Abstract
Objective
This study aimed to describe and compare the group-level findings from 2005–2006 and 2015–2016 regarding students’ and patients’ views of the nursing student-patient relationship and associated factors.
Methods
The data were in both cases collected using Student-Patient Relationship Scales. The data were analysed statistically.
Results
In both student cohorts, authoritative and facilitative student-patient relationships were reported by the students more frequently than mechanistic relationships. Authoritative relationships were most common in both patient cohorts, whereas facilitative relationships had become more frequent than mechanistic relationships. A positive change of views in the student and patient cohorts was found in factors associated with the relationship.
Conclusion
In order to strengthen a clinical learning culture that reflects a facilitative student-patient relationship, further research is needed on the processes and outcomes of that relationship.
Research funding: None declared.
Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.
Competing interests: Authors state no conflict of interest.
Informed consent: Informed consent was obtained from all individuals included in this study.
Ethical approval: Ethical approval to conduct this study was obtained from the Helsinki and Uusimaa University Hospital Ethical Committee (185/13/03/01/2014, 13.08.2014).
References
Alshahrani, Y., Cusack, L., & Rasmussen, P. (2018). Undergraduate nursing students’ strategies for coping with their first clinical placement: Descriptive survey study. Nurse Education Today, 69, 104–108. https://doi.org/10.1016/j.nedt.2018.07.005.Suche in Google Scholar PubMed
Angel, S., & Frederiksen, K. N. (2015). Challenges in achieving patient participation: A review of how patient participation is addressed in empirical studies. International Journal of Nursing Studies, 52(9), 1525–1538. https://doi.org/10.1016/j.ijnurstu.2015.04.008.Suche in Google Scholar PubMed
Ben Natan, M., & Hochman, O. (2017). Patient-centered care in healthcare and its implementation in nursing. International Journal of Caring Sciences, 10(1), 596–600.Suche in Google Scholar
Bleakley, A., & Bligh, J. (2008). Students learning from patients: Let’s get real in medical education. Advances in Health Sciences Education, 13(1), 89–107. https://doi.org/10.1007/s10459-006-9028-0.Suche in Google Scholar PubMed
Cantrell, M., Franklin, A., Leighton, F., & Carlson, A. (2017). The evidence in simulation- based learning experiences in nursing education and practice: An umbrella review. Clinical Simulation in Nursing, 13(12), 634–667. https://doi.org/10.1016/j.ecns.2017.08.004.Suche in Google Scholar
Carey, M. C., Kent, B., & Latour, J. M. (2018). Experiences of undergraduate nursing students in peer assisted learning in clinical practice: A qualitative systematic review. JBI Database of Systematic Reviews and Implementation Reports, 16(5), 1190–1219. https://doi.org/10.11124/JBISRIR-2016-003295.Suche in Google Scholar PubMed
Duygulu, S., & Abaan, S. (2013). Turkish nursing students’ views on practice assessments and service user involvement. Contemporary Nurse, 43(2), 201–212. https://doi.org/10.5172/conu.2013.43.2.201.Suche in Google Scholar PubMed
Ekebergh, M., Anderson, N., & Eskilsson, C. (2018). Intertwining of caring and learning in care practices supported by a didactic approach. Nurse Education in Practice, 31, 95–100. https://doi.org/10.1016/j.nepr.2018.05.008.Suche in Google Scholar PubMed
European Commission (2005). Directive 2005/36/EC of the European Parliament and of the Council of 7 September 2005 on the recognition of professional qualifications. https://eur-lex.europa.eu/legal-content/EN/TXT/?uri=celex%3A32005L0036 [Accessed 14 Nov 2019].Suche in Google Scholar
European Commission (2013). Directive 2013/55/EU of the European Parliament and of the Council of 20 November 2013 amending Directive 2005/36/EC on the recognition of professional qualifications and Regulation (EU) No 1024/2012 on administrative cooperation through the Internal Market Information System. https://eur-lex.europa.eu/legal-content/EN/ALL/?uri=celex:32013L0055 [Accessed 14 Nov 2019].Suche in Google Scholar
Finnish Advisory Board on Research Integrity (2012). Responsible conduct of research and procedures for handling allegations of misconduct in Finland. Guidelines of the Finnish Advisory Board on Research Integrity 2012. https://www.tenk.fi/sites/tenk.fi/files/HTK_ohje_2012.pdf [Accessed 14 Nov 2019].Suche in Google Scholar
Fleischer, S., Berg, A., Zimmermann, M., Wüste, K., & Behrens, J. (2009). Nurse-patient interaction and communication: A systematic literature review. Journal of Public Health, 17(5), 339–353. https://doi.org/10.1007/s10389-008-0238-1.Suche in Google Scholar
Fröberg, M., Leanderson, C., Fläckman, B., Hedman-Lagerlöf, E., Björklund, K., Nilsson, G. H., & Stenfors, T. (2018). Experiences of a student-run clinic in primary care: A mixed-method study with students, patients and supervisors. Scandinavian Journal of Primary Health Care, 36(1), 36–46. https://doi.org/10.1080/02813432.2018.1426143.Suche in Google Scholar PubMed PubMed Central
Griffith, J., Speed, S., Horneb, M., & Keeley, P. (2012). A caring professional attitude: What service users and carers seek in graduate nurses and the challenge for educators. Nurse Education Today, 32(2), 121–127. https://doi.org/10.1016/j.nedt.2011.06.005.Suche in Google Scholar PubMed
Håkansson Eklund, J., Holmström, I. K., Kumlin, T., Kaminsky, E., Skoglund, K., Höglander, J., … Summer Meraniu, M. (2019). “Same or different?” A review of reviews of person-centered and patient-centered care. Patient Education and Counseling, 102(1), 3–11. https://doi.org/10.1016/j.pec.2018.08.029.Suche in Google Scholar PubMed
Jones, M., & Pietilä, I. (2018). The citizen is stepping into a new role – policy interpretations of patient and public involvement in Finland. Health and Social Care in the Community, 26(2), e304–e311. https://doi.org/10.1111/hsc.12520.Suche in Google Scholar PubMed
Jylhä, V., Oikarainen, A., Perälä, M.-L., & Holopainen, A. (2017). Facilitating evidence- based practice in nursing and midwifery in the WHO European Region. Copenhagen, Denmark: World Health Organization. WHO Regional Office for Europe. http://www.euro.who.int/__data/assets/pdf_file/0017/348020/WH06_EBP_report_complete.pdf?ua=1 [Accessed 14 Nov 2019].Suche in Google Scholar
Kajander-Unkuri, S., Meretoja, R., Katajisto, J., Saarikoski, M., Salminen, L., Suhonen, R., & Leino-Kilpi, H. (2014). Self-assessed level of competence of graduating nursing students and factors related to it. Nurse Education Today, 34(5), 795–801. https://doi.org/10.1016/j.nedt.2013.08.009.Suche in Google Scholar PubMed
Kaldal, M. H., Kristiansen, J., & Uhrenfeldt, L. (2018). Nursing students experienced personal inadequacy, vulnerability and transformation during their patient care encounter: A qualitative meta-synthesis. Nurse Education Today, 6, 99–107. https://doi.org/10.1016/j.nedt.2018.02.008.Suche in Google Scholar PubMed
Kim, T. K (2015). T-test as a parametric statistic. Korean Journal of Anesthesiology, 68(6), 540–546. https://doi.org/10.4097/kjae.2015.68.6.540.Suche in Google Scholar PubMed PubMed Central
Kitson, A., Marshall, A., Bassett, K., & Zeitz, K. (2013). What are the core elements of patient-centred care? A narrative review and synthesis of the literature from health policy, medicine and nursing. Journal of Advanced Nursing, 69(1), 4–15. https://doi.org/10.1111/j.1365-2648.2012.06064.x.Suche in Google Scholar PubMed
Labrague, L.J., & McEnroe‐Petitte, D.M. (2018). Job stress in new nurses during the transition period: An integrative review. International Nursing Review, 65(4), 491–504. https://doi.org/10.1111/inr.12425.Suche in Google Scholar PubMed
Manninen, K. (2014). Experiencing authenticity: The core of student learning in clinical practice. [Doctoral Dissertation]. Karolinska Institutet, Stockholm, Sweden. https://openarchive.ki.se/xmlui/handle/10616/41988 [Accessed 14 Nov 2019].Suche in Google Scholar
McCarthy, B., Trace, A., O’Donovan, M., Brady-Nevin, C., Murphy, M., O’Shea, M., & O’ Regan, P. (2018). Nursing and midwifery students’ stress and coping during their undergraduate education programmes: An integrative review. Nurse Education Today, 6, 197–209. https://doi.org/10.1016/j.nedt.2017.11.029.Suche in Google Scholar PubMed
McMahon-Parkes, K., Chapman, L., & James, J. (2016). The views of patients, mentors and adult field nursing students on patients’ participation in student nurse assessment in practice. Nurse Education in Practice, 16(1), 202–208. https://doi.org/10.1016/j.nepr.2015.08.007.Suche in Google Scholar PubMed
Meretoja, R., Tarr, T., & Strandell-Laine, C. (2018). The CLES scale as a national quality tool for clinical learning and teaching. In M. Saarikoski, & C. Strandell-Laine (Eds.), The CLES-scale: An evaluation tool for healthcare education (pp. 47–53). Cham: Springer.10.1007/978-3-319-63649-8_5Suche in Google Scholar
OECD (2017). Caring for quality in health: Lessons learned from 15 reviews of health care quality. Paris: OECD Reviews of Health Care Quality, OECD Publishing. https://doi.org/10.1787/9789264267787-en.Suche in Google Scholar
Pulido-Martos, M., Augusto-Landa, J. M., & Lopez-Zafra, E. (2012). Sources of stress in nursing students: A systematic review of quantitative studies. International Nursing Review, 59(1), 15–25. https://doi.org/10.1111/j.1466-7657.2011.00939.x.Suche in Google Scholar
Rhodes, C. (2012). User involvement in health and social care education: A concept analysis. Nurse Education Today, 32(2), 185–189. https://doi.org/10.1016/j.nedt.2011.11.012.Suche in Google Scholar PubMed
Rowland, P., Anderson, M., Kumagai, A. K., McMillan, S., Sandhu, V. K., & Langlois, S. (2019). Patient involvement in health professionals’ education: a meta-narrative review. Advances in Health Sciences Education. Theory and Practice, 24(3), 595–617. https://doi.org/10.1007/s10459-018-9857-7.Suche in Google Scholar PubMed
Rowland, P., Anderson, M., Kumagai, A. K., McMillan, S., Vijay, K., Sandhu, V. K., & Langlois, S. (2018). Patient involvement in health professionals’ education: A meta narrative review. Advances in Health Sciences Education, 24(3), 595–617. https://doi.org/10.1007/s10459-018-9857-7.Suche in Google Scholar
Scammell, J., Heaslip, V., & Crowley, E. (2016). Service user involvement in preregistration general nurse education: A systematic review. Journal of Clinical Nursing, 25(1–2), 53–69. https://doi.org/10.1111/jocn.13068.Suche in Google Scholar PubMed
Salminen, L., Stolt, M., Saarikoski, M., Suikkala, A., Vaartio, H., & Leino-Kilpi, H. (2010). Future challenges for nursing education–a European perspective. Nurse Education Today, 30(3), 233–238. https://doi.org/10.1016/j.nedt.2009.11.004.Suche in Google Scholar PubMed
Sharma, T., Bamford, M., & Dodman, D. (2015). Person-centred care: An overview of reviews. Contemporary Nurse, 51(2–3), 107–120. https://doi.org/10.1080/10376178.2016.1150192.Suche in Google Scholar PubMed
Speers, J., & Lathlean, J. (2015). Service user involvement in giving mental health students feedback on placement: A participatory action research study. Nurse Education Today, 35(9), e84–e89. https://doi.org/10.1016/j.nedt.2015.07.004.Suche in Google Scholar PubMed
Staun, M., Bergström, B., & Wadensten, B. (2010). Evaluation of a PBL strategy in clinical supervision of nursing students: Patient-centred training in student-dedicated treatment rooms. Nurse Education Today, 30(7), 631–637. https://doi.org/10.1016/j.nedt.2009.12.013.Suche in Google Scholar PubMed
Stickley, T., Stacey, G., Pollock, K., Smith, A., Betinis, J., & Fairbank, S. (2010). The practice assessment of student nurses by people who use mental health services. Nurse Education Today, 30(1), 20–25. https://doi.org/10.1016/j.nedt.2009.12.013.Suche in Google Scholar PubMed
Suikkala, A, & Leino-Kilpi, H. (2001). Nursing student-patient relationship: A review of the literature from 1984 to 1998. Journal of Advanced Nursing, 33(1), 42–50. https://doi.org/10.1046/j.1365-2648.2001.01636.x.Suche in Google Scholar PubMed
Suikkala, A., & Leino-Kilpi, H. (2005). Nursing student-patient relationship: Experiences of students and patients. Nurse Education Today, 25(5), 344–354. https://doi.org/10.1016/j.nedt.2005.03.001.Suche in Google Scholar PubMed
Suikkala, A., Leino-Kilpi, H., & Katajisto, J. (2008a). Factors related to the nursing student-patient relationship: The student’s perspective. Nurse Education Today, 28(5), 539–549. https://doi.org/10.1016/j.nedt.2007.09.004.Suche in Google Scholar PubMed
Suikkala, A., Leino-Kilpi, H., & Katajisto, J. (2008b). Nursing student-patient relationships: A descriptive study of students’ and patients’ views. International Journal of Nursing Education Scholarship, 5. Article 5. https://doi.org/10.2202/1548-923X.1457.Suche in Google Scholar PubMed
Suikkala, A., Leino-Kilpi, H., & Katajisto, J. (2009). Factors related to the nursing student–patient relationship: The patients’ perspective. Scandinavian Journal of Caring Sciences, 23(3), 625–634. https://doi.org/10.1111/j.1471-6712.2008.00648.x.Suche in Google Scholar PubMed
Suikkala, A., Koskinen, S., & Leino-Kilpi, H (2018). Patients’ involvement in nursing students’ clinical education: A scoping review. International Journal of Nursing Studies, 84, 40–51. https://doi.org/10.1016/j.ijnurstu.2018.04.010.Suche in Google Scholar PubMed
Suikkala, A., Leino-Kilpi, H., Katajisto, J., & Koskinen, S. (2020). Nursing student-patient relationship and related factors – a self-assessment by nursing students. Journal of Clinical Nursing 2020. https://doi.org/10.1111/jocn.15426 [published online ahead of print, 2020 Jul 22].Suche in Google Scholar PubMed
Tavakol, M., & Dennick, R. (2011). Making sense of Cronbach’s alpha. International Journal of Medical Education, 2, 53–55. https://doi.org/10.5116/ijme.4dfb.8dfd.Suche in Google Scholar PubMed PubMed Central
Torjesen, D. O., Aarrevaara, T., Stangborli Time, M., & Tynkkynen, L.-K. (2017). The users’ role in primary and secondary healthcare in Finland and Norway. Scandinavian Journal of Public Administration, 21(1), 103–122.10.58235/sjpa.v21i1.14893Suche in Google Scholar
Towle, A., Bainbridge, L., Godolphin, W., Katz, A., Kline, C., Lown, B., … Thistlethwaite, J. (2010). Active patient involvement in the education of health professionals. Medical Education, 44(1), 64–74. https://doi.org/10.1111/j.1365-2923.2009.03530.x.Suche in Google Scholar PubMed
Vrangbaek, K. (2015). Patient involvement in Danish health care. Journal of Health, Organisation and Management, 29(5), 611–24. https://doi.org/10.1108/JHOM-01-2015-0002.Suche in Google Scholar PubMed
World Health Organization (2016). Global strategic directions for strengthening nursing and midwifery 2016–2020. Geneva, Switzerland: WHO Press. http://www.who.int/hrh/nursing_midwifery/global-strategic-midwifery2016-2020.pdf [Accessed 14 Nov 2019].Suche in Google Scholar
© 2020 Walter de Gruyter GmbH, Berlin/Boston
Artikel in diesem Heft
- Editorial
- A note of gratitude
- Research Articles
- Assessing baccalaureate nursing students’ knowledge and attitudes of social determinants of health after a health equity simulation
- Use of phenomenography in nursing education research
- A comparison of RN licensure test plans: the United States and China with implications for the Chinese nursing licensure exam
- From practical nurse to bachelor of nursing student: bridging the transition
- A caring model for nursing education
- Nurse and midwife educators’ experiences of translating teaching methodology knowledge into practice in Rwanda
- Nursing student-patient relationship – a 10-year comparison study in Finland
- An educational intervention to promote civility in nursing: a pilot study
- Self-compassion in undergraduate nursing: an integrative review
- Seeking transformation: how students in nursing view their academic writing context – a qualitative systematic review
- Assessing knowledge of genomic concepts among Canadian nursing students and faculty
- Nurse students’ attitudes toward the nursing profession after witnessing workplace violence
- The effectiveness of scenario-based learning to develop patient safety behavior in first year nursing students
- Impact of an extracurricular, student-led journal club on evidence-based practice among baccalaureate nursing students
- Nursing students’ engagement and experiences with virtual reality in an undergraduate bioscience course
- Concept-based curriculum: design and implementation strategies
- Assessing the impact of mentorship on nurses’ and midwives’ knowledge and self-efficacy in managing postpartum hemorrhage
- Teaching evidence-based nursing practice to student nurses in developing countries: strategies for novice nurse educators
- Nursing students’ perceptions of and experiences coping with stress in clinical practice
- Unpacking the hidden curriculum in nursing education: clinical placements abroad
- Facilitating and hindering experiences to the development of humanistic caring in the academic and clinical settings: an interpretive phenomenological study with nursing students and nurses
- Resilience in first and second semester baccalaureate nursing students
- Clinical stress among undergraduate nursing students: perceptions of clinical nursing faculty
- The potential for learning within hospital learning communities: the interplay between nursing practice and education to support research ability
- Embracing evidence-based nursing and informational literacy through an innovative undergraduate collaborative project
- The effect of linguistic modification on English as a second language (ESL) nursing student retention
- Perceived stress, physiological stress reactivity, and exit exam performance in a prelicensure Bachelor of Science nursing program
- A Comparative Analysis of Teaching and Evaluation Methods in Nurse Practitioner Education Programs in Australia, Canada, Finland, Norway, the Netherlands and USA
- Gett’n on the bus: evaluation of Sentinel City®3.0 virtual simulation in community/population health clinical placement
- Intentional learning: a student-centered pedagogy
- Journey to simulation program accreditation
- Effect of a rapid e-learning module and brief interprofessional simulation event on medical and nursing student collaborative attitudes and behaviors
- Using Participatory Action Research to Explore the Nursing Academic Work Environment
- Theoretical Approaches to Studying Incivility in Nursing Education
- Students’ Self-assessed Competence Levels during Nursing Education Continuum – A Cross-sectional Survey
- Re-imaging Clinical Education: The Interdependence of the Self-Regulated Clinical Teacher and Nursing Student
- Effect of an Educational Intervention Delivered to Senior Nursing Students to Strengthen Spiritual Care for People with Chronic Illness
- A Description of the Characteristics and Behaviors of Master Teachers in Nursing
Artikel in diesem Heft
- Editorial
- A note of gratitude
- Research Articles
- Assessing baccalaureate nursing students’ knowledge and attitudes of social determinants of health after a health equity simulation
- Use of phenomenography in nursing education research
- A comparison of RN licensure test plans: the United States and China with implications for the Chinese nursing licensure exam
- From practical nurse to bachelor of nursing student: bridging the transition
- A caring model for nursing education
- Nurse and midwife educators’ experiences of translating teaching methodology knowledge into practice in Rwanda
- Nursing student-patient relationship – a 10-year comparison study in Finland
- An educational intervention to promote civility in nursing: a pilot study
- Self-compassion in undergraduate nursing: an integrative review
- Seeking transformation: how students in nursing view their academic writing context – a qualitative systematic review
- Assessing knowledge of genomic concepts among Canadian nursing students and faculty
- Nurse students’ attitudes toward the nursing profession after witnessing workplace violence
- The effectiveness of scenario-based learning to develop patient safety behavior in first year nursing students
- Impact of an extracurricular, student-led journal club on evidence-based practice among baccalaureate nursing students
- Nursing students’ engagement and experiences with virtual reality in an undergraduate bioscience course
- Concept-based curriculum: design and implementation strategies
- Assessing the impact of mentorship on nurses’ and midwives’ knowledge and self-efficacy in managing postpartum hemorrhage
- Teaching evidence-based nursing practice to student nurses in developing countries: strategies for novice nurse educators
- Nursing students’ perceptions of and experiences coping with stress in clinical practice
- Unpacking the hidden curriculum in nursing education: clinical placements abroad
- Facilitating and hindering experiences to the development of humanistic caring in the academic and clinical settings: an interpretive phenomenological study with nursing students and nurses
- Resilience in first and second semester baccalaureate nursing students
- Clinical stress among undergraduate nursing students: perceptions of clinical nursing faculty
- The potential for learning within hospital learning communities: the interplay between nursing practice and education to support research ability
- Embracing evidence-based nursing and informational literacy through an innovative undergraduate collaborative project
- The effect of linguistic modification on English as a second language (ESL) nursing student retention
- Perceived stress, physiological stress reactivity, and exit exam performance in a prelicensure Bachelor of Science nursing program
- A Comparative Analysis of Teaching and Evaluation Methods in Nurse Practitioner Education Programs in Australia, Canada, Finland, Norway, the Netherlands and USA
- Gett’n on the bus: evaluation of Sentinel City®3.0 virtual simulation in community/population health clinical placement
- Intentional learning: a student-centered pedagogy
- Journey to simulation program accreditation
- Effect of a rapid e-learning module and brief interprofessional simulation event on medical and nursing student collaborative attitudes and behaviors
- Using Participatory Action Research to Explore the Nursing Academic Work Environment
- Theoretical Approaches to Studying Incivility in Nursing Education
- Students’ Self-assessed Competence Levels during Nursing Education Continuum – A Cross-sectional Survey
- Re-imaging Clinical Education: The Interdependence of the Self-Regulated Clinical Teacher and Nursing Student
- Effect of an Educational Intervention Delivered to Senior Nursing Students to Strengthen Spiritual Care for People with Chronic Illness
- A Description of the Characteristics and Behaviors of Master Teachers in Nursing