian M, Ganje'i S, Asgari H. A study on the strategies for reducing the gaps between theoretical knowledge and clinical practice from the perspective of nursing students in Tabriz University of Medical Sciences. Research in medical education 2016; 8(2):  49-59. [In Persian].
10.       Razi M, Rajabpour M, Poursmaeil Z, Chamanzari H, Sharafi S. Evaluation of coordination of theoretical education with clinical education of nursing students from the perspective of the teachers of Mashhad Nursing and Midwifery Faculty. Quarterly journal of the Student Research Committee of Research Vice-Chancellor of Mashhad University of Medical Sciences 2016; 19: 33-40. [In Persian].
11.       Ellahi N, Alhani F, Ahmadi F. Professional participation: Explaining nurses' experience in facing the clinical distance between theoretical and clinical education. Nursing education 2014; 3(1): 21-31. [In Persian].
12.       Azimi N, Bagheri R, Mousavi P, Bakhshandeh Bavarsad M, Honarjoo M. (2016). Study of the problems of clinical education and providing solutions to improve its quality from the viewpoints of midwifery students. Journal of research in medical education 2016; 8(4): 43- 51. [In Persian].
13.       Majidi SA, Mehrabian F, Asgharnia M, Safarmohammadi H, Kazemnejad E. Effective factors on adaptation of theoretical education and practical nursing care. Research in medical education 2015; 7(2): 12-20.  [In Persian].
14.       Rolf G. Closing the theory-practice gap: A new paradigm for nursing. Butterworth-Heinemann:  Elsevier; 2002: 127.
15.       Khairulnissa Ajani S, Moez I. Gap between knowledge and practice in nursing. USA: Elsevier; 2011: 3927-31.
16.       Kerman Saravi F, Navidian A, Imani M. Understanding nursing students about the quality of clinical and theoretical education: a qualitative study. Journal of the Center for Research and Development of Medical Education in Yazd 2016; 7(4): 28-4. [In Persian].
17.       Corlett J. The perceptions of nurse teachers, student nurses and preceptors of the theory-practice gap in nurse education. Nurs Educ Today 2000; 20(6): 499-505
18.       Hosseini MA, Sepahvand MJ, Mohammadi Shahbolaghi F, Nisea F, Bagheri Noparest K. The gap between theory and practice in nursing: being or not. Nursing education 2016; 5(1): 23-9. [In Persian].
Future of Medical Education Journal
Volume 8, Issue 3
autumn
September 2018
Pages 42-46

Files

Share

How to cite

Statistics