Journal of Korean Critical Care Nursing (중환자간호학회지)

Korean Society of Critical Care Nursing (한국중환자간호학회)
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Assessing Needs for Practical Training in Intensive Care Unit to Enhance Nursing Education: A Focus Group Interview

  • Park, Sunah (Department of Nursing, Gangneung-Wonju National University) ;
  • Kim, Bokyoung (College of Nursing, Research Institute of Nursing Innovation, Kyungpook National University)
  • 박선아 (강릉원주대학교 간호학과) ;
  • 김보경 (경북대학교 간호대학.간호혁신연구소)
  • Received : 2024.05.07
  • Accepted : 2024.06.21
  • Published : 2024.06.30
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Abstract

Purpose : The demand for skilled critical care nurses and the significant impact of the practice-readiness gap underscore the need for educational programs bridging nursing education and clinical practice. This would ensure safe, high-quality patient care and a stable workforce. This study aimed to explore the educational needs of critical care nurses to develop an essential nursing education program for nursing students, addressing the practice-readiness gap they may encounter as new nurses. Methods : The study espoused a qualitative approach by utilizing focus group interviews conducted in South Korea in April and May 2022. A total of 11 nurses participated in the study. Data were collected from three focus groups, each consisting of three to four nurses from intensive care units. Focus group interviews were conducted using a semi-structured questionnaire. Content analysis was performed on the interview data using thematic analysis. Ethical approval for the study was obtained from the institutional review board. Results : Nursing education programs in intensive care units should prioritize fundamental nursing competencies such as basic nursing and physical examinations. Participants' critical care nursing education needs were categorized into four main themes: holistic nursing competency, advancement of practical education, skilled communication, and systematic critical care nursing education. Conclusion : The study's findings provide valuable insights and guidelines for developing critical and intensive care nursing education programs tailored for nursing students.

Keywords

Acknowledgement

This research was supported by the Basic Science Research Program through the National Research Foundation of Korea funded by the Ministry of Education (No. 2021 R1I1A3050731).

References

  1. Adam S, Osborne S, Welch J. Critical care nursing: Science and practice. 3rd ed. Oxford: Oxford University Press; 2017. p. 1-592. 
  2. Moore W, Palerino A, Pawloski K, Desmond M, Erickson B, Salkic-Mehkic M. The effects of clinical immersion on readiness for nursing practice. Journal of Nursing Education. 2023;62(1):47-50. https://doi.org/10.3928/01484834-20221109-08 
  3. Kim JH. A qualitative analysis of nursing practice readiness for new graduate nurses. Journal of Qualitative Research. 2020;21(2):105-12. https://doi.org/10.22284/qr.2020.21.2.105 
  4. Serafin L, Pawlak N, Strzaska-Klis Z, Bobrowska A, Czarkowska-Paczek B. Novice nurses' readiness to practice in an ICU: a qualitative study. Nursing in Critical Care. 2022;27(1):10-8. https://doi.org/10.1111/nicc.12603 
  5. Leong YMJ, Crossman J. New nurse transition: Success through aligning multiple identities. Journal of Health Organization and Management. 2015;29(7):1098-114. https://doi.org/10.1108/JHOM-02-2014-0038 
  6. DeGrande H, Liu F, Greene P, Stankus JA. The experiences of new graduate nurses hired and retained in adult intensive care units. Intensive and Critical Care Nursing. 2018;49:72-8. https://doi.org/10.1016/j.iccn.2018.08.005 
  7. Lee JH, Song Y. Predictive factors of turnover intention among intensive care unit nurses. Journal of Korean Clinical Nursing Research. 2018;24(3):347-55. https://doi.org/10.22650/JKCNR.2018.24.3.347 
  8. Huston CL, Phillips B, Jeffries P, Todero C, Rich J, Knecht P, et al. The academic-practice gap: Strategies for an enduring problem. Nursing Forum (Hillsdale). 2018;53(1):27-34. https://doi.org/10.1111/nuf.12216 
  9. Kim HO, Nam MH, Kim YN. Influence of nursing practice readiness and resilience on the nursing performance among new nurses. Journal of Korean Nursing Administration Academic Society. 2022;28(4):352-60. https://doi.org/10.11111/jkana.2022.28.4.352 
  10. Son YJ, Song HS, Won MH, Lim SH. Clinical experiences of undergraduate nursing students in adult intensive care unit using content analysis. Journal of Learner-Centered Curriculum and Instruction. 2017;17(16):353-70. https://doi.org/10.22251/jlcci.2017.17.16.353 
  11. Yi YH, Son YJ, Kang J, Kim BJ, Kim JY, Lee YM, et al. Critical care nursing courses in bachelor of science in nursing programs: Present and future directions. Journal of Korean Critical Care Nursing. 2017;10(3):1-8. 
  12. Jung SJ, Park JH. Development of a patient safety simulation program for new nurses in the intensive care unit. Journal of Korean Academy of Fundamentals of Nursing. 2024;31(1):100-11. https://doi.org/10.7739/jkafn.2024.31.1.100 
  13. Yoon CR. Development and effectiveness of virtual reality-based learning program for the new nurses caring mechanical ventilated patients [dissertation]. Ulsan: University of Ulsan; 2021. p. 1-61. 
  14. Choi YS. The development of web-based ventilator management education program. Journal of the Korea Academia-Industrial Cooperation Society. 2012;13(11):5284-91. https://doi.org/10.5762/KAIS.2012.13.11.5284 
  15. Ha YK, Koh CK. The effects of mechanical ventilation simulation on the clinical judgment and self-confidence of nursing students. Perspectives in Nursing Science. 2012;9(2):119-26. 
  16. Plummer-D'Amato P. Focus group methodology part 1: Considerations for design. International Journal of Therapy and Rehabilitation. 2008;15(2):69-73. https://doi.org/10.12968/ijtr.2008.15.2.28189 
  17. Krueger RA. Focus groups: A practical guide for applied research. 5th ed. California: Sage publications; 2014. p. 1-280. 
  18. Burrows D, Kendall S. Focus groups: what are they and how can they be used in nursing and health care research? Social Sciences in Health. 1997;3:244-53. 
  19. Jang SM, Hwang S, Jung Y, Jung E. Educational needs of severe trauma treatment simulation based on mixed reality: Applying focus group interviews to military hospital nurses. The Journal of Korean Academic Society of Nursing Education. 2021;27(4):423-35. https://doi.org/10.5977/jkasne.2021.27.4.423 
  20. Santana-Padilla YG, Bernat-Adell MD, Santana-Cabrera L. Nurses' perception on competency requirement and training demand for intensive care nurses. International Journal of Nursing Sciences. 2022;9(3):350-6. https://doi.org/10.1016/j.ijnss.2022.06.015 
  21. Stewart C. Understanding new nurses' learning experiences in intensive care. Intensive and Critical Care Nursing. 2021;67:103094. https://doi.org/10.1016/j.iccn.2021.103094. 
  22. Braun V, Clarke V. Using thematic analysis in psychology. Qualitative Research in Psychology. 2006;3(2):77-101. https://doi.org/10.1191/1478088706qp063oa 
  23. Lincoln YS, Guba EG. Naturalistic inquiry. California: Sage; 1985. p. 1-416. 
  24. Lakanmaa RL, Suominen T, Perttila J, Puukka P, Leino-Kilpi H. Competence requirements in intensive and critical care nursing-still in need of definition? A delphi study. Intensive and Critical Care Nursing. 2012;28(6):329-36. https://doi.org/10.1016/j.iccn.2012.03.002 
  25. Jakimowicz S, Perry L. A concept analysis of patient-centred nursing in the intensive care unit. Journal of Advanced Nursing. 2015;71(7):1499-517. https://doi.org/10.1111/jan.12644 
  26. Kim M. Effects of a comprehensive person-centered care education program for nursing students. Medicina. 2023;59(3):463. https://doi.org/10.3390/medicina59030463 
  27. Park M, Giap TTT, Jang I, Jeong M, Kim J. Listening to patients' voices: Applying the design-thinking method for teaching person-centered care to nursing students. Nursing Forum(Hillsdale). 2022;57(1):9-17. https://doi.org/10.1111/nuf.12641 
  28. Park M, Giap TTT, Kim E, Kim K, Ahn E, Yang N, et al. Nursing students' orientation toward patient-centered care: Testing the effects of empathy and psychological capital using a mediation model. Journal of Korean Academy of Nursing Administration. 2022;28(4):361-70. https://doi.org/10.11111/jkana.2022.28.4.361 
  29. Park JK, Kim JY, Byun MK, Jeong EH. Intensive care unit nurses' perception of patient centered nursing. Journal of Korean Society for the Scientific Study of Subjectivity. 2021;56:27-48. https://doi.org/10.18346/KSSSS.56.2 
  30. Lee Y, Kim Y. Influencing factors on performance of person-centered care among intensive care unit nurses: an ecological perspective. Korean Journal of Adult Nursing. 2021;33(5):522-31. https://doi.org/10.7475/kjan.2021.33.5.522 
  31. Youn H, Lee M, Jang SJ. Person-centred care among intensive care unit nurses: a cross-sectional study. Intensive and Critical Care Nursing. 2022;73:103293. https://doi.org/10.1016/j.iccn.2022.103293 
  32. Lee SJ, Kim YM, Oh EG. Korean undergraduate nursing education: current status and developmental strategies as perceived by nursing educators and nurses. Korean Journal of Adult Nursing. 2021;33(4):360-75. https://doi.org/10.7475/kjan.2021.33.4.360 
  33. Wolters Kluwer. Closing the education-practice readiness gap Netherlands [Internet]. Wolters Kluwer; 2021 [cited 2023 February 10]. Available from https://www.wolterskluwer.com/en/expert-insights/survey-nursing-readiness#form#gc 
  34. Kim HJ. Digital transformation of education brought by COVID-19 pandemic. Journal of the Korea Society of Computer and Information. 2021;26(6):183-93. https://doi.org/10.9708/jksci.2021.26.06.183 
  35. Leaver CA, Stanley JM, Goodwin Veenema T. Impact of the covid-19 pandemic on the future of nursing education. Academic Medicine. 2022;97(3):S82-9. https://doi.org/10.1097/ACM.0000000000004528 
  36. Kim KS, Kim JA, Ahn JW. Development and implementation of a self-directed critical care nursing elearning program. Perspectives in Nursing Science. 2012;9(1):51-60. 
  37. Shin HS. Nursing students' experience in PBL-based critical care nursing simulation practice. Journal of Korean Nursing Research. 2021;5(2):65-79. https://doi.org/10.34089/jknr.2021.5.2.65 
  38. Lee H, Han JW. Development and evaluation of a virtual reality mechanical ventilation education program for nursing students. BMC Medical Education. 2022;22:1-9. https://doi.org/10.1186/s12909-022-03834-5 
  39. Danielis M, Destrebecq ALL, Terzoni S, Palese A. Are intensive care units good places for nursing students' learning compared to other settings? Findings from an italian national study. Intensive and Critical Care Nursing. 2021;66:103074. https://doi.org/10.1016/j.iccn.2021.103074 
  40. Park YA, Kong EH, Park YJ. Head nurses' experiences in clinical practice education of nursing students: a qualitative research. Journal of Korean Academic Society of Nursing Education. 2018;24(4):337-46. https://doi.org/10.5977/jkasne.2018.24.4.337 
  41. Ministry of Health and Welfare. Introducing a clinical nurse professor system, reducing the number of patients per nurse, and improving the quality of nursing care with integrated delivery centers for home care [Internet]. Sejong city, Korea: Ministry of Health and Welfare; 2023 [cited 2024 March 30]. Available from https://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&page=1&CONT_SEQ=375967&SEARCHKEY=TITLE 
  42. Giri S, Sheilini M, D'Souza PJJ. Readiness to care and factors influencing readiness to care for patients in the intensive care units among novice nurses. Clinical Epidemiology and Global Health. 2022;18:101187. https://doi.org/10.1016/j.cegh.2022.101187 
  43. Hwang W, Ha J, Park D. A survey on situation-related communication educational needs for novice intensive care unit nurses. Journal of Korean Critical Care Nursing. 2024;17(1):17-29. https://doi.org/10.34250/jkccn.2024.17.1.17 
  44. Han S, Yoo J, Kang K. An integrative review of simulation programs for nursing students: Patient and caregiver-centered communication. Korean Journal of Stress Research. 2021;29(3):168-77. https://doi.org/10.17547/kjsr.2021.29.3.168 
  45. Han EK, Son HK. Effects of field-practice-based interprofessional education on the professional self-concept, self-efficacy for group work, and communication competence of nursing and dental hygiene students. Journal of Healthcare Simulation. 2023;7(2):59-67. https://doi.org/10.22910/KOSSH.2023.7.2.1 
  46. Noh YG, Lee I. Effect of stepwise communication education program using sbar among nursing students: Focusing on scenarios and nursing case-based role playing. Journal of Korean Academic Society of Nursing Education. 2018;24(2):115-26. https://doi.org/10.5977/jkasne.2018.24.2.115 
  47. Lewis R. Learning the 'smart' way. Results from a pilot study evaluating an interprofessional acute care study day. Nurse Education Today. 2011;31(1):88-93. https://doi.org/10.1016/j.nedt.2010.04.001 
  48. Medical Observer. The need for 'quasi-icus' between icus and general wards emerges [Internet]. Seoul: Medical Observer; 2018 [cited 2023 April 18]. Available from http://www.monews.co.kr/news/articleView.html?idxno=115553 
  49. OECD. Hospital beds and occupancy[Internet]. OECD; 2021 [cited 2023 April 30]. Available from https://www.oecd-ilibrary.org/sites/e5a80353-en/index.html?itemId=/content/component/e5a80353-en 
  50. Baudoin CD, McCauley AJ, Davis AH. New graduate nurses in the intensive care setting: preparing them for patient death. Critical Care Nursing Clinics of North America. 2022;34(1):91-101. https://doi.org/10.1016/j.cnc.2021.11.007