Nursing students' misunderstandings when learning about stroke care: A phenomenographic study.

Abstract Background Considering the prevalence and complexity of a stroke, it is necessary to think about how undergraduate nursing students are developing knowledge for stroke care. Aim To obtain a vision of nursing students' learning, exploring difficulties concerning understanding stroke care del...

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Publicado en:Nurse Education Today Vol. 73; pp. 54 - 60
Autores principales: Zarandona, Jagoba, Hoyos Cillero, Itziar, Arrue, Marta
Formato: research tables/charts Journal Article
Publicado: Elsevier B.V. Feb2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2019
      vid: 73
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      pub: Elsevier B.V.
      place: New York, New York
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        10.1016/j.nedt.2018.11.013
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        atl: Nursing students' misunderstandings when learning about stroke care: A phenomenographic study.
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        au:
          Zarandona, Jagoba
          Hoyos Cillero, Itziar
          Arrue, Marta
        affil: Vitoria-Gasteiz Nursing School, Osakidetza-Basque National Health Service, Jose Atxotegi s/n, 01009 Vitoria-Gasteiz, Basque Country, Spain
      sug:
        subj:
          Stroke Education
          Nursing Care Education
          Students, Nursing
          Learning Methods
          Student Attitudes
          Human
          Phenomenological Research
          Education, Nursing
          Spain
          Glasgow Coma Scale Utilization
          Muscle Spasticity Therapy
          Shock Complications
          Patient Positioning
          Pressure Ulcer Prevention and Control
          Outcomes of Education
          Teaching Methods, Clinical
          Male
          Female
          Young Adult
          Funding Source
          Male
          Female
      ab: Abstract Background Considering the prevalence and complexity of a stroke, it is necessary to think about how undergraduate nursing students are developing knowledge for stroke care. Aim To obtain a vision of nursing students' learning, exploring difficulties concerning understanding stroke care delivery. Design A phenomenographic research approach. Locations and Participants This research is based on written exam papers (n = 126) from third-year nursing students enrolled in the 2015–16 academic year in two Nursing Schools in Spain. Results The analysis revealed four conceptions in which students demonstrated difficulties understanding stroke care delivery: 1) limitation of the neurological assessment to the level of consciousness and use of the Glasgow Coma Scale; 2) association of haemorrhagic stroke with hypovolaemia; 3) justification of the need for appropriate patient positioning and postural changes based solely on preventing pressure ulcers; and 4) assertion that strength exercises help improve spasticity. Conclusions Empirical identification of these conceptions among undergraduate nursing students, together with agreed definitions of learning outcomes, in the subject of stroke care delivery will allow educators to design evidence-based teaching-learning strategies. Highlights • Teaching stroke care must become a key area of future nurses' education. • Including stroke education on the syllabus does not guarantee students' learning. • Detecting problems in stroke care learning is crucial to improve teaching sequences. • Nurse educators should develop and evaluate different teaching methods.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
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      ougenre: Article
    language: English
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