The mechanisms of student grit at the height of a major crisis : identifying key predictors when times get really tough
- Authors: Terry, Daniel , Peck, Blake , Biangone, Marianne
- Date: 2024
- Type: Text , Journal article
- Relation: Nursing Open Vol. 11, no. 1 (2024), p.
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- Description: Aim: The study aims to provide insights into the key predictors of grit both before, during and throughout a common crisis event, where other more individualised challenges may not provide these insights. Design: A repeated cross-sectional design. Methods: Data were collected via an anonymous questionnaire among n = 818 (20.8% response rate) nursing students who were undertaking a three-year baccalaureate degree. Data collection occurred in the mid-year break of 2019, 2020 and 2021. The online questionnaire, which examined student demographics, personality, locus of control-4, general self-efficacy, psychological capital and grit, took 15–25 min to complete. Data were prepared and analysed using Statistical Package for the Social Sciences to undertake Structural Equation Modelling. Reporting methods adhered to the STROBE guidelines. Results: The pathway models of grit prior to, at the time of, and after the global pandemic varied slightly as to their predictor variables, however, neuroticism was consistently present. Locus of control and psychological capital also varied over this period with hope having a positive impact, prior to and after the initial crisis, however, negatively impacted grit afterwards. Understanding the key drivers of grit, particularly those essential at or around the time of a crisis guides our understanding of how to better support nursing or healthcare students. These insights enable a greater focus of energies towards malleable attributes that can increase grit levels and better fortify nursing students for challenges they may encounter in practice. These insights also serve to further prepare healthcare, emergency, or other professionals who may encounter regular crises. Within months of a global pandemic occurring, the key predictors of grit were shown to fundamentally alter. Each pathway model varied slightly suggesting the timing of a crisis impacts students' capacity to manage new or novel situations, with hope as a key driver of grit throughout a crisis. © 2023 The Authors. Nursing Open published by John Wiley & Sons Ltd.
Changes in grit and psychological capital at the time of major crisis : nursing students' perseverance, resources, and resilience
- Authors: Terry, Daniel , Peck, Blake , Biangone, Marianne
- Date: 2023
- Type: Text , Journal article
- Relation: International Journal of Nursing Education Scholarship Vol. 20, no. 1 (2023), p.
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- Description: Objectives: To examine changes in grit and psychological capital among nursing students prior to, during the height of the pandemic, and more than 12 months after the initial pandemic announcement. Methods: A cross-sectional study design addressed the aim of the study. Nursing students undertaking a three-year baccalaureate degree between 2019 and 2021 were included. Results: Mean grit levels among the n=818 unique student participants were significantly lower in 2020 than in 2019 and 2021; however, no significant difference was detected for psychological capital over the same period. Conclusions: Although normative day-to-day challenges may aid grit development, a major event has a negative impact yet has a buffering effect of negative life events at the time of a crisis. The study further placates that psychological capital remains malleable and open to change at the time of a crisis and may be an essential mechanism to mediate grit and has the capacity to influence student performance over time. It remains essential to develop grit through the mediating elements of psychological capital to enable nursing student to undertake academic studies, particularly in the event of major challenges, such approaches may further enable students' endurance to withstand major crises as they enter the workforce. © 2023 Walter de Gruyter GmbH, Berlin/Boston.
Enhancing students' cultural competency in tertiary health education using internationalization at home : a literature review
- Authors: Huang, Wai , Terry, Daniel , Peck, Blake
- Date: 2023
- Type: Text , Journal article
- Relation: Journal of Nursing Education Vol. 62, no. 4 (2023), p. 199-206
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- Description: Background: Internationalization at home (IaH) is a novel concept that aims to integrate intercultural learning into an academic curriculum to promote global collaborative learning and support cross-cultural engagement without leaving home. However, little is known about the experience and perceptions of tertiary health education students who have engaged in IaH. This literature review examines how intercultural learning via IaH can enhance students' sense and capacity of cultural competency. Method: A systematic database search of all published studies between 2001 and 2021 was conducted. Results: A total of 113 studies were screened for eligibility, and nine studies were included in the analysis. Three subthemes emerged from the overarching theme of enhancing cultural competence. Conclusion: IaH provides an effective and safe learning environment for students to engage in cross-cultural interactions and broaden their multi-cultural views and understanding. © 2023 Slack Incorporated. All rights reserved.
Group-urotherapy for children with complex elimination disorder : an Australian study
- Authors: Peck, Blake , Terry, Daniel , Martin, Benita , Matthews, Belinda , Green, Andrea
- Date: 2022
- Type: Text , Journal article
- Relation: International Journal of Urological Nursing Vol. 16, no. 3 (2022), p. 211-217
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- Description: Elimination disorders are common in children and are associated with increased levels of psychological distress for both the child and their family. Despite successful treatments for elimination disorders, 30% of children do not respond to standard treatments to achieve continence. In these cases, a Urinary and Faecal Incontinence Training Program for Children and Adolescents (UFITPCA) has been established as an adjunct to existing therapy. The aim of the study is to explore the experiences of children who participated in the program. A qualitative design was employed with female children, aged 7–8 years, (n = 4) who participated in the UFITPCA program participated in a 60-min focus group interview. The parents of the children (n = 4) were also interviewed. Data was collected at the end of the 9-week program and analysed to identify themes that encompassed the experiences of the UFITPCA program and associated outcomes amongst both the children and their parents. Three central themes were emerged from the data, which included: Make it Stop, I'm not Alone, and Look at what I can do now. These findings were encapsulated by the desperation and frustration of children and parents prior to commencing the program; the widespread positive implications for the children's wellbeing from having engaged in a program with others just like them, and their sense of satisfaction of putting their newfound knowledge into practice. Both children and parents recognized a change in their child's overall sense of wellbeing and parents identified that their children felt more in control of symptoms and how they responded when symptoms arose. The children experienced an increase in their acceptance and self-efficacy of their symptoms. © 2022 The Authors. International Journal of Urological Nursing published by British Association of Urological Nurses and John Wiley & Sons Ltd.
Learning on the periphery : a modified Delphi study of a nursing student communities of practice model
- Authors: Terry, Daniel , Peck, Blake , Perkins, Alicia , Burgener, Wendy
- Date: 2022
- Type: Text , Journal article
- Relation: International Journal of Nursing Education Scholarship Vol. 19, no. 1 (2022), p.
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- Description: Objectives: To develop a contemporary student placement model to address current placement challenges, impact student learning, and alleviate supervisor burden. Methods: A modified Delphi technique was used to seek opinions, insights, and creative solutions. Results: A draft Communities of Practice placement model, based on a systematic literature review, was introduced to a heterogenous expert panel (n=12). A contemporary placement model was developed and refined via video conference and email over three rounds. Conclusions: Despite initial reluctance concerning a new model, participants became conversant with the concept of peer-to-peer learning, where incidental, albeit essential, learning and support occurs between students, which also supports supervising staff. Greater flexibly and student screening were also incorporated to enable greater learning, confidence building, and reflection. The model's success is contingent upon students working within their scope of practice and provides a contemporary approach to best responds to student, education provider, and health service needs. © 2022 Walter de Gruyter GmbH, Berlin/Boston.
Outcomes of a pilot evaluation of a group urotherapy programme for children with complex elimination disorders : an Australian experience
- Authors: Peck, Blake , Terry, Daniel , Martin, Benita , Matthews, Belinda , Green, Andrea
- Date: 2022
- Type: Text , Journal article
- Relation: Journal of Child Health Care Vol. 26, no. 3 (2022), p. 438-447
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- Description: Evidence-based interventions have continued to show positive effects on both reducing symptoms and helping children with elimination disorders achieve continence and manage troubling psychological distress. Despite this, there is a group of children who do not respond to standard treatments and are classified as having a complex elimination disorder. As a means of addressing the broader clinical challenge and implications of complex elimination disorders, a team of clinicians in Germany developed the Urinary and Faecal Incontinence Training Program for Children and Adolescents. A pilot investigation was undertaken to apply the Urinary and Faecal Incontinence Training Program for Children and Adolescents programme to children aged 6–12 years in an Australian context who met the complex elimination disorder diagnostic criteria, to determine if any subsequent change in the measures of life quality and general well-being was achieved. Findings suggest a reduction in the frequency of the child’s symptoms and improvements in family quality of life measures. Qualitatively, children and parents perceived that their child’s ability to now respond to stimuli and in so doing avert severe accidents was a major outcome of the programme and was able to increase a child’s sense of acceptance of incontinence, improve levels of self-efficacy and increase self-awareness. © The Author(s) 2021.
Nurses’ experience of caring for patients with delirium: Systematic review and qualitative evidence synthesis
- Authors: Thomas, Nissy , Coleman, Mardhie , Terry, Daniel
- Date: 2021
- Type: Text , Journal article
- Relation: Nursing Reports Vol. 11, no. 1 (2021), p. 164-174
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- Description: Delirium is an acute deterioration in attention, conscious state, perception, and cognition of a person. While nurses possess the theoretical understanding of the condition, they lack insight into its early recognition and management. This systematic review aims to understand what factors influence nurses as they care for patients with delirium, and to identify best practices to improve overall clinical care. The Qualitative Evidence Synthesis (QES), as a strategy process to identify gaps in research, formulate new models or strategies for care, underpinned the review. In addition to specific inclusion and exclusion criteria, a methodological assessment, data were analysed using QES, as informed by the Joanna Briggs Institute Review process. Ten studies were identified and synthesised to generate four key themes. The themes included (1) nurse's knowledge deficit (2) increased workload and stress (3) safety concerns among nurse when caring for patients with delirium and (4) strategies used when caring for patients with delirium. Overall, the review has highlighted the need for increased delirium education and coping strategies among nurses to effectively care for patients with delirium. This may be augmented through regular education sessions to provide nurses with the confidence and competence to care for the acutely confused person.
Self-efficacy, grit and perceptions of rural employment : what changes occur after graduation?
- Authors: Terry, Daniel , Peck, Blake , Baker, Ed
- Date: 2021
- Type: Text , Journal article
- Relation: Online journal of rural nursing and health care Vol. 21, no. 2 (2021), p. 44-68
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- Description: Purpose: General self-efficacy, occupational self-efficacy, and grit have a correlation with academic and practical success amongst nursing students. The role of these same characteristics during the first 18-24 months following the transition from student to nurse is poorly understood. In addition, when a nursing graduate begins to consider a career in a rural area is also remains unclear. This study sought to understand the change, if any, in general self-efficacy, occupational self-efficacy, grit, and rural employment importance that occurred during this transition period. Sample: Nurses after graduating from a three-year Bachelor of Nursing degree (n=28). Method: A follow-up study of a larger longitudinal mixed-methods cohort design used a survey to examine general self-efficacy, occupational self-efficacy, grit, and rural employment importance among novice nurses. Participants had agreed when completing the initial study as students to participate in a follow-up study 18-24-months after graduating. Findings: Occupational self-efficacy increased as the cohort transitioned from student to professional nurse, while grit was remarkably lower between final year students and novice nurses. No change in earlier measures of general self-efficacy or importance placed on rural careers were detected. Conclusions: Following graduation, new clinicians are focused on building professional identity and the development of foundational skills for practice. Clinical agencies have an opportunity to shift the balance between autonomy and support in order to harness these key characteristics in an effort to improve the longevity and progression of nursing graduates within the nursing profession.