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      Attitudes toward Community - based training and internship of Nursing students and professors: a qualitative study Translated title: Atitudes à formação e estágio comunitário de estudantes e professores de Enfermagem: um estudo qualitativo Translated title: Actitudes hacia la formación y pasantía comunitaria de estudiantes y profesores de Enfermería: un estudio cualitativo

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          Abstract

          Abstract Objective. To explore the attitudes of nursing students and professors towards community-based training and internship in Fasa, Fars, Iran. Methods. This qualitative study was conducted using the content analysis approach. Data from students and professors were collected through five focal groups and data from patients was collected by using field notes. Interviews were conducted with 17 students and three professors responsible for implementing the study plan; in addition, 800 patient-related field notes were analyzed. Results . Community-based training and internship were identified as useful from the point of view of students, professors, and clients. Results were classified into two principal categories: "health preservation and promotion" and "promotion of students’ skills". Conclusion. Attitudes toward the formation and community internship are favorable insofar as it is a highly beneficial experience for students, professors, and patients.

          Translated abstract

          Resumo Objetivo. Explorar as atitudes dos estudantes e professores de Enfermagem à formação e estágios comunitários em Fasa, Fars, Irão. Métodos. Estudo realizado com enfoque qualitativo fenomenológico. Os dados dos estudantes e professores foram recolhidos através de cinco grupos focais e os dados dos pacientes se recolheram utilizando notas de campo. Se entrevistaram a 17 estudantes e três professores responsáveis de implementar o plano de estudos e se analisaram 800 notas de campo relacionadas com pacientes. Resultados. A capacitação e práticas na comunidade se identificaram como úteis durante um ano desde o ponto de vista dos estudantes, professores e clientes. Os resultados se classificaram em duas categorias principais: "preservação e promoção da saúde" e "promoção das habilidades dos estudantes". Conclusão. As atitudes à formação e o estágio na comunidade são favoráveis à ser uma experiência altamente benéfica para os estudantes, os professores e os pacientes.

          Translated abstract

          Resumen Objetivo. Explorar las actitudes de los estudiantes y profesores de Enfermería hacia la formación y pasantías comunitarias en Fasa, Fars, Iran. Métodos. Estudio realizado en Fasa (Irán) con enfoque cualitativo fenomenológico. Los datos de los estudiantes y profesores se recogieron a partir de cinco grupos focales, los datos de los pacientes y con notas de campo. Se entrevistaron a 17 estudiantes y a tres profesores responsables de implementar el plan de estudios y se analizaron 800 notas de campo relacionadas con pacientes. Resultados. La capacitación y prácticas en la comunidad se identificaron como útiles desde el punto de vista de los estudiantes, profesores y pacientes. Los resultados se clasificaron en dos categorías principales: "preservación y promoción de la salud" y "promoción de las habilidades de los estudiantes". Conclusión. Las actitudes hacia formación y la pasantía en la comunidad son favorables al ser una experiencia altamente beneficiosa para los estudiantes, los profesores y los pacientes.

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          Nurses' roles in health promotion practice: an integrative review.

          Nurses play an important role in promoting public health. Traditionally, the focus of health promotion by nurses has been on disease prevention and changing the behaviour of individuals with respect to their health. However, their role as promoters of health is more complex, since they have multi-disciplinary knowledge and experience of health promotion in their nursing practice. This paper presents an integrative review aimed at examining the findings of existing research studies (1998-2011) of health promotion practice by nurses. Systematic computer searches were conducted of the Cochrane databases, Cinahl, PubMed, Web of Science, PsycINFO and Scopus databases, covering the period January 1998 to December 2011. Data were analysed and the results are presented using the concept map method of Novak and Gowin. The review found information on the theoretical basis of health promotion practice by nurses, the range of their expertise, health promotion competencies and the organizational culture associated with health promotion practice. Nurses consider health promotion important but a number of obstacles associated with organizational culture prevent effective delivery.
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            Pedagogy of the oppressed

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              Appropriate training and retention of community doctors in rural areas: a case study from Mali

              Background While attraction of doctors to rural settings is increasing in Mali, there is concern for their retention. An orientation course for young practicing rural doctors was set up in 2003 by a professional association and a NGO. The underlying assumption was that rurally relevant training would strengthen doctors' competences and self-confidence, improve job satisfaction, and consequently contribute to retention. Methods Programme evaluation distinguished trainees' opinions, competences and behaviour. Data were collected through participant observation, group discussions, satisfaction questionnaires, a monitoring tool of learning progress, and follow up visits. Retention was assessed for all 65 trainees between 2003 and 2007. Results and discussion The programme consisted of four classroom modules – clinical skills, community health, practice management and communication skills – and a practicum supervised by an experienced rural doctor. Out of the 65 trained doctors between 2003 and 2007, 55 were still engaged in rural practice end of 2007, suggesting high retention for the Malian context. Participants viewed the training as crucial to face technical and social problems related to rural practice. Discussing professional experience with senior rural doctors contributed to socialisation to novel professional roles. Mechanisms underlying training effects on retention include increased self confidence, self esteem as rural doctor, and sense of belonging to a professional group sharing a common professional identity. Retention can however not be attributed solely to the training intervention, as rural doctors benefit from other incentives and support mechanisms (follow up visits, continuing training, mentoring...) affecting job satisfaction. Conclusion Training increasing self confidence and self esteem of rural practitioners may contribute to retention of skilled professionals in rural areas. While reorientations of curricula in training institutions are necessary, other types of professional support are needed. This experience suggests that professional associations dedicated to strengthening quality of care can contribute significantly to rural practitioners' morale.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Journal
                iee
                Investigación y Educación en Enfermería
                Invest. educ. enferm
                Imprenta Universidad de Antioquia (Medellín, Antioquia, Colombia )
                0120-5307
                2216-0280
                August 2017
                : 35
                : 2
                : 243-251
                Affiliations
                [2] Fasa orgnameFasa University of Medical Sciences Iran mahmodhot45@ 123456yahoo.com
                [3] Fasa orgnameFasa University Of Medical Sciences Iran khani_1512@ 123456yahoo.com
                [1] Fasa orgnameFasa University Of Medical Sciences orgdiv1Department of Nursing, School of Nursing Iran fereidounizhila@ 123456gmail.com
                [4] Larestan orgnameLarestan University of Medical Sciences orgdiv1Faculty member of Larestan nursing school Iran Hannankashfi@ 123456yahoo.com
                Article
                S0120-53072017000200243
                10.17533/udea.iee.v35n2a13
                cb208e93-0b3d-4de7-b336-64caf956252a

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 18 November 2016
                : 10 May 2017
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 25, Pages: 9
                Product

                SciELO Colombia


                actitud,grupos focales,promoción de la salud,investigación cualitativa,estudiantes de enfermería,attitude,focus groups,health promotion,qualitative research,students, nursing,atitude,grupos focais,promoção da saúde,pesquisa qualitativa,estudantes de enfermagem

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