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Skyvell Nilsson, MariaORCID iD iconorcid.org/0000-0003-0084-4636
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Berndtsson, P., Skyvell Nilsson, M., Brink, E. & Berghammer, M. (2024). Commitment and efforts to maintain mentoring: Nurse managers' perceptions of structuring mentoring provision for new nurses in a hospital setting.. Journal of Clinical Nursing, 33(9), 3700-3710
Åpne denne publikasjonen i ny fane eller vindu >>Commitment and efforts to maintain mentoring: Nurse managers' perceptions of structuring mentoring provision for new nurses in a hospital setting.
2024 (engelsk)Inngår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 33, nr 9, s. 3700-3710Artikkel i tidsskrift (Fagfellevurdert) Epub ahead of print
Abstract [en]

AIM: The aim of the present study was to describe nurse managers' perceptions of the provision of mentoring for newly graduated registered nurses (NGRNs) and its contribution to the work environment in a hospital setting.

BACKGROUND: Nurse managers are responsible for the work environment and for supporting the staff's professional development, which includes giving NGRNs organizational support during their introduction to the workplace. Mentorship is one common way to provide support, but there is a lack of knowledge about how nurse managers view this support.

DESIGN/METHOD: This was a qualitative descriptive study, using a semi-structured interview guide. Fifteen individual interviews with nurse managers were performed in hospital settings. The interview transcripts were analysed using qualitative content analysis. The COREQ guidelines and checklist were used.

RESULTS: The results describe the nurse managers' perceptions of the provision of mentoring in three themes: Ensuring and sustaining mentoring for new nurses' needs is a struggle in the harsh reality of healthcare, Identifying mentors who are willing and possess the necessary competence for the assignment and Promoting a secure and attractive workplace by mentoring new nurses.

CONCLUSIONS: Our study confirms that nurse managers are important in the provision of mentoring for NGRNs' learning and professional development. Mentoring has a positive spillover effect on the entire unit as a sustainable approach to securing and improving the work environment. Our study also identifies challenges for nurse managers to structure mentoring provision.

IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: This study highlights the importance of investment in mentoring for the NGRNs' professional development and for patient care. Support is needed from the top level of the organization, but how mentoring should be structured and facilitated needs to be investigated further.

Emneord
interviews, mentoring, newly graduated registered nurses, nurse managers
HSV kategori
Forskningsprogram
VÅRD- OCH HÄLSOVETENSKAP, Vårdvetenskap
Identifikatorer
urn:nbn:se:hv:diva-21685 (URN)10.1111/jocn.17219 (DOI)001230912600001 ()38797932 (PubMedID)2-s2.0-85194567565 (Scopus ID)
Merknad

CC-BY 4.0

Tilgjengelig fra: 2025-01-16 Laget: 2025-01-16 Sist oppdatert: 2025-01-16
Larsman, P., Pousette, A., Skyvell Nilsson, M., Gadolin, C. & Törner, M. (2024). Ethical value conflicts in healthcare and their effects on nurses’ health, turnover intent, team effectiveness, and patient safety: a longitudinal questionnaire study. Scandinavian Journal of Work, Environment and Health, 50(2), 113--121
Åpne denne publikasjonen i ny fane eller vindu >>Ethical value conflicts in healthcare and their effects on nurses’ health, turnover intent, team effectiveness, and patient safety: a longitudinal questionnaire study
Vise andre…
2024 (engelsk)Inngår i: Scandinavian Journal of Work, Environment and Health, ISSN 0355-3140, E-ISSN 1795-990X, Vol. 50, nr 2, s. 113--121Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Objective: Moral distress emanating from value conflicts comprising ethical dimensions pose a threat to nurses’ health and retention, as well as to the quality of care. The aim of the present study was to investigate the relationships between the frequency of ethical value conflicts (EVC), and the perceived distress when they occur, respectively, and nurses’ work-related stress, burnout symptoms, turnover intent, team effectiveness, and patient safety.

Method: A two-wave longitudinal cohort questionnaire study was performed among registered nurses at six hospitals in two Swedish regions. Cross-sectional analyses (T1) were based on 1817 nurses in 228 care units (CU), and longitudinal analyses (T1 – T2) on 965 nurses in 190 CU. Hypothesis testing was performed using multilevel controlled regression modeling.

Result: The results indicated that nurses who were often exposed to EVC also to a higher extent tended to report these conflicts as stressful. Frequent exposure to EVC induced by insufficient resources, inapt organizational structures or interpersonal staff relations were cross-sectionally associated with work-related stress, burnout symptoms, turnover intent, and team effectiveness. The longitudinal analyses indicated that EVC induced by a lack of resources primarily had negative effects on nurses’ health and well-being. At the CU level, such conflicts also impaired team effectiveness. At the individual level, EVC induced by organizational constraints or interpersonal relations negatively affected care effectiveness.

Conclusions: EVC are related to negative consequences in healthcare, and such processes take place both on the individual and organizational levels.</p>

sted, utgiver, år, opplag, sider
Nordic Association of Occupational Safety and Health (NOROSH), 2024
Emneord
ethical dilemma; ethical value conflict; healthcare; longitudinal questionnaire; moral distress; nurse; nurses’ health; nurses’ well-being; nursing; patient safety; quality of care; team effectiveness; turnover
HSV kategori
Forskningsprogram
VÅRD- OCH HÄLSOVETENSKAP, Vårdvetenskap
Identifikatorer
urn:nbn:se:hv:diva-21216 (URN)10.5271/sjweh.4138 (DOI)001165233500001 ()38232184 (PubMedID)2-s2.0-85186566663 (Scopus ID)
Merknad

CC-BY 4.0

Tilgjengelig fra: 2024-03-04 Laget: 2024-03-04 Sist oppdatert: 2024-04-29
Rudman, A., Frögéli, E. & Skyvell Nilsson, M. (2024). Gaining acceptance, insight and ability to act: A process evaluation of a preventive stress intervention as part of a transition-to-practice programme for newly graduated nurses. Journal of Advanced Nursing, 80(2), 597-611
Åpne denne publikasjonen i ny fane eller vindu >>Gaining acceptance, insight and ability to act: A process evaluation of a preventive stress intervention as part of a transition-to-practice programme for newly graduated nurses
2024 (engelsk)Inngår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 80, nr 2, s. 597-611Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Aim:

To investigate how NGNs perceived and applied an intervention for preventing stress-related ill health embedded in a transition-to-practice programme when enter-ing their professional life.

Design:

A qualitative exploratory descriptive design was selected for this study to gain insights and perspectives on the adoption and utilization of the intervention.

Methods:

In this qualitative methodology process evaluation, semi-structured and audio-recorded interviews were conducted with a sample of 49 nurses. Data were collected between December 2016 and July 2017, and were sorted in NVivo 12 Plus, followed by thematic analysis.

Results:

The analysis resulted in three change processes stimulated by the intervention: (a) Building acceptance of being new; (b) Gaining insight into professional devel-opment and health and (c) Practical steps for skills development, healthy habits and better-organized work. In addition to the three themes, barriers that hindered the progression of the processes were also described. Each process influenced the development of the others by stimulating a deeper understanding, motivation to change and courage to act. Several barriers were identified, including the use of cognitively demanding intervention tools, fatigue, high work demands, inconvenient work hours and a hostile social climate on the ward.

Conclusion:

This process evaluation showed that newly graduated nurses used knowledge from the intervention and adopted new behaviours largely in accordance with how the intervention was intended to work.

Impact:

When entering a new profession, it is crucial to receive a well-thought-out, structured and targeted introduction to the new professional role, tasks and work group. Nurses stated that the intervention increased their understanding of the role as new nurses and their insight into how to develop skills that promoted better functioning and recovery. The intervention also stimulated the development of new health behaviour and some new learning strategies.

Emneord
intervention, interviews, introduction, nurses, onboarding, prevention, proactive behaviour, process evaluation, recovery, stress
HSV kategori
Forskningsprogram
VÅRD- OCH HÄLSOVETENSKAP, Vårdvetenskap
Identifikatorer
urn:nbn:se:hv:diva-20713 (URN)10.1111/jan.15820 (DOI)001044146500001 ()37550853 (PubMedID)2-s2.0-85167362290 (Scopus ID)
Forskningsfinansiär
AFA Insurance, 14007
Merknad

CC BY 4.0

Tilgjengelig fra: 2023-12-29 Laget: 2023-12-29 Sist oppdatert: 2024-05-29
Rejnö, Å. (2024). Inblick i vården i Namibia.
Åpne denne publikasjonen i ny fane eller vindu >>Inblick i vården i Namibia
2024 (svensk)Annet (Annet (populærvitenskap, debatt, mm))
Abstract [sv]

”Vi har skapat oss en inblick i sjukvården i Namibia och då med fokus på vård av de svårast sjuka samt de med palliativa vårdbehov.”

Här kan du ta del av vad två forskare var med om på sitt studiebesök.

Under vecka 12 var delar av forskningsmiljön Lärande och Vårdande för hållbar hälsa (LOVHH) på Högskolan Väst på besök i Namibia för att utreda möjligheter till forskningssamarbete med University of Namibia (UNAM). Vi passade också på att skapa oss en inblick i sjukvården och då med fokus på vård av de svårast sjuka samt de med palliativa vårdbehov. Vi besökte dels Katutura State hospital, ett av två allmänna sjukhus i huvudstaden Windhoek och dess enda remissjukhus. Katutura State hospital ligger i en ”black township” och är det sjukhus i Namibia som med sina upp mot 200 besök per dag på akutmottagningen tar emot flest patienter. Sjukhuset har cirka 750 sängplatser och är därmed lite mindre än det andra allmänna sjukhuset.

Vi besökte dels den medicinska intensivvårdsavdelningen som nyligen renoverats och gått från en akutvårdsavdelning till att bli intensivvård. Enheten har åtta vårdplatser och är utrustad med den senaste medicinska utrustningen. Avdelningen var välbemannad med en sjuksköterska per patient och vid vårt besök, två läkare på plats dagtid.

Vi besökte också strokeenheten som hade fem vårdplatser där också patienter med andra neurologiska tillstånd vårdades som personer med Guillan Barré syndrom, Alzheimerdemens och Myastenia Gravis. Det fanns tillgång till avancerad behandling i form av reperfusion, både i form av trombolys – medicinsk propplösande behandling och trombektomi – kirurgisk avlägsnande av propp. Grunderna i strokeenhetsvård i form av multidisciplinärt samarbete och intensiv rehabilitering saknades däremot. Personalen beskrev själva att deras största utmaningar var att de som drabbades av stroke inte sökte vård i tid för att kunna få reperfusionsbehandling och att andelen som aspirerade (sväljer fel och får mat/saliv i luftstrupen/lungorna) och fick lunginflammation var hög.

Vi besökte också ett Cancercentrum, ett initiativ från Rolf Hansen som startat Cancer Association of Namibia. Syftet är att förbättra cancervården för personer som diagnosticerats med cancer med fokus på de i yngre åldrar. Initiativet omfattar dels en enhet för öppenvårdsbesök, utbildning av läkare i samarbete med ett sjukhus i Sydafrika där organisationen står för läkarens kostnader samt från och med april 2024 en inneliggande vårdenhet. Utöver det har Rolf varit med att starta upp ett nationellt cancerregister för att kunna följa utvecklingen av vården.

Organisationen arbetar också med uppsökande verksamhet i hela landet i form av bröstundersökningar för kvinnor där organisationen utbildat sjuksköterskor i manuell palpation, provtagning för livmoderhalscancer och PSA för att hitta prostatacancer.

Serie
Västpunkt; Hälsa och vetenskap
Emneord
Namibia, sjukvård
HSV kategori
Forskningsprogram
VÅRD- OCH HÄLSOVETENSKAP, Vårdvetenskap
Identifikatorer
urn:nbn:se:hv:diva-22924 (URN)
Merknad

Här kan du läsa mer om Rolf Hansens arbete; https://oncodaily.com/societies/3689

Tilgjengelig fra: 2025-01-20 Laget: 2025-01-20 Sist oppdatert: 2025-01-22bibliografisk kontrollert
Eklund, A. & Skyvell Nilsson, M. (2024). Program coordinators’ perspectives on implementing a transition program for newly graduated nurses: a qualitative interview study. Journal of Health Organization & Management, 38(9), 143-156
Åpne denne publikasjonen i ny fane eller vindu >>Program coordinators’ perspectives on implementing a transition program for newly graduated nurses: a qualitative interview study
2024 (engelsk)Inngår i: Journal of Health Organization & Management, ISSN 1477-7266, E-ISSN 1758-7247, Vol. 38, nr 9, s. 143-156Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Purpose

While transition programs are widely used to facilitate newly graduated nurses transition to healthcare settings, knowledge about preconditions for implementing such programs in the hospital context is scarce. The purpose of this study was to explore program coordinators’ perspectives on implementing a transition program for newly graduated nurses.

Design/methodology/approach 

An explorative qualitative study using individual interviews. Total of 11 program coordinators at five acute care hospital administrations in a south-west region in Sweden. Data was subjected to thematic analysis, using NVivo software to promote coding.

Findings

The following two themes were identified from the analysis: Create a shared responsibility for introducing newly graduated nurses, and establish legitimacy of the program. The implementation process was found to be a matter of both educational content and anchoring work in the hospital organization. To clarify the what and why of implementing a transition program, where the nurses learning processes are prioritized, was foundational prerequisites for successful implementation.

Originality/value 

This paper illustrates that implementing transition programs in contemporary hospital care context is a valuable but complex process that involves conflicting priorities. A program that is well integrated in the organization, in which responsibilities between different levels and roles in the hospital organization, aims and expectations on the program are clarified, is important to achieve the intentions of effective transition to practice. Joint actions need to be taken by healthcare policymakers, hospitals and ward managers, and educational institutions to support the implementation of transition programs as a long-term strategy for nurses entering hospital care.

Emneord
Implementation, Healthcare organization, Newly graduated nurse, Transition program
HSV kategori
Forskningsprogram
VÅRD- OCH HÄLSOVETENSKAP, Vårdvetenskap
Identifikatorer
urn:nbn:se:hv:diva-21466 (URN)10.1108/jhom-01-2023-0018 (DOI)001198091700001 ()38584370 (PubMedID)2-s2.0-85189979980 (Scopus ID)
Merknad

CC-BY 4.0

Tilgjengelig fra: 2024-04-10 Laget: 2024-04-10 Sist oppdatert: 2024-05-17
Björk, M., Eklund, A., Skyvell Nilsson, M. & Nyman, V. (2024). The collaborative and professional boundary challenges from a bottom-up perspective: an insider action research study on a hospital ward. Journal of Health Organization & Management, 38(9), 389-406
Åpne denne publikasjonen i ny fane eller vindu >>The collaborative and professional boundary challenges from a bottom-up perspective: an insider action research study on a hospital ward
2024 (engelsk)Inngår i: Journal of Health Organization & Management, ISSN 1477-7266, E-ISSN 1758-7247, Vol. 38, nr 9, s. 389-406Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Purpose – The aim of this study was to identify and describe the collaborative and professional boundary challenges at a hospital ward from a bottom-up perspective.

Design/methodology/approach – The study was conducted as a bottom-up improvement project at a hospital ward in western Sweden. An insider action research (IAR) approach was used during the project. The theoretical framework for this project was based on the Cultural-Historical Activity Theory (CHAT). Data were collected between 2019 and 2021.

Findings – The findings showed that unclear professional boundaries and limited resources challenged and hindered interprofessional collaboration. The project group had to reorganize its daily work to adjust to the different disciplines’ legal responsibilities in relation to the patients’ recovery process. To safely discharge patients, the professionals needed to talk about each other’s professional responsibilities, professional boundaries and ethical codes.

Originality/value – The IAR project revealed that revising the daily team-round routine improved the status of assistant nurses and encouraged physicians to consider input from all professions during the patients’ recovery process. However, the new approach faced resistance from clinic leadership, who believed it could prolong patients’ stays in the ward. The findings underscore the challenges of modifying hierarchical structures and social orders within hospital settings.

Emneord
Interprofessional collaboration, Hospitalresources, Insider action research, Professional boundaries, Professional responsibility
HSV kategori
Forskningsprogram
Arbetsintegrerat lärande; VÅRD- OCH HÄLSOVETENSKAP, Vårdvetenskap
Identifikatorer
urn:nbn:se:hv:diva-22793 (URN)10.1108/jhom-03-2023-0093 (DOI)001367760600001 ()2-s2.0-85211156404 (Scopus ID)
Merknad

CC BY 4.0

Tilgjengelig fra: 2024-12-20 Laget: 2024-12-20 Sist oppdatert: 2024-12-27
Eklund, A., Sterner, A., Skyvell Nilsson, M. & Larsman, P. (2024). The impact of transition programs on well-being, experiences of work environment and turnover intentionamong early career hospital nurses.. Work: A journal of Prevention, Assessment and rehabilitation, 1-10
Åpne denne publikasjonen i ny fane eller vindu >>The impact of transition programs on well-being, experiences of work environment and turnover intentionamong early career hospital nurses.
2024 (engelsk)Inngår i: Work: A journal of Prevention, Assessment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, s. 1-10Artikkel i tidsskrift (Fagfellevurdert) Epub ahead of print
Abstract [en]

BACKGROUND: Transition programs for newly graduated nurses in hospital settings are reported to provide learning opportunities, strengthening confidence, workplace integration and skills, retention and job satisfaction. Still, our knowledge of long-term effects is scarce and few studies have used control groups.

OBJECTIVE: To explore the long-term impact of having attended a transition program on the nurses' experiences of the first years of practice. More specifically, ideology-infused psychological contract, ethical stress, perceived organizational support, job satisfaction, opportunities for learning, and intention to stay in the nursing profession, were explored as outcome variables.

METHODS: A questionnaire survey was carried out among registered nurses from November 2019 to January 2020, with a 54% response rate. The analysis was based on 149 nurses who had attended a transition program, and 72 who had not attended. The nurses had seniority between one and three years. Independent samples t-test were used to investigate differences between the groups.

RESULTS: The two groups showed small and non-significant differences in the outcome variables. However, regarding the frequency of ethical value conflicts induced by insufficient resources, as well as experiences of ethical value conflict distress, the group of nurses who had attended a transition program showed statistically significantly higher mean values, although the effect sizes were small.

CONCLUSION: Newly graduated nurses need more than transition programs and skills training to progress in their nursing role and develop competence, increase job satisfaction, and reduce stress. Achieving these goals requires a long-term supportive learning environment that is integrated into everyday work.

sted, utgiver, år, opplag, sider
IOS Press, 2024
Emneord
New graduated nurses, hospital work environment, job satisfaction, moral distress, transition, turnover, well-being
HSV kategori
Forskningsprogram
Arbetsintegrerat lärande; VÅRD- OCH HÄLSOVETENSKAP, Vårdvetenskap
Identifikatorer
urn:nbn:se:hv:diva-21392 (URN)10.3233/WOR-230537 (DOI)38457173 (PubMedID)
Tilgjengelig fra: 2025-01-17 Laget: 2025-01-17 Sist oppdatert: 2025-01-17bibliografisk kontrollert
Skyvell Nilsson, M., Gadolin, C., Larsman, P., Pousette, A. & Törner, M. (2024). The role of perceived organizational support for nurses' ability to handle and resolve ethical value conflicts: A mixed methods study. Journal of Advanced Nursing, 80(2), 765-776
Åpne denne publikasjonen i ny fane eller vindu >>The role of perceived organizational support for nurses' ability to handle and resolve ethical value conflicts: A mixed methods study
Vise andre…
2024 (engelsk)Inngår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 80, nr 2, s. 765-776Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Aim: To explore if and how nurses' perceived organizational support affects their ability to handle and resolve ethical value conflicts.

Design: A mixed methods design with a longitudinal questionnaire survey and focus group interviews.

Methods: A questionnaire survey in six hospitals in two Swedish regions provided data from 711 nurses responding twice (November–January 2019/2020 and November–January 2020/2021). A cross-lagged path model tested the mutual prospective influence between the organizational climate of perceived organizational support, frequency of ethical value conflicts, and resulting moral distress. Four focus group interviews were conducted with 21 strategically selected nurses (April–October 2021). Qualitative data collection and analysis were inspired by Grounded Theory.

Results: A climate of perceived organizational support was empowering, contributing to role security. It prospectively decreased the frequency of ethical value conflicts but not the moral distress when conflicts did occur.

Conclusion: It is important to facilitate the development of perceived organizational support among nurses, but also to reduce the occurrence of ethical value conflicts that the nurses cannot resolve.

Implications for the Profession: By ensuring a shared care ideology, good interprofessional relations within the entire care organization, providing clear and supportive organizational structures, and utilizing competence adequately, healthcare managers can facilitate and support the development of perceived organizational support among nurses. Nurses who are empowered by perceived organizational support are stimulated by and take pride in their work and experience the work as meaningful and joyful.

Impact: The study addressed the question of whether healthcare organizations could support nurses to resolving ethical value conflicts, and thus reduce moral distress. Perceived organizational support is related to factors such as ideological caring alignment and supportive organizational preconditions. This study contributes specific knowledge about how healthcare organizations can empower nurses to effectively resolve ethical value conflicts and thereby reduce their moral distress.

Patient or Public Contribution: No patient or public contribution.

Emneord
focus group interviews, moral distress, nurse turnover, nursing, longitudinal survey, organizational healthcare development, healthcare quality
HSV kategori
Forskningsprogram
VÅRD- OCH HÄLSOVETENSKAP, Vårdvetenskap
Identifikatorer
urn:nbn:se:hv:diva-20826 (URN)10.1111/jan.15889 (DOI)001075305100001 ()37775477 (PubMedID)2-s2.0-85173463860 (Scopus ID)
Forskningsfinansiär
AFA Insurance, 180085
Merknad

CC BY 4.0

Tilgjengelig fra: 2023-10-05 Laget: 2023-10-05 Sist oppdatert: 2024-01-12bibliografisk kontrollert
Andersson, A., Brink, E., Yang Hansen, K. & Skyvell Nilsson, M. (2023). Development and validation of experienced work-integrated learning instrument (E-WIL) using a sample of newly graduated registered nurses: A confirmatory factor analysis. Nurse Education Today, 128, 1-9, Article ID 105889.
Åpne denne publikasjonen i ny fane eller vindu >>Development and validation of experienced work-integrated learning instrument (E-WIL) using a sample of newly graduated registered nurses: A confirmatory factor analysis
2023 (engelsk)Inngår i: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 128, s. 1-9, artikkel-id 105889Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

INTRODUCTION: Research indicates that newly graduated registered nurses struggle to develop practical skills and clinical understanding and to adapt to their professional role. To ensure quality of care and support new nurses, it is vital that this learning is elucidated and evaluated. Aim The aim was to develop and evaluate the psychometric properties of an instrument assessing work-integrated learning for newly graduated registered nurses, the Experienced Work-Integrated Learning (E-WIL) instrument.

METHOD: The study utilized the methodology of a survey and a cross-sectional research design. The sample consisted of newly graduated registered nurses (n = 221) working at hospitals in western Sweden. The E-WIL instrument was validated using confirmatory factor analysis (CFA).

RESULTS: The majority of the study participants were female, the average age was 28 years, and participants had an average of five months' experience in the profession. The results confirmed the construct validity of the global latent variable E-WIL, "Transforming previous notions and new contextual knowledge into practical meaning," including six dimensions representing work-integrated learning. The factor loadings between the final 29 indicators and the six factors ranged from 0.30 to 0.89, and between the latent factor and the six factors from 0.64 to 0.79. The indices of fit indicated satisfactory goodness-of-fit and good reliability in five dimensions with values ranging from α = 0.70 to 0.81, except for one dimension showing a slightly lower reliability, α = 0.63, due to the low item number. Confirmatory factor analysis also confirmed two second-order latent variables, "Personal mastering of professional roles" with 18 indicators, and "Adapting to organisational requirements" with 11 indicators. Both showed satisfactory goodness-of-fit, and factor loading between indicators and the latent variables ranged from 0.44 to 0.90 and from 0.37 to 0.81, respectively.

CONCLUSION: The validity of the E-WIL instrument was confirmed. All three latent variables could be measured in their entirety, and all dimensions could be used separately for the assessment of work-integrated learning. The E-WIL instrument could be useful for healthcare organisations when the goal is to assess aspects of newly graduated registered nurses' learning and professional development.

Emneord
Confirmatory factor analysis, assessment instrument, newly graduated nurses, nursing, professional development, registered nurses, transition, work-integrated learning, workplace learning, WIL
HSV kategori
Forskningsprogram
VÅRD- OCH HÄLSOVETENSKAP, Vårdvetenskap; Arbetsintegrerat lärande
Identifikatorer
urn:nbn:se:hv:diva-20305 (URN)10.1016/j.nedt.2023.105889 (DOI)001060765700001 ()37364414 (PubMedID)2-s2.0-85163013113 (Scopus ID)
Merknad

CC-BY 4.0

Tilgjengelig fra: 2023-07-04 Laget: 2023-07-04 Sist oppdatert: 2024-11-28
Koskinen, M., Hilli, Y., Keskitalo, T., Talvik, M., Sandvik, A.-H., Thorkildsen, K. M., . . . Šteinmiller, J. (2023). Ethical dilemmas faced by healthcare teachers during the COVID-19 pandemic. Nursing Ethics
Åpne denne publikasjonen i ny fane eller vindu >>Ethical dilemmas faced by healthcare teachers during the COVID-19 pandemic
Vise andre…
2023 (engelsk)Inngår i: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989Artikkel i tidsskrift (Fagfellevurdert) Epub ahead of print
Abstract [en]

Background: Previous studies have shown that the rapid transition to emergency remote teaching due to the COVID-19 pandemic was challenging for healthcare teachers in many ways. This sudden change made them face ethical dilemmas that challenged their values and ethical competence. Research aim: This study aimed to explore and gain a deeper understanding of the ethical dilemmas healthcare teachers faced during the COVID-19 pandemic. Research design: This was an inductive qualitative study using a hermeneutic approach. Semi-structured interviews were conducted and analysed thematically. Participants and research context: Healthcare teachers (n = 20) from eight universities and universities of applied sciences in the Nordic and Baltic countries participated. Ethical considerations: This study was based on the research ethics of the Norwegian National Research Ethics Committee for Medicine and Health Sciences and approved by the Norwegian Agency for Shared Services in Education and Research. Findings: Healthcare teachers faced several ethical dilemmas due to restrictions during the COVID-19 pandemic. The analysis revealed three main themes: How should I deal with students’ ill-being, and what can I as a teacher do?; What can I demand from myself and my students, what is good teaching?; How do I manage the heavy workload and everyone’s needs, and who gets my time? Conclusions: This study highlights the importance of healthcare teachers’ continuous need for pedagogic and didactic education, especially considering new technology and ethical issues. During the pandemic, the ethical consequences of remote teaching became evident. Ethical values and ethical dilemmas should be addressed in healthcare education programmes at different levels, especially in teacher education programmes. In the coming years, remote teaching will grow. Therefore, we need more research on this issue from an ethical perspective on its possible  © The Author(s) 2023.

sted, utgiver, år, opplag, sider
Sage Publications, 2023
Emneord
Caring science, COVID-19, ethical dilemma, healthcare teacher, hermeneutics, thematic analysis
HSV kategori
Forskningsprogram
VÅRD- OCH HÄLSOVETENSKAP, Vårdvetenskap
Identifikatorer
urn:nbn:se:hv:diva-21186 (URN)10.1177/09697330231215957 (DOI)001107764100001 ()37997900 (PubMedID)2-s2.0-85178350620 (Scopus ID)
Merknad

CC BY 4.0

Tilgjengelig fra: 2024-01-19 Laget: 2024-01-19 Sist oppdatert: 2024-01-19bibliografisk kontrollert
Organisasjoner
Identifikatorer
ORCID-id: ORCID iD iconorcid.org/0000-0003-0084-4636