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      Using appreciative inquiry to transform student nurses’ image of nursing

      research-article
      Author(s): 1 , , 1 , 1
      Publication date (Electronic):
      Journal: Curationis
      Publisher: AOSIS OpenJournals

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          Abstract

          Introduction

          Literature provides adequate evidence of a poor perception of nursing within the profession, resulting in high rates of attrition of student nurses and newly qualified nurses. The nursing profession, in particular nurse educators, has an ethical and professional responsibility to find innovative strategies to promote the positive image of nursing amongst student nurses.

          Purpose

          The purpose of the study was to explore the potential of appreciative inquiry (AI) as an intervention teaching strategy to transform student nurses’ image of nursing.

          Design

          A quantitative, quasi-experimental, explorative-descriptive design comprising the pretest, appreciative inquiry as intervention, and the post-test was used.

          Methods

          Convenience sampling was used to select third and fourth year college and university student nurses in the Gauteng province of South Africa for the pre- and the post-test respectively. Data were collected by means of a questionnaire and analysed by SPSS version 20.0.

          Findings

          The pretest results revealed a mix of positive and negative perceptions of the image of nursing amongst student nurses. The negative perceptions of the image of nursing that needed intervention included the working conditions of nurses, and the perception of nursing as a profession that was not respected and appreciated. The post-test results showed a significant and positive change in the student nurses’ perception of the image of nursing as a respected and appreciated profession. Although AI resulted in a negative to positive change in some aspects of student nurses’ image of nursing, the negative perceptions of the working conditions of nurses remained and became more negative. The positive image of gender in nursing was enhanced following the implementation of AI.

          Conclusion

          Appreciative inquiry demonstrated potential as a teaching strategy to produce a positive nursing image change and positive orientation towards nursing amongst student nurses.

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          Most cited references23

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          Knowledge transfer for the management of dementia: a cluster-randomised trial of blended learning in general practice

          Horst C Vollmar, Herbert Mayer, Thomas Ostermann … (2010)
          Background The implementation of new medical knowledge into general practice is a complex process. Blended learning may offer an effective and efficient educational intervention to reduce the knowledge-to-practice gap. The aim of this study was to compare knowledge acquisition about dementia management between a blended learning approach using online modules in addition to quality circles (QCs) and QCs alone. Methods In this cluster-randomised trial with QCs as clusters and general practitioners (GPs) as participants, 389 GPs from 26 QCs in the western part of Germany were invited to participate. Data on the GPs' knowledge were obtained at three points in time by means of a questionnaire survey. Primary outcome was the knowledge gain before and after the interventions. A subgroup analysis of the users of the online modules was performed. Results 166 GPs were available for analysis and filled out a knowledge test at least two times. A significant increase of knowledge was found in both groups that indicated positive learning effects of both approaches. However, there was no significant difference between the groups. A subgroup analysis of the GPs who self-reported that they had actually used the online modules showed that they had a significant increase in their knowledge scores. Conclusion A blended learning approach was not superior to a QCs approach for improving knowledge about dementia management. However, a subgroup of GPs who were motivated to actually use the online modules had a gain in knowledge. Trial registration Current Controlled Trials ISRCTN36550981.
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            Work satisfaction of professional nurses in South Africa: a comparative analysis of the public and private sectors

            Rubin Pillay (2009)
            Background Work satisfaction of nurses is important, as there is sufficient empirical evidence to show that it tends to affect individual, organizational and greater health and social outcomes. Although there have been several studies of job satisfaction among nurses in South Africa, these are limited because they relate to studies of individual organizations or regions, use small samples or are dated. This paper presents a national study that compares and contrasts satisfaction levels of nurses in both public and private sectors. Methods This was a cross-sectional survey of professional nurses conducted throughout South Africa using a pretested and self-administered questionnaire. Univariate and bivariate statistical models were used to evaluate levels of satisfaction with various facets of work and to elicit the differences in satisfaction levels between different groups of nurses. A total of 569 professional nurses participated in the study. Results Private-sector nurses were generally satisfied, while public-sector nurses were generally dissatisfied. Public-sector nurses were most dissatisfied with their pay, the workload and the resources available to them. They were satisfied only with the social context of the work. Private-sector nurses were dissatisfied only with their pay and career development opportunities. Professional nurses in the more rural provinces, those intending to change sectors and those more likely not to be in their current positions within the next five years were also more likely to be dissatisfied with all facets of their work. Conclusion This study highlighted the overall dissatisfaction among South African nurses and confirmed the disparity between the levels of job satisfaction between the public and private sectors. Health managers should address those factors that affect job satisfaction, and therefore retention, of nurses in South Africa. Improving the work environment so that it provides a context congruent with the aspirations and values systems of nurses is more likely to increase the satisfaction of nurses and consequently have a positive effect on individual, organizational and health outcomes.
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              Using appreciative inquiry to transform health care.

              Suza Trajkovski, Virginia Schmied, Margaret Vickers … (2013)
              Amid tremendous changes in contemporary health care stimulated by shifts in social, economic and political environments, health care managers are challenged to provide new structures and processes to continually improve health service delivery. The general public and the media are becoming less tolerant of poor levels of health care, and health care professionals need to be involved and supported to bring about positive change in health care. Appreciative inquiry (AI) is a philosophy and method for promoting transformational change, shifting from a traditional problem-based orientation to a more strength-based approach to change, that focuses on affirmation, appreciation and positive dialog. This paper discusses how an innovative participatory approach such as AI may be used to promote workforce engagement and organizational learning, and facilitate positive organizational change in a health care context.
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                Author and article information

                Journal
                Journal ID (nlm-ta): Curationis
                Journal ID (iso-abbrev): Curationis
                Journal ID (publisher-id): CUR
                Title: Curationis
                Publisher: AOSIS OpenJournals
                ISSN (Print): 0379-8577
                ISSN (Electronic): 2223-6279
                Publication date (Electronic): 19 August 2015
                Publication date Collection: 2015
                Volume: 38
                Issue: 1
                Electronic Location Identifier: 1460
                Affiliations
                [1 ]Department of Health Studies, University of South Africa, South Africa
                Author notes
                Correspondence to: Motshedisi Chauke, Email: chaukme@ 123456unisa.ac.za Postal address: PO Box 392, UNISA 0003, South Africa

                How to cite this article: Chauke, M.E., Van Der Wal, D. & Botha, A., 2015, ‘Using appreciative inquiry to transform student nurses’ image of nursing’, Curationis 38(1), Art. #1460, 8 pages. http://dx.doi.org/10.4102/curationis.v38i1.1460

                Article
                Publisher ID: CUR-38-1460
                DOI: 10.4102/curationis.v38i1.1460
                PMC ID: 6091752
                PubMed ID: 26304051
                SO-VID: e1e5a6f7-daaa-4a55-9ff1-83cb6b800bf5
                Copyright © © 2015. The Authors
                License:

                Licensee:AOSIS OpenJournals. This work is licensed under the Creative Commons Attribution License.

                History
                Date received : 10 October 2014
                Date accepted : 04 June 2015
                Categories
                Subject: Original Research

                Data availability:

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